Attenuation Contrast Research Articles

Metanephric adenoma: A report of two cases and review of the literature

Metanephric adenoma (MA) is a rare benign renal neoplasm of originating in the epithelial cells, which is often difficult to distinguish from malignant neoplasms preoperatively. In this study we present two cases of patients with MA with the aim to analyze the clinical manifestations, imaging, pathology, diagnosis and treatment of MA. Computed tomography (CT) of the first case revealed a solid well-demarcated tumor, 5.5 × 5.4 cm in diameter. Ultrasound examination of the second patient revealed a hypoechoic mass with solid aspect and irregular limits in the upper pole of the right kidney. CT confirmed the presence of a 4 cm expansive tumoral formation with intermediate attenuation and minimum venous contrast enhancement at that anatomic site. The two cases underwent surgery and the patients were free from recurrence after a follow-up period of 18 months to 2 years. We also present a supplementary review of previously published cases and related literature.

Projection angle dependence in grating-based X-ray dark-field imaging of ordered structures

Over the recent years X-ray differential phase-contrast imaging was developed for the hard X-ray regime as produced from laboratory X-ray sources. The technique uses a grating-based Talbot-Lau interferometer and was shown to yield image contrast gain, which makes it very interesting to the fields of medical imaging and non-destructive testing, respectively. In addition to X-ray attenuation contrast, the differential phase-contrast and dark-field images provide different structural information about a specimen. For the dark-field even at length scales much smaller than the spatial resolution of the imaging system. Physical interpretation of the dark-field information as present in radiographic and tomographic (CT) images requires a detailed look onto the geometric orientation between specimen and the setup. During phase-stepping the drop in intensity modulation, due to local scattering effects within the specimen is reproduced in the dark-field signal. This signal shows strong dependencies on micro-porosity and micro-fibers if these are numerous enough in the object. Since a grating-interferometer using a common unidirectional line grating is sensitive to X-ray scattering in one plane only, the dark-field image is influenced by the fiber orientations with respect to the grating bars, which can be exploited to obtain anisotropic structural information. With this contribution, we attempt to extend existing models for 2D projections to 3D data by analyzing dark-field contrast tomography of anisotropically structured materials such as carbon fiber reinforced carbon (CFRC).

Quantitative X-ray phase-contrast computed tomography at 82 keV

Potential applications of grating-based X-ray phase-contrast imaging are investigated in various fields due to its compatibility with laboratory X-ray sources. So far the method was mainly restricted to X-ray energies below 40 keV, which is too low to examine dense or thick objects, but a routine operation at higher energies is on the brink of realisation. In this study, imaging results obtained at 82 keV are presented. These comprise a test object consisting of well-defined materials for a quantitative analysis and a tooth to translate the findings to a biomedical sample. Measured linear attenuation coefficients ? and electron densities ?e are in good agreement with theoretical values. Improved contrast-to-noise ratios were found in phase contrast compared to attenuation contrast. The combination of both contrast modalities further enables to simultaneously assess information on density and composition of materials with effective atomic numbers Z? > 8. In our biomedical example, we demonstrate the possibility to detect differences in mass density and calcium concentration within teeth.

Microbubbles as a scattering contrast agent for grating-based x-ray dark-field imaging

In clinically established—absorption-based—biomedical x-ray imaging, contrast agents with high atomic numbers (e.g. iodine) are commonly used for contrast enhancement. The development of novel x-ray contrast modalities such as phase contrast and dark-field contrast opens up the possible use of alternative contrast media in x-ray imaging. We investigate using ultrasound contrast agents, which unlike iodine-based contrast agents can also be administered to patients with renal impairment and thyroid dysfunction, for application with a recently developed novel x-ray dark-field imaging modality. To produce contrast from these microbubble-based contrast agents, our method exploits ultra-small-angle coherent x-ray scattering. Such scattering dark-field x-ray images can be obtained with a grating-based x-ray imaging setup, together with refraction-based differential phase-contrast and the conventional attenuation contrast images. In this work we specifically show that ultrasound contrast agents based on microbubbles can be used to produce strongly enhanced dark-field contrast, with superior contrast-to-noise ratio compared to the attenuation signal. We also demonstrate that this method works well with an x-ray tube-based setup and that the relative contrast gain even increases when the pixel size is increased from tenths of microns to clinically compatible detector resolutions about up to a millimetre.

