Total Scan Research Articles

Accuracy Assessment on Detail Survey Plan Using iPhone 13 Pro Max LiDAR Sensor

Total stations, global navigation satellite systems (GNSS) instruments, and laser scanners are common tools used in detailed surveys because of the precision they bring to measurements and data collection. While conventional land surveying methods using total stations and GNSS instruments are widely used for their accuracy, they require a team of at least three people and can be costly. In 2021, Apple introduced the iPhone 13 Pro with a built-in LiDAR sensor that can potentially be used for land surveying. However, it is unclear whether the LiDAR data obtained from the iPhone is accurate and reliable enough to replace the conventional surveying methods. Therefore, a comparison study between the conventional method and the iPhone LiDAR sensor needs to be conducted to evaluate the feasibility and potential benefits of using the iPhone LiDAR sensor in land surveying. The purpose of this study is to evaluate the differences between tacheometry method using total station and laser scanning method using iPhone 13 Pro Max in generating detail survey plan. This study was conducted UiTM Shah Alam Stadium, Shah Alam, Selangor. For scanning method, two device poses (distance of sensor to target) are used which are 5 and 10 cm. Based on results and analysis, the difference between the actual elevation value and the scanning data from the device at 5 cm and 10 cm is relatively small. The lowest values for the device's position at 5 cm and 10 cm are -0.025 m and -0.057 m, respectively, and the highest values are 0.023 m and 0.017 m, respectively. The average deviation at the device's position of 5 cm is 0.023 m, while the average deviation at the device's position of 10 cm is 0.017 m. In conclusion, the LiDAR sensor in the iPhone 13 Pro Max has the potential to be a valuable tool for assessing accuracy in detailed survey plans. Its possible applications in different fields are worth further exploration

Relaxation spectral analysis in multi-contrast vascular magnetic particle imaging.

Magnetic nanoparticles (MNPs) are used as tracers without ionizing radiation in vascular imaging, molecular imaging, and neuroimaging. The relaxation mechanisms of magnetization in response to excitation magnetic fields are important features of MNPs. The basic relaxation mechanisms include internal rotation (Néel relaxation) and external physical rotation (Brownian relaxation). Accurate measurement of these relaxation times may provide high sensitivity for predicting MNP types and viscosity-based hydrodynamic states. It is challenging to separately measure the Néel and Brownian relaxation components using sinusoidal excitation in conventional MPI. We developed a multi-exponential relaxation spectral analysis method to separately measure the Néel and Brownian relaxation times in the magnetization recovery process in pulsed vascular MPI. Synomag-D samples with different viscosities were excited using pulsed excitation in a trapezoidal-waveform relaxometer. The samples were excited at different field amplitudes ranging from 0.5 to 10 mT at intervals of 0.5 mT. The inverse Laplace transform-based spectral analysis of the relaxation-induced decay signal in the field-flat phase was performed by using PDCO, a primal-dual interior method for convex objectives. Néel and Brownian relaxation peaks were elucidated and measured on samples with various glycerol and gelatin concentrations. The sensitivity of viscosity prediction of the decoupled relaxation times was evaluated. A digital vascular phantom was designed to mimic a plaque with viscous MNPs and a catheter with immobilized MNPs. Spectral imaging of the digital vascular phantom was simulated by combining a field-free point with homogeneous pulsed excitation. The relationship between the Brownian relaxation time from different tissues and the number of periods for signal averages was evaluated for a scan time estimation in the simulation. The relaxation spectra of synomag-D samples with different viscosity levels exhibited two relaxation time peaks. The Brownian relaxation time had a positive linear relationship with the viscosity in the range 0.9 to 3.2 mPa · s. When the viscosity was >3.2 mPa · s, the Brownian relaxation time saturated and did not change with increasing viscosity. The Néel relaxation time decreased slightly with an increase in the viscosity. The Néel relaxation time exhibited a similar saturation effect when the viscosity level was >3.2 mPa · s for all field amplitudes. The sensitivity of the Brownian relaxation time increased with the field amplitude and was maximized at approximately 4.5 mT. The plaque and catheter regions were differentiated from the vessel region in the simulated Brownian relaxation time map. The simulation results show that the Néel relaxation time was 8.33±0.09 μs in the plaque region, 8.30±0.08 μs in the catheter region, and 8.46±0.11 μs in the vessel region. The Brownian relaxation time was 36.60±2.31 μs in the plaque region, 30.17±1.24 μs in the catheter region, and 31.21±1.53 μs in the vessel region. If we used 20 excitation periods for image acquisition in the simulation, the total scan time of the digital phantom was approximately 100 s. Quantitative assessment of the Néel and Brownian relaxation times through inverse Laplace transform-based spectral analysis in pulsed excitation, highlighting their potential for use in multi-contrast vascular MPI.

