Fast kV-switching (FKS) and dual-layer flat-panel detector (DL-FPD) technologies have been actively studied as promising dual-energy solutions for FPD-based cone-beam computed tomography (CBCT). However, CBCT spectral imaging is known to face challenges in obtaining accurate and robust material discrimination performance due to the limited energy separation. To further improve CBCT spectral imaging capability, this work aims to promote a source-detector joint spectral imaging solution which takes advantages of both FKS and DL-FPD, and to conduct a feasibility study on the first tabletop CBCT system with the joint spectral imaging capability developed. 
Methods: A noise performance analysis using the Cramér-Rao lower bound (CRLB) method is conducted. The CRLB for basis material after a projection-domain material decomposition is derived, followed by a set of numerical calculations of CRLBs, for the FKS, the DL-FPD and the joint solution, respectively. In this work, the first FKS and DL-FPD jointly enabled multi-energy tabletop CBCT system, to the best of our knowledge, has been developed in our laboratory. To evaluate its spectral imaging performance, a set of physics experiments are conducted, where the multi-energy and head phantoms are scanned using the 80/105/130kVp switching pairs and projection data are collected using a prototype DL-FPD. To compensate for the slightly angular mismatch between the low- and high-energy projections in FKS, a dual-domain projection completion scheme is implemented. Afterwards material decomposition is carried out by using the maximum-likelihood method, followed by reconstruction of basis material and virtual monochromatic images. 
Results: The numerical simulations show that the joint solution can lead to a significant improvement in energy separation and lower noise levels. The physics experiments confirmed the feasibility and superiority of the joint spectral imaging, whose CNRs of the multi-energy phantom were boosted by an average improvement of 21.9%, 20.4% for water and 32.8%, 62.8% for iodine when compared with that of the FKS and DL-FPD in fan-beam and cone-beam experiments, respectively. 
Conclusions: A feasibility study of the joint spectral imaging for CBCT by utilizing both the FKS and DL-FPD was conducted, with the first tabletop CBCT system having such a capability being developed, which exhibits improved spectral imaging performance as expected.
Keywords: dual-layer flat-panel detector; fast kV-switching; joint spectral imaging; material decomposition.
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