Abstract

Due to technical constraints, dual-source dual-energy CT scans may lack spectral information in the periphery of thepatient. Here, we propose a deep learning-based iterative reconstruction to recover the missing spectral information outside the field of measurement (FOM) of the second source-detectorpair. In today's Siemens dual-source CT systems, one source-detector pair (referred to as A) typically has a FOM of about 50cm, while the FOM of the other pair (referred to as B) is limited by technical constraints to a diameter of about 35cm. As a result, dual-energy applications are currently only available within the small FOM, limiting their use for larger patients. To derive a reconstruction at B's energy for the entire patient cross-section, we propose a deep learning-based iterative reconstruction. Starting with A's reconstruction as initial estimate, it employs a neural network in each iteration to refine the current estimate according to a raw data fidelity measure. Here, the corresponding mapping is trained using simulated chest, abdomen, and pelvis scans based on a data set containing 70 full body CT scans. Finally, the proposed approach is tested on simulated and measured dual-source dual-energy scans and compared against existing referenceapproaches. For all test cases, the proposed approach was able to provide artifact-free CT reconstructions of B for the entire patient cross-section. Considering simulated data, the remaining error of the reconstructions is between 10 and 17HU on average, which is about half as low as the reference approaches. A similar performance with an average error of 8HU could be achieved for real phantommeasurements. The proposed approach is able to recover missing dual-energy information for patients exceeding the small 35cm FOM of dual-source CT systems. Therefore, it potentially allows to extend dual-energy applications to the entire-patient crosssection.

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