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Biomedical subjects

A Fenster

Publications and source records attributed to A Fenster.

At least 73 records · Page 4Linked to original sources
PubMed1995

Rapid volume flow rate estimation using transverse colour Doppler imaging.

A system is described in which the volume flow rate of blood in a vessel is determined using transverse colour Doppler ultrasound imaging. The system measures rapidly the two-dimensional velocity profile of blood flowing through a vessel. By integration of the measured velocity profiles the volume flow rate of blood in the vessel is obtained. The Doppler angle is obtained from the included angle between two imaging planes, and their respective average measured flows. This technique yields instantaneous and average flow rate in real time, and permits long flow recordings to be made and stored digitally. The error is less than 5% over a 8:1 flow rate range.

Algorithms↗
PubMed1995

Monte Carlo studies of x-ray energy absorption and quantum noise in megavoltage transmission radiography.

The subject contrast of bony anatomy in megavoltage medical radiographs is very low, making detection of bony landmarks difficult if additional noise sources are introduced into the images. One source of noise, which is inherent to the x-ray detection process, is x-ray energy absorption noise. X-ray energy absorption noise results from variations in the amount of energy deposited in the imaging detector per interacting x ray. These variations increase the noise content of the image. In this study, EGS4 Monte Carlo simulations of x-ray interactions in metal plate phosphor screen detectors have been performed to determine the distribution of energy absorption events within the phosphor screen. From these "absorbed energy distributions (AEDs)", the x-ray energy absorption noise and the quantum absorption efficiency of the detector are determined. These calculations are performed for a range of detector thicknesses (0.1-4 mm) and x-ray energies (0.1-10 MeV). A number of conclusions can be drawn from these investigations. (i) The x-ray absorption noise reduces the detective quantum efficiency (DQE) of metal plate/phosphor screen detectors by as much as 50% at energies used in megavoltage imaging (1-10 MeV). (ii) It is important to include secondary particle (electron) transport in estimating the quantum absorption efficiency of these detectors. For instance, the quantum efficiency of a typical portal detector is approximately 2%, even though 4%-5% of the incident photons are attenuated. (iii) The metal "conversion" plate commonly used in megavoltage imaging enhances the DQE of the phosphor screen by increasing the quantum absorption efficiency and reducing the magnitude of the x-ray absorption noise.

Biometry↗
PubMed1994

Optimal radiographic magnification for portal imaging.

Two approaches to estimate the optimal radiographic magnification for a TV camera-based portal imaging system and portal films have been used. The first approach optimizes signal transfer while the second optimizes signal-to-noise ratio (SNR) transfer. In order to perform these optimization calculations, the physical characteristics of the imaging system (modulation transfer function and noise power spectrum) as well as the sizes of the radiation sources of our medical linear accelerators have been measured. Using these data, the optimal magnification considering signal transfer alone (M signal) has been calculated to range between 2.0 and 2.3 for the TV camera-based imaging system and is about 1.0 for portal films. Conversely, the optimal magnification considering SNR transfer (MSNR) has been calculated to range between 1.5 and 1.7 for the TV camera-based imaging system and is about 1.0 for portal films. The results suggest that most portal imaging systems are operated close to their optimal radiographic magnification.

Humans↗
PubMed1994

X-ray scatter in megavoltage transmission radiography: physical characteristics and influence on image quality.

