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Purpose: Transthyretin (ATTR) amyloidosis is a rare but serious infiltrative disease associated with a wide spectrum of morphologic and functional cardiac involvement. 99mTc-labelled 3,3-diphosphono-1,2-propanodicarboxylic acid (DPD), initially developed as a bone-seeking radiotracer, is remarkably sensitive for imaging cardiac ATTR amyloid deposits. Our aim was to investigate the feasibility and utility of estimating 99mTc-DPD uptake in myocardial tissue; this has the potential to yield reliable quantitative information on cardiac amyloid burden, which is urgently required to monitor disease progression and response to novel treatments. Methods: Three methods of quantitation were developed and tested on 74 patients with proven cardiac ATTR amyloidosis who had recently undergone 99mTc-DPD planar whole-body imaging and SPECT-CT. Quantitative results were compared to measurements of extracellular volume fraction (ECV) by cardiac magnetic resonance imaging, a validated technique for measuring amyloid burden. Results: An experienced clinician graded uptake using a widely-used visual scoring system as 1 (n = 15), 2 (n = 39) or 3 (n = 20). Linear correlations between the SPECT and ECV data (p < .001) were demonstrated. None of the methods showed that 99mTc-DPD uptake in the heart was significantly greater in patients with grade-3 uptake than in those with grade-2 uptake. Conclusions: Quantitation of 99mTc-DPD uptake in cardiac transthyretin amyloid deposits is complex and is hindered by competition for radiotracer with amyloid in skeletal muscle. The latter underlies differences in uptake between grade-2 and grade-3 patients, not cardiac uptake. [ABSTRACT FROM AUTHOR]

Objective: Deep brain stimulation (DBS) requires accurate localization of the anatomical target structure, and the precise placement of the DBS electrode within it. Ultra-high field 7 Tesla (T) MR images can be utilized to create patient-specific anatomical 3D models of the subthalamic nuclei (STN) to enhance pre-surgical DBS targeting as well as post-surgical visualization of the DBS lead position and orientation. We validated the accuracy of the 7T imaging-based patient-specific model of the STN and measured the variability of the location and dimensions across movement disorder patients. Methods: 72 patients who underwent DBS surgery were scanned preoperatively on 7T MRI. Segmentations and 3D volume rendering of the STN were generated for all patients. For 21 STN-DBS cases, microelectrode recording (MER) was used to validate the segmentation. For 12 cases, we computed the correlation between the overlap of the STN and volume of tissue activated (VTA) and the monopolar review for a further validation of the model’s accuracy and its clinical relevancy. Results: We successfully reconstructed and visualized the STN in all patients. Significant variability was found across individuals regarding the location of the STN center of mass as well as its volume, length, depth and width. Significant correlations were found between MER and the 7T imaging-based model of the STN (r = 0.86) and VTA-STN overlap and the monopolar review outcome (r = 0.61). Conclusion: The results suggest that an accurate visualization and localization of a patient-specific 3D model of the STN can be generated based on 7T MRI. The imaging-based 7T MRI STN model was validated using MER and patient’s clinical outcomes. The significant variability observed in the STN location and shape based on a large number of patients emphasizes the importance of an accurate direct visualization of the STN for DBS targeting. An accurate STN localization can facilitate postoperative stimulation parameters for optimized patient outcome. [ABSTRACT FROM AUTHOR]

Abstract: Lung cancer patients often experience potentially life-threatening medical urgencies and emergencies, which may be a direct or indirect result of the underlying malignancy. This pictorial review addresses the most common thoracic, neurological and musculoskeletal medical emergencies in lung cancer patients, including superior vena cava syndrome, pulmonary embolism, spontaneous pneumothorax, cardiac tamponade, massive haemoptysis, central airway obstruction, oesophagorespiratory fistula, malignant spinal cord compression, carcinomatous meningitis, cerebral herniation and pathological fracture. Emphasis is placed on imaging findings, the role of different imaging techniques and a brief discussion of epidemiology, pathophysiology and therapeutic options. Since early diagnosis is important for adequate patient management and prognosis, radiologists have a crucial role in recognising and communicating these urgencies and emergencies.Teaching points: • Multiplanar multidetector computed tomography is the imaging examination of choice for thoracic urgencies and emergencies.• Magnetic resonance imaging is the imaging modality of choice for investigating central nervous system emergencies.• Urgencies and emergencies can be the initial manifestation of lung cancer.• Radiologists have a crucial role in recognising and in communicating these urgencies/emergencies. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of this study was to develop a simple verification method for the routine quality assurance (QA) of Dynamic WaveArc (DWA) irradiation using electronic portal imaging device (EPID) images and log data analysis. First, an automatic calibration method utilizing the outermost multileaf collimator (MLC) slits was developed to correct the misalignment between the center of the EPID and the beam axis. Moreover, to verify the detection accuracy of the MLC position according to the EPID images, various positions of the MLC with intentional errors in the range 0.1–1 mm were assessed. Second, to validate the geometric accuracy during DWA irradiation, tests were designed in consideration of three indices. Test 1 evaluated the accuracy of the MLC position. Test 2 assessed dose output consistency with variable dose rate (160–400 MU/min), gantry speed (2.2–6°/s), and ring speed (0.5–2.7°/s). Test 3 validated dose output consistency with variable values of the above parameters plus MLC speed (1.6–4.2 cm/s). All tests were delivered to the EPID and compared with those obtained using a stationary radiation beam with a 0° gantry angle. Irradiation log data were recorded simultaneously. The 0.1‐mm intentional error on the MLC position could be detected by the EPID, which is smaller than the EPID pixel size. In Test 1, the MLC slit widths agreed within 0.20 mm of their exposed values. The averaged root‐mean‐square error (RMSE) of the dose outputs was less than 0.8% in Test 2 and Test 3. Using log data analysis in Test 3, the RMSE between the planned and recorded data was 0.1 mm, 0.12°, and 0.07° for the MLC position, gantry angle, and ring angle, respectively. The proposed method is useful for routine QA of the accuracy of DWA. [ABSTRACT FROM AUTHOR]

