Tomoaki Nagaoka

Development of realistic high-resolution whole-body voxel models of Japanese adult males and females of average height and weight, and application of models to radio-frequency electromagnetic-field dosimetry

With advances in computer performance, the use of high-resolution voxel models of the entire human body has become more frequent in numerical dosimetries of electromagnetic waves. Using magnetic resonance imaging, we have developed realistic high-resolution whole-body voxel models for Japanese adult males and females of average height and weight. The developed models consist of cubic voxels of 2 mm on each side; the models are segmented into 51 anatomic regions. The adult female model is the first of its kind in the world and both are the first Asian voxel models (representing average Japanese) that enable numerical evaluation of electromagnetic dosimetry at high frequencies of up to 3 GHz. In this paper, we will also describe the basic SAR characteristics of the developed models for the VHF/UHF bands, calculated using the finite-difference time-domain method.

An anatomically realistic whole-body pregnant-woman model and specific absorption rates for pregnant-woman exposure to electromagnetic plane waves from 10 MHz to 2 GHz

The numerical dosimetry of pregnant women is an important issue in electromagnetic-field safety. However, an anatomically realistic whole-body pregnant-woman model for electromagnetic dosimetry has not been developed. Therefore, we have developed a high-resolution whole-body model of pregnant women. A new fetus model including inherent tissues of pregnant women was constructed on the basis of abdominal magnetic resonance imaging data of a 26-week-pregnant woman. The whole-body pregnant-woman model was developed by combining the fetus model and a nonpregnant-woman model that was developed previously. The developed model consists of about 7 million cubical voxels of 2 mm size and is segmented into 56 tissues and organs. This pregnant-woman model is the first completely anatomically realistic voxel model that includes a realistic fetus model and enables a numerical simulation of electromagnetic dosimetry up to the gigahertz band. In this paper, we also present the basic specific absorption rate characteristics of the pregnant-woman model exposed to vertically and horizontally polarized electromagnetic waves from 10 MHz to 2 GHz.

Neoadjuvant Chemotherapy in Breast Cancer: Prediction of Pathologic Response with PET/CT and Dynamic Contrast-enhanced MR Imaging—Prospective Assessment

PURPOSE To clarify whether fluorine 18 ((18)F) fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) and dynamic contrast-enhanced (DCE) magnetic resonance (MR) imaging performed after two cycles of neoadjuvant chemotherapy (NAC) can be used to predict pathologic response in breast cancer. MATERIALS AND METHODS Institutional human research committee approval and written informed consent were obtained. Accuracy after two cycles of NAC for predicting pathologic complete response (pCR) was examined in 142 women (mean age, 57 years: range, 43-72 years) with histologically proved breast cancer between December 2005 and February 2009. Quantitative PET/CT and DCE MR imaging were performed at baseline and after two cycles of NAC. Parameters of PET/CT and of blood flow and microvascular permeability at DCE MR were compared with pathologic response. Patients were also evaluated after NAC by using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 based on DCE MR measurements and European Organization for Research and Treatment of Cancer (EORTC) criteria and PET Response Criteria in Solid Tumors (PERCIST) 1.0 based on PET/CT measurements. Multiple logistic regression analyses were performed to examine continuous variables at PET/CT and DCE MR to predict pCR, and diagnostic accuracies were compared with the McNemar test. RESULTS Significant decrease from baseline of all parameters at PET/CT and DCE MR was observed after NAC. Therapeutic response was obtained in 24 patients (17%) with pCR and 118 (83%) without pCR. Sensitivity, specificity, and accuracy to predict pCR were 45.5%, 85.5%, and 82.4%, respectively, with RECIST and 70.4%, 95.7%, and 90.8%, respectively, with EORTC and PERCIST. Multiple logistic regression revealed three significant independent predictors of pCR: percentage maximum standardized uptake value (%SUV(max)) (odds ratio [OR], 1.22; 95% confidence interval [CI]: 1.11, 1.34; P < .0001), percentage rate constant (%k(ep)) (OR, 1.07; CI: 1.03, 1.12; P = .002), and percentage area under the time-intensity curve over 90 seconds (%AUC(90)) (OR, 1.04; CI: 1.01, 1.07; P = .048). When diagnostic accuracies are compared, PET/CT is superior to DCE MR for the prediction of pCR (%SUV(max) [90.1%] vs %κ(ep) [83.8%] or %AUC(90) [76.8%]; P < .05). CONCLUSION The sensitivities of %SUV(max) (66.7%), %k(ep) (51.7%), and %AUC(90) (50.0%) at (18)F-FDG PET/CT and DCE MR after two cycles of NAC are not acceptable, but the specificities (96.4%, 92.0%, and 95.2%, respectively) are high for stratification of pCR cases in breast cancer.

Proportion-corrected scaled voxel models for Japanese children and their application to the numerical dosimetry of specific absorption rate for frequencies from 30 MHz to 3 GHz

The development of high-resolution anatomical voxel models of children is difficult given, inter alia, the ethical limitations on subjecting children to medical imaging. We instead used an existing voxel model of a Japanese adult and three-dimensional deformation to develop three voxel models that match the average body proportions of Japanese children at 3, 5 and 7 years old. The adult model was deformed to match the proportions of a child by using the measured dimensions of various body parts of children at 3, 5 and 7 years old and a free-form deformation technique. The three developed models represent average-size Japanese children of the respective ages. They consist of cubic voxels (2 mm on each side) and are segmented into 51 tissues and organs. We calculated the whole-body-averaged specific absorption rates (WBA-SARs) and tissue-averaged SARs for the child models for exposures to plane waves from 30 MHz to 3 GHz; these results were then compared with those for scaled down adult models. We also determined the incident electric-field strength required to produce the exposure equivalent to the ICNIRP basic restriction for general public exposure, i.e., a WBA-SAR of 0.08 W kg(-1).

