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Journal of Medical Imaging

Quantifying cross-scatter contamination in biplane fluoroscopy motion analysis systems
Author(s): Janelle A. Cross; Ben McHenry; Taly G. Schmidt
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Paper Abstract

Biplane fluoroscopy is used for dynamic <italic<in vivo</italic< three-dimensional motion analysis of various joints of the body. Cross-scatter between the two fluoroscopy systems may limit tracking accuracy. This study measured the magnitude and effects of cross-scatter in biplane fluoroscopic images. Four cylindrical phantoms of 4-, 6-, 8-, and 10-in. diameter were imaged at varying kVp levels to determine the cross-scatter fraction and contrast-to-noise ratio (CNR). Monte Carlo simulations quantified the effect of the gantry angle on the cross-scatter fraction. A cadaver foot with implanted beads was also imaged. The effect of cross-scatter on marker-based tracking accuracy was investigated. Results demonstrated that the cross-scatter fraction varied from 0.15 for the 4-in. cylinder to 0.89 for the 10-in. cylinder when averaged across kVp. The average change in CNR due to cross-scatter ranged from 5% to 36% CNR decreases for the 4- and 10-in. cylinders, respectively. In simulations, the cross-scatter fraction increased with the gantry angle for the 8- and 10-in. cylinders. Cross-scatter significantly increased static-tracking error by 15%, 25%, and 38% for the 6-, 8-, and 10-in. phantoms, respectively, with no significant effect for the foot specimen. The results demonstrated submillimeter marker-based tracking for a range of phantom sizes, despite cross-scatter degradation.

Paper Details

Date Published: 23 October 2015
PDF: 7 pages
J. Med. Img. 2(4) 043503 doi: 10.1117/1.JMI.2.4.043503
Published in: Journal of Medical Imaging Volume 2, Issue 4
Show Author Affiliations
Janelle A. Cross, Marquette Univ. (United States)
Ben McHenry, Marquette Univ. (United States)
Taly G. Schmidt, Marquette Univ. (United States)


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