Fundamental x-ray interaction limits in diagnostic imaging detectors: Frequency-dependent Swank noise G. Hajdoka兲 Imaging Research Laboratories, Robarts Research Institute, P.O. Box 5015, London, Ontario N6A 5K8, Canada, London Regional Cancer Program, London Health Sciences Centre, London, Ontario, N6A 4L6, Canada, and Department of Medical Biophysics, University of Western Ontario, London, Ontario, N6A 3K7, Canada J. J. Battista Departments of Medical Biophysics and Oncology, University of Western Ontario, London, Ontario, N6A 3K7, Canada and London Regional Cancer Program, London Health Sciences Centre, London, Ontario, N6A 4L6, Canada I. A. Cunningham Imaging Research Laboratories, Robarts Research Institute, P.O. Box 5015, London, Ontario N6A 5K8, Canada, Departments of Diagnostic Radiology and Nuclear Medicine, London Health Sciences Centre, London, Ontario, N6A 5W9, Canada, and Department of Medical Biophysics, University of Western Ontario, London, Ontario, N6A 3K7, Canada 共Received 6 November 2007; revised 30 March 2008; accepted for publication 24 April 2008; published 19 June 2008兲 A frequency-dependent x-ray Swank factor based on the “x-ray interaction” modulation transfer function and normalized noise power spectrum is determined from a Monte Carlo analysis. This factor was calculated in four converter materials: amorphous silicon 共a-Si兲, amorphous selenium 共a-Se兲, cesium iodide 共CsI兲, and lead iodide 共PbI2兲 for incident photon energies between 10 and 150 keV and various converter thicknesses. When scaled by the quantum efficiency, the x-ray Swank factor describes the best possible detective quantum efficiency 共DQE兲 a detector can have. As such, this x-ray interaction DQE provides a target performance benchmark. It is expressed as a function of 共Fourier-based兲 spatial frequency and takes into consideration signal and noise correlations introduced by reabsorption of Compton scatter and photoelectric characteristic emissions. It is shown that the x-ray Swank factor is largely insensitive to converter thickness for quantum efficiency values greater than 0.5. Thus, while most of the tabulated values correspond to thick converters with a quantum efficiency of 0.99, they are appropriate to use for many detectors in current use. A simple expression for the x-ray interaction DQE of digital detectors 共including noise aliasing兲 is derived in terms of the quantum efficiency, x-ray Swank factor, detector element size, and fill factor. Good agreement is shown with DQE curves published by other investigators for each converter material, and the conditions required to achieve this ideal performance are discussed. For high-resolution imaging applications, the x-ray Swank factor indicates: 共i兲 a-Si should only be used at low-energy 共e.g., mammography兲; 共ii兲 a-Se has the most promise for any application below 100 keV; and 共iii兲 while quantum efficiency may be increased at energies just above the K edge in CsI and PbI2, this benefit is offset by a substantial drop in the x-ray Swank factor, particularly at high spatial frequencies. © 2008 American Association of Physicists in Medicine. 关DOI: 10.1118/1.2936412兴 Key words: Swank factor, noise power spectrum, diagnostic x-ray detectors, diagnostic x-ray imaging I. INTRODUCTION The early work1–5 of Rose provided an important contribution to imaging science by establishing that image noise is fundamentally limited by the statistical nature of image quanta. Image noise was subsequently described in terms of the noise equivalent number of quanta,6,7 ideally equal to the number of interacting photons; and detector performance in terms of the detective quantum efficiency 共DQE兲, the fraction of incident photons detected, ideally equal to the quantum efficiency. However, Rose assumed image quanta to be uncorrelated and follow Poisson statistics. In diagnostic im3194 Med. Phys. 35 „7…, July 2008 aging, x rays have a spectrum of energies, and of greater importance, a random fraction of the incident energy may escape the detector in the form of Compton scatter or fluorescent x-ray photons. Swank8 showed that variable x-ray energy absorption results in increased image noise and defined the noise-equivalent absorption as the product of the quantum efficiency and what we now call the x-ray Swank statistical factor 共Ix兲,8 Ix = M 21 , M 0M 2 0094-2405/2008/35„7…/3194/11/$23.00 共1兲 © 2008 Am. Assoc. Phys. Med. 3194 3195 Hajdok, Battista, and Cunningham: Fundamental noise limits in diagnostic imaging detectors where M j is the jth moment of the absorbed x-ray energy distribution 共AED兲. The AED describes the probability per unit energy that an incident x ray will deposit a certain energy within the detector, and Ix describes the corresponding reduction in DQE. If no other noise sources are significant,9 DQE=Ix . 