A Comparative Study on the Voxel Values in Alveolar Bones Acquired by MDCT and Newly Developed Dental Dual-Energy CBCT

The purpose of this study was to analyze the effectiveness of newly developed dental dual-energy (DE) cone-beam computed tomography (CBCT) to compare both the voxel values in hard bone tissue of DE-CBCT and multidetector computed tomography (MDCT) images, collected in a clinical trial conducted at Seoul National University Dental Hospital. A software implemented as a scripted module of a three-dimensional (3D) slicer was developed to register the volume data from the MDCT space to DE-CBCT, locate the same 3D regions of interest (ROIs) in each image space, and extract the statistics of the ROIs. The mean values were paired and used as representative values of the ROIs. A scatter plot with the line of equality and Bland–Altman (BA) plot of difference for a pair of measured means were used for statistical analysis. Of the ROI pairs, 96% were within ±15% from the identity line, and more than 95% of the measured ROI pairs were within the limits of agreement of the 95% confidence intervals (CIs), with the CI of the limits in BA plots. The newly developed dental DE-CBCT showed a level of voxel value accuracy similar to that of MDCT.

Continuous-capture microwave imaging

Light-in-flight sensing has emerged as a promising technique in image reconstruction applications at various wavelengths. We report a microwave imaging system that uses an array of transmitters and a single receiver operating in continuous transmit-receive mode. Captures take a few microseconds and the corresponding images cover a spatial range of tens of square meters with spatial resolution of 0.1 meter. The images are the result of a dot product between a reconstruction matrix and the captured signal with no prior knowledge of the scene. The reconstruction matrix uses an engineered electromagnetic field mask to create unique random time patterns at every point in the scene and correlates it with the captured signal to determine the corresponding voxel value. We report the operation of the system through simulations and experiment in a laboratory scene. We demonstrate through-wall real-time imaging, tracking, and observe second-order images from specular reflections.

CT Texture Analysis Challenges: Influence of Acquisition and Reconstruction Parameters: A Comprehensive Review

Texture analysis in medical imaging is a promising tool that is designed to improve the characterization of abnormal images from patients, to ultimately serve as a predictive or prognostic biomarker. However, the nature of image acquisition itself implies variability in each pixel/voxel value that could jeopardize the usefulness of texture analysis in the medical field. In this review, a search was performed to identify current published data for computed tomography (CT) texture reproducibility and variability. On the basis of this analysis, the critical steps were identified with a view of using texture analysis as a reliable tool in medical imaging. The need to specify the CT scanners used and the associated parameters in published studies is highlighted. Harmonizing acquisition parameters between studies is a crucial step for future texture analysis.

Subsecond EEG-fMRI analysis for presurgical evaluation in focal epilepsy

OBJECTIVEThe authors recently reported a novel subsecond analysis method of analyzing EEG–functional MRI (fMRI) to improve the detection rate of epileptic focus. This study aims to validate the utility of this method for presurgical evaluation in pharmacoresistant focal epilepsy.METHODSAmong 13 patients with focal epilepsy undergoing presurgical examinations including simultaneous EEG-fMRI at 3T, 11 patients had interictal epileptiform discharges (IEDs) during fMRI. The authors used the sequence of topographic maps during the IEDs as a reference to obtain subsecond fMRI activation maps with the same temporal resolution as the EEG data, and constructed “spike-and-slow-wave-activation-summary” (SSWAS) maps that showed the activation frequency of voxels during IEDs. Clusters were defined by thresholding the SSWAS maps (voxel value > 10), and those containing voxels with the top 3 highest activation frequencies were considered significant. Significant hemodynamic responses using conventional event-related (ER) analysis and SSWAS maps were compared with the resection areas and surgical outcomes at 1 year after surgery.RESULTSUsing ER analysis, 4 (36%) of 11 patients had significant hemodynamic responses. One of 4 patients had significant hemodynamic responses in the resection area and good surgical outcome. Using SSWAS maps, 10 (91%) of 11 patients had significant hemodynamic responses. Six of 10 patients had significant hemodynamic responses in the resection area, and 5 of the 6 patients achieved good surgical outcomes. The remaining 4 patients had significant hemodynamic responses distant from the resection area, and only 1 of the 4 patients achieved good surgical outcomes. The sensitivity, specificity, positive predictive value, and negative predictive value of SSWAS maps were 83.3%, 75.0%, 83.3%, and 75.0%, respectively.CONCLUSIONSThis study demonstrated the clinical utility of SSWAS maps for presurgical evaluation of pharmacoresistant focal epilepsy. The findings indicated that subsecond EEG-fMRI analysis may help surgeons choose the resection areas that could lead to good surgical outcomes.

