Several studies have shown that measuring changes in gait could provide an easier method of diagnosing and
monitoring concussions. The purpose of this study was to measure radar signal returns to explore if differences
in gait patterns between normal and "concussed" individuals could be identified from radar spectrogram data.
Access to concussed individuals was not available during this feasibility study. Instead, based on research that
demonstrated concussion impairment is equivalent to a blood alcohol content (BAC) of 0.05%, BAC impairment
goggles were used to visually simulate a concussion. Both "impaired" and "not impaired" individuals were asked
to complete only a motor skill task (walking) and then complete motor skill and cognitive skill (saying the months
of the year in reverse order) tasks simultaneously. Results from the tests were analyzed using informationtheoretic
(IT) techniques. IT algorithms were selected because of their potential to identify similarities and
differences without having the requirement of a priori knowledge on an individual. To quantify results, two
methods were incorporated: decision index, D(Q), analysis with receiver operating characteristic (ROC) curves
and object-feature matrix clustering. Both techniques showed acceptable percent correctness in discriminating
between normal and "impaired" individuals.
Several studies have shown that the concentration of certain elements may be a disease indicator. We are developing a spectroscopic imaging technique, Neutron Stimulated Emission Computed Tomography (NSECT), to non-invasively measure and image elemental concentrations within the body. The region of interest is interrogated via a beam of high-energy neutrons that excite elemental nuclei through inelastic scatter. These excited nuclei then relax by emitting characteristic gamma radiation. Acquiring the gamma energy spectrum in a tomographic geometry allows reconstruction of elemental concentration images. Our previous studies have demonstrated NSECT's ability to obtain spectra and images of known elements and phantoms, as well as, initial interrogations of biological tissue. Here, we describe the results obtained from NSECT interrogation of a fixed mouse specimen. The specimen was interrogated via a 5MeV neutron beam for 9.3 hours in order to ensure reasonable counting statistics. The gamma energy spectrum was obtained using two High-Purity Germanium (HPGe) clover detectors. A background spectrum was obtained by interrogating a specimen container containing 50mL of 0.9% NaCl solution. Several elements of biological interest including 12C, 40Ca, 31P, and 39K were identified with greater then 90% confidence. This interrogation demonstrates the feasibility of NSECT interrogation of small animals. Interrogation with a commercial neutron source that provides higher neutron flux and lower energy (~2.5MeV) neutrons would reduce scanning time and eliminate background from certain elements.
Neutron Stimulated Emission Computed Tomography (NSECT) was evaluated as a potential technique for breast cancer diagnosis. NSECT can form a 3D tomographic image with an elemental (isotopic) spectrum provided at each reconstructed voxel. The target is illuminated (in vivo) by a neutron beam that scatters in-elastically producing characteristic gamma emission that is acquired tomographically with a spectrograph. Images are reconstructed of each element in the acquired spectrum. NSECT imaging was simulated for benign and malignant breast masses. A range of the number of incident neutrons was simulated from 19 million to 500k neutrons. Simulation included all known primary and secondary physical interactions in both the breast as well as in the spectrometer. Characteristic energy spectra were acquired by simulation and were analyzed for statistically significant differences between benign and malignant breasts. For 1 million incident neutrons, there were 61 differences in the spectra that were statistically significant (p < 0.05). Of these, 23 matched known characteristic emission from 6 elements that have been found in the breast (Br, Cs, K, Mn, Rb, Zn). The dose to two breasts was less than 3% of the dose of a 4 view screening mammogram. Increasing the dose to 52% of the mammogram (19 million neutrons) provided 89 significant spectral differences that matched 30 known emissions from 7 elements that have been found in the breast (Br, Co, Cs, K, Mn, Rb, Zn). Decreasing the dose to 1.4% (500K neutrons) eliminated all statistically significant matches to known elements. This study suggests that NSECT may be a viable technique for detecting human breast cancer in vivo at a reduced dose compared to 4 view screening mammography.
