arXiv subjects

Anton Maksimenko

Publications and source records attributed to Anton Maksimenko.

7 recordsLinked to original sources

arXiv2026

Fast Patient-Specific Breast CT Dosimetry: 22-Fold Acceleration of Monte Carlo MGD Estimation

Accurate patient-specific mean glandular dose (MGD) estimation in breast computed tomography (BCT) requires anatomically realistic models, but high-resolution patient-derived phantoms impose high computational demands on Monte Carlo (MC) dosimetry. We previously developed and validated an EGSnrc-based framework for synchrotron propagation-based phase-contrast BCT (PB-PCT) for the first-in-human study at the Australian Synchrotron. With participant imaging commencing, this study aimed to optimize phantom spatial resolution and MC efficiency while maintaining MGD accuracy, for a rapid patient-specific dosimetry. Four patient-specific heterogeneous breast phantoms with varying volume and glandularity were generated from PB-PCT images of mastectomy specimens acquired at 35 keV. The highest-resolution phantom for each specimen served as the reference. Phantoms were downsampled by increasing in-plane voxel size and slice thickness, and MGD was recalculated using EGSnrc/DOSXYZnrc. A 4.5% difference from reference MGD was adopted as the accuracy criterion. Primary photon histories were then reduced to determine the minimum required for acceptable MC precision. A common voxel size of 0.30 x 0.30 x 3.00 mm3 maintained MGD within 4.5% of reference for all four phantoms while reducing voxel number by approximately 20-31-fold. MGD was more sensitive to in-plane voxel size than slice thickness, supporting anisotropic downsampling. Reduced-resolution phantoms enabled a 15-fold reduction in photon histories to 2 x 10^8 while maintaining acceptable statistical uncertainty. Combined optimization reduced computation time from approximately 1600 to 72 min, a 22-fold acceleration. Patient-specific phantoms can be substantially downsampled while maintaining MGD accuracy and markedly reducing computational burden. This optimization provides a foundation for future real-time patient-specific BCT dosimetry.

physics.med-ph↗

arXiv2026

Low-dose, high-resolution CT of infant-sized lungs via propagation-based phase contrast

Many lung diseases require detailed visualisation for accurate diagnosis and treatment. High-resolution computed tomography (CT) is the gold-standard technique for non-invasive lung disease detection, but it presents a risk to the patient through the relatively high ionising radiation dose required. Utilising the X-ray phase information may allow improvements in image resolution at equal or lower radiation levels than current clinical imaging. Propagation-based phase-contrast imaging requires minimal adaption of existing medical systems, and is well suited to lung imaging due to the strong phase gradients introduced by the lung-air material interfaces. Herein, propagation-based phase contrast CT is demonstrated for large animals, namely lambs, as a model for paediatric patients, using monochromatic radiation and a photon-counting detector at the Imaging and Medical Beamline of the Australian Synchrotron. Image quality, normalised against radiation dose, was optimised as a function of the beam energy and propagation distance, with the optimal conditions used to test the available image quality at very low radiation dose. The resulting CT images demonstrate superior resolution to existing high-resolution CT systems, pushing dose to the quantum limit to comply with current Australian guidelines for infant chest CT exposure of $<2.5\:\text{mSv}$ effective dose. Constituent raw projections are shown to have significant proportions of pixels with zero photon counts that would create severe information loss in conventional CT. Phase retrieval enabled clear visualisation of minor lung airways at doses up to 1,225$\pm$31\% times lower than conventional CT reconstruction, at a voxel size of just 75$\mathrmμ$m.

physics.med-ph↗

arXiv2026

Development and Validation of Patient-Specific Monte Carlo Dosimetry for Synchrotron Breast Phase-Contrast CT

This study develops and validates a patient-specific Monte Carlo (MC) dosimetry framework for propagation-based phase-contrast breast CT (BCT) at the Imaging and Medical Beamline (IMBL), ANSTO Australian Synchrotron, for accurate mean glandular dose (MGD) estimation. BCT provides 3D imaging without breast compression, improving comfort and visualization of internal structures for cancer detection. Propagation-based phase contrast improves soft-tissue contrast at equal or lower dose than conventional systems. Accurate dosimetry remains essential for safety and optimisation. Most MC-based MGD studies use non-patient-specific phantoms that ignore anatomical variability, while existing patient-specific methods lack a unified framework. Here, a voxel-based MC framework using EGSnrc was implemented to compute MGD in realistic anthropomorphic breast phantoms derived from synchrotron BCT images. IMBL beam characteristics were used as source inputs. Homogeneous phantoms were also generated to compute air Kerma to MGD conversion coefficients (DgN) for comparison with heterogeneous models. Simulations covered breast height, skin thickness, and photon energies (28 to 38 keV). Results show MGD depends strongly on anatomy and energy. Higher glandular density reduces MGD, while larger breast volume increases dose. A 2 mm increase in skin thickness reduces MGD by 10%. Differences between heterogeneous and homogeneous phantoms show variations in DgN, highlighting the need for anatomical realism. The framework provides a robust basis for patient-specific dosimetry in synchrotron phase-contrast BCT, enabling precise MGD estimation and supporting safe, optimised clinical imaging. This supports improved protocol design and contributes to standardised patient-specific dosimetry for clinical translation across varying breast anatomies and imaging conditions within synchrotron BCT applications.

