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1.
Sensors (Basel) ; 24(10)2024 May 18.
Article En | MEDLINE | ID: mdl-38794068

Most facial analysis methods perform well in standardized testing but not in real-world testing. The main reason is that training models cannot easily learn various human features and background noise, especially for facial landmark detection and head pose estimation tasks with limited and noisy training datasets. To alleviate the gap between standardized and real-world testing, we propose a pseudo-labeling technique using a face recognition dataset consisting of various people and background noise. The use of our pseudo-labeled training dataset can help to overcome the lack of diversity among the people in the dataset. Our integrated framework is constructed using complementary multitask learning methods to extract robust features for each task. Furthermore, introducing pseudo-labeling and multitask learning improves the face recognition performance by enabling the learning of pose-invariant features. Our method achieves state-of-the-art (SOTA) or near-SOTA performance on the AFLW2000-3D and BIWI datasets for facial landmark detection and head pose estimation, with competitive face verification performance on the IJB-C test dataset for face recognition. We demonstrate this through a novel testing methodology that categorizes cases as soft, medium, and hard based on the pose values of IJB-C. The proposed method achieves stable performance even when the dataset lacks diverse face identifications.


Automated Facial Recognition , Face , Head , Humans , Face/anatomy & histology , Face/diagnostic imaging , Head/diagnostic imaging , Automated Facial Recognition/methods , Algorithms , Machine Learning , Facial Recognition , Databases, Factual , Image Processing, Computer-Assisted/methods
2.
Sci Rep ; 14(1): 11810, 2024 05 23.
Article En | MEDLINE | ID: mdl-38782976

In this retrospective study, we aimed to assess the objective and subjective image quality of different reconstruction techniques and a deep learning-based software on non-contrast head computed tomography (CT) images. In total, 152 adult head CT scans (77 female, 75 male; mean age 69.4 ± 18.3 years) obtained from three different CT scanners using different protocols between March and April 2021 were included. CT images were reconstructed using filtered-back projection (FBP), iterative reconstruction (IR), and post-processed using a deep learning-based algorithm (PS). Post-processing significantly reduced noise in FBP-reconstructed images (up to 15.4% reduction) depending on the protocol, leading to improvements in signal-to-noise ratio of up to 19.7%. However, when deep learning-based post-processing was applied to FBP images compared to IR alone, the differences were inconsistent and partly non-significant, which appeared to be protocol or site specific. Subjective assessments showed no significant overall improvement in image quality for all reconstructions and post-processing. Inter-rater reliability was low and preferences varied. Deep learning-based denoising software improved objective image quality compared to FBP in routine head CT. A significant difference compared to IR was observed for only one protocol. Subjective assessments did not indicate a significant clinical impact in terms of improved subjective image quality, likely due to the low noise levels in full-dose images.


Deep Learning , Head , Software , Tomography, X-Ray Computed , Humans , Female , Tomography, X-Ray Computed/methods , Male , Aged , Head/diagnostic imaging , Retrospective Studies , Middle Aged , Aged, 80 and over , Image Processing, Computer-Assisted/methods , Signal-To-Noise Ratio , Adult , Algorithms , Radiographic Image Interpretation, Computer-Assisted/methods
3.
Comput Biol Med ; 177: 108633, 2024 Jul.
Article En | MEDLINE | ID: mdl-38805810

