# Patent

## Title
Pre-subject filters for CT detectors and methods of making same

## Abstract

Cast collimators for use in CT imaging systems are described, as are methods of making them. Such collimators may comprise pre-patient collimators, pre-patient filter/collimator assemblies, and/or post-patient collimators. The filters and/or collimators may be made of any suitable high-density, high atomic number material such as lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, tungsten suspended in a slurry, or the like. Embodiments of these collimators comprise specially-designed channels and vanes that allow them to be precision cast to the necessary degree of accuracy. These channels and vanes are preferably tapered. These collimators and filter/collimator assemblies help minimize the x-ray dose to the patient by minimizing the scattered radiation creation mechanism and by collimating out much of the scattered radiation that would otherwise be subjected to the patient. These collimators may be cast as either single piece structures, or multiple pieces that can be operatively connected together.

## Background
CROSS REFERENCE TO RELATED APPLICATIONS
The present application is continuation of and claims priority of U.S. Ser. No. 10/326,020 filed Dec. 19, 2002, the disclosure of which is incorporated herein by reference.


FIELD OF THE INVENTION
The present invention relates generally to collimators for use in computed tomography (CT) imaging systems. More specifically, the present invention relates to cast collimators for use in CT imaging systems, and methods of making same. This invention also relates to filters for use with such collimators, and the choice of material(s) for making such filters and/or collimators.
BACKGROUND OF THE INVENTION
In CT imaging systems, pre-patient filters and collimators are used to shape an x-ray beam so that a fan-shaped x-ray beam lies within the X-Y plane, or the imaging plane, before its transmission through a patient. These pre-patient filters are generally used to shape the intensity of the x-ray beam in the X-direction, and are commonly enclosed in a housing (i.e., collimator) that determines the width of the x-ray beam in the Z-direction. The filtered and collimated x-ray beam is attenuated by the object being imaged (i.e., the patient having the CT scan performed on them), and the x-rays are then detected by an array of radiation detectors. Often times, the x-rays pass through a post-patient collimator prior to being detected by the array of radiation detectors. These post-patient collimators generally comprise a number of various parts that can be very difficult to accurately align and assemble.
The pre-patient collimators often generate significant scattered radiation that subjects the patient to x-ray dose that is not useful in the CT imaging process. Such scatter is becoming an increasing problem as CT manufacturers open up the fan-shaped x-ray beam more and more in the Z-direction to accommodate detectors with more slices and coverage in the Z-direction, thereby increasing the need for better pre-patient and post-patient collimator designs. As CT systems are becoming increasingly dose sensitive, it would be desirable to have systems and methods for making pre-patient filter/collimator assemblies that minimize the scattered radiation created therein and exiting therefrom so as to lower the x-ray dose the patient is exposed to.
The post-patient collimators are generally complicated structures comprising combs, rails, plates and wires. Currently, each comb must be attached to a rail, each plate must be individually inserted into appropriate slots in the combs and be attached thereto, and then wires must be individually strung and attached to the appropriate slots on each plate. This is a very time consuming, labor-intensive process, often requiring reworking if the components are not properly aligned. Therefore, it would be desirable to have systems and methods for making post-patient collimators in an easier, more efficient, and more economical manner than currently possible.
Filters used with such collimators could also be better designed to minimize the scattered radiation created therein and exiting therefrom so as to help further lower the x-ray dose the patient is exposed to.
It would be desirable to have collimators, both pre-patient and post-patient, that lower the x-ray dose the patient is exposed to by minimizing the scattered radiation created therein or exiting therefrom. It would be further desirable to have such collimators that can be more easily, more accurately, and more efficiently made than currently possible. It would also be desirable to have filters that minimize the scattered radiation created therein and exiting therefrom, for use in combination with such collimators, so as to help further reduce the x-ray dose the patient is exposed to. It would be still further desirable to have such filters and/or collimators be made of one or more cast pieces of a suitable high density, high atomic number material. Finally, it would be desirable to have such collimators to allow improved x-ray dose efficiency. Many other needs will also be met by this invention, as will become more apparent throughout the remainder of the disclosure that follows.
SUMMARY OF THE INVENTION
