Tomographic reconstruction for tilted helical multislice CT

One of the most recent technical advancements in computed tomography (CT) is the introduction of multislice CT (MCT). Because multiple detector rows are used for data acquisition, MCT offers higher volume coverage, faster scan speed, and reduced X-ray tube loading. Recognizing its unique data-sampling pattern, several image reconstruction algorithms were developed. These algorithms have been shown to be adequate in producing clinically acceptable images. Recent studies, however, have revealed that the image quality of MCT can be significantly degraded when helical data are acquired with a tilted gantry. The degraded image quality has rendered this feature unacceptable for clinical usage. In this paper, we first present a detailed investigation on the cause of the image quality degradation. An analytical model is derived to provide a mathematical basis for correction. Several compensation schemes are subsequently presented, and a detailed performance comparison is provided in terms of spatial resolution, noise, computation efficiency, and image artifacts.