Multi-Energy Blended CBCT Spectral Imaging Using a Spectral Modulator with Flying Focal Spot (SMFFS)

Conventional cone-beam CT (CBCT) can be easily compromised by scatter and beam hardening artifacts, and the entanglement of scatter and spectral effects introduces additional complexity. In this work, we present the first attempt to develop a stationary spectral modulator with flying focal spot (SMFFS) technology as a promising, low-cost approach to accurately solving the X-ray scattering problem and physically enabling spectral imaging in a unified framework. To deal with the intertwined scatter-spectral challenge, we propose a novel scatter-decoupled material decomposition (SDMD) method for SMFFS based on a hypothesis of scatter similarity. Monte Carlo simulations of a pure-water cylinder phantom with different focal spot deflections show that focal spot deflections within a range of  2 mm share quite similar scatter distributions overall. Numerical simulations using a clinical abdominal CT dataset demonstrate that SMFFS with SDMD method can achieve better material decomposition and CT number accuracy with less artifacts. Physics experiments on a tabletop CBCT system using a Gammex multi-energy CT phantom an anthropomorphic chest phantom, are carried out to demonstrate the feasibility of CBCT spectral imaging with SMFFS. For the chest phantom, the root mean square error (RMSE) in selected regions of interest (ROIs) of virtual monochromatic image (VMI) at 70 keV is 11.8 HU for SMFFS CB scan, and 14.5 and 437.6 HU for sequential 80/140 kVp (DKV) CB scan with and without scatter correction, respectively. Also, the non-uniformity among selected regions is 14.1 HU for SMFFS CB scan, and 59.4 and 184.0 HU for the DKV CB scan with and without a traditional scatter correction method, respectively. Our preliminary results show that SMFFS can enable spectral imaging with simultaneous scatter correction for CBCT and effectively improve its quantitative imaging performance.