Accordingly, the above-identified shortcomings of existing systems and methods are overcome by embodiments of the present invention, which relates to collimators, both pre-patient and post-patient, that lower the x-ray dose the patient is exposed to by minimizing the scattered radiation created therein or exiting therefrom. Many embodiments of these collimators can be made more easily, more accurately, and more efficiently than currently possible. Embodiments of this invention also comprise filters that minimize the scattered radiation created therein and exiting therefrom, for use in combination with such collimators, so as to help further reduce the x-ray dose the patient is exposed to. Such filters and/or collimators are preferably made of one or more cast pieces of a suitable high density, high atomic number material. These collimators may allow improved x-ray dose efficiency to be achieved.
Embodiments of this invention comprise collimators for use in CT imaging systems. These collimators may comprise a two-dimensional honeycomb structure that comprises channels of a predetermined shape running between channel walls of a predetermined thickness. This two-dimensional honeycomb structure is preferably made via a casting process, and is capable of meeting predetermined precision requirements. When used as a pre-patient collimator, there may be a filter operatively coupled thereto, wherein the filter is preferably made of any high-density, high atomic number material such as lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, tungsten suspended in a slurry, or the like. The filter may be positioned in front of the collimator, or it may comprise a three-dimensional insert that is operatively positioned within the channels of the two-dimensional honeycomb structure. When used as a post-patient collimator, there may be channels running through the two-dimensional honeycomb structure. These channels could be of any shape, such as rectangular, circular, ovular, trapezoidal, hexagonal, square, or the like. Preferably, these channels are tapered to create a first aperture proximate an x-ray entry surface of the collimator that is larger than a second aperture proximate an x-ray exit surface of the collimator. The collimator itself may also be made of any high-density, high atomic number material such as lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, tungsten suspended in a slurry, or the like.
Other embodiments of this invention comprise filters for use in pre-patient filter/collimator assemblies in CT imaging systems, or for use in conjunction with post-patient collimators, if so desired. These filters preferably comprise any suitable high-density, high atomic number material that is capable of absorbing x-ray radiation, such as lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, tungsten suspended in a slurry, or the like.
Yet other embodiments of this invention comprise pre-patient filter and collimator assemblies for use in CT imaging systems. These assemblies may comprise: a filter component; and a collimator component, wherein the filter component is operatively coupled to the collimator component and the collimator component comprises a two-dimensional honeycomb structure comprising channels of a predetermined shape running between channel walls of a predetermined thickness. The filter and/or the collimator may be made of any suitable high-density, high atomic number material, such as lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, tungsten suspended in a slurry, or the like. The filter may be positioned in front of the collimator or anywhere else in suitable proximity to the collimator, or it may comprise a three-dimensional insert that is operatively positioned within the channels of the two-dimensional honeycomb structure.
Still other embodiments of this invention comprise post-patient collimators for use in CT imaging systems. These collimators preferably comprise: a two-dimensional honeycomb structure comprising channels of a predetermined shape running between channel walls of a predetermined thickness, wherein the two-dimensional honeycomb structure is capable of meeting predetermined precision requirements. Ideally, these collimators are made via a casting process. The channels in these collimators may comprise any suitable shape, such as rectangular, circular, ovular, trapezoidal, hexagonal, and/or square. Preferably, these channels are tapered to create a first aperture proximate an x-ray entry surface of the collimator that is larger than a second aperture proximate an x-ray exit surface of the collimator. The two-dimensional honeycomb structure may comprise any suitable high-density, high atomic number material, such as for example lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, tungsten suspended in a slurry, or the like.
Further features, aspects and advantages of the present invention will be more readily apparent to those skilled in the art during the course of the following description, wherein references are made to the accompanying figures which illustrate some preferred forms of the present invention, and wherein like characters of reference designate like parts throughout the drawings.



DESCRIPTION OF THE DRAWINGS
The systems and methods of the present invention are described herein below with reference to various figures, in which:
FIG. 1 is perspective view of an exemplary CT imaging system;
FIG. 2 is a perspective view of a high aspect ratio pre-patient collimator as utilized in embodiments of this invention;
FIG. 3 is a portion of a cross-sectional side view showing some non-tapered, rectangular-shaped vanes and channels as cast in embodiments of this invention; and
FIG. 4 is a portion of a cross-sectional side view showing some 2-dimensionally tapered, trapezoidal-shaped vanes and channels as cast in other embodiments of this invention.