Abstract: We describe the commissioning of the first dedicated commercial total body irradiation (TBI) unit in clinical operation. The Best Theratronics GammaBeam 500 is a Co‐60 teletherapy unit with extended field size and imaging capabilities. Radiation safety, mechanical and imaging systems, and radiation output are characterized. Beam data collection, calibration, and external dosimetric validation are described. All radiation safety and mechanical tests satisfied relevant requirements and measured dose distributions meet recommendations of American Association of Physicists in Medicine (AAPM) Report #17. At a typical treatment distance, the dose rate in free space per unit source activity using the thick flattening filter is 1.53 × 10−3 cGy*min−1*Ci−1. With a 14,000 Ci source, the resulting dose rate at the midplane of a typical patient is approximately 17 and 30 cGy/min using the thick and thin flattening filters, respectively, using the maximum source to couch distance. The maximum useful field size, defined by the 90% isodose line, at this location is 225 × 78 cm with field flatness within 5% over the central 178 × 73 cm. Measured output agreed with external validation within 0.5%. End‐to‐end testing was performed in a modified Rando phantom. In‐house MATLAB software was developed to calculate patient‐specific dose distributions using DOSXYZnrc, and fabricate custom 3D‐printed forms for creating patient‐specific lung blocks. End‐to‐end OSLD and diode measurements both with and without lung blocks agreed with Monte Carlo calculated doses to within 5% and in‐phantom film measurements validated dose distribution uniformity. Custom lung block transmission measurements agree well with design criteria and provide clinically favorable dose distributions within the lungs. Block placement is easily facilitated using the flat panel imaging system with an exposure time of 0.01 min. In conclusion, a novel dedicated TBI unit has been commissioned and clinically implemented. Its mechanical, dosimetric, and imaging capabilities are suitable to provide state‐of‐the‐art TBI for patients as large as 220 cm in height and 78 cm in width. [ABSTRACT FROM AUTHOR]

Purpose: Non-invasive in vivo positron emission tomography (PET) provides high detection sensitivity in the nano- to picomolar range and in addition to other advantages, the possibility to absolutely quantify the acquired data. The present study focuses on the comparison of transmission data acquired with an X-ray computed tomography (CT) scanner or a Co-57 source for the Inveon small animal PET scanner (Siemens Healthcare, Knoxville, TN, USA), as well as determines their influences on the quantification accuracy and partial volume effect (PVE). A special focus included the impact of the performed calibration on the quantification accuracy.Procedures: Phantom measurements were carried out to determine the quantification accuracy, the influence of the object size on the quantification, and the PVE for different sphere sizes, along the field of view and for different contrast ratios.Results: An influence of the emission activity on the Co-57 transmission measurements was discovered (deviations up to 24.06 % measured to true activity), whereas no influence of the emission activity on the CT attenuation correction was identified (deviations <3 % for measured to true activity). The quantification accuracy was substantially influenced by the applied calibration factor and by the object size. The PVE demonstrated a dependency on the sphere size, the position within the field of view, the reconstruction and correction algorithms and the count statistics. Depending on the reconstruction algorithm, only ∼30-40 % of the true activity within a small sphere could be resolved. The iterative 3D reconstruction algorithms uncovered substantially increased recovery values compared to the analytical and 2D iterative reconstruction algorithms (up to 70.46 % and 80.82 % recovery for the smallest and largest sphere using iterative 3D reconstruction algorithms). The transmission measurement (CT or Co-57 source) to correct for attenuation did not severely influence the PVE.Conclusions: The analysis of the quantification accuracy and the PVE revealed an influence of the object size, the reconstruction algorithm and the applied corrections. Particularly, the influence of the emission activity during the transmission measurement performed with a Co-57 source must be considered. To receive comparable results, also among different scanner configurations, standardization of the acquisition (imaging parameters, as well as applied reconstruction and correction protocols) is necessary. [ABSTRACT FROM AUTHOR]

Retinal image registration is important to assist diagnosis and monitor retinal diseases, such as diabetic retinopathy and glaucoma. However, registering retinal images for various registration applications requires the detection and distribution of feature points on the low-quality region that consists of vessels of varying contrast and sizes. A recent feature detector known as Saddle detects feature points on vessels that are poorly distributed and densely positioned on strong contrast vessels. Therefore, we propose a multiresolution difference of Gaussian pyramid with Saddle detector (D-Saddle) to detect feature points on the low-quality region that consists of vessels with varying contrast and sizes. D-Saddle is tested on Fundus Image Registration (FIRE) Dataset that consists of 134 retinal image pairs. Experimental results show that D-Saddle successfully registered 43% of retinal image pairs with average registration accuracy of 2.329 pixels while a lower success rate is observed in other four state-of-the-art retinal image registration methods GDB-ICP (28%), Harris-PIIFD (4%), H-M (16%), and Saddle (16%). Furthermore, the registration accuracy of D-Saddle has the weakest correlation (Spearman) with the intensity uniformity metric among all methods. Finally, the paired t-test shows that D-Saddle significantly improved the overall registration accuracy of the original Saddle. [ABSTRACT FROM AUTHOR]

Electrical impedance tomography is a noninvasive and cost-effective imaging method that is increasingly attractive in the field of medical diagnostics. Several health conditions, such as stroke and solid tumors, are characterized by compact conductivity anomalies surrounded by a fairly regular background. Commonly employed voxel-by-voxel reconstruction methods for impedance imaging share the disadvantages of high computational cost and substantial sensitivity to measurement noise and imperfections in the electrical model describing the domain of interest. We present a special purpose algorithm for automatic detection and identification of compact conductivity variations. The technique exploits a priori structural information and, by reconstructing only the limited number of parameters required to describe a compact conductivity contrast, does not depend on a critical regularization parameter. The most demanding kernels are implemented to run on graphics processing units to accelerate computation. The parametric reconstruction is quicker and more robust than widely employed approaches with respect to measurement noise and imperfections in the electrical model, as shown by computational analysis performed on a segmented head domain and experimental measurements acquired on a cylindrical phantom. When the goal is quick detection of compact conductivity contrasts in complex 3-D domains, the inclusion of specific constraints relating to the problem considered leads to enhanced quality of reconstruction, making the presented technique a promising alternative to common voxel-by-voxel reconstruction methods. [ABSTRACT FROM PUBLISHER]

The purpose of this study is to incorporate the principle of multi criteria decision making theories on nuclear medicine imaging devices. The trend in development with different parameters has largely affect the resultant images and the decision of the decision maker in purchasing a particular imaging device. The need for decision making theories on these devices will be very helpful to all parties involved such as manufacturers, hospitals, and radiologists. Nuclear medicine imaging can simply be defined clinically and scientifically as the use of substrates labeled with a radioisotope to provide information about the physiological functions of the body, as well as the state and distribution of a disease. In principle, it is the administration (injection) of a chemical compound marked with a radionuclide substance (gamma ray or positron emitter) into the body. External detectors surrounding the patient detect these high energy particles and record their energies and positions to reconstruct the 2D and 3D image. Although nuclear medicine is excellent for providing diagnostic information on detection and staging of a disease, it has limited in-depth information. These devices have various quality parameters where play enormously important roles for decision maker to evaluate the nuclear medicine imaging systems. Some of these parameters include image noise,specificity, sensitivity, radiation dose, price of the device etc. This study seeks to evaluate and compares the most common nuclear medicine imaging devices using multi criteria decision making technique. Our decision theory of interest is fuzzy PROMETHEE. [ABSTRACT FROM AUTHOR]