共2兲 Swank8 analytically calculated Ix using x-ray energyabsorption coefficients. Chan and Doi9 used Monte Carlo simulations of photon transport to quantify x-ray energy absorption noise in common phosphor materials 共CaWO4 and Gd2O2S兲 used in film-screen systems. Others10–17 have experimentally measured pulse-height distributions to quantify the total conversion-gain noise for both phosphor 共e.g., CsI兲 and photoconductor 共e.g., a-Se兲 based imaging detectors. More recently, Badano et al.18,19 used Monte Carlo simulations of x-ray and optical photon transport to determine the combined effect of x-ray energy absorption and optical noise in indirect detectors for breast imaging. These investigations showed that Swank noise can reduce the DQE by 5% − 50%, depending on the incident x-ray energy and converter thickness. This reduction is primarily from variations in K-fluorescent x-ray escape following a photoelectric interaction. A significant limitation of these investigations is that while they described variations in the total energy deposited, they did not consider statistical correlations in image noise introduced by the random spatial location of reabsorption, and therefore described degradations in the zero-spatialfrequency DQE value only. For example, K-fluorescence reabsorption following a photoelectric interaction further degrades the DQE with increasing spatial frequency.20,21 More recently, it has been shown22 that the Swank factor has a strong spatial-frequency dependence, and DQE共k兲 = Ix共k兲, 共3兲 in the absence of other sources of noise, where k is a radial spatial frequency and Ix = Ix共0兲. In this article, we use Monte Carlo simulations of x-ray photon and electron transport to examine the fundamental limitations imposed by the various x-ray interaction processes in terms of the frequency-dependent Swank factor for direct 共amorphous silicon, amorphous selenium, lead iodide兲 and indirect 共cesium iodide兲 conversion detector materials. For each converter material, the importance of each x-ray interaction process and their corresponding secondary radiation 共secondary x-ray or electron兲 is identified and quantified as a function of x-ray energy and converter thickness. In addition, selected Monte Carlo results are compared with recently published experimental data to determine how close existing detectors are to these fundamental limits, which can serve as target benchmarks for the design and development of future digital x-ray detectors. The scope of this study is limited to the spatial distribution of x-ray energy absorption noise. The subsequent effect of secondary image-forming quanta production and transport within the converter material, is not included, but discussed. Medical Physics, Vol. 35, No. 7, July 2008 3195 II. METHODS In general, the performance of an x-ray detector can be characterized using the frequency-dependent DQE, as given by4 DQE共k兲 = q̄Ḡ2MTF2共k兲 MTF2共k兲 = , NPS共k兲 NNPS共k兲 共4兲 where q̄ is the mean number of incident x-ray quanta per unit area, Ḡ is the mean detector gain relating q̄ to the average zero-mean pixel value d̄, MTF共k兲 is the modulation transfer function 共MTF兲, and NPS共k兲 is the image NPS. The normalized NPS, defined here as NNPS共k兲 = q̄NPS共k兲 / d̄2, is convenient to use as it is dimensionless and often has a value close to unity. Combining Eqs. 共3兲 and 共4兲 gives Ix共k兲 = MTF2x 共k兲 , NNPSx共k兲 共5兲 where MTFx共k兲 and NNPSx共k兲 are the MTF and NNPS associated with x-ray energy deposition in the detector, and can be determined from Monte Carlo methods. The conditions required to achieve this performance limit, where DQE共k兲 ⬇ Ix共k兲, are discussed in Sec. IV. II.A. Monte Carlo code The latest version of the Electron Gamma Shower 共EGSnrc兲 Monte Carlo code23,24 was used to simulate the coupled photon electron transport within typical x-ray converter materials. The user code DOSXYZnrc 共Ref. 25兲 was used to determine the spatial distribution of absorbed dose 共energy per unit mass兲 within a rectilinear slab geometry. The particle transport parameters, PCUT and ECUT, which represent the minimum