Showing papers on "Imaging phantom published in 1996"

Synaesthesia in Phantom Limbs Induced with Mirrors

Abstract: Although there is a vast clinical literature on phantom limbs, there have been no experimental studies on the effects of visual input on phantom sensations. We introduce an inexpensive new device--a 'virtual reality box'--to resurrect the phantom visually to study inter-sensory effects. A mirror is placed vertically on the table so that the mirror reflection of the patient's intact had is 'superimposed' on the felt position of the phantom. We used this procedure on ten patients and found the following results. 1. In six patients, when the normal hand was moved, so that the phantom was perceived to move in the mirror, it was also felt to move; i.e. kinesthetic sensations emerged in the phantom. In D.S. this effect occurred even though he had never experienced any movements in the phantom for ten years before we tested him. He found the return of sensations very enjoyable. 2. Repeated practice led to a permanent 'disappearance' of the phantom arm in patient D.S. and the hand became telescoped into the stump near the shoulder. 3. Using an optical trick, impossible postures--e.g. extreme hyperextension of the fingers--could be induced visually in the phantom. In one case this was felt as a transient 'painful tug' in the phantom. 4. Five patients experienced involuntary painful 'clenching spasms' in the phantom hand and in four of them the spasms were relieved when the mirror was used to facilitate 'opening' of the phantom hand; opening was not possible without the mirror. 5. In three patients, touching the normal hand evoked precisely localized touch sensations in the phantom. Interestingly, the referral was especially pronounced when the patients actually 'saw' their phantom being touched in the mirror. Indeed, in a fourth patient (R.L.) the referral occurred only if he saw his phantom being touched: a curious form of synaesthesia. These experiments lend themselves readily to imaging studies using PET and fMRI. Taken collectively, they suggest that there is a considerable amount of latent plasticity even in the adult human brain. For example, precisely organized new pathways, bridging the two cerebral hemispheres, can emerge in less than three weeks. Furthermore, there must be a great deal of back and forth interaction between vision and touch, so that the strictly modular, hierarchical model of the brain that is currently in vogue needs to be replaced with a more dynamic, interactive model, in which 're-entrant' signalling plays the main role.

3-D ultrasound imaging: a review

Abstract: The development of 3-D ultrasound imaging is a way to address the disadvantages of conventional ultrasound imaging. In this article the authors review approaches that have been attempted in the development of 3-D ultrasound imaging such as 3-D B-mode, color Doppler, and power Doppler systems. Acquisition, reconstruction, and rendering techniques for 3-D imaging are discussed, as well as applications and limitations.

Imaging of the active B1 field in vivo.

Abstract: The authors describe a method for accurate in vivo multislice imaging of the active component of the B1 field which is based on a previously proposed method, which uses the signal intensity ratio of two images measured with different excitation angles, and a repetition time TR 5 > or = 5 T1. The new method essentially reduces repetition and scan time by means of an additional compensating pulse. The suppression of T1 effects by this pulse are verified with simulations and measurements. Further investigations concerned the influence of slice selective excitation and magnetization transfer in multislice imaging to the B1 field determination. The stability and accuracy of the presented method is shown by several phantom and in vivo measurements. With the described method the active B1 field can be determined in vivo in 23 cross-sections in less than 6 min.