BACKGROUND: Endoscopic strip craniectomy followed by helmet therapy (ESCH) is a minimally invasive approach for correcting sagittal craniosynostosis. The treatment involves a patient-specific helmet designed to facilitate lateral growth while constraining sagittal expansion. In this study, finite element modelling was used to predict post-treatment head reshaping, improving our comprehension of the necessary helmet therapy duration. METHOD: Six patients (aged 11 weeks to 9 months) who underwent ESCH at Connecticut Children's Hospital were enrolled in this study. Day-1 post-operative 3D scans were used to create skin, skull, and intracranial volume models. Patient-specific helmet models, incorporating areas for growth, were designed based on post-operative imaging. Brain growth was simulated through thermal expansion, and treatments were modelled according to post-operative Imaging available. Mechanical testing and finite element modelling were combined to determine patient-specific mechanical properties from bone samples collected from surgery. Validation compared simulated end-of-treatment skin surfaces with optical scans in terms of shape matching and cranial index estimation. RESULTS: Comparison between the simulated post-treatment head shape and optical scans showed that on average 97.3 ± 2.1 % of surface data points were within a distance range of -3 to 3 mm. The cranial index was also accurately predicted (r = 0.91). CONCLUSIONS: In conclusion, finite element models effectively predicted the ESCH cranial remodeling outcomes up to 8 months postoperatively. This computational tool offers valuable insights to guide and refine helmet treatment duration. This study also incorporated patient-specific material properties, enhancing the accuracy of the modeling approach.


Craniosynostoses , Head Protective Devices , Humans , Craniosynostoses/surgery , Craniosynostoses/diagnostic imaging , Infant , Male , Female , Craniotomy , Computer Simulation , Finite Element Analysis , Endoscopy/methods , Head/diagnostic imaging , Head/surgery
4.
Phys Med ; 122: 103389, 2024 Jun.
Article En | MEDLINE | ID: mdl-38820806

PURPOSE: To evaluate the efficiency of organ-based tube current modulation (OBTCM) in head Computed Tomography (CT) for different radiology departments and manufacturers. MATERIALS AND METHODS: Five CT scanners from four radiology departments were evaluated in this study. All scans were performed using a standard and a routine head protocol. A scintillating fiber optic detector was placed directly on the gantry to measure the tube exit kerma. Image quality was quantified on a 16-cm HEAD phantom by measuring the signal-to-noise ratio (SNR) and the standard deviation of the Hounsfield units (HU) of circular regions of interest placed in the phantom. The Noise Power Spectrum (NPS) was also studied. Measured values were compared on images with and without OBTCM. RESULTS: The reduction rates in tube exit kerma, on the anterior part, vary between 11 % and 74 % depending on the CT scanner and the protocol used. The tube exit kerma on the posterior part remains unchanged in GE and Canon CT scanners. On the contrary, the tube exit kerma to the posterior part increases by up to 39 % in Siemens CT scanner. Image noise and SNR increase by up to 10 % in the five CT scanners. Nonetheless, the differences in noise and SNR are statistically significant (p-value < 0.05).The analysis of the NPS indicates that the noise texture remains unchanged. CONCLUSION: OBTCM reduces the tube exit kerma to the anterior part of the gantry without reducing substantially image quality for head protocols.


Head , Phantoms, Imaging , Radiometry , Signal-To-Noise Ratio , Tomography, X-Ray Computed , Head/diagnostic imaging , Tomography, X-Ray Computed/instrumentation , Humans , Radiometry/instrumentation , Image Processing, Computer-Assisted/methods , Quality Control , Tomography Scanners, X-Ray Computed
5.
F1000Res ; 13: 274, 2024.
Article En | MEDLINE | ID: mdl-38725640

Background: The most recent advances in Computed Tomography (CT) image reconstruction technology are Deep learning image reconstruction (DLIR) algorithms. Due to drawbacks in Iterative reconstruction (IR) techniques such as negative image texture and nonlinear spatial resolutions, DLIRs are gradually replacing them. However, the potential use of DLIR in Head and Chest CT has to be examined further. Hence, the purpose of the study is to review the influence of DLIR on Radiation dose (RD), Image noise (IN), and outcomes of the studies compared with IR and FBP in Head and Chest CT examinations. Methods: We performed a detailed search in PubMed, Scopus, Web of Science, Cochrane Library, and Embase to find the articles reported using DLIR for Head and Chest CT examinations between 2017 to 2023. Data were retrieved from the short-listed studies using Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Results: Out of 196 articles searched, 15 articles were included. A total of 1292 sample size was included. 14 articles were rated as high and 1 article as moderate quality. All studies compared DLIR to IR techniques. 5 studies compared DLIR with IR and FBP. The review showed that DLIR improved IQ, and reduced RD and IN for CT Head and Chest examinations. Conclusions: DLIR algorithm have demonstrated a noted enhancement in IQ with reduced IN for CT Head and Chest examinations at lower dose compared with IR and FBP. DLIR showed potential for enhancing patient care by reducing radiation risks and increasing diagnostic accuracy.