Effects of acquisition protocol on advanced diffusion MRI measures

AbstractBackgroundSeveral studies have suggested that advanced diffusion MRI (dMRI) measures derived through the analytic techniques of diffusion kurtosis imaging (DKI) and neurite orientation density and dispersion imaging (NODDI) might provide better sensitivity to predict the progression of Alzheimer’s disease (AD) when compared to conventional single tensor diffusion tensor imaging. Two popular simultaneous multislice (SMS) sequences, namely Alzheimer’s Disease Neuroimaging Initiative (ADNI)‐3 and Human Connectome Protocol (HCP) are currently widely used in the acquisition of such advanced dMRI data. Since HCP sequences require a custom connectome scanner, several variants of HCP protocol compatible with clinical MRI are in wide use. Before such techniques are used widely across the globe to understand AD, it is imperative to understand whether the absolute WM measures derived through such advanced dMRI measures are reproducible and whether harmonization of dMRI across sites employing different acquisition protocols is applicable. In this study, we hypothesize that higher spatial and angular resolution dMRI data will result in higher quantification of DKI and NODDI metrics, as compared with comparatively lower spatial resolution advanced ADNI‐3 sequences.MethodA 32‐year‐old healthy male participant was scanned over five weeks, both with Advanced ADNI‐3 protocol (114 directions, 2mm3 isotropic, b‐values = 500s/mm2, 1000s/mm2, and 2000s/mm2) and 2 variants of the HCP sequence (1.5mm3 and 2mm3) both with 3 b‐values (500s/mm2, 1000s/mm2, and 2500s/mm2) and 213 directions on a 3T Skyra scanner. Total scan time for the ADNI‐3 sequence was 11:37 minutes, 2mm3 CCF sequence was 18:41 minutes, and 1.5mm3 CCF sequence was 23:13 minutes. Various DKI and NODDI measures were computed on all repetitions in‐house. JHU atlas of WM tracts was used as a mask to extract values along each tract at each run separately.ResultAs shown in Figs 1‐4, dMRI‐derived measures were underestimated for most of the WM tracts for the ADNI‐3 sequence, although they had less variance across different runs. Second, NODDI measures were more reproducible across most WM tracts when compared to DKI measures across protocols.ConclusionAcquisition parameters affect the absolute quantification of advanced dMRI measures. Our data suggest that the pooling of dMRI data across various protocols should be performed with caution

Comparison of the learning curve of intraoral scanning with two different intraoral scanners based on scanning time

BackgroundThe appearance of intraoral scanners (IOSs) in dental offices was an important milestones for the digital innovations in dentistry. Knowing the learning curve for intraoral scanning is crucial, because it can serve as a guideline for clinicians before buying a new IOS. The aim of the present in vivo study was to determine the learning curve required by dental students for intraoral scanning with the 3Shape Trios 4 IOS and the CEREC Primescan IOS, based on scanning time.MethodsA total of 20 dental students with no previous experience in intraoral scanning participated in the present study. 10 students scanned with Trios 4® IOS (TRI) and 10 students took digital impressions with Primescan® IOS (CER). Every student created 15 digital impressions from patients. Prior to taking the impressions, theoretical and practical education was provided. The total scanning time included the upper and lower arches as well as bite registration, for which average values were calculated. Statistical analysis was performed using the Stata package with a mixed-effects generalized least squares regression models.ResultsThe average total scanning times were the following: TRI – 205 s for the 1st impression, 133.6 s for the 15th, CER – 289.8 s for the 1st impression, 147 s for the 15th. The model-based estimate of the difference between the two in case of TRI was 57.5 s, and in CER was 144.2 s which is a highly significant improvement in both cases (P < 0.0001). The slope of the scanning time vs. learning phase curve gradually approached flatness, and maintained a plateau: TRI – from the 11th measurement and CER – from the 14th measurement onward.ConclusionsGiven the limitations of the present study, we found difference between the learning curve of scanner types which are operate various principle of imaging. In case of the TRI fewer digital impressions (11 repeating) were sufficient to reach the average scanning time of an experienced user than using CER (14 repeating).Trial registrationThe permission for this study was given by the University Ethics Committee of Semmelweis University (SE RKEB number: 184/2022).

