Computed Tomography

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Computed tomography (CT), also called computerized axial tomography (CAT), is a medical imaging technique that reconstructs cross-sectional images from X-ray projections taken at multiple angles.

Physical Principle

  1. An X-ray source rotates around the patient
  2. X-rays are attenuated according to the Beer-Lambert law as they pass through tissue
  3. Detectors measure the transmitted intensity
  4. Each measurement represents a line integral of the attenuation coefficient (a Radon transform)

Mathematical Foundation

The reconstruction relies on the projection-slice theorem:

  • Each projection at angle $\theta$ gives one radial slice of the 2D Fourier transform
  • Collecting projections at many angles fills the Fourier plane
  • Inverse Fourier transform recovers the image

Reconstruction Algorithms

Filtered Back-Projection

The standard clinical algorithm:

  1. Apply a ramp filter $|\nu|$ to each projection (compensates for non-uniform radial sampling)
  2. “Smear” each filtered projection back across the image at its original angle
  3. Sum contributions from all angles

Iterative Methods

Modern approaches that can handle:

  • Sparse data (fewer projections)
  • Noise reduction
  • Prior knowledge constraints

Hounsfield Units

CT images are displayed in Hounsfield units (HU):

$$ HU = 1000 \times \frac{\mu - \mu_{water}}{\mu_{water} - \mu_{air}} $$
MaterialHU
Air-1000
Water0
Soft tissue+40 to +80
Bone+400 to +1000

Applications

  • Diagnostic imaging (trauma, cancer, cardiovascular)
  • Radiation therapy planning
  • Industrial inspection (non-destructive testing)

See Also