3D C-arm as an alternative modality to CT in postmortem imaging: technical feasibility

OBJECT: The aim of our study was to demonstrate the image quality of the new device using human cadavers, extending the horizon of available imaging modalities in forensic medicine. MATERIALS AND METHODS: Six human cadavers were examined, revealing C-arm data sets of the head, neck thorax, abdomen and pelvis. High-resolution mode was performed with 500 fluoroscopy shots during a 190 degrees orbital movement with a constant tube voltage of 100 kV and a current of 4.6 mA. Based on these data sets subsequent three-dimensional reconstructions were generated. RESULTS: Reconstructed data sets revealed high-resolution images of all skeletal structures in a near-CT quality. The same image quality was available in all reconstruction planes. Artefacts caused by restorative dental materials are less accentuated in CBCT data sets. The system configuration was not powerful enough to generate sufficient images of intracranial structures. CONCLUSION: After the here-demonstrated encouraging preliminary results, the forensic indications that would be suitable for imaging with a 3D C-arm have to be defined. Promising seems the visualization local limited region of interest as the cervical spine or the facial skeleton.

Advanced morphological and biochemical magnetic resonance imaging of cartilage repair procedures in the knee joint at 3 Tesla

Morphological and biochemical magnetic resonance imaging (MRI) is due to high field MR systems, advanced coil technology, and sophisticated sequence protocols capable of visualizing articular cartilage in vivo with high resolution in clinical applicable scan time. Several conventional two-dimensional (2D) and three-dimensional (3D) approaches show changes in cartilage structure. Furthermore newer isotropic 3D sequences show great promise in improving cartilage imaging and additionally in diagnosing surrounding pathologies within the knee joint. Functional MR approaches are additionally able to provide a specific measure of the composition of cartilage. Cartilage physiology and ultra-structure can be determined, changes in cartilage macromolecules can be detected, and cartilage repair tissue can thus be assessed and potentially differentiated. In cartilage defects and following nonsurgical and surgical cartilage repair, morphological MRI provides the basis for diagnosis and follow-up evaluation, whereas biochemical MRI provides a deeper insight into the composition of cartilage and cartilage repair tissue. A combination of both, together with clinical evaluation, may represent a desirable multimodal approach in the future, also available in routine clinical use.

Cartilage damage in femoroacetabular impingement (FAI): preliminary results on comparison of standard diagnostic vs delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC)

OBJECTIVES: To study the three-dimensional (3D) T1 patterns in different types of femoroacetabular impingement (FAI) by utilizing delayed gadolinium-enhanced magnetic resonance imaging (MRI) of cartilage (dGEMRIC) and subsequent 3D T1 mapping. We used standard grading of OA by Tonnis grade on standard radiographs and morphological grading of cartilage in MRI for comparative analysis. METHODS: dGEMRIC was obtained from ten asymptomatic young-adult volunteers and 26 symptomatic FAI patients. MRI included the routine hip protocol and a dual-flip angle (FA) 3D gradient echo (GRE) sequence utilizing inline T1 measurement. Cartilage was morphologically classified from the radial images based on the extent of degeneration as: no degeneration, degeneration zone measuring <0.75 cm from the rim, >0.75 cm, or total loss. T1 findings were evaluated and correlated. RESULTS: All FAI types revealed remarkably lower T1 mean values in comparison to asymptomatic volunteers in all regions of interest. Distribution of the T1 dGEMRIC values was in accordance with the specific FAI damage pattern. In cam-types (n=6) there was a significant drop (P<0.05) of T1 in the anterior to superior location. In pincer-types (n=7), there was a generalized circumferential decrease noted. High inter-observer (intra-observer) reliability was noted for T1 assessment using intra-class correlation (ICC):intra-class coefficient=0.89 (0.95). CONCLUSIONS: We conclude that a pattern of zonal T1 variation does seem to exist that is unique for different sub-groups of FAI. The FA GRE approach to perform 3D T1 mapping has a promising role for further studies of standard MRI and dGEMRIC in the hip joint.

