On the limitations and optimisation of high-resolution 3D medical X-ray imaging systems

Based on a quantitative analysis of both attenuation and refractive properties of X-ray propagation in human body tissues and the introduction of a mathematical model for image quality analysis, some limitations and optimisation of high-resolution three-dimensional (3D) medical X-ray imaging techniques are studied. A comparison is made of conventional attenuation-based X-ray imaging methods with the phase-contrast X-ray imaging modalities that have been developed recently. The results indicate that it is theoretically possible through optimal design of the X-ray imaging system to achieve high spatial resolution (<100 μm) in 3D medical X-ray imaging of the human body at a clinically acceptable dose level (<10 mGy) by introducing a phase-contrast X-ray imaging technique.