[Digital computers in medicine].
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Biomedical subjects
Publications and source records attributed to W Mauderli.
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A 14CO2-measuring system for breath-analysis tests is described which utilizes plastic-scintillator filaments as radiation-detector elements. The 14C radioactivity in expired breath is measured directly, thus eliminating the need for trapping and counting of liquid scintillation-counting solutions. Total CO2 concentration in expired breath is measured by an infrared detector, making no assumption of endogenous CO2 output and enabling results to be expressed as either a concentration (percentage of administered dose per unit of CO2) or total expired 14CO2. Advantages of this system over an ionization chamber are: significantly lower background variation and shorter breathing time to fill completely the detecting chamber with expired air. The system is easy to operate, transportable on a small cart to the patient's bed if necessary, and applicable for continuous monitoring of 14CO2 in experimental animal studies.
Experimental results of a prototype rotating laminar emission camera (ROLEC) for nuclear medicine imaging are reported. A 11.5 mm thick, 45 x 45 mm high-purity germanium detector is segmented into 30 1.47 mm wide parallel channels and collimated with 39 mm high parallel plates. Projection data acquired at multiple angular orientations as the detector-collimator assembly is rotated about its center are mathematically reconstructed to image the activity distribution. The spatial resolution of the ROLEC is at least twice as good, at all distances, as that of gamma cameras with high resolution collimators. The better energy resolution of the germanium enhances the detection and resolution of the ROLEC in comparison to gamma cameras with NaI(T1) crystals, the relative superiority increasing with greater volumes and with greater depths. Adequate sensitivity is maintained while achieving these improvements in spatial resolution and in practice; ROLEC images are acquired in less time than pinhole collimator images with gamma cameras.
Design criteria for a germanium detector emission camera with laminar collimator-detector geometry are reported. In this design, parallel plates above a grooved germanium slab form detector channels which accumulate data in multiple projections through 180 degrees. Activity distribution is determined through mathematical reconstruction from the projections. The laminar design has greater efficiency than a hole-collimated device due to a favorable open area ratio and due to collimation in only one dimension. The relative sensitivity at the center of the detector strip increases with detector length and distance from collimator face. Spatial resolution depends upon the design geometry (septal penetration and scatter within the crystal are of such small magnitude that degradation of the point spread function is minimal). A 30 channel protype device (ROLEC) shows good correlation with theoretically determined PSF and signal-to-noise ratio (SNR). Measuring times projected for a clinical sized device (300 mm diam) are about 4.6 times that of the Anger camera (with same SNR) and high resolution collimator.
A germanium (Ge) camera with laminar collimator-detector geometry, ROLEC, simulating a 195 X 195 mm2 detection area, has been constructed and tested. The detector consists of five separate Ge blocks grooved into distinct electrical channels. Results show that ROLEC measuring times have to be about 3 X greater than Anger camera measuring times to achieve a 5% signal-to-noise ratio with each device. Both spatial and energy resolution of the ROLEC exceed that of the Anger camera but sensitivity variations along the detector strips pose a significant problem in development of a clinically useful device.