Algorithms , Deep Learning , Head , Radiation Dosage , Tomography, X-Ray Computed , Humans , Tomography, X-Ray Computed/methods , Head/diagnostic imaging , Image Processing, Computer-Assisted/methods , Thorax/diagnostic imaging , Radiography, Thoracic/methods , Signal-To-Noise Ratio
6.
Phys Med Biol ; 69(12)2024 Jun 07.
Article En | MEDLINE | ID: mdl-38788726

Objective.Numerical simulations are largely adopted to estimate dosimetric quantities, e.g. specific absorption rate (SAR) and temperature increase, in tissues to assess the patient exposure to the radiofrequency (RF) field generated during magnetic resonance imaging (MRI). Simulations rely on reference anatomical human models and tabulated data of electromagnetic and thermal properties of biological tissues. However, concerns may arise about the applicability of the computed results to any phenotype, introducing a significant degree of freedom in the simulation input data. In addition, simulation input data can be affected by uncertainty in relative positioning of the anatomical model with respect to the RF coil. The objective of this work is the to estimate the variability of SAR and temperature increase at 3 T head MRI due to different sources of variability in input data, with the final aim to associate a global uncertainty to the dosimetric outcomes.Approach.A stochastic approach based on arbitrary Polynomial Chaos Expansion is used to evaluate the effects of several input variability's (anatomy, tissue properties, body position) on dosimetric outputs, referring to head imaging with a 3 T MRI scanner.Main results.It is found that head anatomy is the prevailing source of variability for the considered dosimetric quantities, rather than the variability due to tissue properties and head positioning. From knowledge of the variability of the dosimetric quantities, an uncertainty can be attributed to the results obtained using a generic anatomical head model when SAR and temperature increase values are compared with safety exposure limits.Significance.This work associates a global uncertainty to SAR and temperature increase predictions, to be considered when comparing the numerically evaluated dosimetric quantities with reference exposure limits. The adopted methodology can be extended to other exposure scenarios for MRI safety purposes.


Magnetic Resonance Imaging , Nonlinear Dynamics , Stochastic Processes , Temperature , Humans , Radiometry , Head/diagnostic imaging , Uncertainty , Absorption, Radiation , Radio Waves
7.
Physiol Meas ; 45(6)2024 Jun 05.
Article En | MEDLINE | ID: mdl-38772395

Objective.Noisy measurements frequently cause noisy and inaccurate images in impedance imaging. No post-processing technique exists to calculate the propagation of measurement noise and use this to suppress noise in the image. The objectives of this work were (1) to develop a post-processing method for noise-based correction (NBC) in impedance tomography, (2) to test whether NBC improves image quality in electrical impedance tomography (EIT), (3) to determine whether it is preferable to use correlated or uncorrelated noise for NBC, (4) to test whether NBC works within vivodata and (5) to test whether NBC is stable across model and perturbation geometries.Approach.EIT was performedin silicoin a 2D homogeneous circular domain and an anatomically realistic, heterogeneous 3D human head domain for four perturbations and 25 noise levels in each case. This was validated by performing EIT for four perturbations in a circular, saline tank in 2D as well as a human head-shaped saline tank with a realistic skull-like layer in 3D. Images were assessed on the error in the weighted spatial variance (WSV) with respect to the true, target image. The effect of NBC was also tested forin vivoEIT data of lung ventilation in a human thorax and cortical activity in a rat brain.Main results.On visual inspection, NBC maintained or increased image quality for all perturbations and noise levels in 2D and 3D, both experimentally andin silico. Analysis of the WSV showed that NBC significantly improved the WSV in nearly all cases. When the WSV was inferior with NBC, this was either visually imperceptible or a transformation between noisy reconstructions. Forin vivodata, NBC improved image quality in all cases and preserved the expected shape of the reconstructed perturbation.Significance.In practice, uncorrelated NBC performed better than correlated NBC and is recommended as a general-use post-processing technique in EIT.


