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Biomedical subjects

I A Cunningham

Publications and source records attributed to I A Cunningham.

25 records · Page 2Linked to original sources

Selective iodine imaging using lanthanum K fluorescence.

Time-dependent subtraction techniques have tremendously improved the visualization of iodinated vessels. These techniques suffer from motion artifacts, however, since the mask image is acquired several seconds prior to the contrast image. A K-edge subtraction technique for selectively imaging iodine using the characteristic x rays from a lanthanum secondary target is presented. The K alpha lines of lanthanum closely straddle the K edge of iodine. A prepatient iodine filter will alter the ratio of K alpha 1 to K alpha 2 intensities; by subtracting two images made with different K alpha 1/K alpha 2 ratios, iodinated structures can be isolated. Since the method requires no mask image, motion artifacts are reduced. Preliminary images acquired with an image intensifier/photodiode array detector system are shown. Theoretical performance of this method is compared to other iodine-selective imaging techniques on the basis of exposure and dose. The feasibility of using lanthanum K fluorescence for rapid clinical iodine-selective imaging is discussed.

Angiography↗

A photodiode array x-ray imaging system for digital angiography.

A line scanning imaging system that can be used to make low-noise x-ray images to detect low-contrast structure is described. The system makes use of a 1024-element, self-scanning, photodiode array (Reticon RL 1024S) optically coupled to an x-ray image intensifier tube. Low-noise images are obtained by imaging only small areas of interest at a time to reduce the noise resulting from the detection of scattered radiation, and by making use of the very large dynamic range (8000:1) solid-state photodetector. Some performance characteristics of the diode array system are discussed. It was found that while sensitivities of individual elements differed by up to +/- 15% from the average, they could be corrected with a precision of 0.02% to 0.04% of the maximum signal. The limiting spatial resolution of the system in the direction of the diode array was 2.0 cycles/mm, limited by the image intensifier. The system linearity was studied by measuring the attenuation of a monoenergetic x-ray beam by Plexiglas. The measured attenuation agreed with the expected exponential decrease over a range of approximately 1000 to within experimental error. The imaging capabilities of the system were demonstrated by imaging an angiographic phantom consisting of an iodine-filled tube with an asymmetric 20% stenosis. The stenosis was oriented on the tube surface furthermost from the detector resulting in an image with a 2% radiographic contrast change but no decrease of the tube width. The stenosis was clearly imaged using a temporal subtraction technique.

Angiography↗

A method for modulation transfer function determination from edge profiles with correction for finite-element differentiation.

In this paper we describe a technique for determining the modulation transfer function (MTF) of an imaging system from an experimentally obtained edge profile. The technique includes an exact correction for the frequency passband of the finite-element differentiation required to obtain the line spread function from the edge spread function. This correction has been ignored by investigators in the past and is required whenever finite-element differentiation is used rather than analytic differentiation of a model fitted to the edge response data. The magnitude of the MTF correction is approximately 11% at f = fc/2 and approximately 57% at f = fc, where fc = fs/2 is the maximum frequency reproducible without aliasing with a sampling rate of fs. The correction is performed in the spatial frequency domain by multiplying the uncorrected MTF by 1/sinc (pi f/2fc). A computer simulation is presented to demonstrate the effect and the correction procedure. An experimental MTF of an x-ray image intensifier system obtained using this technique is found to be consistent with an MTF obtained using a bar pattern test phantom.

Computer Simulation↗

Arterial flow characterization with a photodiode array based imaging system.

An x-ray imaging system is described that can be used for obtaining arterial blood flow information. The system consists of a linear photodiode array image detector, simple optical and mechanical components, and a data acquisition microcomputer that connect to a conventional x-ray image intensifier based fluorography system. Flow information is obtained by detecting the movement of a small, locally injected bolus of radio-opaque contrast agent. This is done by determining the bolus mass, integrated over the cross-sectional area, at each of 1024 positions along the length of the artery with a sampling rate of up to 200 samples per s. It is shown in a phantom study that the peak flow velocity can be measured with an accuracy of +/- 5% by detecting the bolus arrival times at each of the 1024 positions. The mean velocity is obtained with similar accuracy using a cross-correlation technique and a modified form of the Stewart-Hamilton principle. In addition, it is shown that the separation and reattachment points resulting from flow separation near a stenosis can be determined from the bolus clearance times. The locations of these points are consistent with theoretical values for the cosine shaped symmetric 89% stenosis used in this study.

