High-resolution Cross-sectional Images Research Articles

Multiparameter Synchronous Measurement With IVUS Images for Intelligently Diagnosing Coronary Cardiac Disease

Intravascular ultrasound (IVUS) can provide high-resolution cross-sectional images of coronary arteries, showing detailed information of the vascular lumen, tube wall, and athermanous plaques, which is helpful for the discovery or identification of early coronary atherosclerotic plaques. Multiple parameters extractable from the IVUS image can help the cardiologist analyze the pathology and assist in disease diagnosis and postoperative treatment. Typically, cardiologists manually label the intima and adventitia in the IVUS image, and obtain a limited number of parameters through the IVUS instrument, which is time consuming and labor-intensive. To assist the cardiologist in automatically obtaining more clinically relevant value parameters, a fully automatic IVUS multiparameter extraction framework is proposed. Based on the intima and adventitia obtained by DeepLab V3+, we propose a targeted noise reduction preprocessing framework adapted to IVUS. The framework implements the basic parameter extraction of IVUS through two newly proposed algorithms. And through the standard medical formula, the basic parameters are converted into 10 standard medical indicators. Standardized medical indicators are obtained by clinically relevant basic parameters. In terms of accuracy, this article used a clinical database obtained from Qilu Hospital of Shandong University and compared the results of the framework with the gold standard of cardiologists. The relative error of continuous IVUS main parameters between frames did not exceed 10.10%. The relative error of independent IVUS did not exceed 10.03%. Based on the distribution consistency of the parameters and the gold standard, a Bland-Altman plot of the parameters is proposed. It was verified that this distribution is basically in line with the gold standard of cardiologists. The algorithm in this article obtained a total of 10 parameters, far exceeding the parameters obtained by cardiologists and traditional IVUS machines. Its accuracy and speed can also meet the requirements of cardiologists for clinical diagnosis.

Feasibility of In-line monitoring of critical coating quality attributes via OCT: Thickness, variability, film homogeneity and roughness

The feasibility of Optical Coherence Tomography (OCT) for in-line monitoring of pharmaceutical film coating processes has recently been demonstrated. OCT enables real-time acquisition of high-resolution cross-sectional images of coating layers and computation of coating thickness. In addition, coating quality attributes can be computed based on in-line data. This study assesses the in-line applicability of OCT to various coating functionalities and formulations. Several types of commercial film-coated tablets containing the most common ingredients were investigated. To that end, the tablets were placed into a miniaturized perforated drum. An in-line OCT system was used to monitor the tablet bed. This set-up resembles the final stage of an industrial pan coating process. All investigated coatings were measured, and the coating thickness, homogeneity and roughness were computed. The rotation rate was varied in a range comparable to large-scale coating operations, and no influence on the outcome was observed. The results indicate that OCT can be used to determine end-point and establish in-process control for a wide range of coating formulations. The real-time computation of coating homogeneity and roughness can support process optimization and formulation development.

Simultaneous optical coherence tomography and Scheimpflug imaging using the same incident light.

For any single anterior chamber cross-sectional (tomographic) imaging method, there is a practical compromise between image size and image resolution. In order to obtain large field-of-view cross-sectional images of the whole anterior chamber and high-resolution cross-sectional images of the fine corneal layers, measurements by multiple devices are currently required. This paper presents a novel raster scanning tomographic imaging device that acquires simultaneous large field-of-view Scheimpflug (12.5 mm image depth, 50 μm axial resolution in air) and high-resolution spectral domain optical coherence tomography (SD-OCT) (2 mm image depth, 3.7μm axial resolution in air) using the same illuminating photons. For the novel raster scanning 3D Scheimpflug imaging, a tunable lens system together with numerical methods for correcting refraction distortion were used. To demonstrate the capability of simultaneous measurement of both fine corneal layers and whole anterior chambers topology, ex vivo measurements on 12 porcine and 12 bovine eyes were carried out. There is a reasonable agreement in the overall central corneal thicknesses (CCT) obtained from the simultaneous SD-OCT and Scheimpflug measurements. In addition, because the same infrared light beam was used to illuminate the sample, both OCT and Scheimpflug images were taken at the exact same location of a sample simultaneously in a single measurement. This provides a unique method for measuring both the thickness and the refractive index of a sample.