Electric Impedance , Signal-To-Noise Ratio , Tomography , Tomography/methods , Humans , Animals , Rats , Image Processing, Computer-Assisted/methods , Head/diagnostic imaging
8.
Comput Biol Med ; 175: 108501, 2024 Jun.
Article En | MEDLINE | ID: mdl-38703545

The segmentation of the fetal head (FH) and pubic symphysis (PS) from intrapartum ultrasound images plays a pivotal role in monitoring labor progression and informing crucial clinical decisions. Achieving real-time segmentation with high accuracy on systems with limited hardware capabilities presents significant challenges. To address these challenges, we propose the real-time segmentation network (RTSeg-Net), a groundbreaking lightweight deep learning model that incorporates innovative distribution shifting convolutional blocks, tokenized multilayer perceptron blocks, and efficient feature fusion blocks. Designed for optimal computational efficiency, RTSeg-Net minimizes resource demand while significantly enhancing segmentation performance. Our comprehensive evaluation on two distinct intrapartum ultrasound image datasets reveals that RTSeg-Net achieves segmentation accuracy on par with more complex state-of-the-art networks, utilizing merely 1.86 M parameters-just 6 % of their hyperparameters-and operating seven times faster, achieving a remarkable rate of 31.13 frames per second on a Jetson Nano, a device known for its limited computing capacity. These achievements underscore RTSeg-Net's potential to provide accurate, real-time segmentation on low-power devices, broadening the scope for its application across various stages of labor. By facilitating real-time, accurate ultrasound image analysis on portable, low-cost devices, RTSeg-Net promises to revolutionize intrapartum monitoring, making sophisticated diagnostic tools accessible to a wider range of healthcare settings.


Head , Pubic Symphysis , Ultrasonography, Prenatal , Humans , Female , Pregnancy , Head/diagnostic imaging , Ultrasonography, Prenatal/methods , Pubic Symphysis/diagnostic imaging , Deep Learning , Fetus/diagnostic imaging
9.
Sci Data ; 11(1): 436, 2024 May 02.
Article En | MEDLINE | ID: mdl-38698003

During the process of labor, the intrapartum transperineal ultrasound examination serves as a valuable tool, allowing direct observation of the relative positional relationship between the pubic symphysis and fetal head (PSFH). Accurate assessment of fetal head descent and the prediction of the most suitable mode of delivery heavily rely on this relationship. However, achieving an objective and quantitative interpretation of the ultrasound images necessitates precise PSFH segmentation (PSFHS), a task that is both time-consuming and demanding. Integrating the potential of artificial intelligence (AI) in the field of medical ultrasound image segmentation, the development and evaluation of AI-based models rely significantly on access to comprehensive and meticulously annotated datasets. Unfortunately, publicly accessible datasets tailored for PSFHS are notably scarce. Bridging this critical gap, we introduce a PSFHS dataset comprising 1358 images, meticulously annotated at the pixel level. The annotation process adhered to standardized protocols and involved collaboration among medical experts. Remarkably, this dataset stands as the most expansive and comprehensive resource for PSFHS to date.