3D Ultrasound imaging--a useful non-invasive tool to detect AV fistulas in transplanted kidneys

BACKGROUND: A precise, non-invasive, non-toxic, repeatable, convenient and inexpensive follow-up of renal transplants, especially following biopsies, is in the interest of nephrologists. Formerly, the rate of biopsies leading to AV fistulas had been underestimated. Imaging procedures suited to a detailed judgement of these vascular malformations are to be assessed. METHODS: Three-dimensional (3D) reconstruction techniques of ultrasound flow-directed and non-flow-directed energy mode pictures were compared with a standard procedure, gadolinium-enhanced nuclear magnetic resonance imaging angiography (MRA) using the phase contrast technique. RESULTS: Using B-mode and conventional duplex information, AV fistulas were localized in the upper pole of the kidney transplant of the index patient. The 3D reconstruction provided information about the exact localization and orientation of the fistula in relation to other vascular structures, and the flow along the fistula. The MRA provided localization and orientation information, but less functional information. Flow-directed and non-flow-directed energy mode pictures could be reconstructed to provide 3D information about vascular malformations in transplanted kidneys. CONCLUSION: In transplanted kidneys, 3D-ultrasound angiography may be equally as effective as MRA in localizing and identifying AV malformations. Advantages of the ultrasound method are that it is cheaper, non-toxic, non-invasive, more widely availability and that it even provides more functional information. Future prospective studies will be necessary to evaluate the two techniques further.

Esophagus imaging for catheter ablation of atrial fibrillation: comparison of two methods with showing of esophageal movement

This study aims to evaluate whether visualization and integration of the computed tomography (CT) scan of the left atrium (LA) and the esophagus into the three-dimensional (3D) electroanatomical map the day before ablation is accurate compared with integration of an esophagus tag into the electroanatomic LA map visualizing the anatomic relationship during the radiofrequency ablation or whether esophagus movement prohibits esophagus visualization the day before ablation.

Low resolution brain electromagnetic tomography (LORETA) functional imaging in acute, neuroleptic-naive, first-episode, productive schizophrenia

Functional imaging of brain electrical activity was performed in nine acute, neuroleptic-naive, first-episode, productive patients with schizophrenia and 36 control subjects. Low-resolution electromagnetic tomography (LORETA, three-dimensional images of cortical current density) was computed from 19-channel of electroencephalographic (EEG) activity obtained under resting conditions, separately for the different EEG frequencies. Three patterns of activity were evident in the patients: (1) an anterior, near-bilateral excess of delta frequency activity; (2) an anterior-inferior deficit of theta frequency activity coupled with an anterior-inferior left-sided deficit of alpha-1 and alpha-2 frequency activity; and (3) a posterior-superior right-sided excess of beta-1, beta-2 and beta-3 frequency activity. Patients showed deviations from normal brain activity as evidenced by LORETA along an anterior-left-to-posterior-right spatial axis. The high temporal resolution of EEG makes it possible to specify the deviations not only as excess or deficit, but also as inhibitory, normal and excitatory. The patients showed a dis-coordinated brain functional state consisting of inhibited prefrontal/frontal areas and simultaneously overexcited right parietal areas, while left anterior, left temporal and left central areas lacked normal routine activity. Since all information processing is brain-state dependent, this dis-coordinated state must result in inadequate treatment of (externally or internally generated) information.

Vessel orientation-dependent sensitivity of optoacoustic imaging using a linear array transducer

For clinical optoacoustic imaging, linear probes are preferably used because they allow versatile imaging of the human body with real-time display and free-hand probe guidance. The two-dimensional (2-D) optoacoustic image obtained with this type of probe is generally interpreted as a 2-D cross-section of the tissue just as is common in echo ultrasound. We demonstrate in three-dimensional simulations, phantom experiments, and in vivo mouse experiments that for vascular imaging this interpretation is often inaccurate. The cylindrical blood vessels emit anisotropic acoustic transients, which can be sensitively detected only if the direction of acoustic radiation coincides with the probe aperture. Our results reveal for this reason that the signal amplitude of different blood vessels may differ even if the vessels have the same diameter and initial pressure distribution but different orientation relative to the imaging plane. This has important implications for the image interpretation, for the probe guidance technique, and especially in cases when a quantitative reconstruction of the optical tissue properties is required.

