ResearchPad - Instrumentation https://www.researchpad.co Default RSS Feed en-us © 2020 Newgen KnowledgeWorks <![CDATA[Handheld spectrally encoded coherence tomography and reflectometry for motion-corrected ophthalmic optical coherence tomography and optical coherence tomography angiography]]> https://www.researchpad.co/product?articleinfo=N53f119f9-82aa-4381-b734-b6a418748f51

Abstract.

Optical coherence tomography (OCT) is the gold standard for quantitative ophthalmic imaging. The majority of commercial and research systems require patients to fixate and be imaged in a seated upright position, which limits the ability to perform ophthalmic imaging in bedridden or pediatric patients. Handheld OCT devices overcome this limitation, but image quality often suffers due to a lack of real-time aiming and patient eye and photographer motion. We describe a handheld spectrally encoded coherence tomography and reflectometry (SECTR) system that enables simultaneous en face reflectance and cross-sectional OCT imaging. The handheld probe utilizes a custom double-pass scan lens for fully telecentric OCT scanning with a compact optomechanical design and a rapid-prototyped enclosure to reduce the overall system size and weight. We also introduce a variable velocity scan waveform that allows for simultaneous acquisition of densely sampled OCT angiography (OCTA) volumes and widefield reflectance images, which enables high-resolution vascular imaging with precision motion-tracking for volumetric motion correction and multivolumetric mosaicking. Finally, we demonstrate in vivo human retinal OCT and OCT angiography (OCTA) imaging using handheld SECTR on a healthy volunteer. Clinical translation of handheld SECTR will allow for high-speed, motion-corrected widefield OCT and OCTA imaging in bedridden and pediatric patients who may benefit ophthalmic disease diagnosis and monitoring.

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<![CDATA[Clinical Accuracy of Holographic Navigation Using Point-Based Registration on Augmented-Reality Glasses]]> https://www.researchpad.co/product?articleinfo=N2094f61a-daff-41b4-a4dd-30fad804ce35

Abstract

BACKGROUND

As current augmented-reality (AR) smart glasses are self-contained, powerful computers that project 3-dimensional holograms that can maintain their position in physical space, they could theoretically be used as a low-cost, stand-alone neuronavigation system.

OBJECTIVE

To determine feasibility and accuracy of holographic neuronavigation (HN) using AR smart glasses.

METHODS

We programmed a fully functioning neuronavigation system on commercially available smart glasses (HoloLens®, Microsoft, Redmond, Washington) and tested its accuracy and feasibility in the operating room. The fiducial registration error (FRE) was measured for both HN and conventional neuronavigation (CN) (Brainlab, Munich, Germany) by using point-based registration on a plastic head model. Subsequently, we measured HN and CN FRE on 3 patients.

RESULTS

A stereoscopic view of the holograms was successfully achieved in all experiments. In plastic head measurements, the mean HN FRE was 7.2 ± 1.8 mm compared to the mean CN FRE of 1.9 ± 0.45 (mean difference: –5.3 mm; 95% confidence interval [CI]: –6.7 to –3.9). In the 3 patients, the mean HN FRE was 4.4 ± 2.5 mm compared to the mean CN FRE of 3.6 ± 0.5 (mean difference: –0.8 mm; 95% CI: –3.0 to 4.6).

CONCLUSION

Owing to the potential benefits and promising results, we believe that HN could eventually find application in operating rooms. However, several improvements will have to be made before the device can be used in clinical practice.

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<![CDATA[Improved calibration estimators for the total cost of health programs and application to immunization in Brazil]]> https://www.researchpad.co/product?articleinfo=5c8977b1d5eed0c4847d3333

Multi-stage/level sampling designs have been widely used by survey statisticians as a means of obtaining reliable and efficient estimates at a reasonable implementation cost. This method has been particularly useful in National country-wide surveys to assess the costs of delivering public health programs, which are generally originated in different levels of service management and delivery. Unbiased and efficient estimates of costs are essential to adequately allocate resources and inform policy and planning. In recent years, the global health community has become increasingly interested in estimating the costs of immunization programs. In such programs, part of the cost correspond to vaccines and it is in most countries procured at the central level, while the rest of the costs are incurred in states, municipalities and health facilities, respectively. As such, total program cost is a result of adding these costs, and its variance should account for the relation between the totals at the different levels. An additional challenge is the missing information at the various levels. A variety of methods have been developed to compensate for this missing data. Weighting adjustments are often used to make the estimates consistent with readily-available information. For estimation of total program costs this implies adjusting the estimates at each level to comply with the characteristics of the country. In 2014, A National study to estimate the costs of the Brazilian National Immunization Program was initiated, requested by the Ministry of Health and with the support of international partners. We formulate a quick and useful way to compute the variance and deal with missing values at the various levels. Our approach involves calibrating the weights at each level using additional readily-available information such as the total number of doses administered. Taking the Brazilian immunization costing study as an example, this approach results in substantial gains in both efficiency and precision of the cost estimate.

