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Characterization of artifact simulating aortic dissection in computed tomography imaging.

An artifact simulating aortic dissection has been seen in computed tomography (CT) and reported in numerous journals. The purpose of this study is to determine the origin. A phantom was constructed to simulate the motion of the ascending aorta during the cardiac cycle. Technique factors such as scan time, slice thickness, pitch, and reconstruction algorithms were examined for their effect on the simulated dissection appearance. Change in the angle of the simulated aorta with respect to the scanner axis was also studied. CT images displaying the simulated aortic dissection are obtained reproducibly. The amplitude of the artifact is more pronounced for increased scan time. The artifact amplitude is proportional to the displacement of the phantom. The simulated aortic dissection seems to be more pronounced when the scan time is comparable to the cycling time of aortic motion.

Aortic Dissection↗

Reduction of peristaltic artifacts on magnetic resonance imaging of the abdomen: a comparative evaluation of three drugs.

BACKGROUND: Peristaltic motion is an omnipresent source of degradation in abdominal magnetic resonance (MR) imaging by blurring images and producing ghost artifacts that can mask or mimic lesions. The objective of this study was to select an effective and easy-to-administer drug to provide consistent reduction of peristaltic motion artifacts on MR images. METHODS: One hundred forty-eight adult patients with MR examinations of the abdomen were enrolled in a prospective, single-blind comparative study. Four groups were defined: (a) no-drug control group (n = 35), (b) 1 mg of intravenous (IV) glucagon (n = 19), (c) 20 mg of IV butylscopolamine (n = 28), and (d) 20 mg of oral dicyclomine (n = 66). All patients received high-density barium sulphate as a negative oral contrast medium. Quantitative image analysis was performed with operator-defined region-of-interest measurements of signal intensity. Gastrointestinal noise was measured outside the patient at the posterior part of the left hemiabdomen along the phase-encoding direction on a short inversion time inversion recovery (STIR) sequence. RESULTS: Treatment groups showed reduced gastrointestinal noise (p < 0.01). When compared with the control group, IV butylscopolamine (p < 0.05) and oral dicyclomine (p < 0.05) significantly reduced gastrointestinal noise, whereas glucagon did not. CONCLUSION: Anticholinergic drugs significantly reduced the intensity of ghost artifacts on MR imaging of the abdomen. Twenty milligrams of oral dicyclomine is an effective and safe alternative to more expensive and parenterally administered drugs such as glucagon and butylscopolamine.

Abdomen↗

Nonlinear geometric warping of the mask image: a new method for reducing misregistration artifacts in digital subtraction angiography.

PURPOSE: Misregistration artifact is the major cause of image degradation in digital subtraction angiography (DSA). The purpose of this study was to evaluate the efficacy of a newly developed nonlinear geometric warping method to reduce misregistration artifact in DSA. METHODS: The processing of the images was carried out on a workstation with a fully automatic computerized program. After making differential images with a lapracian filter, 49 regions of interest (ROIs) were set in the image to be processed. Each ROI of the live image scanned the corresponding ROI of the mask image searching for the best position to match itself. Each pixel of the mask image was shifted individually following the data calculated from the shifts of the ROIs. Five radiologists compared the images produced by the conventional parallel shift technique and those processed with this new method in 16 series of cerebral DSA. RESULTS: In 14 of 16 series (88%), more radiologists judged the images processed with the new method to be better in quality. Small arteries near the skull base and veins of low density were clearly visualized in the images processed by the new method. CONCLUSION: This newly proposed method could be a simple and practical way to automatically reduce misregistration artifacts in DSA.

Angiography, Digital Subtraction↗

Respiratory motion artifact suppression in diffusion-weighted MR imaging of the spine.

Diffusion-weighted spin-echo imaging of the spine has been successfully implemented for differentiation of benign fracture edema and tumor infiltration of the vertebral body. Nevertheless, this technique still suffers from insufficient image quality in numerous patients due to motion artifacts. The aim of this study was to investigate the impact of variable respiratory motion artifact suppression techniques on image quality in diffusion-weighted spin-echo imaging of the spine. In addition to phase-encoding reordering, a newly implemented right hemi-diaphragmaitc navigator for respiratory gating was used. Subjective and objective image quality parameters were compared. Respiratory motion artifact suppression has a major impact on image quality in diffusion-weighted imaging of the spine. Phase-encoding reordering does not enhance image quality while right hemi-diaphragmatic respiratory navigator gating significantly improves image quality at the cost of data acquisition time. Navigator gating should be used if standard spin-echo diffusion-weighted imaging demonstrates insufficient image quality.

