Low hemoglobin levels are associated with direct antiglobulin test positivity in patients with acute-on-chronic liver failure.

BACKGROUND: Multiple factors contribute to anemia in patients with Hepatitis B virus (HBV)related acute-on-chronic liver failure (ACLF); however, the mechanism is unclear. The purpose of this study was to evaluate the clinical significance of the direct antiglobulin test (DAT) in patients with HBV related ACLF. METHODS: DAT was used to detect immunoglobulins and/or complement proteins on the surface of erythrocytes. RESULTS: We recruited 78 HBV-associated ACLF patients, 30 chronic hepatitis B(CHB)patients and 40 healthy people between October 2015 and May 2016. In HBV related ACLF patients, the hemoglobin concentration, number of erythrocytes, and hematocrit value were significantly lower, while the erythrocyte distribution width was significantly higher, compared to patients with CHB and healthy controls (HCs) (P < 0.001). The rates of DAT positivity in HBV related ACLF patients, CHB patients, and HCs were 62.8 %, 13.3 %, and 0%, respectively. DAT-positive ACLF patients exhibited lower Hb levels, older average age, as well as higher total bilirubin, alanine aminotransferase, and complement component 3 levels compared to DAT-negative patients. CONCLUSIONS: HBV related ACLF patients showed significant alterations in erythrocyte parameters, possibly reflecting disease development and severity. The high presence of erythrocyte autoantibodies suggested that immunologic clearance of erythrocytes contributed to multifactorial anemia in HBV related ACLF patients.

Coordination-Bond-Driven Dissolution-Recrystallization Structural Transformation with the Expansion of Cuprous Halide Aggregate.

Metal-organic frameworks (MOFs) with cuprous-halide-aggregates have shown superiority as organic LED (OLED) and semiconductor materials, while engineering MOF flexibility by involving the expansion of cuprous aggregates remains a great challenge. In this particular work, a dissolution-recrystallization structural transformation (DRST) with the dramatic growth of CuI-I aggregates, from 2D NJNU-100 to 3D NJNU-101 has been successfully realized. The unsaturated coordination nodes (2-positional nitrogen atoms) in NJNU-100 have been demonstrated to be the driven force for DRST to NJNU-101 via the formation of coordination bonds. The structural transformation process was irreversible and observed with optical microscopy and powder XRD. The expansion of CuI-I aggregates was also computational simulated accompanying with the rotation of the neutral tripodal TTTMB ligand (1,3,5-tris(1,2,4-triazol-1-ylmethyl)-2,4,6-trimethylbenzene) and the reduction of CuII to CuI. Moreover, the intermediate product NJNU-102 was captured by adding the planar molecular anthrancene to shut down the reaction, where only partial 2-positional nitrogen atoms coordinated to the aggregates and the anthrancene was oxidized to anthraquinone. NJNU-102 has further confirmed that DRST involved the breakage and recombination of coordination bonds and the electron transfer. NJNU-100 and NJNU-101 could be applied as semiconductor and OLED materials. This work has provided insights for crystal engineering, especially for the construction of the CuIxXy aggregates, and illustrated that DRST could be controlled with a rational design (as the unsaturated coordination modes).

Dedicated cone-beam breast CT using laterally-shifted detector geometry: Quantitative analysis of feasibility for clinical translation.

