The invention relates to methods and apparatus for reducing the effects of glare, scatter, and off-focal radiation in the practice of slit radiography.
Background of the Invention
Slit radiography has been known for many years as a technique for reducing the background noise which is generated by X-ray scatter during medical radiography. In the prior art, a first collimator, which typically includes a long, narrow slit, is disposed between an X-ray source and a patient undergoing examination. A second corresponding slit is disposed between the patient and an X-ray detector. Typically, the X-ray detector will comprise an X-ray sensitive phosphor screen, a sheet of X-ray film, or the input screen of an X-ray image intensifier tube. The slits in the two collimators are moved in synchronism. The first slit assures that only a small area of the patient is illuminated with X-rays at any time. The second slit assures that only radiation which travels on a direct path from the X-ray source reaches the detector. The slits move to scan an entire field of view on the patient.
Background noise in a radiography system arises from three principal sources: direct X-ray scatter, image intensifier glare, and off-focal radiation. Scatter is principally X-rays produced in the patient by the Compton effect but also includes some coherent (Rayleigh) scatter and some indirect photoelectric effect scatter. Scatter, together with photoelectric absorption, forms a conventional X-ray image by subtracting photons from a primary radiation beam at various points in the patient.
In systems which utilize an X-ray image intensifier, an X-ray image is converted into an intensified visible light image. The X-rays are first converted to lower energy photons in a scintillation layer at the input screen of the intensifier. The lower energy photons diffuse to a photocathode where they produce an electron image. The electrons are accelerated through an electron optical structure and strike a fluorescent output screen where they are converted into visible photons. Glare may be produced at each step: the X-rays may scatter in the input window and scintillation layer of the tube; the low energy photons may be scattered as they diffuse to the photocathode; the electron image can undergo aberrations which contribute to glare; and light produced in the fluorescent output screen can partially scatter or reflect before it is transmitted out of the intensifier.
X-ray radiation is usually produced in an X-ray tube as Bremsstrahulang or characteristic radiation from a beam of primary electrons which bombards a focal spot on a metal anode. The anode also elastically scatters some secondary electrons. The tube electron optics are generally not designed to focus secondary electrons and they usually strike the anode and generate X-rays far away from the focal spot of the primary electron beam. The tube thus comprises an extended source of radiation having a complicated configuration. Radiation from the focal spot can also be scattered by the output window and filter in the port of the X-ray tube to produce off-focal radition.
Summary of the Invention
In accordance with the invention, a light collimator is provided between the output screen of an X-ray image intensifier and the input of a television pickup. The light collimator moves in synchronism with an X-ray collimator slit which is disposed between the X-ray source and the patient. The light collimator slit restricts the field of view of the television pickup to a limited area on the output screen of the image intensifier which corresponds to a portion of the image produced by direct radiation which reaches the input screen of the intensifier through the X-ray collimator slit. The light collimator prevents glare produced in the image intensifier tube from reaching the television pickup and contributing to background noise in the system and reduces the effects of off-focal radiation and scatter.
In a preferred embodiment of the invention, a collimation effect at the input to the television pickup is achieved by limiting an electrical scan in the television pickup to areas on a photosensitive face which correspond to a portion of the image which is formed by direct radiation which passes through the X-ray collimator slit. The scan is synchronized with the motion of the X-ray collimator slit. The slit in the X-ray collimator may comprise a long rectangular opening which is aligned with its longitudinal dimension perpendicular to a linear motion of the collimator. In this case the pickup is electrically scanned with a rectangular raster scan having horizontal lines parallel to the longitudinal dimension of the opening and a vertical scan which is synchronized with its motion. Alternatively, the X-ray collimator may be a disc with a sector shaped opening in which case the electrical scan of the pickup is in a polar geometry. The pickup may comprise a vidicon or other vacuum tube television pickup or it may comprise a solid state array.
An additional synchronized X-ray collimator slit may be disposed between the patient and the input screen of the image intensifier to further reduce the effect of X-rays scattered in the patient. A further synchronized X-ray collimator slit may be provided at the output window of the X-ray source, between the source and the first X-ray collimator to reduce the background effects of off-focal radiation in the tube.
Brief Description of the Drawings
The invention may be better understood by reference to the attached drawings in which:
FIG. 1 schematically represents an X-ray pickup chain having rectangular slit collimators and
FIG. 2 schematically represents an X-ray pickup chain having sector-shaped disc collimators.
