2,398 research outputs found
Recommended from our members
Commissioning, Benchmarking and Clinical Application of a Novel Fiber Optic CT Scanner for Precise Three-Dimensional Radiation Dosimetry
Radiotherapy is a prominent cancer treatment modality in medicine, aiming to deliver adequate doses to the target while minimizing harm to healthy tissue. Recent advancements in computer technology, machine engineering, and imaging have facilitated intricate treatment planning and accurate radiation administration. These advancements have allowed for more precise dose distributions to be delivered to cancer patients. However, even small discrepancies in setup or delivery can result in significant dose variations. While treatment planning systems provide 3D dose calculations, there is currently a lack of 3D measurement tools in the clinic to verify the accuracy of dose calculation and delivery. Presently, medical physicists rely on 2D dose plane comparisons with treatment planning calculations using gamma index analyses. However, these results do not directly correlate with clinical dose-volume constraints, and detecting delivery errors using 1D or 2D dosimetry is challenging. The implementation of 3D dosimetry not only ensures the safety of radiation treatment but also facilitates the development of new emerging radiation treatment techniques. This study aims to commission and validate a clinically viable optical scanner for 3D dosimetry and apply the developed system to address current clinical and pre-clinical challenges, thereby advancing our understanding of treatment uncertainties in modern radiotherapy.
The optical CT scanner that was developed comprises four key components: an LED illuminator, an aquarium with matching fluid, a fiber optic taper, and a CCD camera. The LED illuminator emits uniform and parallel red light at a peak wavelength of 625 nm and a full width at half maximum (FWHM) of 20 nm in continuous mode. The aquarium is constructed with transparent acrylic walls and is designed to accommodate the 3D dosimeter PRESAGE, which can be fixed on a rotation stage inside the tank. Clear acrylic has excellent optical clarity and light transmission, with a refractive index of 1.49 that is close to the average refractive index (1.54) of PRESAGE. To match the refractive index of the 3D dosimeters, a matching liquid composed of 90% Octyl Salicylate and 10% Octyl-P-Methoxy Cinnamate is filled in the tank. The fiber optic taper serves two functions: first, it demagnifies the projection images while preserving their shape, and second, it effectively reduces the acceptance angle of the light reaching the CCD camera. The CCD camera used in the system is an Allied Vision model with a resolution of 0.016 mm, capable of acquiring 2D projection images from various angles. The principle of the optical CT scanner follows that of CT imaging, where 2D projection images from different angles are used to reconstruct volumetric 3D dose images using the filtered back projection technique. To validate the dosimetric measurements and assess the uncertainties of the 3D dosimetry system, 21 benchmark experiments, including mechanical, imaging, and dosimetry tests were conducted. Furthermore, the developed system was employed for various applications, including patient-specific IMRT QA, small field dosimetry using kilovoltage and megavoltage beams, as well as end-to-end testing of stereotactic radiosurgery.
A comprehensive analysis assessed uncertainties in each scanner component. Mechanical tests showed maximum uncertainties below 1%. By employing background subtraction and calibration techniques, measurement uncertainty was reduced to <1% in the optimal dose range. Background subtraction resulted in a remarkable 77% reduction in uncertainty by mitigating artifacts, ambient light, and refractive light. Reproducibility was excellent, with mean and standard deviation of dose differences below 0.4% and 1.1%, respectively, in three repeat scans. Dose distribution measurements exhibited strong agreement (passing rates: 98%-100%) between 3D measurements, treatment planning calculations, and EBT3 film dosimetry. Results confirm the optical CT scanner's robustness and accuracy for clinical 3D radiation dosimetry. The study also demonstrates that the developed 3D dosimetry system surpasses the limitations of traditional 2D gamma tests by providing clinicians with more clinically relevant information. This includes measured dose-volume histograms (DVHs) and the evaluation of gamma failing points in 3D space, enabling a comprehensive assessment of individual treatment plans. Furthermore, the study showcased the feasibility of utilizing this system to characterize a radiosurgery platform. It successfully assessed mechanical and dosimetric errors in off-axis delivery and evaluated the accuracy of treatment planning dose calculations, including modeling small fields, out-of-field dose, and multi-leaf collimator (MLC) characteristics. In addition, compelling evidence was presented that the high-resolution 3D dosimeter used in this study is capable of accurate dosimetry for both megavoltage and kilovoltage small fields. Importantly, the dosimeter exhibits no energy or dose rate dependence, further supporting its reliability and suitability for precise dosimetry measurements.