BACKGROUND: High-resolution, low-noise detectors with minimal dead-space at chest-wall could improve posterior coverage and microcalcification visibility in the dedicated cone-beam breast CT (CBBCT). However, the smaller field-of-view necessitates laterally-shifted detector geometry to enable optimizing the air-gap for x-ray scatter rejection. OBJECTIVE: To evaluate laterally-shifted detector geometry for CBBCT with clinical projection datasets that provide for anatomical structures and lesions. METHODS: CBBCT projection datasets (n = 17 breasts) acquired with a 40×30 cm detector (1024×768-pixels, 0.388-mm pixels) were truncated along the fan-angle to emulate 20.3×30 cm, 22.2×30 cm and 24.1×30 cm detector formats and correspond to 20, 120, 220 pixels overlap in conjugate views, respectively. Feldkamp-Davis-Kress (FDK) algorithm with 3 different weighting schemes were used for reconstruction. Visual analysis for artifacts and quantitative analysis of root-mean-squared-error (RMSE), absolute difference between truncated and 40×30 cm reconstructions (Diff), and its power spectrum (PSDiff) were performed. RESULTS: Artifacts were observed for 20.3×30 cm, but not for other formats. The 24.1×30 cm provided the best quantitative results with RMSE and Diff (both in units of µ, cm-1) of 4.39×10-3±1.98×10-3 and 4.95×10-4±1.34×10-4, respectively. The PSDiff (>0.3 cycles/mm) was in the order of 10-14µ2mm3 and was spatial-frequency independent. CONCLUSIONS: Laterally-shifted detector CBBCT with at least 220 pixels overlap in conjugate views (24.1×30 cm detector format) provides quantitatively accurate and artifact-free image reconstruction.

Multistate and Multicolor Photochromism through Selective Cycloreversion in Asymmetric Platinum(II) Complexes with Two Different Dithienylethene-Acetylides.

Four asymmetric bis(dithienylethene-acetylide) platinum(II) complexes trans-Pt(PEt3)2(L1o)(L5o) (1oo), trans-Pt(PEt3)2(L2o)(L5o) (2oo), trans-Pt(PEt3)2(L3o)(L5o) (3oo), and trans-Pt(PEt3)2(L4o)(L5o) (4oo) with two different dithienylethene-acetylides (L1o-L5o) were designed to modulate stepwise, multistate, and multicolor photochromism by modifying ring-closure absorption wavelengths. Upon irradiation under UV light, 1oo converts only to 1oc without the observation of 1co and dually ring-closed species 1cc. In contrast, both mixed ring-open/closed species oc and co as well as dually ring-closed species cc are observed upon UV light irradiation of 2oo-4oo, implying that a substantial stepwise photochromic process occurs following 2oo-4oo → 2oc-4oc/2co-4co → 2cc-4cc. The conversion percentage of dually ring-closed species at the photostationary state (PSS) is progressively increased following 1cc (0%) → 2cc (40%) → 3cc (86%) → 4cc (>95%), coinciding with the progressive red-shift of ring-closure absorption bands in free L1c (441 nm) → L2c (510 nm) → L3c (556 nm) → L4c (591 nm). Particularly, compound 2 affords four states (2oo, 2co, 2oc, and 2cc) with different colors (colorless, purple, blue, and dark blue, respectively) through a selective photochemical cycloreversion process upon irradiation with appropriate wavelengths of light. Although stepwise photocyclization reactions 3oo → 3co/3oc → 3cc and 4oo → 4co/4oc → 4cc are observed, multicolor photochromism of 3oo and 4oo could not be achieved because ring-closure absorption bands between L3c/L4c and L5c are significantly overlapped. The stepwise photochemical processes are well demonstrated by NMR, UV-vis, and infrared (IR) spectroscopy and time-dependent density functional theory (TD-DFT) computational studies.

Single-shot quantitative x-ray imaging using a primary modulator and dual-layer detector.

