Tetsuro Katafuchi

Evaluation of edge effect due to phase contrast imaging for mammography

It is well-known that the edge effect produced by phase contrast imaging results in the edge enhancement of x-ray images and thereby sharpens those images. It has recently been reported that phase contrast imaging using practical x-ray tubes with small focal spots has improved image sharpness as observed in the phase contrast imaging with x-ray from synchrotron radiation or micro-focus x-ray tubes. In this study, we conducted the phase contrast imaging of a plastic fiber and plant seeds using a customized mammography equipment with a 0.1 mm focal spot, and the improvement of image sharpness was evaluated in terms of spatial frequency response of the images. We observed that the image contrast of the plastic fiber was increased by edge enhancement, and, as predicted elsewhere, spectral analysis revealed that as the spatial frequencies of the x-ray images increased, so did the sharpness gained through phase contrast imaging. Thus, phase contrast imaging using a practical molybdenum anode tube with a 0.1 mm-focal spot would benefit mammography, in which the morphological detectability of small species such as microcalcifications is of great concern. And detectability of tumor-surrounded glandular tissues in dense breast would be also improved by the phase contrast imaging.

Preliminary Evaluation of a Phase Contrast Imaging with Digital Mammography

X-ray beams irradiated from an x-ray tube with a point source or a sufficiently small focal spot produce edge-enhanced images in the boundary of an object due to the effect of phase shift of x-rays. This technique is called phase contrast imaging. A digital phase contrast imaging system based on a photostimulable phosphor plate (imaging plate) designed for mammography has been developed for clinical use recently and now commercially available. In this study, the digital phase contrast images of an acrylic plate and plant seeds were acquired without any increase of incident dose to detector when compared to conventional contact digital imaging. Improvement of image edge sharpness was evaluated in terms of spatial edge response and spectral analysis of the images. In addition, the improvement of the sharpness of the image was also evaluated in clinical mammograms. Our results indicated that higher image sharpness in the boundary of the object was observed. The power spectrum of the digital phase contrast image was found to be higher than that of the digital contact image at wide spatial frequency region. In conclusion, the commercially available phase contrast imaging system can provide breast images with details that are not available in conventional mammograms. The digital phase contrast imaging would be useful to detect diseases, especially microcalcifications, in mammograms without any increase of exposure dose.

State-of-the-Art of computer-aided detection/diagnosis (CAD)

This paper summarizes the presentations given in the special ICMB2010 session on state-of-the-art of computer-aided detection/diagnosis (CAD). The topics are concerned with the latest development of technologies and applications in CAD, which include brain MR images, fundus photographs, dynamic chest radiography, chest CT images, whole breast ultrasonography, CT colonography and torso FDG-PET scans.

Automated scoring system of standard uptake value for torso FDG-PET images

The purpose of this work was to develop an automated method to calculate the score of SUV for torso region on FDG-PET scans. The three dimensional distributions for the mean and the standard deviation values of SUV were stored in each volume to score the SUV in corresponding pixel position within unknown scans. The modeling methods is based on SPM approach using correction technique of Euler characteristic and Resel (Resolution element). We employed 197 nor-mal cases (male: 143, female: 54) to assemble the normal metabolism distribution of FDG. The physique were registered each other in a rectangular parallelepiped shape using affine transformation and Thin-Plate-Spline technique. The regions of the three organs were determined based on semi-automated procedure. Seventy-three abnormal spots were used to estimate the effectiveness of the scoring methods. As a result, the score images correctly represented that the scores for normal cases were between zeros to plus/minus 2 SD. Most of the scores of abnormal spots associated with cancer were lager than the upper of the SUV interval of normal organs.

Quantitative Analysis of Torso FDG-PET Scans by Using Anatomical Standardization of Normal Cases from Thorough Physical Examinations.

Understanding of standardized uptake value (SUV) of 2-deoxy-2-[18F]fluoro-d-glucose positron emission tomography (FDG-PET) depends on the background accumulations of glucose because the SUV often varies the status of patients. The purpose of this study was to develop a new method for quantitative analysis of SUV of FDG-PET scan images. The method included an anatomical standardization and a statistical comparison with normal cases by using Z-score that are often used in SPM or 3D-SSP approach for brain function analysis. Our scheme consisted of two approaches, which included the construction of a normal model and the determination of the SUV scores as Z-score index for measuring the abnormality of an FDG-PET scan image. To construct the normal torso model, all of the normal images were registered into one shape, which indicated the normal range of SUV at all voxels. The image deformation process consisted of a whole body rigid registration of shoulder to bladder region and liver registration and a non-linear registration of body surface by using the thin-plate spline technique. In order to validate usefulness of our method, we segment suspicious regions on FDG-PET images manually, and obtained the Z-scores of the regions based on the corresponding voxels that stores the mean and the standard deviations from the normal model. We collected 243 (143 males and 100 females) normal cases to construct the normal model. We also extracted 432 abnormal spots from 63 abnormal cases (73 cancer lesions) to validate the Z-scores. The Z-scores of 417 out of 432 abnormal spots were higher than 2.0, which statistically indicated the severity of the spots. In conclusions, the Z-scores obtained by our computerized scheme with anatomical standardization of torso region would be useful for visualization and detection of subtle lesions on FDG-PET scan images even when the SUV may not clearly show an abnormality.