Three-dimensional ultrasound: accuracy of distance and volume measurements

Abstract: The aim of this study was to evaluate the accuracy of three-dimensional ultrasound distance and volume measurements using a commercially available three-dimensional ultrasound scanner. Sixty-two distance measurements were performed twice on an ultrasound tissue-mimicking phantom located in a water bath. Three-dimensional ultrasound distance measurements were compared to the actual distance. Volume measurements were made in a water bath with 21 balloons of various shapes ranging in volume from 20 ml to 490 ml. Three-dimensional ultrasound volume measurements were compared to actual balloon volumes and to conventional two-dimensional ultrasound volume calculations. The mean absolute error in three-dimensional ultrasound distance measurements was 1.0 +/- 0.8% (range, -2.3 to +1.9%) in the plane of acquisition and 1.0 +/- 0.6% (range, -2.0 to -0.2%) for planes with other orientations. Three-dimensional ultrasound volume measurements showed a mean absolute error of 6.4 +/- 4.4% (range, -6.0% to +15.5%), which was considerably better than two-dimensional ultrasound volume estimates having a mean absolute error of 12.6 +/- 8.7% (range, -27.5% to +39.2%). Volume measurements using two-dimensional ultrasound methods were much less accurate than three-dimensional ultrasound methods for irregularly shaped objects. In conclusion, our data show that three-dimensional ultrasound measurements of distance and volume are sufficiently accurate to use clinically.

Initial results from the Sherbrooke avalanche photodiode positron tomograph

Abstract: The design features and engineering constraints of a PET system based on avalanche photodiode (APD) detectors have been described in a previous report. Here, the authors present the initial results obtained with the Sherbrooke APD-PET scanner, a very high spatial resolution device designed for dynamic imaging of small and medium-sized laboratory animals such as rats, cats, rabbits and small monkeys. Its physical performance has been evaluated in terms of resolution, sensitivity, count rate, random and scatter fractions, contrast and relative activity recovery as a function of object size. The capabilities of the scanner for biomedical research applications have been demonstrated using phantom and animal studies.

Bayesian reconstruction and use of anatomical a priori information for emission tomography

Abstract: A Bayesian method is presented for simultaneously segmenting and reconstructing emission computed tomography (ECT) images and for incorporating high-resolution, anatomical information into those reconstructions. The anatomical information is often available from other imaging modalities such as computed tomography (CT) or magnetic resonance imaging (MRI). The Bayesian procedure models the ECT radiopharmaceutical distribution as consisting of regions, such that radiopharmaceutical activity is similar throughout each region. It estimates the number of regions, the mean activity of each region, and the region classification and mean activity of each voxel. Anatomical information is incorporated by assigning higher prior probabilities to ECT segmentations in which each ECT region stays within a single anatomical region. This approach is effective because anatomical tissue type often strongly influences radiopharmaceutical uptake. The Bayesian procedure is evaluated using physically acquired single-photon emission computed tomography (SPECT) projection data and MRI for the three-dimensional (3-D) Hoffman brain phantom. A clinically realistic count level is used. A cold lesion within the brain phantom is created during the SPECT scan but not during the MRI to demonstrate that the estimation procedure can detect ECT structure that is not present anatomically.

Diffusion-weighted interleaved echo-planar imaging with a pair of orthogonal navigator echoes.

Abstract: This work describes a diffusion-weighted (DW) interleaved echo-planar imaging (IEPI) method for use on either conventional whole-body scanners or scanners equipped with high-speed gradient and receiver hardware. In combination with cardiac gating and motion correction with a pair of orthogonal navigator echoes, the presented method is time-efficient, compensates for patient motions, and is less sensitive to image distortions than single-shot methods. The motion-correction scheme consists of correction for constant and linear phase terms found from the orthogonal navigator echoes. The correction for the linear phase term in the phase-encode direction includes gridding the data to the Cartesian grid. The DW IEPI was used to image a phantom rotating about the slice-select direction, and motion correction was performed to eliminate ghost artifacts arising from motion in either the readout- or phase-encoding directions. DW IEPI with motion correction was performed on a normal volunteer and on a patient with a 26-day-old region of ischemia over much of the right hemisphere.

Bayesian reconstruction of PET images: methodology and performance analysis.