BACKGROUND: Conventional x-ray imaging and fluoroscopy have limitations in quantitation due to several challenges, including scatter, beam hardening, and overlapping tissues. Dual-energy (DE) imaging, with its capability to quantify area density of specific materials, is well-suited to address such limitations, but only if the dual-energy projections are acquired with perfect spatial and temporal alignment and corrected for scatter. PURPOSE: In this work, we propose single-shot quantitative imaging (SSQI) by combining the use of a primary modulator (PM) and dual-layer (DL) detector, which enables motion-free DE imaging with scatter correction in a single exposure. METHODS: The key components of our SSQI setup include a PM and DL detector, where the former enables scatter correction for the latter while the latter enables beam hardening correction for the former. The SSQI algorithm allows simultaneous recovery of two material-specific images and two scatter images using four sub-measurements from the PM encoding. The concept was first demonstrated using simulation of chest x-ray imaging for a COVID patient. For validation, we set up SSQI geometry on our tabletop system and imaged acrylic and copper slabs with known thicknesses (acrylic: 0-22.5 cm; copper: 0-0.9 mm), estimated scatter with our SSQI algorithm, and compared the material decomposition (MD) for different combinations of the two materials with ground truth. Second, we imaged an anthropomorphic chest phantom containing contrast in the coronary arteries and compared the MD with and without SSQI. Lastly, to evaluate SSQI in dynamic applications, we constructed a flow phantom that enabled dynamic imaging of iodine contrast. RESULTS: Our simulation study demonstrated that SSQI led to accurate scatter correction and MD, particularly for smaller focal blur and finer PM pitch. In the validation study, we found that the root mean squared error (RMSE) of SSQI estimation was 0.13 cm for acrylic and 0.04 mm for copper. For the anthropomorphic phantom, direct MD resulted in incorrect interpretation of contrast and soft tissue, while SSQI successfully distinguished them quantitatively, reducing RMSE in material-specific images by 38%-92%. For the flow phantom, SSQI was able to perform accurate dynamic quantitative imaging, separating contrast from the background. CONCLUSIONS: We demonstrated the potential of SSQI for robust quantitative x-ray imaging. The integration of SSQI is straightforward with the addition of a PM and upgrade to a DL detector, which may enable its widespread adoption, including in techniques such as radiography and dynamic imaging (i.e., real-time image guidance and cone-beam CT).

Necroptosis in bacterial infections.

Necroptosis, a recently discovered form of cell-programmed death that is distinct from apoptosis, has been confirmed to play a significant role in the pathogenesis of bacterial infections in various animal models. Necroptosis is advantageous to the host, but in some cases, it can be detrimental. To understand the impact of necroptosis on the pathogenesis of bacterial infections, we described the roles and molecular mechanisms of necroptosis caused by different bacterial infections in this review.

Aggregation-induced phosphorescence of iridium(III) complexes with 2,2'-bipyridine-acylhydrazone and their highly selective recognition to Cu2+.

Two cationic cyclometallated iridium(III) complexes with 2,2'-bipyridine-acylhydrazone were synthesized and characterized by spectroscopic and photophysical measurements. They exhibit remarkable aggregation-induced phosphorescent emission (AIPE) phenomenon which is caused by the restriction of rapid isomerization of the C=N bond in the acylhydrazone moiety and are supported by TD-DFT studies. They also act as a significant 'off-on' luminescent switch for Cu(2+) which works as both catalyzer and oxidant in the sensing process, resulting in hydrolysis and cyclization products which are highly emissive. The sensing properties of iridium(III) complexes are also investigated by ESI-MS spectrometry and (1)H NMR spectroscopy.

Modulating stepwise photochromism in platinum(II) complexes with dual dithienylethene-acetylides by a progressive red shift of ring-closure absorption.

To modulate stepwise photochromism by shifting ring-closure absorption of the dithienylethene (DTE) moiety, trans-Pt(PEt3)2(C≡C-DTE)2 [C≡C-DTE = L1o (1oo), L2o (2oo), L3o (3oo), and L4o (4oo)] and cis-Pt(PEt3)2(L4o)2 (5oo) with two identical DTE-acetylides were elaborately designed. With the gradual red shift of ring-closure absorption for L1c (441 nm) → L2c (510 nm) → L3c (556 nm) → L4c (602 nm), stepwise photochromism is increasingly facilitated in trans-Pt(PEt3)2(C≡C-DTE)2 following 1oo → 2oo → 3oo → 4oo. The conversion percentage of singly ring-closed 2co-4co to dually ring-closed 2cc-4cc at the photostationary state is progressively increased in the order 1cc (0%) → 2cc (18%) → 3cc (67%) → 4cc (100%). Compared with trans-arranged 4oo, stepwise photochromism in the corresponding cis-counterpart 5oo is less pronounced, ascribed to either direct conversion of 5oo to 5cc or rapid conversion of 5co to 5cc. The progressively facile stepwise photocyclization following 2oo → 3oo → 4oo is reasonably interpreted by gradually enhanced transition character involving LUMO+1, which is the only unoccupied frontier orbital responsible for further photocyclization of singly ring-closed 2co-4co.