Morphological ripening of fluid inclusions and coupled zone-refining in quartz crystals revealed by cathodoluminescence imaging: Implications for CL-petrography, fluid inclusion analysis and trace-element geothermometry

Cathodoluminescence (CL) studies have previously shown that some secondary fluid inclusions in luminescent quartz are surrounded by dark, non-luminescent patches, resulting from fracture-sealing by late, trace-element-poor quartz. This finding has led to the tacit generalization that all dark CL patches indicate influx of low temperature, late-stage fluids. In this study we have examined natural and synthetic hydrothermal quartz crystals using CL imaging supplemented by in-situ elemental analysis. The results lead us to propose that all natural, liquid-water-bearing inclusions in quartz, whether trapped on former crystal growth surfaces (i.e., of primary origin) or in healed fractures (i.e., of pseudosecondary or secondary origin), are surrounded by three-dimensional, non-luminescent patches. Cross-cutting relations show that the patches form after entrapment of the fluid inclusions and therefore they are not diagnostic of the timing of fluid entrapment. Instead, the dark patches reveal the mechanism by which fluid inclusions spontaneously approach morphological equilibrium and purify their host quartz over geological time. Fluid inclusions that contain solvent water perpetually dissolve and reprecipitate their walls, gradually adopting low-energy euhedral and equant shapes. Defects in the host quartz constitute solubility gradients that drive physical migration of the inclusions over distances of tens of μm (commonly) up to several mm (rarely). Inclusions thus sequester from their walls any trace elements (e.g., Li, Al, Na, Ti) present in excess of equilibrium concentrations, thereby chemically purifying their host crystals in a process analogous to industrial zone refining. Non-luminescent patches of quartz are left in their wake. Fluid inclusions that contain no liquid water as solvent (e.g., inclusions of low-density H2O vapor or other non-aqueous volatiles) do not undergo this process and therefore do not migrate, do not modify their shapes with time, and are not associated with dark-CL zone-refined patches. This new understanding has implications for the interpretation of solids within fluid inclusions (e.g., Ti- and Al-minerals) and for the elemental analysis of hydrothermal and metamorphic quartz and its fluid inclusions by microbeam methods such as LA-ICPMS and SIMS. As Ti is a common trace element in quartz, its sequestration by fluid inclusions and its depletion in zone-refined patches impacts on applications of the Ti-in-quartz geothermometer.

Accuracy of cartilage-specific 3-Tesla 3D-DESS magnetic resonance imaging in the diagnosis of chondral lesions: comparison with knee arthroscopy

BACKGROUND Arthroscopy is considered as "the gold standard" for the diagnosis of traumatic intraarticular knee lesions. However, recent developments in magnetic resonance imaging (MRI) now offer good opportunities for the indirect assessment of the integrity and structural changes of the knee articular cartilage. The study was to investigate whether cartilage-specific sequences on a 3-Tesla MRI provide accurate assessment for the detection of cartilage defects. METHODS A 3-Tesla (3-T) MRI combined with three-dimensional double-echo steady-state (3D-DESS) cartilage specific sequences was performed on 210 patients with knee pain prior to knee arthroscopy. Sensitivity, specificity, and positive and negative predictive values of magnetic resonance imaging were calculated and correlated to the arthroscopic findings of cartilaginous lesions. Lesions were classified using the modified Outerbridge classification. RESULTS For the 210 patients (1260 cartilage surfaces: patella, trochlea, medial femoral condyle, medial tibia, lateral femoral condyle, lateral tibia) evaluated, the sensitivities, specificities, positive predictive values, and negative predictive values of 3-T MRI were 83.3, 99.8, 84.4, and 99.8 %, respectively, for the detection of grade IV lesions; 74.1, 99.6, 85.2, and 99.3 %, respectively, for grade III lesions; 67.9, 99.2, 76.6, and 98.2 %, respectively, for grade II lesions; and 8.8, 99.5, 80, and 92 %, respectively, for grade I lesions. CONCLUSIONS For grade III and IV lesions, 3-T MRI combined with 3D-DESS cartilage-specific sequences represents an accurate diagnostic tool. For grade II lesions, the technique demonstrates moderate sensitivity, while for grade I lesions, the sensitivity is limited to provide reliable diagnosis compared to knee arthroscopy.