Artificial Intelligence , Head , Pubic Symphysis , Ultrasonography, Prenatal , Humans , Pubic Symphysis/diagnostic imaging , Female , Pregnancy , Head/diagnostic imaging , Fetus/diagnostic imaging
10.
Nat Commun ; 15(1): 4154, 2024 May 16.
Article En | MEDLINE | ID: mdl-38755205

The precise neural mechanisms within the brain that contribute to the remarkable lifetime persistence of memory are not fully understood. Two-photon calcium imaging allows the activity of individual cells to be followed across long periods, but conventional approaches require head-fixation, which limits the type of behavior that can be studied. We present a magnetic voluntary head-fixation system that provides stable optical access to the brain during complex behavior. Compared to previous systems that used mechanical restraint, there are no moving parts and animals can engage and disengage entirely at will. This system is failsafe, easy for animals to use and reliable enough to allow long-term experiments to be routinely performed. Animals completed hundreds of trials per session of an odor discrimination task that required 2-4 s fixations. Together with a reflectance fluorescence collection scheme that increases two-photon signal and a transgenic Thy1-GCaMP6f rat line, we are able to reliably image the cellular activity in the hippocampus during behavior over long periods (median 6 months), allowing us track the same neurons over a large fraction of animals' lives (up to 19 months).


Hippocampus , Neurons , Rats, Transgenic , Animals , Hippocampus/cytology , Neurons/metabolism , Rats , Male , Calcium/metabolism , Head/diagnostic imaging , Magnetics , Odorants/analysis , Female
11.
Med Phys ; 51(5): 3309-3321, 2024 May.
Article En | MEDLINE | ID: mdl-38569143

BACKGROUND: Patient head motion is a common source of image artifacts in computed tomography (CT) of the head, leading to degraded image quality and potentially incorrect diagnoses. The partial angle reconstruction (PAR) means dividing the CT projection into several consecutive angular segments and reconstructing each segment individually. Although motion estimation and compensation using PAR has been developed and investigated in cardiac CT scans, its potential for reducing motion artifacts in head CT scans remains unexplored. PURPOSE: To develop a deep learning (DL) model capable of directly estimating head motion from PAR images of head CT scans and to integrate the estimated motion into an iterative reconstruction process to compensate for the motion. METHODS: Head motion is considered as a rigid transformation described by six time-variant variables, including the three variables for translation and three variables for rotation. Each motion variable is modeled using a B-spline defined by five control points (CP) along time. We split the full projections from 360° into 25 consecutive PARs and subsequently input them into a convolutional neural network (CNN) that outputs the estimated CPs for each motion variable. The estimated CPs are used to calculate the object motion in each projection, which are incorporated into the forward and backprojection of an iterative reconstruction algorithm to reconstruct the motion-compensated image. The performance of our DL model is evaluated through both simulation and phantom studies. RESULTS: The DL model achieved high accuracy in estimating head motion, as demonstrated in both the simulation study (mean absolute error (MAE) ranging from 0.28 to 0.45 mm or degree across different motion variables) and the phantom study (MAE ranging from 0.40 to 0.48 mm or degree). The resulting motion-corrected image, I D L , P A R ${I}_{DL,\ PAR}$ , exhibited a significant reduction in motion artifacts when compared to the traditional filtered back-projection reconstructions, which is evidenced both in the simulation study (image MAE drops from 178 ± $ \pm $ 33HU to 37 ± $ \pm $ 9HU, structural similarity index (SSIM) increases from 0.60 ± $ \pm $ 0.06 to 0.98 ± $ \pm $ 0.01) and the phantom study (image MAE drops from 117 ± $ \pm $ 17HU to 42 ± $ \pm $ 19HU, SSIM increases from 0.83 ± $ \pm $ 0.04 to 0.98 ± $ \pm $ 0.02). CONCLUSIONS: We demonstrate that using PAR and our proposed deep learning model enables accurate estimation of patient head motion and effectively reduces motion artifacts in the resulting head CT images.


