Filtered Backprojection Algorithm Research Articles

Direct inversion of the Longitudinal ray transform for 2D residual elastic strain fields

We examine the problem of Bragg-edge elastic strain tomography from energy resolved neutron transmission imaging. A new approach is developed for two-dimensional plane-stress and plane-strain systems whereby elastic strain can be reconstructed from its Longitudinal ray transform (LRT) as two parts of a Helmholtz decomposition based on the concept of an Airy stress potential. The solenoidal component of this decomposition is reconstructed using an inversion formula based on a tensor filtered back projection (FBP) algorithm whereas the potential part can be recovered using either Hooke’s law or a finite element model of the elastic system. The technique is demonstrated for two-dimensional plane-stress systems in both simulation, and on real experimental data. We also demonstrate that application of the standard scalar FBP algorithm to the LRT in these systems recovers the trace of the solenoidal component of strain and we provide physical meaning for this quantity in the case of 2D plane-stress and plane-strain systems.

Directional TV algorithm for image reconstruction from sparse-view projections in EPR imaging

Objective. Electron paramagnetic resonance (EPR) imaging is an advanced in vivo oxygen imaging modality. The main drawback of EPR imaging is the long scanning time. Sparse-view projections collection is an effective fast scanning pattern. However, the commonly-used filtered back projection (FBP) algorithm is not competent to accurately reconstruct images from sparse-view projections because of the severe streak artifacts. The aim of this work is to develop an advanced algorithm for sparse reconstruction of 3D EPR imaging. Methods. The optimization based algorithms including the total variation (TV) algorithm have proven to be effective in sparse reconstruction in EPR imaging. To further improve the reconstruction accuracy, we propose the directional TV (DTV) model and derive its Chambolle–Pock solving algorithm. Results. After the algorithm correctness validation on simulation data, we explore the sparse reconstruction capability of the DTV algorithm via a simulated six-sphere phantom and two real bottle phantoms filled with OX063 trityl solution and scanned by an EPR imager with a magnetic field strength of 250 G. Conclusion. Both the simulated and real data experiments show that the DTV algorithm is superior to the existing FBP and TV-type algorithms and a deep learning based method according to visual inspection and quantitative evaluations in sparse reconstruction of EPR imaging. Significance. These insights gained in this work may be used in the development of fast EPR imaging workflow of practical significance.

Sparse-View Neutron Computed Tomography 3-D Reconstruction via the Fast Gradient Projection Algorithm

Neutron tomography is an efficient nondestructive testing technique. As a complement to X-ray computed tomography, it has been widely used in various fields. Due to the difficulty of obtaining complete neutron projection data in a high-radiation environment and the high noise characteristics of neutron images, it is difficult to reconstruct a high-quality image using the conventional filtered-back projection (FBP) algorithm. Therefore, research on sparse-view reconstruction algorithms in neutron tomography is needed. To improve the quality of neutron three-dimensional reconstructed images, this paper proposes an algorithm that combines the Simultaneous Algebraic Reconstruction Technique (SART) with Fast Gradient Projection (FGP), where the FGP is an algorithm for image denoising and deblurring based on the discrete total variation (TV) minimization model. The algorithm proposed in this paper is compared with other algorithms (FBP, SART, and SART-TV) by simulated experimental data and real neutron experimental data. The experimental results show that the novel algorithm outperforms the other three algorithms in terms of denoising and retaining detailed structural information.

Generation model meets swin transformer for unsupervised low-dose CT reconstruction

Computed tomography (CT) has evolved into an indispensable tool for clinical diagnosis. Reducing radiation dose crucially minimizes adverse effects but may introduce noise and artifacts in reconstructed images, affecting diagnostic processes for physicians. Scholars have tackled deep learning training instability by exploring diffusion models. Given the scarcity of clinical data, we propose the unsupervised image domain score generation model (UISG) for low-dose CT reconstruction. During training, normal-dose CT images are utilized as network inputs to train a score-based generative model that captures the prior distribution of CT images. In the iterative reconstruction, the initial CT image is obtained using a filtered back-projection algorithm. Subsequently, diffusion-based prior, high-frequency convolutional sparse coding prior, and data-consistency steps are employed to obtain the high-quality reconstructed image. Given the global characteristics of noise, the score network of the diffusion model utilizes a swin transformer structure to enhance the model’s ability to capture long-range dependencies. Furthermore, convolutional sparse coding is applied exclusively to the high-frequency components of the image, to prevent over-smoothing or the loss of crucial anatomical details during the denoising process. Quantitative and qualitative results indicate that UISG outperforms competing methods in terms of denoising and generalization performance.