The intricate and three-dimensional nature of dose distributions in modern radiotherapy necessitated the development of 3D dosimetry measurements, particularly for treatments with precise margins, such as SRS and SBRT. The newly developed 3D dosimetry system offers significant enhancements to current QA practices, delivering more clinically relevant comparison results and bolstering patient safety. Furthermore, it can be utilized for independent inspections across multiple institutions or remote dosimetry verification. Beyond its applications in clinical settings, the presented 3D dosimetry system holds the potential to expedite the development and utilization of novel radiation platforms
In vivo strain measurements in the human buttock during sitting using MR-based digital volume correlation
Advancements in systems for prevention and management of pressure ulcers require a more detailed understanding of the complex response of soft tissues to compressive loads. This study aimed at quantifying the progressive deformation of the buttock based on 3D measurements of soft tissue displacements from MR scans of 10 healthy subjects in a semi-recumbent position. Measurements were obtained using digital volume correlation (DVC) and released as a public dataset. A first parametric optimisation of the global registration step aimed at aligning skeletal elements showed acceptable values of Dice coefficient (around 80%). A second parametric optimisation on the deformable registration method showed errors of
and
against two simulated fields with magnitude
and
, respectively, generated with a finite element model of the buttock under sitting loads. Measurements allowed the quantification of the slide of the gluteus maximus away from the ischial tuberosity (IT, average 13.74 mm) that was only qualitatively identified in the literature, highlighting the importance of the ischial bursa in allowing sliding. Spatial evolution of the maximus shear strain on a path from the IT to the seating interface showed a peak of compression in the fat, close to the interface with the muscle. Obtained peak values were above the proposed damage threshold in the literature. Results in the study showed the complexity of the deformation of the soft tissues in the buttock and the need for further investigations aimed at isolating factors such as tissue geometry, duration and extent of load, sitting posture and tissue properties
Recommended from our members
Self-supervised multicontrast super-resolution for diffusion-weighted prostate MRI
Purpose: This study addresses the challenge of low resolution and signal-to-noise ratio (SNR) in diffusion-weighted images (DWI), which are pivotal for cancer detection. Traditional methods increase SNR at high b-values through multiple acquisitions, but this results in diminished image resolution due to motion-induced variations. Our research aims to enhance spatial resolution by exploiting the global structure within multicontrast DWI scans and millimetric motion between acquisitions. Methods: We introduce a novel approach employing a "Perturbation Network" to learn subvoxel-size motions between scans, trained jointly with an implicit neural representation (INR) network. INR encodes the DWI as a continuous volumetric function, treating voxel intensities of low-resolution acquisitions as discrete samples. By evaluating this function with a finer grid, our model predicts higher-resolution signal intensities for intermediate voxel locations. The Perturbation Network's motion-correction efficacy was validated through experiments on biological phantoms and in vivo prostate scans. Results: Quantitative analyses revealed significantly higher structural similarity measures of super-resolution images to ground truth high-resolution images compared to high-order interpolation (p Conclusion: High-resolution details in DWI can be obtained without the need for high-resolution training data. One notable advantage of the proposed method is that it does not require a super-resolution training set. This is important in clinical practice because the proposed method can easily be adapted to images with different scanner settings or body parts, whereas the supervised methods do not offer such an option.</p
A phantom for the quantitative determination and improvement of the spatial resolution in slice-selective 2D-FT magnetic resonance micro-imaging and -microscopy based on Deep X-ray Lithography (DXRL)
Introduction: The most important assessed quality-control (QC) criteria for improvements in high-resolution imaging are represented by the contrast-to-noise-ratio and spatial resolution. Ultra-High-Field (UHF) Magnetic-Resonance-scanners (B ≥ 7 T) for medical research allowed for the improvement in spatial resolution up to the microimaging and nominal microscopy range [pixel-size: ps < (100 μm)2], even in-vivo on humans just recently. Preclinical MRI- and dedicated MR-microscopy (MRM) scanners already allow for microimaging and MRM (1-256 μm) but lack a sensible spatial resolution phantom for QC and performance improvements in hardware, pulse-sequencing and MRprotocols. In most scientific MRI articles, the spatial resolution is characterized by the ps, though this measurement parameter only limits the actual resolution.Methods: Here the Modulation-Transfer-Function (MTF) is used as evaluation concept for the determination of the spatial resolution in MRM using simple intensity profiles. The resolution limit is defined using a critical modulation-level. In approaching visual impressions on spatial resolution an additional criterion derived from the Modulation-depth-to-Noise-Ratio (MNR) is proposed. A practical method for assessment based on a concrete phantom design and its realization is shown.Results: The phantom design consists of several sets of