Artifacts , Deep Learning , Image Processing, Computer-Assisted , Tomography, X-Ray Computed , Humans , Tomography, X-Ray Computed/methods , Image Processing, Computer-Assisted/methods , Head/diagnostic imaging , Head Movements , Phantoms, Imaging
14.
J Cancer Res Ther ; 20(2): 615-624, 2024 Apr 01.
Article En | MEDLINE | ID: mdl-38687932

AIM: The accurate reconstruction of cone-beam computed tomography (CBCT) from sparse projections is one of the most important areas for study. The compressed sensing theory has been widely employed in the sparse reconstruction of CBCT. However, the total variation (TV) approach solely uses information from the i-coordinate, j-coordinate, and k-coordinate gradients to reconstruct the CBCT image. MATERIALS AND METHODS: It is well recognized that the CBCT image can be reconstructed more accurately with more gradient information from different directions. Thus, this study introduces a novel approach, named the new multi-gradient direction total variation minimization method. The method uses gradient information from the ij-coordinate, ik-coordinate, and jk-coordinate directions to reconstruct CBCT images, which incorporates nine different types of gradient information from nine directions. RESULTS: This study assessed the efficacy of the proposed methodology using under-sampled projections from four different experiments, including two digital phantoms, one patient's head dataset, and one physical phantom dataset. The results indicated that the proposed method achieved the lowest RMSE index and the highest SSIM index. Meanwhile, we compared the voxel intensity curves of the reconstructed images to assess the edge structure preservation. Among the various methods compared, the curves generated by the proposed method exhibited the highest level of consistency with the gold standard image curves. CONCLUSION: In summary, the proposed method showed significant potential in enhancing the quality and accuracy of CBCT image reconstruction.


Algorithms , Cone-Beam Computed Tomography , Image Processing, Computer-Assisted , Phantoms, Imaging , Humans , Cone-Beam Computed Tomography/methods , Image Processing, Computer-Assisted/methods , Radiographic Image Interpretation, Computer-Assisted/methods , Head/diagnostic imaging
15.
Radiat Prot Dosimetry ; 200(7): 677-686, 2024 May 08.
Article En | MEDLINE | ID: mdl-38678314

The objective of this paper is to compare the differences between volumetric CT dose index (CTDIVOL) and size-specific dose estimate (SSDEWED) based on water equivalent diameter (WED) in radiation dose measurement, and explore a new method for fast calculation of SSDEWED. The imaging data of 1238 cases of head, 1152 cases of chest and 976 cases of abdominopelvic were analyzed retrospectively, and they were divided into five age groups: ≤ 0.5, 0.5 ~ ≤ 1, 1 ~ ≤ 5, 5 ~ ≤ 10 and 10 ~ ≤ 15 years according to age. The area of interest (AR), CT value (CTR), lateral diameter (LAT) and anteroposterior diameter (AP) of the median cross-sectional image of the standard scanning range and the SSDEWED were manually calculated, and a t-test was used to compare the differences between CTDIVOL and SSDEWED in different age groups. Pearson analyzed the correlations between DE and age, DE and WED, f and age, and counted the means of conversion factors in each age group, and analyze the error ratios between SSDE calculated based on the mean age group conversion factors and actual measured SSDE. The CTDIVOL in head was (9.41 ± 1.42) mGy and the SSDEWED was (8.25 ± 0.70) mGy: the difference was statistically significant (t = 55.04, P < 0.001); the CTDIVOL of chest was (2.68 ± 0.91) mGy and the SSDEWED was (5.16 ± 1.16) mGy, with a statistically significant difference (t = -218.78, P < 0.001); the CTDIVOL of abdominopelvic was (3.09 ± 1.58) mGy and the SSDEWED was (5.89 ± 2.19) mGy: the difference was also statistically significant (t = -112.28, P < 0.001). The CTDIVOL was larger than the SSDEWED in the head except for the ≤ 0.5 year subgroup, and CTDIVOL was smaller than SSDEWED within each subgroup in chest and abdominopelvic. There were strong negative correlations between f and age (head: r = -0.81; chest: r = -0.89; abdominopelvic: r = -0.86; P < 0.001). The mean values of f at each examination region were 0.81 ~ 1.01 for head, 1.65 ~ 2.34 for chest and 1.71 ~ 2.35 for abdominopelvic region. The SSDEWED could be accurately estimated using the mean f of each age subgroup. SSDEWED can more accurately measure the radiation dose of children. For children of different ages and examination regions, the SSDEWED conversion factors based on age subgroup can be quickly adjusted and improve the accuracy of radiation dose estimation.