Adult↗

Study on motion artifacts in coronary arteries with an anthropomorphic moving heart phantom on an ECG-gated multidetector computed tomography unit.

Acquisition time plays a key role in the quality of cardiac multidetector computed tomography (MDCT) and is directly related to the rotation time of the scanner. The purpose of this study is to examine the influence of heart rate and a multisector reconstruction algorithm on the image quality of coronary arteries of an anthropomorphic adjustable moving heart phantom on an ECG-gated MDCT unit. The heart phantom and a coronary artery phantom were used on a MDCT unit with a rotation time of 500 ms. The movement of the heart was determined by analysis of the images taken at different phases. The results indicate that the movement of the coronary arteries on the heart phantom is comparable to that in a clinical setting. The influence of the heart rate on image quality and artifacts was determined by analysis of several heart rates between 40 and 80 bpm where the movement of the heart was synchronized using a retrospective ECG-gated acquisition protocol. The resulting reformatted volume rendering images of the moving heart and the coronary arteries were qualitatively compared as a result of the heart rate. The evaluation was performed on three independent series by two independent radiologists for the image quality of the coronary arteries and the presence of artifacts. The evaluation shows that at heart rates above 50 bpm the influence of motion artifacts in the coronary arteries becomes apparent. In addition the influence of a dedicated multisector reconstruction technique on image quality was determined. The results show that the image quality of the coronary arteries is not only related to the heart rate and that the influence of the multisector reconstruction technique becomes significant above 70 bpm. Therefore, this study proves that from the actual acquisition time per heart cycle one cannot determine an actual acquisition time, but only a mathematical acquisition time.

Algorithms↗

Virtual computed tomography colonoscopy: artifacts, image quality and radiation dose load in a cadaver study.

The purpose of our study was to evaluate the interdependency of spatial resolution, image reconstruction artifacts, and radiation doses in virtual CT colonoscopy by comparing various CT scanning protocols. A pig's colon with several artificial polypoid lesions was imaged after air insufflation with helical CT scanning using 1-, 3-, and 5-mm collimation, and pitch values varying from 1.0 to 3.0. Virtual endoscopic images and "fly through" sequences were calculated on a Sun Sparc 20 workstation (Navigator Software, GE Medical Systems, Milwaukee, Wis.). Several reconstruction artifacts as well as overall image quality were evaluated by three independent reviewers. In addition, radiation doses for the different CT protocols were measured as multiple-scan average dose using a 10-cm ion chamber and a standard Plexiglass body phantom. Generally, image quality and reconstruction artifacts were less affected by pitch values than by beam collimation. Thus, narrow beam collimation at higher pitch values (e. g. 3 mm/2.0) seems to be a reasonable compromise between quality of virtual endoscopic images and radiation dose load.

Animals↗

Monitoring of haemoglobin oxygen saturation in healthy infants using a new generation pulse oximeter which takes motion artifacts into account.

UNLABELLED: The aim of this study was to establish normal values for overnight oxygen saturation (SpO2) in healthy term infants using an oximeter which takes into account motion artifacts and to compare these to normal values collected with a previous generation oximeter not correcting for motion artifacts. We recorded overnight SpO2 in 26 term, healthy infants (median age 136 days, range 6-364 days) in the home environment using the Nellcor Symphony N 3000 pulse oximeter with an averaging time of 3 s. A sample rate of 5 s was chosen. Motion artifacts were excluded from the analysis. Data were compared with those from a previous study, using the same inclusion and exclusion criteria with the Oxford Medilog. Median (quartiles) SpO2 was 98% (97%-99%). Median percentage of study time below SpO2 94% was 0.2% (0.1%-0.7%); median percentage of study time below SpO2 90% was 0.0% (0.0%-0.01%). Median SpO2with the Oxford oximeter was 97% (96%-98%); percentage of study time below SpO2 94% was 8% (2%-14%); percentage of study time below SpO2 90% was 2% (0%-4%). These data were compared with the Nellcor Symphony data: differences in median SpO2 were significant ( P<0.05); differences in percentage of time below SpO2 94% and 90% were also statistically significant ( P<0.001). CONCLUSION: we established normal values of oxygen saturation in healthy term infants using the Nellcor Symphony 3000 pulse oximeter. Care should be taken in interpreting values obtained with different types of pulse oximeters.

