WO2006114715A2

WO2006114715A2 - Detector array for spectral ct

Info

Publication number: WO2006114715A2
Application number: PCT/IB2006/051062
Authority: WO
Inventors: Simha Levene; Olga Shapiro; Ami Altman; Naor Wainer
Original assignee: Koninklijke Philips Electronics, N.V.; U.S. Philips Corporation
Priority date: 2005-04-26
Filing date: 2006-04-06
Publication date: 2006-11-02
Also published as: CN103760588A; WO2006114715A3; EP1877832B1; JP5268633B2; US20100220833A1; US8391439B2; RU2386981C2; EP1877832A2; JP2008538966A; CN103760588B; RU2007143554A; CN101166997A

Abstract

A radiation detector (24) includes a two-dimensional array of upper scintillators (30τ) which is disposed facing an x-ray source (14) to convert lower energy radiation events into visible light and transmit higher energy radiation. A two-dimensional array of lower scintillators (30B) is disposed adjacent the upper scintillators (30τ) distally from the x-ray source (14) to convert the transmitted higher energy radiation into visible light. Upper and lower photodetectors (38τ, 38B) are optically coupled to the respective upper and lower scintillators (30τ,30B) at an inner side (60) of the scintillators (30τ,30B). An optical element (100) is optically coupled with the upper scintillators (30τ) to collect and channel the light from the upper scintillators (30τ) into corresponding upper photodetectors (38τ).

Description

IMPROVED DETECTOR ARRAY FOR SPECTRAL CT

DESCRIPTION

The present application relates to the use of imaging systems. The application subject matter finds particular application in spectral computed tomography

(CT) scanners and will be described with particular reference thereto. However, the invention finds use in connection with DF and RF imaging, x-ray fluoroscopy, radiography, and other imaging systems for medical and non-medical examinations.

Computed tomography (CT) imaging typically employs an x-ray source that generates a fan-beam, wedge-beam, or cone-beam of x-rays that traverse an examination region. A subject arranged in the examination region interacts with and absorbs a portion of the traversing x-rays. A two-dimensional radiation detector including an array of detector elements is arranged opposite the x-ray source. The radiation detector includes the scintillator layer and an underlying photodetector layer which measure intensities of the transmitted x-rays. In a dual energy CT system, scintillation crystals are bonded to each of two respective photomultiplier tubes, e.g. a calcium fluoride (CaF) and sodium iodide (NaI). The two scintillators can be placed side by side, or, as shown in U.S. 4,247,774, the scintillators can be shaped to be partially overlapped such that some of the x-rays pass through both scintillators. Lower energy x-rays are absorbed in and cause scintillations in an upper CaF scintillator, while higher energy x-rays pass through to scintillate in the NaI scintillator. The scintillation gives rise to electrical currents in the corresponding photomultipliers.

Typically, the x-ray source and the radiation detector are mounted at opposite sides of a rotating gantry such that the gantry is rotated to obtain an angular range of projection views of the subject. In some configurations the x-ray source is mounted on the rotating gantry while the radiation detector is mounted on a stationary gantry. In either configuration, the projection views are reconstructed from the electrical signals using filtered backprojection or another reconstruction method to produce a three-dimensional image representation of the subject or of a selected portion thereof.

In dual energy CT systems, electrical signals corresponding to the higher and lower energy x-rays can be collected simultaneously and reconstructed into separate images that are inherently registered. The dual energy slice data can also be used to provide beam hardening corrections.

Some currently used CT detectors employ a gadolinium oxy sulfide (GOS) layer. In a spectral CT detector, the upper layer, which senses low energy x-rays, is typically configured to absorb a significant amount of x-ray photons with energy below 50keV while transmitting a high amount of x-ray photons with energy above 90keV. These criteria could be met with an upper layer of GOS thinner than approximately 0.1mm.

Typically, the active area of each photodetector is made to match the thickness of the corresponding scintillation layer. Because the light collection efficiency of the photodetector is directly proportional to the active area of the photodetector, a 0.1mm high active area of photodetector would result in an inadequately low light collection efficiency.

The present invention contemplates an improved method and apparatus which overcomes the above-referenced problems and others.

