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1.
Br J Radiol ; 2024 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-38833675

RESUMO

OBJECTIVES: To investigate the relations among effective atomic number (Zeff), density, and area of paraspinal muscles, volumetric BMD (vBMD), and acute vertebral fractures (VF) by using spectral base images (SBIs) and routine CT images. METHODS: A total of 223 patients (52 men and 171 women) with acute VF and seven hundred and seventy-six subjects (286 men and 390 women) without VF of at least 60 years were enrolled and underwent dual-layer detector CT scans. We quantified the cross-sectional area (paraSMA), density (paraSMD) and Zeff of paraspinal muscles by CT images and SBIs and measured vBMD of the lumbar spine by quantitative CT. RESULTS: Higher vBMD was associated with lower VF risk in both sexes (adjusted OR, 0.33 and 0.43). After adjusting for age and BMI, the associations of ParaSMD with VF were not significant in men, and in women the association was borderline significant (OR, 0.80; 95% CI, 0.64 to 1.00). However, higher Zeff of paraspinal muscles was associated with lower VF risk in men (adjusted OR, 0.59; 0.36 to 0.96) but not in women. The associations of all muscle indexes with VF were not significant after further adjusting for vBMD. CONCLUSIONS: A higher Zeff of paraspinal muscles is associated with lower VF risk in older men but not in older women. The density, area and Zeff of paraspinal muscles were not vBMD independent risk factors for acute VF. ADVANCES IN KNOWLEDGE: The effective atomic number of paraspinal muscles might be a potential marker for vertebral fracture risk prediction.

2.
Int J Gen Med ; 17: 1263-1272, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38577398

RESUMO

Purpose: To investigate the quantitative assessment of carotid plaque by each parameter of dual-layer detector spectral CT and its diagnostic value in patients with acute cerebral infarction. Patients and Methods: Eighty-three patients with carotid atherosclerotic plaques who underwent spectral CT scanning were retrospectively included. Forty-two patients with acute ischaemic stroke (AIS) were included in the study group, and 41 patients without AIS were included in the control group. We compared the detection of carotid plaques in the two groups and the differences in the spectral quantitative parameters of the plaques in the two groups, and their diagnostic efficacy was obtained. Results: The detection rate of carotid plaques in the AIS group was higher than that in the non-AIS group (p<0.05); the carotid plaques in the AIS group mainly consisted of non-calcified plaques, while those in the non-AIS group mainly consisted of calcified plaques. The effective atomic number (Zeff), slope of the energy spectrum curve (λH), electron density (ED), and iodine-no-water value of the carotid plaques in the AIS group were lower than those in the non-AIS (p<0.05). For the differentiation of the carotid plaques in the AIS group from those in the non-AIS group, the area under the curve (AUC) of Zeff amounted to 0.637 (cut-off value: 11.865; sensitivity: 72.5%; specificity: 56.2%), the AUC of λH amounted to 0.628 (cut-off value: 19.56; sensitivity: 76.3%; specificity: 51.6%), and that for ED amounted to 0.624 (cut-off value: 110.45; sensitivity: 60.0%; specificity: 64.1%), AUC of iodine-no-water value amounted to 0.645 (cut-off value: 9.125; sensitivity: 61.3%; specificity: 65.6%). Conclusion: In summary, the quantitative parameters of dual-layer detector spectral CT can be used to assess plaque stability and have certain value in the diagnosis of AIS. The quantitative parameters can effectively differentiate carotid plaques in AIS and non-AIS patients.

3.
Animals (Basel) ; 14(7)2024 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-38612304

RESUMO

Single-source dual energy (SSDECT) and detector-based spectral computed tomography (DBSCT) are emerging technologies allowing the interrogation of materials that have different attenuation properties at different energies. Both technologies enable the calculation of effective atomic number (EAN), an index to determine tissue composition, and electron density (ED), which is assumed to be associated with cellularity in tissues. In the present prospective observational study, EAN and ED values were determined for 16 zones in normal subchondral and trabecular bone of 37 equine cadaver limbs. Using both technologies, the following findings were obtained: 1. palmar/plantar EAN zone values in the fetlock increased significantly with increasing age of the horse; 2. all EAN and ED values were significantly lower in the trabecular bone than in the subchondral bone of all phalanges; 3. in the distal phalanx and navicular bone, most EAN and ED values were significantly lower compared to the proximal and middle phalanx; and 4. some EAN and ED values were significantly different between front and hind limbs. Several EAN and ED values significantly differed between SSDECT and DBSCT. The reported EAN and ED values in the subchondral and trabecular bone of the equine distal limb may serve as preliminary reference values and aid future evaluation and classification of diseases.