Artifacts↗

Detection of movement artifact in recorded pulse oximeter saturation.

UNLABELLED: Movement artifact (MA) must be detected when analysing recordings of pulse oximeter saturation (SpO2). Visual analysis of individual pulse waveforms is the safest, but also the most tedious, method for this purpose. We wanted to test the reliability of a computer algorithm (Edentec Motion Annotation System), based on a comparison between pulse and heart rate, for MA detection. Ten 12-h recordings of SpO2, pulse waveforms and heart rate from ten preterm infants were analysed for the presence of MA on the pulse waveform signal. These data were used to determine the sensitivity and specificity of the computer algorithm, and of the oximeter itself, in detecting MA. Recordings were divided into segments of 2.5 s duration to compare the movement identification methods. Of the segments 31% +/- 6% (mean +/- SD) contained MA. The computer algorithm identified 95% +/- 3% of these segments, the pulse oximeter only 18% +/- 11%. Specificity was 85% +/- 4% and 99% +/- 0%, respectively. SpO2 was < or =80% in 3% +/- 1% of segments. 88% +/- 7% of the pulse waveform signal showed MA during this time, leaving a significant potential for erroneous identification of hypoxaemia. Recordings of SpO2 do not allow a reliable identification of MA. CONCLUSION: Without additional information about movement artifact, a significant proportion of recording time of pulse oximeter signal may be regarded as demonstrating hypoxaemia which, in fact, simply reflects poor measurement conditions. The computer algorithm used in this study identified periods of movement artifact reliably.

Algorithms↗

Recognition and prevention of computed radiography image artifacts.

Initiated by complaints of image artifacts, a thorough visual and radiographic investigation of 197 Fuji, 35 Agfa, and 37 Kodak computed radiography (CR) cassettes with imaging plates (IPs) in clinical use at four radiology departments was performed. The investigation revealed that the physical deterioration of the cassettes and IPs was more extensive than previously believed. It appeared that many of the image artifacts were the direct result of premature wear of the cassettes and imaging plates. The results indicate that a quality control program for CR cassettes and IPs is essential and should include not only cleaning of the cassettes and imaging plates on a regular basis, but also visual and radiographic image inspection to limit the occurrence of image artifacts and to prolong the life cycle of the CR equipment.

Artifacts↗

Nullification of electromagnetic radiation: 50 Hz artifact during electroencephalogram recording.

This paper discusses the 50-Hz artifact observed during EEG recording of three patients, using Mindset24 equipment in a biomedical laboratory along with other instruments. The artifact at 50 Hz is created due to electromagnetic (EM) radiation from the environment. Perhaps, the nullification of 50 Hz artifact occurs by the three important means such as (a) grounding of far-field EM current when the patient touches the equipment metal casing, (b) connecting the electrodes in a sequence to obtain differential potentials with suppressed near-field EM radiation potentials of the scalp, and (c) destructive interferences of the EM waves.

Artifacts↗

A multiple source approach to the correction of eye artifacts.

Previously published methods correct eye artifacts by subtracting proportions of the EOG from EEG electrodes. The implicit assumption made by these methods is that the EOG signals are a good measure of eye activity and contain no EEG. In this paper a new multiple source eye correction (MSEC) method of eye artifact treatment based on multiple source analysis is presented, which incorporates a model of brain activity. An accurate, head model-independent estimate of the spatial distribution of eye activity can be obtained empirically from calibration data containing systematic eye movements and blinks. Using the resulting spatial vectors together with the brain model, eye activity in EEG and event-related response data can be estimated in the presence of overlapping brain activity and corrected. A consequence of the MSEC approach is that data at EOG electrodes can be included in analyses of brain activity. In addition, by suitable selection of the spatial vectors, the eye activity can be split into signals which identify vertical and horizontal movements and eyeblinks. Using auditory ERP data sets with and without large eye artifacts, the MSEC method is compared with a "traditional" method in which brain activity is not modelled, particularly with respect to the spatial distribution of the corrected EEG. Traditional eye correction methods are shown to alter the spatial distribution of the EEG, resulting, for example, in changes in location and orientation of modelled equivalent sources. Such distortion is much reduced in the MSEC method, thus enhancing the precision of topographical EEG analyses.

