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Campbell, Sydney. "Experiences of analogue-trained radiographers utilising digital imaging in projection radiography." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/14796.
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The professional work of a radiographer encompasses both patient care and the use of technology. The technology employed could either be analogue or digital technology. Since 1973, the analogue imaging system has slowly been replaced by digital radiography imaging systems. Despite the many advantages of digital imaging it does present the radiographer with added responsibilities. Furthermore, analogue-trained radiographers have found adjusting to digital imaging especially challenging. The aim of the study was to explore and describe the experiences of analogue-trained radiographers utilising digital imaging in projection radiography with the intention of developing guidelines to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. The researcher used Schlossberg’s Transition Theory as a lens to look at the experiences of analogue-trained radiographers using digital imaging to produce radiographs. The research study used a qualitative design which was explorative, descriptive and contextual in nature. The target population included all diagnostic radiographers (public and private) in the local municipality who were registered with the Health Professions Council of South Africa. Purposive sampling was employed to select the radiographers that represented all radiographers in the Nelson Mandela Bay Health District. The sample included all radiographers who fulfilled the identified selection criteria. The selected participants were recruited to take part in in-depth, semi-structured individual interviews. The data was analysed using a computer-aided qualitative data analysis software package, ATLAS.ti. The trustworthiness of this study was ensured by applying Guba’s model of trustworthiness that includes credibility, transferability, dependability and confirmability. The ethical principles of respect for persons, beneficence and justice, as espoused by the Belmont Report, were adhered to in order to ensure that the study was conducted in an ethical manner. Two themes emanated from the data, namely the evolution of the radiographer when faced with the advances in technology as well the role that the work environment played in the manner that the participants experienced the change. The experiences of the participants were described using direct quotations from the interviews and a literature control was used to verify the participants’ experiences. Evidence was found of radiographer indifference towards exposure selection, dose optimisation and placement of anatomical side markers when utilising digital imaging. Finally, guidelines were developed to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. In addition, the guidelines will assist all other radiographers to better utilise digital imaging.
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Batuka, Nabawesi Jennifer. "Pre and post computerized radiography film reject analysis in a private hospital in Kenya." Thesis, Nelson Mandela Metropolitan University, 2011. http://hdl.handle.net/10948/1574.
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The production of good quality radiographs is a complex process, given the high level of image quality required (Sniureviciute & Adliene, 2005: 260). Exposure of patients to x-rays, a factor in the production of quality radiographs also entails a risk of radiation injury. In 2006, computerized radiography (CR) was introduced at The Nairobi Hospital to try and reduce the film reject rate, decrease repeats, reduce financial costs of consumables like x-ray films and processing chemicals. However, to date, no formal film reject analysis has been conducted at The Nairobi Hospital. Four years after the incorporation of CR, there is apparently, still a significant number of film rejects, implying operational costs may still be high. The cause of film rejects and overall reject cost is not known. This has led to the research question: “Has the film reject rate in the A & E x-ray unit at The Nairobi Hospital reduced following incorporation of CR?” A quantitative, retrospective, descriptive study involving a reject film analysis of rejected radiographs in the Accident and Emergency (A&E) x-ray unit in the Nairobi Hospital, Kenya was conducted. The researcher collected data for a period of 6 months between 2/12/07 and 28/05/08 using a purpose-designed data collection form. All rejected x-ray films during the study period were included. Capture and analysis of the collected data was completed by the researcher using SPSS 10 and EPINFO computer packages. Permission to conduct the study was obtained from The Nairobi Hospital Education Committee and due consideration to patient and radiographer confidentiality was maintained throughout the study. A total of 851(2.5 percent) x-ray films were collected during the study period. Four hundred and fourteen (2.6 percent) radiographs and 437 (2.5 percent) radiographs were rejected prior to and after the incorporation of CR respectively. Chest radiographs were the most frequently rejected accounting for 277(66.9 percent) and 123 (28.1 percent) prior to and after the incorporation of CR respectively. The most frequently rejected film size was 35x35cm prior to the incorporation of CR (61.6 percent) and 26x35cm film size after the incorporation of CR (91.3 percent). The most frequent cause of film rejects was radiographer causes both prior to and after the incorporation of CR accounting for 496 (58.3 percent). The film reject rate did not significantly reduce after the incorporation of CR, suggesting that there are other factors which contribute to reject rate, other than CR. The study also shows that higher film consumption does not necessarily lead to high reject rates. The percentage value on annual rejects did not change after the incorporation of CR and a demonstrated increase in the annual cost of purchasing x-ray films was attributed to an increase in annual consumption after the incorporation of CR, and also to the higher cost of digital x-ray films. Despite some identified limitations to this study, some recommendations, which included conduction of regular reject analyses and regular continuing professional development with respect to radiographic technique amongst others, were suggested.
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Woo, Mei-sum Becky, and 胡美心. "Validation and calibration of a digital subtraction radiography systemfor quantitative assessment of alveolar bone changes." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31954169.
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Rehm, Kelly. "Development and image quality assessment of a contrast-enhancement algorithm for display of digital chest radiographs." Diss., The University of Arizona, 1992. http://hdl.handle.net/10150/185844.
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This dissertation presents a contrast-enhancement algorithm called Artifact-Suppressed Adaptive Histogram Equalization (ASAHE). This algorithm was developed as part of a larger effort to replace the film radiographs currently used in radiology departments with digital images. Among the expected benefits of digital radiology are improved image management and greater diagnostic accuracy. Film radiographs record X-ray transmission data at high spatial resolution, and a wide dynamic range of signal. Current digital radiography systems record an image at reduced spatial resolution and with coarse sampling of the available dynamic range. These reductions have a negative impact on diagnostic accuracy. The contrast-enhancement algorithm presented in this dissertation is designed to boost diagnostic accuracy of radiologists using digital images. The ASAHE algorithm is an extension of an earlier technique called Adaptive Histogram Equalization (AHE). The AHE algorithm is unsuitable for chest radiographs because it over-enhances noise, and introduces boundary artifacts. The modifications incorporated in ASAHE suppress the artifacts and allow processing of chest radiographs. This dissertation describes the psychophysical methods used to evaluate the effects of processing algorithms on human observer performance. An experiment conducted with anthropomorphic phantoms and simulated nodules showed the ASAHE algorithm to be superior for human detection of nodules when compared to a computed radiography system's algorithm that is in current use. An experiment conducted using clinical images demonstrating pneumothoraces (partial lung collapse) indicated no difference in human observer accuracy when ASAHE images were compared to computed radiography images, but greater ease of diagnosis when ASAHE images were used. These results provide evidence to suggest that Artifact-Suppressed Adaptive Histogram Equalization can be effective in increasing diagnostic accuracy and efficiency.
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Vercillo, Richard 1953. "Very high resolution video display memory and base image memory for a radiologic image analysis console." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276707.
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Digital radiographic images are created by a variety of diagnostic imaging modalities. A multi-modality workstation, known as the Arizona Viewing Console (AVC), was designed and built by the University of Arizona Radiology Department to support research in radiographic image processing and image display. Two specially designed VMEbus components, the base image memory and the video display memory, were integrated into the AVC and are the subject of this thesis. The base image memory is a multi-ported, 8 megabyte memory array based on random access memory used for raw image storage. It supports a 10 megapixel per second image processor and can interface to a 320 megabit per second network. The video display memory utilizes video memories and is capable of displaying two independent high resolution images, each 1024 pixels by 1536 lines, on separate video monitors. In part, these two memory designs have allowed the AVC to excel as a radiographic image workstation.
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Masek, Martin. "Hierarchical segmentation of mammograms based on pixel intensity." University of Western Australia. School of Electrical, Electronic and Computer Engineering, 2004. http://theses.library.uwa.edu.au/adt-WU2003.0033.
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Mammography is currently used to screen women in targeted risk classes for breast cancer. Computer assisted diagnosis of mammograms attempts to lower the workload on radiologists by either automating some of their tasks or acting as a second reader. The task of mammogram segmentation based on pixel intensity is addressed in this thesis. The mammographic process leads to images where intensity in the image is related to the composition of tissue in the breast; it is therefore possible to segment a mammogram into several regions using a combination of global thresholds, local thresholds and higher-level information based on the intensity histogram. A hierarchical view is taken of the segmentation process, with a series of steps that feed into each other. Methods are presented for segmentation of: 1. image background regions; 2. skin-air interface; 3. pectoral muscle; and 4. segmentation of the database by classification of mammograms into tissue types and determining a similarity measure between mammograms. All methods are automatic. After a detailed analysis of minimum cross-entropy thresholding, multi-level thresholding is used to segment the main breast tissue from the background. Scanning artefacts and high intensity noise are separated from the breast tissue using binary image operations, rectangular labels are identified from the binary image by their shape, the Radon transform is used to locate the edges of tape artefacts, and a filter is used to locate vertical running roller scratching. Orientation of the image is determined using the shape of the breast and properties of the breast tissue near the breast edge. Unlike most existing orientation algorithms, which only distinguish between left facing or right facing breasts, the algorithm developed determines orientation for images flipped upside down or rotated onto their side and works successfully on all images of the testing database. Orientation is an integral part of the segmentation process, as skin-air interface and pectoral muscle extraction rely on it. A novel way to view the skin-line on the mammogram is as two sets of functions, one set with the x-axis along the rows, and the other with the x-axis along the columns. Using this view, a local thresholding algorithm, and a more sophisticated optimisation based algorithm are presented. Using fitted polynomials along the skin-air interface, the error between polynomial and breast boundary extracted by a threshold is minimised by optimising the threshold and the degree of the polynomial. The final fitted line exhibits the inherent smoothness of the polynomial and provides a more accurate estimate of the skin-line when compared to another established technique. The edge of the pectoral muscle is a boundary between two relatively homogenous regions. A new algorithm is developed to obtain a threshold to separate adjacent regions distinguishable by intensity. Taking several local windows containing different proportions of the two regions, the threshold is found by examining the behaviour of either the median intensity or a modified cross-entropy intensity as the proportion changes. Image orientation is used to anchor the window corner in the pectoral muscle corner of the image and straight-line fitting is used to generate a more accurate result from the final threshold. An algorithm is also presented to evaluate the accuracy of different pectoral edge estimates. Identification of the image background and the pectoral muscle allows the breast tissue to be isolated in the mammogram. The density and pattern of the breast tissue is correlated with 1. Breast cancer risk, and 2. Difficulty of reading for the radiologist. Computerised density assessment methods have in the past been feature-based, a number of features extracted from the tissue or its histogram and used as input into a classifier. Here, histogram distance measures have been used to classify mammograms into density types, and ii also to order the image database according to image similarity. The advantage of histogram distance measures is that they are less reliant on the accuracy of segmentation and the quality of extracted features, as the whole histogram is used to determine distance, rather than quantifying it into a set of features. Existing histogram distance measures have been applied, and a new histogram distance presented, showing higher accuracy than other such measures, and also better performance than an established feature-based technique.
