17 research outputs found
Design of a realistic PET-CT-MRI phantom
The validation of the PET image quality of new PET-MRI systems should be done against the image quality of currently available PET-CT systems. This includes the validation of new attenuation correction methods. Such validation studies should preferentially be done using a phantom. There are currently no phantoms that have a realistic appearance on PET, CT and MRI. In this work we present the design and evaluation of such a phantom. The four most important tissue types for attenuation correction are air, lung, soft tissue and bone. An attenuation correction phantom should therefore contain these four tissue types. As it is difficult to mimic bone and lung on all three modalities using a synthetic material, we propose the use of biological material obtained from cadavers. For the lung section a lobe of a pig lung was used. It was excised and inflated using a ventilator. For the bone section the middle section of a bovine femur was used. Both parts were fixed inside a PMMA cylinder with radius 10 cm. The phantom was filled with 18F-FDG and two hot spheres and one cold sphere were added. First a PET scan was acquired on a PET-CT system. Subsequently, a transmission measurement and a CT acquisition were done on the same system. Afterwards, the phantom was moved to the MRI facility and a UTE-MRI was acquired. Average CT values and MRI R 2 values in bone and lung were calculated to evaluate the realistic appearance of the phantom on both modalities. The PET data was reconstructed with CT-based, transmission-based and MRI-based attenuation correction. The activity in the hot and cold spheres in the images reconstructed using transmission-based and MRI-based attenuation correction was compared to the reconstructed activity using CT-based attenuation correction. The average CT values in lung and bone were -630 HU and 1300 HU respectively. The average R 2 values were 0.7 ms -1 and 1.05 ms -1 respectively. These values are comparable to the values observed in clinical data sets. Transmission-based and MRI-based attenuation correction yielded an average difference with CT- based attenuation correction in the hot spots of -22 % and -8 %. In the cold spot the average differences were +3 % and -8 %. The construction of a PET-CT-MRI phantom was described. The phantom has a realistic appearance on all three modalities. It was used to evaluate two attenuation correction methods for PET-MRI scanners
Preoperative chemoradiation versus radiation alone for stage II and III resectable rectal cancer
Background : Preoperative radiotherapy (RT) decreases local recurrence rate and improves survival in stage II and III rectal cancer patients. The combination of chemotherapy with RT has a sound radiobiological rationale, and phase II trials of combined chemoradiation (CRT) have shown promising activity in rectal cancer.
Objectives : To compare preoperative RT with preoperative CRT in patients with resectable stage II and III rectal cancer.
Search strategy : We searched the Cochrane Central Register of Controlled Trials, Web of Science, Embase. com, and Pubmed from 1975 until june 2007. A manual search was performed of Ann Surg, Arch Surg, Cancer, J Clin Oncol, Int J Radiat Oncol Biol Phys and the proceedings of ASTRO, ECCO and ASCO from 1990 until june 2007.
Selection criteria : Relevant studies randomized resectable stage II or III rectal cancer patients to at least one arm of preoperative RT alone or at least one arm of preoperative CRT.
Data collection and analysis : Primary outcome parameters included overall survival (OS) at 5 years and local recurrence (LR) rate at 5 years. Secondary outcome parameters included disease free survival (DFS) at 5 years, metastasis rate, pathological complete response rate, clinical response rate, sphincter preservation rate, acute toxicity, postoperative mortality and morbidity, and anastomotic leak rate. Outcome parameters were summarized using the Odds Ratio (OR) and associated 95% confidence interval (CI) using the fixed effects model.
Main results : Four trials were identified and included in the meta-analysis. The addition of chemotherapy to preoperative RT significantly increased grade III and IV acute toxicity (OR 1.68-10, P = 0.002) while no differences were observed in postoperative morbidity or mortality.
Compared to preoperative RT alone, preoperative CRT significantly increased the rate of complete pathological response (OR 2.52-5.27, P < 0.001) although this did not translate into a higher sphincter preservation rate (OR 0.92-1.31, P = 0.29). The indidence of local recurrence at five years was significantly lower in the CRT group compared to RT alone (OR 0.39-0.72, P < 0.001). No statistically significant differences were observed in DFS (OR 0.92-1.34, P = 0.27) or OS (OR 0.79-1.14, P = 0.58) at five years.