Cross-sectional imaging through scattering media by quantum-mimetic optical coherence tomography with wavefront shaping

Quantum-mimetic (QM) optical coherence tomography (OCT) combined with wavefront shaping is proposed as a novel approach to achieve high-resolution cross-sectional imaging through a strongly scattering medium. Specifically, QM-OCT is a recently devised OCT technique mimicking quantum OCT to acquire its main characteristic features, most notably immunity to group-velocity dispersion and enhancement of axial resolution, without quantum light. To validate the proposed method, we demonstrate experimentally that a one-dimensional cross-sectional image of a sample located behind a diffuser plate is obtained successfully and efficiently with QM-OCT by shaping the wavefront of light incident onto the diffuser.

Applications and future directions for optical coherence tomography in dermatology*

Optical coherence tomography (OCT) is a noninvasive optical imaging method that can generate high-resolution en face and cross-sectional images of the skin in vivo to a maximum depth of 2mm. While OCT holds considerable potential for noninvasive diagnosis and disease monitoring, it is poorly understood by many dermatologists. Here we aim to equip the practising dermatologist with an understanding of the principles of skin OCT and the potential clinical indications. We begin with an introduction to the technology and discuss the different modalities of OCT including angiographic (dynamic) OCT, which can image cutaneous blood vessels at high resolution. Next we review clinical applications. OCT has been most extensively investigated in the diagnosis of keratinocyte carcinomas, particularly basal cell carcinoma. To date, OCT has not proven sufficiently accurate for the robust diagnosis of malignant melanoma; however, the evaluation of abnormal vasculature with angiographic OCT is an area of active investigation. OCT, and in particular angiographic OCT, also shows promise in monitoring the response to therapy of inflammatory dermatoses, such as psoriasis and connective tissues disease. We additionally discuss a potential role for artificial intelligence in improving the accuracy of interpretation of OCT imaging data.

Fluoroscopy: An essential diagnostic modality in the age of high-resolution cross-sectional imaging.

The importance of fluoroscopy as an imaging modality has been minimized relative to other cross-sectional modalities, including high-resolution computed tomography (CT), magnetic resonance imaging (MRI) and ultrasound. Fluoroscopy examinations have decreased in clinical practice due to reduced appreciation of its usefulness, insufficient training of residents, fewer staff with adequate expertise, and poor reimbursements relative to other modalities. We revisit and build upon the prior literature and history of this decreased utilization. We then seek to prove continued value, through categorized examples and within multiple subspecialties, wherein fluoroscopy plays an integral part toward clinical diagnoses as well as optimizing patient outcomes. This is particularly true for motility and esophageal disorders, where structure and function with real-time evaluation is essential. We additionally show several post-operative cases where the synergy of fluoroscopy with CT and endoscopy is apparent. The fluoroscopic radiologist also has the unique ability to vary patient positioning, as opposed to traditional CT or MRI, where orthogonal views are employed without positional or temporal changes. We turn attention to the modern era, with synergistic and novel cases demonstrating that fluoroscopy remains instrumental toward achieving a diagnosis alongside other modalities. Our cases stress the need to maintain expertise in fluoroscopy skill, and underline its continued importance in residency training programs. We conclude that fluoroscopy is a relatively inexpensive modality that is often under-appreciated in diagnostic radiology. We suggest that competency in fluoroscopy is crucial for future generations of radiologists to both work with their peers, as well as to aid clinicians in the optimal treatment of patients.