Background and Purpose: Plaque characterization using virtual monochromatic imaging derived from dual-energy computed tomography (CT) angiography requires the determination of normal signal density values of each plaque component. We sought to explore the signal density values of carotid plaque components using dual-energy compared to conventional single-energy CT angiography (CTA), and to establish the energy level with the largest differences between plaque components.Methods: The present prospective study involved consecutive patients referred for carotid artery evaluation by CTA. Two scans (single-energy and dual-energy CTA) were performed in all patients, and a single radiologist analyzed the data. Single-source dual-energy CTA allowed the generation of virtual monochromatic images from 40 to 140 keV.Results: A total of 35 internal carotid artery lesions were examined in 20 symptomatic patients. The mean age was 72.3 ± 6.7 years, and 9 (45%) patients were male. Internal carotid artery geometrical variables including lumen area (P = .96), vessel area (P = .97), and percent area stenosis (P = .99) did not differ between groups (single-energy CTA, and dual-energy CTA at 40, 70, 100, and 140 keV). Differences between signal densities of different tissues were largest at 40 keV (calcium/lumen, P < .0001; fat/noncalcified, P < .0001).Conclusions: In the present pilot investigation, virtual monochromatic imaging at low-energy levels derived from dual-energy CTA allowed the largest differences in attenuation levels between tissues, without affecting vessel or plaque geometry. [ABSTRACT FROM AUTHOR]

Neonates presenting with neurologic symptoms require rapid, noninvasive imaging with high spatial resolution and tissue contrast. Magnetic resonance imaging (MRI) is currently the most sensitive and specific imaging modality for evaluation of neurological pathology. This modality does come with several challenges in the neonatal population, namely, the need to transport a possibly critically sick neonate to the MRI suite and the necessity of the neonate to remain still for a significant length of time, occasionally requiring sedation. Cranial ultrasound has provided radiologists and clinicians with an invaluable imaging modality that allows of rapid, bedside point of care evaluation without ionizing radiation. The major drawback of cranial ultrasound is its lower sensitivity and specificity for subtle/early lesions. Contrast-enhanced ultrasound (CEUS) and elastography have the potential to improve sensitivity and specificity for a variety of neuropathology but also expand the indications for cranial ultrasound. Goal of this paper is to present and discuss CEUS and elastography for neonatal brain imaging. [ABSTRACT FROM AUTHOR]

Background Children with leg length discrepancy often undergo repeat imaging. Therefore, every effort to reduce radiation dose is important. Using low dose preview images and noise reduction software rather than diagnostic images for length measurements might contribute to reducing dose. Purpose To compare leg length measurements performed on diagnostic images and low dose preview images both acquired using a low-dose bi-planar imaging system. Material and Methods Preview and diagnostic images from 22 patients were retrospectively collected (14 girls, 8 boys; mean age, 12.8 years; age range, 10-15 years). All images were anonymized and measured independently by two musculoskeletal radiologists. Three sets of measurements were performed on all images; the mechanical axis lines of the femur and the tibia as well as the anatomical line of the entire extremity. Statistical significance was tested with a paired t-test. Results No statistically significant difference was found between measurements performed on the preview and on the diagnostic image. The mean tibial length difference between the observers was -0.06 cm (95% confidence interval [CI], -0.12 to 0.01) and -0.08 cm (95% CI, -0.21 to 0.05), respectively; 0.10 cm (95% CI, 0.02-0.17) and 0.06 cm (95% CI, -0.02 to 0.14) for the femoral measurements and 0.12 cm (95% CI, -0.05 to 0.26) and 0.08 cm (95% CI, -0.02 to 0.19) for total leg length discrepancy. ICCs were >0.99 indicating excellent inter- and intra-rater reliability. Conclusion The data strongly imply that leg length measurements performed on preview images from a low-dose bi-planar imaging system are comparable to measurements performed on diagnostic images. [ABSTRACT FROM AUTHOR]

Purpose: Linked color imaging (LCI) by laser endoscopy is a novel narrow band light observation. In this study, we analyzed the efficacy of LCI for improving the various featured colorectal polyp's visibility utilizing a subjective endoscopist's visibility scoring and objective color difference (CD) value. Methods: We retrospectively reviewed two pictures both with white light (WL) and LCI for 54 consecutive neoplastic polyps 2-20 mm in size. All pictures were evaluated by four endoscopists according to a published polyp visibility score from four (excellent visibility) to one (poor visibility). Additionally, we calculated CD value between each polyp and surrounding mucosa in LCI and WL using an original software. Results: The mean polyp visibility scores of LCI (3.11 ± 1.05) were significantly higher than those of WL (2.50 ± 1.09, P < 0.001). The ratio of an endoscopist's poor visibility (polyp visibility scores 1 and 2) was significantly lower in LCI (27.9%) than WL (55.6%, P < 0.001). With respect to the CD analysis, the CD value of LCI was significantly higher than that of WL (33.3 ± 13.9 vs. 20.7 ± 13.6, P < 0.001). In a subgroup analysis, the polyp visibility scores and CD values of LCI about 24 diminutive polyps (≤5 mm) were higher than those of WL (3.29 ± 0.99 vs. 2.12 ± 0.99, P < 0.001; 31.6 ± 12.8 vs. 14.7 ± 7.6, P < 0.001). Additionally, the polyp visibility scores and CD values of LCI for polyps with any location, size, histology, and morphology were significantly higher than those of WL. Conclusions: LCI improved the various featured polyp's visibility compared to WL in both polyp visibility scores and CD value. [ABSTRACT FROM AUTHOR]

These days, computer-based image registration techniques are increasingly being used in the area of medical imaging as they offer significant benefits for aligning different images together and for visualizing their combined images. However, these techniques require an enormous amount of computation time due to the high resolution and complex nature of the medical images. We propose to alleviate this problem by using a dedicated Network-on-Chip (NoC)-based hardware platform for image registration. This paper describes a novel technique for field-programmable gate array (FPGA) implementation of the B-Spline-based free form deformation (FFD) algorithm, i.e., a widely used algorithm for modeling geometric shapes in a computerized environment. For performance enhancement, we have utilized a lightweight circuit-switched NoC architecture, which is adaptable to most FPGAs. The design description is captured in the Verilog language and implemented using the Xilinx XC2v6000 device at 37MHz. The proposed design is parameterizable at the compile time and supports a wide range of the image resolutions and computational precisions. The experimental results have shown a significant improvement in performance when compared with the other existing hardware implementations of the B-spline-based FFD algorithm. [ABSTRACT FROM AUTHOR]

