Spectral computed tomography (CT) has proven an important development in biomedical imaging, yet there are several limitations to this nascent technology. Near-term implementation of spectral CT imaging can be enhanced using a hybrid architecture that integrates a narrow-beam spectral 'interior' imaging chain integrated with a traditional wide-beam 'global' imaging chain. The first study demonstrates the feasibility of hybrid spectral micro-CT architecture with a first-of-its-kind system implementation and preliminary results showing improved contrast resolution and spatial resolution. The second study seeks to characterize the hybrid spectral micro-CT scan protocol for reduction of radiation exposure. In the third study, the spectral 'interior' imaging chain was optimized for K-edge imaging of high-z elemental contrast agents. In the final study, an open-source, low-cost solution for managing digital content in an academic setting was demonstrated. The results of these studies confirm the merits of a hybrid architecture and warrant further consideration in future pre-clinical and clinical spectral micro-CT and CT scanner design and protocols. / Ph. D.

The goal in medical x-ray imaging is to obtain the image quality requiredfor a given detection task, while ensuring that the patient dose is kept as lowas reasonably achievable. The two most common strategies for dose reductionare: optimizing incident x-ray beams and utilizing energy informationof transmitted beams with new detector techniques (spectral imaging). Inthis thesis, dose optimization schemes were investigated in two x-ray imagingsystems: digital mammography and computed tomography (CT). In digital mammography, the usefulness of anti-scatter grids was investigatedas a function of breast thickness with varying geometries and experimentalconditions. The general conclusion is that keeping the grid is optimalfor breasts thicker than 5 cm, whereas the dose can be reduced without a gridfor thinner breasts. A photon-counting silicon-strip detector developed for spectral mammographywas characterized using synchrotron radiation. Energy resolution, ΔE/Ein, was measured to vary between 0.11-0.23 in the energy range 15-40 keV, which is better than the energy resolution of 0.12-0.35 measured inthe state-of-the-art photon-counting mammography system. Pulse pileup hasshown little effect on energy resolution. In CT, the performance of a segmented silicon-strip detector developedfor spectral CT was evaluated and a theoretical comparison was made withthe state-of-the-art CT detector for some clinically relevant imaging tasks.The results indicate that the proposed photon-counting silicon CT detector issuperior to the state-of-the-art CT detector, especially for high-contrast andhigh-resolution imaging tasks. The beam quality was optimized for the proposed photon-counting spectralCT detector in two head imaging cases: non-enhanced imaging and Kedgeimaging. For non-enhanced imaging, a 120-kVp spectrum filtered by 2half value layer (HVL) copper (Z = 29) provides the best performance. Wheniodine is used in K-edge imaging, the optimal filter is 2 HVL iodine (Z = 53)and the optimal kVps are 60-75 kVp. In the case of gadolinium imaging, theradiation dose can be minimized at 120 kVp filtered by 2 HVL thulium (Z =69). / <p>QC 20160401</p>

Ma thèse de doctorat s’inscrit à l’interface entre la physique expérimentale et la biologie. Ce travail a été développé au sein de l’équipe imXgam du CPPM, qui a construit un prototype de micro-tomographie pour le suivi non-invasif du petit animal, équipé d’une caméra à pixels hybrides XPAD3 fonctionnant en mode comptage de rayons X. Le comptage de rayons X rendu possible par la technologie des pixels hybrides, permet de s’affranchir du bruit électronique et d’augmenter ainsi la détectabilité des tissus faiblement contrastés. Elle présente de plus la capacité d'appliquer à chaque pixel un seuil de détection en énergie permettant d’accéder à l’information spectrale des rayons X détectés et ouvre la voie au développement d’une méthode d’imagerie spectrale dite au K-edge, qui permet de différencier des agents de contraste particuliers. La caméra XPAD3 développée avec un capteur en Si présente une efficacité de détection qui limite son utilisation pour l’imagerie du vivant. Une caméra XPAD3 avec une meilleure efficacité au delà de 25 keV a été assemblée avec des capteurs en CdTe. Dans un premier temps, nous avons effectué une comparaison des caméras XPAD3/Si et XPAD3/CdTe en imagerie d’absorption standard et en imagerie au K-edge. Nous avons ensuite, en collaboration avec des biologistes de l’IBDM, assuré le suivi quantitatif et in vivo sur plusieurs mois, du développement de tumeurs hépatiques chez un modèle spécifique de souris et de l’efficacité d’un traitement ciblant les cellules tumorales. Enfin, nous avons développé un protocole d’acquisition spectrale à faible dose pour réaliser une tomographie spectrale in vivo d’un foie de souris en exploitant le K-edge du baryum. / My PhD thesis is at the interface between experimental physics and biology. This work has been developed within the imXgam team at CPPM, which has built a micro-computed tomography prototype for the non-invasive longitudinal monitoring of small animal, equipped with the XPAD3 hybrid pixel camera that operates in X-ray photon counting mode. X-ray photon counting that has been made possible by hybrid pixels, allows to free images from the electronic noise and thus to increase detectability of weakly contrasted tissues. Moreover, it provides the possibility to set an energy threshold for each pixel that allows to accessing spectral information on the detected X-rays and paving the way to the development of a spectral imaging modality also named K-edge imaging, which allows to differentiate selected contrast agents. Actually, the XPAD3 camera developed with a Si sensor presents a low detective efficiency that limits its use for biomedical imaging. A XPAD3 camera with a better efficiency above 25 keV has been assembled with high-Z CdTe sensors. Firstly, we have performed a comparison of XPAD3/Si and XPAD3/CdTe cameras for standard absorption CT and K-edge imaging. Then, in collaboration with a team of biologists from IBDM, we have carried out the quantitative and in vivo follow-up of hepatic tumour development in a specific mouse model over several months, and of the effectiveness of a treatment targeting these tumour cells. Finally, we have developed a protocol for low dose acquisition of spectral data to realize an in vivo spectral tomography of a mouse liver using the barium spectral signature.