In accordance with one aspect of the present application, a radiation detector is disclosed. An upper scintillator is disposed facing an x-ray source to receive radiation, convert lower energy radiation into light and transmit higher energy radiation. A first photodetector is optically coupled with the upper scintillator to receive and convert the light from the upper scintillator into electrical signals. An optical element is optically coupled with the upper scintillator and the first photodetector to collect and channel the light from the upper scintillator into the first photodetector. A lower scintillator is disposed adjacent the upper scintillator distally from the x-ray source to convert the higher energy radiation transmitted through the upper scintillator into light. A second photodetector is optically coupled with the lower scintillator to receive and convert the light from the lower scintillator into electrical signals.

In accordance with another aspect of the present application, a method of manufacturing a radiation detector is disclosed. Upper and lower scintillators are fabricated on light sensitive faces of upper and lower photodetectors. An optical element is coupled to the upper scintillator. The optical element and the upper scintillator are optically coupled to the upper photodetector. The lower scintillator is optically coupled to the lower photodetector.

One advantage of the present application resides in providing cost effective radiation detectors.

Another advantage resides in providing high optical detection efficiency for spectral CT.

Another advantage resides in providing an X-ray detector whose x-ray spectral response is substantially invariant with temperature.

Yet another advantage resides in substantial improvement of the light collection efficiency for thin scintillators.

Numerous additional advantages and benefits will become apparent to those of ordinary skill in the art upon reading the following detailed description of the preferred embodiments.

The invention may take form in various components and arrangements of components, and in various process operations and arrangements of process operations. The drawings are only for the purpose of illustrating preferred embodiments and are not to be construed as limiting the invention.

FIGURE 1 is a diagrammatic illustration of an imaging system; FIGURE 2 diagrammatically illustrates a portion of a radiation detector; FIGURE 3 diagrammatically illustrates a top view of a portion of a radiation detector;

FIGURE 4 diagrammatically illustrates a portion of an alternate embodiment of a radiation detector;

FIGURE 5 diagrammatically illustrates a portion of a radiation detector which includes multiple layers of scintillators; FIGURE 6A diagrammatically illustrates a side view of the radiation detector with a grid; and

FIGURE 6B diagrammatically illustrates a top view of a grid.

With reference to FIGURE 1, a computed tomography (CT) imaging apparatus or CT scanner 10 includes a gantry 12. An x-ray source 14 and a source collimator 16 cooperate to produce a fan-shaped, cone-shaped, wedge-shaped, or otherwise-shaped x-ray beam directed into an examination region 18 which contains a subject (not shown) such as a patient arranged on a subject support 20. The subject support 20 is linearly movable in a Z-direction while the x-ray source 14 on a rotating gantry 22 rotates around the Z-axis.

Preferably, the rotating gantry 22 rotates simultaneously with linear advancement of the subject support 20 to produce a generally helical trajectory of the x-ray source 14 and collimator 16 about the examination region 18. However, other imaging modes can also be employed, such as a single- or multi-slice imaging mode in which the gantry 22 rotates as the subject support 20 remains stationary to produce a generally circular trajectory of the x-ray source 14 over which an axial image is acquired. After the axial image is acquired, the subject support optionally steps a pre-determined distance in the Z-direction and the axial image acquisition is repeated to acquire volumetric data in discrete steps along the Z-direction. A radiation detector or detector array 24 is arranged on the gantry 22 across from the x-ray source 14. The radiation detector 24 includes a scintillation array 26 of scintillators or crystals 28. The scintillation array 26 is arranged in layers 30 and spans a selected angular range that preferably comports with a fan angle of the x-ray beam. The radiation scintillation array 26 also extends along the Z-direction to form a matrix of n x m scintillators, such as 16 x 16, 32 x 32, 16 x 32, or the like. The layers 30 of the scintillation array 26 are stacked in the direction generally perpendicular to the Z-direction. The radiation detector 24 acquires a series of projection views as the gantry 22 rotates. It is also contemplated to arrange the radiation detector 24 on a stationary portion of the gantry encircling the rotating gantry such that the x-rays continuously impinge upon a continuously shifting portion of the radiation detector during source rotation. An anti- scatter grid 32 is arranged on a radiation receiving face of the scintillation array 26. The grid 32 has apertures 34 which permit passage of radiation. An array or arrays 36 of photodiodes or other photodetectors 38 is optically coupled to each of the scintillators 28 of the scintillator array 26 to form a detector element or dixel. A reconstruction processor 42 reconstructs the acquired projection data, using filtered backprojection, an n-PI reconstruction method, or other reconstruction method, to generate a three-dimensional image representation of the subject or of a selected portion thereof which is stored in an image memory 44. The image representation is rendered or otherwise manipulated by a video processor 46 to produce a human- viewable image that is displayed on a user interface 48 or another display device, printing device, or the like for viewing by an operator. The user interface 48 is additionally programmed to interface a human operator with the CT scanner 12 to allow the operator to initialize, execute, and control CT imaging sessions. The user interface 48 is optionally interfaced with a communication network such as a hospital or clinic information network via which image reconstructions are transmitted to medical personnel, a patient information database is accessed, or the like. With reference to FIGURE 2, the scintillation array 26 includes a double decker array which includes a bottom or lower scintillation layer 30_B and a top or upper scintillation layer 30τ, which are separated by a layer 58. The photodetector array 36 of the photodetectors 38, such as silicon photodetectors, amorphous silicon, charge-coupled devices, CMOS, or other semiconductor photodetectors is in optical communication with the scintillation array 26. More specifically, the photodetectors include a photosensitive layer with an array of active areas and, preferably, an analog second layer integrally formed on a chip 50.