total energy 共kinetic plus rest mass兲 below which no radiation transport takes place, were set to 1 and 512 keV for photons and electrons, respectively. These values were chosen to ensure that photon-electron transport was modeled as accurately as possible within the detector volume. In some simulations, the effect of electron transport was suppressed by setting ECUT equal to the incident photon energy 共i.e., “on-the-spot” energy deposition兲. II.B. Detector geometry The modeled detector geometry, shown schematically in Fig. 1, consisted of a broad, parallel beam of x-ray photons normally incident on a planar uniform slab of x-ray converter material. Each slab was subdivided into either 2048⫻ 2048 共or 4096⫻ 4096兲 voxels, whereby each voxel had a planar area of 10⫻ 10 m2 共or 50⫻ 50 m2兲. Four types of x-ray converter materials were used, spanning a wide range of atomic numbers: 共i兲 amorphous silicon 共a-Si兲, 共ii兲 amorphous selenium 共a-Se兲, 共iii兲 cesium iodide 共CsI兲, and 共iv兲 lead iodide 共PbI2兲. The mass density of each material was chosen to agree with that achieved in practice. The thickness of each converter material, t, was based on a specific quantum efficiency value, , as given by 3196 Hajdok, Battista, and Cunningham: Fundamental noise limits in diagnostic imaging detectors y edge effects. The 2D x-ray interaction NPS, NPSx共u , v兲, where u and v are spatial-frequency conjugates of the x and y directions, was estimated using27 Broad Uniform Monoenergetic X-ray Beam x 3196 z Detector Material 2.048 or 20.48 cm NPSx共u, v兲 = Primary Interaction Site t 2.048 or 20.48 cm Deposition of Kinetic Energy Along Electron Path Re-absorption of Secondary X-ray FIG. 1. Detector geometry 关in Cartesian coordinates 共x , y , z兲兴 modeled in the Monte Carlo calculations. The thickness t for each converter material was calculated 关see Eq. 共6兲兴 for several quantum efficiency values at each incident photon energy. t共h,Z兲 = − ln共1 − 兲 , 共h,Z兲 共6兲 where is the linear attenuation coefficient at photon energy h and atomic number Z. Various quantum efficiency values ranging from 0.10 to 0.99 were examined for each incident photon energy 关Eq. 共6兲 is accurate for thick detectors, but for thin detectors the thickness is understated by a few percent兴. In general, it is reasonable to expect a dose-efficient x-ray detector to achieve ⱖ 0.5 at most x-ray energies of importance. Further increases of thickness could be expected to increase costs with modest return on image quality and may reduce resolution due to obliquely incident x rays. II.C. X-ray interaction modulation transfer function The x-ray interaction MTF was determined from Monte Carlo simulations of the point spread function using an infinitesimal pencil beam of x rays incident on a converter material. Details of these simulations have been described previously.26 II.D. X-ray interaction normalized noise power spectrum II.D.1. Spatial fluctuations in absorbed energy Monte Carlo simulations were used to determine the twodimensional 共2D兲 dose 共absorbed energy per unit mass兲 distribution d共x , y兲 in each converter material. A set of ten independent dose distributions were generated, each using 108 incident x-ray histories, which was sufficient to ensure that statistical errors in the absorbed dose per scoring voxel was less than 10%. Each d共x , y兲 was then mean-subtracted to give the zero-mean fluctuation in absorbed dose, ⌬d̃共x , y兲 = d̃共x , y兲 − d̄. Simulations were conducted for monoenergetic x-ray energies ranging from 10 to 150 keV in 5 keV intervals. II.D.2. Noise power spectrum Each set of ⌬d̃共x , y兲 was subdivided into many nonoverlapping realizations 共ranging from approximately 100 to 1000 for each set兲 from a region of interest chosen to avoid Medical Physics, Vol. 35, No. 7, July 2008 xoy o 具兩DFT兵⌬d关nx,ny兴其兩2典, N xN y 共7兲 where xo and y o represent the scoring voxel center-to-center spacings in the x and y directions, Nx and Ny are the number of scoring voxels in each realization, 具¯典 represents an ensemble average, DFT 兵¯其 represents the discrete 2D Fourier transform operator, and 关nx , ny兴 are voxel locations. The units of NPSx共u , v兲 are Gy2 mm2. The standard error in our calculations of NPSx共u , v兲 ranged between 3% and 10%, depending on the number of realizations used in the ensemble average.28 In order to further reduce the NPS uncertainty,29 NPSx共u , v兲 was radially averaged 共due to circular symmetry兲 to yield a one-dimensional radial x-ray interaction NPS, NPSx共k兲. The normalized NPS, NNPSx共k兲, is therefore given by NNPSx共k兲 = q̄NPSx共k兲 d̄2 , 共8兲 where q̄ represents the number of incident x-ray histories per unit area in our simulations. II.E. X-ray interaction Swank factor II.E.1. Frequency-dependent Swank factor Ix„k… Once the x-ray interaction MTF and NNPS were determined from the Monte Carlo simulations, the frequencydependent x-ray Swank factor was calculated for each converter material using Eq. 