Quantitative assessment of variation in CBCT image technical parameters related to CBCT detector lateral-offset position

Objectives: To assess the effect of CBCT detector position (aligned/lateral-offset) on image technical parameters (mean voxel value - MVV, standard deviation of voxel value (SDVV) distribution), comparing peripheral regions of interest (ROIs) to the central ROI in CBCT volumes. Methods: 40 CBCT volumes of a wax phantom were acquired in six units with aligned and/or lateral-offset detectors: Cranex 3Dx (CRA), Ortophos SL (ORT), Picasso Trio (PIC), Promax 3D Mid (PRO), Scanora 3D (SCA), and X1. Four image-acquisition protocols used an aligned detector, and four a lateral-offset detector. In each volume, 13 ROIs (12 peripheral and 1 central) were evaluated. MVV and SDVV of the peripheral ROI were compared to those of the central ROI in the volume. MVVD (the difference in percentage, between the MVV of a peripheral and the central ROI) was calculated. Results: For aligned-detectors, MVV increased (ORT and PRO) or decreased (CRA and X1) in the ROIs farther from the centre. For lateral-offset detectors, ROIs farther from the centre showed increased MVV. SDVV for most aligned detectors was lower, the nearer the ROI was to the centre. For lateral-offset detectors, it was lower for the peripheral ROIs, except with PIC. Range for MVVD was −32.8% to 22.8% for units with aligned detectors, and −20.7% to 69.5% for lateral-offset detectors. Conclusion: Lateral-offset detectors to acquire CBCT images significantly change SDVV distribution within the field-of-view, and lead to MVVD with increased range, compared to aligned detectors. This must be taken in consideration in the clinic, if voxel-value dependent measurements are to be performed.

Towards standardization of absolute SPECT/CT quantification: a multi-center and multi-vendor phantom study

Absolute quantification of radiotracer distribution using SPECT/CT imaging is of great importance for dosimetry aimed at personalized radionuclide precision treatment. However, its accuracy depends on many factors. Using phantom measurements, this multi-vendor and multi-center study evaluates the quantitative accuracy and inter-system variability of various SPECT/CT systems as well as the effect of patient size, processing software and reconstruction algorithms on recovery coefficients (RC). Methods Five SPECT/CT systems were included: Discovery™ NM/CT 670 Pro (GE Healthcare), Precedence™ 6 (Philips Healthcare), Symbia Intevo™, and Symbia™ T16 (twice) (Siemens Healthineers). Three phantoms were used based on the NEMA IEC body phantom without lung insert simulating body mass indexes (BMI) of 25, 28, and 47 kg/m2. Six spheres (0.5–26.5 mL) and background were filled with 0.1 and 0.01 MBq/mL 99mTc-pertechnetate, respectively. Volumes of interest (VOI) of spheres were obtained by a region growing technique using a 50% threshold of the maximum voxel value corrected for background activity. RC, defined as imaged activity concentration divided by actual activity concentration, were determined for maximum (RCmax) and mean voxel value (RCmean) in the VOI for each sphere diameter. Inter-system variability was expressed as median absolute deviation (MAD) of RC. Acquisition settings were standardized. Images were reconstructed using vendor-specific 3D iterative reconstruction algorithms with institute-specific settings used in clinical practice and processed using a standardized, in-house developed processing tool based on the SimpleITK framework. Additionally, all data were reconstructed with a vendor-neutral reconstruction algorithm (Hybrid Recon™; Hermes Medical Solutions). Results RC decreased with decreasing sphere diameter for each system. Inter-system variability (MAD) was 16 and 17% for RCmean and RCmax, respectively. Standardized reconstruction decreased this variability to 4 and 5%. High BMI hampers quantification of small lesions (< 10 ml). Conclusion Absolute SPECT quantification in a multi-center and multi-vendor setting is feasible, especially when reconstruction protocols are standardized, paving the way for a standard for absolute quantitative SPECT.