Abstract: We describe a practical statistical methodology for the reconstruction of PET images. Our approach is based on a Bayesian formulation of the imaging problem. The data are modelled as independent Poisson random variables and the image is modelled using a Markov random field smoothing prior. We describe a sequence of calibration procedures which are performed before reconstruction: (i) calculation of accurate attenuation correction factors from re-projected Bayesian reconstructions of the transmission image; (ii) estimation of the mean of the randoms component in the data; and (iii) computation of the scatter component in the data using a Klein - Nishina-based scatter estimation method. The Bayesian estimate of the PET image is then reconstructed using a pre-conditioned conjugate gradient method. We performed a quantitation study with a multi-compartment chest phantom in a Siemens/CTI ECAT931 system. Using 40 1 min frames, we computed the ensemble mean and variance over several regions of interest from images reconstructed using the Bayesian and a standard filtered backprojection (FBP) protocol. The values for the region of interest were compared with well counter data for each compartment. These results show that the Bayesian protocol can produce substantial improvements in relative quantitation over the standard FBP protocol, particularly when short transmission scans are used. An example showing the application of the method to a clinical chest study is also given.

The dependence of EM energy absorption upon human head modeling at 900 MHz

Abstract: The dependence of electromagnetic energy absorption at 900 MHz in the human head on its anatomy and its modeling are investigated for RF-sources operating in the very close proximity of the head. Different numerical head phantoms based on MRI scans of 3 different adults were used with voxel sizes down to 1 mm/sup 3/. Simulations of the absorption were performed by distinguishing the electrical properties of up to 13 tissue types. In addition simulations with modified electric parameters and reduced degrees of complexity were performed. Thus, the phantoms greatly differ from each other in terms of shape, size, and internal anatomy. The numerical results are compared with those of measurements in a multitissue phantom and 2 homogeneous phantoms of different shapes and sizes. The results demonstrate that size and shape are of minor importance, Although local SAR values depend significantly on local inhomogeneities and electric properties, the volume-averaged spatial peak SAR obtained with the homogeneous phantoms only slightly overestimates that of the worst-case exposure in the inhomogeneous phantoms.

Dosimetric verification of intensity-modulated fields

Abstract: The optimization of intensity distributions and the delivery of intensity‐modulated treatments with dynamic multi‐leaf collimators(MLC) offer important improvements to three‐dimensional conformal radiotherapy. In this study, a nine‐beam intensity‐modulated prostate plan was generated using the inverse radiotherapy technique. The resulting fluence profiles were converted into dynamic MLC leaf motions as functions of monitor units. The leaf motion pattern data were then transferred to the MLCcontrol computer and were used to guide the motions of the leaves during irradiation. To verify that the dose distribution predicted by the optimization and planning systems was actually delivered, a homogeneous polystyrene phantom was irradiated with each of the nine intensity‐modulated beams incident normally on the phantom. For each exposure, a radiographicfilm was placed normal to the beam in the phantom to record the deposited dose. The films were calibrated and scanned to generate 2‐D isodose distributions. The dose was also calculated by convolving the incident fluence pattern with pencil beams. The measured and calculated dose distributions were compared and found to have discrepancies in excess of 5% of the central axis dose. The source of discrepancies was suspected to be the rounded edges of the leaves and the scattered radiation from the various components of the collimation system. After approximate corrections were made for these effects, the agreement between the two dose distributions was within 2%. We also studied the impact of the ‘‘tongue‐and‐groove’’ effect on dynamic MLCtreatments and showed that it is possible to render this effect inconsequential by appropriately synchronizing leaf motions. This study also demonstrated that accurate and rapid delivery of realistic intensity‐modulated plans is feasible using a dynamic multi‐leaf collimator.

A three-dimensional ultrasound prostate imaging system

Abstract: We have developed a three-dimensional (3D) transrectal ultrasound imaging system, based on using a motorized 5 MHz transducer assembly, rotated under microcomputer control, to collect a series of 100 two-dimensional (2D) images, digitized by a video frame-grabber. These are then reconstructed into a 3D image on a computer workstation, permitting the prostate anatomy to be visualized in three dimensions, and distance and volume measurements to be performed. The accuracy of the distance measurements was assessed with a string test phantom, and that of the volume measurements with balloons of known sizes. Also, the resolution degradation engendered by the reconstruction algorithm was assessed by comparing the full-width at half-maximum (FWHM) of string cross-sectional images in the 3D image to their 2D counterparts. The results show that distance and volume measurements are both accurate to about +/- 1%, and that the reconstruction algorithm increases the mean FWHM by 8 +/- 3% axially and 3 +/- 3% laterally.