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Ved, Hetal R. "A computer-based cascaded modeling and experimental approach to the physical characterization of a clinical full-field mammography system." Link to electronic thesis, 2002. http://www.wpi.edu/Pubs/ETD/Available/etd-0920102-144012.
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Wu, Bangxian, and 吴邦限. "Clinical applications of imaging informatics: computer aided diagnosis of nasopharyngeal carcinoma based on PET-CTand multimedia electronic patient record system for neurosurgery." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48521917.
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Medical imaging informatics is one of the important research areas in radiology that studies how information available on medical images is retrieved, analyzed, and enhanced. Recent development in medical imaging informatics has resulted in improvement of diagnostic accuracy based on imaging examinations, as well as efficiency in clinical workflow. Computer aided diagnosis (CAD) and electronic patient record system (ePR) are both topics in medical imaging informatics that have matured from research concepts into commercially available computerized systems in clinical environment. The current challenges are to further broaden their scope of applications. In this thesis project, I developed a CAD system for interpreting PET/CT examinations and an ePR system for patient data integration in neurosurgery suites.
Specifically, the CAD system in this project was designed to automatically diagnose nasopharyngeal carcinoma (NPC) on Positron emission tomography/computed tomography (PET/CT) examinations, which aimed to detect and classify both the primary NPC and its nodal metastasis. The regions of interests (ROIs) were segmented from the PET images and registered onto the CT in order to combine the imaging features from both modalities and the a priori anatomical knowledge of the suspicious lesion. These combined features were then classified by a support vector machine (SVM) to generate the final diagnosis result. The system was validated with 25 PET/CT examinations from 10 patients suffering from NPC, and the result produced by the system was compared to the gold standard of lesions manually contoured by experienced radiologists. The results confirmed that the system successfully distinguished all 53 genuine lesions from the mimickers due to normal physiological uptake and artifacts that also produced potentially confusing signals.
The second part of the project involved development of an electronic patient record system (ePR) that integrated all the myriad of images and different types of clinical information before, during, and after neurosurgery operations, in order to enhance efficiency of work flow in this unique clinical environment. The system comprises of pre-, intra-, and post-operation modules which correspond to the different stages of the neurosurgery. The pre-op module was developed to store and categorize all images and data before the procedure to assist the surgeons in planning operation. The intra-op module integrates all the input signals, waveforms, images and videos that are produced by different imaging and physiological monitoring devices in the operation room during the surgery, and displays all the relevant information in a single large screen in real time to ease monitoring of the procedure. The post-op module helps surgeons to review all the data acquired from all the prior stages for follow-up of the treatment outcome. One-tumor case was utilized to test the pre-op module, and the signals and waveforms simulators were used to evaluate the performance of the intra-op module.
In summary, two different medical informatics systems, a CAD and an ePR system were developed. Both showed promising results in laboratory tests. Future work would involve performance enhancement and feedback of the systems, and ultimately evaluation of these systems in the clinical environment.published_or_final_version
Diagnostic Radiology
Master
Master of Philosophy
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Leal, Michael J. "Effect of pixel size and scintillator on image quality of a CCD-based digital x-ray imaging system." Link to electronic thesis, 2001. http://www.wpi.edu/Pubs/ETD/Available/etd-0502101-123456.
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Wake, Giulia M. G. H. "Exact minimisation of treatment time for the delivery of intensity modulated radiation therapy." University of Western Australia. School of Mathematics and Statistics, 2009. http://theses.library.uwa.edu.au/adt-WU2009.0195.
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This thesis investigates the exact minimisation of treatment delivery time for Intensity Modulated Radiation Therapy (IMRT) for the treatment of cancer using Multileaf Collimators (MLC). Although patients are required to remain stationary during the delivery of IMRT, inevitably some patient movement will occur, particularly if treatment times are longer than necessary. Therefore minimising the treatment delivery time of IMRT may result in less patient movement, less inaccuracy in the dosage received and a potentially improved outcome for the patient. When IMRT is delivered using multileaf collimators in 'step and shoot' mode, it consists of a sequence of multileaf collimator configurations, or shape matrices; for each, time is needed to set up the configuration, and in addition the patient is exposed to radiation for a specified time, or beam-on time. The 'step and shoot leaf sequencing' problems for minimising treatment time considered in this thesis are the constant set-up time Total Treatment Time (TTT) problem and the Beam-on Time Constrained Minimum Cardinality (BTCMC) problem. The TTT problem minimises a weighted sum of total beam-on time and total number of shape matrices used, whereas the BTCMC problem lexicographically minimises the total beam-on time then the number of shape matrices used in a solution. The vast majority of approaches to these strongly NP-hard problems are heuristics; of the few exact approaches, the formulations either have excessive computation times or their solution methods do not easily incorporate multileaf collimator mechanical constraints (which are present in most currently used MLC systems). In this thesis, new exact mixed integer and integer programming formulations for solving the TTT and BTCMC problems are developed. The models and solution methods considered can be applied to the unconstrained and constrained versions of the problems, where 'constrained' refers to the modelling of additional MLC mechanical constraints. Within the context of integer programming formulations, new and existing methods for improving the computational efficiency of the models presented are investigated. Numerical results for all variations considered are provided. This thesis demonstrates that significant computational improvement can be achieved for the exact mixed integer and integer programming models investigated, via solution approaches based on an idea of systematically 'stepping-up' through the number of shape matrices used in a formulation, via additional constraints (particularly symmetry breaking constraints) and via the application of improved bounds on variables. This thesis also makes a contribution to the wider field of integer programming through the examination of an interesting substructure of an exact integer programming model. In summary, this thesis presents a thorough analysis of possible integer programming models for the strongly NP-hard 'step and shoot' leaf sequencing problems and investigates and applies methods for improving the computational efficiency of such formulations. In this way, this thesis contributes to the field of leaf sequencing for the application of Intensity Modulated Radiation Therapy using Multileaf Collimators.
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Oliveira, Bruno Beraldo. "Protocolo experimental de testes de desempenho e dosimetria para tomossíntese digital de mama." CNEN - Centro de Desenvolvimento da Tecnologia Nuclear, Belo Horizonte, 2014. http://www.bdtd.cdtn.br//tde_busca/arquivo.php?codArquivo=343.
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NenhumaO sistema de tomossíntese digital de mama (Digital Breast Tomosynthesis, DBT) é uma modalidade de imagem emergente que fornece informações estruturais quase tridimensionais (3D) da mama. Este sistema possui um grande potencial para substituir ou complementar a mamografia padrão no diagnóstico do câncer de mama. A melhoria na diferenciação de tecidos normais e massas suspeitas é uma das principais vantagens do sistema DBT, que proporciona uma redução das sobreposições dos tecidos, principal problema da mamografia. No Brasil, os testes de desempenho e a dosimetria para mamógrafos convencionais são estabelecidos pela Portaria n 453/98 do Ministério da Saúde e pela Agência Nacional de Vigilância Sanitária. Porém, não há nenhum protocolo nacional que estabeleça os testes para o controle de qualidade de equipamentos digitais. A proposta deste trabalho foi investigar os resultados dos testes de desempenho e da dosimetria de um mamógrafo que utiliza o sistema DBT a fim de elaborar um documento que contenha testes de qualidade e o procedimento adequado de dosimetria para avaliar fisicamente estes equipamentos. Para determinar o adequado desempenho do mamógrafo, foi avaliada a estrutura do equipamento através dos testes de força e alinhamento da bandeja de compressão. Para avaliar o detector, foram realizados testes de linearidade e uniformidade da sua resposta. A fim de verificar a imagem produzida, o mamógrafo foi submetido aos testes de ruído, resolução espacial e qualidade da imagem utilizando objetos simuladores. Por fim, foi realizada a dosimetria do equipamento visando à otimização do procedimento. A otimização significa manter o nível de radiação tão baixo quanto razoavelmente exequível, considerando a qualidade da imagem, para proporcionar um diagnóstico preciso. A fim de garantir a confiabilidade dos resultados de dosimetria, os equipamentos utilizados foram submetidos a testes de fuga, repetibilidade, reprodutibilidade e dependência angular. Os resultados dos testes de desempenho realizados no equipamento com sistema DBT estavam em conformidade com a maioria dos valores de referência estabelecidos. Considerando as incertezas nas medições, todos os valores calculados na dosimetria estavam de acordo com os níveis de referência adotados internacionalmente. Este trabalho contribuiu para estabelecer o procedimento adequado dos testes de controle de qualidade e dosimetria em mamógrafos que utilizam o sistema DBT. A metodologia e os resultados obtidos são importantes, pois fazem parte de um documento pioneiro para avaliação destes equipamentos.
The Digital Breast Tomosynthesis (DBT) system is an emerging image modality that provides almost three-dimensional (3D) structural informations of the breast. This system has a great potential to replace or complement the standard mammography in the diagnosis of the breast cancer. The improvement in differentiation of normal tissues and suspicious masses is one of the main advantages of the DBT system, which provides a tissue overlap reduction, the main problem of mammography. In Brazil, the performance tests and dosimetry for analogic mammography units are established by the Ministry of Health Ordinance n 453/98 and the National Health Surveillance Agency. However, there is no national protocol establishing tests for the quality control of digital equipments. The purpose of this study was to investigate performance and dosimetry results of a mammography unit that uses the DBT system to elaborate a document that contains quality tests and the proper dosimetry procedure to evaluate these equipments physically. For the determination of the adequate performance of the mammographic unit, the structure of this equipment was evaluated through tests of strength and alignment of the compression paddle. For the detector assessment, tests of linearity and uniformity of its response were performed. In order to verify the image produced, the mammographic unit was submitted to noise, spatial resolution and image quality tests using phantoms. Finally, the dosimetry of this equipment was performed in order to optimize the procedure. The optimization means to maintain the level of radiation as low as reasonably achievable, considering the image quality to provide an accurate diagnosis. The equipments used were submitted to leakage current, repeatability, reproducibility and angular dependence tests to ensure the reliability of dosimetry results. Results of performance tests performed in the equipment with DBT system were in accordance with the most of reference values established. Considering the uncertainties in the measurements, all calculated values in dosimetry were in agreement with the reference levels adopted internationally. This work contributed to establish the proper procedure of quality control tests and dosimetry in mammographic units that use DBT systems. The methodology and results obtained are important because they are part of a pioneer document to evaluate these equipments.