ANALYSIS OF THE SIDE-LAP EFFECT ON FULL-WAVEFORM LIDAR DATA ACQUISITION FOR THE ESTIMATION OF FOREST STRUCTURE VARIABLES

LiDAR full-waveform provides a better description of the physical and forest vertical structure properties than discrete LiDAR since it registers the full wave that interacts with the canopy. In this paper, the effect of flight line side-lap is analysed on forest structure and canopy fuel variables estimations. Differences are related to pulse density changes between flight stripe side-lap areas, varying the point density between 2.65&thinsp;m&lt;sup&gt;&minus;2&lt;/sup&gt; and 33.77&thinsp;m&lt;sup&gt;&minus;2&lt;/sup&gt; in our study area. These differences modify metrics extracted from data and therefore variable values estimated from these metrics such as forest stand variables. In order to assess this effect, 64 pairwise samples were selected in adjacent areas with similar canopy structure, but having different point densities. Two parameters were tested and evaluated to minimise this effect: voxel size and voxel value assignation testing maximum, mean, median, mode, percentiles 90 and 95. &lt;br&gt;&lt;br&gt; Student’s t-test or Wilcoxon test were used for the comparison of paired samples. Moreover, the absolute value of standardised paired samples was calculated to quantify dissimilarities. It was concluded that optimizing voxel size and voxel value assignation minimised the effect of point density variations and homogenised full-waveform metrics. Height/median ratio (HTMR) and Vertical distribution ratio (VDR) had the lowest variability between different densities, and Return waveform energy (RWE) reached the best improvement with respect to initial data, being the difference between standardised paired samples 1.28 before and 0.69 after modification.

ANALYSIS OF THE SIDE-LAP EFFECT ON FULL-WAVEFORM LIDAR DATA ACQUISITION FOR THE ESTIMATION OF FOREST STRUCTURE VARIABLES

LiDAR full-waveform provides a better description of the physical and forest vertical structure properties than discrete LiDAR since it registers the full wave that interacts with the canopy. In this paper, the effect of flight line side-lap is analysed on forest structure and canopy fuel variables estimations. Differences are related to pulse density changes between flight stripe side-lap areas, varying the point density between 2.65&thinsp;m^&minus;2 and 33.77&thinsp;m^&minus;2 in our study area. These differences modify metrics extracted from data and therefore variable values estimated from these metrics such as forest stand variables. In order to assess this effect, 64 pairwise samples were selected in adjacent areas with similar canopy structure, but having different point densities. Two parameters were tested and evaluated to minimise this effect: voxel size and voxel value assignation testing maximum, mean, median, mode, percentiles 90 and 95. <br><br> Student’s t-test or Wilcoxon test were used for the comparison of paired samples. Moreover, the absolute value of standardised paired samples was calculated to quantify dissimilarities. It was concluded that optimizing voxel size and voxel value assignation minimised the effect of point density variations and homogenised full-waveform metrics. Height/median ratio (HTMR) and Vertical distribution ratio (VDR) had the lowest variability between different densities, and Return waveform energy (RWE) reached the best improvement with respect to initial data, being the difference between standardised paired samples 1.28 before and 0.69 after modification.

RASTERIZATION AND VOXELIZATION OF TWO- AND THREE-DIMENSIONAL SPACE PARTITIONINGS

The paper presents a very straightforward and effective algorithm to convert a space partitioning, made up of polyhedral objects, into a 3D block of voxels, which is fully occupied, i.e. in which every voxel has a value. In addition to walls, floors, etc. there are 'air' voxels, which in turn may be distinguished as indoor and outdoor air. The method is a 3D extension of a 2D polygon-to-raster conversion algorithm. The input of the algorithm is a set of non-overlapping, closed polyhedra, which can be nested or touching. The air volume is not necessarily represented explicitly as a polyhedron (it can be treated as 'background', leading to the 'default' voxel value). The approach consists of two stages, the first being object (boundary) based, the second scan-line based. In addition to planar faces, other primitives, such as ellipsoids, can be accommodated in the first stage without affecting the second.