共5兲. II.E.2. Zero-frequency Swank factor Ix The zero-frequency Swank factor significantly understates the actual effect of Swank noise. The extent of the limitation of Ix was determined for each converter material by independent Monte Carlo simulations using Eq. 共1兲. The DOSRZnrc user code30 was used to calculate the AED by: 共i兲 scoring the histogram of total energy deposited in the converter material by each incident photon, and 共ii兲 scoring the frequency of each energy pulse amplitude over many histories. The energy bin width of the AED was set to 0.5 keV. The AED was determined with 107 photon histories, which was sufficient to reduce the statistical uncertainty in each bin to less than 1%. II.F. Comparison with published experimental data The x-ray Swank factor provides a target benchmark of system performance, but is not directly measurable. Rather, performance can be measured in terms of the DQE and compared with a prediction based on Eq. 共3兲. The quantum efficiency, as determined by the area under the AED, and frequency-dependent x-ray Swank factor using Eq. 共5兲, were determined for four prototype detectors31–34 using the experimental conditions listed in Table I. The incident x-ray spectra 3197 Hajdok, Battista, and Cunningham: Fundamental noise limits in diagnostic imaging detectors 3197 TABLE I. X-ray beam and detector parameters used in the prototype systems. Detector material Beam quality 共kV兲 Beam filtration 共mm Al兲 Detector exposure 共mR兲 Converter thickness 共m兲 Detector element pitch 共m兲 Fill factor a-Si a a-Se b CsIc PbI2 d 26 70 80 90 0.4 2.0 20.0 2.0 50 3.8 1 23 1000 300 350 86 50 160 200 100 ⬃1 0.7 ⬃1 0.67 a See Ref. 31. See Ref. 32. See Ref. 33. d See Ref. 34. b c were modeled using an in-house MATLAB 共Mathworks, Matick, MA兲 code based on the semiempirical Tucker–Barnes model.35 The measured DQE of a digital detector includes effects such as detector-element aperture width, fill factor ␥, and DQEdig共k兲 = noise aliasing. Assuming a detector element center-to-center spacing xo, and a uniform sensitivity aperture of width ␥xo, an estimate of the “digital” DQE, DQEdig共k兲, based on the x-ray Swank factor is given by36 MTF2x 共k兲sinc2共␥xok兲 ⬁ 冉 冊 冉 冋 册冊 , n n NNPSx共k兲sinc 共␥xok兲 + 兺 NNPSx k ⫾ sinc2 ␥xo k ⫾ xo xo n=1 2 where spatial-frequency k is defined up to the sampling cutoff frequency, and sinc共x兲 = sin共x兲 / x. It will be shown that NNPSx共k兲 is largely independent of spatial frequency under most conditions of practical importance, giving DQEdig共k兲 ⬇ ␥Ix共k兲sinc2共␥xok兲, 共10兲 since the sum of sinc2共␥xok兲 and its aliases is equal to 1 / ␥.37 III. RESULTS III.A. X-ray interaction NNPS Figure 2 shows x-ray interaction NNPS for each converter material 共0.99 quantum efficiency兲 tested at selected incident monoenergetic photon energies between 10 and 100 keV. In a-Si, the NNPS is flat and close to unity at both 10 and 30 keV, which indicates that x-ray interaction noise is uncorrelated and the zero-frequency Swank factor value is near unity 共i.e., full reabsorption of incident x-ray energy due to dominance of photoelectric interactions and low Si K edge of 1.4 keV兲. As the incident energy increases, Compton interactions become more probable, which increases NNPS共0兲 above unity as a result of increased backscatter escape of Compton scatter photons. At high energies 共e.g., 70 and 100 keV兲, reabsorption of Compton scatter x rays is responsible for the drop in NNPS with increasing spatial frequency. Medical Physics, Vol. 35, No. 7, July 2008 共9兲 The other materials show similar increases in the zerofrequency NNPS value, due to backscatter escape of K-fluorescent photons, primarily at energies just above the K edge. However, the effect is generally less in high-Z materials since there is less variability in the energy of backscatter escape photons from Compton events than with characteristic photons from photoelectric interactions. Reabsorption of these photons is also responsible for the subsequent