Preliminary Study on Automatic Detection of Hard Defects in Integrated Circuits Based on Thermal Laser Stimulation

Locating the fault position is a crucial part of the failure mechanism analysis of integrated circuits. This paper proposes a hard defect locating system based on Thermal Laser Stimulation (TLS) technology. The equation for laser-induced changes in the electrical parameters of semiconductor devices is a good guide to the hardware and software design of the hard defect locating system. The scanning mode of fast total scanning combined with slow point-to-point scanning can quickly locate abnormal areas. A modified median absolute difference (MAD) method is applied to the extraction of anomalous data. The system software can automatically and collaboratively control the 3D mobile station, laser, and signal acquisition unit. It also can intuitively display the distribution of abnormal points on the infrared image. Using a failure MRAM chip and a good one to conduct a comparative test, the abnormal points distributed on the infrared image of the chip indicate that the failure area is in the digital module or eFuse module of the chip, and the Emission Microscopy (EMMI) experiment also verifies the accuracy of the test system.

AIUM Practice Parameter for the Performance and Interpretation of Diagnostic Ultrasound of the Thyroid and Extracranial Head and Neck.

AIUM Practice Parameter for the Performance and Interpretation of Diagnostic Ultrasound of the Thyroid and Extracranial Head and Neck.

Technical comparison of continuous versus intermittent perfusion computed tomography computed tomography scans of the human pancreas.

Pancreatic perfusion computed tomography (CT) imaging is increasingly used for neoplastic grading, predicting prognosis, and evaluating the response to therapy. To optimize the clinical pancreatic CT perfusion imaging methods, we evaluated 2 different CT scanning protocols concerning pancreas perfusion parameters. A retrospective study was conducted on 40 patients who underwent whole pancreas CT perfusion scanning in The First Affiliated Hospital of Zhengzhou University. Of these 40 patients, 20 patients in group A underwent continuous perfusion scanning, while 20 patients in group B underwent intermittent perfusion scanning. For group A, continuous axial scanning was performed 25 times, and the total scan time was 50 s. For group B, arterial phase helical perfusion scanning was performed 8 times, and then venous phase helical perfusion scanning was performed 15 times, with a total scan time of 64.6 to 70.0 s. A comprehensive list of perfusion parameters between different parts of the pancreas and the 2 groups were compared. The effective radiation dose for the 2 scanning methods was analyzed. The parameter of the mean slope of increase (MSI) at different pancreatic parts in group A differed (P=0.028). The pancreas head had the lowest value, and the tail had the highest (about a 20% difference). In group A compared to group B, the blood volume of the pancreatic head was smaller (15.256±2.925 vs. 16.953±3.602), the positive enhanced integral was smaller (0.307±0.050 vs. 0.344±0.060) and the permeability surface was larger (34.205±9. 612 vs. 24.377±8.413); the blood volume of the pancreatic neck was smaller (13.940±2.691 vs. 17.173±3.918), the positive enhanced integral was smaller (0.304±0.088 vs. 0.361±0.051) and the permeability surface was larger (34.898±11.592 vs. 25. 794±8.149); the blood volume of the pancreatic body was smaller (16.142±4.006 vs. 18.401±2.513), the positive enhanced integral was smaller (0.305±0.093 vs. 0.342±0.048) and the permeability surface was larger (28.861±10.448 vs. 22.158±6. 017); the blood volume of the pancreatic tail was smaller (16.446±3.709 vs. 17.374±3.781), the positive enhanced integral was smaller (0.304±0.057 vs. 0.350±0.073) and the permeability surface was larger (27.823±8.228 vs. 21.509±7.768) (P<0.05). The effective radiation dose in the intermittent scan mode was slightly lower at 16.657±2.259 mSv than in the continuous scan mode (17.973±3.698 mSv). Different CT scanning intervals had a significant influence on whole pancreas blood volume, permeability surface, and positive enhanced integral. These demonstrate the high sensitivity of intermittent perfusion scanning for identifying perfusion abnormalities. Therefore, for the diagnosis of pancreatic diseases, intermittent pancreatic CT perfusion may be more advantageous.