Intercomparison of whole-body averaged SAR in European and Japanese voxel phantoms.

This paper provides an intercomparison of the HPA male and female models, NORMAN and NAOMI with the National Institute of Information and Communications Technology (NICT) male and female models, TARO and HANAKO. The calculations of the whole-body SAR in these four phantoms were performed at the HPA, at NICT and at the Nagoya Institute of Technology (NIT). These were for a plane wave with a vertically aligned electric field incident upon the front of the body from 30 MHz to 3 GHz for isolated conditions. As well as investigating the general differences through this frequency range, particular emphasis was placed on the assumptions of how dielectric properties are assigned to tissues (particularly skin and fat) and the consequence of using different algorithms for calculating SAR at the higher frequencies.

Postured voxel-based human models for electromagnetic dosimetry

High-resolution anatomically realistic whole-body voxel models have recently been developed for electromagnetic dosimetry. However, the posture of most models is similar to the standing one, which strongly limits electromagnetic dosimetry when simulating a realistic exposure scenario. In this paper, we present the development of postured models based on anatomically realistic voxel models with standing posture. Voxel models of the Japanese adult male and female were used as the original upright standing models. The Japanese models were composed of 2 mm cubic voxels, each of which was segmented into 51 different tissue types. We developed several different types of posture models using a novel posture transformation method. These posture models were smoothly transformed, while the continuity of the internal tissues and organs was maintained. In this paper, we also present our calculations of the whole-body averaged specific absorption rates (SARs) of sitting male and female models exposed to electromagnetic plane waves at very high (VHF) and ultra high frequency (UHF) bands.

FDTD Calculations of Specific Absorption Rate in Fetus Caused by Electromagnetic Waves From Mobile Radio Terminal Using Pregnant Woman Model

Since the diversification of the electromagnetic (EM) environment is spreading, it is essential to estimate the EM energy absorption rate [specific absorption rate (SAR)] of a pregnant womans body and her fetus under various exposure situations. This paper presents the EM dosimetry in a pregnant woman in proximity to a mobile-phone terminal using the numerical model of a woman in her seventh month of pregnancy (composed of 56 organs, which includes the intrinsic organs of a pregnant woman) based on the high-resolution whole-body voxel model of a Japanese adult woman. It was found that the SAR in the fetus strongly depends on the geometrical relationship between the fetus and the EM source, while the averaged SAR for the fetus is always lower than the RF safety guidelines under the exposure conditions investigated in this paper.

A comparison of foetal SAR in three sets of pregnant female models.

This paper compares the foetal SAR in the HPA hybrid mathematical phantoms with the 26-week foetal model developed at the National Institute of Information and Communications Technology, Tokyo, and the set of 13-, 26- and 38-week boundary representation models produced at Rensselaer Polytechnic Institute. FDTD calculations are performed at a resolution of 2 mm for a plane wave with a vertically aligned electric field incident upon the body from the front, back and two sides from 20 MHz to 3 GHz under isolated conditions. The external electric field values required to produce the ICNIRP public exposure localized restriction of 2 W kg(-1) when averaged over 10 g of the foetus are compared with the ICNIRP reference levels.

A GPU-based calculation using the three-dimensional FDTD method for electromagnetic field analysis

Numerical simulations with the numerical human model using the finite-difference time domain (FDTD) method have recently been performed frequently in a number of fields in biomedical engineering. However, the FDTD calculation runs too slowly. We focus, therefore, on general purpose programming on the graphics processing unit (GPGPU). The three-dimensional FDTD method was implemented on the GPU using Compute Unified Device Architecture (CUDA). In this study, we used the NVIDIA Tesla C1060 as a GPGPU board. The performance of the GPU is evaluated in comparison with the performance of a conventional CPU and a vector supercomputer. The results indicate that three-dimensional FDTD calculations using a GPU can significantly reduce run time in comparison with that using a conventional CPU, even a native GPU implementation of the three-dimensional FDTD method, while the GPU/CPU speed ratio varies with the calculation domain and thread block size.

Estimation of Whole-Body Average SAR in Human Models Due to Plane-Wave Exposure at Resonance Frequency

This study proposes an equation for estimating whole-body average specific absorption rate (WBSAR) in human body models for plane-wave exposure at whole-body resonance frequency. This study is important because the WBSAR takes maximal at this frequency and approaches the basic restrictions in the international guidelines/standards for human protection. Therefore, the variability of the WBSAR at this frequency has attracted a great deal of attention. First, the dominant factors influencing the resonance frequency of the human body models are investigated for plane-wave exposures. An equation for estimating the WBSAR at the resonance frequency is then proposed based on an analogy to an antenna. This equation can estimate the WBSAR with the body mass index of the human body only for a given incident power density. The uncertainty of the WBSAR estimated with the proposed equation is approximately 10%, which is mainly attributed to the electrical constants of tissue, including the inhomogeneity of the human body model. The variability of the WBSAR due to the body shape was found to be 30% for humans of the same age.