Dohyeon Kim

A partially duplicated discoid lateral meniscus

Partially duplicated discoid lateral meniscus has not been previously reported. We present a case of a partially duplicated discoid lateral meniscus with a peripheral tear of the meniscus and a concomitant cartilage lesion of the lateral femoral condyle.

Formaldehyde Removal Efficiency Using Nano-size Carbon Colloids

The purpose of this study was to assess the removal efficiency of formaldehyde using nano-size carbon colloid (NCC), which was produced by a comparatively easy and cheap method. In this study, nano-size carbon colloid based on water was produced by an electro-chemical method. The particles which have mostly a spherical shape with a diameter of, what is called, “nano-size” were produced. Non-woven fabric filter, which is currently on the market as a medium filter, was used for the removal efficiency test. Known concentration (0.5 ppm) of formaldehyde standard gas was used as a pollutant. The overall results indicate that: (1) nano-size carbon colloid which has a stable dispersibility, and of which diameter is approximately 10 nm or less was produced; (2) filters treated with nano-size carbon colloids showed a higher removal efficiency, 44.47 µg of HCHO removed/g of carbon and 19.28 µg of HCHO removed/g of carbon when compared to the control experiment using a normal carbon filter. The normal carbon filter system could only achieve 1.45 µg of HCHO removed/g of carbon.

Feasibility study of shutter scan acquisition for region of interest (ROI) digital tomosynthesis

Abstract Dose reduction techniques have been studied in medical imaging. We propose shutter scan acquisition for region of interest (ROI) imaging to reduce the patient exposure dose received from a digital tomosynthesis system. A prototype chest digital tomosynthesis (CDT) system (LISTEM, Wonju, Korea) and the LUNGMAN phantom (Kyoto Kagaku, Japan) with lung nodules 8, 10, and 12 mm in size were used for this study. A total of 41 projections with shutter scan acquisition consisted of 21 truncated projections and 20 non‐truncated projections. For comparison, 41 projections using conventional full view scan acquisition were also acquired. Truncated projections obtained by shutter scan acquisition were corrected by proposed image processing procedure to remove the truncation artifacts. The image quality was evaluated using the contrast to noise ratio (CNR), coefficient of variation (COV), and figure of merit (FOM). We measured the dose area product (DAP) value to verify the dose reduction using shutter scan acquisition. The ROI of the reconstructed image from shutter scan acquisition showed enhanced contrast. The results showed that CNR values of 8 and 12 mm lung nodules increased by 6.38% and 21.21%, respectively, and the CNR value of 10 mm lung nodule decreased by 3.63%. COV values of the lung nodules were lower in a shutter scan image than in a full view scan image. FOM values of 8, 10, and 12 mm lung nodules increased by 3.06, 2.25, and 2.33 times, respectively. This study compared the proposed shutter scan and conventional full view scan acquisition. In conclusion, using a shutter scan acquisition method resulted in enhanced contrast images within the ROI and higher FOM values. The patient exposure dose of the proposed shutter scan acquisition method can be reduced by limiting the field of view (FOV) to focus on the ROI.

Multi-modality image fusion based on enhanced fuzzy radial basis function neural networks

In clinical applications, single modality images do not provide sufficient diagnostic information. Therefore, it is necessary to combine the advantages or complementarities of different modalities of images. Recently, neural network technique was applied to medical image fusion by many researchers, but there are still many deficiencies. In this study, we propose a novel fusion method to combine multi-modality medical images based on the enhanced fuzzy radial basis function neural network (Fuzzy-RBFNN), which includes five layers: input, fuzzy partition, front combination, inference, and output. Moreover, we propose a hybrid of the gravitational search algorithm (GSA) and error back propagation algorithm (EBPA) to train the network to update the parameters of the network. Two different patterns of images are used as inputs of the neural network, and the output is the fused image. A comparison with the conventional fusion methods and another neural network method through subjective observation and objective evaluation indexes reveals that the proposed method effectively synthesized the information of input images and achieved better results. Meanwhile, we also trained the network by using the EBPA and GSA, individually. The results reveal that the EBPGSA not only outperformed both EBPA and GSA, but also trained the neural network more accurately by analyzing the same evaluation indexes.