Imaging and measuring methods for coating layer thickness of TRISO-coated fuel particles with high accuracy

TRISO-coated fuel particles are the main innovation of high-temperature gas-cooled reactors (HTGRs), which effectively improve the safety of reactors for higher stability at high temperature. The structure of the typical ball-type TRISO-coated fuel particle comprises a nuclear fuel particle as a kernel and four outer coating layers. These layers play an important role as a barrier against fission product diffusion, and ensuring the integrity of the particles. As one of the key quality parameters of TRISO particles, the coating layer thickness must be measured accurately by non-destructive means. Conventional X-ray radiography, which is based on attenuation contrast, is a non-destructive alternative to measure the coating layer thickness. However, the attenuation contrast is determined by the density difference of the material. For the weakly absorbing material of coating layers composed of carbon and silicon, the variations of the thickness and density of different coating layers are not large enough to realize accurate thickness measurement. In order to obtain ideal images with enhanced boundaries, we applied in-line phase contrast imaging (PCI) based on a micro-focus X-ray source for the inspection of fuel particles. The method is more powerful for acquiring radiographs with sharper edges than conventional X-ray radiography. An improved NL-means method was adopted to decrease the image noise while preserving the detailed information effectively. Finally, based on the denoised DR image with sharper boundaries obtained by PCI, edge detection with sub-pixel accuracy and thickness measurement results are shown.

A laboratory system for element specific hyperspectral X-ray imaging

X-ray tomography is a ubiquitous tool used, for example, in medical diagnosis, explosives detection or to check structural integrity of complex engineered components. Conventional tomographic images are formed by measuring many transmitted X-rays and later mathematically reconstructing the object, however the structural and chemical information carried by scattered X-rays of different wavelengths is not utilised in any way. We show how a very simple; laboratory-based; high energy X-ray system can capture these scattered X-rays to deliver 3D images with structural or chemical information in each voxel. This type of imaging can be used to separate and identify chemical species in bulk objects with no special sample preparation. We demonstrate the capability of hyperspectral imaging by examining an electronic device where we can clearly distinguish the atomic composition of the circuit board components in both fluorescence and transmission geometries. We are not only able to obtain attenuation contrast but also to image chemical variations in the object, potentially opening up a very wide range of applications from security to medical diagnostics.

Experimental results from a preclinical X-ray phase-contrast CT scanner

To explore the future clinical potential of improved soft-tissue visibility with grating-based X-ray phase contrast (PC), we have developed a first preclinical computed tomography (CT) scanner featuring a rotating gantry. The main challenge in the transition from previous bench-top systems to a preclinical scanner are phase artifacts that are caused by minimal changes in the grating alignment during gantry rotation. In this paper, we present the first experimental results from the system together with an adaptive phase recovery method that corrects for these phase artifacts. Using this method, we show that the scanner can recover quantitatively accurate Hounsfield units in attenuation and phase. Moreover, we present a first tomography scan of biological tissue with complementary information in attenuation and phase contrast. The present study hence demonstrates the feasibility of grating-based phase contrast with a rotating gantry for the first time and paves the way for future in vivo studies on small animal disease models (in the mid-term future) and human diagnostics applications (in the long-term future).

Transmission attenuation and chromic contrast characterization of R.F. sputtered WO3 thin films for electrochromic device applications

WO3 thin films were deposited on indium doped tin oxide (ITO) substrates by R.F. sputtering and investigated for their electrochromic properties. Iono-optical studies were performed in a three-electrode electrochemical cell to deduce information about the intercalation kinetics. Addition of acetonitrile (AN) to the non-aqueous electrolyte is found to modify the electrolyte properties and increase the diffusion coefficient by almost two orders. The device shows a coloration efficiency (C.E.) of 46.45cm2C−1 and reversibility of 98%. The variation in color with applied potential has been plotted on xy-chromaticity diagram and chromic contrast of the device has been calculated using L*a*b* values.

Fatigue and Damage in Structural Materials Studied by X-Ray Tomography

This paper reviews progress using X-ray computed tomography to study damage accumulation. Since its introduction, X-ray microtomography has been used to diagnose the presence of damage. In this review, a wide range of damage-accumulation mechanisms are covered including cavitation, fracture, microcracking, fatigue cracking, and stress corrosion cracking. In this regard, the advantages of attenuation and phase contrast imaging are discussed. This review includes both measurements of damage accumulation, taken postmortem, and the incremental monitoring of damage-accumulation processes during life (sometimes termed four-dimensional tomography). In addition to the qualitative diagnostic studies, the quantitative analysis of tomography images to extract key failure parameters is examined.