drop in NNPS with increasing frequency. The NNPS results changed only slightly when electron transport was excluded from the Monte Carlo simulations. Hence, electron transport plays a minor role in the NNPS of these materials at energies below 100 keV. III.B. X-ray interaction Swank factor III.B.1. Dependence on spatial-frequency The x-ray interaction Swank factor is plotted in Fig. 3. as a function of spatial frequency for each converter material 共0.99 quantum efficiency兲 at selected incident monoenergetic photon energies below 100 keV. At 10 keV in a-Si, Ix共k兲 is close to unity and has little frequency dependence. However, it drops to approximately 0.7 and 0.2, at 30 and 70 keV, respectively, for spatial frequencies greater than 1 cycle/ mm because of the substantial low-frequency drop in the MTF 共e.g., 55% at 70 keV, due to reabsorption of Compton scatter photons兲.26 Since Ix共k兲 is proportional to the squared MTF, such a low-frequency drop has important implications on 3198 Hajdok, Battista, and Cunningham: Fundamental noise limits in diagnostic imaging detectors 3198 FIG. 2. Monte Carlo x-ray interaction NNPS for each converter material 共 = 0.99兲 at selected incident monoenergetic photon energies 共note that ordinate axis is plotted up to 10 cycles/ mm for a-Si and 25 cycles/ mm for the others兲. The zero-frequency value is greater than unity when 共random兲 backscatter escape of Compton scatter or K-fluorescent photons is significant. Reabsorption of Compton 共a-Si兲 and K-fluorescent 共others兲 x rays causes the observed drop with frequency. potential image quality from detectors using a silicon-based converter material for all but low x-ray energies. In the other materials, reabsorption of K-fluorescent x-ray photons causes a substantial decrease in the x-ray Swank factor, particularly at energies just above the K edge. III.B.2. Dependence on incident x-ray energy Figure 4 shows x-ray interaction Swank factors as a function of incident photon energy for each material 共0.99 quantum efficiency兲 tested at selected spatial-frequencies below 10 cycles/ mm. In the case of a-Si, the x-ray Swank factor at nonzero frequencies decreases significantly from approximately 0.95 to 0.15 between 10 and 80 keV. This is due to Compton events becoming more probable, and in the diagnostic energy range, Compton scatter x rays retain, on average, ⬃80% of the incident photon energy.38 As a result, these secondary x rays may be reabsorbed far from the primary interaction site, causing significant degradation of the x-ray interaction MTF, and hence, Swank factor, at low spatial frequencies.26 In the case of the other materials, a substantial drop in the Swank factor occurs at the K edge. At energies greater than approximately 20 keV above the K edge, this drop is largely recovered. Medical Physics, Vol. 35, No. 7, July 2008 III.B.3. Dependence on x-ray converter thickness The x-ray interaction Swank factor is shown in Fig. 5 as a function of converter thickness 共expressed in terms of quantum efficiency兲 for each material tested at selected incident photon energies between 20 and 100 keV. Column I represents the conventional 共zero-frequency兲 x-ray Swank factor, as calculated from the moments of the AED 关see Eq. 共1兲兴; while column II represents the frequency-dependent x-ray Swank factor evaluated at 10 cycles/ mm, as determined from the MTF and NNPS 关see Eq. 共5兲兴. Comparison of these two versions is meant to show how significant the Swank factor is at nonzero spatial frequencies. In the case of the zero-frequency Swank factor, a quantum efficiency of 0.99 represents a best-case scenario. In general, Ix共0兲 increases with thickness as reabsorption of secondary x rays increases, thereby reducing the variability in total energy deposited. However, this dependence is modest for all materials and energies investigated. a-Si is the possible exception, but only for energies greater than 40 keV, where it is not likely to be used due to the need for a very thick converter. Therefore, these zero-frequency Swank values are applicable to any detector of practical importance. At 10 cycles/ mm, the frequency-dependent Swank factor decreases with increasing converter thickness. However, this dependence is again modest with the exception of a-Si at 3199 Hajdok, Battista, and Cunningham: Fundamental noise limits in diagnostic imaging detectors 3199 FIG. 3. Monte Carlo x-ray interaction Swank factor as a function of