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Jannetta, Adrian. "Advanced deconvolution techniques and medical radiography." Thesis, Northumbria University, 2005. http://nrl.northumbria.ac.uk/164/.
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Medical radiography is a process by which the internal structures of the human body are imaged using a source of x-rays. The images formed are essentially shadowgrams whose size and intensity is dependent on the geometry of the imaging system and the degree to which the structures attenuate x-ray radiation. The images are blurred because the x-ray source has a finite size, and noisy because the x-ray exposure must be kept as low as possible for the safety of the patient but which also limits the number of photons available for image formation. In such noisy environments traditional methods of Fourier deconvolution have limited appeal. In this research we apply maximum entropy methods (MEM) to some radiological images. We justify the choice of MEM over other deconvolution schemes by processing a selection of artificial images in which the blur and noise mimic the real situation but whose levels are known a priori. A hybrid MEM scheme is developed to address the shortcomings of so-called historic MEM in these situations. We initially consider images from situations in which the model point- spread function is assumed to be three-dimensionally spatially invariant, and which approximates the real situation reasonably well. One technique lends itself well to this investigation: magnification mammography. MEM is offered as a way of breaking some of the conflicting performance requirements of this technique and we explore several new system possibilities with a working MEM system in place. A more complicated blurring function is encountered in linear tomography, which uses opposing movements of the image receptor and x-ray source to generate planar images through an object. Features outside a particular focal plane are smeared to such an extent that detail within the focal plane can be very difficult to detect. With appropriate modification of our MEM technique, processed images show a significant reduction to the blurring outside the focal plane.
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Gomes, Danielle Soares. "Estudo de desempenho de sistemas de visualização de imagens mamográficas correlacionados com qualidade de imagem." CNEN - Centro de Desenvolvimento da Tecnologia Nuclear, Belo Horizonte, 2014. http://www.bdtd.cdtn.br//tde_busca/arquivo.php?codArquivo=329.
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Para as análises de imagens mamográficas, médicos radiologistas fazem uso de monitores médicos especializados, capazes de proporcionar laudos seguros, uma vez que devem oferecem resolução adequada, níveis corretos de luminância e contraste dentro do padrão DICOM - Digital Imaging and Communications in Medicine (Comunicação de Imagens Digitais na Medicina). Este trabalho teve como objetivo avaliar a qualidade dos monitores específicos para mamografia digital, através de testes propostos pelo Report N 3 da American Association of Physicists in Medicine AAPM usando medidores calibrados de luminância (fotômetro) e padrões TG18 em testes quantitativos e qualitativos. Avaliou-se as condições de luz ambiente e outros indicadores básicos de desempenho, como, distorção geométrica, ruído, resolução, reflexão, uniformidade da luminância, o cumprimento resposta contraste de luminância para padrão DICOM e padrão anatômico das mamas. Em resposta, o teste que mais apresentou não conformidade foi à variação excessiva com o padrão de resposta contraste DICOM Grayscale Standard Display Function (GSDF), apresentando não conformidade em (100%) dos monitores analisados. Nos demais testes, todos os monitores de 5MP e o de 3MP apresentaram conformidade nos parâmetros avaliados. Em uma ação corretiva para as não conformidades, indica-se a realização de calibrações e procedimentos de verificação de controle de qualidade feitas por profissionais capacitados ou orientados.For the analysis of mammographic images, radiologists make use of specific medical monitors, able to provide insurance reports, as they offer appropriate resolution, correct levels of luminance and contrast within the standard DICOM - Digital Imaging and Communications in Medicine (Communication Images digital in Medicine). This study aims to evaluate the quality of specific monitors for digital mammography, by testing the calibrated luminance meters (photometer) and TG18 standards in quantitative and qualitative methods proposed by Report No. 3 of American Association of Physicists in Medicine AAPM. It was evaluated the ambient light conditions and other basic performance indicators, such as, the as geometric distortion, noise, resolution, reflection, luminance uniformity, contrast luminance response compliance to DICOM standard and anatomical pattern of the breasts. The results showed that non-compliance test fails when visualizing low-contrast objects (100% of monitors analyzed) in the response pattern contrast DICOM Grayscale Standard Display Function (GSDF). For the other tests, all monitors of 5 and 3MPixel presented in agreement to the evaluated parameters. For a further corrective action for instance, non-compliance, it may be indicate to perform calibrations and verification of quality control developed by trained or oriented professionals.
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Sivard, Seth A. "Digital radiography in the education of radiologic technology students." The Ohio State University, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=osu1409229904.
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Woo, Mei-sum Becky. "Validation and calibration of a digital subtraction radiography system for quantitative assessment of alveolar bone changes." Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2517308x.
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Tolle, Kristin M., and Hsinchun Chen. "Comparing noun phrasing techniques for use with medical digital library tools." EBSCO, 2000. http://hdl.handle.net/10150/105749.
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Artificial Intelligence Lab, Department of MIS, Univeristy of ArizonaIn an effort to assist medical researchers and professionals in accessing information necessary for their work, the A1 Lab at the University of Arizona is investigating the use of a natural language processing (NLP) technique called noun phrasing. The goal of this research is to determine whether noun phrasing could be a viable technique to include in medical information retrieval applications. Four noun phrase generation tools were evaluated as to their ability to isolate noun phrases from medical journal abstracts. Tests were conducted using the National Cancer Institute's CANCERLIT database. The NLP tools evaluated were Massachusetts Institute of Technology's (MIT's) Chopper, The University of Arizona's Automatic Indexer, Lingsoft's NPtool, and The University of Arizona's AZ Noun Phraser. In addition, the National Library of Medicine's SPECIALIST Lexicon was incorporated into two versions of the AZ Noun Phraser to be evaluated against the other tools as well as a nonaugmented version of the AZ Noun Phraser. Using the metrics relative subject recall and precision, our results show that, with the exception of Chopper, the phrasing tools were fairly comparable in recall and precision. It was also shown that augmenting the AZ Noun Phraser by including the SPECIALIST Lexicon from the National Library of Medicine resulted in improved recall and precision.
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Constantinidis, Alex Stylianos. "Improving techniques for the detection of circumscribed masses in digital mammograms." Thesis, University of Kent, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.344104.
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McGarry, Gregory John. "Model-based mammographic image analysis." Thesis, Queensland University of Technology, 2002.
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Pettit, Elaine J. (Elaine Joyce). "Synthesis of 2-D Images From the Wigner Distribution with Applications to Mammography and Edge Extraction." Thesis, University of North Texas, 1995. https://digital.library.unt.edu/ark:/67531/metadc332685/.
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A new method for the general application of quadratic spatial/spatial frequency domain filtering to imagery is presented in this dissertation. The major contribution of this research is the development of an original algorithm for approximating the inverse psuedo Wigner distribution through synthesis of an image in the spatial domain which approximates the result of filtering an original image in the DPWD domain.
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Su, Qi, and 蘇琦. "Segmentation and reconstruction of medical images." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41897067.
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Ball, John E. "Three stage level set segmentation of mass core, periphery, and spiculations for automated image analysis of digital mammograms." Diss., Mississippi State : Mississippi State University, 2007. http://sun.library.msstate.edu/ETD-db/ETD-browse/browse.
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Al-Roubaie, Zahra. "Human breast images : segmentation, analysis and conversion to electrical parameter profiles for Semcad-X electromagnetic simulator." Thesis, McGill University, 2008. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=116044.
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Electrical parameter profiles of human breast images can be used to simulate and analyze the anticipated effects on tissue from its interaction with electromagnetic fields involved in the cancer treatment exposure. In part, the success of this approach depends on the accuracy and precision in identifying the different tissue types. In this work, we propose two methods of segmenting human breast images with malignant tumors. The first method of algorithmic partitioning of the image involves manual color-edge contouring of the tissues using a cursor and subsequent identification of the tissue types. For the second method, MRI T1 values and thresholds are used to perform segmentation and we investigate the potential of incorporating edge detection. The first method is effective, while the second lacks precision, but eliminates the need of manual contouring. The images are imported as BMP files into SEMCAD, an electromagnetic simulation tool based on finite-difference time-domain method, which recognizes the grouped tissues and creates a model of the image. The model allows the user to easily assign electrical parameter values to the grouped tissues, according to the measured values reported in the literature.
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Archwamety, Charnchai. "Design and simulation of a totally digital image system for medical image applications." Diss., The University of Arizona, 1987. http://hdl.handle.net/10150/184294.
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The Totally Digital Imaging System (TDIS) is based on system requirements information from the Radiology Department, University of Arizona Health Science Center. This dissertation presents the design of this complex system, the TDIS specification, the system performance requirements, and the evaluation of the system using the computer simulation programs. Discrete event simulation models were developed for the TDIS subsystems, including an image network, imaging equipment, storage migration algorithm, data base archive system, and a control and management network. The simulation system uses empirical data generation and retrieval rates measured at the University Medical Center hospital. The entire TDIS system was simulated in Simscript II.5 using a VAX 8600 computer system. Simulation results show the fiber optical image network to be suitable, however, the optical disk storage system represents a performance bottleneck.
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Botha, René. "Demonstrating the cervicothoracic junction : a comparison of two techniques." Thesis, Bloemfontein : Central University of Technology, Free State, 2008. http://hdl.handle.net/11462/113.