Authors' conclusions : Compared to preoperative RT alone, preoperative CRT enhances pathological response and improves local control in resectable stage II and III rectal cancer, but does not benefit disease free or overall survival. The effects of preoperative CRT on functional outcome and quality of life are incompletely understood and should be addressed in future trials
Age-related differences in pre-movement antagonist muscle co-activation and reaction-time performance
MRI-Based Attenuation Correction for PET/MRI Using Ultrashort Echo Time Sequences
One of the challenges in PET/MRI is the derivation of an attenuation map to correct the PET image for attenuation. Different methods have been suggested for deriving the attenuation map from an MR image. Because the low signal intensity of cortical bone on images acquired with conventional MRI sequences makes it difficult to detect this tissue type, these methods rely on some sort of anatomic precondition to predict the attenuation map, raising the question of whether these methods will be usable in the clinic when patients may exhibit anatomic abnormalities. Methods: We propose the use of the transverse relaxation rate, derived from images acquired with an ultrashort echo time sequence to classify the voxels into 1 of 3 tissue classes (bone, soft tissue, or air), without making any assumptions on patient anatomy. Each voxel is assigned a linear attenuation coefficient corresponding to its tissue class. A reference CT scan is used to determine the voxel-by-voxel accuracy of the proposed method. The overall accuracy of the MRI-based attenuation correction is evaluated using a method that takes into account the nonlocal effects of attenuation correction. Results: As a proof of concept, the head of a pig was used as a phantom for imaging. The new method yielded a correct tissue classification in 90% of the voxels. Five human brain PET/CT and MRI datasets were also processed, yielding slightly worse voxel-by-voxel performance, compared to a CT-derived attenuation map. The PET datasets were reconstructed using the segmented MRI attenuation map derived with the new method, and the resulting images were compared with segmented CT-based attenuation correction. An average error of around 5% was found in the brain. Conclusion: The feasibility of using the transverse relaxation rate map derived from ultrashort echo time MR images for the estimation of the attenuation map was shown on phantom and clinical brain data. The results indicate that the new method, compared with CT-based attenuation correction, yields clinically acceptable errors. The proposed method does not make any assumptions about patient anatomy and could therefore also be used in cases in which anatomic abnormalities are present
Preoperative chemoradiation versus radiation alone for stage II and III resectable rectal cancer: a systematic review and meta-analysis
Combining chemotherapy with preoperative radiotherapy (RT) has a sound radiobiological rationale. We performed a systematic review and meta-analysis of trials comparing preoperative RT with preoperative chemoradiation (CRT) in rectal cancer patients. The Cochrane Central Register of Controlled Trials, Web of Science, Embase and Medline (Pubmed) were searched from 1975 until June 2007. Dichotomous parameters were summarized using the odds ratio while time to event data were analyzed using the pooled hazard ratio for death. From the primary search result of 324 trials, 4 relevant randomized trials were identified. The addition of chemotherapy significantly increased grade III and IV acute toxicity (p = 0.002) while no differences were observed in postoperative morbidity or mortality. Preoperative CRT significantly increased the rate of pathological complete response (p < 0.001) although this did not translate into a higher sphincter preservation rate (p = 0.29). The local recurrence rate was significantly lower in the CRT group (p < 0.001). No statistically significant differences were observed in disease free survival (p = 0.89) or overall survival (p = 0.79). Compared to preoperative RT alone, preoperative CRT improves local control in rectal cancer but is associated with a more pronounced treatment related toxicity. The addition of chemotherapy does not benefit sphincter preservation rate or long-term survival. Future trials should address improvements in the rate of distant metastasis and overall survival by incorporating more active chemotherapy
Magnetic resonace–based attenuation correction for micro–single-photon emission computed tomography
Attenuation correction is necessary for quantification in micro–single-photon emission computed tomography (micro-SPECT). In general, this is done based on micro–computed tomographic (micro-CT) images. Derivation of the attenuation map from magnetic resonance (MR) images is difficult because bone and lung are invisible in conventional MR images and hence indistinguishable from air. An ultrashort echo time (UTE) sequence yields signal in bone and lungs. Micro-SPECT, micro-CT, and MR images of 18 rats were acquired. Different tracers were used: hexamethylpropyleneamine oxime (brain), dimercaptosuccinic acid (kidney), colloids (liver and spleen), and macroaggregated albumin (lung). The micro-SPECT images were reconstructed without attenuation correction, with micro-CT-based attenuation maps, and with three MR-based attenuation maps: uniform, non-UTE-MR based (air, soft tissue), and UTE-MR based (air, lung, soft tissue, bone). The average difference with the micro-CT-based reconstruction was calculated. The UTEMR-based attenuation correction performed best, with average errors # 8% in the brain scans and # 3% in the body scans. It yields nonsignificant differences for the body scans. The uniform map yields errors of # 6% in the body scans. No attenuation correction yields errors 25% in the body scans. Attenuation correction should always be performed for quantification. The feasibility of MR-based attenuation correction was shown. When accurate quantification is necessary, a UTE-MRbased attenuation correction should be used
Recherche et création sonore: Table ronde
À l’instar de l’image cinématographique, qui a accompagné l’anthropologie dès le XIXe siècle, le son devient aujourd’hui un outil d’enquête et un mode d’expression vers lequel se tournent de plus en plus de chercheurs et chercheuses en sciences sociales. Mais comment la recherche peut-elle devenir sonore sans perdre sa scientificité ?Et comment, à l’inverse, la création sonore peut-elle s’inspirer des méthodes scientifiques pour inventer d’autres narrations ?À l’occasion du lancement d’un tutorat initiant des chercheuses et chercheurs à l’écriture sonore, proposé par la revue sonore Le Grain des Choses, et de la sortie de La revue Documentaires Un monde sonore, cette table ronde a exploré les espaces de rencontres possibles entre écriture sonore, travail de recherche et espace d’éditorialisation.Une rencontre modérée par Bénédicte Barillé, avec Fanny Dujardin (doctorante en esthétique et théorie des arts, laboratoire PRISM et responsable pédagogique du Master CREADOC), Yves Robic et Claire Gatineau du Grain des Choses, Marie Fierens (Université Libre de Bruxelles), enregistrée le jeudi 2 février 2023 dans le cadre du 19e Festival Longueur d’ondes. http://oufipo.org/recherche-et-creation-sonore/info:eu-repo/semantics/nonPublishe