4.
Br J Radiol ; 97(1158): 1180-1190, 2024 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-38597871

RESUMO

OBJECTIVES: We propose a deep learning (DL) multitask learning framework using convolutional neural network for a direct conversion of single-energy CT (SECT) to 3 different parametric maps of dual-energy CT (DECT): virtual-monochromatic image (VMI), effective atomic number (EAN), and relative electron density (RED). METHODS: We propose VMI-Net for conversion of SECT to 70, 120, and 200 keV VMIs. In addition, EAN-Net and RED-Net were also developed to convert SECT to EAN and RED. We trained and validated our model using 67 patients collected between 2019 and 2020. Single-layer CT images with 120 kVp acquired by the DECT (IQon spectral CT; Philips Healthcare, Amsterdam, Netherlands) were used as input, while the VMIs, EAN, and RED acquired by the same device were used as target. The performance of the DL framework was evaluated by absolute difference (AD) and relative difference (RD). RESULTS: The VMI-Net converted 120 kVp SECT to the VMIs with AD of 9.02 Hounsfield Unit, and RD of 0.41% compared to the ground truth VMIs. The ADs of the converted EAN and RED were 0.29 and 0.96, respectively, while the RDs were 1.99% and 0.50% for the converted EAN and RED, respectively. CONCLUSIONS: SECT images were directly converted to the 3 parametric maps of DECT (ie, VMIs, EAN, and RED). By using this model, one can generate the parametric information from SECT images without DECT device. Our model can help investigate the parametric information from SECT retrospectively. ADVANCES IN KNOWLEDGE: DL framework enables converting SECT to various high-quality parametric maps of DECT.


Assuntos
Redes Neurais de Computação , Imagem Radiográfica a Partir de Emissão de Duplo Fóton , Tomografia Computadorizada por Raios X , Humanos , Tomografia Computadorizada por Raios X/métodos , Imagem Radiográfica a Partir de Emissão de Duplo Fóton/métodos , Aprendizado Profundo
5.
Phys Med Biol ; 69(7)2024 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-38452379

RESUMO

Objective.The purpose of this study is to propose a novel blurring correction method that enables accurate quantitative analysis of the object edge when using energy-resolving photon counting detectors (ERPCDs). Although the ERPCDs have the ability to generate various quantitative analysis techniques, such as the derivations of effective atomic number (Zeff) and bone mineral density values, at the object edge in these quantitative images, accurate quantitative information cannot be obtained. This is because image blurring prevents the gathering of accurate primary x-ray attenuation information.Approach.We developed the following procedure for blurring correction. A 5 × 5 pixels masking region was set as the processing area, and the pixels affected by blurring were extracted from the analysis of pixel value distribution. The blurred pixel values were then corrected to the proper values estimated by analyzing minimum and/or maximum values in the set mask area. The suitability of our correction method was verified by a simulation study and an experiment using a prototype ERPCD.Main results. WhenZeffimage of aluminum objects (Zeff= 13) were analyzed without applying our correction method, regardless of raw data or correction data applying a conventional edge enhancement method, the properZeffvalues could not be derived for the object edge. In contrast, when applying our correction method, 82% of pixels affected by blurring were corrected and the properZeffvalues were calculated for those pixels. As a result of investigating the applicability limits of our method through simulation, it was proven that it works effectively for objects with 4 × 4 pixels or more.Significance. Our method is effective in correcting image blurring when the quantitative image is calculated based on multiple images. It will become an in-demand technology for putting a quantitative diagnosis into actual medical examinations.


Assuntos
Fótons , Raios X , Radiografia , Simulação por Computador , Imagens de Fantasmas
6.
Diagnostics (Basel) ; 14(2)2024 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-38248026

RESUMO

Dual-energy CT has shown promising results in determining tumor characteristics and treatment effectiveness through spectral data by assessing normalized iodine concentration (nIC), normalized effective atomic number (nZeff), normalized electron density (nED), and extracellular volume (ECV). This study explores the value of quantitative parameters in contrast-enhanced dual-layer spectral detector CT (SDCT) as a potential tool for detecting lymph node activity in lymphoma patients. A retrospective analysis of 55 lymphoma patients with 289 lymph nodes, assessed through 18FDG-PET/CT and the Deauville five-point scale, revealed significantly higher values of nIC, nZeff, nED, and ECV in active lymph nodes compared to inactive ones (p < 0.001). Generalized linear mixed models showed statistically significant fixed-effect parameters for nIC, nZeff, and ECV (p < 0.05). The area under the receiver operating characteristic curve (AUROC) values of nIC, nZeff, and ECV reached 0.822, 0.845, and 0.811 for diagnosing lymph node activity. In conclusion, the use of g nIC, nZeff, and ECV as alternative imaging biomarkers to PET/CT for identifying lymph node activity in lymphoma holds potential as a reliable diagnostic tool that can guide treatment decisions.

