To achieve higher volume coverage at improved z-resolution in computed tomo
graphy (CT), systems with a large number of detector rows are demanded. How
ever, handling an increased number of detector rows, as compared to today's
four-slice scanners, requires to accounting for the cone geometry of the b
eams. Many so-called cone-beam reconstruction algorithms have been proposed
during the last decade. None met all the requirements of the medical spira
l cone-beam CT in regard to the need for high image quality, low patient do
se and low reconstruction times. We therefore propose an approximate cone-b
eam algorithm which uses virtual reconstruction planes tilted to optimally
fit 180 degrees spiral segments, i.e., the advanced single-slice rebinning
(ASSR) algorithm. Our algorithm is a modification of the single-slice rebin
ning algorithm proposed by Noo et nl. [Phys. Med. Biol. 44, 561-570 (1999)]
since we use tilted reconstruction slices instead of transaxial slices to
approximate the spiral path. Theoretical considerations as well as the reco
nstruction of simulated phantom data in comparison to the gold standard 180
degrees LI (single-slice spiral CT) were carried out. Image artifacts, z-r
esolution as well as noise levels were evaluated for all simulated scanners
. Even for a high number of detector rows the artifact level in the reconst
ructed images remains comparable to that of 180 degrees LI. Multiplanar ref
ormations of the Defrise phantom show none of the typical cone-beam artifac
ts usually appearing when going to larger cone angles. Image noise as well
as the shape of the respective slice sensitivity profiles are equivalent to
the single-slice spiral reconstruction, z-resolution is slightly decreased
. The ASSR has the potential to became a practical tool for medical spiral
cone-beam CT. Its computational complexity lies in the order of standard si
ngle-slice CT and it allows to use available 2D backprojection hardware. (C
) 2000 American Association of Physicists in Medicine.