Bladder cancer is the fifth most common in incidence and one of the most expensive cancers to treat. Early detection greatly improves the chances of survival and bladder preservation. The pH low insertion peptide (pHLIP) conjugated with a near-infrared fluorescent dye [indocyanine green (ICG)] targets low extracellular pH, allowing visualization of malignant lesions in human bladder carcinoma ex vivo. Cystectomy specimens obtained after radical surgery were immediately irrigated with nonbuffered saline and instilled with a solution of the ICG pHLIP construct, incubated, and rinsed. Bladders were subsequently opened and imaged, the fluorescent spots were marked, and a standard pathological analysis was carried out to establish the correlation between ICG pHLIP imaging and white light pathological assessment. Accurate targeting of bladder lesions was achieved with a sensitivity of 97%. Specificity is 100%, but reduced to 80% if targeting of necrotic tissue from previous transurethral resections or chemotherapy are considered as false positives. The ICG pHLIP imaging agent marked high-grade urothelial carcinomas, bothmuscle invasive and nonmuscle invasive. Carcinoma in situ was accurately diagnosed in 11 cases, whereas only four caseswere seen usingwhite light, so imaging with the ICG pHLIP peptide offers improved early diagnosis of bladder cancers and may also enable new treatment alternatives. [ABSTRACT FROM AUTHOR]

Background: We have started clinical application of 8K ultra-high definition (UHD; 7680 × 4320 pixels) imaging technology, which is a 16-fold higher resolution than the current 2K high-definition (HD; 1920 × 1080 pixels) technology, to an endoscope for advanced laparoscopic surgery. Results: Based on preliminary testing experience and with subsequent technical and system improvements, we then proceeded to perform two cases of cholecystectomy and were able to achieve clinical success with an 8K UHD endoscopic system, which consisted of an 8K camera, a 30-degrees angled rigid endoscope with a lens adapter, a pair of 300-W xenon light sources, an 85-inch 8K LCD and an 8K video recorder. These experimental and clinical studies revealed the engineering and clinical feasibility of the 8K UHD endoscope, enabling us to have a positive outlook on its prospective use in clinical practice. Conclusions: The 8K UHD endoscopy promises to open up new possibilities for intricate procedures including anastomoses of thin nerves and blood vessels as well as more confident surgical resections of a diversity of cancer tissues. 8K endoscopic imaging, compared to imaging by the current 2K imaging technology, is very likely to lead to major changes in the future of medical practice. [ABSTRACT FROM AUTHOR]

A modular video endoscope is developed to enable both white light imaging (WLI) and vital-dye fluorescence imaging (VFI) in a single-endoscopic insertion for the early detection of cancer in Barrett's esophagus (BE). We demonstrate that VFI can be achieved in conjunction with white light endoscopy, where appropriate white balance is used to correct for the presence of the emission filter. In VFI mode, a contrast enhancement feature is implemented in real time to further highlight glandular patterns in BE and related malignancies without introducing artifacts. In a pilot study, we demonstrate accurate correlation of images in two widefield modalities, with representative images showing the disruption and effacement of glandular architecture associated with cancer development in BE. VFI images of these alterations exhibit enhanced contrast when compared to WLI. Results suggest that the usefulness of VFI in the detection of BE-related neoplasia should be further evaluated in future in vivo studies. [ABSTRACT FROM AUTHOR]

Fluorescence Talbot microscope is a scalable field-of-view (FOV) imaging platform, which takes advantage of the phase sensitivity of the self-image of a periodic structure. Such a system can maintain the microscopic resolution and extend the FOV for the whole slide (15 mm × 15 mm) scanning. Previously reported Talbot fluorescence systems, tabletop and on-chip device alike, rely on the coherence of the illumination source, limiting their potential applications in low-resource setting environment. A more cost-effective setup using a light-emitting diode, which has an area of 4 mm2 and a full width at half maximum of 16 nm in wavelength, is demonstrated. Compared to the illumination that is spatially filtered by a single pinhole, our system has achieved an illumination intensity that is 357 times higher. The reconstructed image quality is comparable to that of a 10× microscope objective. Various samples, such as fluorescent beads, green fluorescence protein-labeled HeLa cells, and a mouse kidney slide, were reconstructed by the system. [ABSTRACT FROM AUTHOR]

Background: A tissue-mimicking phantom that accurately represents human-tissue properties is important for safety testing and for validating new imaging techniques. To achieve a variety of desired human-tissue properties, we have fabricated and tested several variations of gelatin phantoms. These phantoms are simple to manufacture and have properties in the same order of magnitude as those of soft tissues. This is important for quality-assurance verification as well as validation of magnetic resonance-guided focused ultrasound (MRgFUS) treatment techniques. Methods: The phantoms presented in this work were constructed from gelatin powders with three different bloom values (125, 175, and 250), each one allowing for a different mechanical stiffness of the phantom. Evaporated milk was used to replace half of the water in the recipe for the gelatin phantoms in order to achieve attenuation and speed of sound values in soft tissue ranges. These acoustic properties, along with MR (T1 and T2*), mechanical (density and Young's modulus), and thermal properties (thermal diffusivity and specific heat capacity), were obtained through independent measurements for all three bloom types to characterize the gelatin phantoms. Thermal repeatability of the phantoms was also assessed using MRgFUS and MR thermometry. Results: All the measured values fell within the literature-reported ranges of soft tissues. In heating tests using low-power (6.6 W) sonications, interleaved with high-power (up to 22.0 W) sonications, each of the three different bloom phantoms demonstrated repeatable temperature increases (10.4 ± 0.3 °C for 125-bloom, 10.2 ± 0.3 °C for 175-bloom, and 10.8 ± 0.2 °C for 250-bloom for all 6.6-W sonications) for heating durations of 18.1 s. Conclusion: These evaporated milk-modified gelatin phantoms should serve as reliable, general soft tissue-mimicking MRgFUS phantoms. [ABSTRACT FROM AUTHOR]

Retinal arterial occlusions (RAOs) are an uncommon source of monocular vision loss, typically occurring in patients over the age of 60. Diagnosis is typically made by history and clinical examination, while ancillary testing may include fluorescein angiography. Optical coherence tomography (OCT) is not routinely utilized in the diagnostic assessment of RAO, and its role in the diagnosis and management of patients with RAO is still evolving. In this series, we review the literature on OCT findings in RAOs, particularly noting the role of OCT in delineating anatomic findings, chronicity and natural course, and functional outcomes. A case series of five patients with RAOs is provided to illustrate these findings. [ABSTRACT FROM AUTHOR]

Retinal arterial occlusions (RAOs) are an uncommon source of monocular vision loss, typically occurring in patients over the age of 60. Diagnosis is typically made by history and clinical examination, while ancillary testing may include fluorescein angiography. Optical coherence tomography (OCT) is not routinely utilized in the diagnostic assessment of RAO, and its role in the diagnosis and management of patients with RAO is still evolving. In this series, we review the literature on OCT findings in RAOs, particularly noting the role of OCT in delineating anatomic findings, chronicity and natural course, and functional outcomes. A case series of five patients with RAOs is provided to illustrate these findings. [ABSTRACT FROM AUTHOR]

The article discusses the decision of American insurance company Anthem Inc. to stop covering outpatient advanced imaging in hospital settings unless its necessary to reduce costs. Anthem reportedly wants patients to avail of imaging services at independent diagnostic testing facilities wherein it will be able to save money. Also discussed are the changes in reimbursement policies, resistance to Anthem's policy, and the need for collaboration in health care.