7.
Curr Radiopharm ; 2024 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-38192131

RESUMO

INTRODUCTION: Employees may be exposed to different kinds of ionizing radiation at work. When ionizing radiation interacts with human cells, it can cause damage to the cells and genetic material. Therefore, one of the scientists' primary objectives has always been to create the best radiation-shielding materials. Glass could offer promising shielding material resulting from the high flexibility of composition, simplicity of production, and good thermal stability. MATERIALS AND METHODS: The melt-quenching technique was used to create a glass having the following formula: 50%P2O5+20%Na2O+20%Fe2O3+10%X, where X = As2O3, SrO, BaO, CdO, and Sb2O3 mol %. The impact of the different heavy metal additions on the structure of the glass networks was studied using FTIR spectroscopy. Glass's ability to attenuate neutrons and/or charged particles has been theoretically investigated. The performance of the developed glass as a shield was examined by a comparison against commercial glass (RS 253 G18), ordinary concrete (OC), and water (H2O). RESULTS: For charged particle radiations (Electrons, Protons, and Alpha), the shielding parameters like the mass stopping power, the projected range, and the effective atomic number were evaluated, where S5/Sb glass achieves the best performance. In the case of Neutrons, the results values reveal that S3/Ba glass ( Σ! = 0.105) is the best-modified glass for neutron shielding. CONCLUSION: Among all the investigated glasses, S5/Sb glass composition has a smaller range and provides superior protection against charged particles. In contrast, the S3/Ba glass composition is a superior choice for shielding against neutron radiation.

8.
Med Phys ; 51(1): 419-427, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37459046

RESUMO

BACKGROUND: The effective atomic number (Zeff ) is widely applied to the identification of unknown materials. One method to determine the Zeff is material-decomposition-based spectral X-ray imaging. The method relies on certain approximations of the X-ray interaction cross-sections such as empirical model coefficients. The impact of such approximations on the accuracy of Zeff quantification has not been fully investigated. PURPOSE: To perform an error analysis of the material-decomposition-based Zeff quantification method and propose a coefficient calibration-in-groups method to improve the modeling accuracy and reduce the Zeff quantification error. METHODS: The model of the material-decomposition-based Zeff quantification method relies on the dependence of the interaction cross-sections  (σPE ) on the atomic number Z and corresponding coefficient, that is, σ PE ∝ Z m $\sigma _\mathrm{PE}\propto Z^m$ . In this work, all the data is from the National Institute of Standards and Technology (NIST) website. First, the coefficient m is calibrated through a logarithmic fitting method to quickly determine the m values for any certain energy and Zeff ranges. Then materials including elements and common compounds with Zeff ranging from 6-20 are selected as the objects whose effective atomic numbers are to be quantified. Different combinations of basis materials are applied to decompose the object materials and their quantification errors are analyzed. With the help of error analysis, the object materials are divided into high-error and low-error groups based on the decomposition coefficient ratio a m i n / a m a x $a_{min}/a_{max}$ , which is found to have a strong correlation with error, and their coefficients are calibrated in groups. Finally, the average errors of three m selection strategies: (1) using an empirical m value of 3.94, which is also considered a standard method; (2) using a single m value, which is calibrated through the logarithmic fitting method; (3) using different m values calibrated in groups, are calculated to test the effectiveness of our method. RESULTS: The approximation of the X-ray interaction cross-section leads to certain errors in Zeff quantification and the error distributions for different basis materials are different. The average errors for most basis material combinations (C(6)/Ca(20), C(6)/Al(13), Al(13)/Ca(20), C(6)/Ne(10), Na(11)/P(15)) are lower than 0.5, maintaining good average accuracy. While the average error for S(16)/Ca(20) is up to 0.8461, leading to more misjudgments on atomic number. Meanwhile, the error distribution regularity can be observed. The Pearson's correlation coefficients of absolute errors and decomposition coefficient ratios are 0.743, 0.8432 and 0.7126 for basis material combinations C(6)/Ca(20), C(6)/Al(13) and Al(13)/Ca(20), indicating a good correlation. The method using either empirical m value of 3.94 or single calibrated m value of 4.619 has relatively high average errors. The proposed method using different m values calibrated in groups has the lowest average errors 0.254, 0.203 and 0.169, which are reduced by 21.6%(0.07), 3.8%(0.008) and 62.9%(0.286) respectively compared with the standard method. CONCLUSIONS: The error analysis demonstrates that the approximation of X-ray interaction cross-sections leads to inevitable errors, while also revealing certain error distribution regularity. The coefficient calibrated-in-groups method has better modeling accuracy and has effectively reduced the error compared with the standard method using a single empirical m value of 3.94.