Parametric cerebral blood flow and arterial transit time mapping using a 3D convolutional neural network.

To reduce the total scan time of multiple postlabeling delay (multi-PLD) pseudo-continuous arterial spin labeling (pCASL) by developing a hierarchically structured 3D convolutional neural network (H-CNN) that estimates the arterial transit time (ATT) and cerebral blow flow (CBF) maps from the reduced number of PLDs as well as averages. A total of 48 subjects (38 females and 10 males), aged 56-80 years, compromising a training group (n = 45) and a validation group (n = 3) underwent MRI including multi-PLD pCASL. We proposed an H-CNN to estimate the ATT and CBF maps using a reduced number of PLDs and a separately reduced number of averages. The proposed method was compared with a conventional nonlinear model fitting method using the mean absolute error (MAE). The H-CNN provided the MAEs of 32.69 ms for ATT and 3.32 mL/100 g/min for CBF estimations using a full data set that contains six PLDs and six averages in the 3 test subjects. The H-CNN also showed that the smaller number of PLDs can be used to estimate both ATT and CBF without significant discrepancy from the reference (MAEs of 231.45 ms for ATT and 9.80 mL/100 g/min for CBF using three of six PLDs). The proposed machine learning-based ATT and CBF mapping offers substantially reduced scan time of multi-PLD pCASL.

An ultrafast brain MRI technique for evaluating acute neurologic deficits in the emergency department

Herein we share our preliminary experience with an ultrafast brain MRI technique for use in the ED consisting of axial T1-weighted (40s), axial T2-weighted (62s), axial diffusion-weighted (80s), axial FLAIR (96s), axial T2* (6s), and axial susceptibility-weighted (108s) imaging for a total scan time of 6min and 53s. Utilization of this ultrafast technique yields an efficient assessment of the brain, decreases ED length of stay and inpatient observation admissions, and may obviate the need for vascular imaging with either CTA or MRA in the ED.

Effect of CaO, Al2O3, and MgO Supports of Ni Catalysts on the Formation of Graphite-like Carbon Species during the Boudouard Reaction and Methane Cracking.

The investigation of the course of the Boudouard reaction and methane cracking was performed over nickel catalysts based on oxides of calcium, aluminum, and magnesium. The catalytic samples were synthesized by the impregnation method. The physicochemical characteristics of the catalysts were determined using atomic adsorption spectroscopy (AAS), Brunauer-Emmett-Teller method analysis (BET), temperature-programmed desorption of ammonia and carbon dioxide (NH3- and CO2-TPD), and temperature-programmed reduction (TPR). Qualitative and quantitative identification of formed carbon deposits after the processes were carried out using total organic carbon analysis (TOC), temperature-programmed oxidation (TPO), X-ray diffraction (XRD), and scanning electron microscopy (SEM). The selected temperatures for the Boudouard reaction and methane cracking (450 and 700 °C, respectively) were found to be optimal for the successful formation of graphite-like carbon species over these catalysts. It was revealed that the activity of catalytic systems during each reaction is directly related to the number of weakly interacted nickel particles with catalyst support. Results of the given research provide insight into the mechanism of carbon deposit formation and the role of the catalyst support in this process, as well as the mechanism of the Boudouard reaction.

Study of the thermoluminescence properties of γ and UV-C irradiated Li3PO4: Dy synthesized by solid state diffusion method