X-rays, which have passed through the examination region 18, strike the top of the top scintillation layer 30τ along a direction U. The top scintillation layer 30τ, which is closest to the X-ray source 14, converts the softest or lowest energy x-rays in the beam, which has passed through the examination region 18, into light. The bottom scintillation layer 30_B, which is furthest from the X-ray source, receives the hardest x-rays. Light signals from the dixels of each layer 30 are detected by the corresponding photodetectors 38 of the photodetector array 36. The top layer 30τ is selected and sized to convert substantially all x-ray photons of 50keV or less into light and pass substantially all photons 90keV or higher to the bottom layer 30_B.

The photodetector array 36 is arranged vertically along the direction U on the inner side 60 of each double-decker array 26. The inner side 60 of the top and bottom scintillation layers 30τ, 30_B, which is adjacent the photodetectors 38, is optically coupled to communicate light to the photodetector array 36. An optical adhesive epoxy cement may be used to achieve the optical coupling. The reflective coating can function as the separation layer 58. With continuing reference to FIGURE 2 and further reference to FIGURE 3, the photodetector array 36 is preferably a 2D array including upper and lower photodetector arrays 82, 84, both part of the vertical chips 50. Each silicon chip 50 includes a pair of respective upper and lower photodetectors 38τ, 38_B. An active area 94 of each upper photodetector 38τ is disposed opposite and coupled to the top scintillation layer 30τ, while an active area 96 of each lower photodetector 38_B is disposed opposite and coupled to the bottom scintillation layer 30_B. The silicon chips 50 are mounted parallel to each other preferably in the Z-direction, between adjacent rows of the scintillation array 26. Each chip and the scintillators it carries form a linear tile 98. The chips form x-ray insensitive zones; therefore, each is preferably thin, i.e. 0.1 to 0.15mm.

In one embodiment, the upper and lower photodetectors 38τ, 38_B can be back-contact photodiodes and have respective active areas 94, 96 that are sensitive to the radiation produced by scintillation. Front surface photodetectors, such as photodiodes or charge-coupled devices (CCDs), with electrical contacts preferably disposed on their front surface, detect the light and convert it to electrical signals which are passed by conductors on the front surface of said chip to connectors below the bottom scintillator. Other detectors which convert the light by back illumination are also contemplated.

Electronics, such as application-specific, integrated circuits (ASICs) (not shown), produce electrical driving outputs for operating the photodetector array 36, and receive detector signals produced by the photodetector array 36. The ASICs perform selected detector signal processing which results in the conversion of photodetector currents to digital data.

The signals from the dixels of each layer 30 are weighted and combined to form spectrally weighted image data. The weighting may include zeroing one or more of the dixel layers. By selecting different relative weighting among the dixels, image data is generated which emphasizes and deemphasizes selected portions of the energy spectrum, i.e. selected x-ray energy absorption ranges. By appropriately selecting the weighting, CT images are reconstructed of specific selected x-ray energy absorption ranges to emphasize tissues while other selected tissues are superseded or substantially erased in the reconstructed image. For example, calcium in mammary tissue, and iodine in a contrast medium can be emphasized by subtracting images or signals from individual dixels weighted to emphasize either side of the respective absorption lines. Although two layers are illustrated, it should be appreciated that a larger number of layers can be provided to provide more levels of energy discrimination.

