Toshiaki Kawai

Demonstration of enhanced K-edge angiography using a cerium target x-ray generator

The cerium target x-ray generator is useful in order to perform enhanced K-edge angiography using a cone beam because K-series characteristic x rays from the cerium target are absorbed effectively by iodine-based contrast mediums. The x-ray generator consists of a main controller, a unit with a Cockcroft-Walton circuit and a fixed anode x-ray tube, and a personal computer. The tube is a glass-enclosed diode with a cerium target and a 0.5-mm-thick beryllium window. The maximum tube voltage and current were 65 kV and 0.4 mA, respectively, and the focal-spot sizes were 1.0 x 1.3 mm. Cerium Kalpha lines were left using a barium sulfate filter, and the x-ray intensity was 0.48 microC/kg at 1.0 m from the source with a tube voltage of 60 kV, a current of 0.40 mA, and an exposure time of 1.0 s. Angiography was performed with a computed radiography system using iodine-based microspheres. In coronary angiography of nonliving animals, we observed fine blood vessels of approximately 100 microm with high contrasts.

Quasi-monochromatic flash x-ray generator utilizing weakly ionized linear copper plasma

In the plasma flash x-ray generator, a 200 nF condenser is charged up to 50 kV by a power supply, and flash x rays are produced by the discharging. The x-ray tube is a demountable triode with a trigger electrode, and the turbomolecular pump evacuates air from the tube with a pressure of approximately 1 mPa. Target evaporation leads to the formation of weakly ionized linear plasma, consisting of copper ions and electrons, around the fine target, and intense characteristic x rays are produced. At a charging voltage of 50 kV, the maximum tube voltage was almost equal to the charging voltage of the main condenser, and the peak current was about 20 kA. When the charging voltage was increased, the linear plasma formed, and the K-series characteristic x-ray intensities increased. The K lines were quite sharp and intense, and hardly any bremsstrahlung rays were detected at all. The x-ray pulse widths were approximately 700 ns, and the time-integrated x-ray intensity had a value of approximately 30 μC/kg at 1.0 m ...

Enhanced K-edge Angiography Utilizing Tantalum Plasma X-ray Generator in Conjunction with Gadolinium-Based Contrast Media

The tantalum plasma flash X-ray generator is useful for performing high-speed enhanced K-edge angiography using cone beams because K-series characteristic X-rays from the tantalum target are absorbed effectively by gadolinium-based contrast media. In the flash X-ray generator, a 150 nF condenser is charged up to 80 kV by a power supply, and flash X-rays are produced by the discharging. The X-ray tube is a demountable cold-cathode diode, and the turbomolecular pump evacuates air from the tube with a pressure of approximately 1 mPa. Since the electric circuit of the high-voltage pulse generator employs a cable transmission line, the high-voltage pulse generator produces twice the potential of the condenser charging voltage. At a charging voltage of 80 kV, the estimated maximum tube voltage and current were approximately 160 kV and 40 kA, respectively. When the charging voltage was increased, the K-series characteristic X-ray intensities of cerium increased. The K lines were clean and intense, and hardly any bremsstrahlung rays were detected. The X-ray pulse widths were approximately 100 ns, and the time-integrated X-ray intensity had a value of approximately 300 µGy at 1.0 m from the X-ray source with a charging voltage of 80 kV. Angiography was performed using a filmless computed radiography (CR) system and gadolinium-based contrast media. In the angiography of nonliving animals, we observed fine blood vessels of approximately 100 µm with high contrasts.

Variations in Cerium X-ray Spectra and Enhanced K-Edge Angiography

A cerium-target X-ray tube is useful in performing cone-beam K-edge angiography because K-series characteristic X-rays from the cerium target are absorbed effectively by iodine-based contrast media. The X-ray generator consists of a main controller and a unit with a high-voltage circuit and a fixed anode X-ray tube. The tube is a 1.0-mm-focus diode with a cerium target and a 0.5-mm-thick beryllium window. The maximum tube voltage and current were 65 kV and 0.4 mA, respectively. Cerium Kα rays were selected out using a barium sulfate filter, and the X-ray intensities without filtering and with a barium sulfate filter were 209 and 16.8 µGy/s, respectively, at 1.0 m from the source with a tube voltage of 60 kV and a current of 0.40 mA. Angiography was performed with an X-ray film using the filter and iodine-based microspheres 15 µm in diameter. In the angiography of nonliving animals, we observed fine blood vessels approximately 100 µm in diameter with high contrasts.

Energy-Discriminating Gadolinium K-Edge X-ray Computed Tomography System

An energy-discriminating K-edge X-ray computed tomography (CT) system is useful for increasing the contrast resolution of a target region utilizing contrast media and for reducing the absorbed dose for patients. The CT system is of the first-generation type of detector using cadmium telluride (CdTe). CT is performed by repeated translations and rotations of an object. Penetrating X-ray photons from the object are detected by a CdTe detector, and event signals of X-ray photons are produced using charge-sensitive and shaping amplifiers. Both photon energy and energy width are selected out using a multichannel analyzer, and the number of photons is counted by a countercard. To perform energy discrimination, a low-dose-rate X-ray generator for photon counting was developed. Its maximum tube voltage and minimum tube current were 110 kV and 1 µA, respectively. In energy-discriminating CT, the tube voltage and tube current were 100 kV and 20 µA, respectively, and the X-ray intensity was 2.98 µGy/s at a distance of 1.0 m from the source and a tube voltage of 100 kV. The demonstration of enhanced gadolinium K-edge X-ray CT was carried out by selecting photons with energies just beyond the gadolinium K-edge energy of 50.3 keV.

