Thoracic low-dose CT image processing using an artifact suppressed large-scale nonlocal means.

International audienceThe x-ray exposure to patients has become a major concern in computed tomography (CT) and minimizing the radiation exposure has been one of the major efforts in the CT field. Due to plenty high-attenuation tissues in the human chest, under low-dose scan protocols, thoracic low-dose CT (LDCT) images tend to be severely degraded by excessive mottled noise and non-stationary streak artifacts. Their removal is rather a challenging task because the streak artifacts with directional prominence are often hard to discriminate from the attenuation information of normal tissues. This paper describes a two-step processing scheme called 'artifact suppressed large-scale nonlocal means' for suppressing both noise and artifacts in thoracic LDCT images. Specific scale and direction properties were exploited to discriminate the noise and artifacts from image structures. Parallel implementation has been introduced to speed up the whole processing by more than 100 times. Phantom and patient CT images were both acquired for evaluation purpose. Comparative qualitative and quantitative analyses were both performed that allows conclusion on the efficacy of our method in improving thoracic LDCT data

A novel approach to neutron dosimetry

Purpose: Having been overlooked for many years, research is now starting to take into account the directional distribution of neutron workplace fields. Existing neutron dosimetry instrumentation does not account for this directional distribution, resulting in conservative estimates of dose in neutron workplace fields (by around a factor of 2, although this is heavily dependent on the type of field). This conservatism could influence epidemiological studies on the health effects of radiation exposure. This paper reports on the development of an instrument which can estimate the effective dose of a neutron field, accounting for both the direction and the energy distribution. Methods: A 6Li-loaded scintillator was used to perform neutron assays at a number of locations in a 20 × 20 × 17.5 cm3 water phantom. The variation in thermal and fast neutron response to different energies and field directions was exploited. The modeled response of the instrument to various neutron fields was used to train an artificial neural network (ANN) to learn the effective dose and ambient dose equivalent of these fields. All experimental data published in this work were measured at the National Physical Laboratory (UK). Results: Experimental results were obtained for a number of radionuclide source based neutron fields to test the performance of the system. The results of experimental neutron assays at 25 locations in a water phantom were fed into the trained ANN. A correlation between neutron counting rates in the phantom and neutron fluence rates was experimentally found to provide dose rate estimates. A radionuclide source behind shadow cone was used to create a more complex field in terms of energy and direction. For all fields, the resulting estimates of effective dose rate were within 45% or better of their calculated values, regardless of energy distribution or direction for measurement times greater than 25 min. Conclusions: This work presents a novel, real-time, approach to workplace neutron dosimetry. It is believed that in the research presented in this paper, for the first time, a single instrument has been able to estimate effective dose

A dual modality, DCE-MRI and x-ray, physical phantom for quantitative evaluation of breast imaging protocols

The current clinical standard for breast cancer screening is mammography. However, this technique has a low sensitivity which results in missed cancers. Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) has recently emerged as a promising technique for breast cancer diagnosis and has been reported as being superior to mammography for screening of high-risk women and evaluation of extent of disease. At the same time, low and variable specificity has been documented in the literature as well as a rising number of mastectomies possibly due to the increasing use of DCE-MRI. In this study, we developed and characterized a dual-modality, x-ray and DCE-MRI, anthropomorphic breast phantom for the quantitative assessment of breast imaging protocols. X-ray properties of the phantom were quantitatively compared with patient data, including attenuation coefficients, which matched human values to within the measurement error, and tissue structure using spatial covariance matrices of image data, which were found to be similar in size to patient data. Simulations of the phantom scatter-to-primary ratio (SPR) were produced and experimentally validated then compared with published SPR predictions for homogeneous phantoms. SPR values were as high as 85% in some areas and were heavily influenced by the heterogeneous tissue structure. MRI properties of the phantom, T1 and T2 relaxation values and tissue structure, were also quantitatively compared with patient data and found to match within two error bars. Finally, a dynamic lesion that mimics lesion border shape and washout curve shape was included in the phantom. High spatial and temporal resolution x-ray measurements of the washout curve shape were performed to determine the true contrast agent concentration as a function of time. DCE-MRI phantom measurements using a clinical imaging protocol were compared against the x-ray truth measurements. MRI signal intensity curves were shown to be less specific to lesion type than the x-ray derived contrast agent concentration curves. This phantom allows, for the first time, for quantitative evaluation of and direct comparisons between x-ray and MRI breast imaging modalities in the context of lesion detection and characterization

Proceedings Virtual Imaging Trials in Medicine 2024

This submission comprises the proceedings of the 1st Virtual Imaging Trials in Medicine conference, organized by Duke University on April 22-24, 2024. The listed authors serve as the program directors for this conference. The VITM conference is a pioneering summit uniting experts from academia, industry and government in the fields of medical imaging and therapy to explore the transformative potential of in silico virtual trials and digital twins in revolutionizing healthcare. The proceedings are categorized by the respective days of the conference: Monday presentations, Tuesday presentations, Wednesday presentations, followed by the abstracts for the posters presented on Monday and Tuesday