Assuntos
Tomografia Computadorizada por Raios X , Tomografia Computadorizada por Raios X/métodos , Imagens de Fantasmas , Raios X , Calibragem
9.
Brain Res Bull ; 203: 110775, 2023 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-37797749

RESUMO

OBJECTIVE: To investigate the role of spectral CT multiparametric imaging in the evaluation of cerebral microcirculatory perfusion. METHODS: The imaging data of 145 patients with asymptomatic cerebral infarction confirmed by MR were retrospectively analyzed, and all cases underwent head CTA and cranial CT perfusion imaging (CTP) on double-layer detector spectral CT. Single energy level images (MonoE45 keV), iodine density maps, and effective atomic number maps were reconstructed based on spectral CTA data, and CT values, iodine density values, and effective atomic number values were measured in the infarcted area, healthy control area, centrum semiovale and posterior limb of the internal capsule, respectively; perfusion values, such as cerebral blood volume (CBV) values, cerebral blood flow (CBF) values, time to peak (TTP) values, and mean passage time, were measured in the above-mentioned areas on CTP images. (TTP) values, and mean time to passage (MTT) values. CT values, iodine density values, effective atomic number values, and perfused CBV, CBF, TTP, and MTT values were compared between the infarcted area and the healthy side, the center of the hemianopia, and the posterior limb of the internal capsule. The role of spectral CT parameters and perfusion parameters in the evaluation of asymptomatic cerebral infarction was analyzed. RESULTS: CT values, iodine density values, and effective atomic number values were statistically different between the infarcted area and the healthy side; CT values, iodine density values, and effective atomic number values were not statistically different between the infarcted side and the healthy side of the hemispheric centrum and the posterior limb of the internal capsule; CBV and CBF were statistically different between the infarcted side and the healthy side, and MTT and TTP were not statistically different. There were statistically significant differences in TTP between the infarcted area and the healthy side of the hemiaxial center, and no statistically significant differences in CBV, CBF, and MTT. There were no statistical differences in CBV, CBF, TTP, and MTT in the inner capsule area. ROC curve analysis of spectral CT-related parameters and CT perfusion parameters for the diagnosis of asymptomatic cerebral infarction: area under the curve of MonoE 45Kv 0.71, area under the curve of iodine density values 0.76, area under the curve of effective atomic number values 0.74; area under the curve of CBV value 0.64, area under the curve of CBF value 0.61, area under the curve of MTT value 0.50, The area under the TTP curve was 0.52. The area under the ROC curve of the multivariate logistic regression model based on spectral parameters is 0.76, which is higher than that of the logistic regression model with perfusion parameters (P < 0.05). CONCLUSION: Spectral CT can better demonstrate small intracranial ischemic lesions, and iodine density values have a better evaluation of microcirculation in asymptomatic cerebral infarcts.


Assuntos
Iodo , Tomografia Computadorizada por Raios X , Humanos , Microcirculação , Tomografia Computadorizada por Raios X/métodos , Estudos Retrospectivos , Infarto Cerebral/diagnóstico por imagem , Circulação Cerebrovascular/fisiologia
10.
J Xray Sci Technol ; 31(4): 811-824, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37334644

RESUMO

BACKGROUND: Photon counting spectral CT is a significant direction in the development of CT technology and material identification is an important application of spectral CT. However, spectrum estimation in photon counting spectral CT is highly complex and may affect quantification accuracy of material identification. OBJECTIVE: To address the problem of energy spectrum estimation in photon-counting spectral CT, this study investigates empirical material decomposition algorithms to achieve accurate quantitative decomposition of the effective atomic number. METHODS: The spectrum is first calibrated using the empirical dual-energy calibration (EDEC) method and the effective atomic number is then quantitatively estimated based on the EDEC method. The accuracy of estimating the effective atomic number of materials under different calibration conditions is investigated by designing different calibration phantoms, and accurate quantitation is achieved using suitable calibration settings. Last, the validity of this method is verified through simulations and experimental studies. RESULTS: The results demonstrate that the error in estimating the effective atomic number is reduced to within 4% for low and medium Z materials, thereby enabling accurate material identification. CONCLUSION: The empirical dual-energy correction method can solve the problem of energy spectrum estimation in photon counting spectral CT. Accurate effective atomic number estimation can be achieved with suitable calibration.


