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A number of phase based X-ray imaging methods have been developed that derive contrast from phase effects from the object which make them particularly interesting because of the ability to visualize soft tissues. Shack–Hartmann is a wave-front diagnostic technique that emerged from optics which uses ray-line beams (beamlets) to interrogate the differences in the wave-front across a beam can also be used for X-ray imaging applications with phase sensitivity. This method, which has been applied in the X-ray regime, is very simple in that it only requires a screen to prepare an array of beamlets that then pass through the object and are allowed to propagate a distance onto a pixelated detector. Absorption and refraction information can be extracted from the detected beamlets. An untapped property is the additional ability to extract scatter distribution information based on the observed width of the detected spots. This paper describes experiments done at a synchrotron facility investigating the use of a Shack–Hartmann system for biomedical applications and include our method and examples of scatter contrast extraction from the method. [ABSTRACT FROM AUTHOR]

The Biomedical Imaging and Therapy (BMIT) beamlines at the Canadian Light Source (CLS) comprise a multi-modality synchrotron imaging facility capable of imaging objects with 2–200 μm resolution with beam sizes up to ~200 mm wide and ~10 mm high in the experimental hutches [1–3]. BMIT hosts two beamlines, a bend magnet 05B1-1 and an insertion device 05ID-2, with capabilities to apply absorption imaging, in-line phase contrast imaging (PCI), analyzer-based imaging (ABI) or diffraction-enhanced imaging (DEI), and K-Edge Subtraction (KES) imaging. Talbot or grating interferometry is under development. [ABSTRACT FROM PUBLISHER]

Survivors of childhood Wilms tumors are at an increased risk of second malignant neoplasms. Recently, it has been postulated that renal cell carcinoma is among the malignancies for which this population is at risk. We present the unique case of an adult Wilms tumor survivor with non-syndromic hemihypertrophy (NSHH) who developed renal cell carcinoma. This case highlights the need for close follow-up in two populations: adults who have survived Wilms tumor and those with NSHH. [ABSTRACT FROM AUTHOR]

The article cites a case of a 5-month-old girl who was diagnosed with subacute necrotizing encephalomyelopathy or Leigh disease. She was presented with failure to thrive, developmental regression, visual inattention, and nystagmus. The patient had transient episodes of stiffening of the arms and legs, and arching of the back. Magnetic resonance imaging and magnetic resonance spectroscopy were performed.

Physiologic changes in renal transplant patients, such as transiently low central venous pressure, may be related to increased intra-abdominal pressure, from the volume of the transplanted kidney itself. Using intraoperative and postoperative Doppler ultrasound of the transplant renal vessels, we identified changes in flow dynamics following closure of the abdomen and reversal of the changes when the abdomen was reopened. This was attributed to abdominal compartment syndrome and a fasciotomy was created in the abdominal wall to accommodate the transplanted kidney. The findings in this case, in keeping with abdominal compartment syndrome, are not often considered in transplant recipients, but may explain some of the postsurgical physiology in some patients, particularly in the pediatric population. [ABSTRACT FROM AUTHOR]

Bronchial varices, which have rarely been described in the radiology literature, can be the result of pulmonary venous obstruction and may present with hemoptysis. This case is an illustration of this rare condition, which correlates CT findings with bronchoscopic findings. We also describe the findings on phase-contrast MR that demonstrated reversed diastolic flow in the branch pulmonary artery supplying the affected lung. [ABSTRACT FROM AUTHOR]