Initial clinical assessment of CT-MRI image fusion software in localization of the prostate for 3D conformal radiation therapy☆

Abstract: Purpose: To assess the utility of image fusion software and compare MRI prostate localization with CT localization in patients undergoing 3D conformal radiation therapy of prostate cancer. Materials and Methods: After a phantom study was performed to ensure the accuracy of image fusion procedure, 22 prostate cancer patients had CT and MRI studies before the start of radiotherapy. Immobilization casts used during radiation treatment were also used for both imaging studies. After the clinical target volume (CTV) (prostate or prostate + seminal vesicles) was defined on CT, slices from the MRI study were reconstructed to precisely match the CT slices by identifying three common bony landmarks on each study. The CTV was separately defined on the matched MRI slices. Data related to the size and location of the prostate were compared between CT and MRI. The spatial relationship between the tip of urethrogram cone on CT and prostate apex seen on MRI was also estimated. Results: The phantom study showed the registration discrepancies between CT and MRI smaller than 1.0 mm in any pair in comparison. The patient study showed a mean image registration error of 0.9 (± 0.6) mm. The average prostate volume was 63.0 (± 25.8) cm 2 and 50.9 (± 22.9) cm 3 determined by CT and MRI, respectively. The difference in prostate location with the two studies usually differed at the base and at the apex of the prostate. On the transverse MRI, the prostate apex was situated 7.1 (± 4.5) mm dorsal and 15.1 (± 4.0) mm cephalad to the tip of urethrogram cone. Conclusions: CT-MRI image fusion study made it possible to compare the two modalities directly. MRI localization of the prostate is more accurate than CT, and indicates the distance from cone to apex is 15 mm. CT-MRI image fusion technique provides valuable supplements to CT technology for more precise targeting of the prostate cancer.

Noninvasive real-time multipoint temperature control for ultrasound phased array treatments

Abstract: A method for noninvasively estimating spatiotemporal temperature changes in samples using diagnostic ultrasound, and using these as inputs to a multipoint ultrasound phased array temperature controller, is presented in this paper. This method is based on a linear relationship between the apparent tissue echo pattern displacements and temperature, as seen along A-lines acquired with diagnostic ultrasound when the sample is heated by external heating fields. The proportionality constant between echo displacement and temperature is determined by the local change in speed of sound due to temperature and the linear coefficient of thermal expansion of the material. Accurate estimation of the displacements and proportionality constant yields accurate calibrated high-resolution (1 mm spatial, sub-/spl deg/C) noninvasive sample temperature estimates. These are used as inputs to a multipoint temperature controller, capable of controlling ultrasound phased array treatments in real-time. Phantom and in vitro results show that the noninvasively estimated temperature values can effectively be used to control ultrasound hyperthermia treatments, almost replacing invasive thermocouple measurements. The mathematical background and assumptions of the noninvasive temperature estimator and the controller are presented in this paper, together with experimental results showing estimator and controller performance and limitations. To the best of our knowledge, this paper presents the first demonstration of real-time treatment control based entirely on noninvasive temperature estimates.

Surface coil phased arrays for high‐resolution imaging of the carotid arteries

Abstract: An MR phased-array coil assembly was developed to obtain high-resolution images of atherosclerotic plaques in the carotid artery. Images of volunteers and patients obtained by using alternative coil designs provided a subjective assessment of the coils' performance, field of view, ease of use, and susceptibility to motion artifacts. A quantitative measurement performed on a phantom indicated that a two-coil phased-array design should produce a 37% better signal-to-noise ratio at the carotids than would a conventional single 3-inch surface coil.