Assuntos
Algoritmos , Fótons , Imagens de Fantasmas , Calibragem , Tomografia Computadorizada por Raios X/métodos
11.
Phys Med Biol ; 68(14)2023 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-37276869

RESUMO

Objective.Differentiation of breast tissues is challenging in X-ray imaging because tissues might share similar or even the same linear attenuation coefficientsµ. Spectral computed tomography (CT) allows for more quantitative characterization in terms of tissue density (ρ) and effective atomic number (Zeff) by exploiting the energy dependence ofµ. The objective of this study was to examine the potential ofρ/Zeffdecomposition in spectral breast CT so as to explore the benefits of tissue characterization and improve the diagnostic accuracy of this emerging 3D imaging technique.Approach.In this work, 5 mastectomy samples and a phantom with inserts mimicking breast soft tissues were evaluated in a retrospective study. The samples were imaged at three monochromatic energy levels in the range of 24-38 keV at 5 mGy per scan using a propagation-based phase-contrast setup at SYRMEP beamline at the Italian national synchrotron Elettra.Main results.A custom-made algorithm incorporating CT reconstructions of an arbitrary number of spectral energy channels was developed to extract the density and effective atomic number of adipose, fibro-glandular, pure glandular, tumor, and skin from regions selected by a radiologist.Significance.Preliminary results suggest that, via spectral CT, it is possible to enhance tissue differentiation. It was found that adipose, fibro-glandular and tumorous tissues have average effective atomic numbers (5.94 ± 0.09, 7.03 ± 0.012, and 7.40 ± 0.10) and densities (0.90 ± 0.02, 0.96 ± 0.02, and 1.07 ± 0.03 g cm-3) and can be better distinguished if both quantitative values are observed together.


Assuntos
Mastectomia , Tomografia Computadorizada por Raios X , Estudos Retrospectivos , Tomografia Computadorizada por Raios X/métodos , Imagens de Fantasmas , Imageamento Tridimensional
12.
J Med Imaging Radiat Oncol ; 67(6): 595-601, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37186505

RESUMO

INTRODUCTION: Spectral detector computed tomography (SDCT) is a recent advancement that enables elemental material decomposition which could improve the detection of osseous metastases in the oncologic patient. METHODS: Sixteen patients who underwent oncologic staging SDCT as well as WBBS with Technetium-99 m hydroxydiphosphonate (Tc99m HDP) were included in this retrospective study. A total of 50 osseous metastases were identified and confirmed on bone scintigraphy. Quantitative ROI-based measurements of each lesion and a similar region of normal bone were performed, and the acquired spectral data were used for comparison. These parameters included effective atomic number (Zeff ), electron density (%EDW) and calcium suppression (HU). Receiver operating characteristic (ROC) analysis was performed. RESULTS: In comparison to normal bone, osseous metastases showed statistically significantly elevated values in effective atomic number, electron density and calcium suppression. ROC analysis demonstrated outstanding discrimination with area under the curve (AUC) values of 0.934 and 0.915 for effective atomic number and electron density, and excellent discrimination with an AUC value of 0.884 for calcium suppression. Threshold values of effective atomic number (Zeff ) >9.7, electron density >115% EDW and calcium suppression values >0 HU were demonstrated to be able to differentiate an osseous lesion from normal bone with a sensitivity of 82%, 82% and 84% and a specificity of 86%, 92% and 88% respectively. CONCLUSION: Spectral analysis of osseous metastases demonstrated significantly elevated values in effective atomic number, electron density and calcium suppression as compared to normal bone which would be useful adjunct quantitative parameters in CT imaging to increase diagnostic confidence.