DETAILED DESCRIPTION OF THE INVENTION
For the purposes of promoting an understanding of the invention, reference will now be made to some preferred embodiments of the present invention as illustrated in FIGS. 1-4, and specific language used to describe the same. The terminology used herein is for the purpose of description, not limitation. Specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims as a representative basis for teaching one skilled in the art to variously employ the present invention. Any modifications or variations in the depicted support structures and methods of making same, and such further applications of the principles of the invention as illustrated herein, as would normally occur to one skilled in the art, are considered to be within the spirit of this invention.
FIG. 1 shows an exemplary CT imaging system 10. Such systems generally comprise a gantry 12, a gantry opening 48, and a table 46 upon which a patient 22 may lie. Gantry 12 comprises an x-ray source 14 that projects a beam of x-rays 16 toward an array of detector elements 18. Generally, the array of detector elements 18 comprises a plurality of individual detector elements that are arranged in a side-by-side manner in the form of an arc that is essentially centered on x-ray source 14. In multi-slice imaging systems, parallel rows of arrays of detector elements 18 can be arranged so that each row of detectors can be used to generate a single thin slice image through patient 22 in the X-Y plane. Each detector element in the array of detector elements 18 senses and detects the x-rays 16 that pass through an object, such as patient 22. While this figure shows the x-ray source 14 and the array of detector elements 18 aligned along the X-axis, some CT imaging systems may align the x-ray source 14 and the array of detector elements 18 differently, such as along the Y-axis or anywhere else in the X-Y plane.
In many CT imaging systems, pre-patient filters 15 and collimators 17 are utilized between x-ray source 14 and patient 22 to shape the x-ray beam 16 coming from x-ray source 14 before its transmission through patient 22. The filters 15 in these assemblies tend to shape the intensity of the x-ray beam in the X-direction across the patient 22, and are commonly enclosed in a housing that determines the width of the x-ray beam in the Z-direction. Generally, the housing collimation in Z is achieved by using adjustable collimator blades or jaws to adjust the total area exposed in Z. However, one major drawback to current pre-patient filter 15/collimator 17 assemblies is that they often generate significant scattered radiation that subjects the patient to x-ray dose that is not useful in the CT imaging process. As previously mentioned, scatter is becoming an increasing problem as CT manufacturers open up the fan-shaped x-ray beam more and more in the Z-direction to accommodate detectors with more slices and coverage in the Z-direction, thereby increasing the need for better pre-patient and post-patient collimator designs. The increase in such scatter seems to be linear with the increase in the Z-direction beam width. As CT imaging systems become more and more dose sensitive, it would be desirable to have pre-patient filter/collimator assemblies that minimize the scattered radiation created therein or exiting therefrom, so as to lower the x-ray dose the patient 22 is exposed to. This invention may reduce the scattered x-ray radiation creation mechanism in pre-patient filter/collimator assemblies, as well as provide for the collimation and subsequent minimization of the scattered radiation that is created therein.
Utilizing specific materials for the filters 15 in these pre-patient filter 15/collimator 17 assemblies may help minimize the scattered radiation generated within the pre-patient filter/collimator assemblies. Typically, these filters 15 are made of plastics, Teflon®, Flexan® and/or other low density, low atomic number materials that have a high Compton to total cross section ratio (i.e., their primary attenuation mechanism is via scattering, not via photo-electric absorption). Choosing materials for the filters 15 that have a high photo-electric to total cross section ratio may help minimize the radiation scattered within the filter by reducing or eliminating the scattered radiation creation mechanism. Such materials may include any high atomic number, high density material that is good for absorbing x-rays to minimize x-ray scatter, such as for example, lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, tungsten suspended in a slurry, or any other high density, high atomic number material that is capable of optimizing X-ray absorption. The collimators 17 may also benefit from being made from the same high density, high atomic number materials as the filters 15. The filters 15 and collimators 17 may comprise a single material, a stack of materials, or a composite material.