Radiation Dosage , Tomography, X-Ray Computed , Humans , Child , Tomography, X-Ray Computed/methods , Child, Preschool , Adolescent , Infant , Female , Male , Retrospective Studies , Infant, Newborn , Head/diagnostic imaging , Head/radiation effects , Radiography, Thoracic/methods
16.
Phys Med ; 121: 103359, 2024 May.
Article En | MEDLINE | ID: mdl-38688073

PURPOSE: Strokes are severe cardiovascular and circulatory diseases with two main types: ischemic and hemorrhagic. Clinically, brain images such as computed tomography (CT) and computed tomography angiography (CTA) are widely used to recognize stroke types. However, few studies have combined imaging and clinical data to classify stroke or consider a factor as an Independent etiology. METHODS: In this work, we propose a classification model that automatically distinguishes stroke types with hypertension as an independent etiology based on brain imaging and clinical data. We first present a preprocessing workflow for head axial CT angiograms, including noise reduction and feature enhancement of the images, followed by an extraction of regions of interest. Next, we develop a multi-scale feature fusion model that combines the location information of position features and the semantic information of deep features. Furthermore, we integrate brain imaging with clinical information through a multimodal learning model to achieve more reliable results. RESULTS: Experimental results show our proposed models outperform state-of-the-art models on real imaging and clinical data, which reveals the potential of multimodal learning in brain disease diagnosis. CONCLUSION: The proposed methodologies can be extended to create AI-driven diagnostic assistance technology for categorizing strokes.


Computed Tomography Angiography , Head , Hypertension , Image Processing, Computer-Assisted , Machine Learning , Stroke , Humans , Stroke/diagnostic imaging , Head/diagnostic imaging , Image Processing, Computer-Assisted/methods , Hypertension/diagnostic imaging , Hypertension/complications , Brain/diagnostic imaging
17.
J Med Radiat Sci ; 71(2): 251-260, 2024 Jun.
Article En | MEDLINE | ID: mdl-38454637

INTRODUCTION: Concerns regarding the adverse consequences of radiation have increased due to the expanded application of computed tomography (CT) in medical practice. Certain studies have indicated that the radiation dosage depends on the anatomical region, the imaging technique employed and patient-specific variables. The aim of this study is to present fitting models for the estimation of age-specific dose estimates (ASDE), in the same direction of size-specific dose estimates, and effective doses based on patient age, gender and the type of CT examination used in paediatric head, chest and abdomen-pelvis imaging. METHODS: A total of 583 paediatric patients were included in the study. Radiometric data were gathered from DICOM files. The patients were categorised into five distinct groups (under 15 years of age), and the effective dose, organ dose and ASDE were computed for the CT examinations involving the head, chest and abdomen-pelvis. Finally, the best fitting models were presented for estimation of ASDE and effective doses based on patient age, gender and the type of examination. RESULTS: The ASDE in head, chest, and abdomen-pelvis CT examinations increases with increasing age. As age increases, the effective dose in head and abdomen-pelvis CT scans decreased. However, for chest scans, the effective dose initially showed a decreasing trend until the first year of life; after that, it increases in correlation with age. CONCLUSIONS: Based on the presented fitting model for the ASDE, these CT scan quantities depend on factors such as patient age and the type of CT examination. For the effective dose, the gender was also included in the fitting model. By utilising the information about the scan type, region and age, it becomes feasible to estimate the ASDE and effective dose using the models provided in this study.