Certain elements (such as Fe, Cu, Zn, etc.) are vital to the body and an imbalance of such elements can either be a symptom or cause of certain pathologies. Neutron Stimulated Emission Computed Tomography (NSECT) is a spectroscopic imaging technique whereby the body is illuminated via a beam of neutrons causing elemental nuclei to become excited and emit characteristic gamma radiation. Acquiring the gamma energy spectra in a tomographic geometry allows reconstruction of elemental concentration images. Previously we have demonstrated the feasibility of NSECT using first generation CT approaches; while successful, the approach does not scale well and has limited resolution. Additionally, current gamma cameras operate in an energy range too low for NSECT imaging. However, the orbiting Reuven Ramaty High Energy Solar Spectroscopic Imager (RHESSI) captures and images gamma rays over the high-energy range equivalent to NSECT's (3 keV to 17 MeV) by utilizing Collimator-based Fourier transform imaging. A High Purity Germanium (HPGe) detector counts the number of energy events per unit of time, providing spectroscopic data. While a pair of rotating collimators placed in front of the detector modulates the number of gamma events, providing spatial information. Knowledge of the number of energy events at each discrete collimator angle allows for 2D image reconstruction. This method has proven successful at a focus of infinity in the RHESSI application. Our goal is to achieve similar results at a reasonable near-field focus. Here we describe the results of our simulations to implement a rotating modulation collimator (RMC) gamma imager for use in NSECT using simulations in Matlab. To determine feasible collimator setups and the stability of the inverse problem a Matlab environment was created that uses the geometry of the system to generate 1D observation data from 2D images and then to reconstruct 2D images using the MLEM algorithm. Reasonable collimator geometries were determined, successful reconstruction was achieved and the inverse problem was found to be stable.
Previous research has shown benign and cancerous tissues to have different chemical make-ups. To measure the elemental concentration of biological samples noninvasively, we used neutron stimulated emission computed tomography (NSECT). When an incident neutron scatters inelastically from an atomic nucleus, it emits characteristic gamma energies, allowing for measurement of the elemental concentration of biological samples. Thus NSECT has the potential to be a method for precancerous tissue detection. In Monte Carlo simulations, we bombarded both a benign and a malignant human breast with 50 million neutrons. The resulting photon spectra were blurred to model the detector resolutions and then analyzed for peak detection. This simulation study analyzed the characteristic spectra using three detectors of different resolutions: a High-Purity Germanium (HPGe) semiconductor, a Bismuth Germanate (BGO) scintillator, and a Sodium Iodide (NaI) scintillator. The effective energy resolutions of these detectors are 0.1%, 7%, and 12%, respectively. The detectability of element peaks in the breast model was greatly reduced when the blur increased from just 0.1% to 7%. These initial experiments are valuable in choosing optimal detectors for peak detection in further NSECT studies and indicate that high-resolution detectors, such as HPGe, are required for using spectral peak analysis for breast cancer prediction.
Acoustic Radiation Force Impulse (ARFI) imaging utilizes brief, high-energy acoustic pulses to excite tissue and ultrasonic correlation based tracking methods to monitor the resulting tissue
displacement, which reflects the relative mechanical properties of tissue (i.e. stiffer tissue displaces less). ARFI image contrast is optimized utilizing tightly focused radiation force excitations at multiple axial and lateral locations throughout a 2D field of view. In an ongoing, IRB approved, clinical study, suspicious breast lesions are interrogated in vivo via multi-focal-zone ARFI prior to undergoing core biopsy. A Siemens SONOLINE Antares (TM) scanner and VF10-5 probe were configured to acquire ARFI data from multiple focal-zones and lateral locations. Data was acquired in real-time, and processed off-line. Processing included: filtering, parametric data analysis, normalization and combination of the multiple focal-zone data, and automatic edge detection. ARFI sequences were designed with varying pushing pulse frequencies and intensities. Contrast to noise ratio was evaluated in a tissue mimicking phantom for lesions at different depths using the different pushing pulse sequences. For shallower lesions (depth=10mm), CNR was higher than for deeper lesions, and did not vary appreciably for the different push sequences. For deeper lesions (depth=20mm), CNR increased with increasing push pulse intensity and decreasing push pulse frequency. With the pushing pulse transmit intensity calibrated (in a homogeneous phantom) to achieve uniform displacement at all axial depths, in vivo results yielded poor SNR at depth and did not achieve overall uniform displacement. In vivo, image quality improved with increasing push pulse intensity. To date, 27 masses have been interrogated using multi-focal-zone ARFI and overall good structural agreement exists between B-mode and ARFI images. Normalization and blending facilitate image generation from ARFI interrogation using different intensities at different focal depths.
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