The pre-patient scattered radiation could be further reduced by positioning a honeycomb-shaped collimator 200 proximate a filter 15, to filter out even more of the scattered radiation, especially the forward scattered radiation that is directed at the patient 22. Such a structure 200 may be highly desirable since the pre-patient filter 15/collimator 17 assemblies currently available do not have much of an aspect ratio, thereby allowing significant quantities of forward scattered radiation to escape and be subjected to the patient 22. In preferred embodiments, this pre-patient filter 15/collimator 17 assembly may comprise utilizing a three-dimensional insert 200 in the Z-slice width collimator 17 that has small holes in it, which effectively acts as a high aspect ratio collimator to absorb the scattered radiation that may be generated in the filter 15 positioned in front of the pre-patient collimator 17. Such an assembly 200 would preferably be made by a casting process, which would allow honeycomb structures having very thin walls or vanes to be made. High density, high atomic number materials could be used to make such honeycomb structures to further help minimize the scattered radiation, and thereby reduce the x-ray dose to the patient 22.
In embodiments, the filter material could be positioned within the honeycomb structure 200 itself, similar to honey in a honeycomb. In yet other embodiments, instead of casting these pre-patient collimators 200, stacked etched foils could be used, or plate-plate egg crate assemblies could be used.
In one preferred embodiment, the pre-patient filter 15/collimator 17 assemblies comprise a specially-selected, high atomic number, high density material for the filter 15, and a high aspect ratio collimator 200 having small channels therein operatively coupled to the filter 15. This collimator 200 may comprise a cast 2-dimensional honeycomb structure, such as that shown in FIG. 2, where the honeycomb structure comprises small rectangular-shaped channels 211 running throughout the depth 220 of the collimator 200. Casting such a structure 200 is preferable because it allows small apertures in between very thin walls to be created. It will be apparent to those skilled in the art that there are numerous other suitable ways to make such a structure 200, such as by stacking etched foils, using plate-plate egg crate assemblies, and the like, and all such variations are deemed to be within the scope of this invention. These cast structures may comprise a single cast piece, or multiple cast pieces that may be joined together. As is well known to those skilled in the art, all pre-patient and post-patient collimators comprise radial assemblies that are focused at the x-ray tube focal spot.
Many CT imaging systems also utilize post-patient collimators between the patient 22 and the array of detector elements 18 to focus the attenuated x-rays 16 that pass through patient 22 onto the various detector elements in the array of detector elements 18. Current post-patient collimators comprise numerous precision or semi-precision machined or fabricated parts that must be precisely positioned and assembled, one at a time, by hand. As evidenced by the fact that some current post-patient collimators comprise as many as 2 rails, 2 combs that must each be attached to a rail, 944 plates that must be individually inserted into appropriate slots in the combs and be attached thereto, and 17 tungsten wires that must be individually strung and attached to the appropriate slots on each plate, this is a very labor-intensive, time consuming process. Therefore, it would be desirable to have systems and methods for making such collimators in an easier, more efficient, and more economical manner than currently possible.
The post-patient collimators of this invention are preferably made via casting, which allows thin, tapered vanes to be created, thereby reducing non-linearities and image artifacts commonly caused by misaligned collimator vanes in existing post-patient collimators. Non-linearities in existing post-patient collimators may be caused when the x-ray source moves slightly during operation, as is common due to the heat generated by the rotating anode within the x-ray generation source, thereby causing the x-ray beams to be aligned in a non-parallel manner with respect to the channels in the collimator, resulting in shadowing at the x-ray exit surface 215 of the collimator. Such non-linearities are often corrected in existing post-patient collimators by skewing the vanes to slightly misalign the plates in the collimator; this greatly reduces the channel-to-channel nonlinearities induced by focal spot motion of the x-ray beam during operation. Casting these post-patient collimators may help improve x-ray dose utilization and efficiency by allowing thinner, tapered vanes to be used therein, thereby eliminating the need to skew the vanes. It would be almost inconceivable to create tapered vanes in any manner other than casting.