The physical characteristics of x rays scattered by the patient and reaching the imaging detector, as well as their effect on verification (portal) image quality, were investigated for megavoltage (0.1-20 MeV) x-ray beams. Monte Carlo calculations and experimental measurements were used to characterize how the scatter and primary fluences at the detector plane were influenced by scattering geometry and the energy spectrum of the incident beam. The calculated scatter fluences were differentiated according to photon energy and scattering process. Scatter fractions were measured on a medical linear accelerator (Clinac 2100c, 6 MV) for a typical imaging geometry using an ionization chamber and a silicon diode. After correction for the energy dependence of the chamber and diode, the scatter fractions generated by the Monte Carlo simulations were found to be in excellent agreement with the measured results. In order to estimate the effect of scatter on image quality, the scatter and primary signals (i.e., energy deposited) produced in five different types of portal imaging detectors (lead plate/film, storage phosphor alone, lead plate/storage phosphor, compton recoil-electron detector, and a copper plate/Gd2O2S phosphor) were calculated. The results show that, for a specified geometry, the scatter fraction can vary by an order of magnitude, depending on the sensitivity of the imaging detector to low-energy (< 1 MeV) scattered radiation. For a common portal imaging detector (copper plate/Gd2O2S phosphor), the scattered radiation (i) reduced contrast by much as 50% for a fixed display-contrast system, and (ii) decreased the differential-signal-to-noise ratio (DSNR) by 10%-20% for a quantum-noise-limited portal imaging system. For currently available TV-camera-based portal imaging systems, which have variable display contrast, the reduction in DSNR depends on the light collection efficiency and the noise characteristics of the TV camera. Overall, these results show that scattered radiation can reduce contrast significantly in portal films while deteriorating image quality only moderately in on-line systems.

Biophysical Phenomena↗
PubMed1994

Dual-energy x-ray imaging technique for in vitro tissue composition measurement.

A dual-energy in vitro radiographic technique has been developed to study the thickness of tissue and bone within atherosclerotic plaques. Results concerning the accuracy and precision of the thickness measurements using this technique are presented and discussed. Planar radiographs of phantoms were obtained with a low-energy spectrum (45 kVp, no added filtration) and a high-energy spectrum (100 kVp, 2.88-mm copper-added filtration), and then decomposed into bone-equivalent and Lucite basis-material images. Thickness measurements from these images yielded average accuracies of +/- 750 microns for the Lucite images, and +/- 25 microns for the bone-equivalent images. The imprecision (one standard deviation) of the thickness measurements was +/- 192 and +/- 47 microns for the Lucite and the bone-equivalent images, respectively (for thin sections). Although the accuracy and precision of Lucite thickness measurements were not as good as those obtained with other techniques, such as the iodine displacement technique, the accuracy and precision of the bone thickness measurements are shown to be much better. The high accuracy and precision of the bone measurement makes dual energy a very appealing technique for analyzing the physical properties of calcified atherosclerotic plaques in excised arterial specimens.

Absorptiometry, Photon↗
PubMed1994

A laboratory CT scanner for dynamic imaging.

A high-resolution laboratory CT scanner has been developed for imaging objects undergoing periodic motion. The scanner comprises an x-ray image intensifier, optically coupled to a linear photodiode array. Gated time-evolved projections of a single slice of the moving object are acquired, reformatted, and reconstructed. The resulting series of CT images shows the object at different phases of its motion cycle. The scanner has an adjustable field of view (FOV) and the resolution can be as high as 3.2 mm-1 (for the 40-mm FOV). The spatial resolution depends on the inherent resolution of the scanner and on the object's velocity. For objects moving at 1 cm s-1, the spatial resolution is reduced by 9% in the direction of motion. The signal intensity in the reconstructed image is linear for materials with attenuation coefficients as high as 1.5 cm-1 (for a 90-kVp x-ray beam), with an average accuracy of +/- 0.02 cm-1. The average accuracy of circumference measurements made from the CT images is +/- 0.3 mm. Lastly, an application of this dynamic CT scanner to imaging excised human arterial specimens under simulated physiological pressure conditions is presented as an example.

Aged↗
PubMed1994

A spatial-frequency dependent quantum accounting diagram and detective quantum efficiency model of signal and noise propagation in cascaded imaging systems.