Multi-parameter acoustic imaging of uniform objects in inhomogeneous soft tissue

The problem studied in this paper is ultrasound image reconstruction from frequency-domain measurements of the scattered field from an object with contrast in attenuation and sound speed. The case in which the object has uniform but unknown contrast in these properties relative to the background is considered. Background clutter is taken into account in a physically realistic manner by considering an exact scattering model for randomly located small scatterers that vary in sound speed. The resulting statistical characteristics of the interference are incorporated into the imaging solution, which includes application of a total-variation minimization-based approach in which the relative effect of perturbation in sound speed to attenuation is included as a parameter. Convex optimization methods provide the basis for the reconstruction algorithm. Numerical data for inversion examples are generated by solving the discretized Lippman-Schwinger equation for the object and speckle-forming scatterers in the background. A statistical model based on the Born approximation is used for reconstruction of the object profile. Results are presented for a two-dimensional problem in terms of classification performance and compared with minimum-l2-norm reconstruction. Classification using the proposed method is shown to be robust down to a signal-to-clutter ratio of less than 1 dB.

Numerical comparison of X-ray differential phase contrast and attenuation contrast

We present a numerical tool to compare directly the contrast-to-noise-ratio (CNR) of the attenuation- and differential phase-contrast signals available from grating-based X-ray imaging for single radiographs. The attenuation projection is differentiated to bring it into a modality comparable to the differential phase projection using a Gaussian derivative filter. A Relative Contrast Gain (RCG) is then defined as the ratio of the CNR of image values in a region of interest (ROI) in the differential phase projection to the CNR of image values in the same ROI in the differential attenuation projection. We apply the method on experimental data of human breast tissue acquired using a grating interferometer to compare the two contrast modes for two regions of interest differing in the type of tissue. Our results indicate that the proposed method can be used as a local estimate of the spatial distribution of the ratio δ/β, i.e., real and imaginary part of the complex refractive index, across a sample.

Experimental validation of image contrast correlation between ultra-small-angle X-ray scattering and grating-based dark-field imaging using a laser-driven compact X-ray source

AbstractX-ray phase and dark-field contrast have recently been the source of much attention in the field of X-ray imaging, as they both contribute new imaging signals based on physical principles that differ from conventional X-ray imaging. With a so-called Talbot grating interferometer, both phase-contrast and dark-field images are obtained simultaneously with the conventional attenuation-based X-ray image, providing three complementary image modalities that are intrinsically registered. Whereas the physical contrast mechanisms behind attenuation and phase contrast are well understood, a formalism to describe the dark-field signal is still in progress. In this article, we report on correlative experimental results obtained with a grating interferometer and with small-angle X-ray scattering. Furthermore, we use a proposed model to quantitatively describe the results, which could be of great importance for future clinical and biomedical applications of grating-based X-ray imaging.

Simultaneous Backscatter and Attenuation Estimation Using a Least Squares Method with Constraints

Backscatter and attenuation variations are essential contrast mechanisms in ultrasound B-mode imaging. Emerging quantitative ultrasound methods extract and display absolute values of these tissue properties. However, in clinical applications, backscatter and attenuation parameters sometimes are not easily measured because of tissues inhomogeneities above the region-of-interest (ROI). We describe a least squares method (LSM) that fits the echo signal power spectra from a ROI to a three-parameter tissue model that simultaneously yields estimates of attenuation losses and backscatter coefficients. To test the method, tissue-mimicking phantoms with backscatter and attenuation contrast as well as uniform phantoms were scanned with linear array transducers on a Siemens S2000. Attenuation and backscatter coefficients estimated by the LSM were compared with those derived using a reference phantom method ( Yao et al. 1990). Results show that the LSM yields effective attenuation coefficients for uniform phantoms comparable to values derived using the reference phantom method. For layered phantoms exhibiting nonuniform backscatter, the LSM resulted in smaller attenuation estimation errors than the reference phantom method. Backscatter coefficients derived using the LSM were in excellent agreement with values obtained from laboratory measurements on test samples and with theory. The LSM is more immune to depth-dependent backscatter changes than commonly used reference phantom methods.

Reduction of phase artifacts in differential phase contrast computed tomography

X-ray differential phase contrast computed tomography (DPC CT) with a Talbot-Lau interferometer setup allows visualizing the three-dimensional distribution of the refractive index by measuring the shifts of an interference pattern due to phase variations of the X-ray beam. Unfortunately, severe reconstruction artifacts appear in the presence of differential phase wrapping and clipping. In this paper, we propose to use the attenuation contrast, which is obtained from the same measurement, for correcting the DPC signal. Using the example of a DPC CT measurement with pronounced phase artifacts, we will discuss the efficiency of our phase artifact correction method.

