Imaging performance of phase-contrast breast computed tomography with synchrotron radiation and a CdTe photon-counting detector.

PURPOSE: Within the SYRMA-CT collaboration based at the ELETTRA synchrotron radiation (SR) facility the authors investigated the imaging performance of the phase-contrast computed tomography (CT) system dedicated to monochromatic in vivo 3D imaging of the female breast, for breast cancer diagnosis. METHODS: Test objects were imaged at 38keV using monochromatic SR and a high-resolution CdTe photon-counting detector. Signal and noise performance were evaluated using modulation transfer function (MTF) and noise power spectrum. The analysis was performed on the images obtained with the application of a phase retrieval algorithm as well as on those obtained without phase retrieval. The contrast to noise ratio (CNR) and the capability of detecting test microcalcification clusters and soft masses were investigated. RESULTS: For a voxel size of (60µm)(3), images without phase retrieval showed higher spatial resolution (6.7mm(-1) at 10% MTF) than corresponding images with phase retrieval (2.5mm(-1)). Phase retrieval produced a reduction of the noise level and an increase of the CNR by more than one order of magnitude, compared to raw phase-contrast images. Microcalcifications with a diameter down to 130µm could be detected in both types of images. CONCLUSIONS: The investigation on test objects indicates that breast CT with a monochromatic SR source is technically feasible in terms of spatial resolution, image noise and contrast, for in vivo 3D imaging with a dose comparable to that of two-view mammography. Images obtained with the phase retrieval algorithm showed the best performance in the trade-off between spatial resolution and image noise.

Towards breast tomography with synchrotron radiation at Elettra: first images.

The aim of the SYRMA-CT collaboration is to set-up the first clinical trial of phase-contrast breast CT with synchrotron radiation (SR). In order to combine high image quality and low delivered dose a number of innovative elements are merged: a CdTe single photon counting detector, state-of-the-art CT reconstruction and phase retrieval algorithms. To facilitate an accurate exam optimization, a Monte Carlo model was developed for dose calculation using GEANT4. In this study, high isotropic spatial resolution (120 µm)(3) CT scans of objects with dimensions and attenuation similar to a human breast were acquired, delivering mean glandular doses in the range of those delivered in clinical breast CT (5-25 mGy). Due to the spatial coherence of the SR beam and the long distance between sample and detector, the images contain, not only absorption, but also phase information from the samples. The application of a phase-retrieval procedure increases the contrast-to-noise ratio of the tomographic images, while the contrast remains almost constant. After applying the simultaneous algebraic reconstruction technique to low-dose phase-retrieved data sets (about 5 mGy) with a reduced number of projections, the spatial resolution was found to be equal to filtered back projection utilizing a four fold higher dose, while the contrast-to-noise ratio was reduced by 30%. These first results indicate the feasibility of clinical breast CT with SR.

An efficient photoelectric X-ray polarimeter for the study of black holes and neutron stars.

The study of astronomical objects using electromagnetic radiation involves four basic observational approaches: imaging, spectroscopy, photometry (accurate counting of the photons received) and polarimetry (measurement of the polarizations of the observed photons). In contrast to observations at other wavelengths, a lack of sensitivity has prevented X-ray astronomy from making use of polarimetry. Yet such a technique could provide a direct picture of the state of matter in extreme magnetic and gravitational fields, and has the potential to resolve the internal structures of compact sources that would otherwise remain inaccessible, even to X-ray interferometry. In binary pulsars, for example, we could directly 'see' the rotation of the magnetic field and determine if the emission is in the form of a 'fan' or a 'pencil' beam. Also, observation of the characteristic twisting of the polarization angle in other compact sources would reveal the presence of a black hole. Here we report the development of an instrument that makes X-ray polarimetry possible. The factor of 100 improvement in sensitivity that we have achieved will allow direct exploration of the most dramatic objects of the X-ray sky.

A comparative study of two methods for the orientation of the occlusal plane and the determination of the vertical dimension of occlusion in edentulous patients.

The aim of this study was to compare two methods used to orientate the occlusal plane (OP) and to determine the vertical dimension of occlusion (VDO). In method A the VDO was established by means of the rest position, the minimal speaking distance, and the patient's profile. Method B used a newly developed registration pin assembly. The VDO was registered using a silicone occlusion rim and the swallowing technique. The results were compared to the values of the new dentures. Three standardized lateral radiographs were taken at the VDO obtained with methods A, B, and at that of the final dentures. On each radiograph the orientation of the OP to the Camper plane and the VDO were measured by two investigators independently. The results indicated no statistically significant differences between the mean VDO with method A and B compared with the new dentures (P greater than 0.05). With both methods it was not possible to orientate the OP parallel to the Camper plane. None of the occlusal planes of the new dentures were parallel either. Their OP diverged on average by 7 degrees dorso-caudally. The time spent with method B to orient the OP and to determine the VDO was significantly lower than with method A (17-50 min).

Digital autoradiography: film and electronic multitracer techniques for heart imaging.

A multitracer digital film autoradiography (DFA) and a single-tracer multiwire proportional chamber autoradiography (MWPCA) have been developed for the simultaneous study of regional myocardial blood flow and metabolism in the canine heart. Radioactive indicators of flow (plastic microspheres), metabolism (deoxy-2-D-glucose labeled either with (14)C or (3)H), and flow and metabolism ((201)T1), were used in the same experiment. Multiple tracers were discriminated by film autoradiography on the basis of their properties (particulate or nonparticulate, short or long half-life), and by multiple film exposure. A multiwire chamber was used for (3)H detection. Perfusional and metabolic maps were obtained in transverse microslices of the heart (40 mum thick) by digital image processing. The operation, the advantages and limits of the single techniques as well as their combined use are described. The two techniques are complementary: DFA, although time consuming and proportionality limited, allows the use of multiple tracers and it is mandatory for particulate tracer detection due to its high spatial resolution; MWPCA, in spite of a lower resolution provides a very fast and proportional detection as compared to DFA, but limited to only one tracer at the time.