Optimization of X-ray phase-contrast imaging based on in-line holography

This paper introduces a newly conceived formalism for clinical in-line phase-contrast X-ray imaging. The new formalism applies not only to ideal “thin” objects analyzed in previous studies, but also applies to the real-world tissues used in actual clinical practice. Moreover we have identified the four clinically important factors that affect phase-contrast characteristics. These factors are: (1) body part attenuation, (2) the spatial coherence of incident X-rays from an X-ray tube, (3) the polychromatic nature of the X-ray source and (4) radiation dose to patients for clinical applications. Techniques of phase image-reconstruction based on the new X-ray in-line holography theory are discussed. Numerical simulations are described which were used to validate the theory. The design parameters of an optimal clinical phase-contrast mammographic imaging system which were determined based on the new theory, and validated in the simulations, are presented. The theory, image reconstruction algorithms, and numerical simulation techniques presented in this paper can be applied widely to clinical diagnostic X-ray imaging applications.