This paper reports the thermoluminescence (TL) properties of Li3PO4 doped with rare earth Dy3+ ions. The solid state diffusion method is used to synthesize phosphors with varying concentrations of the dopant (0.1, 0.2, 0.3, 0.4 and 0.5 mol%). Characterization of the samples is performed using X-ray diffraction (XRD), Fourier Transform Infrared-Attenuated Total Reflection spectroscopy (FTIR-ATR) and Scanning Electron Microscopy (SEM). Samples are irradiated with γ rays in the dose range of 10 Gy to 6 kGy and by UV-C rays (254 nm) for exposure duration ranging from 0.5 to 5 h. Maximum TL intensity in both cases is observed for the phosphor doped with 0.2 mol% Dy3+. While a linear TL response is found for the entire duration of UV-C irradiation, the dose response for γ irradiation stays linear upto 3 kGy for the high temperature peak at 335∘C. Appreciable repeatability values are found (for both γ and UV-C irradiated samples) and significantly low fading (for the UV-C irradiated phosphor) is reported. The computerized glow curve deconvolution has been done using an R-package, “tgcd: Thermoluminescence Glow Curve Deconvolution” by assuming the Kitis general order kinetics model. Chen’s peak shape method is utilized to extract trapping parameters such as the order of kinetics (b), shape factor (μg), frequency factor (s), activation energy (E) and trap density (n0). Various promising properties of this material are found suggesting that it could be used as a TL dosimeter.

Hybrid energy and angle dispersive X-ray diffraction computed tomography.

Pixelated energy resolving detectors enable acquisition of X-ray diffraction (XRD) signals using a hybrid energy- and angle- dispersive technique, potentially paving the way for the development of novel benchtop XRD imaging or computed tomography (XRDCT) systems, utilising readily available polychromatic X-ray sources. In this work, a commercially available pixelated cadmium telluride (CdTe) detector, HEXITEC (High Energy X-ray Imaging Technology), was used to demonstrate such an XRDCT system. Specifically, a novel fly-scan technique was developed and compared to the established step-scan technique, reducing the total scan time by 42% while improving the spatial resolution, material contrast and therefore the material classification.

Pushing the limits of low-cost ultra-low-field MRI bydual-acquisition deep learning 3D superresolution.

Recent development of ultra-low-field (ULF) MRI presents opportunities for low-power, shielding-free, and portable clinical applications at a fraction of the cost. However, its performance remains limited by poor image quality. Here, a computational approach is formulated to advance ULF MR brain imaging through deep learning of large-scale publicly available 3T brain data. A dual-acquisition 3D superresolution model is developed for ULF brain MRI at 0.055 T. It consists of deep cross-scale feature extraction, attentional fusion of two acquisitions, and reconstruction. Models for T1 -weighted and T2 -weighted imaging were trained with 3D ULF image data sets synthesized from the high-resolution 3T brain data from the Human Connectome Project. They were applied to 0.055T brain MRI with two repetitions and isotropic 3-mm acquisition resolution in healthy volunteers, young and old, as well as patients. The proposed approach significantly enhanced image spatial resolution and suppressed noise/artifacts. It yielded high 3D image quality at 0.055 T for the two most common neuroimaging protocols with isotropic 1.5-mm synthetic resolution and total scan time under 20 min. Fine anatomical details were restored with intrasubject reproducibility, intercontrast consistency, and confirmed by 3T MRI. The proposed dual-acquisition 3D superresolution approach advances ULF MRI for quality brain imaging through deep learning of high-field brain data. Such strategy can empower ULF MRI for low-cost brain imaging, especially in point-of-care scenarios or/and in low-income and mid-income countries.

Hyperreflective dots in the avascular outer retina in relapsing-remitting multiple sclerosis