Aplicaciones de interés forestal de las imágenes obtenidas con el sensor Multi-angle Imaging SpectroRadiometer (MISR)

Las aplicaciones de la teledetección al seguimiento de lo que ocurre en la superficie terrestre se han ido multiplicando y afinando con el lanzamiento de nuevos sensores por parte de las diferentes agencias espaciales. La necesidad de tener información actualizada cada poco tiempo y espacialmente homogénea, ha provocado el desarrollo de nuevos programas como el Earth Observing System (EOS) de la National Aeronautics and Space Administration (NASA). Uno de los sensores que incorpora el buque insignia de ese programa, el satélite TERRA, es el Multi-angle Imaging SpectroRadiometer (MISR), diseñado para capturar información multiangular de la superficie terrestre. Ya desde los años 1970, se conocía que la reflectancia de las diversas ocupaciones y usos del suelo variaba en función del ángulo de observación y de iluminación, es decir, que eran anisotrópicas. Tal variación estaba además relacionada con la estructura tridimensional de tales ocupaciones, por lo que se podía aprovechar tal relación para obtener información de esa estructura, más allá de la que pudiera proporcionar la información meramente espectral. El sensor MISR incorpora 9 cámaras a diferentes ángulos para capturar 9 imágenes casi simultáneas del mismo punto, lo que permite estimar con relativa fiabilidad la respuesta anisotrópica de la superficie terrestre. Varios trabajos han demostrado que se pueden estimar variables relacionadas con la estructura de la vegetación con la información que proporciona MISR. En esta Tesis se ha realizado una primera aplicación a la Península Ibérica, para comprobar su utilidad a la hora de estimar variables de interés forestal. En un primer paso se ha analizado la variabilidad temporal que se produce en los datos, debido a los cambios en la geometría de captación, es decir, debido a la posición relativa de sensores y fuente de iluminación, que en este caso es el Sol. Se ha comprobado cómo la anisotropía es mayor desde finales de otoño hasta principios de primavera debido a que la posición del Sol es más cercana al plano de los sensores. También se ha comprobado que los valores máximo y mínimo se van desplazando temporalmente entre el centro y el extremo angular. En la caracterización multiangular de ocupaciones del suelo de CORINE Land Cover que se ha realizado, se puede observar cómo la forma predominante en las imágenes con el Sol más alto es convexa con un máximo en la cámara más cercana a la fuente de iluminación. Sin embargo, cuando el Sol se encuentra mucho más bajo, ese máximo es muy externo. Por otra parte, los datos obtenidos en verano son mucho más variables para cada ocupación que los de noviembre, posiblemente debido al aumento proporcional de las zonas en sombra. Para comprobar si la información multiangular tiene algún efecto en la obtención de imágenes clasificadas según ocupación y usos del suelo, se han realizado una serie de clasificaciones variando la información utilizada, desde sólo multiespectral, a multiangular y multiespectral. Los resultados muestran que, mientras para las clasificaciones más genéricas la información multiangular proporciona los peores resultados, a medida que se amplían el número de clases a obtener tal información mejora a lo obtenido únicamente con información multiespectral. Por otra parte, se ha realizado una estimación de variables cuantitativas como la fracción de cabida cubierta (Fcc) y la altura de la vegetación a partir de información proporcionada por MISR a diferentes resoluciones. En el valle de Alcudia (Ciudad Real) se ha estimado la fracción de cabida cubierta del arbolado para un píxel de 275 m utilizando redes neuronales. Los resultados muestran que utilizar información multiespectral y multiangular puede mejorar casi un 20% las estimaciones realizadas sólo con datos multiespectrales. Además, las relaciones obtenidas llegan al 0,7 de R con errores inferiores a un 10% en Fcc, siendo éstos mucho mejores que los obtenidos con el producto elaborado a partir de datos multiespectrales del sensor Moderate Resolution Imaging Spectroradiometer (MODIS), también a bordo de Terra, para la misma variable. Por último, se ha estimado la fracción de cabida cubierta y la altura efectiva de la vegetación para 700.000 ha de la provincia de Murcia, con una resolución de 1.100 m. Los resultados muestran la relación existente entre los datos espectrales y los multiangulares, obteniéndose coeficientes de Spearman del orden de 0,8 en el caso de la fracción de cabida cubierta de la vegetación, y de 0,4 en el caso de la altura efectiva. Las estimaciones de ambas variables con redes neuronales y diversas combinaciones de datos, arrojan resultados con R superiores a 0,85 para el caso del grado de cubierta vegetal, y 0,6 para la altura efectiva. Los parámetros multiangulares proporcionados en los productos elaborados con MISR a 1.100 m, no obtienen buenos resultados por sí mismos pero producen cierta mejora al incorporarlos a la información espectral. Los errores cuadráticos medios obtenidos son inferiores a 0,016 para la Fcc de la vegetación en tanto por uno, y 0,7 m para la altura efectiva de la misma. Regresiones geográficamente ponderadas muestran además que localmente