CLARINET ArtifiCial-inteLligence Assisted X-rAy DaRk-field RadIography for Detection of InducEd Lung InfecTions and Disease Follow-up

Short Summary
Early detection of chronic lung diseases remains a critical unmet need, as current diagnostic tools typically identify conditions only after irreversible structural damage has occurred. Dark‑field lung imaging offers a promising alternative to CT by providing high sensitivity to microstructural changes at substantially lower radiation doses. This project lays the groundwork for clinically viable dark‑field systems by characterizing lung‑relevant scattering signals, optimizing imaging parameters, developing a comprehensive simulation toolkit, and demonstrating an analyzer‑less prototype. Together, these advancements point toward simplified, dose‑efficient imaging systems suitable for future population‑scale screening.
Goals
  • Characterize dark‑field signals from lung‑like phantoms and porcine lung tissue across relevant autocorrelation length scales.
  • Optimize imaging parameters to maximize sensitivity to alveolar microstructure while minimizing patient dose.
  • Develop and release a simulation framework to support system optimization under realistic fabrication constraints.
  • Demonstrate an analyzer‑less dark‑field prototype capable of high‑visibility images at clinically relevant dose levels.
  • Advance grating design using diffraction beamlet arrays (DBA) to support compact, fabrication‑friendly systems for high‑energy X‑ray imaging.
Significance
Chronic lung diseases such as COPD are major global contributors to reduced quality of life and premature mortality. A cost‑effective, low‑dose screening tool capable of detecting early microstructural degradation could fundamentally shift current care pathways from late intervention to proactive management. By simplifying system architectures and providing quantitative guidance on optimal imaging conditions, this work moves dark‑field imaging closer to practical, scalable deployment in clinical environments—potentially improving outcomes for millions of patients worldwide.
Background
Conventional radiography is largely insensitive to early microstructural alterations in lung tissue, and CT—while more informative—carries dose levels that make it unsuitable for widespread screening. Dark‑field imaging fills this gap by measuring ultra‑small‑angle scattering arising from the alveolar network. Early studies demonstrate strong potential but rely on fine‑pitch absorption gratings that are costly, difficult to manufacture, and may reduce attenuation image quality. This project addresses these limitations by providing a comprehensive characterization of lung‑relevant dark‑field signals, developing a flexible simulation environment to evaluate system configurations under realistic fabrication constraints, and constructing a first analyzer‑less prototype to simplify system design. To further improve manufacturability and enable compact geometries, diffraction beamlet arrays were implemented as an alternative grating approach. In future clinical pathways, AI‑driven analysis and reconstruction methods may complement these technological developments by enhancing fringe extraction, assisting with automated disease detection, and supporting data‑driven optimization of imaging parameters—further strengthening the clinical value and usability of dark‑field lung imaging systems.
  • Jinqiu Xu, Zhentian Wang, Stefano van Gogh, Michał Rawlik, Simon Spindler, and Marco Stampanoni, “Intensity-based iterative reconstruction for helical grating interferometry breast CT with static grating configuration,” Opt. Express 30, 13847-13863 (2022)
  • Rawlik, M., Pereira, A., Spindler, S., Wang, Z., Romano, L., Jefimovs, K., Shi, Z., Polikarpov, M., Xu, J., Zdora, M.-C., van Gogh, S., Stauber, M., Yukihara, E., Christensen, J. B., Kubik-Huch, R., Niemann, T., Leo, C., Varga, Z., Boss, A., & Stampanoni, M. (2023). Refraction beats attenuation in breast CT.” https://doi.org/10.48550/arxiv.2301.00455

Platform

Prof. Dr. Marco Stampanoni

PSI

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