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<![CDATA[Clinical Impact of Respiratory Motion Correction in Simultaneous PET/MR, Using a Joint PET/MR Predictive Motion Model]]> https://www.researchpad.co/product?articleinfo=5c8ef055d5eed0c484f033d0

In PET imaging, patient motion due to respiration can lead to artifacts and blurring, in addition to quantification errors. The integration of PET imaging with MRI in PET/MRI scanners provides spatially aligned complementary clinical information and allows the use of high-contrast, high-spatial-resolution MR images to monitor and correct motion-corrupted PET data. On a patient cohort, we tested the ability of our joint PET/MRI-based predictive motion model to correct respiratory motion in PET and show it can improve lesion detectability and quantitation and reduce image artifacts. Methods: Using multiple tracers and multiple organ locations, we applied our motion correction method to 42 clinical PET/MRI patient datasets containing 162 PET-avid lesions. Quantitative changes were calculated using SUV changes in avid lesions. Lesion detectability changes were explored with a study in which 2 radiologists identified lesions in uncorrected and motion-corrected images and provided confidence scores. Results: Mean increases of 12.4% for SUVpeak and 17.6% for SUVmax after motion correction were found. In the detectability study, confidence scores for detecting avid lesions increased, with a rise in mean score from 2.67 to 3.01 (of 4) after motion correction and a rise in detection rate from 74% to 84%. Of 162 confirmed lesions, 49 showed an increase in all 3 metrics—SUVpeak, SUVmax, and combined reader confidence score—whereas only 2 lesions showed a decrease. We also present clinical case studies demonstrating the effect that respiratory motion correction of PET data can have on patient management, with increased numbers of detected lesions, improved lesion sharpness and localization, and reduced attenuation-based artifacts. Conclusion: We demonstrated significant improvements in quantification and detection of PET-avid lesions, with specific case study examples showing where motion correction has the potential to affect diagnosis or patient care.

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<![CDATA[Further empirical data for torsion on bowed strings]]> https://www.researchpad.co/product?articleinfo=5c61e932d5eed0c48496f96e

Research on bowed string motion focuses on transverse waves rather than on torsional waves. These are believed to play only a minor role for stabilizing vibrations and no role for perception. Here, torsion is measured on both sides of the bow contact point for a variety of bridge-bow distances on a cello string. Every periodic string release is preceeded by a reverse torsional motion independent from bowing position or dynamics. Transverse and torsional motions are coupled and there are cases of stabilization, but also cases of perturbation or surrender. Structural and timing analyses of torsional waves suggest that the earlier concepts of differential slipping can be essentially confirmed while the concept of Schelleng ripples cannot be confirmed and the concept of subharmonics is under question.

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<![CDATA[Spores of puffball fungus Lycoperdon pyriforme as a reference standard of stable monodisperse aerosol for calibration of optical instruments]]> https://www.researchpad.co/product?articleinfo=5c5b528ad5eed0c4842bcb24

Advanced air quality control requires real-time monitoring of particulate matter size and concentration, which can only be done using optical instruments. However, such techniques need regular calibration with reference samples. In this study, we suggest that puffball fungus (Lycoperdon pyriforme) spores can be utilized as a reference standard having a monodisperse size distribution. We compare the Lycoperdon pyriforme spores with the other commonly used reference samples, such as Al2O3 powder and polystyrene latex (PSL) microspheres. Here we demonstrate that the puffball spores do not coagulate and, thus, maintain the same particle size in the aerosol state for at least 15 minutes, which is enough for instrument calibration. Moreover, the puffball mushrooms can be stored for several years and no agglomeration of the spores occurs. They are also much cheaper than other calibration samples and no additional devices are needed for aerosol generation since the fungal fruiting body acts as an atomizer itself. The aforementioned features make the fungal spores a highly promising substance for calibration and validation of particle size analyzers, which outperforms the existing, artificially produced particles for aerosol sampling. Furthermore, the L. pyriforme spores are convenient for basic research and development of new optical measurement techniques, taking into account their uniform particle size and absent coagulation in the aerosol.

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<![CDATA[Development of clinical simultaneous SPECT/MRI]]> https://www.researchpad.co/product?articleinfo=5c354a03d5eed0c484dbab62

There is increasing clinical use of combined positron emission tomography and MRI, but to date there has been no clinical system developed capable of simultaneous single-photon emission computed tomography (SPECT) and MRI. There has been development of preclinical systems, but there are several challenges faced by researchers who are developing a clinical prototype including the need for the system to be compact and stationary with MRI-compatible components. The limited work in this area is described with specific reference to the Integrated SPECT/MRI for Enhanced stratification in Radio-chemo Therapy (INSERT) project, which is at an advanced stage of developing a clinical prototype. Issues of SPECT/MRI compatibility are outlined and the clinical appeal of such a system is discussed, especially in the management of brain tumour treatment.