incident photon energy for each converter material 共 = 0.99兲 at selected incident monoenergetic photon energies below 100 keV. The zero-frequency value is decreased from unity by backscatter photon escape. The drop with increasing frequency is due to reabsorption of Comphon 共a-Si兲 and K-fluorescent 共other materials兲 photons. Note that the zero-frequency value of the NNPS was extrapolated for each Swank factor shown. high energies, justifying our use of a 99% quantum efficiency thickness as a reasonable approximation for most detectors of importance. stead that a secondary optical quantum sink exists, as discussed below, that would also degrade the DQE with increasing frequency. III.C. Comparison with published experimental data IV. DISCUSSION Other physical factors than x-ray interaction processes may degrade the DQE of a detector in practice, such as electronic noise, detector element fill factor, noise aliasing, and secondary quanta spread and collection. In Fig. 6, the experimental DQE of various prototype detectors based on each converter material are compared with the x-ray interaction DQE. In each material, the x-ray interaction Swank factor has only a minor frequency dependence, and when scaled by the calculated quantum efficiency and detector fill factor, gives a good estimate of the low-frequency DQE in a-Si and a-Se. The agreement is slightly less in PbI2. At higher spatial-frequencies, noise aliasing has a substantial effect on the three photoconductors. In these materials, the digitaldetector DQE in terms of the x-ray Swank factor in Eq. 共9兲 describes the measured DQE very well and is indistinguishable from the simple form in Eq. 共10兲. However, in CsI, there is less agreement with the simple model, and it is surprising that noise aliasing could have the large effect observed, as optical blur tends to reduce noise aliasing. It is possible in- While the conventional 共zero-frequency兲 Swank factor has been used for many years to describe detector performance, it is surprising to see how strong its frequency dependence is under many conditions of practical importance. In general, Ix共k兲 drops dramatically at very low frequencies 共⬃0.3 cycles/ mm兲 when Compton interactions are important. This occurs in low-Z materials, such as a-Si, and energies above 40 keV. Although it is generally accepted that a-Si may be impractical at these higher energies due to the required detector thickness, this result quantifies how badly any low-Z detector would perform, even if converter density could be significantly increased. The x-ray Swank factor also drops significantly at energies just above the K edge for frequencies greater than 1 or 2 cycles/ mm for high-Z materials. This will offset the potential improvements in DQE that may result from a corresponding increase in quantum efficiency at these energies. As there is only a modest frequency dependence 共⬍20%兲 in the NPS for most of the conditions investigated, x-ray interaction noise remains relatively un- Medical Physics, Vol. 35, No. 7, July 2008 3200 Hajdok, Battista, and Cunningham: Fundamental noise limits in diagnostic imaging detectors 3200 FIG. 4. Monte Carlo x-ray interaction Swank factor as a function of incident photon energy for each conveter material 共 = 0.99兲 at selected spatial frequencies. The 0 cycles/ mm profile represents the conventional x-ray Swank factor as calculated from Eq. 共1兲. correlated and the shape of the x-ray Swank factor is determined largely by the squared MTF through Eq. 共5兲. The modest dependence of the x-ray Swank factor on converter thickness 共Fig. 5兲, for quantum efficiency values greater than 0.5, shows that it is representative of most detectors. An exception may be a-Si at high energy, where this detector would have a very low DQE, and hence, not be practical. Thus, the values reported in Figs. 3 and 4 can be interpreted as reasonable estimates for any detector using these materials, regardless of converter density or thickness, as long as quantum efficiency is close to 0.5 or greater. In practice, converter thickness can be an important consideration if the transport of secondary quanta 共e.g., optical light兲 becomes depth dependent. For example, in the case of a phosphor, this depth dependence can lead to an increase in the optical component of Swank noise and result in a decrease in DQE at nonzero spatial frequencies due to the Lubberts effect.39–43 The frequency-dependent x-ray Swank factor