Local VEGF Administration Enhances Healing of Colonic Anastomoses in a Rabbit Model

Background/Aims: Many studies report the role of vascular endothelial growth factor (VEGF) in wound healing, but few describe local VEGF administration to the digestive tract. Leakage from colonic anastomoses, including those due to ischemia, represents a major complication causing increased mortality and morbidity. Angiogenesis is crucial to anastomotic healing and restoration of blood supply, and VEGF is a potent angiogenic factor showing improved healing in various models of reconstruction and anastomosis. Here, we examine the effects of local VEGF-A165 administration on postoperative rabbit colon anastomosis. Methods: Two colotomies per animal were made in the sinistral colon on opposite sides of the mesentery. Randomly assigned VEGF (10 μg/0.1 ml) or saline (0.1 ml) was injected into the muscularis propria on both sides of each colonic anastomosis before closing the access laparotomy using single-layer sutures. On postoperative days 3, 4 and 7, the bursting pressure of partially healed anastomoses was measured. On postoperative day 4, anastomotic tissues were examined for the following: hydroxyproline; histopathologically for inflammatory infiltrate and tissue organization and immunohistochemically for capillary proliferation and density; vessel density of midzone collaterals around anastomoses by microangiography. Results: Compared to saline, VEGF administration significantly improved bursting pressure (p = 0.014, paired t test) and increased hydroxyproline (p = 0.027, paired t test) on postoperative day 4. Inflammatory cell infiltration and fibroblast proliferation were prominent, and submucosal capillary vascular counts were significantly higher for VEGF. Conclusions: Administration of VEGF to colonic anastomosis accelerates wound healing and strengthens the anastomosis by increased angiogenesis.

Compact monochromatic flash x-ray generator utilizing a disk-cathode molybdenum tube

The high-voltage condensers in a polarity-inversion two-stage Marx surge generator are charged from -50 to -70 kV by a power supply, and the electric charges in the condensers are discharged to an x-ray tube after closing gap switches in the surge generator with a trigger device. The x-ray tube is a demountable diode, and the turbo molecular pump evacuates air from the tube with a pressure of approximately 1 mPa. Clean molybdenum Kalpha lines are produced using a 20 microm-thick zirconium filter, since the tube utilizes a disk cathode and a rod target, and bremsstrahlung rays are not emitted in the opposite direction to that of electron acceleration. At a charging voltage of -70 kV, the instantaneous tube voltage and current were 120 kV and 1.0 kA, respectively. The x-ray pulse widths were approximately 70 ns, and the generator produced instantaneous number of Kalpha photons was approximately 3 x 10(7) photons/cm2 per pulse at 0.5 m from the source of 3.0 mm in diameter.

Quasi-Monochromatic Flash X-Ray Generator Utilizing Disk-Cathode Molybdenum Tube

High-voltage condensers in a polarity-inversion two-stage Marx surge generator are charged from -40 to -60 kV using a power supply, and the electric charges in the condensers are discharged to an X-ray tube after closing the gap switches in the surge generator using a trigger device. The X-ray tube is a demountable diode, and the turbomolecular pump evacuates air from the tube with a pressure of approximately 1 mPa. Sharp K-series characteristic X-rays of molybdenum are produced without using a monochromatic filter, since the tube utilizes a disk cathode and a rod target, and bremsstrahlung rays are not emitted in the opposite direction to that of electron acceleration. The peak tube voltage increased with increasing charging voltage and increasing space between the target and cathode electrodes. At a charging voltage of -60 kV and a target-cathode space of 1.0 mm, the peak tube voltage and current were 110 kV and 0.75 kA, respectively. The pulse width ranged from 40 to 100 ns, and the maximum dimension of the X-ray source was 3.0 mm in diameter. The number of generator-produced K photons was approximately 7×1014 photons/cm2s at 0.5 m from the source.

Energy discriminating x-ray camera utilizing a cadmium telluride detector

An energy-discriminating x-ray camera is useful for performing monochromatic radiography using polychromatic x rays. This x-ray camera was developed to carry out K-edge radiography using iodine-based contrast media. In this camera, objects are exposed by a cone beam from a cerium x-ray generator, and penetrating x-ray photons are detected by a cadmium telluride detector with an amplifier unit. The optimal x-ray photon energy and the energy width are selected out using a multichannel analyzer, and the photon number is counted by a counter card. Radiography was performed by the detector scanning using an x-y stage driven by a two-stage controller, and radiograms obtained by energy discriminating are shown on a personal computer monitor. In radiography, the tube voltage and current were 60 kV and 36 µA, respectively, and the x-ray intensity was 4.7 µGy/s. Cerium K-series characteristic x rays are absorbed effectively by iodine-based contrast media, and iodine K-edge radiography was performed using x rays with energies just beyond iodine K-edge energy 33.2 keV.

Kinetics of the photostructural changes in a-Se films

The kinetics of the photodarkening effect has been studied experimentally for amorphous selenium (a-Se) layers at room temperature and at an elevated temperature (35°C) close to the glass transition. By switching an intense pumping light on and off with a period of 100s, we have studied the kinetics of both the buildup of photodarkening and its relaxation (recovery). It was found that at 35°C, only a reversible component of photodarkening has been observed. This result has been interpreted within the framework of a phenomenological model assuming that photodarkening is caused by light-induced transitions of structural units from their ground states into metastable states. Our estimate for the energy barrier EB between these states obtained for the photodarkening process (EB∼0.8eV) coincides with that obtained from the analysis of the relaxation process. At room temperature, an irreversible component of photodarkening has been observed along with the reversible one. The energy barrier responsible for the r...