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<![CDATA[3D printing and high tibial osteotomy]]> https://www.researchpad.co/product?articleinfo=5c042628d5eed0c48467dcd8

  • High tibial osteotomy (HTO) is a relatively conservative surgical option in the management of medial knee pain. Thus far, the outcomes have been variable, and apparently worse than the arthroplasty alternatives when judged using conventional metrics, owing in large part to uncertainty around the extent of the correction planned and achieved.

  • This review paper introduces the concept of detailed 3D planning of the procedure, and describes the 3D printing technology that enables the plan to be performed.

  • The different ways that the osteotomy can be undertaken, and the varying guide designs that enable accurate registration are discussed and described. The system accuracy is reported.

  • In keeping with other assistive technologies, 3D printing enables the surgeon to achieve a preoperative plan with a degree of accuracy that is not possible using conventional instruments. With the advent of low dose CT, it has been possible to confirm that the procedure has been undertaken accurately too.

  • HTO is the ‘ultimate’ personal intervention: the amount of correction needed for optimal offloading is not yet completely understood.

  • For the athletic person with early medial joint line overload who still runs and enjoys life, HTO using 3D printing is an attractive option. The clinical effectiveness remains unproven.

Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302/2058-5241.3.170075.

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<![CDATA[Accuracy of rapid radiographic film calibration for intensity-modulated radiation therapy verification]]> https://www.researchpad.co/product?articleinfo=5b4ccff2463d7e0fba429de3

A single calibration film method was evaluated for use with intensity‐modulated radiation therapy film quality assurance measurements. The single‐film method has the potential advantages of exposure simplicity, less media consumption, and improved processor quality control. Potential disadvantages include cross contamination of film exposure, implementation effort to document delivered dose, and added complication of film response analysis. Film response differences were measured between standard and single‐film calibration methods. Additional measurements were performed to help trace causes for the observed discrepancies. Kodak X‐OmatV (XV) film was found to have greater response variability than extended dose range (EDR) film. We found it advisable for XV film to relate the film response calibration for the single‐film method to a user‐defined optimal calibration geometry. Using a single calibration film exposed at the time of experiment, the total uncertainty of film response was estimated to be <2% (1%) for XV (EDR) film at 50 (100) cGy and higher, respectively.

PACS numbers: 87.53.‐j, 87.53.Dq

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<![CDATA[Editorial: Medical Physicists as Educators]]> https://www.researchpad.co/product?articleinfo=5b4ccf2a463d7e0fba429de0 ]]> <![CDATA[Editorial]]> https://www.researchpad.co/product?articleinfo=5b4cd076463d7e0fba429de5 ]]> <![CDATA[Verification of the accuracy of a photon dose-calculation algorithm]]> https://www.researchpad.co/product?articleinfo=5b4cd0f3463d7e0fba429de7

An extensive set of measured data was developed for the purpose of verifying the accuracy of a photon dose‐calculation algorithm. Dose distributions from a linear accelerator were measured using an ion chamber in a water phantom and thermoluminescent dosimeters in a heterogeneous anthropomorphic phantom. Test cases included square fields, rectangular fields, fields having different source‐to‐surface distances, wedged fields, irregular fields, obliquely incident fields, asymmetrically collimated fields with wedges, multileaf collimator‐shaped fields, and two heterogeneous density cases. The data set was used to validate the photon dose‐calculation algorithm in a commercial radiation treatment planning system. The treatment planning system calculated photon doses to within the American College of Medical Physics (AAPM) Task Group 53 (TG‐53) criteria for 99% of points in the buildup region, 90% of points in the inner region, 88% of points in the outer region, and 93% of points in the penumbra. For the heterogeneous phantoms, calculations agreed with actual measurements to within ±3%. The monitor unit tests revealed that the 18‐MV open square fields, oblique incidence, oblique incidence with wedge, and mantle field test cases did not meet the TG‐53 criteria but were within ±2.5% of measurements. It was concluded that (i) the photon dose calculation algorithm used by the treatment planning system did not meet the TG‐53 criteria 100% of the time; (ii) some of the TG‐53 criteria may need to be modified, and (iii) the generally stated goal of accuracy in dose delivery of within 5% cannot be met in all situations using this beam model in the treatment planning system.