Hyperreflective granular elements with a transient presence in the retina can be detected non-invasively by optical coherence tomography (OCT). Such foci or dots may represent aggregates of activated microglia. However, in multiple sclerosis an increased number of hyperreflective foci has so far not been demonstrated in the intrinsically hyporeflective and avascular outer nuclear layer of the retina where there are no fixed elements in healthy eyes. Therefore, the present study intended to investigate the presence of hyperreflective foci in the outer nuclear layer in patients with relapsing- remitting multiple sclerosis (RRMS) by using a high-resolution OCT scanning protocol. This cross-sectional exploratory study examined 88 eyes in 44 RRMS patients and 106 eyes in 53 age- and sex-matched healthy subjects. None of the patients had any sign of retinal disease. All patients and healthy subjects each underwent one session of spectral domain OCT imaging. A total of 23,200 B-scans extracted from 8×8 mm blocks of linear B-scans at 60 μm intervals were analysed for hyperreflective foci in the outer nuclear layer of the retina. Analyses were made of the total block scan and a circular 6-mm diameter fovea-centered field in each eye. Multivariate logistic regression analysis was used to assess associations between parameters. Hyperreflective foci were observed in 31 out of 44 (70.5 %) multiple sclerosis patients compared to 1 out of 53 (1.8%) healthy subjects (p < 0.0001). From analyses of the total block scans, the median number of hyperreflective foci in the outer nuclear layer was 1 (range 0-13) in patients and 0 (range 0-2) in healthy subjects (p < 0.0001). In total, 66.2% of all hyperreflective foci were located within 6 mm of the center of the macula. There was no detectable association between the presence of hyperreflective foci and retinal nerve fiber layer or ganglion cell layer thickness. Hyperreflective granular foci in the avascular outer nuclear layer of the retina seen by OCT were almost completely absent in healthy subjects, whereas they were found, albeit at low density, in the majority of patients with RRMS. Hyperreflective foci can be repeatedly examined by non-invasive means and without pupil dilation, which opens a new field of investigation of infiltrating elements in an unmyelinated part of the central nervous system.

Symmetry of Macular Fundus Features in Age-Related Macular Degeneration

The symmetry of major macular fundus features in both eyes of the same patient with age-related macular degeneration (AMD) was investigated using swept-source(SS)-OCT. Retrospective review of a prospective study. Patients with AMD. Grading was performed on the first SS-OCT images obtained on the patients. Two graders diagnosed the presence of drusen, geographic atrophy (GA), and exudative AMD (eAMD) in each eye. Medical records were reviewed to assess prior exudation. To assess symmetry, 1 eye of each patient was randomly selected as the index eye and compared with the fellow eye. The kappa statistic (κ) was used to assess the symmetry of diagnosis. The intraclass correlation coefficient (ICC) was used to assess the symmetry of drusen area and volume. Interocular symmetry of the AMD stages: drusen, GA, and eAMD. A total of 1310 patients with AMD were included. The average age was 78 years (range, 50-102; 60% women). Of the 1310 subjects, 54% (701) presented with symmetric disease: 20% with bilateral drusen, 11% with bilateral GA, and 22% with bilateral eAMD. Only 0.5% of the subjects had both GA and eAMD in both eyes. Of the randomly selected index eyes, 825 (47%) were right eyes. Overall, limited interocular agreement was observed between the index and fellow eyes (54%; κ= 0.29). Kappa coefficients were poor (< 0.4) for index eyes diagnosed with drusen (κ= 0.27), eAMD (κ= 0.17), and mixed disease (κ= 0.03). There was moderate agreement between the index and fellow eyes for GA (κ= 0.50). Of the 265 patients with bilateral drusen, the symmetry of drusen area measurements had moderate ICC values of 0.70, 0.71, and 0.70 in the 3- and 5-mm diameter foveal-centered circles and in the total scan area, respectively. The ICC values for the drusen volumes were 0.65, 0.66, and 0.64, respectively. Interocular symmetry was poor for eyes with drusen, eAMD, and mixed disease, but moderate for GA. Although the diagnosis of drusen was not very symmetric between eyes, when present in both eyes, the drusen area and volume measurements were moderately symmetric. Proprietary or commercial disclosure may be found after the references.

A single-breath-hold protocol for hyperpolarized 129 Xe ventilation and gas exchange imaging.