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Thesis (M. Tech.) -- Central University of Technology, Free State, 2008Motivated by the challenges associated with demonstrating the cervicothoracic junction, a study was conducted at Pelonomi Regional Hospital from May 2006 to June 2007. In this study, two projections of the cervicothoracic junction were done, with the only difference between them being the orientation of the arms. One projection was done using the swimmer’s projection and the other using an adaptation of the swimmer’s projection where the orientation of the arms was reversed. The sample, consisting of 45 patients, was referred from the emergency department and wards. Most of the patients (95.5%) were examined using a computed radiography system providing digital images that were printed using a laser film printer. Other patients were examined using conventional film/screen systems. The objectives of this study were to compare the two imaging techniques with reference to diagnostic quality of the projections, diagnosis of pathology and repeat rate. Radiographers obtained the two projections of the cervical spine; the researcher collected the images and distributed these to three participating radiologists on a rotational basis. The radiologists evaluated the films using a set of criteria; a biostatistician analysed the results of these evaluations. In all the criteria of image quality the swimmer’s projection showed better results. There were also, however, instances where the adapted swimmer’s had better results. The differences in percentages were not significant enough to show any statistical difference between the resultant images of the two techniques. No valid deduction could be made in relation to the demonstration of pathology due to variable instances of pathology evaluated by the radiologists. The repeat rate of the adapted swimmer’s projection compared well with the swimmer’s projection. Though the swimmer’s projection had better results for most of the criteria used in this study, no unequivocal, statistically significant evidence of it demonstrating C7-T1 better could be found. What was evident was the validity of the adapted swimmer’s projection as an alternative under certain conditions. Knowing that there is an alternative method to visualising the C7- T1 junction could be beneficial not only to radiography, but also to our patients. In cases where the swimmer’s projection is not possible due to extremity injuries, an alternative arm orientation can be useful. The alternative can also address the problem regarding multiple repeats of the swimmer’s projection.
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Suryanarayanan, Sankararaman. "Design, Development, and Characterization of a Prototype Digital Mammography System." Diss., Georgia Institute of Technology, 2006. http://hdl.handle.net/1853/14515.
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Breast cancer is a major health concern in the United States. Mammography is the gold standard for screening breast cancer and screen-film technology is still widely used in the screening for breast cancer. However, screen-film systems have limited dynamic range and contrasts compared to digital systems, and do not offer integrated image processing capabilities. Recently, digital mammography has seen an upsurge in clinical adoption but current digital mammography systems are limited in terms of their spatial resolution. Therefore, high-resolution digital mammography systems with superior signal-to-noise ratio and contrast characteristics need to be explored.
A monolithic, single module high-resolution (39 um) digital x-ray platform (Fairchild Imaging Inc., Milpitas, CA) was developed and characterized for digital mammography. The architecture was extended to a large area (16 x 24-cm) multi-module solid-state imager with variable resolution (39 and 78-um). In addition, a four module (16 x 16-cm) imaging architecture with 78-um pixel was explored for high-resolution contrast enhanced digital mammography for the detection of malignancy-associated angiogenesis. Simulations based on the cascaded linear systems framework were performed in order to characterize the physical properties of the imaging platforms such as the modulation transfer function (MTF), noise power spectra (NPS), and detective quantum efficiency (DQE). Experimental measurements of imager performance was also conducted and compared to model predicted results. Further, perceptual analysis of the prototype imaging platform for digital mammography was performed.
Various imaging platforms were successfully developed and investigated to identify essential parameters for high-resolution digital x-ray breast imaging. The single module prototype exhibited physical characteristics that are favorable for digital mammography. Good agreement between model and experimental results were observed demonstrating the utility of such models for further system improvement. The large area 16 x 24-cm prototype demonstrated superior contrast-detail characteristics compared to a clinical FFDM system (100 um pixel) at both 39 and 78-um pixel sizes. Both experimental and theoretical results pointed towards the feasibility of contrast enhanced mammography at mean x-ray glandular dose levels substantially lower than mammography under the conditions investigated. Qualitative analysis of contrast enhanced digital mammography indicated favorable image quality.
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Jakubiak, Rosangela Requi. "Qualidade da imagem, limiar de contraste e dose glandular média em mamografia digital CR." Universidade Tecnológica Federal do Paraná, 2013. http://repositorio.utfpr.edu.br/jspui/handle/1/572.
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Em muitos países, os sistemas de radiologia computadorizada (CR) representam a maioria dos equipamentos usados em mamografia digital. Este estudo apresenta um método para a otimização da qualidade da imagem e da dose em mamografia digital CR para pacientes com mamas de espessuras entre 45 e 75. As espessuras das mamas foram simuladas com placas de polimetilmetacrilato (PMMA). Técnicas de exposição otimizadas (tensão (kV), produto corrente-tempo (mAs) e combinação alvo/filtro) foram definidas como aquelas que fornecem uma razão contraste-ruído (CNR) ideal, denominada CNR alvo, que permite atingir o limiar de contraste das imagens do detalhe de diâmetro de 0,10 mm no simulador CDMAM (versão 3.4 Artinis Medical Systems, Netherlands) com um padrão de Dose Glandular Média (DGM) aceitável. Os resultados foram utilizados para os ajustes do Controle Automático de Exposição (CAE) pela equipe de manutenção. Um estudo retrospectivo de dois grupos de pacientes (Grupo 1-antes do ajuste do CAE e Grupo 2- após o ajuste do CAE) foi realizado. Os parâmetros de exposição foram reproduzidos nos simuladores para a determinação da CNR, da DGM e do limiar de contraste. As imagens clínicas destes pacientes foram analisadas por três radiologistas especialistas em mamografia que responderam questões sobre as estruturas anatômicas, ruído e contraste em áreas de valores de pixels altos ou baixos, sobre nitidez e contraste da imagem. Os resultados mostram que o método proposto foi efetivo para todas as espessuras de mama avaliadas. O ajuste do CAE proporcionou a concentração de valores da CNR no Grupo 2 mais próximas ao CNR alvo e que, mesmo como aumento do nível de ruído nas imagens clínicas, as análises do CDMAM mostraram que não houve prejuízo na identificação do objeto de 0,10 mm de diâmetro. Finalmente, este estudo conclui que o uso dos CAE das unidades de raios X baseados em fornecer uma dose constante ao detector pode ocasionar algumas dificuldades para alguns sistemas CR operarem nas condições ótimas.In many countries, computed radiography (CR) systems represent the majority of equipments used in digital mammography. This study presents a method for optimizing image quality and dose in CR mammography of patients with breast thicknesses between 45 to 75mm. The breast thicknesses were simulated with polymethylmetacrylate (PMMA). Optimazed exposure parameters ((voltage (kV), mA and time product (mAs) and target/filter combination)) was defined as giving an ideal contrast to noise ratio (CNR), defined as target CNR, to reach the threshold contrast of CDMAM (version 3.4) phantom (Artinis Medical Systems, Netherlands) images for acceptable mean glandular dose (MGD). These results were used for adjustments in the automatic exposure control (AEC) by the maintenance team. A retrospective study of two groups of patients (Group 1-before AEC adjustment and Group 2- after AEC adjustment) were done. The exposure parameters were reproduced in the phantoms to determine of CNR, MGD and threshold contrast. The clinical images of these patients were analyzed by three experienced radiologists who answered questions about anatomical structures, noise and contrast in low and high pixel value areas and image sharpness and contrast. The results showed that the proposed method was effective for all breast thickness evaluated. The AEC adjustment showed a concentration of CNR in Group 2 nearer of target CNR, and that the increasing of noise in clinical images, the CDMAM analysis showed that this level of noise did not disturb the detail of 0,1 mm diameter. Finally, this study also concluded that the use AEC of X rays unit based on constant dose to the detector may bring some difficulties to CR systems operate in optimal conditions.
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Yu, Hongliang. "Automatic Rigid and Deformable Medical Image Registration." Link to electronic thesis, 2005. http://www.wpi.edu/Pubs/ETD/Available/etd-050905-100341/.
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Thakkar, Chintan. "Ventricle slice detection in MRI images using Hough Transform and Object Matching techniques." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001815.
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Drumond, Gisele Russo Canato. "Avaliação de exposição ocupacional em radiologia digital veterinária portátil." Universidade Tecnológica Federal do Paraná, 2012. http://repositorio.utfpr.edu.br/jspui/handle/1/447.
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Este trabalho avalia a distribuição de dose recebida por trabalhadores envolvidos nos procedimentos de radiologia veterinária portátil digital e verifica a redução da dose obtida com a utilização de equipamentos de proteção individual. Para esta avaliação foram feitas medições utilizando dosímetros termoluminescentes tipo TLD-100, posicionados em sete diferentes pontos do corpo dos assistentes: mãos, tórax (por fora do avental), tireoide (por dentro do avental), cantos dos olhos esquerdo e direito e centro dos olhos e em cinco pontos diferente no médico veterinário: tórax (por fora do avental), tireoide (por dentro do avental), cantos dos olhos esquerdo e direito e centro dos olhos. As doses ocupacionais foram avaliadas em 63 procedimentos radiográficos de cães realizados com 49 assistentes e um médico veterinário na região metropolitana de Curitiba, PR. Os resultados mostram a importância do uso do protetor de tireoide e avental de chumbo para a redução da dose recebida pelos profissionais. As doses dos assistentes que seguraram os animais foram mais altas na região das mãos. Este estudo mostra a necessidade de medidas adicionais de proteção e a implementação de mecanismos de treinamento em proteção radiológica para os médicos e assistentes que trabalham com radiologia portátil digital.This study evaluates the distribution of the dose received by work-people involved in portable digital veterinary radiology procedures and checks the dose reduction obtained with the use of individual protection equipments. For this evaluation measurements were made using TLD-100 thermoluminescent dosimeters,positioned at seven different spots on the body of the assistants: hands, chest (outside the apron), thyroid (inside the apron), left and right eye corners and at the forehead, and in five different spots in the veterinarian: chest (outside the apron), thyroid (inside the apron), left and right eye corners and the center of the eyes. The dosage was evaluated through the 63 procedures performed with 49 assistants and a veterinarian in the metropolitan region of Curitiba, PR. The results show the importance of using thyroid protection and lead aprons to reduce the dosage received by the veterinarian and assistants. The dosages of the assistants who held the animals were higher in the areas of the hands. This study shows the need for additional protective measurements and the implementation of training mechanisms in radiation protection for physicians and assistants who work with portable digital radiology.
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Huang, Wei. "Automatic affine and elastic registration strategies for multi-dimensional medical images." Link to electronic thesis, 2007. http://www.wpi.edu/Pubs/ETD/Available/etd-050207-145713/.
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Gao, Yi. "Geometric statistically based methods for the segmentation and registration of medical imagery." Diss., Georgia Institute of Technology, 2010. http://hdl.handle.net/1853/39644.
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Medical image analysis aims at developing techniques to extract information from medical images. Among its many sub-fields, image registration and segmentation are two important topics. In this report, we present four pieces of work, addressing different problems as well as coupling them into a unified framework of shape based image segmentation. Specifically:
1. We link the image registration with the point set registration, and propose a globally optimal diffeomorphic registration technique for point set registration.