Semi-supervised iterative adaptive network for low-dose CT sinogram recovery

Background. Concern has been expressed regarding the risk of carcinogenesis from medical computed tomography (CT) radiation. Lowering radiation in CT without appropriate modifications often leads to severe noise-induced artifacts in the images. The utilization of deep learning (DL) techniques has achieved promising reconstruction performance in low-dose CT (LDCT) imaging. However, most DL-based algorithms require the pre-collection of a large set of image pairs (low-dose/standard-dose) and the training of networks in an end-to-end supervised manner. Meanwhile, securing such a large volume of paired, well-registered training data in clinical practice is challenging. Moreover, these algorithms often overlook the potential to utilize the abundant information in a large collection of LDCT-only images/sinograms. Methods. In this paper, we introduce a semi-supervised iterative adaptive network (SIA-Net) for LDCT imaging, utilizing both labeled and unlabeled sinograms in a cohesive network framework, integrating supervised and unsupervised learning processes. Specifically, the supervised process captures critical features (i.e. noise distribution and tissue characteristics) latent in the paired sinograms, while the unsupervised process effectively learns these features in the unlabeled low-dose sinograms, employing a conventional weighted least-squares model with a regularization term. Furthermore, the SIA-Net method is designed to adaptively transfer the learned feature distribution from the supervised to the unsupervised process, thereby obtaining a high-fidelity sinogram through iterative adaptive learning. Finally, high-quality CT images can be reconstructed from the refined sinogram using the filtered back-projection algorithm. Results. Experimental results on two clinical datasets indicate that the proposed SIA-Net method achieves competitive performance in terms of noise reduction and structure preservation in LDCT imaging, when compared to traditional supervised learning methods.

Accurate reconstruction of 4D spectral–spatial images from sparse-view data in continuous-wave EPRI

In continuous-wave electron paramagnetic resonance imaging (CW EPRI), data are collected generally at densely sampled views sufficient for achieving accurate reconstruction of a four dimensional spectral–spatial (4DSS) image by use of the conventional filtered-backprojection (FBP) algorithm. It is desirable to minimize the scan time by collection of data only at sparsely sampled views, referred to as sparse-view data. Interest thus remains in investigation of algorithms for accurate reconstruction of 4DSS images from sparse-view data collected for potentially enabling fast data acquisition in CW EPRI. In this study, we investigate and demonstrate optimization-based algorithms for accurate reconstruction of 4DSS images from sparse-view data. Numerical studies using simulated and real sparse-view data acquired in CW EPRI are conducted that reveal, in terms of image visualization and physical-parameter estimation, the potential of the algorithms developed for yielding accurate 4DSS images from sparse-view data in CW EPRI. The algorithms developed may be exploited for enabling sparse-view scans with minimized scan time in CW EPRI for yielding 4DSS images of quality comparable to, or better than, that of the FBP reconstruction from data collected at densely sampled views.

Directional TV algorithm for fast EPR imaging

Precise radiation guided by oxygen images has demonstrated superiority over the traditional radiation methods. Electron paramagnetic resonance (EPR) imaging has proven to be the most advanced oxygen imaging modality. However, the main drawback of EPR imaging is the long scan time. For each projection, we usually need to collect the projection many times and then average them to achieve high signal-to-noise ratio (SNR). One approach to fast scan is to reduce the repeating time for each projection. While the projections would be noisy and thus the traditional commonly-use filtered backprojection (FBP) algorithm would not be capable of accurately reconstructing images. Optimization-based iterative algorithms may accurately reconstruct images from noisy projections for they may incorporate prior information into optimization models. Based on the total variation (TV) algorithms for EPR imaging, in this work, we propose a directional TV (DTV) algorithm to further improve the reconstruction accuracy. We construct the DTV constrained, data divergence minimization (DTVcDM) model, derive its Chambolle–Pock (CP) solving algorithm, validate the correctness of the whole algorithm, and perform evaluations via simulated and real data. The experimental results show that the DTV algorithm outperforms the existing TV and FBP algorithms in fast EPR imaging. Compared to the standard FBP algorithm, the proposed algorithm may achieve 10 times of acceleration.