The article discusses the development of intensive care imaging technology in the health care industry and its evolution's benefits to the patients. Details related to imaging technologies including ultrasonography, X-ray Imaging, and Magnetic resonance imaging use in the intensive care of patients are also included.

Digital Macro Imaging in modern medicine has the potential to significantly improve patient outcomes if accurate data can be extracted efficiently and valid meta data can be added to a clinical database. At the present time much data from standard photographic images is not quantitative and is therefore of limited use. Our approach is to develop simple tools and methodologies that make it possible to internally calibrate images and our subsequent goal is to develop an online analytical tool set that will import, display, calibrate, save and share images and data in a clinically secure setting. In this paper we describe the process of developing a range of calibration strips that can be used by clinical staff with little or no experience of photography in most environments including, the clinic, the ward, the GP surgery or the home.. The imaging strips provide an internal calibration standard that help ensure the wound, lesion, or dermatology is properly framed for downstream linear, colour and shape measurements. Once photographed, the calibrated imaged can then be used in a quantitative way for longitudinal or comparative analysis. We believe this approach has the potential to benefit benefit to the clinical photography department, the clinician, the researcher, clinical trials specialist and, most importantly, the patient. [ABSTRACT FROM AUTHOR]

Fiber-optics confocal microscopy (FCM) is an emerging imaging technology with various applications in basic research and clinical diagnosis. FCM allows for real-time in situ microscopy of tissue at sub-cellular scale. Recently FCM has been investigated for cardiac imaging, in particular, for discrimination of cardiac tissue during pediatric open-heart surgery. FCM relies on fluorescent dyes. The current clinical approach of dye delivery is based on systemic injection, which is associated with high dye consumption, and adverse clinical events. In this study, we investigated approaches for local dye delivery during FCM imaging based on dye carriers attached to the imaging probe. Using three-dimensional confocal microscopy, automated bench tests, and FCM imaging we quantitatively characterized dye release of carriers composed of open-pore foam only and foam loaded with agarose hydrogel. In addition, we compared local dye delivery with a model of systemic dye delivery in the isolated perfused rodent heart. We measured the signal-to-noise ratio (SNR) of images acquired in various regions of the heart. Our evaluations showed that foam-agarose dye carriers exhibited a prolonged dye release vs. foam-only carriers. Foam-agarose dye carriers allowed reliable imaging of 5-9 lines, which is comparable to 4-8 min of continuous dye release. Our study in the living heart revealed that the SNR of FCM images using local and systemic dye delivery is not different. However, we observed differences in the imaged tissue microstructure with the two approaches. Structural features characteristic of microvasculature were solely observed for systemic dye delivery. Our findings suggest that local dye delivery approach for FCM imaging constitutes an important alternative to systemic dye delivery. We suggest that the approach for local dye delivery will facilitate clinical translation of FCM, for instance, for FCM imaging during pediatric heart surgery. [ABSTRACT FROM AUTHOR]

We present a hand-held device aimed for reflectance-mode confocal imaging of biological tissues. The device consists of a light carrying optical fiber and a miniaturized raster scanner located at the distal end of the fiber. It is fabricated by mounting a polarization maintaining optical fiber on a cantilever beam that is attached to another beam such that their bending axes are perpendicular to each other. Fiber scanner is driven by electromagnetic forces and enables large fiber deflections with low driving currents. Optical resolutions of the system are 1.55 and 8.45 μm in the lateral and axial directions, respectively. Functionality of the system is demonstrated by obtaining confocal images of a fly wing and a human colon tissue sample. [ABSTRACT FROM PUBLISHER]

Methods for detecting and localizing surgical instruments in laparoscopic images are an important element of advanced robotic and computer-assisted interventions. Robotic joint encoders and sensors integrated or mounted on the instrument can provide information about the tool’s position, but this often has inaccuracy when transferred to the surgeon’s point of view. Vision sensors are currently a promising approach for determining the position of instruments in the coordinate frame of the surgical camera. In this study, we propose a vision algorithm for localizing the instrument’s pose in 3-D leaving only rotation in the axis of the tool’s shaft as an ambiguity. We propose a probabilistic supervised classification method to detect pixels in laparoscopic images that belong to surgical tools. We then use the classifier output to initialize an energy minimization algorithm for estimating the pose of a prior 3-D model of the instrument within a level set framework. We show that the proposed method is robust against noise using simulated data and we perform quantitative validation of the algorithm compared to ground truth obtained using an optical tracker. Finally, we demonstrate the practical application of the technique on in vivo data from minimally invasive surgery with traditional laparoscopic and robotic instruments. [ABSTRACT FROM PUBLISHER]

The article focuses on the use of the non-invasive magnetic induction tomography (MIT) hardware system as an imaging tool for the medical and industrial sectors. In contrast to electrical impedance tomography (EIT) and electrical capacitance tomography (ECT), MIT is based on the mutual inductance theory and eddy current problem. Developments in high-conductivity and low-conductivity MIT at the University of Bath in England are described.

The article discusses the Pennsylvania Supreme Court case Northeastern Pennsylvania Imaging Center v. Commonwealth. In this case, the Court ruled that medical imaging equipments would be identified as a tangible personal property after installation. It was also held that medical imaging companies are subjected to sales tax after purchase of such equipment and they will not be subjected to use tax liability. It informs that such items cannot be considered as a part of the real estate structure.