2. We propose an image segmentation technique which incorporates the robust statistics of the image and the multiple contour evolution. Therefore, the method is able to simultaneously extract multiple targets from the image.
3. By combining the image registration, statistical learning, and image segmentation, we perform a shape based method which not only utilizes the image information but also the shape knowledge.
4. A multi-scale shape representation based on the wavelet transformation is proposed. In particular, the shape is represented by wavelet coefficients in a hierarchical way in order to decompose the shape variance in multiple scales. Furthermore, the statistical shape learning and shape based segmentation is performed under such multi-scale shape representation framework.
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Queiroz, Christiano Sampaio. "Estudo comparativo entre a fixação interna e a fixação in-termaxilar no reparo ósseo de fraturas mandibulares por meio de imagem radiográfica digital." Programa de Pós- Graduação em Odontologia da UFBA, 2007. http://www.repositorio.ufba.br/ri/handle/ri/10520.
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A avaliação radiográfica convencional da consolidação de fraturas é um método pouco confiável, não apenas por depender da experiência do examinador, como também da qualidade do exame. Desta forma, imagens seriadas que apresentem densidade e contraste não uniformes ou diferenças de projeção geométrica podem determinar o diagnóstico incorreto da reparação de fraturas após seu tratamento. Mesmo imagens consideradas suficientes para o diagnóstico podem não permitir a observação de mudanças sutis nos tecidos mineralizados devido à sua baixa sensibilidade e devido à limitada acuidade visual humana. O emprego, entretanto, de métodos de investigação mais sensíveis e objetivos poderia aumentar a acurácia dessa avaliação. Este estudo objetivou comparar, por meio de radiografias panorâmicas digitalizadas, a reparação dos traços de fraturas mandibulares, após a instituição de duas formas diferentes de tratamento: a redução aberta, seguida da imobilização dos fragmentos com materiais de fixação interna (grupo controle), e a redução fechada com a fixação intermaxilar (grupo teste). Para isto, os pacientes foram submetidos a três exames radiográficos pós-operatórios (uma semana, um mês e três meses após o tratamento), que, após digitalizados (600 dpi, 8 bits), foram corrigidos em brilho e tamanho no Programa Photoshop. Em seguida essas imagens foram analisadas por três diferentes métodos no Programa ImageTool®: análise visual no vídeo, mensuração da média e do coeficiente de variação dos níveis de cinza e por subtração radiográfica digital. Os resultados revelaram a predominância de áreas de neoformação óssea no grupo tratado com fixação interna, em todos os tempos avaliados. Assim, pode-se concluir que a redução aberta com fixação interna das fraturas mandibulares determinou uma reparação em menor tempo que a redução fechada por meio da fixação intermaxilar.
Salvador
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Pasin, Ivan Munhoz. ""Análise por subtração radiográfica digital linear do tratamento de defeitos infra-ósseos humanos de 2 ou 3 paredes por meio de retalho de espessura total reposto associado ou não à proteína derivada da matriz do esmalte"." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/23/23146/tde-22052006-123453/.
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A Subtração Radiográfica Digital (SRD) vem sendo vastamente utilizada para inúmeros fins em Odontologia. Uma de suas aplicações é a avaliação do resultado radiográfico de procedimentos regenerativos. Este estudo avaliou radiograficamente defeitos infra-ósseos de 2 ou 3 paredes tratados com a proteína derivada da matriz do esmalte (PME) e/ou o retalho de espessura total reposto (RET). Foram selecionados 11 pacientes (3 ? / 8 ?) com periodontite crônica apresentando 2 ou mais defeitos. Antes da cirurgia e após 1 ano foram coletados os dados clínicos e radiográficos. Para a padronização radiográfica foi utilizado um posicionador modificado. Revelou-se os filmes numa processadora automática. As películas foram digitalizadas (500dpi/8bits) em um escaner (SprintScan 35 Plus - Polaroid). Através do programa AxioVision v 3.0 (Carl Zeiss) mediu-se as distâncias da JEC à crista óssea (CO), ao fundo do defeito (FD). Para criar uma escala milimétrica e calibrar a mensuração foi utilizada uma tela quadriculada (2 x 2 mm). As porcentagens de mudança óssea (MO) também foram calculadas. Os resultados mostraram perda da CO de 1,8 mm para PME (MO = -20,93%), revelando diferença estatística neste grupo (p<0,02), e de 0,9 mm para RET (MO = -10,71%), sem diferença entre os grupos. Observou-se maior preenchimento do FD em RET (1,1 mm; MO = 8,14%) do que em PME (-0,6 mm; MO = -3,92%), com diferença entre os grupos (p<0,01). Dentro das limitações deste estudo, conclui-se que através da análise por SRD linear o tratamento convencional de defeitos infra-ósseos humanos promoveu melhores resultados quando comparado à aplicação da PME.Digital Subtraction Radiographic (DSR) has been widely used for several purposes in Dentistry. Among them is the radiographic evaluation of the results of regenerative procedures. This study evaluated radiographically 2 and 3-wall infra-bony defects which were treated with matrix derivative enamel protein (PME) and/or repositioned flap (RET). Eleven patients (3 ? / 8 ?) with chronic periodontitis were selected, presenting 2 or more defects. Clinical and radiographic data were collected before surgery. A modified filmholder was used to take standardized radiographs. X-ray were developed using an automatic machine. The films were digitized (500dpi/8bits) with the scanner SprintScan 35 Plus (Polaroid). The software AxioVision v 3.0 (Carl Zeiss) was used to measure the distances from the JEC to the alveolar crest (CO), to the bottom of the defect (FD). A grid (2 x 2 mm) was used to establish a milimetric scale after calibration. The amount of bone changes (MO) was also calculated. Results have shown loss of bone at the CO of 1,8 mm (PME) (MO = -20,93%), showing statistic significance (p<0,02), and of 0,9 mm to RET group (MO = -10,71%). No significant differences could be observed when groups were compared. A better fill was observed in the RET group (1,1 mm; MO = 8,14%) than in the PME group (-0,6 mm; MO = -3,92%), showing statistical significance between groups (p<0,01). In conclusion, radiographic analysis has shown that conventional treatment of human intra-bony defects promotes better results when compared to the application of PME.
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Emam, Mohammed. "Prédiction des facteurs de risque conduisant à l’emphysème chez l’homme par utilisation de techniques diagnostiques." Thesis, Paris 11, 2012. http://www.theses.fr/2012PA112081/document.
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Les broncho-pneumopathies chroniques obstructives (BPCO) constituent un groupe de maladies des poumons caractérisées par le blocage du passage de l’air, rendant la respiration de plus en plus difficile. L’emphysème et la bronchite chronique sont les deux principales affections parmi les BPCO, mais les BPCO peuvent également être provoquées par les dégâts causés par des bronchites chroniques asthmatiques. L’emphysème pulmonaire est une maladie pulmonaire caractérisée par l’élargissement des espaces aériens distaux en amont des bronchioles terminales non respiratoires, accompagné de la destruction des parois alvéolaires. Ces modifications du parenchyme pulmonaire sont pathognomoniques de l’emphysème. La bronchite chronique est une forme de bronchite caractérisée par une production excessive d’expectoration, entraînant l’apparition d’une toux chronique et l’obstruction des voies respiratoires. Dans toutes ces affections, les dégâts causés aux voies respiratoires finissent par affecter les échanges gazeux dans les poumons. L’emphysème est généralement diagnostiqué de façon indirecte, sur la base d’un examen clinique, d’explorations de la fonction respiratoire (EFR), et d’une évaluation visuelle subjective des scanners des tomodensitogrammes. Ces tests présentent une valeur limitée dans les cas d’emphysème léger ou modéré. La présente étude aborde la possibilité d’appliquer une démarche d’analyse non linéaire à la répartition de la densité de l’air au sein de l’arbre des voies respiratoires des poumons à un quelconque niveau des ramifications. Les images sources de tomodensitométrie (TDM) du poumon sont traitées en deux phases, afin de produire un coefficient fractal de répartition de la densité de l’air. Au cours de la première phase, les valeurs brutes de pixel des images sources correspondant à toutes les densités d’air possibles sont traitées par un outil logiciel, mis au point pour construire une image cible. On y parvient par suppression en cascade des éléments indésirables (SCEI) : une étape de prétraitement dans l’analyse de l’image source. Celle-ci permet d’identifier les valeurs de densité d’air au sein de l’arbre des voies respiratoires, tout en éliminant toutes les valeurs non relatives à la densité de l’air. La seconde phase consiste en une réduction itérative de la résolution (RIR). Chaque réduction de la résolution produit un nouvel histogramme. Chaque histogramme ainsi produit comporte un certain nombre de pics, chacun d’entre eux correspondant à un ensemble de densités d’air. La courbe mettant en relation chaque réduction de la résolution avec le nombre de pics correspondant, obtenus à la résolution concernée, est tracée. Ceci permet de calculer la dimension fractale par une régression linéaire sur un graphique log – logChronic Obstructive Pulmonary Disease (COPD) refers to a group of lung diseases that block airflow and make it increasingly difficult for you to breathe. Emphysema and chronic bronchitis are the two main conditions that make up COPD, but COPD can also refer to damage caused by chronic asthmatic bronchitis. Pulmonary emphysema is defined as a lung disease characterized by “abnormal enlargement of the air spaces distal to the terminal, non-respiratory bronchiole, accompanied by destructive changes of the alveolar walls”. These lung parenchymal changes are pathognomonic for emphysema. Chronic bronchitis is a form of bronchitis characterized by excess production of sputum leading to a chronic cough and obstruction of air flow. In all cases, damage to your airways eventually interferes with the exchange of oxygen and carbon dioxide in your lungs. Habitual techniques of emphysema’s diagnosis are based on indirect features, such as clinical examination; Pulmonary Function Tests (PFT) and subjective visual evaluation of CT scans. These tests are of limited value in assessing mild to moderate emphysema. The presented work discusses the possibility of applying a nonlinear analysis approach on air density distribution within lung airways tree at any level of branching. Computed Tomography (CT) source images of the lung are subjected to two phases of treatment in order to produce a fractal coefficient of the air density distribution. In the first phase, raw pixel values from source images, corresponding to all possible air densities, are processed by a software tool, developed in order to, construct a product image. This is done through Cascading Elimination of Unwanted Elements (CEUE): a preprocessing analysis step of the source image. It identifies values of air density within the airways tree, while eliminating all non-air-density values. Then, during the second phase, in an iterative manner, a process of Resolution Diminution Iterations (RDI) takes place. Every resolution reduction produces a new resultant histogram. A resultant histogram is composed of a number of peaks, each of which corresponding to a cluster of air densities. A curve is plotted for each resolution reduction versus the number of peaks counted at this particular resolution. It permits the calculation of the fractal dimension from the regression slope of log-log power law plot
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Yang, Yan. "Image Segmentation and Shape Analysis of Blood Vessels with Applications to Coronary Atherosclerosis." Diss., Georgia Institute of Technology, 2007. http://hdl.handle.net/1853/14577.