Utilization of integrated angiography-CT interventional radiology suites at a tertiary cancer center

BackgroundIntegrated Angiography-Computed Tomography (ACT) suites were initially designed in the 1990’s to perform complex procedures requiring high-resolution cross-sectional imaging and fluoroscopy. Since then, there have been technology developments and changes in patient management. The purpose of this study was to review the current usage patterns of a single center’s integrated ACT suites.MethodsAll procedures performed in 2017 in 3 ACT suites (InterACT Discovery RT, GE Healthcare) at a tertiary cancer center were reviewed retrospectively. Usage was classified as: Standard, in which the patient underwent a single procedure using either fluoroscopy, CT, or ultrasound (US); Combined, in which the patient underwent a single procedure utilizing both fluoroscopy and CT; or Staged, in which the patient underwent 2 separate but successive procedures using fluoroscopy and CT individually. The most frequently performed Combined and Staged procedures were further reviewed to determine how the different modalities were used. The duration of the most common Staged procedures was compared to analogous procedures’ durations in single modality rooms over the period Jan 2016 to Sep 2019.ResultsA total of 3591 procedures were performed on 2678 patients in the 3 ACT Suites. 80% of patients underwent a Standard procedure using fluoroscopy (38%), CT (32%) or US (10%) and accounted for 70% of the room occupation time. Fourteen and three percent of the patients underwent Combined or Staged procedures, occupying 19 and 5% of the room time, respectively. The remaining procedures were classified as both Combined and Staged, representing 3% of the patients and 6% of the room occupation time. The most common Combined procedures were drainages, hepatic arterial embolizations or radioembolizations, arterial, and biliary interventions. The most common Staged procedures were multiple drainages and hepatic arterial embolizations followed by biopsies or ablations. The room occupation time for liver tumor embolization and ablation was significantly shorter (p < 0.01) when performed in a Staged fashion versus the analogous procedures in single modality room.ConclusionAn integrated ACT system provides the capability to perform complex Combined or Staged procedures as well as scheduling flexibility by allowing any type of case to be performed in the IR suite.

Phase transformations initiated by optical breakdown in bulk of fused silica

Optical breakdown inside a transparent dielectric triggered by a tightly focused laser beam has a character of microexplosion. As a result, extreme thermodynamic conditions are generated in the material. Both high pressure and high temperature combine in causing major structural transformations (phase transitions). This work presents mapping of such structural changes initiated by microexplosion in bulk of fused silica. The high-resolution cross-sectional imaging with high-resolution electron microscopy (HRTEM) revealed transition area between the amorphous and crystalline phases of the material affected by high pressure and temperature. It was found that the crystalline phase is created in the form of nano-crystals (crystallites) embedded in an amorphous matrix and is located mainly in the vicinity of the geometrical focus. The range of this finding was extended by the spectral analysis indicating redistribution, spatial segregation, and glass network reorganization paths leading to material densification. Closer inspection of the densified area with help of micro-photoluminescence (PL) confirmed appearance of the crystalline structure. Physical mechanisms included in such a transformation process and the main features of the created glass ceramic are also discussed.

Video-Mosaicked Handheld Dual-Axis Confocal Microscopy of Gliomas: An ex vivo Feasibility Study in Humans

BackgroundIntraoperative confocal microscopy can enable high-resolution cross-sectional imaging of intact tissues as a non-invasive real-time alternative to gold-standard histology. However, all current means of intraoperative confocal microscopy are hindered by a limited field of view (FOV), presenting a challenge for evaluating gliomas, which are highly heterogeneous.ObjectiveThis study explored the use of image mosaicking with handheld dual-axis confocal (DAC) microscopy of fresh human glioma specimens.MethodsIn this preliminary technical feasibility study, fresh human glioma specimens from 6 patients were labeled with a fast-acting topical stain (acridine orange) and imaged using a newly developed DAC microscope prototype.ResultsIn comparison to individual image frames with small fields of view, mosaicked images from a DAC microscope correlate better with gold-standard H&E-stained histology images, including the ability to visualize gradual transitions from areas of dense cellularity to sparse cellularity within the tumor.ConclusionLS-DAC microscopy provides high-resolution, high-contrast images of glioma tissues that agree with corresponding H&E histology. Compared with individual image frames, mosaicked images provide more accurate representations of the overall cytoarchitecture of heterogeneous glioma tissues. Further investigation is needed to evaluate the ability of high-resolution mosaicked microscopy to improve the extent of glioma resection and patient outcomes.