Head , Radiation Dosage , Tomography, X-Ray Computed , Humans , Child , Female , Male , Adolescent , Child, Preschool , Infant , Head/diagnostic imaging , Pelvis/diagnostic imaging , Abdomen/diagnostic imaging , Thorax/diagnostic imaging , Age Factors , Infant, Newborn , Radiography, Thoracic , Radiography, Abdominal/methods
18.
Radiat Prot Dosimetry ; 200(6): 564-571, 2024 Apr 20.
Article En | MEDLINE | ID: mdl-38453140

The International Atomic Energy Agency, as part of the new regional project (RAF/9/059), recommend the establishment of diagnostic reference levels (DRLs) in Africa. In response to this recommendation, this project was designed to establish and utilise national DRLs of routine computed tomography (CT) examinations. These were done by estimating CT dose index and dose length product (DLP) from a minimum of 20 patient dose report of the most frequently used procedures using 75th percentile distribution of the median values. In all, 22 centres that formed 54% of all CT equipment in the country took part in this study. Additionally, a total of 2156 adult patients dose report were randomly selected, with a percentage distribution of 60, 12, 21 and 7% for head, chest, abdomen-pelvis and lumber spine, respectively. The established DRL for volume CT dose index were 60.0, 15.7, 20.5 and 23.8 mGy for head, chest, abdomen-pelvis and lumber spine, respectively. While the established DRL for DLP were 962.9, 1102.8, 1393.5 and 824.6 mGy-cm for head, chest, abdomen-pelvis, and lumber spine, respectively. These preliminary results were comparable with data from 16 other African countries, European Commission and the International Commission on Radiological Protection. Hence, this study would serve as a baseline for the establishment of a more generalised regional and national adult DRLs for Africa and other developing countries.


Radiation Dosage , Tomography, X-Ray Computed , Humans , Tomography, X-Ray Computed/methods , Adult , Ghana , Diagnostic Reference Levels , Male , Female , Head/diagnostic imaging , Middle Aged , Reference Values
19.
Sci Rep ; 14(1): 6393, 2024 03 16.
Article En | MEDLINE | ID: mdl-38493258

The use of mobile head CT scanners in the neurointensive care unit (NICU) saves time for patients and NICU staff and can reduce transport-related mishaps, but the reduced image quality of previous mobile scanners has prevented their widespread clinical use. This study compares the image quality of SOMATOM On.Site (Siemens Healthineers, Erlangen, Germany), a state-of-the-art mobile head CT scanner, and a conventional 64-slice stationary CT scanner. The study included 40 patients who underwent head scans with both mobile and stationary scanners. Gray and white matter signal and noise were measured at predefined locations on axial slices, and signal-to-noise ratios (SNRs) and contrast-to-noise ratios (CNRs) were calculated. Artifacts below the cranial calvaria and in the posterior fossa were also measured. In addition, image quality was subjectively assessed by two radiologists in terms of corticomedullary differentiation, subcalvarial space, skull artifacts, and image noise. Quantitative measurements showed significantly higher image quality of the stationary CT scanner in terms of noise, SNR and CNR of gray and white matter. Artifacts measured in the posterior fossa were higher with the mobile CT scanner, but subcalvarial artifacts were comparable. Subjective image quality was rated similarly by two radiologists for both scanners in all domains except image noise, which was better for stationary CT scans. The image quality of the SOMATOM On.Site for brain scans is inferior to that of the conventional stationary scanner, but appears to be adequate for daily use in a clinical setting based on subjective ratings.


Tomography, X-Ray Computed , White Matter , Humans , Tomography Scanners, X-Ray Computed , Tomography, X-Ray Computed/methods , Head/diagnostic imaging , Skull/diagnostic imaging , Radiation Dosage
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