Purpose
To present our experiences in understanding and minimizing bowtie-filter (BF) crescent artifacts (BCA) and BF normalization artifacts (BNA) in a clinical cone beam computed tomography (CBCT) system.
Methods
BF position and profile variations during gantry rotation were studied. Two previously proposed strategies (A and B) were applied to the clinical CBCT system to correct BCA. Physical calibration and analytical approaches were used to minimize the norm phantom misalignment and to correct for BNA. A combined procedure to reduce BCA and BNA was proposed and tested on a norm phantom, CatPhan and a patient, and evaluated using standard deviation of Hounsfield-unit (HU) along a sample line.
Results
The BF exhibited not only a translational shift, but also an amplitude variation in its projection profile during gantry rotation. Strategy B was better than Strategy A slightly in minimizing BCA, possibly because it corrected the amplitude variation, suggesting that the amplitude variation plays a role in BCA. The physical calibration largely reduced the misalignment induced BNA, and the analytical approach further reduced BNA. The combined procedure minimized both BCA and BNA, with HU standard deviation being 63.2, 45.0, 35.0, and 18.8 HU for the best correction approaches of none, BCA, BNA, and BNA+BCA, respectively. The combined procedure also demonstrated reduction of BCA and BNA in a CatPhan and a patient.
Conclusions
We have developed a step-by-step procedure that can be directly used in clinical CBCT systems to minimize both BCA and BNA.