A CT deep learning reconstruction algorithm: Image quality evaluation for brain protocol at decreasing dose indexes in comparison with FBP and statistical iterative reconstruction algorithms

PurposeTo characterise the impact of Precise Image (PI) deep learning reconstruction algorithm on image quality, compared to filtered back-projection (FBP) and iDose4 iterative reconstruction for brain computed tomography (CT) phantom images. MethodsCatphan-600 phantom was acquired with an Incisive CT scanner using a dedicated brain protocol, at six different dose levels (volume computed tomography dose index (CTDIvol): 7/14/29/49/56/67 mGy). Images were reconstructed using FBP, levels 2/5 of iDose4, and PI algorithm (Sharper/Sharp/Standard/Smooth/Smoother). Image quality was assessed by evaluating CT numbers, image histograms, noise, image non-uniformity (NU), noise power spectrum, target transfer function, and detectability index. ResultsThe five PI levels did not significantly affect the mean CT number. For a given CTDIvol using Sharper-to-Smoother levels, the spatial resolution for all the investigated materials and the detectability index increased while the noise magnitude decreased, slightly affecting noise texture. For a fixed PI level increasing the CTDIvol the detectability index increased, the noise magnitude decreased. From 29 mGy, NU values converged within 1 Hounsfield Unit from each other without a substantial improvement at higher CTDIvol values. ConclusionsThe improved performances of intermediate PI levels in brain protocols compared to conventional algorithms seem to suggest a potential reduction of CTDIvol.

An advanced approach to reconstruct CT images from limited-angle projections, reducing radiation dose and tube load.

The process of reconstructing CT scan images from limited angle projections is critical and requires strict adherence to the ALARA principle. This principle is designed to minimize radiation exposure while maintaining image quality. Our study utilized filter back-projection (FBP) and algebraic iterative reconstruction (IR) algorithms to reconstruct brain CT images from 200 projection lines and a 100 × 100 matrix size. By combining the results of a MATLAB function with the insights of a radiologist, we can produce high-quality images that decrease radiation dose and tube load. Our findings reveal that the algebraic method is superior to the filter back-projection in preserving image quality when utilizing limited-angle projections.

Analytical reconstructions of full-scan multiple source-translation computed tomography under large field of views.

This paper is to investigate the high-quality analytical reconstructions of multiple source-translation computed tomography (mSTCT) under an extended field of view (FOV). Under the larger FOVs, the previously proposed backprojection filtration (BPF) algorithms for mSTCT, including D-BPF and S-BPF (their differences are different derivate directions along the detector and source, respectively), make some errors and artifacts in the reconstructed images due to a backprojection weighting factor and the half-scan mode, which deviates from the intention of mSTCT imaging. In this paper, to achieve reconstruction with as little error as possible under the extremely extended FOV, we combine the full-scan mSTCT (F-mSTCT) geometry with the previous BPF algorithms to study the performance and derive a suitable redundancy-weighted function for F-mSTCT. The experimental results indicate FS-BPF can get high-quality, stable images under the extremely extended FOV of imaging a large object, though it requires more projections than FD-BPF. Finally, for different practical requirements in extending FOV imaging, we give suggestions on algorithm selection.

Fast Backprojection Filtration Algorithm in Circular Cone-Beam Computed Tomography

In order to meet the heavy backprojection calculation of the backprojection filtration (BPF) algorithm in circular cone-beam computed tomography (CT), a fast backprojection method is developed, which uses the integral operator of the fixed scanning angle integral interval. The proposed method combines with Hilbert filtration and the filter of the Blackman window, and then, the fast BPF (F-BPF) algorithm is obtained. The experimental results of simulation data and real data demonstrate that the proposed algorithm is fast enough for high-quality reconstructed images only with half-circle projection data.

Image Quality and Lesion Detectability of Pancreatic Phase Thin-Slice Computed Tomography Images With a Deep Learning-Based Reconstruction Algorithm.