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Atherosclerosis is a systemic disease of the vessel wall that occurs in the aorta, carotid, coronary and peripheral arteries. Atherosclerotic plaques in coronary arteries may cause the narrowing (stenosis) or complete occlusion of the arteries and lead to serious results such as heart attacks and strokes. Medical imaging techniques such as X-ray angiography and computed tomography angiography (CTA) have greatly assisted the diagnosis of atherosclerosis in living patients. Analyzing and quantifying vessels in these images, however, is an extremely laborious and time consuming task if done manually. A novel image segmentation approach and a quantitative shape analysis approach are proposed to automatically isolate the coronary arteries and measure important parameters along the vessels. The segmentation method is based on the active contour model using the level set formulation. Regional statistical information is incorporated in the framework through Bayesian pixel classification. A new conformal factor and an adaptive speed term are proposed to counter the problems of contour leakage and narrowed vessels resulting from the conventional geometric active contours. The proposed segmentation framework is tested and evaluated on a large amount of 2D and 3D, including synthetic and real 2D vessels, 2D non-vessel objects, and eighteen 3D clinical CTA datasets of coronary arteries. The centerlines of the vessels are proposed to be extracted using harmonic skeletonization technique based on the level contour sets of the harmonic function, which is the solution of the Laplace equation on the triangulated surface of the segmented vessels. The cross-sectional areas along the vessels can be measured while the centerline is being extracted. Local cross-sectional areas can be used as a direct indicator of stenosis for diagnosis. A comprehensive validation is performed by using digital phantoms and real CTA datasets. This study provides the possibility of fully automatic analysis of coronary atherosclerosis from CTA images, and has the potential to be used in a real clinical setting along with a friendly user interface. Comparing to the manual segmentation which takes approximately an hour for a single dataset, the automatic approach on average takes less than five minutes to complete, and gives more consistent results across datasets.
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Nain, Delphine. "Scale-based decomposable shape representations for medical image segmentation and shape analysis." Diss., Available online, Georgia Institute of Technology, 2006, 2006. http://etd.gatech.edu/theses/available/etd-11192006-184858/.
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Thesis (Ph. D.)--Computing, Georgia Institute of Technology, 2007.Aaron Bobick, Committee Chair ; Allen Tannenbaum, Committee Co-Chair ; Greg Turk, Committee Member ; Steven Haker, Committee Member ; W. Eric. L. Grimson, Committee Member.
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Affagard, Jean-Sébastien. "Identification des propriétés hyperélastiques des muscles de la cuisse à l'état passif : couplage des techniques de corrélation d'images aux techniques d'imagerie médicale." Phd thesis, Université de Technologie de Compiègne, 2013. http://tel.archives-ouvertes.fr/tel-00975741.
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La compréhension du comportement musculaire est un champ d'investigation primordial dans divers domaines tels que le sport, le crash automobile et la médecine. Peu de techniques in vivo permettent aujourd'hui de caractériser les propriétés mécaniques du muscle. Aussi, l'objectif de ce travail est de développer une méthode d'identification in vivo à partir demesures de champs de déplacement. La méthode d'identification est composée de 3 étapes interdépendantes. La première consiste à réaliser une IRM de la cuisse pour segmenter manuellement différents tissus musculaires (quadriceps, ischios, gracilis et sartorius) et le tissu adipeux. Un comportement Néo-Hookéen est choisi pour modéliser le comportement hyperélastique (C10, D). Dans un second temps, un dispositif expérimental de compression est développé pour mesurer le champ de déplacement in vivo à partir des techniques d'imagerie échographique et de Corrélation d'Images Numériques. Finalement, une méthode inverse est mise en œuvre pour identifier les paramètres C10 et D de chaque tissu. Par le biais d'un exemple numérique, l'erreur sur les paramètres identifiés est évaluée. Les cartographies des champs de déplacement expérimentaux confirment les observations qualitatives obtenues sur les images échographiques et sont validées par les champs de déformation obtenus par approximation diffuse. Une faible erreur d'identification (C10<3%, D<7%) est obtenue à partir de l'exemple numérique, et les paramètres mécaniques identifiés sont en accord avec la littérature. Ces résultats valident la démarche inverse mise en œuvre qui permettra, à terme, de suivre l'évolution des pathologies et de mener des simulations prédictives.
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Malkoc, Veysi. "Sequential alignment and position verification system for functional proton radiosurgery." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2535.
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The purpose of this project is to improve the existing version of the Sequential Alignment and Position Verification System (SAPVS) for functional proton radiosurgery and to evaluate its performance after improvement .
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Oliveira, Evelyn Rosa de. "Avaliação do padrão de desempenho das equipes técnicas de mamografia frente ao uso de tecnologias digitais." Universidade Tecnológica Federal do Paraná, 2017. http://repositorio.utfpr.edu.br/jspui/handle/1/2626.
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Este estudo apresenta uma análise de rejeição, realizada na clínica Diagnóstico Avançado Por Imagem – DAPI, com dados de 647 mamografias rejeitadas realizadas de março a novembro de 2015, antes e após treinamentos realizados com a equipe técnica de mamografia, para análise do desempenho. As informações foram coletadas na base de dados do software de análise de rejeição dos mamógrafos, e incluem: incidência; quantidade de repetições; motivo da repetição; identificação da profissional; compressão do exame rejeitado e do exame aceito. Observou-se que após o treinamento os índices de rejeição por posicionamento (a maior causa das rejeições) foram reduzidos em 2%. Identificou-se que as profissionais desenvolveram critérios mais rigorosos, o que também contribuiu para aumento das repetições após o treinamento. A incidência mais rejeitada foi a Crânio Caudal Direita – CCD, tanto antes (32%) quanto após o treinamento (36%). A análise do desempenho da equipe técnica em relação aos critérios de qualidade em mamografia digital pôde ser realizada, uma vez que houve a análise individual das profissionais para contribuição da qualificação da equipe e aumento da qualidade dos exames. A profissional “A”, que possuía o maior índice de rejeição por posicionamento, após o treinamento houve uma redução de 17% das repetições devido a posicionamento inadequado. Foram identificadas imagens com qualidade aceitável que foram rejeitadas desnecessariamente: 8% antes e 3,6% após o treinamento. Antes do treinamento, a equipe técnica realizava as mamografias com valores de compressão entre 80 a 89 N, e após o treinamento a maioria dos exames foi realizada com 90 N ou mais. Esse aumento resulta em exames com melhor qualidade e menor dose para a paciente.This study presents a rejection analysis performed at the clinic Diagnóstico Avançado Por Imagem - DAPI, with data from 647 rejected mammograms performed three months before and three months after a training session of the mammography team, to analyze the performance of them after the training. The information was collected in the database of mammography rejection analysis software,these data include: Incidence; Number of repetitions; Reason for the repetition; Identification of the professional; Rejection examination and accepted examination. It was observed that, after the training, the rejection indexes by positioning (the greatest cause of the rejections) were reduced. It was observed that the group developed rigorous criteria, which also contributed to increase the repetitions after the training. The most rejected incidence was Cranio Caudal Right - CCD, both before (32%) and after training (36%).The analysis of the performance of the technical team, in relation to the quality criteria in digital mammography, could be performed by the individual analysis of the professionals to contribute to the qualification of the team and to increase the quality of the exams. The "A" professional, who had the highest index of rejection by positioning, after the training there was a reduction of 17% of the repetitions due to improper positioning. Acceptable quality images have been identified that are rejected unnecessarily 8% before and 3,6% after training. Before the training, the technical team performed the mammograms with values of compression between 80 and 89 N, and after training most of the exams were performed with 90 N or more. This increase which results in better quality tests and lower dose for the patient.
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Sankara, Krishnan Shivaranjani. "Delay sensitive delivery of rich images over WLAN in telemedicine applications." Thesis, Atlanta, Ga. : Georgia Institute of Technology, 2009. http://hdl.handle.net/1853/29673.
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Thesis (M. S.)--Electrical and Computer Engineering, Georgia Institute of Technology, 2009.Committee Chair: Jayant, Nikil; Committee Member: Altunbasak, Yucel; Committee Member: Sivakumar, Raghupathy. Part of the SMARTech Electronic Thesis and Dissertation Collection.
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Johnston, William S. "Development of a signal processing library for extraction of SpO2, HR, HRV, and RR from photoplethysmographic waveforms." Worcester, Mass. Worcester Polytechnic Institute, 2006. http://www.wpi.edu/Pubs/ETD/Available/etd-073106-130906/.
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Thesis (M.S.)--Worcester Polytechnic Institute.Keywords: wearable medical sensors; arterial oxygen saturation; software development; embedded systems; heart rate; respiration rate; heart rate variability; pulse oximetry; digital signal processing Includes bibliographical references (leaves 125-133).
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Ovreiu, Elena. "Accurate 3D mesh simplification." Phd thesis, INSA de Lyon, 2012. http://tel.archives-ouvertes.fr/tel-00838783.
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Complex 3D digital objects are used in many domains such as animation films, scientific visualization, medical imaging and computer vision. These objects are usually represented by triangular meshes with many triangles. The simplification of those objects in order to keep them as close as possible to the original has received a lot of attention in the recent years. In this context, we propose a simplification algorithm which is focused on the accuracy of the simplifications. The mesh simplification uses edges collapses with vertex relocation by minimizing an error metric. Accuracy is obtained with the two error metrics we use: the Accurate Measure of Quadratic Error (AMQE) and the Symmetric Measure of Quadratic Error (SMQE). AMQE is computed as the weighted sum of squared distances between the simplified mesh and the original one. Accuracy of the measure of the geometric deviation introduced in the mesh by an edge collapse is given by the distances between surfaces. The distances are computed in between sample points of the simplified mesh and the faces of the original one. SMQE is similar to the AMQE method but computed in the both, direct and reverse directions, i.e. simplified to original and original to simplified meshes. The SMQE approach is computationnaly more expensive than the AMQE but the advantage of computing the AMQE in a reverse fashion results in the preservation of boundaries, sharp features and isolated regions of the mesh. For both measures we obtain better results than methods proposed in the literature.