se pueden obtener mejores resultados aún mejores, especialmente cuando hay una mayor variabilidad espacial de las variables estimadas. En resumen, la utilización de los datos proporcionados por MISR ofrece una prometedora vía de mejora de resultados en la media-baja resolución, tanto para la clasificación de imágenes como para la obtención de variables cuantitativas de la estructura de la vegetación. ABSTRACT Applications of remote sensing for monitoring what is happening on the land surface have been multiplied and refined with the launch of new sensors by different Space Agencies. The need of having up to date and spatially homogeneous data, has led to the development of new programs such as the Earth Observing System (EOS) of the National Aeronautics and Space Administration (NASA). One of the sensors incorporating the flagship of that program, the TERRA satellite, is Multi-angle Imaging Spectroradiometer (MISR), designed to capture the multi-angle information of the Earth's surface. Since the 1970s, it was known that the reflectance of various land covers and land uses varied depending on the viewing and ilumination angles, so they are anisotropic. Such variation was also related to the three dimensional structure of such covers, so that one could take advantage of such a relationship to obtain information from that structure, beyond which spectral information could provide. The MISR sensor incorporates 9 cameras at different angles to capture 9 almost simultaneous images of the same point, allowing relatively reliable estimates of the anisotropic response of the Earth's surface. Several studies have shown that we can estimate variables related to the vegetation structure with the information provided by this sensor, so this thesis has made an initial application to the Iberian Peninsula, to check their usefulness in estimating forest variables of interest. In a first step we analyzed the temporal variability that occurs in the data, due to the changes in the acquisition geometry, i.e. the relative position of sensor and light source, which in this case is the Sun. It has been found that the anisotropy is greater from late fall through early spring due to the Sun's position closer to the plane of the sensors. It was also found that the maximum and minimum values are displaced temporarily between the center and the ends. In characterizing CORINE Land Covers that has been done, one could see how the predominant form in the images with the highest sun is convex with a maximum in the camera closer to the light source. However, when the sun is much lower, the maximum is external. Moreover, the data obtained for each land cover are much more variable in summer that in November, possibly due to the proportional increase in shadow areas. To check whether the information has any effect on multi-angle imaging classification of land cover and land use, a series of classifications have been produced changing the data used, from only multispectrally, to multi-angle and multispectral. The results show that while for the most generic classifications multi-angle information is the worst, as there are extended the number of classes to obtain such information it improves the results. On the other hand, an estimate was made of quantitative variables such as canopy cover and vegetation height using information provided by MISR at different resolutions. In the valley of Alcudia (Ciudad Real), we estimated the canopy cover of trees for a pixel of 275 m by using neural networks. The results showed that using multispectral and multiangle information can improve by almost 20% the estimates that only used multispectral data. Furthermore, the relationships obtained reached an R coefficient of 0.7 with errors below 10% in canopy cover, which is much better result than the one obtained using data from the Moderate Resolution Imaging Spectroradiometer (MODIS), also onboard Terra, for the same variable. Finally we estimated the canopy cover and the effective height of the vegetation for 700,000 hectares in the province of Murcia, with a spatial resolution of 1,100 m. The results show a relationship between the spectral and the multi-angle data, and provide estimates of the canopy cover with a Spearman’s coefficient of 0.8 in the case of the vegetation canopy cover, and 0.4 in the case of the effective height. The estimates of both variables using neural networks and various combinations of data, yield results with an R coefficient greater than 0.85 for the case of the canopy cover, and 0.6 for the effective height. Multi-angle parameters provided in the products made from MISR at 1,100 m pixel size, did not produce good results from themselves but improved the results when included to the spectral information. The mean square errors were less than 0.016 for the canopy cover, and 0.7 m for the effective height. Geographically weighted regressions also showed that locally we can have even better results, especially when there is high spatial variability of estimated variables. In summary, the use of the data provided by MISR offers a promising way of improving remote sensing performance in the low-medium spatial resolution, both for image classification and for the estimation of quantitative variables of the vegetation structure.