High resolution imaging with focused kV x-rays for small animal radio-neuromodulation.

BACKGROUND: High precision radiotherapy with small irradiator size has potential in many treatment applications involving small shallow targets, with small animal radio-neuromodulation as an intriguing example. A focused kV technique based on novel usage of polycapillary x-ray lenses can focus x-ray beams to <0.2 mm in diameter, which is ideal for such uses. PURPOSE: Such an application also requires high resolution CT images for treatment planning and setup. In this work, we demonstrate the feasibility of using a virtual focal spot generated with an x-ray lens to perform high-resolution CBCT acquisition. METHOD: The experiment with x-ray lens was set up on an x-ray tabletop system to generate a virtual focal spot. The flood field images with and without the x-ray lens were first compared. A pinhole image was acquired for the virtual focal spot and compared with the one acquired with the conventional focal spot without the lens. The planar imaging resolution with and without the lens were evaluated using a line pair resolution phantom. The spatial resolution of the two settings were estimated by reconstructing a 0.15-mm wire phantom and comparing its full width half maximum (FWHM). A CBCT scan of a rodent head was also acquired to further demonstrate the improved resolution using the x-ray lens. RESULT: The proposed imaging setup with x-ray lens had a limited exposure area of 5 cm by 5 cm on the detector, which was suitable for guiding radio-neuromodulation to a small target in rodent brain. Compared to conventional imaging acquisition with a measured x-ray focal spot of 0.395 mm FWHM, the virtual focal spot size was measured at 0.175 mm. The reduction in focal spot size with lens leads to an almost doubled planar imaging resolution and a 26% enhancement in 3D spatial resolution. A realistic CBCT acquisition of a rodent head mimicked the imaging acquisition step for radio-neuromodulation and further showed the improved visualization for fine structures. CONCLUSION: This work demonstrated that the focused kV x-ray technique was capable of generating small focal spot size of <0.2 mm, which substantially improved x-ray imaging resolution for small animal imaging.

Redox-modulated stepwise photochromism in a ruthenium complex with dual dithienylethene-acetylides.

Achieving stepwise photochromism in a combined molecule to access all of the possible ring-open/closed isomers is a challenge due to facile energy transfer from ring-open dithienylethene (DTE) to an adjacent ring-closed moiety that prohibits further photocyclization. The preparation, characterization, and photochromic properties of a bis(σ-acetylide) bonded ruthenium(II) complex 2oo and its oxidized form 2oo(+) with two identical DTE-acetylides (L1o) are described. Stepwise and dual photochromic reactions are successfully achieved in both 2oo and 2oo(+), in which the ring-closing absorption band of 2oo(+) shows an obvious blue-shift relative to 2oo. It is demonstrated that stepwise photochromic reactions 2oo→2co→2cc are more facile than 2oo(+)→2co(+)→2cc(+). The lower electronic density at the reactive carbon atoms upon oxidation of Ru(II) to Ru(III) causes photocyclization to have more difficulty proceeding in oxidized species 2oo(+)/2co(+). Upon dual ring-closure, 2cc/2cc(+) exhibits significant electronic interaction between two identical ring-closed DTE units across trans-Ru(dppe)(2) spacer. The interconversion processes among six states are unambiguously demonstrated by NMR, UV-vis-NIR, and IR spectroscopic, and electrochemical and computational studies.

Dedicated breast CT: radiation dose for circle-plus-line trajectory.