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Zahnd, Guillaume. "Estimation du mouvement bi-dimensionnel de la paroi artérielle en imagerie ultrasonore par une approche conjointe de segmentation et de speckle tracking." Phd thesis, INSA de Lyon, 2012. http://tel.archives-ouvertes.fr/tel-00835828.
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Ce travail de thèse est axé sur le domaine du traitement d'images biomédicales. L'objectif de notre étude est l'estimation des paramètres traduisant les propriétés mécaniques de l'artère carotide in vivo en imagerie échographique, dans une optique de détection précoce de la pathologie cardiovasculaire. L'analyse du mouvement longitudinal des tissus de la paroi artérielle, i.e. dans la même direction que le flux sanguin, représente la motivation majeure de ce travail. Les trois contributions principales proposées dans ce travail sont i) le développement d'un cadre méthodologique original et semi-automatique, dédié à la segmentation et à l'estimation du mouvement de la paroi artérielle dans des séquences in vivo d'images ultrasonores mode-B, ii) la description d'un protocole de génération d'une référence, faisant intervenir les opérations manuelles de plusieurs experts, dans le but de quantifier la précision des résultats de notre méthode malgré l'absence de vérité terrain inhérente à la modalité échographique, et iii) l'évaluation clinique de l'association entre les paramètres mécaniques et dynamiques de la paroi carotidienne et les facteurs de risque cardiovasculaire dans le cadre de la détection précoce de l'athérosclérose. Nous proposons une méthode semi-automatique, basée sur une approche conjointe de segmentation des contours de la paroi et d'estimation du mouvement des tissus. L'extraction de la position des interfaces est réalisée via une approche spécifique à la structure morphologique de la carotide, basée sur une stratégie de programmation dynamique exploitant un filtrage adapté. L'estimation du mouvement est réalisée via une méthode robuste de mise en correspondance de blocs (block matching), basée sur la connaissance du déplacement a priori ainsi que sur la mise à jour temporelle du bloc de référence par un filtre de Kalman spécifique. La précision de notre méthode, évaluée in vivo, correspond au même ordre de grandeur que celle résultant des opérations manuelles réalisées par des experts, et reste sensiblement meilleure que celle obtenue avec deux autres méthodes traditionnelles (i.e. une implémentation classique de la technique de block matching et le logiciel commercial Velocity Vector Imaging). Nous présentons également quatre études cliniques réalisées en milieu hospitalier, où nous évaluons l'association entre le mouvement longitudinal et les facteurs de risque cardiovasculaire. Nous suggérons que le mouvement longitudinal, qui représente un marqueur de risque émergent et encore peu étudié, constitue un indice pertinent et complémentaire aux marqueurs traditionnels dans la caractérisation de la physiopathologie artérielle, reflète le niveau de risque cardiovasculaire global, et pourrait être bien adapté à la détection précoce de l'athérosclérose.
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Steffensen, Caitlin Jane. "Optimisation of radiographic technique factors for direct digital radiography: a systematic review." Thesis, 2019. http://hdl.handle.net/2440/123490.
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As the uptake of direct digital radiography technology increases across radiology departments in Australia, it is an important time to review currently accepted best practice. It has been widely reported across the literature that in the move from analogue to digital, most of the previously accepted techniques were simply translated across without review. Optimisation of radiographic technique parameters is important to ensure that the optimal balance between image quality and dose is struck. The objective of this review was to uncover and synthesise all available literature regarding appropriate technique parameters for direct digital radiography. A comprehensive search of published and unpublished literature was undertaken to find studies that compared different radiographic technique parameters on direct digital radiography systems. Outcomes measured were subjective image quality and patient dose. Eight hundred and fifty-eight studies were retrieved for title and abstract screening. Ninety-one studies were retrieved for full-text screening, and 23 were included for review and methodological quality screening. Unfortunately, due to the high level of methodological heterogeneity, meta-analysis was unable to be performed for any of the included studies. Narrative synthesis of the 23 included studies revealed some promising results for increasing source-to-image distance to maintain image quality whilst reducing patient dose, but there is limited evidence for any other interventions. A key finding of this thesis was that the goals of optimisation research varied greatly across the included studies. The author proposes a new naming convention and two distinct methodologies for future research to increase the applicability and validity of future work.Thesis (MClinSc) -- University of Adelaide, The Joanna Briggs Institute, 2020
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Mulla, Fathima Ahmed Saeed. "The experiences of radiographers working with PACS and RIS in Gauteng." Thesis, 2014. http://hdl.handle.net/10210/10886.
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M.Tech. (Radiography)Conventional film and paper based radiology departments have been replaced by information technology at a rapid rate internationally. The leading technology is the Picture Archiving and Communication Systems (PACS) and Radiology Information System (RIS). The necessity to follow global trends has become more apparent in Africa. Simultaneously, Gauteng has now reached a stage where PACS and RIS have been widely implemented. It has been recommended that radiographers must be prepared for the change in expectations and levels of accountability required when PACS and RIS are adopted into the radiology department. The research question that arises is: What are the experiences of radiographers using PACS and RIS in Gauteng, South Africa? The aim and objectives of this explanatory sequential study was to explore and describe the experiences of radiographers using PACS and RIS in Gauteng, South Africa and to develop guidelines to facilitate the job satisfaction of radiographers in a PACS and RIS-driven radiology department. The study employed an explanatory sequential mixed methods design. The explanatory design is a two-phased mixed methods design. The study began with the first, quantitative phase in which the researcher collected data from the six participating diagnostic radiology practices in the form of questionnaires. For the second phase the researcher interviewed information-rich radiographers who participated in the first phase of the data collection in focus groups. The findings, of this study, indicate that the participants in this study experience PACS and RIS in a positive manner, but that strategies could be put into place to further enhance their experience. Guidelines for facilitating job satisfaction of radiographers in a PACS and RIS-driven radiology department are suggested
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Lin, Yo-Shan, and 林祐瑄. "Quantification of bone mineral density using Monte Carlo techniques and digital radiography." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/33221443757215739600.
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碩士中臺科技大學
醫學影像暨放射科學系暨研究所
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World Health Organization （WHO） indicates that low bone mineral density increases the risk of bone fractures. Dual-energy X-ray absorptiometry （DEXA） has been widely applied in the clinical for the measurement of bone mineral density （BMD） and the estimation of the risk of bone fractures. In this study, we proposed a radiographic absorptiometry-based BMD measurement method, which converts the raw pixel values of digital radiography to BMD distribution map with the scatter correction by Monte Carlo simulation. To evaluate and validate the measurement results of proposed method, the bone equivalent phantoms were made by the K2HPO4 solution with different concentrations to mimic the bone with various BMDs from 0.4 to 1.6 g/cm2, and the gray-level values of these phantoms were obtained by X-ray digital radiographic imaging. Then, the actual imaging condition for bone equivalent phantoms was also simulated by using Monte Carlo software to obtain the attenuation coefficients of phantoms with various BMD and to estimate the scatter components under the different thicknesses of water covering. At last, the digital radiography can be converted to BMD map by using the linear relationships between gray-level values and the attenuation coefficients, and between the BMDs and the attenuation coefficients. The BMDs of bone equivalent phantoms were validated by DEXA, and the percent errors were lower than ±6%. By using the relationships determined in this study to estimate the BMDs of phantoms under different thicknesses of water covering, the percent errors were lower than ±10%. We concluded that the proposed method is conveniently applied in the clinical for patient BMD assessment.
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Armato, Samuel G. "Automated lung segmentation in digital posteroanterior and lateral chest radiographs : applications in diagnostic radiology and nuclear medicine /." 1997. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:9733904.
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Goldan, Amirhossein. "Unipolar Charge-Sensing for Evaporated Large-Area Solid-State Photoconductors for Digital Radiography." Thesis, 2012. http://hdl.handle.net/10012/6704.
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An alternative approach to energy integrating systems is photon counting which provides higher dose efficiency through efficient noise rejection and optimal energy weighting, and, moreover, is not susceptible to memory artifacts such as image lag and ghosting. The first large-area photon counting imager was Charpak's Nobel Prize winning invention of the gas-filled multiwire proportional chamber (MWPC), which revolutionized the field of radiation detection in 1968. In most applications, however, the use of a solid detection medium is preferable because solid densities are about three orders-of-magnitude greater than gas, and thus, they can yield much smaller detector dimensions with unsurpassed spatial and temporal resolution.
Thus far, crystalline Cadmium Zinc Telluride is the only room-temperature solid-state detector that meets the requirements for photon counting imaging. However, the material is grown in small ingots and production costs are high for large-area imaging applications. The problem is that disordered (or non-crystalline) solids, which are easier and less expensive to develop over large-area than single crystalline solids, have been ruled out as viable photon counting detectors because of their poor temporal resolution, or more specifically, extremely low carrier mobilities and transit-time-limited photoresponse.
To circumvent the problem of poor charge transport in disordered solids with a conventional planar detector structure, we propose unipolar charge sensing by establishing a strong near-field effect using an electrostatic shield within the material. We introduce the concept of time-differential photoresponse in unipolar solids and show that their temporal resolution can be improved substantially to reach the intrinsic physical limit set by spatial dispersion.
Inspired by Charpak's MWPC and its variants, and for the first time, we have implemented an electrostatic shield inside evaporated amorphous selenium (a-Se) using the proposed lithography-based microstrip solid-state detector (MSSD). The fabricated devices are characterized with optical, x-ray, and gamma-ray impulse-like excitations. Using optical time-of-flight (TOF) measurements, we show for the first time a unipolar Gaussian TOF transient from the new MSSD structure, instead of a rectangular response with a Gaussian-integral at the tail which is a typical response of a conventional planar device. The measured optical and x-ray TOF results verify the time-differential property of the electrostatic shield and the practicality of the dispersion-limited photoresponse. Furthermore, we use single gamma-ray photon excitations to probe detector's temporal resolution in pulse mode for photon counting. For the MSSD, we show a depth-independent signal for photon absorption across the bulk and a reduction in signal risetime by a factor of 350, comparing performance limiting factors being hole-dispersion for the MSSD and electron-transit-time for the conventional planar device.
