Childhood traumatic experiences and mental health problems in sexually offending and non-sexually offending juveniles

OBJECTIVE: To examine the relationship between a history of childhood abuse and mental health problems in juveniles who sexually offended (JSOs) over and above general offending behavior. METHODS: A sample of 44 JSOs incarcerated in two juvenile detention centers in the Netherlands between May 2008 and March 2014 were examined for childhood abuse history (Childhood Trauma Questionnaire-Short Form) and mental health problems (Massachusetts Youth Screening Instrument-Version 2). Furthermore, the connection between childhood abuse and mental health problems in JSOs was compared to a sample of 44 propensity score matched juveniles who offended non-sexually (non-JSOs). RESULTS: In JSOs, sexual abuse was related to anger problems, suicidal ideation, and thought disturbance. These associations were significantly stronger in JSOs than in non-JSOs. CONCLUSIONS: Our results suggest that the relationship between childhood abuse and both internalizing and externalizing mental health problems is of more salience for understanding sexual offending than non-sexual offending, and should, therefore, be an important focus in the assessment and treatment of JSOs

Measuring identification and quantification errors in spectral CT material decomposition

Material decomposition methods are used to identify and quantify multiple tissue components in spectral CT but there is no published method to quantify the misidentification of materials. This paper describes a new method for assessing misidentification and mis-quantification in spectral CT. We scanned a phantom containing gadolinium (1, 2, 4, 8 mg/mL), hydroxyapatite (54.3, 211.7, 808.5 mg/mL), water and vegetable oil using a MARS spectral scanner equipped with a poly-energetic X-ray source operated at 118 kVp and a CdTe Medipix3RX camera. Two imaging protocols were used; both with and without 0.375 mm external brass filter. A proprietary material decomposition method identified voxels as gadolinium, hydroxyapatite, lipid or water. Sensitivity and specificity information was used to evaluate material misidentification. Biological samples were also scanned. There were marked differences in identification and quantification between the two protocols even though spectral and linear correlation of gadolinium and hydroxyapatite in the reconstructed images was high and no qualitative segmentation differences in the material decomposed images were observed. At 8 mg/mL, gadolinium was correctly identified for both protocols, but concentration was underestimated by over half for the unfiltered protocol. At 1 mg/mL, gadolinium was misidentified in 38% of voxels for the filtered protocol and 58% of voxels for the unfiltered protocol. Hydroxyapatite was correctly identified at the two higher concentrations for both protocols, but mis-quantified for the unfiltered protocol. Gadolinium concentration as measured in the biological specimen showed a two-fold difference between protocols. In future, this methodology could be used to compare and optimize scanning protocols, image reconstruction methods, and methods for material differentiation in spectral CT

Quantitative imaging of excised osteoarthritic cartilage using spectral CT

Objectives To quantify iodine uptake in articular cartilage as a marker of glycosaminoglycan (GAG) content using multi-energy spectral CT. Methods We incubated a 25-mm strip of excised osteoarthritic human tibial plateau in 50 % ionic iodine contrast and imaged it using a small-animal spectral scanner with a cadmium telluride photon-processing detector to quantify the iodine through the thickness of the articular cartilage. We imaged both spectroscopic phantoms and osteoarthritic tibial plateau samples. The iodine distribution as an inverse marker of GAG content was presented in the form of 2D and 3D images after applying a basis material decomposition technique to separate iodine in cartilage from bone. We compared this result with a histological section stained for GAG. Results The iodine in cartilage could be distinguished from subchondral bone and quantified using multi-energy CT. The articular cartilage showed variation in iodine concentration throughout its thickness which appeared to be inversely related to GAG distribution observed in histological sections. Conclusions Multi-energy CT can quantify ionic iodine contrast (as a marker of GAG content) within articular cartilage and distinguish it from bone by exploiting the energy-specific attenuation profiles of the associated materials. Key points • Contrast-enhanced articular cartilage and subchondral bone can be distinguished using multi-energy CT. • Iodine as a marker of glycosaminoglycan content is quantifiable with multi-energy CT. • Multi-energy CT could track alterations in GAG content occurring in osteoarthritis

Oblique fluorescence in a MARS scanner with a CdTe-Medipix3RX

The latest version of the MARS small bore scanner makes use of the Medipix3RX ASIC, bonded to a CdTe or CZT semi-conductor layer, to count x-ray photons and create a spectroscopic CT data set. The MARS imaging chain uses the energy-resolved 2D transmission images to construct quantitative 3D spectral and material images. To improve the spectral performance of the imaging system it is important that the energy response of the detector is well calibrated. A common methodology for energy calibration is to use x-ray fluorescence (XRF), due to its effective monochromatic nature. Oblique (off-axis) XRF can be measured in situ in the MARS small bore scanner. A monoatomic foil is placed in front of the x-ray source and off-axis XRF is measured. A key issue is identifying near optimal measurement positions that maximize the XRF signal while minimizing transmitted and scattered x-rays from the primary beam. This work shows the development of a theoretical model that is able to identify where in the detector plane XRF is maximum. We present: (1) a theoretical model that calculates the XRF photon distribution across the detector plane produced from illuminated foils attached to the scanner’s filter bar; (2) preliminary experimental measurements of the XRF distribution outside of the main beam taken with a CdTe-Medipix3RX detector; and (3) a comparison between the model and experiment. The main motivation behind creating this model is to identify the region in the detector plane outside of the main beam where XRF is at a maximum. This provides the optimum detector location for measuring a monochromatic XRF source with minimal polychromatic contamination for its use in per-pixel energy calibration of Medipix3RX detectors in MARS scanners

Per-pixel energy calibration of photon counting detectors

Energy resolving performance of spectral CT systems is influenced by the accuracy of the detector’s energy calibration. Global energy calibration maps a given threshold to the average energy response of all pixels of the detector. Variations arising from CMOS manufacturing processes and properties of the sensor cause different pixels to respond differently to photons of the same energy. Threshold dispersion adversely affects spectral imaging by degrading energy resolution, which contributes to blurring of the energy information. In this paper, we present a technique for per-pixel energy calibration of photon-counting x-ray detectors (PCXDs) that quantifies the energy response of individual pixels relative to the average response. This technique takes advantage of the measurements made by an equalized chip. It uses a known global energy map to quantify the effect of threshold dispersion on the energy response of the detector pixels across an energy range of interest.The proposed technique was assessed using a MARS scanner with an equalized Medipix3RX chip flip-bonded to 2mm thick CdTe semiconductor crystal at a pitch of 110ᵤm. Measurements were made of characteristic x-rays of a molybdenum foil. Results were compared between the case that the global calibration was used on its own and the case of using it in conjunction with our per-pixel calibration technique. The proposed technique quantified up to 1:87 keV error in energy response of 100 pixels of a selected region of interest (ROI). It made an improvement of 28:3% in average FWHM. The additional information provided by this per-pixel calibration technique can be used to improve spectral reconstruction