PACS number(s): 87.53.–j, 87.66.–a

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<![CDATA[Dosimetric benefits of respiratory gating: a preliminary study]]> https://www.researchpad.co/product?articleinfo=5b4cd037463d7e0fba429de4

In this study, we compared the amount of lung tissue irradiated when respiratory gating was imposed during expiration with the amount of lung tissue irradiated when gating was imposed during inspiration. Our hypothesis was that the amount of lung tissue spared increased as inspiration increased. Computed tomography (CT) image data sets were acquired for 10 patients diagnosed with primary bronchogenic carcinoma. Data sets were acquired during free breathing, during breath‐holds at 0% tidal volume and 100% tidal volume, and, when possible, at deep inspiration corresponding to approximately 60% vital capacity. Two treatment plans were developed on the basis of each of the gated data sets: one in which the treatment portals were those of the free‐breathing plan, and the other in which the treatment portals were based on the gated planning target volumes. Dose‐mass histograms of the lungs calculated at 0% tidal volume were compared to those calculated at deep inspiration and at 100% tidal volume. Data extracted from the dose‐mass histograms were used to determine the most dosimetrically beneficial point to gate, the reduction in the amount of irradiated lung tissue that resulted from gating, and any disease characteristics that might predict a greater need for gating. The data showed a reduction in the mass of normal tissue irradiated when treatment portals based on the gated planning target volume were used. More normal lung tissue was spared at deep inspiration than at the other two gating points for all patients, but normal lung tissue was spared at every point in the respiratory cycle. No significant differences in the amount of irradiated tissue by disease characteristic were identified. Respiratory gating of thoracic radiation treatments can often improve the quality of the treatment plan, but it may not be possible to determine which patients may benefit from gating prior to performing the actual treatment planning.

PACS numbers 87.53 –j; 87.53.Tf

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<![CDATA[An image fusion study of the geometric accuracy of magnetic resonance imaging with the Leksell stereotactic localization system]]> https://www.researchpad.co/product?articleinfo=5b4cd137463d7e0fba429de8

A special acrylic phantom designed for both magnetic resonance imaging (MRI) and computed tomography (CT) was used to assess the geometric accuracy of MRI‐based stereotactic localization with the Leksell stereotactic head frame and localizer system. The acrylic phantom was constructed in the shape of a cube, 164 mm in each dimension, with three perpendicular arrays of solid acrylic rods, 5 mm in diameter and spaced 30 mm apart within the phantom. Images from two MR scanners and a CT scanner were obtained with the same Leksell head frame placement. Using image fusion provided by the Leksell GammaPlan (LGP) software, the coordinates of the intraphantom rod positions from two MRI scanners were compared to that of CT imaging. The geometric accuracy of MR images from the Siemens scanner was greatly improved after the implementation of a special software patch provided by the manufacturer. In general, much better accuracy was achieved in the transverse plane where images were acquired. Most distortion was found around the periphery while least distortion was present in the middle and most other parts of the phantom. For most intracranial lesions undergoing stereotactic radiosurgery, accuracy of target localization can be achieved within size of a voxel, especially with the Siemens scanner. However, extra caution should be taken for imaging of peripheral lesions where the distortion is the greatest.

PACS number(s): 87.61.–c, 87.57.–s

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<![CDATA[Comparison of dose calculated by an intensity modulated radiotherapy treatment planning system and an independent monitor unit verification program]]> https://www.researchpad.co/product?articleinfo=5b4cd0b6463d7e0fba429de6

A comparison of isocenter dose calculated by a commercial intensity modulated radiation therapy treatment planning system and independent monitor unit verification calculation (MUVC) software was made. The percent disparity between the treatment plan and MUVC doses were calculated for 507 treatments (head and neck, prostate, abdomen, female pelvis, rectum and anus, and miscellaneous) from 303 patients. The MUVC calculated dose was, on average, 1.4% higher than the treatment planning dose, with a 1.2% standard deviation. The distribution of the disparities appeared to be Gaussian in shape with some variation by treatment site. Based on our analysis, disparities outside the range of ±3% about the mean value should be checked and resolved prior to treatment delivery.

PACS number(s): 87.53.–j, 87.66.–a

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<![CDATA[A new silicon tracker for proton imaging and dosimetry]]> https://www.researchpad.co/product?articleinfo=5bcf54e240307c6beb2b56b5 <![CDATA[Anisotropic elasticity of silicon and its application to the modelling of X-ray optics]]> https://www.researchpad.co/product?articleinfo=5bcb31b740307c0a20b6edfc <![CDATA[Strategies for in situ laser heating in the diamond anvil cell at an X-ray diffraction beamline]]> https://www.researchpad.co/product?articleinfo=5bcb31b440307c0a20b6edfb <![CDATA[A hybrid method for X-ray optics simulation: combining geometric ray-tracing and wavefront propagation]]> https://www.researchpad.co/product?articleinfo=5bcb31ba40307c0a20b6edfd <![CDATA[Improving the energy resolution of bent crystal X-ray spectrometers with position-sensitive detectors]]> https://www.researchpad.co/product?articleinfo=5bcb31bc40307c0a20b6edfe