To evaluate the image quality and lesion detectability of pancreatic phase thin-slice computed tomography (CT) images reconstructed with a deep learning-based reconstruction (DLR) algorithm compared with filtered-back projection (FBP) and hybrid iterative reconstruction (IR) algorithms. Fifty-three patients who underwent dynamic contrast-enhanced CT including pancreatic phase were enrolled in this retrospective study. Pancreatic phase thin-slice (0.625 mm) images were reconstructed with each FBP, hybrid IR, and DLR. Objective image quality and signal-to-noise ratio of the pancreatic parenchyma, and contrast-to-noise ratio of pancreatic lesions were compared between the 3 reconstruction algorithms. Two radiologists independently assessed the image quality of all images. The diagnostic performance for the detection of pancreatic lesions was compared among the reconstruction algorithms using jackknife alternative free-response receiver operating characteristic analysis. Deep learning-based reconstruction resulted in significantly lower image noise and higher signal-to-noise ratio and contrast-to-noise ratio than hybrid IR and FBP ( P < 0.001). Deep learning-based reconstruction also yielded significantly higher visual scores than hybrid IR and FBP ( P < 0.01). The diagnostic performance of DLR for detecting pancreatic lesions was highest for both readers, although a significant difference was found only between DLR and FBP in one reader ( P = 0.02). Deep learning-based reconstruction showed improved objective and subjective image quality of pancreatic phase thin-slice CT relative to other reconstruction algorithms and has potential for improving lesion detectability.

Characterization of the INFN proton CT scanner for cross-calibration of x-ray CT

Objective. The goal of this study was to assess the imaging performances of the pCT system developed in the framework of INFN-funded (Italian National Institute of Nuclear Physics) research projects. The spatial resolution, noise power spectrum (NPS) and RSP accuracy has been investigated, as a preliminary step to implement a new cross-calibration method for x-ray CT (xCT). Approach. The INFN pCT apparatus, made of four planes of silicon micro-strip detectors and a YAG:Ce scintillating calorimeter, reconstructs 3D RSP maps by a filtered-back projection algorithm. The imaging performances (i.e. spatial resolution, NPS and RSP accuracy) of the pCT system were assessed on a custom-made phantom, made of plastic materials with different densities ((0.66, 2.18) g cm−3). For comparison, the same phantom was acquired with a clinical xCT system. Main results. The spatial resolution analysis revealed the nonlinearity of the imaging system, showing different imaging responses in air or water phantom background. Applying the Hann filter in the pCT reconstruction, it was possible to investigate the imaging potential of the system. Matching the spatial resolution value of the xCT (0.54 lp mm−1) and acquiring both with the same dose level (11.6 mGy), the pCT appeared to be less noisy than xCT, with an RSP standard deviation of 0.0063. Concerning the RSP accuracy, the measured mean absolute percentage errors were (0.23+−0.09)% in air and (0.21+−0.07)% in water. Significance. The obtained performances confirm that the INFN pCT system provides a very accurate RSP estimation, appearing to be a feasible clinical tool for verification and correction of xCT calibration in proton treatment planning.

Clinical Feasibility of Deep Learning-Based Image Reconstruction on Coronary Computed Tomography Angiography.

This study evaluated the feasibility of deep-learning-based image reconstruction (DLIR) on coronary computed tomography angiography (CCTA). By using a 20 cm water phantom, the noise reduction ratio and noise power spectrum were evaluated according to the different reconstruction methods. Then 46 patients who underwent CCTA were retrospectively enrolled. CCTA was performed using the 16 cm coverage axial volume scan technique. All CT images were reconstructed using filtered back projection (FBP); three model-based iterative reconstructions (MBIR) of 40%, 60%, and 80%; and three DLIR algorithms: low (L), medium (M), and high (H). Quantitative and qualitative image qualities of CCTA were compared according to the reconstruction methods. In the phantom study, the noise reduction ratios of MBIR-40%, MBIR-60%, MBIR-80%, DLIR-L, DLIR-M, and DLIR-H were 26.7 ± 0.2%, 39.5 ± 0.5%, 51.7 ± 0.4%, 33.1 ± 0.8%, 43.2 ± 0.8%, and 53.5 ± 0.1%, respectively. The pattern of the noise power spectrum of the DLIR images was more similar to FBP images than MBIR images. In a CCTA study, CCTA yielded a significantly lower noise index with DLIR-H reconstruction than with the other reconstruction methods. DLIR-H showed a higher SNR and CNR than MBIR (p < 0.05). The qualitative image quality of CCTA with DLIR-H was significantly higher than that of MBIR-80% or FBP. The DLIR algorithm was feasible and yielded a better image quality than the FBP or MBIR algorithms on CCTA.