Neural network approach for the computer-aided diagnosis of coronary artery diseases in nuclear medicine

The computerized scheme developed can aid radiological diagnosis in the detection and classification of coronary artery diseases in /sup 201/Tl myocardial single photon emission computed tomography bulls eye images by use of artificial neural networks. The multilayer feedforward neural network used with a backpropagation algorithm has 41 256-input units, 50 to 100 units in a single hidden layer, and eight output units. The neural networks, consisting of two major networks for extent and severity images, were trained using pairs of training input data and desired output data. The results show that the propagation performance of the neural-network-based system was comparable to that of experienced radiologists.<<ETX>>

Compression Stocking Length Effects on Arterial Blood Pressure and Heart Rate Following Head-Up Tilt in Healthy Volunteers

BackgroundChange in posture from supine to standing induces a footward fluid shift. This shift might decrease arterial pressure (AP) and induce orthostatic hypotension. To prevent decrease in AP, compression stockings are recommended, but the effects of various lengths have not been compared. ObjectiveThe aim was to compare AP and heart rate (HR) by compression stocking length during head-up tilt (HUT). MethodsThe effects of elastic compression stockings of three lengths on AP and HR were examined at the onset of HUT. The stockings were knee-high, compressing the foot and calf; thigh-high, compressing the toe to the thigh; and waist-high, compressing the toe to the waist. ResultsAP did not significantly change at the onset of HUT without stockings or with any length of stockings compared with the AP in the supine position. HR was significantly higher at the onset of HUT without stockings and with the knee-high and thigh-high stockings than that during supine position. No significant difference in HR was observed among the three conditions. However, the HR increase was significantly depressed with the waist-high stockings. DiscussionThese results suggest that the use of waist-high stockings that afford abdominal compression is needed to affect cardiovascular dynamics at the onset of HUT and may prevent orthostatic hypotension.

RR interval variability during galvanic vestibular stimulation correlates with arterial pressure upon head-up tilt

RR interval variability (RRIV) in the supine position without and with galvanic vestibular stimulation (GVS (off) and GVS (on), respectively), changes in mean arterial pressure (MAP) at the onset of 60° head-up tilt (HUT) during GVS (off), and their relationship were analyzed in 25 healthy young subjects. MAP decreased by less than 5mmHg or increased upon HUT in 12 subjects (UP), but MAP decreased by more than 5mmHg in 13 subjects (DOWN). Applying sinusoidal GVS of 2mA at a random frequency of 0.2 to 10.0Hz did not change the RR intervals or MAP. However, the high frequency component (HF) of RRIV increased in both UP and DOWN subjects. The increase in DOWN subjects was larger than that in UP subjects. The ratio of the low frequency component to HF (L/H) increased in UP subjects during GVS (on), but did not reach a significant level in DOWN subjects. The changes in the HF were significantly correlated with changes in MAP at the onset of HUT; i.e., the subjects with larger increases in the HF during GVS (on) showed larger decreases in MAP. Thus, GVS or vestibular input during HUT possibly activates the vagal nerves, and the dominance of excitation in sympathetic or vagal nerves during vestibular stimulation is important for controlling MAP at the onset of HUT.

Image-quality assessment method for digital phase-contrast imaging based on two-dimensional power spectral analysis.

With use of the phase shift of X-rays that occurs when they pass through an object, phase-contrast imaging (herein referred to as “phase imaging”) can produce images different from those of conventional contact imaging (herein referred to as “conventional imaging”). For this reason, assessment of the image quality based on noise-equivalent quanta (NEQ) and detective quantum efficiency (DQE) which does not include object-based information may not be appropriate for comparison of image quality between phase and conventional images. As an alternative method, we conceived a new image-quality assessment method with images that contain information about an object. First, we constructed images with an object and without an object under the same imaging parameters; then, we obtained two-dimensional power spectra by Fourier transform of those images. Second, we calculated the radial direction distribution function with the power spectra, and the distribution of signal intensity, which we defined as a signal intensity distribution function (SIDF). In this way, differences in image quality were evaluated relatively based on the SIDF of the imaged object. In our study, we first confirmed that phase-imaging evaluation was not appropriate by comparing NEQ and DQE of conventional, magnification, and phase imaging. Further, comparing the image quality of projected plant seeds by employing conventional, magnification, and phase imaging, we found that the phase-imaging method provided a higher image quality regarding edge sharpness than did conventional and magnification imaging. Therefore, based on these results, our image assessment method is considered useful for evaluation of images which include object-based information.

Mobility of an elastic glove for extravehicular activity without prebreathing.

INTRODUCTION The current U.S. extravehicular activity (EVA) suit is pressurized at 0.29 atm, which is much lower than the pressures of sea level and inside a space station. Higher pressure can reduce the risk of decompression sickness (DCS), but mobility would be sacrificed. We have demonstrated that a glove and sleeve made of elastic material increased mobility when compared with those made of nonelastic material, such as that found in the current suit. We hypothesized that an elastic glove of 0.65 atm that has no risk of DCS also has greater mobility compared with a non-elastic glove of 0.29 atm. METHODS The right hands of 10 healthy volunteers were studied in a chamber with their bare hands at normal ambient pressure, after donning a non-elastic glove with a pressure differential of 0.29 atm, and after donning an elastic glove with a pressure differential of 0.29 and 0.65 atm. Range of motion (ROM) of the index finger and surface electromyography (EMG) amplitudes during finger flexion were measured. RESULTS ROM with gloves was significantly smaller than that of bare hands, but was similar between conditions of gloves regardless of elasticity and pressure differentials. However, EMG amplitudes with the elastic glove of 0.29 and 0.65 atm were significantly smaller than those with the non-elastic glove of 0.29 atm. DISCUSSION The results suggest that mobility of the elastic glove of 0.65 atm may be better than that of the non-elastic glove of 0.29 atm, similar to that used in the current EVA suit.