PURPOSE: Dedicated breast CT prototypes used in clinical investigations utilize single circular source trajectory and cone-beam geometry with flat-panel detectors that do not satisfy data-sufficiency conditions and could lead to cone beam artifacts. Hence, this work investigated the glandular dose characteristics of a circle-plus-line trajectory that fulfills data-sufficiency conditions for image reconstruction in dedicated breast CT. METHODS: Monte Carlo-based computer simulations were performed using the GEANT4 toolkit and was validated with previously reported normalized glandular dose coefficients for one prototype breast CT system. Upon validation, Monte Carlo simulations were performed to determine the normalized glandular dose coefficients as a function of x-ray source position along the line scan. The source-to-axis of rotation distance and the source-to-detector distance were maintained constant at 65 and 100 cm, respectively, in all simulations. The ratio of the normalized glandular dose coefficient at each source position along the line scan to that for the circular scan, defined as relative normalized glandular dose coefficient (RD(g)N), was studied by varying the diameter of the breast at the chest wall, chest-wall to nipple distance, skin thickness, x-ray beam energy, and glandular fraction of the breast. RESULTS: The RD(g)N metric when stated as a function of source position along the line scan, relative to the maximum length of line scan needed for data sufficiency, was found to be minimally dependent on breast diameter, chest-wall to nipple distance, skin thickness, glandular fraction, and x-ray photon energy. This observation facilitates easy estimation of the average glandular dose of the line scan. Polynomial fit equations for computing the RD(g)N and hence the average glandular dose are provided. CONCLUSIONS: For a breast CT system that acquires 300-500 projections over 2π for the circular scan, the addition of a line trajectory with equal source spacing and constant x-ray beam quality (kVp and HVL) and mAs matched to the circular scan, will result in less than 0.18% increase in average glandular dose to the breast per projection along the line scan.

Dedicated breast CT: fibroglandular volume measurements in a diagnostic population.

PURPOSE: To determine the mean and range of volumetric glandular fraction (VGF) of the breast in a diagnostic population using a high-resolution flat-panel cone-beam dedicated breast CT system. This information is important for Monte Carlo-based estimation of normalized glandular dose coefficients and for investigating the dependence of VGF on breast dimensions, race, and pathology. METHODS: Image data from a clinical trial investigating the role of dedicated breast CT that enrolled 150 women were retrospectively analyzed to determine the VGF. The study was conducted in adherence to a protocol approved by the institutional human subjects review boards and written informed consent was obtained from all study participants. All participants in the study were assigned BI-RADS(®) 4 or 5 as per the American College of Radiology assessment categories after standard diagnostic work-up and underwent dedicated breast CT exam prior to biopsy. A Gaussian-kernel based fuzzy c-means algorithm was used to partition the breast CT images into adipose and fibroglandular tissue after segmenting the skin. Upon determination of the accuracy of the algorithm with a phantom, it was applied to 137 breast CT volumes from 136 women. VGF was determined for each breast and the mean and range were determined. Pathology results with classification as benign, malignant, and hyperplasia were available for 132 women, and were used to investigate if the distributions of VGF varied with pathology. RESULTS: The algorithm was accurate to within ±1.9% in determining the volume of an irregular shaped phantom. The study mean (± inter-breast SD) for the VGF was 0.172 ± 0.142 (range: 0.012-0.719). VGF was found to be negatively correlated with age, breast dimensions (chest-wall to nipple length, pectoralis to nipple length, and effective diameter at chest-wall), and total breast volume, and positively correlated with fibroglandular volume. Based on pathology, pairwise statistical analysis (Mann-Whitney test) indicated that at the 0.05 significance level, there was no significant difference in distributions of VGF without adjustment for age between malignant and nonmalignant breasts (p = 0.41). Pairwise comparisons of the distributions of VGF in increasing order of mammographic breast density indicated all comparisons were statistically significant (p < 0.002). CONCLUSIONS: This study used a different clinical prototype breast CT system than that in previous studies to image subjects from a different geographical region, and used a different algorithm for analysis of image data. The mean VGF estimated from this study is within the range reported in previous studies, indicating that the choice of 50% glandular weight fraction to represent an average breast for Monte Carlo-based estimation of normalized glandular dose coefficients in mammography needs revising. In the study, the distributions of VGF did not differ significantly with pathology.