Assuntos
Neoplasias Ósseas , Cálcio , Humanos , Estudos Retrospectivos , Neoplasias Ósseas/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Osso e Ossos
13.
Front Neurol ; 14: 1056941, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36908613

RESUMO

Objective: To investigate the diagnostic value of quantitative parameters of spectral computed tomography (CT) in ischaemic stroke areas. Methods: The medical records of 57 patients with acute ischaemic stroke (AIS) who underwent plain computed tomography (CT) head scans, CT angiography (CTA), and CT perfusion (CTP) were retrospectively reviewed. The ischaemic areas (including the core infarct area and penumbra) and non-ischaemic areas in each patient were quantitatively analyzed using F-STROKE software. Two independent readers measured the corresponding values of the spectroscopic quantitative parameters (effective atomic number [Zeff value], iodine density value, and iodine-no-water value) in the ischaemic area and contralateral normal area alone. The differences in spectroscopic quantitative parameters between the two groups were compared, and their diagnostic efficacy was obtained. Results: The Zeff, iodine-no-water value, and iodine density value of the ischaemic area all showed significant lower than those of non-ischaemic tissue (P < 0.001). For differentiating the ischaemic area from non-ischaemic tissue, the area under the curve (AUC) of the Zeff value reached 0.869 (cut-off value: 7.385; sensitivity: 93.0%; specificity: 70.2%), the AUC of the iodine density value reached 0.932 (cut-off value: 0.235; sensitivity: 91.2%; specificity: 82.5%), and the AUC of the iodine-no-water value reached 0.922 (cut-off value: 0.205; sensitivity: 96.5%; specificity: 78.9%). Conclusion: The study showed the spectral CT would be a potential novel rapid method for identifying AIS. The spectral CT quantitative parameters (Zeff, iodine density values, and iodine-no-water values) can effectively differentiate the ischaemic area from non-ischaemic tissue in stroke patients.

14.
World J Gastroenterol ; 29(10): 1602-1613, 2023 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-36970586

RESUMO

BACKGROUND: The level of Ki-67 expression has served as a prognostic factor in gastric cancer. The quantitative parameters based on the novel dual-layer spectral detector computed tomography (DLSDCT) in discriminating the Ki-67 expression status are unclear. AIM: To investigate the diagnostic ability of DLSDCT-derived parameters for Ki-67 expression status in gastric carcinoma (GC). METHODS: Dual-phase enhanced abdominal DLSDCT was performed preoperatively in 108 patients with gastric adenocarcinoma. Primary tumor monoenergetic CT attenuation value at 40-100 kilo electron volt (kev), the slope of the spectral curve (λHU), iodine concentration (IC), normalized IC (nIC), effective atomic number (Zeff) and normalized Zeff (nZeff) in the arterial phase (AP) and venous phase (VP) were retrospectively compared between patients with low and high Ki-67 expression in gastric adenocarcinoma. Spearman's correlation coefficient was used to analyze the association between the above parameters and Ki-67 expression status. Receiver operating characteristic (ROC) curve analysis was performed to compare the diagnostic efficacy of the statistically significant parameters between two groups. RESULTS: Thirty-seven and 71 patients were classified as having low and high Ki-67 expression, respectively. CT40 kev-VP, CT70 kev-VP, CT100 kev-VP, and Zeff-related parameters were significantly higher, but IC-related parameters were lower in the group with low Ki-67 expression status than the group with high Ki-67 expression status, and other analyzed parameters showed no statistical difference between the two groups. Spearman's correlation analysis showed that CT40 kev-VP, CT70 kev-VP, CT100 kev-VP, Zeff, and nZeff exhibited a negative correlation with Ki-67 status, whereas IC and nIC had positive correlation with Ki-67 status. The ROC analysis demonstrated that the multi-variable model of spectral parameters performed well in identifying the Ki-67 status [area under the curve (AUC) = 0.967; sensitivity 95.77%; specificity 91.89%)]. Nevertheless, the differentiating capabilities of single-variable model were moderate (AUC value 0.630 - 0.835). In addition, the nZeff VP and nICVP (AUC 0.835 and 0.805) showed better performance than CT40 kev-VP, CT70 kev-VP and CT100 kev-VP (AUC 0.630, 0.631 and 0.662) in discriminating the Ki-67 status. CONCLUSION: Quantitative spectral parameters are feasible to distinguish low and high Ki-67 expression in gastric adenocarcinoma. Zeff and IC may be useful parameters for evaluating the Ki-67 expression.


