Shielding requirements of a SPECT insert for installation in a PET/MRI system

The objective of this work is to evaluate the shielding requirements of a SPECT insert for installation in the Siemens Biograph mMR in order to perform simultaneous SPECT/MR imaging of the human brain. We intend to use the radionuclides 99mTc, 123I and 111In. The main photopeaks of these radionuclides have the following energies: 140.5, 159.0, 171.3 and 245.4 keV. There is also about ∼3% of emission probability of high energy gamma photons for 123I in the range of 248-784 keV. The main constraints to the design of the gamma shielding are the presence of high energy photons, the weight, the MR compatibility and the PET LSO crystals intrinsic activity. We used GATE to simulate a SPECT acquisition, defining an MRI system with LSO crystals, a partial SPECT ring and a NEMA phantom. We also defined a lead (Pb) base plate (BP) to simulate the support system and three Pb shielding volumes with variable thickness: front and end (FE), back (B), and lateral (L) shield. These volumes reduce interference from out-of-field activity, LSO intrinsic activity and edge effects, respectively. We performed 4 sets of simulations, with variable FE, variable B, variable L and variable BP thickness, respectively, with a NEMA phantom filled with 185 MBq of 123I or 111In. For all simulations, we compared the different energy spectra and count-distribution plots. Results show that a Pb shielding configuration with a thickness of 6 mm-F, 2 mm-E, 3 mm-B, and 5 mm-L is appropriate for the insert. For 123I there is still a high contribution from high energy photons, as the amount of shielding is limited by weight, however this contribution is likely to be overestimated in the simulations as compared to practice. The effect of the LSO intrinsic activity is negligible at the energies of interest

A novel approach to image reconstruction and calibration for a multi-slit-slat SPECT system

In the context of the development of a simultaneous SPECT/MRI system, we have previously proposed a multi-minislit-slat (MSS) collimator, with multiple sections of short slits in order to improve the angular sampling. The data can be reconstructed using a 3D reconstruction algorithm that models the collimator geometry. One drawback, however, is that the projection data obtained with this collimator are difficult to interpret visually. Also, calibration can be problematic, as each mini-slit only covers part of the object FoV. We have therefore developed an algorithm for transforming the MSS projection data into the traditional sinogram format. These sinograms consist of multiple thin tilted lines with gaps in between due to the lack of detector rotation in this system. The data can be reconstructed using standard parallel-beam algorithms, taking into account the fact that there are data missing. We have shown with simulations and measurements that the algorithm can transform complex data, consisting of multiple rough broken line segments, into simple sine-curves. This algorithm can be useful for interpreting the acquired MSS data, reconstructing images, and calibrating the system

MR coil sensitivity inhomogeneity correction for plaque characterization in carotid arteries

We are involved in a comprehensive program to characterize atherosclerotic disease using multiple MR images having different contrast mechanisms (T1W, T2W, PDW, magnetization transfer, etc.) of human carotid and animal model arteries. We use specially designed intravascular and surface array coils that give high signal-to-noise but suffer from sensitivity inhomogeneity. With carotid surface coils, challenges include: (1) a steep bias field with an 80% change; (2) presence of nearby muscular structures lacking high frequency information to distinguish bias from anatomical features; (3) many confounding zero-valued voxels subject to fat suppression, blood flow cancellation, or air, which are not subject to coil sensitivity; and (4) substantial noise. Bias was corrected using a modification of the adaptive fuzzy c-mean method reported by Pham et al. (IEEE TMI, 18:738-752), whereby a bias field modeled as a mechanical membrane was iteratively improved until cluster means no longer changed. Because our images were noisy, we added a noise reduction filtering step between iterations and used approximate to5 classes. In a digital phantom having a bias field measured from our MR system, variations across an area comparable to a carotid artery were reduced from 50% t

Takotsubo Syndrome in a Premenopausal Patient

Takotsubo syndrome is a rare clinical condition, with a pathophysiology that is not fully understood. Characterised by an acute and usually reversible heart failure, the condition is often preceded by a stressful event. For the diagnosis of Takotsubo syndrome to be possible, the absence of coronary artery disease as a cause is required. We report a case of Takotsubo syndrome in a 47-year-old woman of fertile age. Electrical and echocardiographic presentations were classical in the patient. However, abnormally elevated cardiac biomarkers were registered. The patient showed signs of clinical improvement, with a follow-up angiography excluding coronary artery disease and therefore leading to a diagnosis of Takotsubo syndrome.info:eu-repo/semantics/publishedVersio

Early magnetic resonance imaging control after temporomandibular joint arthrocentesis

Temporomandibular joint (TMJ) lysis and lavage arthrocentesis with viscosupplementation are an effective treatment for acute disc displacement (DD) without reduction. Clinical success seems to be related to multiple factors despite the lack of understanding of its mechanisms. The authors present a case report of 17-year-old women with acute open mouth limitation (12 mm), right TMJ pain-8/10 visual analog scale, right deviation when opening her mouth. The clinical and magnetic resonance imaging (MRI) diagnosis was acute DD without reduction of right TMJ. Right TMJ arthrocentesis was purposed to the patient with lysis, lavage, and viscosupplementation of the upper joint space. After 5 days, a new MRI was performed to confirm upper joint space distension and disc position. Clinical improvement was obtained 5 days and 1 month after arthrocentesis. Upper joint space increased 6 mm and the disc remained displaced. We report the first early TMJ MRI image postoperative, with measurable upper joint space.info:eu-repo/semantics/publishedVersio