While cast collimator assemblies are currently utilized in nuclear and/or gamma camera systems, such collimators are not as accurate as those needed for CT collimators, nor are they thin-walled structures. However, recent advances in casting technology have made casting more attractive for the manufacture of low-cost precision CT collimators. The casting process lends itself to some novel advantages when applied to the manufacture of CT collimators, for both pre-patient and post-patient collimators. Casting allows collimators having very thin walls with very small channels or apertures there between to be formed. Casting also allows tapered vanes to be created in such collimators. For example, in the honeycomb structure described above in pre-patient collimators, the channels were merely rectangular-shaped channels 211 in the imaging plane. However, by utilizing casting technology, it may be possible to form tapered channels of varying shapes in both pre-patient and post-patient collimators, if tapering is so desired.
These cast channels could be tapered in one dimension or two, whichever is desired. For example, these channels may be tapered in only the X-direction or the Y-direction (i.e., 1-D taper), or they could be tapered in both the X-direction and the Y-direction (i.e., 2-D taper). While many embodiments utilize rectangular-shaped vanes and channels, casting allows various other shaped vanes and channels to be formed therein, such as for example round channels or hexagonal channels, both of which could also be tapered in one dimension or two, whichever may be desired. A portion of a cross-sectional side view showing some non-tapered, rectangular-shaped vanes 210 and rectangular-shaped channels 211, as cast in embodiments of this invention, can be seen in FIG. 3. A portion of a cross-sectional side view showing some tapered, trapezoidal-shaped vanes 212 and trapezoidal-shaped channels 213, as cast in other embodiments of this invention, is shown in FIG. 4. It will be apparent to those skilled in the art that numerous other shaped channels could be created in these collimators, and all such variations are deemed to be within the scope of this invention.
Tapering the vanes in these post-patient collimators allows the exacting precision required of such collimators to be required on only one surface of the collimator, for example, on the x-ray exit surface 215, but not on the x-ray entrance surface 216. If the vanes are tapered in such collimators, the non-precision surface of such collimators (i.e., the x-ray entrance surface 216), may be hidden behind or within the shadow of the precision surface (i.e., the x-ray exit surface 215), thereby reducing the need for precision accuracy on both surfaces since the shadow created by the non-precision surface can move around a bit as long as it stays within the shadow created by the precision surface. As creating precision dimensions on only one surface is much easier than creating precision dimensions on multiple surfaces, this greatly improves the probability of being able to apply the much more cost effective casting technology to the manufacture of CT collimators. Tapering the vanes may also eliminate the varying shadowing effects that are commonly caused by misaligned collimator vanes in existing post-patient collimators. Furthermore, tapering the vanes eliminates the need to skew the vanes, as is commonly done in existing post-patient collimators to improve x-ray dose efficiency.
While tapering these vanes and channels provides many advantages, the vanes and channels in these pre-patient and post-patient collimators do not have to be tapered. Furthermore, the honeycomb structure of these collimators can be made with 2-dimensional septa, 1-dimensional septa, or the equivalent of the current plates and wires used in such collimators. As will be apparent to those skilled in the art, numerous cast designs of these collimators are possible. The collimators may be cast as single piece structures, or they may be cast as multiple pieces that are capable of being operatively coupled together.
As described above, the systems and methods of the present invention allow both the pre-patient and post-patient collimators to be made via a casting process, allowing very accurate collimators to be made much easier and more economically than currently possible. Advantageously, these collimators also help minimize scattered x-ray radiation, thereby reducing the x-ray dose that patients are exposed to. The materials selected for making such collimators may help minimize the scattered radiation that is being created within such collimator assemblies or scattered therefrom, and the honeycomb structures may help further reduce the scattered radiation that patients are subjected to. This is particularly advantageous since CT imaging systems are becoming more dose sensitive, and it is desirable to expose the patient to no more radiation than necessary.
Various embodiments of this invention have been described in fulfillment of the various needs that the invention meets. It should be recognized that these embodiments are merely illustrative of the principles of various embodiments of the present invention. Numerous modifications and adaptations thereof will be apparent to those skilled in the art without departing from the spirit and scope of the present invention. For example, while tapered vanes are described in relation to cast post-patient collimators, they could also be used in cast pre-patient collimators if desired. Thus, it is intended that the present invention cover all suitable modifications and variations as come within the scope of the appended claims and their equivalents.