A phantom study to assess the accuracy of stereotactic localization, using T1-weighted magnetic resonance imaging with the Leksell stereotactic system.

Abstract: This phantom study assesses the accuracy of stereotactic localization using the Leksell G frame (Elekta Instruments AB, Stockholm, Sweden) with T1-weighted magnetic resonance imaging (Siemens 1.5 T Magnetom; Erlangen, Germany). The coordinates of an array of solid perspex rods were determined and compared with measured values in a series of transverse, coronal, and sagittal images. The maximum absolute errors observed (X = 2.7 mm, Y = 7.0 mm, Z = 8.0 mm) were discouraging. However, the more reasonable mean errors (X = 0.4 mm, Y = 0.7 mm, Z = 1.3 mm) reflect considerable variation in accuracy throughout the volume assessed and limitation of maximum errors to specific areas. We present details of the spatial variation and discuss possible mechanisms for improving accuracy. The overall results are of direct relevance only to the scanner used. These results are, however, an indication of the need to approach with caution stereotactic localization using magnetic resonance imaging and to emphasize the requirement for quality assurance and for a comprehensive study of the scanner's characteristics.

The application of transit dosimetry to precision radiotherapy.

Abstract: A method of using electronic portal imaging (EPI) for transit dosimetry is described. In this method, a portal image of the treatment field is first aligned with a digitally reconstructed radiograph (DRR) to geometrically relate the computed tomography (CT) scan, used to generate the DRR, with the EPI. Then the EPI is corrected for scatter within the patient to yield a map of primary fluence striking the detector. This is backprojected through the planning CT data set to yield a distribution of primary fluence within the patient. This distribution is then convolved with dose deposition kemels to yield a map of dose delivery within the patient. Such a distribution may be compared with the dose distribution resulting from the original treatment plan in order to evaluate the adequacy of the treatment. This method has been evaluated using a humanoid phantom. We find the transit dosimetry relative dose distribution when compared with film and thermoluminescent dosimeter (TLD) measurements and compared with our planning system to agree within 2% in the pelvic region of a humanoid phantom.

Proton dose monitoring with PET: quantitative studies in Lucite.

Abstract: The feasibility of using PET for proton dose monitoring is examined here in detail. First experimental studies in a Lucite phantom have been performed at the medical TRIUMF proton beamline for proton energies of 62 MeV and 110 MeV. The proton dose delivered to the phantom ranged from 16 Gy up to 317 Gy. The induced activity was analysed 20-40 min after the irradiation with a PET scanner. The obtained depth activity profiles were compared to our calculation based on a model using available isotope production cross-section data. Both the observed absolute count rates and the activity profiles were found to agree very well with this model. Effects such as proton range straggling, inelastic nuclear interactions and the energy spectrum of the emitted positrons were studied in detail and found to change the activities by 5-10%. The lateral deposition of dose in the phantom could be very well localized by the induced activity. However, the spatial correlation between dose depth profiles and depth activity profiles was found to be poor, hence the extraction of isodose profiles from activity profiles seems to be very difficult.

Correction for scatter in 3D brain PET using a dual energy window method

Abstract: A method for scatter correction using dual energy window acquisition has been developed and implemented on data collected with a brain-PET tomograph operated in the septa retracted, 3D mode. Coincidence events are assigned to (i) an upper energy window where both photons deposit energy between 380 keV and 850 keV or (ii) a lower energy window where one or both photons deposit within 200 keV and 380 keV. Scaling parameters are derived from measurements of the ratios of counts from line sources due to scattered and unscattered events in the two energy windows in head-sized phantoms. A scaled subtraction of the two energy windows produces a distribution of scatter which is smoothed prior to subtraction from the upper energy window. In phantoms, the correction was found to restore the uniformity, contrast and linearity of activity concentration. Relative activity concentrations were restored to within 7% of their true values in a multicompartment phantom. The method was found to provide accurate correction for scattered events arising from activity outside the direct detector field of view. In a three-compartment phantom containing water, and scanned in dynamic, multiframe mode, the half-lives of the two isotopes were restored to within 2% of their true value.

