Removing streak artifacts from ECG-gated reconstructions using deconvolution.

Background: 4D cardiac computed tomography aims at reconstructing the beating heart from a series of 2D projections and the simultaneously acquired electrocardiogram. Each cardiac phase is reconstructed by exploiting the subset of projections acquired during this particular cardiac phase only. In these conditions, the Feldkamp, Davis and Kress method (FDK) generates large streak artifacts in the reconstructed volumes, hampering the medical interpretation. These artifacts can be substantially reduced by deconvolution methods.

Objective: The aim of this paper is to compare two 4D cardiac CT reconstruction methods based on deconvolution, and to evaluate their practical benefits on two applications: cardiac micro CT and human cardiac C-arm CT.

Methods: The first evaluated method builds upon inverse filtering. It has been proposed recently and demonstrated on 4D cardiac micro CT. The second one is an iterative deconvolution method, and turns out equivalent to an ECG-gated Iterative Filtered Back Projection (ECG-gated IFBP).

Results: Results are presented on simulated data in 2D parallel beam, 2D fan beam and 3D cone beam geometries.

Conclusions: Both methods are efficient on the cardiac micro CT simulations, but insufficient to handle 4D human cardiac C-Arm CT simulations. Overall, ECG-gated IFPB largely outperforms the inverse filtering method.