Gold(I)-coordination triggered multistep and multiple photochromic reactions in multi-dithienylethene (DTE) systems.

The preparation, characterization, and photochromic properties of a mononuclear gold(I) complex (1oo) with two identical DTE-acetylides and a dinuclear gold(I) complex (2ooo) with both DTE-acetylide and DTE-diphosphine are described. Both gold(I) complexes exhibit multistep and multiple photocyclization/cycloreversion reactions. Particularly, four-state and four-color photochromic switch is successfully achieved for the dinuclear gold(I) complex upon irradiation with appropriate wavelengths of light. In contrast, fully ring-closed form is unattained through multiple photocyclization for the two corresponding model organic compounds coupling with the same DTE units as gold(I) complexes but without gold(I)-participation. It is demonstrated that coordination of gold(I) ion to DTE-acetylides exerts indeed a crucial role in achieving stepwise and selective photocyclization and cycloreversion reactions for both gold(I) complexes, in which the coordinated gold(I) atom acts as an effective "barrier" to prohibit intramolecular energy transfer between multi-DTE moieties.

Single-Shot Quantitative X-ray Imaging Using a Primary Modulator and Dual-Layer Detector: Simulation and Phantom Studies.

Conventional x-ray imaging provides little quantitative information due to scatter, beam hardening, and overlaying tissues. A single-shot quantitative x-ray imaging (SSQI) method was previously developed to quantify material-specific densities in x-ray imaging by combining the use of a primary modulator (PM) and dual-layer (DL) detector. The feasibility of this concept was demonstrated with simulations using an iterative patch-based method. In this work, we propose a new algorithm pipeline for SSQI that enables accurate quantification and high computational efficiency. The DL images contain four measurements that are obtained behind the unattenuated and partially attenuated regions of the PM of each layer. Using the low-frequency property of scatter and a pre-calibrated material decomposition (MD), four unknowns (i.e., two scatter images and two material-specific images) are jointly recovered by directly solving four equations given by the four measurements. We tested this algorithm in simulations and further demonstrated its efficacy on chest phantom experiments. Through simulation, we show that the new method for MD is robust against scatter. Its performance improves with smaller PM pitch size and smaller focal spot blur. The RMSE in material-specific images compared to ground truth reduces by 52%-84% versus without scatter correction. For our experimental study, we successfully separated soft tissue and bone. The computational time for processing each view was ~8 s without optimization. The reported results further strengthen the potential of SSQI for widespread adoption, leading to quantitative imaging not only for x-ray imaging but also for real-time image guidance or cone-beam CT.

An iridium(III) complex of oximated 2,2'-bipyridine as a sensitive phosphorescent sensor for hypochlorite.

The designed synthesis of a sensitive phosphorescent chemosensor [Ir(ppy)(2)(L1)](PF(6)) (1) (Hppy = 2-phenylpyridine, L1 = 4'-methyl-2,2'-bipyridyl-4-carbaldehyde oxime) was carried out for selective detection of hypochlorite (ClO(-)). Complex 1 is weakly emissive in solution at ambient temperature due likely to rapid isomerization of C=N-OH as an effective non-radiative decay process. When 1 reacts with ClO(-), however, the emission is remarkably enhanced, in which the oxime in L1 is converted to a carboxylic acid in L2 (4'-methyl-2,2'-bipyridine-4-carboxylic acid). The produced complex [Ir(ppy)(2)(L2)](PF(6)) (2) exhibits bright orange-yellow luminescence originating from [5d(Ir) → π*(bpy)] (3)MLCT and [π(ppy) → π*(bpy)] (3)LLCT triplet excited states as suggested from the DFT computational studies. The selective and competitive experiments reveal that complex 1 shows high sensing selectivity and sensitivity for ClO(-) over other reactive oxygen species (ROS) and metal ions.