Equipment and method for calibration and quality assurance of an ultrasonic bone analysis apparatus

Abstract: An improvement to calibration and quality assurance of an ultrasonic bone analysis apparatus is achieved by using phantoms. A received ultrasound signal that passed through a first phantom is used as a baseline for calculating BUA. The first phantom has an attenuation-versus-frequency profile that is substantially flat in a frequency range of 200 to 1000 kHz and a sound impedance that approximates that of soft human tissue. A propagation time of the signal is used to calibrate a zero point of the apparatus. A second phantom has an attenuation in a frequency range of 200-1000 kHz which approximates that of a human foot, including an attenuation-versus-frequency profile that is substantially linear in the frequency range of 200-600 kHz and is approximately 1 dB/MHz per mm. A received ultrasound signal that passed through the second phantom is used to calibrate the apparatus for a BUA calculation, and can also be used for at least one of determining and correcting a drift of the apparatus. A third phantom has a predetermined SOS that is substantially independent of temperature. A received ultrasound signal that passed through the third phantom is used to calibrate the apparatus for a SOS calculation, and can also be used for at least one of determining and correcting instrument drift. An ultrasonic signal is transmitted through mutually touching transducer pads. The received signal is used as a baseline for calculating BUA. A measurement of the propagation time of the received signal is compared with a temporally-proximate measurement of an ultrasonic signal that passed through a patient's heel to determine a time of propagation through the heel.

Modeling dose distributions from portal dose images using the convolution/superposition method

Abstract: Post-treatment dose verification refers to the process of reconstructing delivered dose distributions internal to a patient from information obtained during the treatment. The exit dose is commonly used to describe the dose beyond the exit surface of the patient from a megavoltage photon beam. Portal imaging provides a method of determining the dose in a plane distal to a patient from a megavoltage therapeutic beam. This exit dose enables reconstruction of the dose distribution from external beam radiation throughout the patient utilizing the convolution/superposition method and an extended phantom. An iterative convolution/superposition algorithm has been created to reconstruct dose distributions in patients from exit dose measurements during a radiotherapy treatment. The method is based on an extended phantom that includes the patient CT representation and an electronic portal imaging device (EPID). The convolution/superposition method computes the dose throughout the extended phantom, which allows the portal dose image to be predicted in the EPID. The process is then reversed to take the portal dose measurement and infer what the dose distribution must have been to produce the measured portal dose. The dose distribution is modeled without knowledge of the incident intensity distribution, and includes the effects of scatter in the computation. The iterative method begins by assuming that the primary energy fluence (PEF) at the portal image plane is equal to the portal dose image, the PEF is then back-projected through the extended phantom and convolved with the dose deposition kernel to determine a new prediction of the portal dose image. The image of the ratio of the computed PEF to the computed portal dose is then multiplied by the measured portal dose image to produce a better representation of the PEF. Successive iterations of this process then converge to the exiting PEF image that would produce the measured portal dose image. Once convergence is established, the dose distribution is determined by back-projecting the PEF and convolving with the dose deposition kernel. The method is accurate, provided the patient representation during treatment is known. The method was used on three phantoms with a photon energy of 6 MV to verify convergence and accuracy of the algorithm. The reconstructed dose volumes agree to within 3% of the forward computation dose volumes. Furthermore, this technique assumes no prior knowledge of the incident fluence and therefore may better represent the dose actually delivered.