Acoustic Stimulation↗

Electron cryomicroscopy of frozen-hydrated biological specimens: analysis of freezing artifacts by X-ray cryocrystallography.

Freezing artifacts have been evaluated by X-ray cryocrystallography on pellets of two-dimensional membrane protein crystals: purple membrane and maltoporin. The comparison of the X-ray patterns recorded when the specimens are maintained at room temperature to those obtained when the specimens are maintained at about -160 degrees C shows that (i) membrane proteins have a positive thermal dilatation coefficient: the protein crystal lattice shrinks upon cooling; (ii) the asymmetric unit of crystal containing water is changed upon freezing; the relative intensities of the diffraction rings of such crystals are different after freezing. From these results, it can be postulated that freezing may lead to partial dehydration of biological objects. Electron cryomicroscopy visualizes objects which are structurally influenced by the cooling procedure. However, our microscopy study on maltoporin crystals shows that freezing artifacts are negligible in comparison to artifacts associated with conventional techniques such as negative staining.

Artifacts↗

Susceptibility artifacts in 2DFT spin-echo and gradient-echo imaging: the cylinder model revisited.

Susceptibility-induced geometry and intensity distortions are a familiar observation in MR imaging. In the past few years several attempts have been made to aid in the understanding of susceptibility artifacts by means of simulation studies. Although these studies, which were mostly carried out with simple test objects, have produced some qualitative insight into chi-artifacts, the results lacked precision in describing finer details. In this paper we show the discrepancy between theory and experiment in previous work to be the result of an inadequate theoretical approach. In most studies so far, delta B0 effects are taken into account in the frequency domain, that is, after Fourier transformation of the data. In our view the simulation should follow the actual sequence of events in an imaging experiment and deal with the effect of error fields in the time domain (k-space) already. The correctness of this view is demonstrated here by comparing the results of time and frequency domain simulation against experimental observation for a coaxial cylinder phantom, a widely used model in this type of work. Having established the superiority of the time domain simulation, we demonstrate its use in predicting chi-artifacts under various experimental conditions, for example, in spin-echo and gradient-echo imaging with a reduced number of phase-encoding steps.

Artifacts↗

An adaptive approach to metal artifact reduction in helical computed tomography for radiation therapy treatment planning: experimental and clinical studies.

PURPOSE: In this article, an approach to metal artifact reduction is proposed that is practical for clinical use in radiation therapy. It is based on a new interpolation scheme of the projections associated with metal implants in helical computed tomography (CT) scanners. METHODS AND MATERIALS: A three-step approach was developed consisting of an automatic algorithm for metal implant detection, a correction algorithm for helical projections, and a new, efficient algorithm for projection interpolation. The modified raw projection data are transferred back to the CT scanner device where CT slices are regenerated using the built-in reconstruction operator. The algorithm was tested on a CT calibration phantom in which the density of inserted objects are known and on clinical prostate cases with two hip prostheses. The results are evaluated using the CT number and shape of the objects. RESULTS: The validations on a CT calibration phantom with various inserts of known densities show that the algorithm improved the overall image quality by restoring the shape and the representative CT number of the objects in the image. For the clinical hip replacement cases, a large fraction of the bladder, rectum, and prostate that were not visible on the original CT slices were recovered using the algorithm. Precise contouring of the target volume was thus feasible. Without this enhancement, physicians would have drawn bigger margins to be sure to include the target and, at the same time, could have prescribed a lower dose to keep the same level of normal tissue toxicity. CONCLUSIONS: In both phantom experiment and patient studies, the algorithm resulted in significant artifact reduction with increases in the reliability of planning procedure for the case of metallic hip prostheses. This algorithm is now clinically used as a preprocessing before treatment planning for metal artifact reduction.

