Modeling of detective quantum efficiency considering scatter-reduction devices

The reduction of signal-to-noise ratio (SNR) cannot be restored and thus has become a severe issue in digital mammography.1 Therefore, antiscatter grids are typically used in mammography. Scatter-cleanup performance of various scatter-reduction devices, such as air gaps,2 linear (1D) or cellular (2D) grids,3, 4 and slot-scanning devices,5 has been extensively investigated by many research groups. In the present time, a digital mammography system with the slotscanning geometry is also commercially available.6 In this study, we theoretically investigate the effect of scattered photons on the detective quantum efficiency (DQE) performance of digital mammography detectors by using the cascaded-systems analysis (CSA) approach. We show a simple DQE formalism describing digital mammography detector systems equipped with scatter reduction devices by regarding the scattered photons as additive noise sources. The LFD increased with increasing PMMA thickness, and the amounts of LFD indicated the corresponding SF. The estimated SFs were 0.13, 0.21, and 0.29 for PMMA thicknesses of 10, 20, and 30 mm, respectively. While the solid line describing the measured MTF for PMMA with 0 mm was the result of least-squares of regression fit using Eq. (14), the other lines were simply resulted from the multiplication of the fit result (for PMMA with 0 mm) with the (1-SF) estimated from the LFDs in the measured MTFs. Spectral noise-power densities over the entire frequency range were not much changed with increasing scatter. On the other hand, the calculation results showed that the spectral noise-power densities increased with increasing scatter. This discrepancy may be explained by that the model developed in this study does not account for the changes in x-ray interaction parameters for varying spectral shapes due to beam hardening with increasing PMMA thicknesses