Seismic wave attenuation beneath the Australasian region

The attenuation of seismic waves is strongly influenced by temperature and rheological changes, and so provides an important supplement to information from seismic wavespeeds. Differential attenuation measurements are made for seismic waves refracted through the mantle beneath the Australasian region and are then used to construct 3D images of the attenuation of shear and compressional waves. The differential attenuation between different seismic phases is estimated using a spectral ratio method in the frequency band 0.25–1.0 Hz using a multi-taper method. Over this band the attenuation is nearly independent of frequency so that the logarithmic spectral ratio is a linear function of frequency. Differential measurements are made either between P and S phases on the same record or between stations for P and S waves separately. Images of seismic attenuation for the Australasian region are produced using a tomographic inversion, with the fast marching method employed to trace ray paths in an initial 3-D model derived from surface wave tomography. There is a deep seated horizontal contrast between central Australia and the eastern seaboard. The crustal and lithospheric mantle beneath the Archean and Proterozoic rocks in the west and in the middle of the continent have low seismic attenuation, whereas the Phanerozoic material in the east is more attenuative. Regions with recent volcanism, most likely associated with hot spots such as near Bass Strait and the Coral Sea, display high seismic attenuation anomalies. There is a strong contrast in attenuation between the relatively low loss lithosphere and the high loss asthenosphere beneath with a change by a factor of 6–10. Anisotropy in attenuation is slight even though some would be expected from the radial anisotropy seen in shear wavespeed in the lithosphere.

X-ray scattering tomography for biological applications

The conventional attenuation contrast imaging does not yield satisfactory sensitivity and specificity for weakly absorbing media, such as biological soft tissues. The x-ray scattering offer an important contrast mechanism to reveal structural features and density fluctuation within an object. This scattering signal carries information at the molecular and supra-molecular level, and has a tremendous implication for biomedical and other applications. In this paper, we develop a scattering imaging approach to reconstruct the electron density distribution of an object and demonstrate its feasibility in the numerical simulation.

Direct three‐dimensional coherently scattered x‐ray microtomography

It has been shown that coherently scattered x rays can be used to discriminate and identify specific components in a mixture of low atomic weight materials. The authors demonstrated a new method of doing coherently scattered x-ray tomography with a thin sheet of x ray. A collimated x-ray fan-beam, a parallel polycapillary collimator, and a phantom consisting of several biocompatible materials of low attenuation-based contrast were used to investigate the feasibility of the method. Because of the particular experimental setup, only the phantom translation perpendicular to the x-ray beam is needed and, thus, there is no need of Radon-type tomographic reconstruction, except for the correction of the attenuation to the primary and scattered x rays, which was performed by using a conventional attenuation-based tomographic image data set. The coherent scatter image contrast changes with momentum transfer among component materials in the specimen were investigated with multiple x-ray sources with narrow bandwidth spectra generated with anode and filter combinations of Cu/Ni (8 keV), Mo/Zr (18 keV), and Ag/Pd (22 keV) and at multiple scatter angles by orienting the detector and polycapillary collimator at different angles to the illuminating x ray. The contrast among different materials changes with the x-ray source energy and the angle at which the image was measured. The coherent scatter profiles obtained from the coherent scatter images are consistent with the published results. This method can be used to directly generate the three-dimensional coherent scatter images of small animal, biopsies, or other small objects with low atomic weight biological or similar synthetic materials with low attenuation contrast. With equipment optimized, submillimeter spatial resolution may be achieved.

Higher‐order phase shift reconstruction approach

Biological soft tissues encountered in clinical and preclinical imaging mainly consists of atoms of light elements with low atomic numbers and their elemental composition is nearly uniform with little density variation. Hence, x-ray attenuation contrast is relatively poor and cannot achieve satisfactory sensitivity and specificity. In contrast, x-ray phase-contrast provides a new mechanism for soft tissue imaging. The x-ray phase shift of soft tissues is about a thousand times greater than the x-ray absorption over the diagnostic x-ray energy range, yielding a higher signal-to-noise ratio than the attenuation contrast counterpart. Thus, phase-contrast imaging is a promising technique to reveal detailed structural variation in soft tissues, offering a high contrast resolution between healthy and malignant tissues. Here the authors develop a novel phase retrieval method to reconstruct the phase image on the object plane from the intensity measurements. The reconstructed phase image is a projection of the phase shift induced by an object and serves as input to reconstruct the 3D refractive index distribution inside the object using a tomographic reconstruction algorithm. Such x-ray refractive index images can reveal structural features in soft tissues, with excellent resolution differentiating healthy and malignant tissues. A novel phase retrieval approach is proposed to reconstruct an x-ray phase image of an object based on the paraxial Fresnel-Kirchhoff diffraction theory. A primary advantage of the authors' approach is higher-order accuracy over that with the conventional linear approximation models, relaxing the current restriction of slow phase variation. The nonlinear terms in the autocorrelation equation of the Fresnel diffraction pattern are eliminated using intensity images measured at different distances in the Fresnel diffraction region, simplifying the phase reconstruction to a linear inverse problem. Numerical experiments are performed to demonstrate the accuracy and stability of the proposed approach. The proposed reconstruction formula is a generalization of the transport of intensity equation (TIE). It has the second-order accuracy compared to the linear model used in the conventional phase retrieval approach. The numerical experiments demonstrate that the accuracy and stability of the proposed phase reconstruction method outperforms the TIE-based reconstruction method. A novel approach has been proposed to retrieve an x-ray phase shift image induced by an object from intensity images measured at different distances in the Fresnel diffraction region. The authors' approach has the second-order accuracy and is able to retrieve the phase shift of an object stably, overcoming the restriction of slow phase variation assumed by the conventional phase retrieval techniques.