Optimization of shutter scan parameters in digital tomosynthesis system

In medical imaging field, various dose reduction techniques have been studied. We proposed shutter scan acquisition for region of interest (ROI) imaging to reduce the patient exposure dose in digital tomosynthesis system. Projections obtained by shutter scan acquisition is a combination of truncated projections and non-truncated projections. In this study, we call the number of truncated projections divided by the number of non-truncated projections as shutter weighting factor. The shutter scan acquisition parameters were optimized using 5 different acquisition sets with the shutter weighting factor (0.16, 0.35, 1.03, 3.05 and 7.1). A prototype CDT system (LISTEM, Korea) and the LUNGMAN phantom (Kyoto Kagaku, Japan) with an 8 mm lung nodule were used. A total of 81 projections with shutter scan acquisition were obtained in 5 sets according to shutter weighting factor. The image quality was investigated using the contrast noise ratio (CNR). We also calculated figure of merit (FOM) to determine optimal acquisition parameters for the shutter scan acquisition. The ROI of the reconstructed image with shutter scan acquisition showed enhanced contrast. The highest CNR and FOM value, shutter weighting factor 7.1, is the acquisition set consisting of 71 truncated projections and 10 non-truncated projections. In this study, we investigated the effects of composition ratio of the truncated and non-truncated projections on reconstructed images through the shutter scan acquisition. In addition, the optimal acquisition conditions for the shutter scan acquisition were determined by deriving the FOM values. In conclusion, we can suggest optimal shutter scan acquisition parameters on the lesion within the ROI to be diagnosed.

Improvement of image quality and density accuracy of breast peripheral area in mammography

During breast image acquisition from the mammography, the inner regions of the breast are relatively thicker and denser than the peripheral areas, which can lead to overexposure to the periphery. Some images show low visibility of tissue structures in the breast peripheral areas due to the intensity change. It has a negative effect on diagnosis for breast cancer detection. To improve image quality, we have proposed pre-processing technique based on distance transformation to enhance the visibility of peripheral areas. The distance transform method aims to calculate the distance between each zero pixel and the nearest nonzero pixel in the binary images. For each pixel with the distance to the skin-line, the intensity of pixel is iteratively corrected by multiplying a propagation ratio. To evaluate the quality of processed images, the texture features were extracted using gray-level co-occurrence matrices (GLCM). And the breast density is quantitatively calculated. According to the results, the structure of breast tissues in the overexposed peripheral areas was well observed. The processed images showed more complexity and improved contrast. On the other hand, the homogeneity tended to be similar to the original images. The pixel values of peripheral areas were normalized without losing information and weighted to reduce the intensity variation. In this study, the pre-processing technique based on distance transformation was used to overcome the problem of overexposed peripheral areas in the breast images. The results demonstrated that appropriate pre-processing techniques are useful for improving image quality and accuracy of density measurement.

Feasibility study of contrast enhanced digital mammography based on photon-counting detector by projection-based weighting technique: a simulation study

Contrast enhanced digital mammography (CEDM) using dual energy technique has been studied due to its ability of emphasizing breast cancer. However, when using CEDM the patient dose and the toxicity of iodine should be considered. A photon counting detector (PCD), which has the ability of energy discrimination, has been regarded as an alternative technique to resolve the problem of excessive patient dose. The purpose of this study was to confirm the feasibility of CEDM based on the PCD by using a projection-based energy weighting technique. We used Geant4 Application for Tomographic Emission (GATE) version 6.0. We simulated two different types of PCD which were constructed with silicon (Si) and cadmium zinc telluride (CZT). Each inner cylinder filled with four iodine with different low concentrations and thicknesses in cylindrical shape of breast phantom. For comparison, we acquired a convention integrating mode image and five bin images based on PCD system by projection-based weighting technique. The results demonstrated that CEDM based on the PCD significantly improved contrast to noise ratio (CNR) compared to conventional integrating mode. As a result of applying the dual energy technique to the projection-based weighing image, the CNR of low concentration iodine was improved. In conclusion, the CEDM based on PCD with projection-based weighting technique has improved a detection capability of low concentration iodine than integrating mode.