The detective quantum efficiency (DQE) is a system parameter that can be used to accurately describe image noise transfer characteristics through many imaging systems. A simpler approach used by some investigators, particularly when evaluating new ideas and system designs, is to describe the system as a series of cascaded stages. Each stage may correspond to either an increase in the number of quanta (e.g., conversion from x-ray to optical quanta in a radiographic screen), or a loss (a detection or coupling probability). The number of secondary quanta at each stage per incident primary quantum is given by the product of all preceding gains, and can be displayed graphically for convenient interpretation. The stage with the fewest quanta is called the "quantum sink," limiting the pixel signal-to-noise ratio to less than the square root of the number of quanta per pixel. This conventional zero-spatial-frequency "quantum accounting diagram" (QAD), however, neglects the spatial spreading of secondary quanta and can seriously underestimate image noise. It is shown that this problem is avoided with the introduction of a spatial-frequency dependent QAD, expressed as the product of the gains and squared modulation-transfer functions (MTF) of each stage. A generalized expression is developed for the DQE of a cascaded imaging system that is dependent only on the gain, gain Poisson excess (related to the variance), and MTF, of each stage. A direct relationship is then shown to exist between the DQE and values in the QAD. The QAD of a hypothetical system consisting of a charge-coupled device camera and a scintillating screen is evaluated as an illustrative example. The conventional zero-frequency analysis suggests two quantum sinks occur with approximately equal importance: one in the number of x rays, and one in the number of optical quanta. The spatial-frequency dependent analysis, however, shows the optical quantum sink becomes severe and dominates at nonzero frequencies. The necessary increase in gain or optical numerical aperture required to prevent the optical quantum sink for spatial frequencies of interest is determined from the QAD analysis. The visual impact of this nonzero spatial-frequency quantum sink is shown in images generated using a Monte Carlo simulation of the cascading process.

Algorithms↗
PubMed1993

Three-dimensional colour Doppler imaging.

We have developed a system to acquire in vivo three-dimensional (3D) colour velocity images of peripheral vasculature. A clinical ultrasound system was modified by mounting the transducer on a motor-driven translation stage, allowing planar ultrasound images to be acquired along a 37 mm long stroke. A 3D velocity image is acquired by digitizing, in synchrony with the cardiac cycle, successive video images as the transducer is moved over the skin surface. 3D images require about 1 min to acquire and 10 min to reconstruct before being viewed interactively. Image acquisition at several points in the cardiac cycle permits a cine-type reconstructed image. Geometrical, temporal and velocity accuracy of the acquisition and reconstruction have been quantified and found not to degrade the image.

Adult↗
PubMed1993

Elasticity and geometry measurements of vascular specimens using a high-resolution laboratory CT scanner.

Vascular diseases are frequently associated with changes in the mechanical properties of the arterial wall. Existing techniques for studying arterial geometry and mechanical properties in vitro are often destructive, since they involve sectioning of the specimen into strips, or provide average measurements of the mechanical properties over the volume of intact specimens. We developed a high-resolution computed tomography (CT) scanner for in vitro studies of arterial geometry and static elastic properties. The x-ray image intensifier based system can acquire single transverse images, or a volume image, with 2 mm-1 resolution. Images were obtained through an intact abdominal aortic aneurysm at five pressures. The incremental circumferential Young's modulus E(inc) was calculated from the internal and external circumferences, and at physiological pressures E(inc) of the aneurysm was found to be 275 times greater than that of the normal aorta proximal to it. A volume image of the specimen provided landmarks that allowed histological sections to be obtained at locations coincident with those where the elasticity was measured. The histological analysis revealed a sixfold decrease in elastin content in the aneurysm, compared to the normal aorta. We have demonstrated that the static mechanical properties and geometry of vascular specimens can be quantified in vitro with the new high-resolution CT scanner and can be compared subsequently with histological analysis to provide further insight into the understanding of atherogenesis.

Aged↗
PubMed1993

Three-dimensional sonographic reconstruction: techniques and diagnostic applications.