Initial Study for the Determination of the Sequence of Intersecting Lines between Gel Pens and Seals by Optical Coherence Tomography.

Determining the sequence of intersecting lines is a significant issue in the forensic document examination that can reveal the fraud or distinguish between different allegations. Optical coherence tomography (OCT) is a high-resolution cross-sectional imaging technique that has been introduced into forensic science field recently. The potential of OCT as a novel method to determine the sequence of intersecting lines was examined for the first time. In this study, a spectral-domain OCT system with a center wavelength of 900nm was employed to perform nondestructive examination on determining the sequence of 18 heterogeneous intersecting line samples produced using three types of gel pens and three brands of stamp pad ink seals. Two-dimensional (2D) cross-sectional, and three-dimensional (3D) volumetric images of the intersecting lines were obtained by the OCT system. Several features were noted and analyzed to successfully determine the sequence of all the 18 samples. Blind tests were also conducted to demonstrate the effectiveness of OCT technique. The results illustrate that OCT technology can provide an effective and accurate method for sequencing intersecting lines of gel pen ink and seal ink, which may complement the conventional methods used in the examination of questioned documents.

Fiber-optic endoscopic ultrasonic imaging of pipe-type seismic physical models

An integrated endoscopic device is designed and employed for endoscopic ultrasonic imaging of seismic physical models (SPMs). A graded-index-multimode-fiber-based Fabry-Perot interferometer, a piezoelectric transducer, and a rotating acoustic mirror are coaxially united to enable a circumferential side-scanning. The endoscopic scanning of a pipe-type SPM is performed by using the integrated probe, and a high-resolution cross-sectional unrolled image is reconstructed to clearly distinguish the inner edge features of the pipe-type SPM. The theoretical analysis and experimental demonstration are both characterized in detail and show good agreement. Compared with the conventional linear scanning based on a translation stage for SPM imaging, the approach of radial scanning provides an endoscopic imaging modality for specific SPMs by integrating the ultrasonic emission and reception.

Role of preoperative biopsy in the management of presacral tumors

Preoperative biopsy of solid or heterogeneous presacral tumors is safe with various image-guided approaches to percutaneously access the presacral space. Biopsies are most commonly performed via a parasacral or transperineal approach. It is complementary to high-resolution cross-sectional imaging and has a higher concordance with post-operative pathology than imaging alone. This allows for more complete treatment planning with the consideration of various neoadjuvant therapies for tumors that are malignant and for consideration of function-sparing resection for those tumors that are benign.

Elucidating the role of TiCl4 post-treatment on percolation of TiO2 electron transport layer in perovskite solar cells

The ideal electron transport layer of a high performance perovskite solar cell should have good optical transparency, high electron mobility, and an energy level alignment well-matched with the perovskite material. In this work, we investigate the role of TiCl4 post-treatment of the mesoporous TiO2 electron transport layer by varying the concentration of TiCl4 and characterizing optical and electrical properties, charge carrier dynamics, and photovoltaic performance of mesoscopic CH3NH3PbI3 solar cells. It is found that the TiCl4 treatment provides an additional interconnection between the TiO2 particles, leading to better percolation as evident from high resolution cross-section images and chemical maps. This enhances effective electron mobility in the material as well as significantly reduces average sub-bandgap absorption due to defects and electronic disorder determined by photothermal deflection spectroscopy. Moreover, improvement of interfacial contact due to a smoother surface contributes to more efficient charge extraction and suppressed charge recombination and reduced hysteresis. As a result, the optimized device based on TiCl4 post-treated mesoporous TiO2 achieved the highest conversion efficiency of 17.4% compared with 14.1% for the device with pristine mesoporous TiO2.

