Quality assessment of conventional X-ray diagnostic equipment by measuring X-ray exposure and tube output parameters in Great Khorasan Province, Iran

Introduction: Regular implementation of quality control (QC) program in diagnostic X-ray facilities may affect both image quality and patient radiation dose due to the changes in exposure parameters. Therefore, this study aimed to investigate the status of randomly selected conventional radiographic X-ray devices installed in radiology centers of Great Khorasan Province, Iran, to produce the data needed to formulate QC policies, which are essential to ensure the accuracy of the diagnosis while minimizing the radiation dose. Material and Methods: This cross-sectional study was performed using a calibrated Piranha multi-purpose detector to measure QC parameters in order to unify X‐ray imaging practices using international guidelines. The QC parameters included voltage accuracy, voltage reproducibility, exposure time accuracy, exposure time reproducibility, tube output linearity with time andmilliampere (mA), and tube output reproducibility. Data analysis procedures were performed based on the type of an X-ray generator, which has not been reported in previous studies. Results: The results showed that the implementation of high-frequency X-ray generators were more advantageous compared to alternative current generators, due to their efficient, better accuracy, linearity, and reproducibility. Conclusion: The survey revealed that the QC program was not conducted at regular intervals in some of the investigated radiology centers, mostly because of inadequate enforcement by national regulatory authorities for implementation of QC program

3D Reconstruction Using Cubic Bezier Spline Curves and Active Contours (Case Study)

Introduction 3D reconstruction of an object from its 2D cross-sections (slices) has many applications in different fields of sciences such as medical physics and biomedical engineering. In order to perform 3D reconstruction, at first, desired boundaries at each slice are detected and then using a correspondence between points of successive slices surface of desired object is reconstructed. Materials and Methods In this study, Gradient Vector Flow (GVF) was used in order to trace the boundaries at each slice. Then, cubic Bezier Spline curves were used to approximate each of obtained contours and to approximate the corresponding points of different contours at successive slices. The reconstructed surface was a bi-cubic Bezier Spline surface which was smooth with G2 continuity. Results Our presented method was tested on SPECT data of JASZCZAK phantom and human's left ventricle. The results confirmed that the presented method was accurate, promising, applicable, and effective. Conclusion Using GVF algorithm to trace boundaries at each slice, and cubic Bezier Spline curves to approximate the obtained rough contours yield to the procedure of reconstruction which was fast and also the final surface was smooth with G2 continuity. So far, some mathematical curves such as spline, cubic spline, and B-spline curves were used to approximate the computed contour during a time consuming procedure. This study presented a 3D reconstruction method based on a combination of GVF algorithm and cubic Bezier Spline curves. There was a good trade-off between speed and accuracy in using cubic Bezier Spline curves which is especially useful for training students

Monte Carlo Simulation of a 6 MV X-Ray Beam for Open and Wedge Radiation Fields, Using GATE Code

The aim of this study is to provide a control software system, based on Monte Carlo simulation, and calculations of dosimetric parameters of standard and wedge radiation fields, using a Monte Carlo method. GATE version 6.1 (OpenGATE Collaboration), was used to simulate a compact 6 MV linear accelerator system. In order to accelerate the calculations, the phase-space technique and cluster computing (Condor version 7.2.4, Condor Team, University of Wisconsin-Madison) were used. Dosimetric parameters used in treatment planning systems for the standard and wedge radiation fields (10 cm × 10 cm to 30 cm × 30 cm and a 60° wedge), including the percentage depth dose and dose profiles, were measured by both computational and experimental methods. Gamma index was applied to compare calculated and measured results with 3%/3 mm criteria. Gamma index was applied to compare calculated and measured results. Almost all calculated data points have satisfied gamma index criteria of 3% to 3 mm. Based on the good agreement between calculated and measured results obtained for various radiation fields in this study, GATE may be used as a useful tool for quality control or pretreatment verification procedures in radiotherapy