fine grids, specifically featuring high structural anisotropy for optimum SNR and CNR, with different spatial periods ranging from a1 = 256 μm down to a8 = 2 μm, not only for a quick visual qualitative check, but also for quantification of resolution using the MTF for two different spatial encodings in two orthogonal in-plane directions. The challenging demands on the manufacturing technology especially with regard to the aspect-ratio are approached using Deep-X-Ray-Lithography (DXRL) relying on the high brilliance of Synchroton-radiation. Smallest grid plates with width of 4 μm corresponding to 125 line pairs/mm at a plate depth of 100 μm were achieved.Discussion: MR-microscopic images, originating from a microscopy insert on a human UHF-MR-scanner, were used for demonstration of the evaluation process with two independent resolution-criteria. The developed prototype offers unique possibilities for quantitative resolution QC on UHF human and preclinical MR-scanners. Such a resolution-phantom might be very important for the improvement of MR-pulse-sequences, MR-protocols and even hardware. In principle the phantom can also be used for other microscopic imaging-modalities as for instance μCT and Optical-Coherence-Tomography (OCT)
Serial sectioning PSOCT and 2PM for imaging post-mortem human brain and neurodegeneration
The study of aging and neurodegenerative processes in the human brain necessitates a comprehensive understanding of its myeloarchitectonic, cytoarchitectonic, and vascular structures. While recent computational advances have enabled volumetric reconstruction of the human brain using stained slices, the standard histological processing methods have often led to tissue distortions and loss, making deformation-free reconstruction challenging. Therefore, the development of a multi-scale and volumetric imaging technique that can accurately measure multiple structures within the intact brain would be a significant technical breakthrough. In this work, we present the development of an integrated approach that combines serial sectioning Polarization Sensitive Optical Coherence Tomography (PSOCT) and Two Photon Microscopy (2PM) to provide label-free multi-contrast imaging of human brain tissue. Our method allows for the simultaneous visualization of scattering, birefringence, and autofluorescence properties of the post-mortem human brain. By utilizing high-throughput reconstruction of 4x4x2cm3 sample blocks and simple registration of PSOCT and 2PM images, we enable comprehensive analysis of myelin content, cellular information, and vascular structure. PSOCT provides mesoscopic images and enables quantitative measurement of those brain structures, while 2PM provide complementary microscopic validation and enrichment of cellular and capillary information. This combined approach reveals myelin density and structure maps of the whole brain block and supplies intricate vessel and capillary networks as well as lipofuscin-filled cell soma across cortical regions, providing insights into the myeloarchitectural, cellular and vascular changes associated with neurodegenerative diseases such as Alzheimer's disease (AD) and Chronic Traumatic Encephalopathy (CTE)
Beam scanning by liquid-crystal biasing in a modified SIW structure
A fixed-frequency beam-scanning 1D antenna based on Liquid Crystals (LCs) is designed for application in 2D scanning with lateral alignment. The 2D array environment imposes full decoupling of adjacent 1D antennas, which often conflicts with the LC requirement of DC biasing: the proposed design accommodates both. The LC medium is placed inside a Substrate Integrated Waveguide (SIW) modified to work as a Groove Gap Waveguide, with radiating slots etched on the upper broad wall, that radiates as a Leaky-Wave Antenna (LWA). This allows effective application of the DC bias voltage needed for tuning the LCs. At the same time, the RF field remains laterally confined, enabling the possibility to lay several antennas in parallel and achieve 2D beam scanning. The design is validated by simulation employing the actual properties of a commercial LC medium
Multi-planar 2.5D U-Net for image quality enhancement of dental cone-beam CT
Cone-beam computed tomography (CBCT) can provide 3D images of a targeted area with the advantage of lower dosage than multidetector computed tomography (MDCT; also simply referred to as CT). However, in CBCT, due to the cone-shaped geometry of the X-ray source and the absence of post-patient collimation, the presence of more scattering rays deteriorates the image quality compared with MDCT. CBCT is commonly used in dental clinics, and image artifacts negatively affect the radiology workflow and diagnosis. Studies have attempted to eliminate image artifacts and improve image quality; however, a vast majority of that work sacrificed structural details of the image. The current study presents a novel approach to reduce image artifacts while preserving details and sharpness in the original CBCT image for precise diagnostic purposes. We used MDCT images as reference high-quality images. Pairs of CBCT and MDCT scans were collected retrospectively at a university hospital, followed by co-registration between the CBCT and MDCT images. A contextual loss-optimized multi-planar 2.5D U-Net was proposed. Images corrected using this model were evaluated quantitatively and qualitatively by dental clinicians. The quantitative metrics showed superior quality in output images compared to the original CBCT. In the qualitative evaluation, the generated images presented significantly higher scores for artifacts, noise, resolution, and overall image quality. This proposed novel approach for noise and artifact reduction with sharpness preservation in CBCT suggests the potential of this method for diagnostic imaging.