Intravascular Imaging for Venous Interventions

This review surveys the clinical landscape of intravascular imaging for endovenous interventions. Endovascular imaging has become increasingly important for diagnosing venous pathology and guiding venous interventions. In particular, intravascular ultrasound (IVUS) provides 3D high-resolution cross-sectional imaging of vessel and surrounding tissues, often in anatomic locations inaccessible to surface ultrasound, namely the superior vena cava, inferior vena cava, and caval-iliac veins. Current well-established indications for venous IVUS include diagnostic studies, venoplasty, transjugular intrahepatic portosystemic shunt (TIPS) creation, inferior vena cava filter placement, and transjugular liver biopsy. In the future, optical coherence tomography may play an increasing role in venous assessment and intervention.

Scalable double regularization for 3D Nano-CT reconstruction

Nano-CT (computerized tomography) has emerged as a non-destructive high-resolution cross-sectional imaging technique to effectively study the sub-μm pore structure of shale, which is of fundamental importance to the evaluation and development of shale oil and gas. Nano-CT poses unique challenges to the inverse problem of reconstructing the 3D structure due to the lower signal-to-noise ratio (than Micro-CT) at the nano-scale, increased sensitivity to the misaligned geometry caused by the movement of object manipulator, limited sample size, and a larger volume of data at higher resolution. We propose a scalable double regularization (SDR) method to utilize the entire dataset for simultaneous 3D structural reconstruction across slices through total variation regularization within slices and L1 regularization between adjacent slices. SDR allows information borrowing both within and between slices, contrasting with the traditional methods that usually build on slice by slice reconstruction. We develop a scalable and memory-efficient algorithm by exploiting the systematic sparsity and consistent geometry induced by such Nano-CT data. We illustrate the proposed method using synthetic data and two Nano-CT imaging datasets of Jiulaodong (JLD) shale and Longmaxi (LMX) shale acquired in the Sichuan Basin. These numerical experiments show that the proposed method substantially outperforms selected alternatives both visually and quantitatively.

Novel Anti-Interleukin-1β Therapy Preserves Retinal Integrity: A Longitudinal Investigation Using OCT Imaging and Automated Retinal Segmentation in Small Rodents.

Retinopathy of prematurity (ROP) is the leading cause of blindness in neonates. Inflammation, in particular interleukin-1β (IL-1β), is increased in early stages of the disorder, and contributes to inner and outer retinal vasoobliteration in the oxygen-induced retinopathy (OIR) model of ROP. A small peptide antagonist of IL-1 receptor, composed of the amino acid sequence, rytvela, has been shown to exert beneficial anti-inflammatory effects without compromising immunovigilance-related NF-κB in reproductive tissues. We conducted a longitudinal study to determine the efficacy of “rytvela” in preserving the integrity of the retina in OIR model, using optical coherence tomography (OCT) which provides high-resolution cross-sectional imaging of ocular structures in vivo. Sprague–Dawley rats subjected to OIR and treated or not with “rytvela” were compared to IL-1 receptor antagonist (Kineret). OCT imaging and custom automated segmentation algorithm used to measure retinal thickness (RT) were obtained at P14 and P30; gold-standard immunohistochemistry (IHC) was used to confirm retinal anatomical changes. OCT revealed significant retinal thinning in untreated animals by P30, confirmed by IHC; these changes were coherently associated with increased apoptosis. Both rytvela and Kineret subsided apoptosis and preserved RT. As anticipated, Kineret diminished both SAPK/JNK and NF-κB axes, whereas rytvela selectively abated the former which resulted in preserved monocyte phagocytic function. Altogether, OCT imaging with automated segmentation is a reliable non-invasive approach to study longitudinally retinal pathology in small animal models of retinopathy.

The Lateral Ventricles: A Detailed Review of Anatomy, Development, and Anatomic Variations.

The cerebral ventricles have been studied since the fourth century BC and were originally thought to harbor the soul and higher executive functions. During the infancy of neuroradiology, alterations to the ventricular shape and position on pneumoencephalography and ventriculography were signs of mass effect or volume loss. However, in the current era of high-resolution cross-sectional imaging, variation in ventricular anatomy is more easily detectable and its clinical significance is still being investigated. Interpreting radiologists must be aware of anatomic variations of the ventricular system to prevent mistaking normal variants for pathology. We will review of the anatomy and development of the lateral ventricles and discuss several ventricular variations.