Accurate evaluation of morphological changes in articular cartilage are necessary for early detection of osteoarthritis (OA). 3T magnetic resonance imaging (MRI) has highly sensitive contrast resolution and is widely used clinically to detect OA. However, synchrotron radiation phase-contrast imaging computed tomography (SR-PCI) can also provide contrast to tissue interfaces that do not have sufficient absorption differences, with the added benefit of very high spatial resolution. Here, MRI was compared with SR-PCI for quantitative evaluation of human articular cartilage. Medial tibial condyles were harvested from non-OA donors and from OA patients receiving knee replacement surgery. Both imaging methods revealed that average cartilage thickness and cartilage volume were significantly reduced in the OA group, compared to the non-OA group. When comparing modalities, the superior resolution of SR-PCI enabled more precise mapping of the cartilage surface relative to MRI. As a result, MRI showed significantly higher average cartilage thickness and cartilage volume, compared to SR-PCI. These data highlight the potential for high-resolution imaging of articular cartilage using SR-PCI as a solution for early OA diagnosis. Recognizing current limitations of using a synchrotron for clinical imaging, we discuss its nascent utility for preclinical models, particularly longitudinal studies of live animal models of OA. [ABSTRACT FROM AUTHOR]

Objectives: The objectives are to compare lead blood concentrations in veterinary workers using lead shielding with concentrations in a control population, to measure hand surface lead before and after use of shielding, and to compare hand surface lead with and without the use of disposable gloves worn under hand shielding. Methods: Blood and hand wipe samples were analyzed for lead using inductively coupled plasma mass spectrometry. Results: There was no difference in blood lead between exposed and control groups. After lead glove use, 69% (18/26) of hand surface lead samples from workers not using disposable gloves were greater than 500 μg, 42% (11/26) were greater than 1000 μg, and 12% (3/26) were greater than 2000 μg. Conclusions: If lead shielding use is unavoidable, disposable gloves should be worn, and skin should be decontaminated after use. [ABSTRACT FROM AUTHOR]

The article presents a case study of a 63 year old woman in the U.S. who was taken to the emergency department because of acute-onset epigastrc pain. She was physically examined and it shows that she has unbeatable blood pressure, peritonitis and has increased serum lactate level. The article discusses internal hernia. It also states that transomental hernia is a rare case and that the presence of small-bowel loops associated with stretched vascular pedicle indicates a sign of internal hernia.

The article presents a medical case of a 63-year-old woman with acute-onset epigastric pain who was presented to the emergency department. It mentions that physical examinations show an unstable blood pressure and peritonitis. It is stated that the patient had no history of previous or chronic illness, but past surgical history was noted with a hysterectomy.

The article discusses the medical examination of an infant patient with failure to thrive, developmental regression, visual inattention, and nystagmus. According to the study, the infant had transient episodes of stiffening of her arms and legs and arching of her back, wherein none of these symptoms were noted until she was three months of age. It has showed that the infant had been born at term by spontaneous vaginal delivery following an uncomplicated pregnancy.

Discusses the case of a 15-year-old girl presented with Ortner's syndrome, a left recurrent laryngeal nerve palsy associated with cardiovascular disease. History of the patient's medical condition; Clinical investigations and diagnosis; Management of the patient's case.

Describes the case of a 15-year-old girl presented with idiopathic pulmonary hypertension. History of the patient's medical condition; Medical examinations undergone; Diagnosis and treatment options for the condition.

Purpose: Multiple-image radiography (MIR) is an analyzer-based synchrotron X-ray imaging approach capable of dissociating absorption, refraction, and scattering components of X-ray interaction with the material. It generates additional image contrast mechanisms (besides absorption), especially in the case of soft tissues, while minimizing absorbed radiation dose. Our goal is to develop a contrast agent for MIR using ultrasound microbubbles by carrying out a systematic assessment of size, shell material, and concentration. Procedures: Microbubbles were synthesized with two different shell materials: phospholipid and polyvinyl-alcohol. Polydisperse perfluorobutane-filled lipid microbubbles were divided into five size groups using centrifugation. Two distributions of air-filled polymer microbubbles were generated: 2–3 µm and 3–4 µm. A subset of polymer microbubbles 3–4 µm had iron oxide nanoparticles incorporated into their shell or coated on their surface. Microbubbles were immobilized in agar with different concentrations: 5 × 107, 5 × 106, and 5 × 105 MBs/ml. MIR was conducted on the BioMedical Imaging and Therapy beamline at the Canadian Light Source. Three images were generated: Gaussian amplitude, refraction, and ultra-small-angle X-ray scattering (USAXS). The contrast signal was quantified by measuring mean pixel values and comparing them with agar. Results: No difference was detected in absorption or refraction images of all tested microbubbles. Using USAXS, a significant signal increase was observed with lipid microbubbles 6–10 µm at the highest concentration (p = 0.02), but no signal was observed at lower concentrations. Conclusions: These data indicate that lipid microbubbles 6–10 µm are candidates as contrast agents for MIR, specifically for USAXS. A minimum concentration of 5 × 107 microbubbles (lipid-shell 6–10 µm) per milliliter was needed to generate a detectable signal. [ABSTRACT FROM AUTHOR]