Algorithms↗

Improved ballistocardiac artifact removal from the electroencephalogram recorded in fMRI.

The simultaneous recording of electroencephalogram (EEG) and functional magnetic resonance image (fMRI) is a promising tool that is capable of providing high spatiotemporal brain mapping, with each modality supplying complementary information. One of the major barriers to obtain high-quality simultaneous EEG/fMRI data is that pulsatile activity due to the heartbeat induces significant artifacts in the EEG. The purpose of this study was to develop a novel algorithm for removing heartbeat artifact, thus overcoming problems associated with previous methods. Our method consists of a mean artifact wave form subtraction, the selective removal of wavelet coefficients, and a recursive least-square adaptive filtering. The recursive least-square adaptive filtering operates without dedicated sensor for the reference signal, and only when the mean subtraction and wavelet-based noise removal is not satisfactory. The performance of our system has been assessed using simulated data based on experimental data of various spectral characteristics, and actual experimental data of alpha-wave-dominant normal EEG and epileptic EEG.

Adult↗

Recovering EEG brain signals: artifact suppression with wavelet enhanced independent component analysis.

Independent component analysis (ICA) has been proven useful for suppression of artifacts in EEG recordings. It involves separation of measured signals into statistically independent components or sources, followed by rejection of those deemed artificial. We show that a "leak" of cerebral activity of interest into components marked as artificial means that one is going to lost that activity. To overcome this problem we propose a novel wavelet enhanced ICA method (wICA) that applies a wavelet thresholding not to the observed raw EEG but to the demixed independent components as an intermediate step. It allows recovering the neural activity present in "artificial" components. Employing semi-simulated and real EEG recordings we quantify the distortions of the cerebral part of EEGs introduced by the ICA and wICA artifact suppressions in the time and frequency domains. In the context of studying cortical circuitry we also evaluate spectral and partial spectral coherences over ICA/wICA-corrected EEGs. Our results suggest that ICA may lead to an underestimation of the neural power spectrum and to an overestimation of the coherence between different cortical sites. wICA artifact suppression preserves both spectral (amplitude) and coherence (phase) characteristics of the underlying neural activity.

Adult↗

MRI of hip prostheses using single-point methods: in vitro studies towards the artifact-free imaging of individuals with metal implants.

Use of magnetic resonance imaging (MRI) in individuals with orthopedic implants is limited because of the large distortions caused by metallic components. As a possible solution for this problem, we suggest the use of single-point imaging (SPI) methods, which are immune to the susceptibility artifacts observed with conventional MRI methods. A further advantage of SPI, based on the fact that signal encoding is achieved in ultra-short times (as short as tens of microseconds), is that they enable the direct visualization of the polymeric elements of the implants, allowing the detection of possible implant failures. We present in vitro SPI images of polymeric sockets of two hip prostheses together with artifact-free images of gelatin phantoms containing their respective metallic stems. These data underscore the great potential of the SPI technique for obtaining artifact-free images of individuals with large metal implants.

Artifacts↗

RF artifacts caused by metallic implants or instruments which get more prominent at 3 T: an in vitro study.

Metallic devices with high electrical conductivity inside or adjacent to the body might lead to marked alterations of the RF amplitude B1 in the tissue under investigation, especially at increased RF frequency, and if specific conditions for electromagnetic resonance are fulfilled. RF-metal interaction effects were investigated systematically at B0=0.2, 1.5 and 3 T analyzing correlated image artifacts for copper wires (d=1 mm, L=53 and 27 cm), and for following instruments and implants made of titanium or nitinol: biopsy needles, hip prostheses, vascular stents and aneurysm clips. The samples were examined in Gd-DTPA-doped 140 mM NaCl solution using spin-echo (SE) sequences with high readout bandwidth. Automatic transmitter adjustment V(T,auto) and manually reduced transmitter voltage VT were applied in order to detect B1 enhancement. At 0.2 T, beyond the shielding of the luminal region of the stents, no RF effects were observed. At 1.5 T, the copper wires caused distinct RF artifacts. At 3 T, RF artifacts also appeared for the hip prostheses and the biopsy needles. Stents with pronounced luminal shielding at lower field strength revealed marked B1 enhancement close to their outer surface.

Alloys↗