Microwave Imaging to Improve Breast Cancer Diagnosis

Breast cancer is the most prevalent type of cancer worldwide. The correct diagnosis of Axillary Lymph Nodes (ALNs) is important for an accurate staging of breast cancer. The performance of current imaging modalities for both breast cancer detection and staging is still unsatisfactory. Microwave Imaging (MWI) has been studied to aid breast cancer diagnosis. This thesis addresses several novel aspects of the development of air-operated MWI systems for both breast cancer detection and staging. Firstly, refraction effects in air-operated setups are evaluated to understand whether refraction calculation should be included in image reconstruction algorithms. Then, the research completed towards the development of a MWI system to detect the ALNs is presented. Anthropomorphic numerical phantoms of the axillary region are created, and the dielectric properties of ALNs are estimated from Magnetic Resonance Imaging exams. The first pre-clinical MWI setup tailored to detect ALNs is numerically and experimentally tested. To complement MWI results, the feasibility of using machine learning algorithms to classify healthy and metastasised ALNs using microwave signals is analysed. Finally, an additional study towards breast cancer detection is presented by proposing a prototype which uses a focal system to focus the energy into the breast and decrease the coupling between antennas. The results show refraction calculation may be neglected in low to moderate permittivity media. Moreover, MWI has the potential as an imaging technique to assess ALN diagnosis as estimation of dielectric properties indicate there is sufficient contrast between healthy and metastasised ALNs, and the imaging results obtained in this thesis are promising for ALN detection. The performance of classification models shows these models may potentially give complementary information to imaging results. The proposed breast imaging prototype also shows promising results for breast cancer detection

Microwave Imaging for Diagnostic Application

Imaging of the human body makes a significant contribution to the diagnosis and succeeding treatment of diseases. Among the numerous medical imaging methods, microwave imaging (MWI) is an attractive approach for medical applications due to its high potential to produce images of the human body safely with cost-efficiency. A wide range of studies and research has been done with the aim of using the microwave approach for medical applications. The focus of this research is developing MWI algorithms, which is the Huygens Principle (HP) based and to validate the capability of the proposed MWI algorithm to detect skin cancer and bone lesion through phantom measurements. The probability of the HP procedure for skin cancer detection has been investigated through design, and fabrication of a heterogeneous phantom simulating the human forearm having an inclusion mimicking a skin cancer. Ultrawideband (UWB) MWI methods are then applied to the phantom. The S21 parameter measurements are collected in an anechoic chamber environment and processed via HP technique. The tumour is successfully detected after applying appropriate artefact removal procedure. The ability to successfully apply HP to detect and locate a skin cancer type inclusion in a multilayer cylindrical phantom has been verified. The feasibility study of HP-based MWI procedure for bone lesion detection has also been investigated using a dedicated phantom. Validation has been completed through measurements inside the anechoic chamber in the frequency range of 1–3 GHz using one receiving and one transmitting antennas in free space. The identification of the lesion’s presence in different bone layers has been performed on images. The quantification of the obtained images has been performed by introducing parameters such as the resolution and signal-to-clutter ratio (S/C). The impact of different frequencies and bandwidths (in the 1–3 GHz range) in lesion detection has been investigated. The findings showed that the frequency range of 1.5–2.5 GHz offered the best resolution (1.1 cm) and S/C (2.22 on a linear scale). Subtraction between S21 obtained using two slightly displaced transmitting positions has been employed to remove the artefacts; the best artefact removal has been obtained when the spatial displacement was approximately of the same magnitude as the dimension of the lesion. Subsequently, a phantom validation of a low complexity MWI device (based on HP) operating in free space in the 1-6.5 GHz frequency band using two antennas in free space has been applied. Detection has been achieved in both bone fracture lesion and bone marrow lesion scenarios using superimposition of five doublet transmitting positions after applying the rotation subtraction method to remove artefact. A resolution of 5 mm and the S/C (3.35 in linear scale) are achieved which is clearly confirming the advantage of employing multiple transmitting positions on increased detection capability. The finding of this research verifies the dedicated MWI device as a simple, safe and without any X-ray radiation, portable, and low complexity method, which is capable of been successfully used for bone lesion detection. The outcomes of this thesis may pave the way for the construction of a dedicated bone imaging system that in future could be used as a safe diagnostic device even in emergency sites

Microwave breast imaging using a dry setup

This article demonstrates for the first time, both numerically and experimentally, the feasibility of radar-based microwave imaging of anthropomorphic heterogeneously dense breasts in prone position, requiring no immersion liquid. The dry, contactless approach greatly simplifies the setup, favors patient comfort, and further avoids lengthy sanitation procedures after each exam. We use a radar-type technique with the antennas distributed in cylindrical configuration around the breast phantom. The reflectivity map is reconstructed using a wave-migration algorithm in the frequency domain. This article presents new developed strategies to cope with the challenges of a dry setup, namely increased skin artifact due to the concomitant absence of matching liquid and nonuniform breast shape. We propose an iterative and adaptive algorithm based on singular value decomposition that effectively removes the skin backscattering under the abovementioned conditions. It is compatible with automatic processing, and computationally fast. One of its inputs is the breast three-dimensional surface information, and its distance to the antennas, all obtained automatically from a proposed low-cost procedure based on a webcam. The imaging method is reasonably resilient to the presence of fibroglandular tissues, and to uncertainties of tissue permittivity. Another tackled challenge is the miniaturization of the antenna in air, which is achieved with an optimized balanced antipodal Vivaldi of the same size as counterparts used in dense immersion liquids. Finally, all the building blocks are combined to demonstrate experimentally the overall dry system performance, with very good detection of the tumor at three different positions in the breast, even in low-contrast scenarios.info:eu-repo/semantics/acceptedVersio