Performance evaluation of algebraic reconstruction technique (ART) for prototype chest digital tomosynthesis (CDT) system

Chest digital tomosynthesis (CDT) is a new 3D imaging technique that can be expected to improve the detection of subtle lung disease over conventional chest radiography. Algorithm development for CDT system is challenging in that a limited number of low-dose projections are acquired over a limited angular range. To confirm the feasibility of algebraic reconstruction technique (ART) method under variations in key imaging parameters, quality metrics were conducted using LUNGMAN phantom included grand-glass opacity (GGO) tumor. Reconstructed images were acquired from the total 41 projection images over a total angular range of ±20°. We evaluated contrast-to-noise ratio (CNR) and artifacts spread function (ASF) to investigate the effect of reconstruction parameters such as number of iterations, relaxation parameter and initial guess on image quality. We found that proper value of ART relaxation parameter could improve image quality from the same projection. In this study, proper value of relaxation parameters for zero-image (ZI) and back-projection (BP) initial guesses were 0.4 and 0.6, respectively. Also, the maximum CNR values and the minimum full width at half maximum (FWHM) of ASF were acquired in the reconstructed images after 20 iterations and 3 iterations, respectively. According to the results, BP initial guess for ART method could provide better image quality than ZI initial guess. In conclusion, ART method with proper reconstruction parameters could improve image quality due to the limited angular range in CDT system.

Comparison of contrast enhancement methods using photon counting detector in spectral mammography

The photon counting detector with energy discrimination capabilities provides the spectral information and energy of each photon with single exposure. The energy-resolved photon counting detector makes it possible to improve the visualization of contrast agent by selecting the appropriate energy window. In this study, we simulated the photon counting spectral mammography system using a Monte Carlo method and compared three contrast enhancement methods (K-edge imaging, projection-based energy weighting imaging, and dual energy subtraction imaging). For the quantitative comparison, we used the homogeneous cylindrical breast phantom as a reference and the heterogeneous XCAT breast phantom. To evaluate the K-edge imaging methods, we obtained images by increasing the energy window width based on K-edge absorption energy of iodine. The iodine which has the K-edge discontinuity in the attenuation coefficient curve can be separated from the background. The projection-based energy weighting factor was defined as the difference in the transmissions between the contrast agent and the background. Each weighting factor as a function of photon energy was calculated and applied to the each energy bin. For the dual energy subtraction imaging, we acquired two images with below and above the iodine K-edge energy using single exposure. To suppress the breast tissue in high energy images, the weighting factor was applied as the ratio of the linear attenuation coefficients of the breast tissue at high and low energies. Our results demonstrated the CNR improvement of the K-edge imaging was the highest among the three methods. These imaging techniques based on the energy-resolved photon counting detector improved image quality with the spectral information.

Feasibility study of sparse-angular sampling and sinogram interpolation in material decomposition with a photon-counting detector

Spectral computed tomography (SCT) is a promising technique for obtaining enhanced image with contrast agent and distinguishing different materials. We focused on developing the analytic reconstruction algorithm in material decomposition technique with lower radiation exposure and shorter acquisition time. Sparse-angular sampling can reduce patient dose and scanning time for obtaining the reconstruction images. In this study, the sinogram interpolation method was used to improve the quality of material decomposed images in sparse angular sampling. A prototype of spectral CT system with 64 pixels CZT-based photon counting detector was used. The source-to-detector distance and the source-tocenter of rotation distance were 1200 and 1015 mm, respectively. The x-ray spectrum at 90 kVp with a tube current of 110 μA was used. Two energy bins (23-33 keV and 34-44 keV) were set to obtain the two images for decomposed iodine and calcification. We used PMMA phantom and its height and radius were 50 mm and 17.5 mm, respectively. The phantom contained 4 materials including iodine, gadolinium, calcification, and liquid state lipid. We evaluated the signal to noise ratio (SNR) of materials to examine the significance of sinogram interpolation method. The decomposed iodine and calcification images were obtained by projection based subtraction method using two energy bins with 36 projection data. The SNR in decomposed images were improved by using sinogram interpolation method. And these results indicated that the signal of decomposed material was increased and the noise of decomposed material was reduced. In conclusion, the sinogram interpolation method can be used in material decomposition method with sparse-angular sampling.