Characterization of x-ray focal spots using a rotating edge.

Purpose: The focal spot size and shape of an x-ray system are critical factors to the spatial resolution. Conventional approaches to characterizing the focal spot use specialized tools that usually require careful calibration. We propose an alternative to characterize the x-ray source's focal spot, simply using a rotating edge and flat-panel detector. Methods: An edge is moved to the beam axis, and an edge spread function (ESF) is obtained at a specific angle. Taking the derivative of the ESF provides the line spread function, which is the Radon transform of the focal spot in the direction parallel to the edge. By rotating the edge about the beam axis for 360 deg, we obtain a complete Radon transform, which is used for reconstructing the focal spot. We conducted a study on a clinical C-arm system with three focal spot sizes (0.3, 0.6, and 1.0 mm nominal size), then compared the focal spot imaged using the proposed method against the conventional pinhole approach. The full width at half maximum (FWHM) of the focal spots along the width and height of the focal spot were used for quantitative comparisons. Results: Using the pinhole method as ground truth, the proposed method accurately characterized the focal spot shapes and sizes. Quantitatively, the FWHM widths were 0.37, 0.65, and 1.14 mm for the pinhole method and 0.33, 0.60, and 1.15 mm for the proposed method for the 0.3, 0.6, and 1.0 mm nominal focal spots, respectively. Similar levels of agreement were found for the FWHM heights. Conclusions: The method uses a rotating edge to characterize the focal spot and could be automated in the future using a system's built-in collimator. The method could be included as part of quality assurance tests of image quality and tube health.

Single-pass metal artifact reduction using a dual-layer flat panel detector.

PURPOSE: Metal artifact remains a challenge in cone-beam CT images. Many image domain-based segmentation methods have been proposed for metal artifact reduction (MAR), which require two-pass reconstruction. Such methods first segment metal from a first-pass reconstruction and then forward-project the metal mask to identify them in projections. These methods work well in general but are limited when the metal is outside the scan field-of-view (FOV) or when the metal is moving during the scan. In the former, even reconstructing with a larger FOV does not guarantee a good estimate of metal location in the projections; and in the latter, the metal location in each projection is difficult to identify due to motion. Single-pass methods that detect metal in single-energy projections have also been developed, but often have imperfect metal detection that leads to residual artifacts. In this work, we develop a MAR method using a dual-layer (DL) flat panel detector, which improves performance for single-pass reconstruction. METHODS: In this work, we directly detect metal objects in projections using dual-energy (DE) imaging that generates material-specific images (e.g., soft tissue and bone), where the metal stands out in bone images when nonuniform soft tissue background is removed. Metal is detected via simple thresholding, and entropy filtration is further applied to remove false-positive detections. A DL detector provides DE images with superior temporal and spatial registration and was used to perform the task. Scatter correction was first performed on DE raw projections to improve the accuracy of material decomposition. One phantom mimicking a liver biopsy setup and a cadaver head were used to evaluate the metal reduction performance of the proposed method and compared with that of a standard two-pass reconstruction, a previously published sinogram-based method using a Markov random field (MRF) model, and a single-pass projection-domain method using single-energy imaging. The phantom has a liver steering setup placed in a hollow chest phantom, with embedded metal and a biopsy needle crossing the phantom boundary. The cadaver head has dental fillings and a metal tag attached to its surface. The identified metal regions in each projection were corrected by interpolation using surrounding pixels, and the images were reconstructed using filtered backprojection. RESULTS: Our current approach removes metal from the projections, which is robust to FOV truncation during imaging acquisition. In case of FOV truncation, the method outperformed the two-pass reconstruction method. The proposed method using DE renders better accuracy in metal segmentation than the MRF method and single-energy method, which were prone to false-positive errors that cause additional streaks. For the liver steering phantom, the average spatial nonuniformity was reduced from 0.127 in uncorrected images to 0.086 using a standard two-pass reconstruction and to 0.077 using the proposed method. For the cadaver head, the average standard deviation within selected soft tissue regions ( σ s ) was reduced from 209.1 HU in uncorrected images to 69.1 HU using a standard two-pass reconstruction and to 46.8 HU using our proposed method. The proposed method reduced the processing time by 31% as compared with the two-pass method. CONCLUSIONS: We proposed a MAR method that directly detects metal in the projection domain using DE imaging, which is robust to truncation and superior to that of single-energy imaging. The method requires only a single-pass reconstruction that substantially reduces processing time compared with the standard two-pass metal reduction method.