Abstract: Objectives: To evaluate hability of a threshold value in ShearWave™ elastography to rule out malignant thyroid nodules while studying its pertinence in association with morphological signs. Equipment and methods: 148 patients (110 women and 38 men; 52.5 y.o. 15.8) referred for surgery of thyroid nodules underwent standard ultrasound as well as elastography. Characteristics of the morphological signs and maximum elastographic index were calculated in relation to histology. Association of morphological signs alone and then of elastography was also evaluated. One hundred and fifty one nodules were studied on a double-blind basis. Results: 297 nodules were studied. Thirty-five cancers were detected (11.6%). Elastographic index was higher in malignant nodules (115kPa 60.4) than in benign nodules (41kPa 25.8) (p <0.001, Student''s t-test). Cut off value of 66kPa was the best to discriminate malignant nodules with a sensitivity of 80% (CI 95%, 62.5; 90.9) and a specificity of 90.5% (CI 95%, 86.1; 93.6) (p =0.0001). Association of elastography and morphological ultrasound signs presented a sensitivity of 97% (CI 95%, 83.3; 99.8) and a negative predictive value of 99.5% (CI 95%, 95.6; 99.9). Interobserver reproducibility proved to be excellent with an interclass correlation of 0.97 (CI 95%, 0.96; 0.98) (p <0.001). Conclusion: The 66kPa threshold in Shear Wave elastography is the best ultrasound sign to rule out malignant thyroid nodules. The method is simple, quantitative, reproducible and usable in the study of nodules larger than 3cm. Progress must still be made in the study of calcified nodules and follicular tumors. [Copyright &y& Elsevier]

ABSTRACT The burgeoning knowledge of the human brain generated by the proliferation of new brain imaging technology from in recent decades has posed questions about the potential for this new knowledge of neural processing to be translated into 'usable knowledge' that teachers can employ in their practical curriculum work. The application of the findings of neuroscience to education has met a mixed reception, with some questioning its relevance for educational practice. Simplistic generalizations about neuroscience's application to education have been dubbed as neuromyths, and regarded as being at best irrelevant to or at worst counterproductive in bringing about good educational practice. In recent times, expansive literature generated in the area of educational neuroscience has drawn attention to a range of epistemological and conceptual issues pertinent to the attempt to translate neuroscientific research findings into usable knowledge that has the potential to improve curriculum practice. Issues involved in such a process include the place of neuroscience among the corpus of disciplines constituting the educational foundations; the conceptual framework required to translate knowledge between neuroscience and education; and, whether usable knowledge can be generated from neuroscientific information, so to be applied in curriculum work. These curriculum questions have direct bearing on curriculum work as the issue of usable knowledge relates directly to the teacher's role in the curriculum process. This article will consider the expectations and constraints in relation to the contribution of neuroscience to the production of usable knowledge for curriculum work. [ABSTRACT FROM AUTHOR]

Abstract: The objective of this study is to design a new multimodal imaging system for the evaluation of bone regeneration process. Pamidronate (PA) of bisphosphonates with a high affinity for hydroxyapatite, was introduced to pullulan with different molecular weights (PA–pullulan). Then, two probes for fluorescence and magnetic resonance (MR) imagings were introduced into the PA–pullulan to prepare the PA–pullulan conjugates containing both the imaging probes (PA–pullulan–F/M). The PA–pullulan–F/M conjugates had an affinity for hydroxyapatite. A gelatin hydrogel incorporating bone morphogentic protein (BMP)-2 was prepared and implanted subcutaneously into mice to obtain an animal model of bone regeneration. When intravenously injected into mice with the bone tissue ectopically formed by the BMP-2-incorporated hydrogel to fluorescently evaluate their body distribution, the PA–pullulan–F/M conjugates were accumulated in the bone tissue regenerated. The time profile of fluorescent intensity well corresponded with that of calcium amount in the bone tissue newly formed. In addition, the PA–pullulan–F/M conjugates showed an MR ability similar to Gd-DTPA (gadopentetate dimeglumine) of a MR imaging agent clinically used. The MR signal around the bone tissue newly formed was enhanced for mice injected with PA–pullulan–F/M prepared from pullulan with the molecular weight of 6000. It is concluded that the PA–pullulan–F/M conjugate is a useful multimodal agent of polymeric delivery system to evaluate the process of bone regeneration. [Copyright &y& Elsevier]

Abstract: Because of the limitation of equipment and the transmission process, the medical images’ quality is dropped, which cannot satisfy the medical analysis and the applied requirements. The denoising of medical image plays an important role in the image processing, and it is the basic of further analysis and computation. The image edge are easily interrupted by noise, but the traditional image denoising smooth out the edges of the reconstructed images which caused edge to be blurred, and made the information lost. The denoising algorithms based on partial differential of total variation is proposed by analyzing the requirements of medical image features from the view of image denoising, and use the OpenCV platform to simulate the program. The emphasis is to study the algorithm which applies in the medical image denoising technique. Theoretical analysis and experimental results show that the algorithm is effectiveness and superiority, which can make sure to obtain clear medical image and preserve the edge information integrally at the same time. [Copyright &y& Elsevier]

Bleomycin (BLM) has been labeled with various radioisotopes and widely used in therapy and diagnosis. Os is a parent radionuclide with 15.4 day half-life and decays by beta emission to Ir, which is a radionuclide with 4.96 s half-life. BLM was labeled with Os-hexachloro-osmate and its distribution and stability in wild-type mice was determined. The complex was obtained at the pH 2 in normal saline at 90 °C in 48 h. Radio-TLC showed an overall radiochemical yield of 93-97%, radio-chemical purity > 97%. The biodistribution study for Os-hexachloro-osmate and Os-BLM were carried in wild type-mice up to 14 days. Lungs, liver and spleen uptake increased 24-72 h after administration of Os-BLM. 24 h after administration, the radioactivity of the kidney increased and remained constant. [ABSTRACT FROM AUTHOR]

Carboxymethyl chitosan, (CMC), and N-lauryl-carboxymethyl chitosan (LCMC), have been prepared as water soluble derivatives of chitosan. These biodegradable chitosan derivatives were characterized and investigated for nuclear imaging and body distribution. They were labeled with Tc to use them as targeted delivery to some organs in vivo for nuclear imaging and to follow their biodistribution within the body. The factors controlling the labeling efficiency have been investigated. The percent labeling yield was determined by using ascending paper chromatographic technique. In vivo biodistribution studies of radiolabeled chitosan derivatives were carried out in groups of female Wistar rats, the body distribution profile in rat was recorded by gamma scintigraphy and the biodistribution of Tc-labeled compounds in each organ was calculated as a percentage of the injected dose per gram of tissue (%ID/g). It has been found that the biodistribution of the two compounds and the pattern of their liver uptake were markedly different. The present study demonstrates a high potential approach for liver imaging using Tc-LCMC. An intriguing finding of this study was that the three samples were excreted rapidly via the kidneys because of the water-soluble nature of chitosan derivatives. This suggests that water-soluble chitosan derivatives are good polymeric carriers for radioactive element that overcomes accumulation in the body. Moreover, the easy and inexpensive availability of chitosan could be beneficial for applications in scintigraphic imaging. [ABSTRACT FROM AUTHOR]