In vivo Exposure Effects of 99mTc-methoxyisobutylisonitrile on the FDXR and XPA Genes Expression in Human Peripheral Blood Lymphocytes

Objective(s): In recent years, the application of radiopharmaceuticals in nuclear medicine has increased substantially. Following the diagnostic procedures performed in nuclear medicine departments, such as myocardial perfusion imaging, patients generally receive considerable doses of radiation. Normally, radiation-induced DNA damages are expected following exposure to a low-dose ionizing radiation. In order to detect molecular changes, high-sensitivity techniques must be utilized. The aim of this study was to assess the effect of a low-dose (below 10 mSv) gamma ray on gene expression using quantitative real-time polymerase chain reaction (qRT-PCR). Methods: Blood samples were obtained from 20 volunteer patients who underwent myocardial perfusion imaging. They were given various doses of Technetium99-m methoxyisobutylisonitrile (99mTc-MIBI). After that, peripheral blood mononuclear cells (PBMNs) were derived, and then total RNA was extracted and reverse-transcribed to cDNA. Finally, the expression levels of xeroderma pigmentosum complementation group-A (XPA) and ferredoxin reductase (FDXR) genes were determinded through qRT-PCR technique using SYBR Green. Results: XPA and FDXR expression levels were obtained following a very low-dose ionizing radiation. A significant up-regulation of both genes was observed, and the gene expression level of each individual patient was different. If differences in the administered activity and radiosensitivity are taken into account, the observed differences could be justified. Furthermore, gender and age did not play a significant role in the expression levels of the genes under study. Conclusion: The up-regulation of FDXR after irradiation revealed the high-sensitivity level of this gene; therefore, it could be used as an appropriate biomarker for biological dosimetry. On the other hand, the up-regulation of XPA is an indication of DNA repair following radiation exposure. According to linear no-threshold model (LNT) and the results obtained from this study, a very low dose of ionizing radiation could bring about adverse biological effects at molecular level in the irradiated person

Image Optimization in Single Photon Emission Computed Tomography by Hardware Modifications with Monte Carlo Simulation

Introduction: In Single Photon Emission Computed Tomography (SPECT), the projection data used for image reconstruction are distorted by several factors, including attenuation and scattering of gamma rays, collimator structure, data acquisition method, organ motion, and washout of radiopharmaceuticals. All these make reconstruction of a quantitative SPECT image very difficult. Simulation of a SPECT system is a convenient method to assess the impact of these factors on the image quality. Materials and Methods: The SIMIND Monte Carlo program was employed to simulate a Siemens E.CAM SPECT system. Verification of the simulation was performed by comparing the performance parameters of the system. The verified system was used for SPECT simulations of homogenous and inhomogeneous voxelized phantoms in conjugation with hardware modifications. The resulting data were compared with those obtained from the simulated system without any modifications. Image quality was assessed by comparing the Structural SIMularity index (SSIM), contrast, and resolution of images. Results: The energy spectra acquired from both simulated and real SPECT systems demonstrated similar energy peak regions. The resulting full-widths-at-half-maximums were 13.92 keV for the simulation and 13.58 keV for experimental data, corresponding to energy resolutions of 9.95% and 9.61%, and with calculated sensitivities of 85.39 and 85.11 cps/MBq, respectively. Better performance parameters were obtained with a hardware-modified system constructed using a 0.944 cm thickness NaI(Tl) crystal covered by a layer of 0.24 cm aluminum, a  slat of 4.5 cm Pyrex as a backscattering medium, and a parallel hole collimator of Pb-Sb alloy with 2.405 cm thickness. Conclusion: The modeling of a Siemens E.CAM SPECT system was performed with the SIMIND Monte Carlo code. Results obtained with the code are in good agreement with experimental results. The findings demonstrate that the proposed hardware modifications in the system appear to be suitable for further improvement of the performance parameters of the system, indicating that future investigations can be conducted on using the system for supplementary studies on image improvement in the field of nuclear medicine