Angiography↗

Signal and noise in modulation transfer function determinations using the slit, wire, and edge techniques.

The modulation transfer function (MTF) of an idealized imaging system can be determined from the Fourier transform of the system's line-spread function (LSF). Three techniques of experimentally determining the LSF require imaging either a slit, wire, or edge. In this paper, these three techniques are modeled theoretically to determine the noise in the calculated MTFs as a function of spatial frequency resulting from both quantum fluctuations and stochastic detector noise. The techniques are compared using the signal-to-noise ratio (SNR) in the MTF, defined as the ratio of the MTF value to the standard deviation in an ensemble of MTF determinations from independent measurements. It is shown that for a specified photon fluence, the edge method MTF has the highest SNR at low spatial frequencies, while that of the slit method is superior at high frequencies. The wire method SNR is always inferior to that of the slit technique. This suggests that the edge method is preferable for measuring parameters such as the low-frequency drop, and the slit method is preferable for determining high-frequency response. The cross-over frequency at which the slit and edge methods are equal (f(e)) for quantum-noise limited systems is a function of the slit width and the length over which the LSF is measured. For detector-noise limited systems, f(e) is dependent on the slit width only. The SNR in all but the quantum-noise limited slit method can therefore be increased by decreasing the length over which the LSF is measured, smoothing the tails of the LSF, or by fitting the tails to an analytic expression.

Fourier Analysis↗

High-resolution x-ray imaging at soft diagnostic energies using a silicon photodiode array.

A linear self-scanned silicon photodiode array (PDA) has been used as a high-resolution detector for small object computed tomography using soft diagnostic x rays. The imaging performance of the PDA when used to detect x rays directly has been characterized for x-ray spectra between 24 and 69 kVp. The modulation transfer function (MTF) was measured to 40 cycles/mm (twice the PDA sampling cut-off frequency) by double sampling an edge profile using a half-detector shift. The MTF had no significant energy dependence, a 10% value at 28 cycles/mm, and a 3% low-frequency drop. The detective quantum efficiency zero-frequency value ranged from 1.5% with an 18-keV average-energy beam to 0.4% at 40 keV, and decreased further with increasing spatial frequency. It was found that the effective thickness of the silicon detector was 22 microns. This is typical of the expected diffusion length of minority carriers in doped silicon. An average of 4.6 +/- 1 eV was required to generate one e-h pair in the PDA, consistent with the accepted value of 3.6 eV in silicon. No evidence of radiation damage was observed after an accumulated exposure of over 5000 R. Use of the PDA is demonstrated by generating computed tomographic images using a third-generation (rotate only) reconstruction algorithm. Images of a resolution test phantom, a pen and pencil, a mouse head, and bone biopsy specimen taken from a patient with osteoporosis are shown.

Animals↗

A scanning x-ray imaging system for quantitative arteriography and blood flow measurements.

The authors have developed a new x-ray imaging system for quantitative arterial imaging and blood flow measurements. The system is based on the scanned projection technique and employs an x-ray beam collimated into a fan of radiation and an x-ray image intensifier optically coupled to a 1024-element linear photo-diode detector array. The system has two modes of operation: quantitative projection imaging and blood flow measurements. In the first mode of operation, low-noise, quantitative images are obtained by irradiating small regions of interest to minimize the detection of scattered radiation and intensifier tube veiling glare. System performance is optimized by making use of the large dynamic range (8,000:1) and response linearity of the solid-state photo-detector. In the second mode of operation, flow information is obtained by detecting the passage of a small bolus of iodine contrast agent.

Angiography↗