In tissue engineering, non-invasive imaging of biomaterial scaffolds and tissues in living systems is essential to longitudinal animal studies for assessments without interrupting the repair process. Conventional X-ray imaging is inadequate for use in soft tissue engineering due to the limited absorption difference between the soft tissue and biomaterial scaffolds. X-ray phase-based imaging techniques that derive contrast from refraction or phase effects rather than absorption can provide the necessary contrast to see low-density biomaterial scaffolds and tissues in large living systems. This paper explores and compares three synchrotron phase-based X-ray imaging techniques—computed tomography (CT)-diffraction enhanced imaging (DEI), -analyzer based imaging (ABI), and -phase contrast imaging (PCI)—for visualization and characterization of low-density biomaterial scaffolds and tissues in situ for non-invasive soft tissue engineering assessments. Intact pig joints implanted with polycaprolactone scaffolds were used as the model to assess and compare the imaging techniques in terms of different qualitative and quantitative criteria. For long-term in vivo live animal imaging, different strategies for reducing the imaging radiation dose and scan time—reduced number of CT projections, region of interest, and low resolution imaging—were examined with the presented phase-based imaging techniques. The results demonstrated promising capabilities of the phase-based techniques for visualization of biomaterial scaffolds and soft tissues in situ . The low-dose imaging strategies were illustrated effective for reducing the radiation dose to levels appropriate for live animal imaging. The comparison among the imaging techniques suggested that CT-DEI has the highest efficiency in retaining image contrast at considerably low radiation doses. [ABSTRACT FROM AUTHOR]

The use of magnetic resonance imaging (MRI) during pregnancy is associated with concerns among patients and health professionals with regards to fetal safety. In this work, the Canadian Association of Radiologists (CAR) Working Group on MRI in Pregnancy presents recommendations for the use of MRI in pregnancy, derived from literature review as well as expert panel opinions and discussions. The working group, which consists of academic subspecialty radiologists and obstetrician-gynaecologists, aimed to provide updated, evidence-based recommendations addressing safety domains related to energy deposition, acoustic noise, and gadolinium-based contrast agent use based on magnetic field strength (1.5T and 3T) and trimester scanned, in addition to the effects of sedative use and occupational exposure. [ABSTRACT FROM AUTHOR]

The article reports on research which was conducted to investigate whether diffraction enhanced X-ray imaging would be effective in imaging the distal radius and would be a useful approach for visualizing the architecture of the trabecular bone. Researchers imaged human bone and tissue specimens. They found that diffraction enhanced X-ray imaging was an effective approach which improved visualization of bone architecture.