Dual Source Dual Energy MDCT

To determine whether liver metastases conspicuity is improved at 80 kVp when compared with weighted average (WA) simulated 120 kVp data using dual source dual energy CT. A total of 11 patients with 44 hypo-vascular liver metastases underwent contrast enhanced Dual Energy CT (DECT). In all cases the subject's abdominal diameter measured <or=35 cm. Data were reconstructed as a WA of the 140 kVp and 80 kVp acquisitions (simulating 120 kVp) and as a pure 80 kVp data set. A region of interest cursor was placed within the metastasis and adjacent normal parenchyma and attenuation differences and contrast to noise ratios (CNR) were calculated for the metastases at 80 kVp and on the WA acquisition. A mixed model 2-way analysis of variance was used to test whether the attenuation difference between metastases and normal liver was higher at 80 kVp than 120 kVp. An exact Wilcoxon matched-pairs signed rank test was used to test whether CNR was higher at 80 kVp. Cases were retrospectively reviewed to determine whether lesions could be seen on only one or both data sets. As the 80 kVp tube has a smaller detector than the 140 kVp tube, we also noted whether any of the liver lesions were not included on the 80 kVp dataset. Two radiologists in consensus evaluated the 80 kVp data and WA data and subjectively rated hepatic metastases conspicuity on a 4 point scale; with 1 being excellent, 2 good, 3 poor, and 4 not seen. The mean size of the metastases was 2.6 cm. The mean +/- SD of the attenuation difference between the metastases and the normal liver was 78.37 +/- 24.6 at 80 kVp and 56.89 +/- 17.9 at 120 kVp. The mean difference in attenuation was significantly higher at 80 kVp (P < 0.001). In 2 cases, a metastases was only seen at 80 kVp. The difference between 80 and 120 kVp in terms of CNR was statistically significant (P = 0.042). In one patient, 11 lesions were not included in the smaller field of view of the 80 kVp detector. The conspicuity scores were rated as significantly better at 80 kv than at 120 kVp (P < 0.0001). When compared with 120 kVp data, pure 80 kVp data acquired from a dual source dual energy MDCT scanner demonstrates greater attenuation differences and improved contrast to noise between metastatic disease and normal liver.

Radiation dose efficiency comparison between differential phase contrast CT and conventional absorption CT

The superior radiation dose efficiency of a newly implemented differential phase contrast CT imaging method compared to the conventional absorption CT method is demonstrated. A differential phase contrast CT imaging method has recently been implemented using conventional x-ray sources with a grating interferometer consisting of three gratings. This approach offers the possibility of simultaneous reconstruction of both attenuation contrast and phase contrast images from a single acquisition. This enables a direct comparison of radiation dose efficiency of both types of reconstructed images under identical conditions. Radiation dose efficiency was studied by measuring the change in contrast-to-noise ratio (CNR) with different exposure levels. A physical phantom of 28.5 mm diameter was constructed and used for measurement of CNR in both the absorption and phase contrast CT images, which were reconstructed from the same data set. For three of the four materials studied, at any given exposure level, the CNR of the differential phase contrast CT images was superior to that of the corresponding absorption contrast CT images. The most dramatic improvement was noted in the contrast between PMMA and water, where the CNR was improved by a factor of approximately 5.5 in the differential phase contrast CT images. Additionally, the CNR of phase contrast CT is empirically shown to have the same square root dependence on exposure, as is the case for absorption contrast CT. The differential phase contrast CT method provided higher CNR than conventional absorption CT at equivalent dose levels for most of the materials studied, and so may enable achievement of the same object visibility as conventional absorption CT methods at a lower exposure level.