Calculation of portal dose using the convolution/superposition method

Abstract: The convolution/superposition method was used to predict the dose throughout an extended volume, which includes a phantom and a portal imaging device. From the calculated dose volume, the dose delivered in the portal image plane was extracted and compared to a portal dose image. This comparison aids in verifying the beam configuration or patient setup after delivery of the radiation. The phantoms used to test the accuracy of this method include a solid water cube, a Nuclear Associates CT phantom, and an Alderson Rando thorax phantom. The dose distribution in the image plane was measured with film and an electronic portal imaging device in each case. The calculated portal dose images were within 4% of the measured images for most voxels in the central portion of the field for all of the extended volumes. The convolution/superposition method also enables the determination of the scatter and primary dose contributions using the particular dose deposition kernels for each contribution. The ratio of primary dose to total dose was used to extract the primary dose from the detected portal image, which enhances the megavoltage portal images by removing scatter blurring. By also predicting the primary energy fluence, we can find the ratio of computed primary energy fluence to total dose. Multiplying this ratio by the measured dose image estimates the relative primary energy fluence at the portal imager. The image of primary energy fluence possesses higher contrast and may be used for further quantitative image processing and dose modeling.

Synaesthesia in phantom Limbs induced with mirrors

Abstract: Although there is a vast clinical literature on phantom limbs, there have been no experimental studies on the effects of visual input on phantom sensations. We introduce an inexpensive new device--a 'virtual reality box'--to resurrect the phantom visually to study inter-sensory effects. A mirror is placed vertically on the table so that the mirror reflection of the patient's intact had is 'superimposed' on the felt position of the phantom. We used this procedure on ten patients and found the following results. 1. In six patients, when the normal hand was moved, so that the phantom was perceived to move in the mirror, it was also felt to move; i.e. kinesthetic sensations emerged in the phantom. In D.S. this effect occurred even though he had never experienced any movements in the phantom for ten years before we tested him. He found the return of sensations very enjoyable. 2. Repeated practice led to a permanent 'disappearance' of the phantom arm in patient D.S. and the hand became telescoped into the stump near the shoulder. 3. Using an optical trick, impossible postures--e.g. extreme hyperextension of the fingers--could be induced visually in the phantom. In one case this was felt as a transient 'painful tug' in the phantom. 4. Five patients experienced involuntary painful 'clenching spasms' in the phantom hand and in four of them the spasms were relieved when the mirror was used to facilitate 'opening' of the phantom hand; opening was not possible without the mirror. 5. In three patients, touching the normal hand evoked precisely localized touch sensations in the phantom. Interestingly, the referral was especially pronounced when the patients actually 'saw' their phantom being touched in the mirror. Indeed, in a fourth patient (R.L.) the referral occurred only if he saw his phantom being touched: a curious form of synaesthesia. These experiments lend themselves readily to imaging studies using PET and fMRI. Taken collectively, they suggest that there is a considerable amount of latent plasticity even in the adult human brain. For example, precisely organized new pathways, bridging the two cerebral hemispheres, can emerge in less than three weeks. Furthermore, there must be a great deal of back and forth interaction between vision and touch, so that the strictly modular, hierarchical model of the brain that is currently in vogue needs to be replaced with a more dynamic, interactive model, in which 're-entrant' signalling plays the main role.

Accurate geometric and physical response modelling for statistical image reconstruction in high resolution PET

Abstract: Accurate modeling of the data formation and detection process in PET is essential for optimizing resolution. Here, the authors develop a model in which the following factors are explicitly included: depth dependent geometric sensitivity, photon pair non-colinearity, attenuation, intrinsic detector sensitivity, non-uniform sinogram sampling, crystal penetration and inter-crystal scatter. Statistical reconstruction methods can include these modeling factors in the system matrix that represents the probability of detecting an emission from each image pixel at each detector-pair. The authors describe a method for computing these factors using a combination of calibration measurements, geometric modeling and Monte Carlo computation. By assuming that blurring effects and depth dependent sensitivities are separable, the authors are able to exploit rotational symmetries with respect to the sinogram. This results in substantial savings in both storage requirements and computational costs. Using phantom data the authors show that this system model can produce higher resolution near the center of the field of view, at a given SNR, than both simpler geometric models and reconstructions using filtered backprojection. The authors also show, using an off-centered phantom, that larger improvements in resolution occur towards the edge of the field of view due to the explicit modeling of crystal penetration effects.