Copyright: This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.ope
2D sodium MRI of the human calf using half-sinc excitation pulses and compressed sensing
PURPOSE: Sodium MRI can be used to quantify tissue sodium concentration (TSC) in vivo; however, UTE sequences are required to capture the rapidly decaying signal. 2D MRI enables high in-plane resolution but typically has long TEs. Half-sinc excitation may enable UTE; however, twice as many readouts are necessary. Scan time can be minimized by reducing the number of signal averages (NSAs), but at a cost to SNR. We propose using compressed sensing (CS) to accelerate 2D half-sinc acquisitions while maintaining SNR and TSC. METHODS: Ex vivo and in vivo TSC were compared between 2D spiral sequences with full-sinc (TE = 0.73 ms, scan time ≈ 5 min) and half-sinc excitation (TE = 0.23 ms, scan time ≈ 10 min), with 150 NSAs. Ex vivo, these were compared to a reference 3D sequence (TE = 0.22 ms, scan time ≈ 24 min). To investigate shortening 2D scan times, half-sinc data was retrospectively reconstructed with fewer NSAs, comparing a nonuniform fast Fourier transform to CS. Resultant TSC and image quality were compared to reference 150 NSAs nonuniform fast Fourier transform images. RESULTS: TSC was significantly higher from half-sinc than from full-sinc acquisitions, ex vivo and in vivo. Ex vivo, half-sinc data more closely matched the reference 3D sequence, indicating improved accuracy. In silico modeling confirmed this was due to shorter TEs minimizing bias caused by relaxation differences between phantoms and tissue. CS was successfully applied to in vivo, half-sinc data, maintaining TSC and image quality (estimated SNR, edge sharpness, and qualitative metrics) with ≥50 NSAs. CONCLUSION: 2D sodium MRI with half-sinc excitation and CS was validated, enabling TSC quantification with 2.25 × 2.25 mm2 resolution and scan times of ≤5 mins
Carbon Fiber-Reinforced PolyEtherEtherKetone (CFR-PEEK) Instrumentation in Degenerative Disease of Lumbar Spine: A Pilot Study
: CFR-PEEK is gaining popularity in spinal oncological applications due to its reduction of imaging artifacts and radiation scattering compared with titanium, which allows for better oncological follow-up and efficacy of radiotherapy. We evaluated the use of these materials for the treatment of lumbar degenerative diseases (DDs) and considered the biomechanical potential of the carbon fiber in relation to its modulus of elasticity being similar to that of bone. Twenty-eight patients with DDs were treated using CRF-PEEK instrumentation. The clinical and radiographic outcomes were collected at a 12-month FU. Spinal fusion was evaluated in the CT scans using Brantigan scores, while the clinical outcomes were evaluated using VAS, SF-12, and EQ-5D scores. Out of the patients evaluated at the 12-month FU, 89% showed complete or almost certain fusion (Brantigan score D and E) and presented a significant improvement in all clinical parameters; the patients also presented VAS scores ranging from 6.81 ± 2.01 to 0.85 ± 1.32, EQ-5D scores ranging from 53.4 ± 19.3 to 85.0 ± 13.7, SF-12 physical component scores (PCSs) ranging from 29.35 ± 7.04 to 51.36 ± 9.75, and SF-12 mental component scores (MCSs) ranging from 39.89 ± 11.70 to 53.24 ± 9.24. No mechanical complications related to the implant were detected, and the patients reported a better tolerance of the instrumentation compared with titanium. No other series of patients affected by DD that was stabilized using carbon fiber implants have been reported in the literature. The results of this pilot study indicate the efficacy and safety of these implants and support their use also for spinal degenerative diseases
- …