The bending magnet line (05B1-1) of the BioMedical Imaging and Therapy (BMIT) facility of the Canadian Light Source saw initial research application (Figure 1) during commissioning which began in December 2008 and continued intermittently through May 2010. Following an initial run based upon letters of intent (June-Dec. 2010), the bending magnet line is now available for regular user access. The mandate to advance research related to human and animal health, combined with an active bone imaging community at the University of Saskatchewan, has resulted in a strong representation of skeletal imaging during initial experiments at BMIT. To date, specific manifestations of bone imaging have ranged from micro-CT imaging of human cortical bone samples to in vitro diffraction enhanced imaging (DEI) of rat and pig bones and, ultimately, to in vivo DEI of bones within young chickens. In this article we focus on the diffraction enhanced imaging capabilities of BMIT and describe our efforts to apply this technology to human trabecular bone microarchitecture - a potential clinical application in the future. [ABSTRACT FROM AUTHOR]

Objective: X-ray phase contrast imaging generates contrast from refraction of X-rays, enhancing soft tissue contrast compared to conventional absorption-based imaging. Our goal is to develop a contrast agent for X-ray in-line phase contrast imaging (PCI) based on ultrasound microbubbles (MBs), by assessing size, shell material, and concentration. Methods: Polydisperse perfluorobutane-core lipid-shelled MBs were synthesized and size separated into five groups between 1 and 10 μm. We generated two size populations of polyvinyl-alcohol (PVA)-MBs, 2-3 μm and 3-4 μm, whose shells were either coated or integrated with iron oxide nanoparticles (SPIONs). Microbubbles were then embedded in agar at three concentrations: 5 × 107, 5 × 106 and 5 × 105 MBs/ml. In-line phase contrast imaging was performed at the Canadian Light Source with filtered white beam micro-computed tomography. Phase contrast intensity was measured by both counting detectable MBs, and comparing mean pixel values (MPV) in minimum and maximum intensity projections of the overall samples. Results: Individual lipid-MBs 6-10 μm, lipid-MBs 4-6 μm and PVA-MBs coated with SPIONs were detectable at each concentration. At the highest concentration, lipid-MBs 6-10 μm and 4-6 μm showed an overall increase in positive contrast, whereas at a moderate concentration, only lipid-MBs 6-10 μm displayed an increase. Negative contrast was also observed from two largest lipid-MBs at high concentration. Conclusion: These data indicate that lipid-MBs larger than 4 μm are candidates for PCI, and 5 × 106 MBs/ml may be the lowest concentration suitable for generating visible phase contrast in vivo. Significance: Identifying a suitable MB for PCI may facilitate future clinical translation. [ABSTRACT FROM AUTHOR]

Mycobacterium avium complex (MAC) is usually considered an opportunistic organism, which infects immunocompromised children or those with structural airway abnormalities. We present two cases of MAC infection affecting immune competent children, likely from hot tubs with primary involvement of pulmonary and urinary systems. These cases highlight the importance of asking about hot tub use in immune competent children with suspected or confirmed MAC infections. [ABSTRACT FROM AUTHOR]

Abstract: Moiré pattern noise in Scanning Transmission X-ray Microscopy (STXM) imaging introduces significant errors in qualitative and quantitative image analysis. Due to the complex origin of the noise, it is difficult to avoid Moiré pattern noise during the image data acquisition stage. In this paper, we introduce a post-processing method for filtering Moiré pattern noise from STXM images. This method includes a semi-automatic detection of the spectral peaks in the Fourier amplitude spectrum by using a local median filter, and elimination of the spectral noise peaks using a Gaussian notch filter. The proposed median-Gaussian filtering framework shows good results for STXM images with the size of power of two, if such parameters as threshold, sizes of the median and Gaussian filters, and size of the low frequency window, have been properly selected. [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]

Abstract: Biomedical research at synchrotron facilities may involve imaging live animals that must remain motionless for extended periods of time to obtain quality images. Even breathing movements reduce image quality but on the other hand excessive restraint of animals increases morbidity and mortality. We describe a humane animal restraint designed to eliminate head movements while promoting animal survival. This paper describes how an animal restraint that conforms to the shape of an animal''s head was fabricated by a 3D prototyper. The method used to translate medical computed tomography (CT) data to a 3D stereolithography format is described and images of its use at the Canadian Light Source (CLS) are shown. This type of restraint holds great promise in improving image quality and repeatability while reducing stress on experimental animals. [Copyright &y& Elsevier]