The time-differential response obtained from the proposed unipolar detector structure enables disordered photoconductive films to become viable candidates for large-area photon counting applications.
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Τακτικού, Ελευθερία. "Radiographic imaging of neonates with digital and analog techniques : Comparative evaluation of dose and image quality." Thesis, 2013. http://hdl.handle.net/10889/6243.
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Diagnostic radiology plays an important role in the assessment and treatment of neonates, mainly premature, requiring intensive care in the Special Baby Care Unit (SBCU), because they have highly mitotic state of their cells and thus they are more radiosensitive. It is often necessary to perform a large number of X-ray examinations depending upon the infant's birth-weight, gestational age and respiratory problems. It is therefore important to ensure that radiation doses from radiographic examinations carried out in neo-natal units are kept to a minimum while maintaining the quality of radiographic images in a high level.
An optimization study on radiation dose and image quality in neonatal radiography is presented. Our sample consists of 135 neonatal radiographic examinations, which performed on 54 neonates. All examinations were performed using the same mobile unit and under manual exposure control. Neonates were categorized into four groups depending on birth-weight. ESD was estimated from the exposure parameters (kVp, mAs) and tube output and also with using of Dose-Area Product (DAP). For the evaluation of image quality, our sample consists of 195 images (75 screen film images, 60 CR images in printed form and 60 CR images in electronic form) were assessed by two observers and were based on the visibility of certain anatomical features using a five-grade scale. ESDoutput values increased with increasing weight and ranged from 16.8 μGy to 64.7 μGy, with a mean value of 36 μGy for all radiographs. Similarly, ESDDAP values ranged from 14.8 μGy to 48.5 μGy with a mean of 29 μGy. Analyzing, the mean ESD for CR images was found 34.8 μGy and for screen film images 36.9 μGy. ESD values for CR images have the same behavior as ESD values for SF images. However, the majority of the acquired values are lower than the proposed Dose Reference Levels by Commission of European Communities (CEC: 80 μGy) and National Radiological Protection Board (NRPB: 50 μGy). Image quality evaluation revealed the feasibility of achieving a diagnostically satisfactory image using both low and high tube voltage techniques, with the latter resulting in reduced ESDs.
The results suggest that the use of high tube voltage techniques could result in further reductions in neonatal dose, without image quality degradation, underlying the requirement for establishing standard examination protocols for neonatal radiography with respect to neonatal weight.Η Διαγνωστική ακτινολογία παίζει σημαντικό ρόλο στην αξιολόγηση και τη θεραπεία των νεογνών, κυρίως των πρόωρων, καθώς απαιτείται η εντατική φροντίδα τους στην Ειδική Μονάδα Φροντίδας Νεογνών, λόγω της μεγάλης μιτωτικής δραστηριότητας των κυττάρων τους και κατα συνέπεια της ακτινοευαισθησίας τους. Είναι συχνά απαραίτητο να πραγματοποιηθεί ένας μεγάλος αριθμός ακτινογραφικών εξετάσεων που εξαρτώνται από το βάρος γέννησης, την περίοδο κύησης και τα αναπνευστικά προβλήματα. Επομένως, είναι σημαντικό να εξασφαλιστεί ότι οι δόσεις ακτινοβολίας από ακτινογραφικές εξετάσεις που πραγματοποιούνται σε μονάδες νεογνών περιορίζονται στο ελάχιστο, ενώ η ποιότητα των ακτινογραφικών εικόνων διατηρείται σε υψηλά επίπεδα. Μια μελέτη για τη βελτιστοποίηση της δόσης της ακτινοβολίας και της ποιότητας της εικόνας σε ακτινογραφίες νεογνών παρουσιάζεται παρακάτω. Το δείγμα μας αποτελείται από 135 ακτινογραφικές εξετάσεις νεογνών, οι οποίες πραγματοποιήθηκαν σε 54 νεογνά. Όλες οι εξετάσεις πραγματοποιήθηκαν χρησιμοποιώντας την ίδια φορητή ακτινογραφική μονάδα και με χειροκίνητο έλεγχο έκθεσης. Τα νεογνά ταξινομήθηκαν σε τέσσερις ομάδες ανάλογα με το βάρος γέννησης. Η Επιφανειακή δόση (ESD) εκτιμήθηκε από τις παραμέτρους της έκθεσης (kVp, mΑs), αλλά και με τη χρήση του DAP. Για την αξιολόγηση της ποιότητας της εικόνας, το δείγμα αποτελούνταν από 195 εικόνες (75 συμβατικές, 60 ψηφιακές (CR) σε έντυπη μορφή και 60 ψηφιακές εικόνες (CR) σε ηλεκτρονική μορφή) οι οποίες αξιολογήθηκαν από δύο παρατηρητές και βασίστηκαν στην ορατότητα ορισμένων ανατομικών χαρακτηριστικών χρησιμοποιώντας μια πενταβάθμια κλίμακα. Οι ESDoutput τιμές αυξάνονται με την αύξηση του βάρους και κυμαίνονται από 16.8μGy σε 64.7μGy, με μέση τιμή 36μGy για όλες τις ακτινογραφίες. Ομοίως, οι ESDDAP τιμές κυμαίνονται από 14.8 μGy σε 48.5 μGy, με μέση τιμή 29 μGy. Αναλυτικά, η μέση τιμή ESD για τις ψηφιακές (CR) εικόνες βρέθηκε 34.8μGy και για τις συμβατικές 36.9μGy. Η ESD για CR εικόνες έχει στατιστικά την ίδια συμπεριφορά με την ESD για SF εικόνες. Η πλειοψηφία των αποκτηθέντων τιμών είναι χαμηλότερες από τα Διαγνωστικά Επίπεδα Αναφοράς που έχουν προταθεί από την Επιτροπή της Ευρωπαϊκής Ένωσης (CEC: 80μGy) και το National Radiological Protection Board (NRPB: 50μGy) για προσθοπίσθιες ακτινογραφίες θώρακος νεογνών. Η αξιολόγηση της ποιότητας της εικόνας αποκάλυψε την δυνατότητα επίτευξης μιας διαγνωστικά ικανοποιητικής εικόνας χρησιμοποιώντας τόσο χαμηλές όσο και υψηλές τάσεις, με τις τελευταίες να οδηγούν σε μείωση των επιφανειακών δόσεων (ESDs). Τα αποτελέσματα δείχνουν ότι η χρήση τεχνικών υψηλής τάσης μπορούν να οδηγήσουν σε περαιτέρω μείωση των δόσεων στα νεογνά, χωρίς να υποβαθμίζεται η ποιότητα της εικόνας, τα οποία βασίζονται στην απαίτηση καθορισμού τυποποιημένων πρωτοκόλλων εξέτασης για ακτινογραφίες σε νεογνά σε σχέση με το βάρος τους.
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Σεφέρης, Ιωάννης. "Investigatoin and imaging characteristics of a CMOS sensor based digital detector coupled to a red emitting fluorescent screen." Thesis, 2013. http://hdl.handle.net/10889/6242.
Full textAbstract:
The dominant powder scintillator in most medical imaging modalities for decades is Gd2O2S:Tb due to the very good intrinsic properties and overall efficiency. Except for Gd2O2S:Tb there are alternative powder phosphor scintillators like Lu2SiO5:Ce and Gd2O2S:Eu that has been suggested for use in various medical imaging modalities. Gd2O2S:Eu emits red light and can be combined mainly with digital imaging devices like CCDs and CMOS based detectors. The purposes of the present thesis, is to investigate the fundamental imaging performance of a high resolution CMOS based imaging sensor combined with custom made Europium (Eu3+) activated Gd2O2S screens in terms of Modulation Transfer Function (MTF), Normalized Noise Power Spectrum (NNPS), Detective Quantum Efficiency (DQE), Noise Equivalent Quanta (NEQ) and Information Capacity (IC) covering the mammography and general radiography energy ranges.
The CMOS sensor was coupled to two Gd2O2S:Eu scintillator screens with coating thicknesses of 33.3 and 65.1 mg/cm2, respectively, which were placed in direct contact with the photodiode array. The CMOS photodiode array, featuring 1200x1600 pixels with a pixel pitch of 22.5
m
, was used as an optical photon detector. In addition to frequency dependent parameters (MTF, NPS, DQE) characterizing image quality, image information content was assessed through the application of information capacity (IC). The MTF was measured using the slanted-edge method to avoid aliasing while the Normalized NPS (NNPS) was determined by two-dimensional (2D) Fourier transforming of uniformly exposed images. Both parameters were assessed by irradiation under the RQA-5 protocol (70kVp digital-radiography) recommended by the International Electrotechnical Commission Reports 62220-1 and the W/Rh, W/Ag beam qualities (28kVp digital-mammography). The DQE was assessed from the measured MTF, NNPS and the direct entrance surface air-Kerma (ESAK) obtained from X-ray spectra measurement with a portable cadmium telluride (CdTe) detector.
The spectral matching factor between the optical spectra emitted by the Gd2O2S:Eu and the Gd2O2S:Tb screens and the CMOS optical sensor, evaluated in the present study, was 1 and 0.95 respectively. The ESAK values ranged between 11.2-87.5
Gy
, for RQA-5, and between 65.8-334
Gy
, for W/Rh, W/Ag beam qualities. It was found that the detector response function was linear for the exposure ranges under investigation. Under radiographic conditions the MTF of the present system was found higher than previously published MTF data for a 48
m
CMOS sensor, in the low up to medium frequency ranges. DQE was found comparable, while the NNPS appeared to be higher in the frequency range under investigation (0–10 cycles/mm). NEQ reached a maximum (73563 mm-2) in the low frequency range (1.8 cycles/mm), under the RQA 5 (ESAK: 11.2
Gy
) conditions. IC values were found to range between 1730-1851 bits/mm2. Under mammographic conditions MTF, NNPS and NEQ were found comparable to data previously published for the 48
m
CMOS sensor while the DQE was found lower. The corresponding IC values were found ranging between 2475 and 2821 bits/mm2.
The imaging performance of europium (Eu3+) activated Gd2O2S screens in combination to the CMOS sensor, investigated in the present study, was found comparable to those of Terbium (Tb) activated Gd2O2S screens (combined with the CMOS sensor). It can be thus claimed that red emitting phosphors could be suitably used in digital imaging systems, where the Silicon (Si) based photodetectors are more sensitive to longer wavelength ranges, and particularly in the red wavelength range.-