A medical X-ray image processing apparatus (1) includes a controller (12) configured to acquire positional information of an imaging system (7) based on positional information of positional references (60) and evaluate symmetry of imaging positions of a plurality of X-ray captured images (15) with respect to a reference position (18) on a movement path of the imaging system (7) based on the acquired positional information of the imaging system (7).

An imaging system (100) includes a rotating gantry (212) with a bore (150), and an X-ray radiation source (100) supported by the rotating gantry, which rotates around the bore and emit X-ray radiation that traverses at least a portion of the bore. A detector array (120) supported by the rotating gantry, located opposite the X-ray radiation source, detects the X-ray radiation having traversed an object (110) located within the bore and generate projection data indicative of the detected X-ray radiation, wherein the projection data comprises a sinogram (216, 316, 412). A processor estimates a portion of the object truncated (402) in the sinogram by fitting a curve (400) to data (320, 322) sampled from a plurality of views (324) of the object in the sinogram adjacent to a set of truncated views (314) of the object in the sinogram, and reconstructs an image (252) of the object based on the estimated portion of the object truncated and the generated projection data.

An x-ray imaging apparatus and associated methods are provided to process projection data from an offset detector during a helical scan, including view completion. The detector may be offset in the channel and/or axial direction. Projection data measured from a current view is combined with projection data measured from at least one conjugate view to reconstruct a target image. A two-dimensional aperture weighting scheme is used to address data redundancy.

Multimodal imaging apparatus and methods include a rotatable gantry system with multiple sources of radiation comprising different energy levels (for example, kV and MV). Fast slip-ring technology and helical scans allow data from multiple sources of radiation to be combined or utilized to generate improved images and workflows, including for IGRT. Features include large field-of-view (LFOV) MV imaging, kV region-of-interest (ROI) imaging, and scalable field-of-view (SFOV) dual energy imaging.

An x-ray imaging apparatus and associated methods are provided to receive measured projection data in a primary region and measured scatter data in asymmetrical shadow regions and determine an estimated scatter in the primary region based on the measured scatter data in the shadow region(s). The asymmetric shadow regions can be controlled by adjusting the position of the beam aperture center on the readout area of the detector. Penumbra data may also be used to estimate scatter in the primary region.

A method of scanning parameter optimization, which method may be useful with image-guided radiation therapy (IGRT), allows for controlling exposure of a beam from an x-ray source and/or controlling the detection mechanism for an x-ray detector of imaging radiation of a radiation-delivery device based on one or more parameters of a region of interest of a patient. The one or more parameters of the region of interest may include a dimension, outer contour, density, location relative to an outlet of the beam, location relative to isocenter, location to the whole patient body, etc. Exposure of the patient to the beam may be varied via modulation of one or more scanning parameters for controlling an aspect of the beam and/or the detector to provide for targeted and or reduced radiation exposure of the patient or portion of the patient, and/or for improved quality of guiding images. The modulation may be varied depending on a view angle of the region of interest from a portion of the radiation-delivery device.

Multimodal imaging apparatus and methods include a rotatable gantry system with multiple sources of radiation comprising different energy levels (for example, kV and MV). Fast slip-ring technology and helical scans allow data from multiple sources of radiation to be combined or utilized to generate improved images and workflows, including for IGRT. Features include increasing the precision of spatial registrations between respective image sets to allow more precise radiation treatment delivery, reducing image artifacts (e.g., scatter, metal and beam hardening, image blur, motion, etc.), and utilization of dual energy imaging (e.g., for material separation and quantitative imaging, patient setup, online adaptive IGRT, etc.).

An x-ray imaging apparatus and associated methods are provided to receive measured projection data in a primary region and measured scatter data in a shadow region and determine an estimated scatter in the primary region during a current rotation based on the measured scatter data in the shadow region from a neighboring rotation. Coverage of the shadow region during the neighboring rotation overlaps the primary region during the current rotation. A beamformer is configured to adjust a shape of the radiation beam to create the primary and shadow regions on the detector, including an embodiment to follow the Tam-Danielson window during a helical scan.

An x-ray imaging apparatus and associated methods are provided to receive measured projection data from a wide aperture scan of a wide axial region and a narrow aperture scan of a narrow axial region within the wide axial region and determine an estimated scatter in the wide axial region using an optimized scatter estimation technique. The optimized scatter estimation technique is based on the difference between the measured scatter in the narrow axial region and the estimated scatter in the narrow axial region. Kernel-based scatter estimation/correction techniques can be fitted to minimize the scatter difference in the narrow axial region and thereafter applying the fitted (optimized) kernel-based scatter estimation/correction to the wide axial region. Optimizations can occur in the projection data domain or the reconstruction domain. Iterative processes are also utilized.

An imaging apparatus and associated methods are provided to efficiently estimate scatter during multi-fraction treatments for improved quality and workflow. Estimated scatter from one fraction during a treatment course can be utilized during subsequent fractions, allowing for measurements with higher scatter-to-primary ratios. The quality of scatter estimates can be maintained, while workflow improves and dosage decreases. Scan configuration limits can be utilized to maintain a minimum level of scatter measurement quality. Patient information can be monitored to ensure that prior fraction scatter estimates are still applicable to current patient status.