Hyperpolarized 129 Xe MRI (Xe-MRI) is increasingly used to image the structure and function of the lungs. Because 129 Xe imaging can provide multiple contrasts (ventilation, alveolar airspace size, and gas exchange), imaging often occurs over several breath-holds, which increases the time, expense, and patient burden of scans. We propose an imaging sequence that can be used to acquire Xe-MRI gas exchange and high-quality ventilation images within a single, approximately 10 s, breath-hold. This method uses a radial one-point Dixon approach to sample dissolved 129 Xe signal, which is interleaved with a 3D spiral ("FLORET") encoding pattern for gaseous 129 Xe. Thus, ventilation images are obtained at higher nominal spatial resolution (4.2 × 4.2 × 4.2 mm3 ) compared with gas-exchange images (6.25 × 6.25 × 6.25 mm3 ), both competitive with current standards within the Xe-MRI field. Moreover, the short 10 s Xe-MRI acquisition time allows for 1 H "anatomic" images used for thoracic cavity masking to be acquired within the same breath-hold for a total scan time of about 14 s. Images were acquired using this single-breath method in 11 volunteers (N = 4 healthy, N = 7 post-acute COVID). For 11 of these participants, a separate breath-hold was used to acquire a "dedicated" ventilation scan and five had an additional "dedicated" gas exchange scan. The images acquired using the single-breath protocol were compared with those from dedicated scans using Bland-Altman analysis, intraclass correlation (ICC), structural similarity, peak signal-to-noise ratio, Dice coefficients, and average distance. Imaging markers from the single-breath protocol showed high correlation with dedicated scans (ventilation defect percent, ICC = 0.77, p = 0.01; membrane/gas, ICC = 0.97, p = 0.001; red blood cell/gas, ICC = 0.99, p < 0.001). Images showed good qualitative and quantitative regional agreement. This single-breath protocol enables the collection of essential Xe-MRI information within one breath-hold, simplifying scanning sessions and reducing costs associated with Xe-MRI.

Manipulating drug release from 3D printed dual-drug loaded polypills using challenging polymer compositions

Combining multiple medications in a single dosage form has emerged as an important strategy for treating complex diseases and could help tackle the growing issue of polypharmacy. In this study we investigated the suitability of different dual-drug designs for achieving simultaneous, delayed and pulsatile drug release regimes using two model formulations: an immediate release erodible system of Eudragit E PO loaded with paracetamol; and an erodible swellable system of Soluplus loaded with felodipine. Both binary formulations, despite not fused deposition modelling (FDM) printable, were successfully printed using a thermal droplet-based 3D printing method, Arburg Plastic Freeforming (APF), and exhibited good reproducibility. X-ray powder diffraction (XRPD), Attenuated Total Reflectance Fourier Transform Infrared Spectroscopy (ATR-FTIR) and Differential Scanning Calorimetry (DSC) were used to assess drug-excipient interaction. The printed tablets were evaluated for drug release using in vitro dissolution testing. We found the simultaneous and delayed release designs were effective at generating the intended drug release profiles, giving insight into the types of dual-drug designs which can be used to create complex release profiles. In contrast the pulsatile tablet release was non-defined, highlighting the design limitations when using erodible materials.

The experience of auditory implant recipients undergoing magnetic resonance imaging: Factors associated with pain

Objective Many patients with cochlear implants (CI) and auditory brainstem implants (ABI) require magnetic resonance imaging (MRI) following implantation. This study explores the patient experience of MRI, identifying factors associated with pain, and the effect of interventions designed to enhance comfort and safety. Methods A prospective observational case series from a tertiary referral unit. Tight head bandaging ± local anaesthetic injection (devices with non-MRI-compatible magnets) or observation alone (implants with MRI-compatible magnets) were employed for 1.5 T MRI of consecutive adult patients with CI or ABI without magnet removal. Pain was recorded via visual analogue scale (1 = no pain, 5 = extreme pain) at three time points; (1) baseline, (2) head bandage applied (3) during scanning. Patient age, device type, body area imaged and total scan time were recorded as variables, alongside adverse events. Results Data were collected for 227 MRI scans (34 patients with ABI, 32 with CI). In patients managed with bandaging, pain score after bandaging but prior to scanning (median 2.2) did not differ from pain during scanning (2.1), but both were significantly higher than baseline (1.4, both P ≤ 0.001). Scanning areas other than the head/cervical spine was associated with higher pain scores (P = 0.036). Pain during MRI differed between different manufacturers implants (P ≤ 0.001). Adverse events occurred in 8/227 scans (3.5%), none occurring with devices containing an MRI-compatible magnet. Conclusion MRI scanning with auditory implant magnets in situ is safe and well tolerated by patients.

SPECT at the speed of PET: a feasibility study of CZT-based whole-body SPECT/CT in the post 177Lu-DOTATATE and 177Lu-PSMA617 setting.