Elaborate Design of d8-d10 Heteronuclear Phosphors for Ultrahigh-Efficiency Solution-Processed Organic Light-Emitting Diodes.

Highly soluble d8-d10 heteronuclear phosphors afford an alternative approach to achieve high-efficiency organic light-emitting diodes (OLEDs) through a solution process. In this work, four highly phosphorescent d8-d10 heteronuclear complexes with significant Pt-Au interactions were prepared. By judicious selection of sterically hindered and π-conjugated substituents in triphosphine ligands, the phosphorescence is dramatically promoted through effectively prohibiting nonradiative thermal relaxation with an efficiency of 0.94-0.99 in doping films. Exploiting highly emissive Pt-Au complexes as phosphorescent dopants, ultrahigh-efficiency solution-processed OLEDs were attained. The peak current efficiency, power efficiency, and external quantum efficiency are 96.2 cd A-1, 65.0 lm W-1, and 26.4% for the green-emitting PtAu2 phosphor and 68.6 cd A-1, 42.5 lm W-1, and 25.1% for the orange-emitting Pt2Au phosphor, which represent the state-of-art for solution-processed OLEDs based on non-iridium phosphors.

Reconstruction of x-ray focal spot distribution using a rotating edge.

The size and shape of an x-ray source's focal spot is a critical factor in the imaging system's overall spatial resolution. The conventional approach to imaging the focal spot uses a pinhole camera, but this requires careful, manual measurements. Instead, we propose a novel alternative, simply using the collimator available on many x-ray systems. After placing the edge of a collimator blade in the center of the beam, we can obtain an image of its edge spread function (ESF). Each ESF provides information about the focal spot distribution - specifically, the parallel projection of the focal spot in the direction parallel to the edge. If the edge is then rotated about the beam axis, each image provides a different parallel projection of the focal spot until a complete Radon transform of the focal spot distribution is obtained. The focal spot can then be reconstructed by the inverse Radon transform, or parallel-beam filtered backprojection. We conducted a study on a clinical C-arm system with 3 focal spot sizes (0.3, 0.6, 1.0 mm nominal size), comparing the focal spot obtained using the rotating edge method against the conventional pinhole approach. Our results demonstrate accurate characterization of the size and shape of the focal spot.

Projection-domain metal artifact correction using a dual layer detector.

Metal artifact remains a challenge in cone-beam CT images. Many two-pass metal artifact reduction methods have been proposed, which work fairly well, but are limited when the metal is outside the scan field-of-view (FOV) or when the metal is moving during the scan. In the former, even reconstructing with a larger FOV does not guarantee a good estimate of metal location in the projections; and in the latter, the metal location in each projection is difficult to identify due to motion. Furthermore, two-pass methods increase the total reconstruction time. In this study, a projection-based metal detection and correction method with a dual layer detector is investigated. The dual layer detector provides dual energy images with perfect temporal and spatial registration in each projection, which aid in the identification of metal. A simple phantom with metal wires (copper) and a needle (steel) is used to evaluate the projection-based metal artifact reduction method from a dual layer scan and compared with that of a single layer scan. Preliminary results showed enhanced ability to identify metal regions, leading to substantially reduced metal artifact in reconstructed images. In summary, an effective single-pass, projection-domain method using a dual layer detector has been demonstrated, and it is expected to be robust against truncation and motion.