Description of the Preferred Embodiment
FIG. 1 is an X-ray pickup chain which incorporates the improved slit radiography apparatus of the present invention. X-ray radiation is generated at the anode 10 of an X-ray tube 11 and exits the tube through an output window 12 at the tube port 13. Radiation from the tube is projected through a pair of X-ray collimators 14 and 15 (more particularly described below), through an examination area 16 which includes a patient to be examined 17 through a third X-ray collimator 18 and onto the input screen 19 of an X-ray image intensifier tube 20. The X-ray image intensifier tube functions in a manner well known in the art to produce a visible image on an output window 21 which corresponds to the X-ray image formed on the input window 19. A television pickup 22, which may, for example, comprise a vidicon tube or a solid state light detecting array, it is disposed to view the image on the output screen 21 through a light collimator 23. The television pickup 22 produces a video signal which may, for example, be displayed on a television monitor 24. The television pickup 22 produces the video signal by sequentially scanning image detecting elements which may, for example, be in a matrix on the face of a vidicon tube. The scan of the pickup is synchronized with the scan of the cathode ray tube of the television monitor 24; both scans being controlled by a sweep generator 25.
The collimators 14, 15, 18 and 23 comprise radiation-absorbing material (which in the case of X-ray collimators 14, 15 and 18 may be lead and in the case of light collimator 23 may be metal or plastic) which defines a non-absorbing rectangular slit (14a, 15a, 18a and 23a) aligned with its longitudinal dimension perpendicular to the plane of the drawing in FIG. 1. The collimators are movable in the vertical direction and are moved therein by motors 26, 27, 28 and 29 via drive mechanisms which are indicated schematically as dashed lines in which may, for example, comprise racks and pinions. The motors are powered by a drive control circuit 30 which maintains the slits 14a, 15a and 18a in alignment along a common line during their motion. Slits 15a and 18a thus function in the manner of prior art slit radiography apparatus to limit direct radiation from the source to a small portion of the input screen 19. The slit collimator 23 moves in synchronism with the motion of the slit collimators 14, 15 and 18, and is maintained in functional alignment therewith under control of the drive control 30, so that it limits the field of view of the TV pickup 22 to a small area on the output screen 21 of the X-ray image intensifier which contains an image which corresponds to X-ray intensity on the small area of the input screen which receives direct radiation from the source through the slits in collimators 14, 15 and 18.
In a preferred embodiment of the invention, the vertical sweep produced by the sweep generator 25 and applied to the TV pickup 22 to read out image information is synchronized with the motion of the slit collimators so that the pickup tube is, at all times, producing an electrical output signal from light which is emitted from that portion of the output screen which images direct radiation through the slits. In a preferred embodiment, the sweep generator first scans a horizontal line on the face of the pickup tube immediately before light from the direct radiation area of the output screen 21 reaches the pickup. The first sweep erases any information on the face of the tube which may be attributable to background radiation glare, scatter or off-focal radiation. Light from the output screen then produces a direct primary light image on the swept area of the pickup tube and the sweep generator produces a second horizontal line which reads out this information to the television monitor. The sequence is repeated for all lines in the TV image.
In an alternate embodiment of the invention, light collimator 23 may be eliminated and the sweep generator synchronized with the motion of X-ray collimators 14, 15 and 18.
FIG. 2 illustrates an alternate embodiment of the radiography apparatus of FIG. 1 wherein the collimators comprise rotating discs which are provided with sector shaped slit openings and which rotate in synchronism around a common axis. The axis may be disposed outside of the field of view of the X-ray image intensifier or may, advantageously be disposed within the field of view of the image intensifier, that is: between the source and the input screen, as illustrated in FIG. 2. In that case the collimators 14, 15, 18 and 23 are most advantageously supported and driven at their peripheries by motors 26, 27, 28 and 29 under synchronous control from the drive 30. The sweep of the pickup tube may also, in this embodiment, be synchronized with the motion of the collimator discs in which case the sweep of the pickup tube may be in a polar geometry of the type used in pulse position radar displays.
Further details of the construction of slit collimators having rotating and scanning geometries are described in Rudin, S. "Fore-and-Aft Rotating Aperture Wheel (RAW) Device For Improving Radiographic Contrast," Procedings SPIE Vol. 173 page 98. and Barnes G. T. in Brezovich, I.A., "The Design and Performance of a Scanning Multiple Slit Assembly," Med. Phys. 6, 197 (1979), which are incorporated herein, by reference, as background material.
If the disc axis is located within the field of view of the X-ray image intensifier in the apparatus of FIG. 2 there is a possibility that an artifact will be produced at the point on the image corresponding to the axis since, at some point, the width of the focal spot will excede the width of the aperture. If only one collimator is used, the rotation of the collimator will produce an average image. However, a combination of two or more collimators will discriminate against radiation as the center of the collimator is approached. The artifact can be reduced if one of the collimators, for example, collimator 15, is utilized as the beam defining device. This can be accomplished by making the opening in the beam defining collimator narrower than the openings in the remaining collimators and by enlarging the apertures in the other collimators as required to allow the entire primary beam to pass through.