In this review, we summarize the techniques of obtaining and reconstructing three-dimensional (3D) sonograms in a number of anatomic areas, catalog the clinical efforts at 3D sonography so far, and introduce more recent work in this area that takes advantage of the unique features of sonography. Although it is an active area of 3D imaging research, cardiac 3D imaging is not discussed because it has unique requirements stemming from the heart's anatomic inaccessibility and motion. Image analysis and display also are not covered, as no clear consensus has been reached about the usefulness of the large number of available methods.

Female↗
PubMed1992

A velocity evaluation phantom for colour and pulsed Doppler instruments.

We describe a phantom designed to evaluate the velocity measurements made with colour and pulsed Doppler instruments. Using a belt to translate a large volume of semi-rigid material through the entire Doppler sample volume eliminates many of the problems associated with flow and string phantoms. A servo-motor with feedback circuitry ensures accurate control of the belt velocity with an uncertainty in the mean velocity of 0.14%. The phantom provides velocities with typical variations of 0.07 cm/s. We have demonstrated the usefulness of this phantom by evaluating the linearity and accuracy of three pulsed Doppler instruments over belt velocities ranging from 0 to 80 cm/s. In addition, the measurements show the effects of the wall filter at low belt velocities. Using this phantom, we have quantified the accuracy, linearity and precision of the velocity measurements made by three colour Doppler instruments. The results also show regions where the colour instruments are aliased and where the wall filter dominates.

Calibration↗
PubMed1992

Daily monitoring and correction of radiation field placement using a video-based portal imaging system: a pilot study.

We have developed a video-based portal imaging system for radiotherapy localization. The system can acquire high quality portal images automatically using short (1-3 monitor unit) irradiations and immediately display the images. The major advantage of the imaging system is that it can be used routinely to check and correct patient positioning before much of the daily irradiation has been delivered. The portal imaging system has been used in a pilot study to monitor five patients during each of their daily treatments. The study has shown that: (i) image quality is sufficiently high to detect discrepancies in field placement from that prescribed on the simulator film; (ii) discrepancies in field placement occur frequently; and, (iii) routine correction of patient and block positioning can reduce the size of these discrepancies. This is the first time that field placement in radiation therapy has been checked and corrected routinely, before the treatment irradiation. However, limitations in the size of the field of view and in the methods of extracting and presenting the geometric information to the users limits the clinical utility of the imaging system. Solutions to these limitations are currently under development.

Computer Terminals↗
PubMed1991

Computer-controlled positive displacement pump for physiological flow simulation.

A computer-controlled pump for use both in the study of vascular haemodynamics and in the calibration of clinical devices which measure blood flow is designed. The novel design of this pump incorporates two rack-mounted pistons, driven into opposing cylinders by a micro-stepping motor. This approach allows the production of nearly uninterrupted steady flow, as well as a variety of pulsatile waveforms, including waveforms with reverse flow. The capabilities of this pump to produce steady flow from 0.1 to 60 ml s-1, as well as sinusoidal flow and physiological flow, such as that found in the common femoral and common carotid arteries are demonstrated. Cycle-to-cycle reproducibility is very good, with an average variation of 0.1 ml s-1 over thousands of cycles.

Arteries↗
PubMed1990

A digital fluoroscopic imaging device for radiotherapy localization.

We have been developing a digital fluoroscopic imaging system to replace the portal films that are currently used to verify patient positioning during radiotherapy treatments. Our system has a number of modifications compared to previously reported devices. The detector, which consists of a copper plate with Gd2O2S:Tb phosphor bonded directly to the copper, has been designed to maximize light output from the phosphor by increasing the phosphor thickness. The operation of the T.V. camera has been modified so that the light signal is accumulated on the target of the T.V. camera for periods of 0.2-2.0 seconds. Accumulation of the light increases the video signal relative to the fixed noise current generated by the camera, and thus minimizes the camera noise. The resulting image quality is comparable to film, so the imaging system represents a promising alternative to film as a method of verifying patient positioning in radiotherapy.

Fluoroscopy↗