Assuntos
Adenocarcinoma , Iodo , Neoplasias Gástricas , Humanos , Antígeno Ki-67 , Sensibilidade e Especificidade , Neoplasias Gástricas/diagnóstico por imagem , Estudos Retrospectivos , Diagnóstico Diferencial , Adenocarcinoma/diagnóstico por imagem , Adenocarcinoma/patologia , Curva ROC , Tomografia Computadorizada por Raios X/métodos
15.
Materials (Basel) ; 16(4)2023 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-36837210

RESUMO

This study aims to explore the radiation protection properties of white mortars based on white cement as a binder and Bi2O3 micro and nanoparticles in proportions of 15 and 30% by weight as replacement sand. The average particle size of micro- and nano-Bi2O3 was measured using a transmission electron microscope (TEM). The cross-sectional morphology and distribution of Bi2O3 within the samples can be obtained by scanning electron microscopy (SEM), showing that nanoscale Bi2O3 particles have a more homogeneous distribution within the samples than microscale Bi2O3 particles. The shielding parameters of the proposed mortars were measured using the HPGe detector at various γ-ray energies emitted by standard radioactive point sources 241Am, 133Ba, 60Co, 137Cs, and 152Eu. The experimental values of the prepared mortars' mass attenuation coefficients (MAC) match well with those determined theoretically from the XCOM database. Other shielding parameters, including half value layer (HVL), tenth value layer (TVL), mean free path (MFP), effective electron density (Neff), effective atomic number (Zeff), equivalent atomic number (Zeq), and exposure buildup factor (EBF), were also determined at different photon energies to provide more shielding information about the penetration of gamma radiation into the selected mortars. The obtained results indicated that the sample containing 30% by weight of nano Bi2O3 has the largest attenuation coefficient value. Furthermore, the results show that the sample with a high concentration of Bi2O3 has the highest equivalent atomic numbers and the lowest HVL, TVL, MFP, and EBF values. Finally, it can be concluded that Bi2O3 nanoparticles have higher efficiency and protection compared to microparticles, especially at lower gamma-ray energies.

16.
Materials (Basel) ; 16(4)2023 Feb 16.
Artigo em Inglês | MEDLINE | ID: mdl-36837279

RESUMO

In order to significantly reduce the computing time while, at the same time, keeping the accuracy and precision when determining the local values of the density and effective atomic number necessary for identifying various organic material, including explosives and narcotics, a specialized multi-stage procedure based on a multi-energy computed tomography investigation within the 20-160 keV domain was elaborated. It consisted of a compensation for beam hardening and other non-linear effects that affect the energy dependency of the linear attenuation coefficient (LAC) in the chosen energy domain, followed by a 3D fast reconstruction algorithm capable of reconstructing the local LAC values for 64 energy values from 19.8 to 158.4 keV, and, finally, the creation of a set of algorithms permitting the simultaneous determination of the density and effective atomic number of the investigated materials. This enabled determining both the density and effective atomic number of complex objects in approximately 24 s, with an accuracy and precision of less than 3%, which is a significantly better performance with respect to the reported literature values.

17.
Radiol Phys Technol ; 16(2): 168-185, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36820949

RESUMO

The mass attenuation coefficient (MAC), effective atomic number (Zeff), equivalent atomic number (Zeq), fast neutron removal cross-section (FNRCS), energy absorption buildup factor (EABF), mass-energy absorption coefficient (MenAC), relative kerma, and computed tomography (CT) numbers were calculated for the alginates, bisphenol A-glycidyl methacrylate (Bis-GMA), chitin, hyaluronic acid, polycaprolactone (PCL), polyether ether ketone (PEEK), polyethylene glycol (PEG), polyglycolide (PGA), polylactic acid (PLA), poly lacto-co-glycolic acid (PLGA), poly methyl methacrylate (PMMA), poly vinyl alcohol (PVA), polyvinylpyrrolidone (PVP), triethylene glycol dimethacrylate (TEGDMA), and urethane dimethacrylate (UDMA) polymers using the Phy-X/PSD and Py-MLBUF software. The total stopping power (TSP) of electrons, protons, and alpha particles was calculated for the selected polymers using the ESTAR, PSTAR, and ASTAR programs. The effective atomic number for absorption and charged particle (electron, proton, alpha, and carbon ion) interactions were estimated for the selected polymers using Phy-X/ZeXTRa software. The FNRCS values of Bis-GMA, PCL, PEG, PMMA, and PVP were similar to those of the human tissues. For the selected polymers, the Zeff values for electron, proton, alpha, and carbon ion interactions of PCL, PEG, PLGA, and PVA were similar to those of human tissues, except for the cortical bone, across the entire energy range. These results are expected to assist in selecting suitable polymers as tissue-equivalent materials in the desired energy range for photon, neutron, and charged-particle interactions. This study is expected to be useful for radiation therapy and dosimetry.