Displacement and strain imaging of coronary arteries with intraluminal ultrasound

Abstract: Tissue elasticity can be estimated from displacement and strain images acquired under controlled deformation. We extend this approach for coronary arteries, deformed and imaged by an integrated angioplasty balloon and ultrasonic imaging probe. Because the lumen cross section of a severely occluded artery is not circular, we have also developed a technique to perform all motion computations in the reference frame of the lumen's geometric center. This coordinate system is independent of the imaging catheter and consequently referencing to this frame removes artifacts associated with probe motion within the balloon during deformation. Displacements and strains estimated by phase-sensitive correlation-based speckle tracking were used to distinguish arterial plaques in simulated coronary arteries of differing elastic moduli: hard, soft, and homogenous. We have also applied these methods to images of a homogeneous gelatin phantom collected with the integrated probe. The maximum phantom displacement was about 40 pm, and the maximum radial normal strain was about 4% (absolute value). The spatial dependence of these quantities shows good agreement with theoretically predicted values.

Monte Carlo and experimental evaluation of accuracy and noise properties of two scatter correction methods for SPECT

Abstract: Scatter correction is a prerequisite for quantitative SPECT, but potentially increases noise. Monte Carlo simulations (EGS4) and physical phantom measurements were used to compare accuracy and noise properties of two scatter correction techniques: the triple-energy window (TEW), and the transmission dependent convolution subtraction (TDCS) techniques. Two scatter functions were investigated for TDCS: (i) the originally proposed mono-exponential function and (ii) an exponential plus Gaussian scatter function demonstrated to be superior from our Monte Carlo simulations. Signal to noise ratio (S/N) and accuracy were investigated in cylindrical phantoms and a chest phantom. Results from each method were compared to the true primary counts (simulations), or known activity concentrations (phantom studies). was used in all cases. The optimized method overall performed best, with an accuracy of better than 4% for all simulations and physical phantom studies. Maximum errors for TEW and of -30 and -22%, respectively, were observed in the heart chamber of the simulated chest phantom. TEW had the worst S/N ratio of the three techniques. The S/N ratios of the two TDCS methods were similar and only slightly lower than those of simulated true primary data. Thus, accurate quantitation can be obtained with , with a relatively small reduction in S/N ratio.

Real-time adaptive motion correction in functional MRI

Abstract: Functional magnetic resonance imaging (fMRI) of the brain is often degraded by bulk head motion. Algorithms that address this by retrospective re-registration of images in an fMRI time series are all fundamentally limited by any motion that occurs through-plane. Here, a technique is described that can account for such motion by prospective correction in real time. A navigator echo is used before every image acquisition to detect superior/inferior displacements of the head. The displacement information is then used to adjust the plane of excitation of the ensuing single-shot echo-planar fMRI axial image. These correction updates can be completed in 100 mm with motion sensitivity at least as small as 0.5 mm. The efficacy of this method is documented in phantom and human studies.

Respiratory compensation in projection imaging using a magnification and displacement model

Abstract: Respiratory motion during the collection of computed tomography (CT) projections generates structured artifacts and a loss of resolution that can render the scans unusable. This motion is problematic in scans of those patients who cannot suspend respiration, such as the very young or intubated patients. Here, the authors present an algorithm that can be used to reduce motion artifacts in CT scans caused by respiration. An approximate model for the effect of respiration is that the object cross section under interrogation experiences time-varying magnification and displacement along two axes. Using this model an exact filtered backprojection algorithm is derived for the case of parallel projections. The result is extended to generate an approximate reconstruction formula for fan-beam projections. Computer simulations and scans of phantoms on a commercial CT scanner validate the new reconstruction algorithms for parallel and fan-beam projections. Significant reduction in respiratory artifacts is demonstrated clinically when the motion model is satisfied. The method can be applied to projection data used in CT, single photon emission computed tomography (SPECT), positron emission tomography (PET), and magnetic resonance imaging (MRI).