An investigation of retinal layer thicknesses in unaffected first-degree relatives of schizophrenia patients

IntroductionA large number of studies using different neuroimaging methods showed various structural changes both in patients and their unaffected first-degree relatives (FDRs) over the past years. Optical coherence tomography (OCT) is a relatively new, non-invasive imaging method used to obtain high-resolution cross-sectional images of the retina. A growing body of evidence reports thinning of retinal layers in patients with schizophrenia which is considered as a proxy for CNS alterations. We hypothesized that retinal layer changes would be observed in FDRs, in parallel with those seen in patients, as a potential endophenotype candidate. MethodsThirty-eight schizophrenia patients, 38 FDRs of schizophrenia and 38 age and gender-matched healthy subjects with no family history (HCs) were recruited to this study. OCT measurements were performed and peripapillary retinal nerve fibre layer (RNFL), ganglion cell layer (GCL), inner plexiform layer (IPL) and macular thicknesses were measured. ResultsThe groups did not differ on RNFL, macular or GCL thickness. However, IPL thickness was significantly lower in both patients and FDRs than HCs (p = .025 and p = .041, respectively). The difference between groups remained significant after controlling for confounders such as age, gender, smoking status, comorbid medical diseases and BMI (p = .016 patients vs HCs and p = .014 FDRs vs HCs). ConclusionOur findings suggest that IPL thinning may hold promise as a useful endophenotype for genetic and early detection studies. The evaluation of this area could provide an important avenue for elucidating some of the neurodevelopmental aberrations in the disorder.

The Place of Optical Coherence Tomography in Patients with Obsessive Compulsive Disorder.

Optical coherence tomography (OCT) is an increasingly used new method that investigates changes in the retinal nerve fiber layer (RNFL) in neurodegenerative diseases. It provides high-resolution cross-sectional imaging of biological tissues. This study aimed to investigate the structural changes in RNFL in patients with obsessive compulsive disorder (OCD) using OCT and to investigate the possible effects of retinal function on the etiopathogenesis of OCD. In this study, 30 patients diagnosed with OCD at the end of the Structured Clinical Interview for DSM (SCID-I), without any drug use status, and 31 healthy participants paired with the patients in terms of their sociodemographic characteristics were included. In the patient and control groups, the RNFL thickness was measured and compared at each locus using OCT. Statistically significant differences were found in RNFL, ganglion cell layer thickness, and central foveal thickness between the patients with OCD and the control group. In this study, the choroidal thickness values of the patient group were found to be higher than those of the control group; and a statistically significant difference was observed in the mean choroidal thickness values (p=0.045). The findings of the study suggest that the RNFL thickness of patients with OCD does not decrease, but choroidal thickness may be an important biomarker to determine the etiopathogenesis of the disease and follow neurodegeneration.

Temperature and oxygen concentration effects on anisotropy in chromium hard mask etching for nanoscale fabrication

Chromium and its oxides are valuable as functional materials and plasma-etching hard masks in micro- and nanofabrication. While the continuous decrease in feature sizes opens new opportunities for applications of patterned chromium, the demands placed on the patterning process require a new level of mechanistic understanding. In this work, we investigate plasma etching with chlorine/oxygen chemistry using temperature and oxygen concentration as a means to controllably pattern chromium at the nanometer level. Building on our previous studies on blanket film chromium etching, we look here at patterned trenches 15–100 nm wide in 20 and 10 nm thick chromium films. We vary oxygen concentrations from 1.5% to 81% at substrate temperatures of +20 and −50 °C, respectively. Feature and trench profiles are evaluated from high-resolution cross-sectional SEM images. The ternary chromium etch product shows very different profiles as oxygen, temperature, and feature size are varied. We find the highest anisotropy at −50 °C and 50% oxygen concentration. Etch results suggest that the redeposition of nonvolatile intermediate reaction compounds enhances anisotropy at low temperature, whereas re-emission of reactive species causes undercut at the higher etching temperature.