Control of whole-body FDG-positron emission tomography image quality by adjusting the acquisition time: A new physical image quality index and patientdependent parameters for clinical imaging

Objective: This study aimed to establish a methodology for obtaining visually equivalent image quality regardless of patient size by controlling the acquisition time of positron emission tomography (PET) studies. Methods: In Part 1, we determined the physical image quality index with the highest correlation with visual assessment in 30 patients. In Part 2, 100 patients were scanned to identify the patient-dependent parameters that were most correlated with the physical image quality index. These parameters were calculated from the combination of the administered activity of 18F-FDG and weight. We drew an approximate curve from these parameters and prepared a scatter plot of the physical image quality index. In Part 3, we checked whether the image quality was constant by controlling the acquisition time in 189 patients. The approximation formula we obtained under (2) was used to control the acquisition time. The physical image quality index was a constant value, and the patient-dependent parameter was calculated from the patient’s physique. Results: The physical image quality index with the highest correlation with visual evaluation was the noise equivalent count weight (NECweight) (correlation coefficient: 0.90). The patient-dependent index most correlated with NECweight was activity/weight3 (A/W3) (coefficient of determination: 0.978). The verification of the acquisition time to obtain a certain image quality showed an average of 0.60 ± 0.034 Mcounts/m∙kg, and a similar image quality was obtained independent of the individual physiques. Conclusions: Calculating NECweight and A/W3 enable the determination of the appropriate acquisition time for stable image quality before the PET study

A High-frequency, Low-power Resonant Radio-frequency Neutron Spin Flipper for High-resolution Spectroscopy

We present a resonant-mode, transverse-field, radio-frequency (rf) neutron spin flipper design that uses high-temperature superconducting films to ensure sharp transitions between uniform magnetic field regions. Resonant mode allows for low power, high frequency operation but requires strict homogeneity of the magnetic fields inside the device. This design was found to efficiently flip neutrons at 96.6$\pm 0.6\%$ at an effective frequency of 4 MHz with a beam size of $2.5~\times~2.5$~cm and a wavelength of 0.4 nm. The high frequency and efficiency enable this device to perform high-resolution neutron spectroscopy with comparable performance to currently implemented rf flipper designs. The limitation of the maximum frequency was found due to the field homogeneity of the device. We numerically analyze the maximum possible efficiency of this design using a Bloch solver simulation with magnetic fields generated from finite-element simulations. We also discuss future improvements of the efficiency and frequency to the design based on the experimental and simulation results

Evaluation of Four Computed Tomography Reconstruction Algorithms Using a Coronary Artery Phantom

BACKGROUND: Despite advancements in coronary computed tomography angiography (CTA), challenges in positive predictive value and specificity remain due to limited spatial resolution. The purpose of this experimental study was to investigate the effect of 2nd generation deep learning-based reconstruction (DLR) on the quantitative and qualitative image quality in coronary CTA. METHODS: A vessel model with stepwise non-calcified plaque was scanned using 320-detector CT. Image reconstruction was performed using four techniques: hybrid iterative reconstruction (HIR), model-based iterative reconstruction (MBIR), DLR, and 2nd generation DLR. The luminal peak CT number, contrast-to-noise ratio (CNR), and edge rise slope (ERS) were quantitatively evaluated via profile curve analysis. Two observers qualitatively graded the graininess, lumen sharpness, and overall lumen visibility on the basis of the degree of confidence for the stenosis severity using a five-point scale. RESULTS: The image noise with HIR, MBIR, DLR, and 2nd generation DLR was 23.0, 21.0, 16.9, and 9.5 HU, respectively. The corresponding CNR (25% stenosis) was 15.5, 15.9, 22.1, and 38.3, respectively. The corresponding ERS (25% stenosis) was 203.2, 198.6, 228.9, and 262.4 HU/mm, respectively. Among the four reconstruction methods, the 2nd generation DLR achieved the significantly highest CNR and ERS values. The score of 2nd generation DLR in all evaluation points (graininess, sharpness, and overall lumen visibility) was higher than those of the other methods (overall vessel visibility score, 2.6±0.5, 3.8±0.6, 3.7±0.5, and 4.6±0.5 with HIR, MBIR, DLR, and 2nd generation DLR, respectively). CONCLUSIONS: 2nd generation DLR provided better CNR and ERS in coronary CTA than HIR, MBIR, and previous-generation DLR, leading to the highest subjective image quality in the assessment of vessel stenosis

CT Radiation Dose Optimization and Estimation: an Update for Radiologists

In keeping with the increasing utilization of CT examinations, the greater concern about radiation hazards from examinations has been addressed. In this regard, CT radiation dose optimization has been given a great deal of attention by radiologists, referring physicians, technologists, and physicists. Dose-saving strategies are continuously evolving in terms of imaging techniques as well as dose management. Consequently, regular updates of this issue are necessary especially for radiologists who play a pivotal role in this activity. This review article will provide an update on how we can optimize CT dose in order to maximize the benefit-to-risk ratio of this clinically useful diagnostic imaging method

ヘイケイキ イゴ ノ ジョセイ ノ コツソショウショウ シンダン ニ オヨボス BMI ノ エイキョウ ニ ツイテ

This study demonstrates that BMI has an influence on diagnosis of osteoporosis in menopausal and post-menopausal women, and that the prevalence rate of osteoporosis can be easily estimated from the BMI value of each patient

Spin-Energy Entanglement of a Time-Focused Neutron

Intra-particle entanglement of individual particles such as neutrons could enable another class of scattering probes that are sensitive to entanglement in quantum systems and materials. In this work, we present experimental results demonstrating quantum contextuality as a result of entanglement between the spin and energy modes (i.e., degrees of freedom) of single neutrons in a beam using a pair of resonant radio-frequency neutron spin flippers in the MIEZE configuration (Modulated IntEnsity with Zero Effort). We verified the mode-entanglement by measuring a Clauser-Horne-Shimony-Holt (CHSH) contextuality witness $S$ defined in the spin and energy subsystems, observing a clear breach of the classical bound of $|S| \leq 2$, obtaining $S = 2.40 \pm 0.02$. These entangled beams could enable alternative approaches for directly probing dynamics and entanglement in quantum materials whose low-energy excitation scales match those of the incident entangled neutron.11 pages, 7 figure