Radon transform with Gaussian beam: Theoretical and numerical reconstruction scheme

The Radon transform and its various types have been studied since its introduction by Johann Radon in 1917. Since the Radon transform is an integral transform that maps a given function to its line integral, it has been studied in the field of computerized tomography, which deals with electromagnetic waves that primarily travel along straight lines, such as X-rays. However, in many laser optics applications, it is assumed that the laser beam is shaped like a Gaussian bell rather than a straight line. Therefore, in tomographic modalities using optical beams, such as optical projection tomography, images reconstructed with the inversion algorithms for the standard Radon transform are subject to a loss of quality. To address this issue, one needs to consider theoretical inversion methods for Radon transforms with Gaussian beam kernels and associated numerical reconstruction methods. In this study, we consider a Radon transform with a Gaussian beam kernel (also known as the point spread function) and show the uniqueness of the inversion of this transform. Furthermore, we provide an accurate and stable numerical reconstruction algorithm using the point spread function-sequential quadratic Hamiltonian scheme. Numerical experiments with disk and Shepp–Logan phantoms demonstrate that the proposed framework provides superior reconstructions compared to the traditional filtered back-projection algorithm.

An attention-based deep convolutional neural network for ultra-sparse-view CT reconstruction

X-ray Computed Tomography (CT) techniques play a vitally important role in clinical diagnosis, but radioactivity exposure can also induce the risk of cancer for patients. Sparse-view CT reduces the impact of radioactivity on the human body through sparsely sampled projections. However, images reconstructed from sparse-view sinograms often suffer from serious streaking artifacts. To overcome this issue, we propose an end-to-end attention-based mechanism deep network for image correction in this paper. Firstly, the process is to reconstruct the sparse projection by the filtered back-projection algorithm. Next, the reconstructed results are fed into the deep network for artifact correction. More specifically, we integrate the attention-gating module into U-Net pipelines, whose function is implicitly learning to emphasize relevant features beneficial for a given assignment while restraining background regions. Attention is used to combine the local feature vectors extracted at intermediate stages in the convolutional neural network and the global feature vector extracted from the coarse scale activation map. To improve the performance of our network, we fused a pre-trained ResNet50 model into our architecture. The model was trained and tested using the dataset from The Cancer Imaging Archive (TCIA), which consists of images of various human organs obtained from multiple views. This experience demonstrates that the developed functions are highly effective in removing streaking artifacts while preserving structural details. Additionally, quantitative evaluation of our proposed model shows significant improvement in peak signal-to-noise ratio (PSNR), structural similarity (SSIM), and root mean squared error (RMSE) metrics compared to other methods, with an average PSNR of 33.9538, SSIM of 0.9435, and RMSE of 45.1208 at 20 views. Finally, the transferability of the network was verified using the 2016 AAPM dataset. Therefore, this approach holds great promise in achieving high-quality sparse-view CT images.

Comparison of Calcified Plaque Volume in Coronary Arteries using Filtered Back Projection and Intelli IP Advanced at CT-scan 128 Slice

Calcified plaque has a major effect on increasing plaque volume which can increase the risk of Coronary Artery Disease (CAD). The use of Filtered Back Projection (FBP) on CT-scans still has flaws in terms of image quality that can result in errors in the calculation of plaque volume. Intelli IP Advanced is hitachi CT-scan’s Iterative Reconstruction (IR) type and can improve image quality compared to FBP. The purpose of this study is to find out the comparison of calcified plaque volume in coronary arteries using FBP and Intelli IP Advanced. This study used 38 samples of coronary artery blood vessels that had calcified plaque and reconstructed using the reconstruction of FBP and Intelli IP Advanced algorithms (Levels 1-3). Plaque calculation is done automatically using aquarius intuition edition application on CT-scan Hitachi SCENARIA 128 Slice. The results in this study found significant differences (p &lt; 0.05) in calcified plaque volume results with the use of FBP and Intelli IP Advanced algorithm reconstruction (Levels 1-3). However, significant differences are found only in algorithm reconstruction pairs (Intelli IP Advanced Level 1 and Level 3) that have a p &lt; 0.05. The conclusion is that IR affects the volume value of calcified plaque.

X-ray Cherenkov-luminescence tomography reconstruction with a three-component deep learning algorithm: Swin transformer, convolutional neural network, and locality module.