To evaluate the feasibility of using the StarGuide (General Electric Healthcare, Haifa, Israel), a new generation multi-detector cadmium-zinc-telluride (CZT)-based SPECT/CT, for whole-body imaging in the setting of post-therapy imaging of 177Lu-labeled radiopharmaceuticals. Thirty-one patients (34-89 years old; mean ± SD, 65.5 ± 12.1) who were treated with either 177Lu-DOTATATE (n=17) or 177Lu-PSMA617 (n=14) as part of standard of care were scanned post-therapy with the StarGuide; some were also scanned with the standard GE Discovery 670 Pro SPECT/CT. All patients had either 64Cu-DOTATATE or 18F-DCFPyL PET/CT prior to first cycle of therapy for eligibility check. The detection/targeting rate (lesion uptake greater than blood pool uptake) of large lesions meeting RECIST 1.1 size criteria on post-therapy StarGuide SPECT/CT was evaluated and compared to the standard design GE Discovery 670 Pro SPECT/CT (when available) and pre-therapy PET by two nuclear medicine physicians with consensus read. This retrospective analysis identified a total of 50 post-therapy scans performed with the new imaging protocol from November 2021 to August 2022. The StarGuide system acquired vertex to mid-thighs post-therapy SPECT/CT scans with 4 bed positions, 3 min/bed and a total scan time of 12 min. In comparison, the standard GE Discovery 670 Pro SPECT/CT system typically acquires images in 2 bed positions covering the chest, abdomen, and pelvis with a total scan time of 32 min. The pre-therapy 64Cu-DOTATATE PET takes 20 min with 4 bed positions on GE Discovery MI PET/CT, and 18F-DCFPyL PET takes 8-10 min with 4-5 bed positions on GE Discovery MI PET/CT. This preliminary evaluation showed that the post-therapy scans acquired with faster scanning time using StarGuide system had comparable detection/targeting rate compared to the Discovery 670 Pro SPECT/CT system and detected large lesions defined by RECIST criteria on the pre-therapy PET scans. Fast acquisition of whole-body post-therapy SPECT/CT is feasible with the new StarGuide system. Short scanning time improves the patients' clinical experience and compliance which may lead to increased adoption of post-therapy SPECT. This opens the possibility to offer imaged-based treatment response assessment and personalized dosimetry to patients referred for targeted radionuclide therapies.

Dark blood T2-weighted imaging of the human heart with AI-assisted compressed sensing: a patient cohort study.

Dark blood T2-weighted (DB-T2W) imaging is widely used to evaluate myocardial edema in myocarditis and inflammatory cardiomyopathy. However, this technique is sensitive to arrhythmia, tachycardia, and cardiac and respiratory motion due to the long scan time with multiple breath-holds. The application of artificial intelligence (AI)-assisted compressed sensing (ACS) has facilitated significant progress in accelerating medical imaging. However, the effect of DB-T2W imaging on ACS has not been elucidated. This study aimed to examine the effects of ACS on the image quality of single-shot and multi-shot DB-T2W imaging of edema. Thirty-three patients were included in this study and received DB-T2W imaging with ACS, including single-shot acquisition (SS-ACS) and multi-shot acquisition (MS-ACS). The resulting images were compared with those of the conventional multi-shot DB-T2W imaging with parallel imaging (MS-PI). Quantitative assessments of the signal-to-noise ratio (SNR), tissue contrast ratio (CR), and contrast-to-noise ratio (CNR) were performed. Three radiologists independently evaluated the overall image quality, blood nulling, free wall of the left ventricle, free wall of the right ventricle, and interventricular septum using a 5-point Likert scale. The total scan time of the DB-T2W imaging with ACS was significantly reduced compared to the conventional parallel imaging [number of heartbeats (SS-ACS:MS-ACS:MS-PI) =19:63:99; P<0.001]. The SNRmyocardium and CNRblood-myocardium of MS-ACS and SS-ACS were higher than those of MS-PI (all P values <0.01). Furthermore, the CRblood-myocardium of SS-ACS was also higher than that of MS-PI (P<0.01). There were significant differences in overall image quality, blood nulling, left ventricle free wall visibility, and septum visibility between the MS-PI, MS-ACS, and SS-ACS protocols (all P values <0.05). Moreover, blood in the heart was better nulled using SS-ACS (P<0.01). The ACS method shortens the scan time of DB-T2W imaging and achieves comparable or even better image quality compared to the PI method. Moreover, DB-T2W imaging using the ACS method can reduce the number of breath-holds to 1 with single-shot acquisition.