Applications of a Pixellated Detection System to Digital Mammography

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Applications of a Pixellated Detection System to Digital Mammography Valeria Rosso Dipartimento di Fisica, Universita di Pisa and Sezione INFN Pisa, Italy + valeria.rosso@pi.infn.it

Outline The detection system, which the Pisa group is working with, consists of a single photon counting chip [G.Bisogni, et al., SPIE 1998 San Diego], bump bonded to a semiconductor detector: the hybrid approach allows to change either the thickness of the detector or the semiconductor type. Most important advantages of such system, with respect to a traditional X-rays film/screen device, are the wider linear dynamic range (10 4-10 5 ) and the higher performance in terms of MTF and DQE [S.R.Amendolia et al., Nucl Instr Meth, A461,(2001) 389-392]. Besides the single photon counting architecture allows the detection of image contrasts lower than 3%, that is relevant for mammographic applications [S.R.Amendolia et al., IEEE Trans Nucl Science, 47(4), (2000), 1478-1482]. The detection system 300 mm Silicon detector Photon Counting Chip X-ray images of details of an accreditation phantom Standard mammographic tube RMI 156 Hybrid images of some details using the dual-energy technique

Junc. side Si detector Photon Counting Chip ( PCC) CERN EP Microelectronics Group MEDIPIX Collaboration charcteristics: SACMOS 1 mm technology pixel: 170 x 170 mm 2 64 x 64 channels area 1.7 cm 2 threshold adjust 3-bit 15-bit counter Detector characteristics Silicon 300 mm thick pixel: 170 x 170 mm 2 64 x 64 pixels area 1.18 cm 2 Calibration measurements To optimize the working point of our detection system, a set of calibration measurements is performed. These tests are carried out by sending voltage pulses through the test input of each channel. After the fine threshold tuning among the 4096 channels we obtained a total threshold spread of s tot = 350 e -. To make an absolute calibration of the threshold, the silicon detector has been exposed to monochromatic beams whose energy ranges from 14 to 32 kev. The chip is an array of 64x64 asynchronous readout channels, each one equipped with a low noise charge preamplifier, a latched comparator, a digital shaper and a 15 bits counter. An energy threshold, common to the 4096 pixels, can be externally selected by means of an external bias voltage V th ; in addition, the threshold of each pixel can be finely adjusted. The preamplifier circuit has an input test sensitive to electrical pulses injected through a calibration capacity (C test = 22 ff). Energy (kev) 40 35 30 25 20 15 10 Calibration curve electrical pulses monochormatic beams polynomial fit 1.3 1.4 1.5 1.6 1.7 1.8 1.9 Vth(V) 4000 Equivalent electrons 3000

The system VME board Mother board

Projection radiographic image of the RMI 156 phantom To realize a partial image of the RMI 156 mammographic phantom with our detection system ( active area ~ 1 cm 2 ) was necessary to perform a scan: 36 images were acquired one after the other and then the total image was built Inside the phantom there are: six different size nylon fibers simulate fibrous structures (from 1 to 6), five groups of simulated micro-calcifications (from 7 to 11) and five different sizes tumor-like masses are included in the wax insert (from 12 to 16) X-ray source: mammographic tube (Mo -Mo) @ 30 kvp Dose = 4 mgy 300 mm Si detec. (scan 6x6) 8 cm 6 cm

Integrated Mammographic Imaging project Funded by the Ministry for University and Scientific Research of Italy Research: INFN and University Physics Departments of Pisa, Ferrara, Roma, Napoli Industries: Laben (electronics), AleniaMarconiSystems (detectors, bump-bonding), CAEN (electronics), Pol.Hi.Tech.(scintillators), Gilardoni (X-rays) 18 detection systems based on 200 mm GaAs detectors Web site: http://imamint.df.unipi.it

Dual energy basis decomposition techniques R.E.Alvarez and A. Makovski ( Phys. Med. Biol. 5, 733,1976) and L.A. Lehmann, R.E.Alvarez and A. Makovski ( Med. Phys. 8, 659,1981) presented a technique that using the m(e) dependence, is able to identify unknown materials and cancel the contrast between couples of materials. To apply the technique we: need two images at different energies: we worked with two radioactive sources 109 Cd <X-ray> = 22.5 kev as low energy beam E L and 125 I < X-ray> = 27.7 kev as high energy beam E H. decompose and project the images: using the high and low energy images we calculate the log attenuation and then we decompose the images on the basis set (we considered as basis materials wax and PMMA); varying the projection angle between 0 and 90, we have obtained 90 hybrid images, and among them the most interesting are those in which one can see the contrast cancellation for different pairs of materials: from this angle one can determine the Z of the radiographed materials Phantom X-ray sources Images

Phantom @700 mm Ø 2.5 cm 8mm 2mm SiO 2 The difference in % between water and polyethylene-terephtalate [mh 2 O- mpt)/ mh 2 O] is < 10% in the 20-30 kev range. The difference between SiO 2 and calcium hydroxyapathite is greater Polyethylene- Terephtalate linear attenuation coefficient [cm-1] 5,5 5,0 4,5 4,0 3,5 3,0 2,5 2,0 1,5 1,0 0,5 0,0 Wax SiO2 wax pol-tereph 20 22 24 26 28 30 kev

X-ray sources < 109 Cd X-ray> = 22.5 kev < 125 I X-ray> = 27.7 kev 100000 Differential spectrum 80000 60000 40000 20000 Cd109 I125 0 1,0 1,2 1,4 1,6 1,8 2,0 Vth(V) @ 22.5 kev @ 27.7 kev Contrast: SiO 2 -wax (19.0+0.2)% (9.9+0.3)% Contrast: PT-wax (19.6+0.2)% (12.1+0.3)% wax_counts - detail_counts C = wax_counts 109 Cd image 125 I image The dose in air for the 125 I image was 0.3 mgy; while the one for the 109 Cd image was 0.4mGy

109 Cd image 40 o 42 o 44 o 125 I image vlog. atten. vdecomp. on basis vproject 52 o 54 o 56 o

50 45 40 35 SiO 2 Pt 50 45 40 35 SNR 30 25 30 SNR 25 25 25 20 15 10 20 15 10 20 SiO 2 Pt 20 5 5 0 0 0 10 20 30 40 50 60 70 80 90 100 Projection angle o )( SNR 15 10 15 SNR 10 5 5 0 0 40 50 60 Projection angle o )( SNR = wax_counts - detail_counts s wax_counts @ 22 kev SNRSiO 2 =36.7+0.3 SNRPT=39.1+0.1 @ 27 kev SNRSiO 2 =17.0+0.2 SNRPT=21.9+0.1.

44 O 52 O C between wax and SiO 2 is cancelled C between wax and polymethylterephtalate is cancelled Knowing the materials of the phantom details it s possible to evaluate the theoretical projection angles for the cancellation of C between SiO 2 and wax: 41 O, and for the cancellation of C between PT and wax: 47 O

Conclusions The detection system is useful for its use in digital mammography: we have obtained good results in terms of C and MTF The prototype for the ImaMInt project will be ready in June 2003 for validation tests. The Dual Energy technique can improve the specificity of the projection mammography, bringing information about the different composition of the radiographed details. It may also enhance the contrast for certain detail removing any materials from the image. Using this detection system in conjunction with standard polychromatic beam we have shown that the dose was reduced; using monochromatic X-rays the dose can be further reduced. We hope to achieve still better results using GaAs detectors.