Collimator design for a clinical brain SPECT/MRI insert

This project's goal is to design a SPECT insert for a clinical MRI system for simultaneous brain SPECT/MR imaging. We assume the stationary SPECT insert will consist of two rings of ∼5x5-cm SiPM-based detectors insensitive to magnetic fields, with 0.8-mm intrinsic resolution. The maximum diameter is 44.5 cm, the minimum diameter is 33 cm to accommodate the patient and MRI receive/transmit coil, and the FOV has a 20 cm diameter. We have compared eight collimator designs: single-, 2x2-, 3x3- and 5+2½- pinhole, and single-, 2-, 3- and 1+2½-slit slit-slat, where ½-pinholes/slits are shared between two detectors. Analytical geometric efficiency was calculated for an activity distribution corresponding to a human brain and a target resolution of 10 mm FWHM at the centre of the FOV. Noise-free data were simulated with and without depth-of-interaction (DOI) information, and reconstructed for uniform, Defrise, Derenzo, and Zubal brain phantoms. For DOI it is assumed that the crystal's first and second half can be differentiated. Comparing the multi-pinhole and multi-slit slit-slat collimators, the former gives better reconstructed uniformity and trans-axial resolution, while the latter gives better axial resolution. Although the 2x2-pinhole and 2-slit designs give the highest sensitivities, they result in a sub-optimal utilization of the detector FOV. The best options are therefore the 5+2½-pinhole and the 1+2½-slit systems, with sensitivities of 4.9*10–4 and 4.0*10–4, respectively. The brain phantom reconstructions with multi-pinhole collimator are superior as compared to slit-slat, especially in terms of symmetry and realistic activity distribution. DOI information reduces artefacts and improves uniformity in geometric phantoms, although the difference is small for the brain phantom. These results favour a multi-pinhole configuration

Effects of the Collimator Magnification Factor in the Geometrical Calibration of SPECT Systems

In compact systems, precise measurement in the projection space may be compromised due to minification. The objective of this work is to investigate the impact of the magnification factor in a model-based calibration procedure. This has direct relevance to the geometrical calibration of the clinical INSERT camera. Projection data from three point sources were simulated for a single pinhole collimator with magnification and single pinhole and slit-slat collimators with minification, for 100 noise realizations and 3 count levels. Model-based calibration was performed to estimate geometric parameters and data corresponding to a Derenzo phantom were simulated and reconstructed with true and worst-case estimates for each collimator. Experimental projection data were acquired with an INSERT prototype camera and four 99mTc line sources in different locations within the FoV. The collimator-CoR distance was varied in order to obtain different minifications and model-based calibration was performed. The results from the simulations suggest that calibration is less robust when minification is present, with higher biased calibration parameters, which result in activity underestimation. For experimental data, estimated parameters improved with a higher magnification factor, in line with the simulation results. However, some inconsistencies in the results suggest that there is still room for improvements. To conclude, geometric calibration of SPECT systems is more sensitive to minification than magnification, which will impact image quality

ARS leptogenesis

We review the current status of the leptogenesis scenario originally proposed by Akhmedov, Rubakov and Smirnov (ARS). It takes place in the parametric regime where the right-handed neutrinos are at the electroweak scale or below and the CP-violating effects are induced by the coherent superposition of different right-handed mass eigenstates. Two main theoretical approaches to derive quantum kinetic equations, the Hamiltonian time evolution as well as the Closed-Time-Path technique are presented, and we discuss their relations. For scenarios with two right-handed neutrinos, we chart the viable parameter space. Both, a Bayesian analysis, that determines the most likely configurations for viable leptogenesis given different variants of flat priors, and a determination of the maximally allowed mixing between the light, mostly left-handed, and heavy, mostly right-handed, neutrino states are discussed. Rephasing invariants are shown to be a useful tool to classify and to understand various distinct contributions to ARS leptogenesis that can dominate in different parametric regimes. While these analyses are carried out for the parametric regime where initial asymmetries are generated predominantly from lepton-number conserving, but flavor violating effects, we also review the contributions from lepton-number violating operators and identify the regions of parameter space where these are relevant.Fil: Drewes, Alejandro Marcelo. Technische Universitat München; AlemaniaFil: Garbrecht, B.. Technische Universitat München; AlemaniaFil: Hernández, P.. Universidad de Valencia; España. Cern - European Organization For Nuclear Research; Suiza. Université Catholique de Louvain. Particle Physics and Phenomenology. Centre for Cosmology; SuizaFil: Kekic, M.. Universidad de Valencia; EspañaFil: Lopez-Pavon, J.. Cern - European Organization For Nuclear Research; SuizaFil: Racker, Juan Diego. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Astronomía Teórica y Experimental. Universidad Nacional de Córdoba. Observatorio Astronómico de Córdoba. Instituto de Astronomía Teórica y Experimental; ArgentinaFil: Rius, Natalia. Universidad de Valencia; EspañaFil: Salvado, J.. Universidad de Valencia; EspañaFil: Teresi, D.. Université Libre de Bruxelles; Bélgic