## Claims

1. A pre-subject assembly for a CT imaging system having a detector and an x-ray source configured to rotate about a subject during an imaging session, the assembly comprising:
a beam shaping filter positioned between the x-ray source and the subject, the filter comprising a material having high x-ray absorption that results in minimized x-ray scatter;
a structure having a plurality of openings, and positioned between the beam shaping filter and the subject, wherein each of the plurality of openings has a central axis focused at a focal spot of the x-ray source; and
a collimator positioned between the x-ray source and the subject, the collimator comprising adjustable jaws that define a Z-width of an x-ray beam.

2. The assembly of claim 1 wherein the beam shaping filter comprises a material having a photo-electric to total cross section ratio that is substantially higher than plastic.

3. The assembly of claim 1 wherein the beam shaping filter comprises one of lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, and tungsten suspended in a slurry.

4. The assembly of claim 1 wherein the plurality of openings extend through a thickness of the structure.

5. The assembly of claim 1 wherein the structure is a casting.

6. The assembly of claim 1 wherein the structure comprises a plurality of stacked etched foils.

7. The assembly of claim 1 wherein the beam shaping filter material is further positioned within the openings of the structure.

8. The assembly of claim 1 wherein the structure comprises a material having a photo-electric to total cross section ratio substantially higher than plastic.

9. The assembly of claim 8 wherein the material of the structure comprises one of lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, and tungsten suspended in a slurry.

10. A method of manufacturing a pre-patient filter-collimator for a CT imaging system, the method comprising:
forming a beam-shaping filter with a material having a density and atomic number that is substantially higher than plastic;
positioning the beam-shaping filter between an x-ray source and a patient positioned within the CT imaging system;
forming a structure with a plurality of openings in a material having a density and atomic number that is substantially higher than plastic, wherein each of the plurality of openings is focused at a focal spot of the x-ray source;
positioning the structure between the beam-shaping filter and the patient;
positioning a collimator between the x-ray source and the patient, the collimator comprising blades to adjust a total area exposed in Z; and
adjusting a Z-width of the beam emitting from the x-ray source with the blades of the collimator.

11. The method of claim 10 wherein the step of forming the plurality of openings comprises penetrating the openings through an entire thickness of the structure.

12. The method of claim 10 wherein the structure comprises at least one of lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, and tungsten suspended in a slurry.

13. The method of claim 10 wherein the structure is a honeycomb structure.

14. The method of claim 10 wherein the step of forming the structure further comprises stacking a series of etched foils.

15. The method of claim 10 wherein the step of forming the structure further comprises a casting process.

16. The method of claim 10 wherein the beam-shaping material comprises at least one of lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, and tungsten suspended in a slurry.

17. A CT imaging system comprising:
a gantry;
an x-ray tube having a focal spot, the x-ray tube positioned on the gantry;
a detector positioned on the gantry;
a subject positioned between the x-ray tube and the detector; and
a filter-collimator assembly positioned between the subject and the x-ray tube, the filter-collimator assembly comprising:
an x-ray beam-shaping filter comprising a material having a Compton to total cross section ratio substantially lower than plastic;
an adjustable collimator having at least one channel, the adjustable collimator positioned between the x-ray tube and the subject, the adjustable collimator defining a Z-width of an x-ray beam; and
a structure positioned between the beam-shaping filter and the subject, the structure comprising a material having a Compton to total cross section ratio that is substantially lower than plastic, the structure having a plurality of apertures, each aperture being aligned with an axis formed between the focal spot and the subject such that the plurality of apertures is focused toward the focal spot.

18. The CT imaging system of claim 17 wherein the apertures of the structure are rectangular.

19. The CT imaging system of claim 17 wherein the structure is a casting.

20. The CT imaging system of claim 17 wherein the beam-shaping filter is further positioned within at least one of the apertures of the structure.

21. The CT imaging system of claim 17 wherein the beam-shaping filter comprises at least one of lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, and tungsten suspended in a slurry.

22. A method of fabricating a pre-patient filter, the method comprising:
etching a series of foils to form a plurality of apertures;
stacking the foils such that the plurality of apertures form a plurality of openings that extend throughout the stack of foils, the plurality of openings each forming axes centrally aligned with a focal spot of an x-ray source;
positioning the stack of foils between an x-ray source and a patient in a CT medical imaging system;
positioning a solid filter between the patient and the x-ray source and within one of the plurality of openings of the stack of foils; and
positioning an adjustable collimator between the patient and the x-ray source, wherein the adjustable collimator defines a Z-width of an x-ray beam that emits from the x-ray source.

23. The method of claim 22 wherein at least one of the foils and the filter are fabricated of a material having a photo-electric to total cross section ratio substantially higher than plastic.

24. The method of claim 22 wherein the filter material and the foils comprise at least one of lead, a lead alloy, tantalum, tungsten, tungsten suspended in an epoxy matrix, and tungsten suspended in a slurry.