A dynamic reconstruction approach for cerebral blood flow quantification with an interventional C-arm CT

Tomographic perfusion imaging is a well accepted method for stroke diagnosis that is available with current CT and MRI scanners. A challenging new method, which is currently not available, is perfusion imaging with an interventional C-arm CT that can acquire 4-D images using a C-arm angiography system. This method may help to optimize the workflow du-ring catheter-guided stroke treatment. The main challenge in perfusion C-arm CT is the comparably slow rotational speed of the C-arm (approximately 5 seconds) which decreases the overall temporal resolution. In this work we present a dyna-mic reconstruction approach optimized for perfusion C-arm CT based on temporal estimation of partially backprojected volumes. We use numerical simulations to validate the algo-rithm: For a typical configuration the relative error in estima-ted arterial peak enhancement decreases from 14.6 % to 10.5% using the dynamic reconstruction. Furthermore we present in-itial results obtained with a clinical C-arm CT in a pig model. 1

DCE-MRI perfusion and permeability parameters as predictors of tumor response to CCRT in patients with locally advanced NSCLC

In this prospective study, 36 patients with stage III non-small cell lung cancers (NSCLC), who underwent dynamic contrast-enhanced MRI (DCE-MRI) before concurrent chemo-radiotherapy (CCRT) were enrolled. Pharmacokinetic analysis was carried out after non-rigid motion registration. The perfusion parameters including Blood Flow (BF), Blood Volume (BV), Mean Transit Time (MTT) and permeability parameters including endothelial transfer constant (Ktrans), reflux rate (Kep), fractional extravascular extracellular space volume (Ve), fractional plasma volume (Vp) were calculated, and their relationship with tumor regression was evaluated. The value of these parameters on predicting responders were calculated by receiver operating characteristic (ROC) curve. Multivariate logistic regression analysis was conducted to find the independent variables. Tumor regression rate is negatively correlated with V e and its standard variation V e-SD and positively correlated with K trans and Kep. Significant differences between responders and non-responders existed in Ktrans, Kep, Ve, Ve-SD, MTT, BV-SD and MTT-SD (P < 0.05). ROC indicated that Ve < 0.24 gave the largest area under curve of 0.865 to predict responders. Multivariate logistic regression analysis also showed Ve was a significant predictor. Baseline perfusion and permeability parameters calculated from DCE-MRI were seen to be a viable tool for predicting the early treatment response after CCRT of NSCLC. © 2016 The Author(s)

Bonding in complexes of bis(pentalene)di-titanium, Ti2(C8H6)2

Bonding in the bis(pentalene)di-titanium ‘double-sandwich’ species Ti2Pn2 (Pn = C8H6) and its interaction with other fragments have been investigated by xdensity functional calculations and fragment analysis. Ti2Pn2 with C2v symmetry has two metal-metal bonds and a low-lying metal based empty orbital, all three frontier orbitals having a1 symmetry. The latter may be regarded as being derived by symmetric combinations of the classic three frontier orbitals of two bent bis(cyclopentadienyl) metal fragments. Electrochemical studies on Ti2Pn†2 (Pn† = C8H4{SiiPr3-1,4}2) reveal a one-electron oxidation, and the formally mixed-valence Ti(II)-Ti(III) cationic complex [Ti2Pn†2][B(C6F5)4] has been structurally characterised. Theory indicates an S = ½ ground state electronic configuration for the latter, confirmed by EPR spectroscopy and SQUID magnetometry. Carbon dioxide binds symmetrically to Ti2Pn2 preserving C2v symmetry, as does carbon disulfide. The dominant interaction in Ti2Pn2CO2 is σ donation into the LUMO of bent CO2 and donation from the O atoms to Ti2Pn2 is minimal, whereas in Ti2Pn2CS2 there is significant interaction with the S atoms. The bridging O atom in the mono(oxo) species Ti2Pn2O, however, employs all three O 2p orbitals in binding and competes strongly with Pn, leading to weaker binding of the carbocyclic ligand, and the sulfur analog Ti2Pn2S behaves similarly. Ti2Pn2 is also capable of binding one, two and three molecules of carbon monoxide. The bonding demands of a single CO molecule are incompatible with symmetric binding and an asymmetric structure is found. The dicarbonyl adduct Ti2Pn2(CO)2 has Cs symmetry with the Ti2Pn2 unit acting as two MCp2 fragments. Synthetic studies show, that in the presence of excess CO a tricarbonyl complex Ti2Pn†2(CO)3 is formed, which optimises to an asymmetric structure with two terminal CO ligands and one semi-bridging. Low temperature 13C NMR spectroscopy reveals a rapid dynamic exchange between the two bound CO sites and free CO