Objective: Standardizing image acquisition protocols and image quality across cameras is an important need in imaging, in particular in multi-center clinical trials and the use of image analysis and machine learning algorithms. The objective of this study was to examine the effect of ordered subset expectation maximization (OSEM) reconstruction parameters on the quantitative image quality of cardiac perfusion SPECT images in different typical SPECT cameras and therefore assess the need to change the parameter values across cameras. Methods: The analysis was carried out by comparing the defect contrast-to-noise ratio (CNR) at 12 OSEM subset-iteration combinations. Eight frames were reconstructed using the SIMIND Monte Carlo Simulation package. An activity of 370 MBq (10mCi) and projection acquisition interval of 20 seconds per projection were used. Attenuation (AC) and scatter corrections (SC) were performed in this study for all images. Results: The 16-2 subset-iteration combination yielded the highest CNR and defect contrast values for both cameras. The difference between CNR values for two cameras was found to be close to 5%. Conclusions: Monte Carlo simulations can be useful to investigate how quantitative image quality behaves with respect to reconstruction parameters and correction algorithms in a controlled environment. In this study, the use of different camera brands did not seem to significantly affect the lesion detectability. Further simulations with more extended range of parameters and camera brands may be conducted in the future to quantify further the variability between different brands of cameras.
Colorectal cancer is the fourth leading cause of death worldwide and the fifth leading cause of cancer death in Colombia. Magnetic resonance imaging is the ideal modality for the evaluation of colorectal cancer, since it allows staging by determining invasion beyond the muscularis propria, extension towards adjacent organs, identification of patients who are candidates for chemotherapy or pre-surgical radiotherapy and planning of the surgical procedure. The key point is based on the differentiation between T2 and T3 stages through the use of sequences with high-resolution T2 information. In addition to this, it allows the assessment of the size and morphology of the lymph nodes, and considerably increases the specificity for the detection of lymph node involvement. MRI is a technique with high specificity and high reproducibility.
Problem: in recent years, new studies have been published on biological effects of strong static magnetic fields and on thermal effects of high-frequency electromagnetic fields as used in magnetic resonance imaging (MRI). Many of these studies have not yet been incorporated into current safety recommendations. Method: scientific publications from 2010 onwards on the biological effects of static and electromagnetic fields of MRI were searched and evaluated. Results: new studies confirm older work that has already described effects of static magnetic fields on sensory organs and the central nervous system accompanied by sensory perception. A new result is the direct effect of Lorentz forces on ionic currents in the semicircular canals of the vestibular organ. Recent studies on thermal effects of radiofrequency fields focused on the development of anatomically realistic body models and more accurate simulation of exposure scenarios. Recommendation for practice: strong static magnetic fields can cause unpleasant perceptions, especially dizziness. In addition, they can impair the performance of the medical personnel and thus potentially endanger patient safety. As a precaution, medical personnel should move slowly in the field gradient. High-frequency electromagnetic fields cause tissues and organs to heat up in patients. This must be taken into account in particular for patients with impaired thermoregulation as well as for pregnant women and newborns; exposure in these cases must be kept as low as possible.
The temporomandibular joint (TMJ) is considered a bicondylar diarthrosis type joint. Imaging evaluation is a fundamental part of its assessment, which should include both bony and soft tissue characteristics and the relationship between them. Magnetic resonance imaging (MRI) represents the gold standard for the study of soft tissues; however, up to now, its main application continues to be the visualization of the articular disc. For this reason, the present article aimed to point out the information available in the literature regarding the visualization of the joint capsule in MRI and to evaluate it as an independent structure.
Based on the characteristics of liquid lens sparse aperture imaging, a radiative multiplet array structure is proposed; a simplified model of sparse aperture imaging is given, and the analytical expression of the modulation transfer function is derived from the optical pupil function of the multiplet array structure; the specific distribution form of this multiplet array structure is given, and the structure parameters are approximated by the dimensionless method; the two types of radiative multiplet array structures are discussed, and the filling factor, redundancy, modulation transfer function and other characteristic parameters are calculated. The physical phenomena exhibited by the parametric scan are discussed, and the structural features and imaging characteristics of these two arrays are compared. The results show that the type-II structure with larger actual equivalent aperture and actual cutoff frequency and lower redundancy is selected when the average modulation transfer function and the IF characteristics of the modulation transfer function of the two structures are close to each other; the type-II structure has certain advantages in imaging; the conclusion is suitable for arbitrary enclosing circle size because the liquid lens-based multiplet array structure adopts dimensionless approximation parameters; compared with the composite toroidal structure, the radiative multiplet mirror structure has a larger actual cut-off frequency and actual equivalent aperture when the filling factor is the same.
Acute abdomen is a frequent clinical picture in emergency diagnostics. Pathologic changes of the female genital organs play an important role. Gynecologic emergencies threaten fertility and are potentially life-threatening. Many differential diagnoses must be considered in the diagnostic process, depending on the age of the patient and any pregnancy. In particular, acute gastrointestinal symptoms often cannot be differentiated from gynecologic emergencies on clinical examination. Here, imaging makes a significant contribution to narrowing the differential diagnosis, making treatment decisions, and monitoring therapy. This review article will discuss the central role of imaging in the context of common gynecologic emergencies.
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