describes an upper limit of the DQE for any detector. Thus, it forms the basis of predicting how successful a new 共or existing兲 detector might be for special imaging applications. Table II shows spatial-frequency values at which the x-ray Swank factor drops to 0.75 at energies representative of mammography 共20 keV兲, -CT 共40 keV兲, general radiography 共60 keV兲, and chest radiography 共80 keV兲. These values indicate the maximum spatial frequency at which each converter could 共potentially兲 have a high DQE at each energy. It is shown Medical Physics, Vol. 35, No. 7, July 2008 that a-Si is not appropriate for any application other than mammography, a-Se could be used for all applications, and that both CsI and PbI2 have limited potential for highresolution imaging at energies just above their respective K edges. Although the x-ray Swank factor provides tremendous insight into how a detector could perform in principle, reaching this level of performance can be a challenge. For example, a large number of secondary quanta 共e.g., optical light兲 must be generated and collected with each interacting x-ray to avoid secondary quantum sinks.44 A simple cascaded-systems analysis shows that a secondary quantum sink can be avoided if the following condition is satisfied  MTFs2共k兲 Ⰷ W ĒabNNPSx共k兲 ⬇ W Ēab , 共11兲 where  is the collection and detection efficiency of secondary quanta, MTFs共k兲 describes the spread of secondary quanta before being detected, W is the converter work energy in keV 共average energy to liberate each secondary quantum兲, Ēab is the average energy absorbed in keV per interacting x ray, and NNPSx共k兲 is the normalized x-ray interaction NPS reported here, which is always of order unity. In the case of a CsI-based mammography detector, W ⬃ 0.02 keV and the system MTF may be dominated by optical spread. If we choose the frequency at which the MTF has a value of 0.3 to be our maximum frequency of interest, we obtain the condi- 3201 Hajdok, Battista, and Cunningham: Fundamental noise limits in diagnostic imaging detectors Silicon Silicon 1 0.9 0.8 0.7 0.6 0.5 0.4 20 keV 40 keV 60 keV 80 keV 100 keV 0.3 0.2 0.1 10 (a) 20 30 40 50 60 70 80 Swank Factor (10 cy/mm) Swank Factor (0 cy/mm) 1 0 0 0.6 0.5 0.4 0.3 0.2 10 20 30 70 80 Selenium 0.7 0.6 0.5 0.4 0.3 0.2 90 100 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 10 20 30 40 50 60 70 80 0 0 90 100 10 20 30 40 50 60 70 80 Quantum Efficiency [%] Quantum Efficiency [%] Cesium Iodide Cesium Iodide 90 100 1 Swank Factor (10 cy/mm) 1 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 10 (c) 20 30 40 50 60 70 80 0 0 90 100 10 Quantum Efficiency [%] 20 30 40 50 60 70 80 90 100 Quantum Efficiency [%] Lead Iodide Lead Iodide 1 Swank Factor (10 cy/mm) 1 Swank Factor (0 cy/mm) 60 1 (b) 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 (d) 50 Selenium 0.8 0 0 40 Quantum Efficiency [%] Swank Factor (10 cy/mm) Swank Factor (0 cy/mm) 0.7 0 0 90 100 0.1 Swank Factor (0 cy/mm) 0.8 0.1 1 0 0 0.9 Quantum Efficiency [%] 0.9 0 0 3201 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 10 20 30 40 50 60 70 80 90 100 Quantum Efficiency [%] 0 0 10 20 30 40 50 60 70 80 90 100 Quantum Efficiency [%] FIG. 5. Monte Carlo x-ray interaction Swank factor as a function of converter thickness 共expressed as a quantum efficiency兲 for each converter material at selected incident photon energies and 0 共column I兲 and 10 共column II兲 cycles/ mm. tion  Ⰷ 0.01 to avoid a secondary quantum sink. This can be extremely difficult to achieve in practice for phosphor-based detectors. Medical Physics, Vol. 35, No. 7, July 2008 Even when electronic noise is negligible, digital detectors present additional challenges to achieve the performance predicted by the x-ray Swank factor due to detector fill factor 3202 Hajdok, Battista, and Cunningham: Fundamental noise limits in diagnostic imaging detectors 3202 FIG. 6. Comparison of “ideal” DQE based on quantum efficiency 共QE兲 and frequency-dependent x-ray Swank factor with the digital DQE based on Eq. 共9兲, simplified digital DQE based on Eq. 