Abstract: Liquid perfluorocarbon droplets have been of interest in the medical acoustics community for use as acoustically activated particles for tissue occlusion, imaging and therapeutics. To date, methods to produce liquid perfluorocarbon droplets typically result in a polydisperse size distribution. Because the threshold of acoustic activation is a function of diameter, there would be benefit from a monodisperse population to preserve uniformity in acoustic activation parameters. Through use of a microfluidic device with flow-focusing technology, the production of droplets of perfluoropentane with a uniform size distribution is demonstrated. Stability studies indicate that these droplets are stable in storage for at least two weeks. Acoustic studies illustrate the thresholds of vaporization as a function of droplet diameter, and a logarithmic relationship is observed between acoustic pressure and vaporization threshold within the size ranges studied. Droplets of uniform size have very little variability in acoustic vaporization threshold. Results indicate that microfluidic technology can enable greater manufacturing control of phase-change perfluorocarbons for acoustic droplet vaporization applications. [Copyright &y& Elsevier]

We report an unusual case of chronic mesenteric ischemia presenting in a 12-year-old girl with idiopathic infantile arterial calcinosis (IIAC). This is the first reported case in the literature of chronic mesenteric ischemia in the setting of IIAC. The girl presented with a classical history of postprandial abdominal pain. Imaging demonstrated significant stenoses of the celiac axis, superior mesenteric artery (SMA) and inferior mesenteric artery (IMA). Angioplasty of the celiac axis and SMA was attempted, with successful dilation of the SMA only. At 3-, 6- and 12-month follow-ups, the child's symptoms had almost resolved. This case report has three important ramifications: chronic mesenteric ischemia is a possible clinical presentation in children with IACC, pre-angioplasty imaging is important in guiding treatment approach, and angioplasty was effective in this case of chronic mesenteric ischemia and offers hope for other similarly affected children. [ABSTRACT FROM AUTHOR]

To achieve diagnostic images during MRI examinations, small children need to lie still to avoid movement artefact. To reduce patient motion, obviate the need for voluntary immobilisation or breath-holding and therefore obtain high-quality images, MRI of infants is frequently carried out under sedation or general anaesthesia, but this is not without risk and expense. However, many other techniques are available for preparing children for MRI, which have not been fully evaluated. Here, we evaluate the advantages and disadvantage of sedation and anaesthesia for MRI. We then evaluate the alternatives, which include neonatal comforting techniques, sleep manipulation, and appropriate adaptation of the physical environment. We summarize the evidence for their use according to an established hierarchy. Lastly, we discuss several factors that will influence the choice of imaging preparation, including patient factors, imaging factors and service provision. The choice of approach to paediatric MRI is multi-factorial, with limited scientific evidence for many of the current approaches. These considerations may enable others to image children using MRI under different circumstances. [ABSTRACT FROM AUTHOR]

Abstract: Multifunctional materials for biological use have mostly been designed with composite or hybrid nanostructures in which two or more components are incorporated. The present work reports on a multifunctional biomaterial based on single-phased luminescent mesoporous lanthanide oxide nanoparticles that combine simultaneous drug delivery and cell imaging. A simple strategy based on solid-state-chemistry thermal decomposition process was employed to fabricate the spherical mesoporous Gd2O3:Eu nanoparticles with homogeneous size distribution. The porous nanoparticles developed by this strategy possess well-defined mesopores, large pore size and volume, and high specific surface area. The mesoporous features of nanoparticles impart the material with capabilities of loading and releasing the drug with a relatively high loading efficiency and a sustained release behavior of drugs. The DOX-loaded porous Gd2O3 nanoparticles are able to kill the cancer cells efficiently upon incubation with the human cervical carcinoma (HeLa) cells, indicating the potential for treatment of cancer cells. Meanwhile, the intrinsic luminescence of Gd2O3:Eu nanoparticles gives the function of optical imaging. Therefore, the drug release activity and effect of drugs on the cells can be effectively monitored via luminescence of nanoparticles themselves, realizing multifunctionality of simultaneous cell imaging and anticancer drug delivery in a single-phased nanoparticle. [Copyright &y& Elsevier]

Scan-LED-technology is a new rapid prototyping technique with increasing applications in the production of custom-made medical products. The present work is dealing with the examination of a silica/urethandimethacrylate (UDMA) nanocomposite for application in scan-LED-technology. The use of specific LED in a photo-DSC unit enables the simulation of crucial parameters of nanoparticle-filled resins for their application in scan-LED-technology. The conversion of double bonds during the curing reaction and the rate of conversion were studied as a function of radiation intensity, silica nanoparticle content, and silanization of the nanoparticles with 3-methacryloyloxypropyl-trimethoxysilane (MPTMS). The conversion of double bonds is increasing with increasing radiation intensity. The increasing conversion of the nanoparticle-filled resins is discussed as a combined effect of increasing nanoparticle content, alternated initiator/double bond ratio and increasing radiation intensity. A significant dependence of the reaction rate on nanoparticle content could not be found. Only for the unfilled resin, the rate was increasing at higher radiation intensities. The influence of residual solvent on conversion and rate of reaction was also analyzed. TGA measurements combined with FTIR were used to study the silanization of the nanoparticles. The silane layer thickness on the surface of the silica nanoparticles was determined. [ABSTRACT FROM AUTHOR]

Lymph node metastasis is a strong predictor of poor outcome in cancer patients. Animal studies of lymph node metastasis are constrained by difficulties in the establishment of appropriate animal models, limitations in the noninvasive monitoring of lymph node metastasis progression, and challenges in the pathologic confirmation of lymph node metastases. In this comprehensive review, we summarize available preclinical animal cancer models for noninvasive imaging and identification of lymph node metastases of non-hematogenous cancers. Furthermore, we discuss the strengths and weaknesses of common noninvasive imaging modalities used to identify tumor-bearing lymph nodes and provide guidelines for their pathological confirmation. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to compare I whole-body scintigraphy (WBS), WBS with I single photon emission computed tomography/computed tomography (SPECT/CT), and F-fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT in the detection of distant metastases of differentiated thyroid cancer (DTC). Methods: A total of 140 patients with 258 foci of suspected distant metastases were evaluated. I WBS, I SPECT/CT, and F-FDG PET/CT images were interpreted separately. The final diagnosis was obtained from histopathologic study, serum thyroglobulin level, other imaging modalities, and/or clinical follow-up. Results: Of the 140 patients with 258 foci, 46 patients with 166 foci were diagnosed as positive for distant metastasis. The sensitivity, specificity, and diagnostic accuracy of each imaging modality were 65, 55, and 59%, respectively, for I WBS; 65, 95, and 85% for I SPECT/CT, respectively; and 61, 98, and 86%, respectively, for F-FDG PET/CT in patient-based analyses. Lesion-based analyses demonstrated that both SPECT/CT and PET/CT were superior to WBS ( p<0.001) in all patient groups. SPECT/CT was superior to WBS and PET/CT ( p<0.001) in patients who received a single challenge of radioiodine therapy, whereas PET/CT was superior to WBS ( p=0.005) and SPECT/CT ( p=0.013) in patients who received multiple challenges. Conclusion: Both SPECT/CT and PET/CT demonstrated high diagnostic performance in detecting metastatic thyroid cancer. SPECT/CT was highly accurate in patients who underwent a single challenge of radioiodine therapy. In contrast, F-FDG PET/CT presented the highest diagnostic performance in patients who underwent multiple challenges of radioiodine therapy. [ABSTRACT FROM AUTHOR]