Assuntos
Polimetil Metacrilato , Prótons , Humanos , Bis-Fenol A-Glicidil Metacrilato , Polímeros , Polietilenoglicóis , Radiometria
18.
Rep Pract Oncol Radiother ; 27(5): 848-855, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36523807

RESUMO

Background: The effective atomic numbers obtained from dual-energy computed tomography (DECT) can aid in characterization of materials. In this study, an effective atomic number image reconstructed from a DECT image was synthesized using an equivalent single-energy CT image with a deep convolutional neural network (CNN)-based generative adversarial network (GAN). Materials and methods: The image synthesis framework to obtain the effective atomic number images from a single-energy CT image at 120 kVp using a CNN-based GAN was developed. The evaluation metrics were the mean absolute error (MAE), relative root mean square error (RMSE), relative mean square error (MSE), structural similarity index (SSIM), peak signal-to-noise ratio (PSNR), and mutual information (MI). Results: The difference between the reference and synthetic effective atomic numbers was within 9.7% in all regions of interest. The averages of MAE, RMSE, MSE, SSIM, PSNR, and MI of the reference and synthesized images in the test data were 0.09, 0.045, 0.0, 0.89, 54.97, and 1.03, respectively. Conclusions: In this study, an image synthesis framework using single-energy CT images was constructed to obtain atomic number images scanned by DECT. This image synthesis framework can aid in material decomposition without extra scans in DECT.

19.
Heliyon ; 8(11): e11788, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36458284

RESUMO

The gamma ray shielding parameters such as mass attenuation coefficient, effective atomic number, equivalent atomic number, exposure buildup factor, and energy absorption buildup factor were determined for the 47.5P2O5+45ZnO+(5-x) Bi2O3+2.5TeO2 +xSm2O3 glass system using Phy-X/PSD software in the energy range from 0.015 to 15 MeV at penetration depths of 1-40 MFP. To understand the effect of Sm2O3 on gamma ray shielding parameters in selected glass system, the Sm2O3 was varied in the glass from 0.01 to 1 mol%. The calculated results show that the mass attenuation coefficient decreases with increasing photon energy but not influenced by the addition of Sm2O3. The Zeq values are lower in low (≤100 keV) and high energy regions (1 MeV-15 MeV) and higher in the medium energy region, indicating that the Compton scattering is significant in the medium energy region. The values of exposure buildup factors and energy absorption buildup factors are smaller in the low and high energy regions than in the intermediate energy region, indicating that the photo absorption and pair creation processes are important in the low and high energy regions, respectively. The 1% mole concentration of Sm2O3 in the selected glass shows higher exposure buildup factor and energy absorption buildup factor values in the intermediate energy region. The high density, high effective atomic number, and transparency to visible light of these materials indicate that they can be used as shielding materials in nuclear reactors and nuclear technology.

20.
Artigo em Inglês | MEDLINE | ID: mdl-36429374

RESUMO

Soils subjected to disaggregation can break into aggregates of different sizes composed of sand, clay, and silt particles. Each aggregate contains different oxides, which can vary according to the aggregate size and influence its properties, such as the radiation interaction parameters. These parameters are relevant in the evaluation of radiation shielding and soil physical properties. Thirteen tropical/subtropical soils of contrasting textures (clayey and loamy/sandy) with two aggregate sizes (2-1 mm and <45 µm) were studied. The radiation parameters analyzed were the atomic (σA), electronic (σE), and molecular (σM) cross-sections; the effective atomic number (Zeff); and the electron density (Nel). We verified that the aggregate sizes affected the major oxides (SiO2, Al2O3, Fe2O3). In general, the attenuation coefficient and Zeff were sensitive to the clayey soils' aggregate sizes (low photon energies). However, the loamy/sandy soils did not exhibit differences among the parameters. As the photon energy increased, only Zeff presented differences for most soils. We also verified that σM, Zeff, and Nel were the most sensitive parameters to the soil composition. Although the soil chemical composition was influenced by the studied aggregate sizes, the radiation parameters exhibited differences for only some of these parameters. This means that the aggregate size is practically irrelevant when radiation parameters are determined based on X-ray fluorescence.


Assuntos
Poluentes do Solo , Solo , Solo/química , Raios X , Fluorescência , Dióxido de Silício , Poluentes do Solo/análise , Argila
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