With continuing reference to FIGURE 2, in one embodiment, the top and the bottom scintillation layers 30τ, 30_B are made from the same scintillation material. The top scintillation layer 30τ is thin compared to the bottom scintillation layer 30_B in order to sense lower energy x-rays and transmit higher energy x-rays. For example, the top scintillation layer 30τ must absorb x-rays of the energy below 50keV, while transmitting 75% or more of the x-rays of the energy above 90keV. In one embodiment, GOS is used to manufacture both top and bottom scintillation layers 30τ, 30_B. In such a detector, the absorption and transmission criteria can be met with the top scintillation layer 30τ of GOS thinner than approximately 0.5mm and the bottom scintillation layer 30_B thickness from about 1.3mm to about 2.0mm. Typically, the photodetectors active areas 94, 96 are made to match respective thicknesses of the top and bottom scintillation layers 30τ, 30_B.

The light collection efficiency Lc_oi_-eff of a detector comprising a transparent, non-scattering, painted scintillator optically coupled to the active area of the photodetector is directly proportional to the active area A_A of the photodetector and may be roughly expressed as:

₌ A_A (l -R_Sl )

^Cθl~eff A_p{l -R_p )+ (A_{A +} A_D)(l -R_Sι)

where A_A, A_D are the "Active" and "Dead" areas of the photodetector,

R₈₁ is the photodetector's diffuse reflectance at the wavelength of the scintillator emission, and

Ap, Rp are the area and the diffuse reflectance respectively of the painted areas of the scintillator crystal. For example, for a scintillator of lmm x lmm cross-sectional area, which has about 95% reflective coating, the light collection efficiency Lc_oi_-eff is equal to about 75% when the thickness of the scintillation layer is equal to about 1.5 mm. When the thickness of the scintillation layer for the same scintillator is reduced to about 0.25 mm, the light collection efficiency Lc_oi_-eff is reduced to about 15% because very little amount of the emitted light shines unto the active area of the photodetector. A rectangular block or prism 100 of transparent, low-Z plastic light guide material such as PMMA (Perspex™), poly ethylene terephthalate (PET), polystyrene, polycarbonate (Lexan), cast epoxy and the like, is optically coupled to a top surface 62 of each top scintillator 30τ element in the array. Alternately, or additionally, a bottom surface of the scintillator is optically coupled to the transparent prism. Top surface 64 of the top scintillator 30τ, bottom surfaces 66, 68 and side surfaces 70, 72 of the top and bottom scintillation layers 30τ, 30_B and a top surface 112 of the prism IDO are painted or otherwise covered with a light-reflective coating or layer 80. The reflective coating 80 covers the prism and the scintillator as a unit. The light emitted by the top scintillation layer 30τ is carried to the top photodetector in part through the scintillator layer and in part through the prism. There is no reflective coating deposited between the scintillator and the prism 100. The height of the active area 94 of the upper photodetector 38τ, which is substantially equal to the sum of the heights of the top scintillator 30τ and the prism or block 100, is equal to a height hi, which is substantially greater than a thickness or height h2 of the associated top scintillation layer 30χ. Such increased active area of the photodetector results in increased optical collection efficiency. In one embodiment, the height h2 of the top layer 30χ is equal to about 0.10mm, a height h3 of the prism 100 is equal to about 0.90mm, and the height hi of the upper photodetector active area 94 is equal to about 1.00mm. The optical collection efficiency Lc_oi_-eff of the upper photodetector 38χ is increased by about a factor of four without detracting from the light collected by the lower photodetector active area 96 of a height h4 which is equal to about 0.95mm. A height h5 of the bottom scintillation layer 30_B in the illustrated embodiment is equal to about lmm.

Preferably, the height of the block or prism 100 is chosen to equalize the active areas of the upper and lower photodetectors 38χ, 38_B.

Preferably, an optical coupling material, such as an optical coupling cement 102, is disposed between the inner side 60 and the photodetectors to improve optical coupling between the scintillation layers 30χ, 30_B and the photodetector array 36, and increase the light collection efficiency of the photodetectors 38χ, 38_B. Because both the bottom scintillation layer 30_B and the top scintillation layer 30χ may now be made of the same scintillation material, the manufacturing costs are reduced as only a single component supply chain must be established and maintained. The image quality is also improved, because the scintillator pairs in each dixel now have identical x-ray response temperature coefficients. This reduces the need to recalibrate spectral response when the detector array warms up during protracted imaging.