physics.med-ph↗

arXiv2025

High-energy X-ray phase-contrast CT of an adult human chest phantom

Propagation-based phase-contrast X-ray imaging is a promising technique for in~vivo medical imaging, offering lower radiation doses than traditional attenuation-based imaging. Previous studies have focused on X-ray energies below 50 keV for small-animal imaging and mammography. Here, we investigate the feasibility of high-energy propagation-based computed tomography for human adult-scale lung imaging at the Australian Synchrotron's Imaging and Medical Beamline. This facility is uniquely positioned for human lung imaging, offering a large field of view, high X-ray energies, and supporting clinical infrastructure. We imaged an anthropomorphic chest phantom (LungMan) between 50 keV and 80 keV across the range of possible sample-to-detector distances, with a photon-counting and an integrating detector. Strong phase-contrast fringes were observed with the photon-counting detector, even at high X-ray energies and a large pixel size relative to previous work, whereas the integrating detector with lower spatial resolution showed no clear phase effects. Measured X-ray phase-shifting properties of LungMan aligned well with reference soft tissue values, validating the phantom for phase-contrast studies. Imaging quality assessments suggest an optimal configuration at approximately 70 keV and the longest available propagation distance of 7.5 m, indicating potential benefit in positioning the patient in an upstream hutch. This study represents the first step towards clinical adult lung imaging at the Australian Synchrotron.

physics.med-ph↗

arXiv2025

Towards order of magnitude X-ray dose reduction in breast cancer imaging using phase contrast and deep denoising

Breast cancer is the most frequently diagnosed human cancer in the United States at present. Early detection is crucial for its successful treatment. X-ray mammography and digital breast tomosynthesis are currently the main methods for breast cancer screening. However, both have known limitations in terms of their sensitivity and specificity to breast cancers, while also frequently causing patient discomfort due to the requirement for breast compression. Breast computed tomography is a promising alternative, however, to obtain high-quality images, the X-ray dose needs to be sufficiently high. As the breast is highly radiosensitive, dose reduction is particularly important. Phase-contrast computed tomography (PCT) has been shown to produce higher-quality images at lower doses and has no need for breast compression. It is demonstrated in the present study that, when imaging full fresh mastectomy samples with PCT, deep learning-based image denoising can further reduce the radiation dose by a factor of 16 or more, without any loss of image quality. The image quality has been assessed both in terms of objective metrics, such as spatial resolution and contrast-to-noise ratio, as well as in an observer study by experienced medical imaging specialists and radiologists. This work was carried out in preparation for live patient PCT breast cancer imaging, initially at specialized synchrotron facilities.

physics.med-ph↗

arXiv2024

Comparison of three reconstruction algorithms for low-dose phase-contrast computed tomography of the breast with synchrotron radiation

Three different computed tomography (CT) reconstruction algorithms: Filtered Back Projection (FBP), Unified Tomographic Reconstruction (UTR) and customized Simultaneous Algebraic Reconstruction Technique (cSART), have been systematically compared and evaluated using experimental data from CT scans of ten fresh mastectomy samples collected at the Imaging and Medical beamline of the Australian Synchrotron. All the scans were collected at the mean glandular dose of 2 mGy, using monochromatic X-rays with 32 keV energy, flat-panel detectors with 0.1 mm pixels and 6 meter distance between the rotation stage and the detector. Paganin's phase retrieval method was used in conjunction with all three CT reconstruction algorithms. The reconstructed images were compared in terms of the objective image quality characteristics, including spatial resolution, contrast, signal-to-noise, and contrast-to-noise ratios. The images were also evaluated by seven experienced medical imaging specialists, rating perceptible contrast, sharpness of tissue interfaces, image noise, calcification visibility and overall image quality. Of the three compared algorithms, cSART was clearly superior to UTR and FBP in terms of most measured objective image quality characteristics. At the same time, the results of the subjective quality evaluation consistently favoured the images reconstructed by FBP, followed by UTR, with cSART receiving lower scores on average. We argue that this apparent disagreement between the objective and subjective assessments of image quality can be explained by the importance assigned to image contrast in the subjective assessment, while the signal-to-noise ratio seemed to receive relatively low weighting. This study was conducted in preparation for phase-contrast breast CT imaging of live patients at Australian Synchrotron (Melbourne, Australia).

physics.med-ph↗

arXiv2022

Full field X-ray Scatter Tomography

In X-ray imaging, photons are transmitted through and absorbed by the subject, but are also scattered in significant quantities. Previous attempts to use scattered photons for biological imaging used pencil or fan beam illumination. Here we present 3D X-ray Scatter Tomography using full-field illumination. Synchrotron imaging experiments were performed of a phantom and the chest of a juvenile rat. Transmitted and scattered photons were simultaneously imaged with separate cameras; a scientific camera directly downstream of the sample stage, and a pixelated detector with a pinhole imaging system placed at 45${}^\circ$ to the beam axis. We obtained scatter tomogram feature fidelity sufficient for segmentation of the lung and major airways in the rat. The image contrast in scatter tomogram slices approached that of transmission imaging, indicating robustness to the amount of multiple scattering present in our case. This opens the possibility of augmenting full-field 2D imaging systems with additional scatter detectors to obtain complementary modes or to improve the fidelity of existing images without additional dose, potentially leading to single-shot or reduced-angle tomography or overall dose reduction for live animal studies.

physics.med-ph↗