Analytic free-form lens design in 3D: coupling three ray sets using two lens surfaces

The two-dimensional analytic optics design method presented in a previous paper [Opt. Express 20, 5576–5585 (2012)] is extended in this work to the three-dimensional case, enabling the coupling of three ray sets with two free-form lens surfaces. Fermat’s principle is used to deduce additional sets of functional differential equations which make it possible to calculate the lens surfaces. Ray tracing simulations demonstrate the excellent imaging performance of the resulting free-form lenses described by more than 100 coefficients.

Analytic free-form lens design for imaging applications with high aspect ratio

A new three-dimensional analytic optics design method is presented that enables the coupling of three ray sets with only two free-form lens surfaces. Closely related to the Simultaneous Multiple Surface method in three dimensions (SMS3D), it is derived directly from Fermat?s principle, leading to multiple sets of functional differential equations. The general solution of these equations makes it possible to calculate more than 80 coefficients for each implicit surface function. Ray tracing simulations of these free-form lenses demonstrate superior imaging performance for applications with high aspect ratio, compared to conventional rotational symmetric systems.

Automated processing of zebrafish imaging data: a survey

Due to the relative transparency of its embryos and larvae, the zebrafish is an ideal model organism for bioimaging approaches in vertebrates. Novel microscope technologies allow the imaging of developmental processes in unprecedented detail, and they enable the use of complex image-based read-outs for high-throughput/high-content screening. Such applications can easily generate Terabytes of image data, the handling and analysis of which becomes a major bottleneck in extracting the targeted information. Here, we describe the current state of the art in computational image analysis in the zebrafish system. We discuss the challenges encountered when handling high-content image data, especially with regard to data quality, annotation, and storage. We survey methods for preprocessing image data for further analysis, and describe selected examples of automated image analysis, including the tracking of cells during embryogenesis, heartbeat detection, identification of dead embryos, recognition of tissues and anatomical landmarks, and quantification of behavioral patterns of adult fish. We review recent examples for applications using such methods, such as the comprehensive analysis of cell lineages during early development, the generation of a three-dimensional brain atlas of zebrafish larvae, and high-throughput drug screens based on movement patterns. Finally, we identify future challenges for the zebrafish image analysis community, notably those concerning the compatibility of algorithms and data formats for the assembly of modular analysis pipelines.

Intrasarcomere [Ca2+] gradients in ventricular myocytes revealed by high speed digital imaging microscopy.

Cardiac muscle contraction is triggered by a small and brief Ca2+ entry across the t-tubular membranes, which is believed to be locally amplified by release of Ca2+ from the adjacent junctional sarcoplasmic reticulum (SR). As Ca2+ diffusion is thought to be markedly attenuated in cells, it has been predicted that significant intrasarcomeric [Ca2+] gradients should exist during activation. To directly test for this, we measured [Ca2+] distribution in single cardiac myocytes using fluorescent [Ca2+] indicators and high speed, three-dimensional digital imaging microscopy and image deconvolution techniques. Steep cytosolic [Ca2+] gradients from the t-tubule region to the center of the sarcomere developed during the first 15 ms of systole. The steepness of these [Ca2+] gradients varied with treatments that altered Ca2+ release from internal stores. Electron probe microanalysis revealed a loss of Ca2+ from the junctional SR and an accumulation, principally in the A-band during activation. We propose that the prolonged existence of [Ca2+] gradients within the sarcomere reflects the relatively long period of Ca2+ release from the SR, the localization of Ca2+ binding sites and Ca2+ sinks remote from sites of release, and diffusion limitations within the sarcomere. The large [Ca2+] transient near the t-tubular/ junctional SR membranes is postulated to explain numerous features of excitation-contraction coupling in cardiac muscle.