With reference to FIGURE 4, the lower scintillation layer 30_B comprises a dense, high-Z material such as gadolinium oxy sulfide (Gd₂O₂S, Pr, Ce or "GOS") or cadmium tungstate (CdWO₄ or "CWO") , while the upper scintillation layer 30τ comprises either a high-Z or a low-Z material such as zinc selenide (ZnSe), which is, preferably, doped with tellurium (Te). In this embodiment, the zinc selenide scintillator layer is about 1.5mm thick and the prism, if used, is about 0.5mm or less thick. Alternatively, the upper layer 30τ comprises, yttrium aluminum garnet ("YAG"), or other like material which provides a small x-ray absorption such that only soft x-rays in the beam are absorbed. In the yttrium aluminum garnet embodiment, the scintillator layer is about 1.0mm thick and the prism about 0.5mm or less thick. As another alternative, combinations of scintillators can be utilized such as an 0.5mm layer of YAG, a 0.05mm layer of GOS, and a 0.5mm prism. As yet another alternative, the prism can be a scintillator, e.g. a 0.75mm layer of ZnSe with a 0.05mm of GOS. Numerous other scintillators and combinations are contemplated.

With reference to FIGURE 5, the scintillation array 26 includes intermediate scintillation layers 30i, 3O₂, ..., 3O_n which are disposed between the top and bottom scintillation layers 30τ, 30_B. Preferably, only the bottom layer 30_B is generally thick, while each layer above the bottom layer 30_B is preferably relatively thin and responds only to a small range of the x-ray spectrum incident upon the respective intermediate layer. The remainder of the x-ray spectrum is passed onwards to the lower intermediate layers. Each intermediate scintillation layer 30i, 3O₂, ..., 3O_n is optically coupled to corresponding intermediate photodetector 38i, 38₂, ..., 38_n. It is particularly advantageous to increase the optical height of all but the bottom layer 30_B by using optical prisms 100i, 10O₂, ..., 10O_n in the manner described above to channel light from each intermediate scintillation layer 30i, 3O₂, ..., 3O_n to the corresponding intermediate photodetector 38i, 38₂, ..., 38_n. Typically, the height of the prism used in the layer n is selected such that a sum of the height of the prism and respective scintillation layer is roughly equal to a width w of (Figure 2 modified) the scintillators 30τ ,30_B, thus ensuring an acceptable ratio of photodetector active area to total painted area. With reference to FIGURES 6A and 6B, the grid 32 includes legs or strips 110, which each preferably overlaps the thickness of each corresponding silicon chip 50. In this manner, the grid 32 protects silicon chips 50 from x-ray radiation. For example, if the silicon chips are about 0.125mm thick, the legs 110 can be about 0.140mm thick.

The invention has been described with reference to the preferred embodiments. Obviously, modifications and alterations will occur to others upon reading and understanding the preceding detailed description. It is intended that the application be construed as including all such modifications and alterations insofar as they come within the scope of the appended claims or the equivalents thereof.

Claims

1. A radiation detector (24) comprising: an upper scintillator (30τ), which is disposed facing an x-ray source (14) to receive radiation, convert lower energy radiation into light and transmit higher energy radiation; a first photodetector (38τ), optically coupled with the upper scintillator (30τ) to receive and convert the light from the upper scintillator (30τ) into electrical signals; an optical element (100), optically coupled with the upper scintillator (30τ) and the first photodetector (38τ), to collect and channel the light from the upper scintillator (30τ) into the first photodetector (38τ); a lower scintillator (30_B), which is disposed distally from the x-ray source (14), to convert the transmitted higher energy radiation into light; and a second photodetector (38_B), optically coupled with the lower scintillator (30_B) to receive and convert the light from the lower scintillator (30_B) into electrical signals.

2. The radiation detector as set forth in claim 1, wherein the first and second photodetectors (38τ, 38_B) are disposed adjacently vertically on an inner side (60) of the layered scintillators (30τ, 30B).

3. The radiation detector as set forth in claim 1, wherein the upper scintillator (30τ) has a thickness (h2), and the first photodetector (38τ) has an active area (94) of a height (hi) which is substantially greater than the upper scintillator thickness (h2).

4. The detector as set forth in claim 1, wherein the upper and lower scintillators (30τ, 30_B) are fabricated from gadolinium oxy sulfide (GOS).

5. The radiation detector as set forth in claim 4, wherein an upper scintillator thickness (h2) is equal to about 0.1mm, and a height (h4) of the first photodetector active area (94) is at least 0.65mm.

6. The detector as set forth in claim 1, wherein the optical element (100) is a transparent low- Z material.

7. The detector as set forth in claim 1, wherein the optical element (100) includes at least one of:

PMMA (PERSPEX, Lucite)

Cast Epoxy,

PET poly ethylene terephthalate,

Polycarbonate (Lexan),

Polystyrene,

YAG, and

ZnSe.