共10兲 and experimental 共EXP兲 data for: 共a兲 a-Si,31 共b兲 a-Se,32 共c兲 CsI,33 and 共d兲 PbI2 共Ref. 34兲 prototype detectors. and noise-aliasing issues. A nonunity fill factor effectively reduces quantum efficiency. This is shown in Figs. 6共b兲 and 6共d兲 where the zero-frequency DQE value is reduced from a calculated quantum efficiency of 0.60 to 0.4 in a-Se and from 0.56 to 0.3 in PbI2, consistent with measured DQE values. In both cases, the zero-frequency x-ray Swank factor was close to unity. Noise aliasing increases the normalized NPS at frequencies near the sampling cutoff frequency36 and is responsible for most of the DQE drop with frequency from the zero-frequency value for a-Si, a-Se, and PbI2. It should also be noted that although the Swank factor is called a “factor,” the effect it has on the DQE, as used in Eq. 共3兲, is multiplicative only for Poisson noise sources.8 The spatial-frequency dependence of the x-ray Swank factor has an additional important implication for energydiscriminating detectors that has not been addressed. New detectors are currently being developed by a number of investigators using a-Si,45 CdZnTe,46 PbO,47 and other materials, which may result in new energy-weighted photoncounting imaging techniques. However, random relocation of x-ray energy into different detector elements will seriously compromise performance, and the frequency-dependent x-ray Swank factor will almost certainly play an interesting role. V. CONCLUSIONS Monte Carlo simulations were used to determine the spatial fluctuations in absorbed energy for various x-ray converter materials 共a-Si, a-Se, CsI, PbI2兲 as a function of incident photon energy in the diagnostic range and converter thickness. From each simulation, the normalized “x-ray in- TABLE II. Spatial-frequency values 共cycles/ mm兲 at which the x-ray Swank factor drops to 0.75 for each converter material at selected energies, interpolated from data in Figs. 3 and 4. These values indicate the maximum frequency at which these converters could have a high DQE at each energy. Converter material Mammography 共20 keV兲 Micro-CT 共40 keV兲 General radiography 共60 keV兲 Chest radiography 共80 keV兲 a-Si a-Se CsI PbI2 ⬎10 ⬃10 ⬎25 ⬎25 ⬍1 ⬎25 ⬃1 ⬃4 ⬍0.3 ⬃25 ⬍2 ⬃2.5 ⬍0.3 ⬃2 ⬃5 ⬃10 Medical Physics, Vol. 35, No. 7, July 2008 3203 Hajdok, Battista, and Cunningham: Fundamental noise limits in diagnostic imaging detectors teraction” noise power spectrum was calculated and used to determine the frequency-dependent x-ray Swank statistical factor Ix共k兲 as a function of spatial frequency between 0 and 25 cycles/ mm 共0 and 10 for a-Si兲. This factor describes the effect of random variations in absorbed energy, including spatial correlations, associated with secondary x-ray and electron reabsorption. It does not include the effect of engineering limitations or noise aliasing, but when scaled by the quantum efficiency, it represents an upper limit on the detective quantum efficiency. In low-Z materials 共a-Si兲, reabsorption of Compton scatter x rays severely degrades Ix共k兲 above 40 keV, while in higher-Z materials 共a-Se, CsI, PbI2兲, reabsorption of K-fluorescent x rays has a significant effect at their respective K edges. The effect of electron transport is generally negligible except for a-Se and CsI above 100 keV. Converter thickness has a modest effect 共ⱕ10%兲 on Ix共k兲 for each material having a quantum efficiency greater than 0.5, except in a-Si at high energy. To achieve performance approaching the x-ray Swankfactor prediction, secondary quantum sinks must be avoided. A simple relationship is provided to ensure this condition is met. Noise aliasing in digital detectors will also reduce the DQE. A simple expression is derived giving the DQE in terms of quantum efficiency, x-ray Swank factor, detector element size, and fill factor. Published DQE results for digital detectors using each converter material show very good agreement with the simple expressions, although the potential for a secondary optical quantum sink cannot be ruled out in the CsI detector. Based on the calculated x-ray Swank factors, it is concluded that: 共i兲 a-Si is well-suited for mammography only; 共ii兲 a-Se has a wide scope of imaging applicability; and 共iii兲 benefits from an increased quantum efficiency just above K-edge energies in CsI and PbI2 are offset by a significant drop in the x-ray Swank factor, particularly at high spatial frequencies. ACKNOWLEDGMENTS The authors are grateful for financial support from the Canadian Institutes of Health Research 共CIHR兲 and Ontario Research and Development Challenge Fund 共ORDCF/ OCEBCRI project兲. a兲 Author to whom correspondence should be addressed. Present address: Imaging Research Labs, Robarts Research Institute, P.O. Box 5015, 100 Perth Drive, London, Ontario N6A 5K8, Canada. 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