X-ray Cherenkov-luminescence tomography (XCLT) produces fast emission data from megavoltage (MV) x-ray scanning, in which the excitation location of molecules within tissue is reconstructed. However standard filtered backprojection (FBP) algorithms for XCLT sinogram reconstruction can suffer from insufficient data due to dose limitations, so there are limits in the reconstruction quality with some artifacts. We report a deep learning algorithm for XCLT with high image quality and improved quantitative accuracy. To directly reconstruct the distribution of emission quantum yield for x-ray Cherenkov-luminescence tomography, we proposed a three-component deep learning algorithm that includes a Swin transformer, convolution neural network, and locality module model. A data-to-image model x-ray Cherenkov-luminescence tomography is developed based on a Swin transformer, which is used to extract pixel-level prior information from the sinogram domain. Meanwhile, a convolutional neural network structure is deployed to transform the extracted pixel information from the sinogram domain to the image domain. Finally, a locality module is designed between the encoder and decoder connection structures for delivering features. Its performance was validated with simulation, physical phantom, and in vivo experiments. This approach can better deal with the limits to data than conventional FBP methods. The method was validated with numerical and physical phantom experiments, with results showing that it improved the reconstruction performance mean square error ( ), peak signal-to-noise ratio ( ), and Pearson correlation ( ) compared with the FBP algorithm. The Swin-CNN also achieved a 32.1% improvement in PSNR over the deep learning method AUTOMAP. This study shows that the three-component deep learning algorithm provides an effective reconstruction method for x-ray Cherenkov-luminescence tomography.

A non-axisymmetric temperature field reconstruction method based on the interferometric fringe schlieren method

The typical non-axisymmetric temperature field distribution in the tail nozzle outlet area of the combustion chamber of an aircraft engine can reflect the operating state of the engine. As an effective non-contact method for measuring a non-axisymmetric temperature field, the traditional background-oriented schlieren (BOS) method has the problem that the extraction accuracy of light deflection is not high. In this paper, interference fringes are introduced into the schlieren measurement, and the highly sensitive fringe offset replaces the traditional background speckle offset for measurement, which realizes accurate reconstruction of the non-axisymmetric temperature field. Firstly, through the interferometric fringe schlieren (IFS) method comprising multiple sets of double-slit interferometric systems and imaging sensors, the offset of the interference fringe after passing through the non-axisymmetric temperature field is measured by image processing. The spatial refractive index field is then reconstructed by the filtered back-projection algorithm under the sector model proposed in this paper and the spatial temperature field is obtained. The experimental results show that the temperature field reconstruction error is smaller for the IFS method than the BOS method, the measurement area is accurate from 0.5 mm for the BOS method to 0.2 mm for the IFS method and the temperature error range is reduced from 50 K for the BOS method to 25 K for the IFS method.

Evaluating the effects of variation in CT scanning parameters on the image quality and Hounsfield units for optimization of dose in radiotherapy treatment planning: A semi-anthropomorphic thorax phantom study

The diagnosis accuracy of computed tomography (CT) systems and the reliability of calculated Hounsfield Units (HUs) are critical in tumor detection and cancer patients' treatment planning. This study evaluated the effects of scan parameters (Kilovoltage peak or kVp, milli-Ampere-second or mAS reconstruction kernels and algorithms, reconstruction field of view, and slice thickness) on image quality, HUs, and the calculated dose in the treatment planning system (TPS). A quality dose verification phantom was scanned several times by a 16-slice Siemens CT scanner. The DOSIsoft ISO gray TPS was applied for dose calculations. The SPSS.24 software was used to analyze the results and the P-value <0.05 was considered significant. Reconstruction kernels and algorithms significantly affected noise, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR). The noise increased and CNR decreased by raising the sharpness of reconstruction kernels. SNR and CNR had considerable increments at iterative reconstruction compared with the filtered back-projection algorithm. The noise decreased by raising mAS in soft tissues. Also, KVp had a significant effect on HUs. TPS--calculated dose variations were less than 2% for mediastinum and backbone and less than 8% for rib. Although HU variation depends on image acquisition parameters across a clinically feasible range, its dosimetric impact on the calculated dose in TPS can be neglected. Hence, it can be concluded that the optimized values of scan parameters can be applied to obtain the maximum diagnostic accuracy and calculate HUs more precisely without affecting the calculated dose in the treatment planning of cancer patients.