Purpose:Verification of the mechanical isocenter position is required as part of comprehensive quality assurance programs for stereotactic radiosurgery/radiotherapy (SRS/SRT) treatments. Several techniques have been proposed for this purpose but each of them has certain drawbacks. In this paper, a new efficient and more comprehensive method using cine-EPID images has been introduced for automatic verification of the isocenter with sufficient accuracy for stereotactic applications.Methods: Using a circular collimator fixed to the gantry head to define the field, EPID images of a Winston-Lutz phantom were acquired in cine-imaging mode during 360° gantry rotations. A robust matlab code was developed to analyze the data by finding the center of the field and the center of the ball bearing shadow in each image with sub-pixel accuracy. The distance between these two centers was determined for every image. The method was evaluated by comparison to results of a mechanical pointer and also by detection of a manual shift applied to the phantom position. The repeatability and reproducibility of the method were tested and it was also applied to detect couch and collimator wobble during rotation.Results:The accuracy of the algorithm was 0.03 ± 0.02 mm. The repeatability was less than 3 μm and the reproducibility was less than 86 μm. The time elapsed for the analysis of more than 100 cine images of Varian aS1000 and aS500 EPIDs were ∼65 and 20 s, respectively. Processing of images taken in integrated mode took 0.1 s. The output of the analysis software is printable and shows the isocenter shifts as a function of angle in both in-plane and cross-plane directions. It gives warning messages where the shifts exceed the criteria for SRS/SRT and provides useful data for the necessary adjustments in the system including bearing system and/or room lasers.Conclusions: The comprehensive method introduced in this study uses cine-images, is highly accurate, fast, and independent of the observer. It tests all gantry angles and is suitable for pretreatment QA of the isocenter for stereotactic treatments. [ABSTRACT FROM AUTHOR]

Imaging plays an essential role in the diagnosis and treatment of age-related macular degeneration (AMD). This review describes the imaging modalities most commonly employed by ophthalmologists caring for patients with neovascular AMD. Imaging modalities discussed include fluorescein angiography, optical coherence tomography, indocyanine green angiography, and fundus autofluorescence. [ABSTRACT FROM AUTHOR]

The article offers information on the use of Čerenkov radioactive optical imaging, which was discovered by Russian scientist Pavel A. Čerenkov. It examines early research related to Čerenkov radiation (CR) imaging and evaluates its potential application for molecular imaging. It mentions that CR is produced in a continuous spectrum similar to electromagnetic radiation. It shows that CR imaging could have a major impact on the field of molecular imaging.

We report a novel series of 11C-labeled imidazo[2,1-b]benzothiazoles (IBTs) as tracers for imaging of cerebral β-amyloid (Aβ) deposits in patients with Alzheimer’s disease (AD) by means of positron emission tomography (PET). From a series of 11 compounds, candidates were identified to have a high binding affinity for Aβ. Selected compounds were prepared as O- or N-[11C]methyl derivatives and shown to have a high initial brain uptake in wild-type mice (range 1.9−9.2% I.D./g at 5 min). 2-(p-[11C]Methylaminophenyl)-7-methoxyimidazo[2,1-b] benzothiazole ([11C]5) was identified as a lead based on the combined favorable properties of high initial brain uptake, rapid clearance from normal brain, and high in vitroaffinity for Aβ1−40(Ki= 3.5 nM) and Aβ1−42(5.8 nM), which were superior to the Pittsburgh compound B (1a). In an APP/PS1 mouse model of AD (Tg), we demonstrate a specific uptake of [11C]5in Aβ-containing telencephalic brain regions by means of small-animal PET that was confirmed by regional brain biodistribution, ex vivoautoradiography, and immunohistochemistry. Analysis of brain sections of Tg mice receiving a single bolus injection of [11C]5and [3H]1atogether revealed that the tracers bind to Aβ plaques in the brain of Tg mice in a comparable pattern. Taken together, these data suggest that IBTs represent useful PET imaging agents for high-sensitivity detection of Aβ plaques. [ABSTRACT FROM AUTHOR]

Specific ultrasound (US)-guided interventional procedures on peripheral nerves are reviewed in this article including regional anesthesia, biopsy of neural lesions, and some injection therapies. For these procedures, US is the best modality to provide a safe imaging guidance because of its excellent spatial resolution and real-time capabilities. With US guidance, the radiologist can visualize the needle tip continuously and ensure that the needle is placed precisely in the desired location, avoiding the risk of inadvertent nerve damage. Practical tips and tricks for US-guided needle placement, biopsy of neural lesions, and US-guided therapy are reviewed in this article. The use of US-guided injections in specific clinical settings, such as the percutaneous treatment of carpal tunnel syndrome, Morton's and saphenous neuromas, painful stump neuromas, piriformis syndrome, and meralgia paresthetica are also illustrated here. US allows the clinician to inject drugs with little or no patient discomfort. [ABSTRACT FROM AUTHOR]

Abstract: A novel zoledronic acid (ZL) derivative, 1-hydroxy-2-(2-ethyl-4-methyl-1H-imidazol-1-yl)ethane-1,1-diyldiphosphonic acid (EMIDP), was prepared and labeled with 99 mTc successfully in a high labeling yield and good stability in vitro. The preclinical pharmacological properties of 99 mTc-EMIDP were investigated and compared with 99 mTc-MDP and 99 mTc-ZL. The studies of biodistribution in mice and SPECT bone imaging of the rabbit suggest that 99 mTc-EMIDP has highly selective uptake in the skeletal system and rapid clearance in the soft tissues. The present findings indicate that 99 mTc-EMIDP holds great potential for bone scintigraphy. [Copyright &y& Elsevier]