8. The detector as set forth in claim 1, further including: a reflective coating (80) which is deposited upon surfaces of the optical element (100) not contacting the upper scintillator and on all sides of the scintillators (30τ, 30_B) excluding surfaces (60) adjacent light- sensitive areas of the photodetectors (38τ, 38_B).

9. The detector as set forth in claim 1, wherein the upper scintillator (30τ) includes one of zinc selenide and yttrium aluminum garnet and the lower scintillator (30_B) includes gadolinium oxy sulfide.

10. The radiation detector as set forth in claim 1, further including: one or more intermediate scintillators (30i, 3O₂, ..., 3O_n), which are disposed in successive layers between the upper and lower scintillators (30τ, 30_B), and wherein each successive intermediate scintillator receives radiation transmitted by scintillators disposed closer to the x-ray source (14), converts lower energy radiation into light and transmits higher energy radiation.

11. The radiation detector as set forth in claim 10, further including: intermediate photodetectors (38i, 38₂, ..., 38_n), each optically coupled with a respective intermediate scintillator (30i, 3O₂, ..., 3O_n), to receive and convert light from the respective intermediate scintillator (30i, 3O₂, ..., 3O_n) into electrical signals; and intermediate optical elements (100i, 10O₂, ..., 10O_n), each optically coupled with respective intermediate scintillator (30i, 3O₂, ..., 3O_n) and intermediate photodetector (38i, 382, •••, 38_n), to collect and channel light from the respective intermediate scintillator (30i, 3U2, ..., 3O_n) into the respective intermediate photodetector (38i, 382, ..., 38_n).

12. A computed tomography scanner (12) including an array of the radiation detectors of claim 1.

13. An x-ray imaging system comprising: an x-ray source; and a two-dimensional array of radiation detectors as set forth in claim 1.

14. A method of manufacturing a radiation detector comprising: fabricating upper and lower scintillators (30τ, 30_B) on light sensitive faces of upper and lower photodetectors; coupling an optical element (100) to the upper scintillator; optically coupling the optical element and the upper scintillator to the upper photodetector; and optically coupling the lower scintillator to the lower photodetector.

15. The method as set forth in claim 14, wherein the upper scintillator has a thickness (h2) equal to about 0.10mm, and the upper photodetector has a light sensitive face (94) of a height (hi) equal to at least 0.65mm.

16. The method as set forth in claim 15, wherein the upper and lower scintillators are fabricated from the same scintillation material.

17. The method as set forth in claim 16, wherein the upper and lower scintillators are fabricated from gadolinium oxy sulfide (GOS).

18. The method as set forth in claim 14, wherein the upper scintillator (30τ) has a thickness (h2) and each upper photodetector light sensitive face (94) has a height (hi) which is substantially greater than the upper scintillator thickness (h2).

19. The method as set forth in claim 14, wherein optically coupling the optical element to the upper scintillator includes optically coupling the optical element across at least one of an upper and lower scintillator.

20. The method as set forth in claim 14, further including: covering the upper scintillator and the optical element as a unit with a reflective coating except for faces of the optical element and the upper scintillator that are coupled to the upper photodetector.

21. The method as set forth in claim 14, wherein the lower scintillator includes GOS and the upper scintillator includes at least one of:

GOS, CdWO4, ZnSe, and YAG.

22. A radiation detector manufactured by the method of claim 14.

23. A radiation detector comprising: a plurality of tiles disposed adjacently one another, each tile including: an upper array of thinner scintillators, facing an x-ray source, for converting lower energy x-rays into visible light and transmitting higher energy x-rays; a lower array of thicker scintillators, disposed adjacent the upper layer and opposing the x-ray source for converting the transmitted higher energy x-rays into visible light; an upper array of photodetectors, each photodetector having an associated active area, each being optically coupled to an associated upper scintillator, for sensing visible light emitted by the upper scintillators, which each upper photodetector active area is of a greater vertical dimension than the associated upper scintillator; a lower array of photodetectors, each having associated active areas which are optically coupled to the lower scintillators, for sensing visible light emitted by the lower scintillators; and an optical element, disposed adjacent each upper scintillator and being optically coupled to the active area of a corresponding one of the upper photodetector, for collecting light emitted by the upper scintillators and directing the collected light unto the upper photodetectors active areas such that light collection efficiency of the active areas of the upper photodetectors is increased.