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SU-F-J-26: Performance of 2.5MV Portal Imaging in Comparison with KV X-Ray and 6MV and Flattening-Filter-Free 6MV Portal Imaging

Purpose: To assess image quality and imaging dose of 2.5MV electronic portal imaging in comparison to kV imaging and 6MV and Flattening-Filter-Free 6MV (6MVFFF) portal imaging using a DMI imager. Methods: Quantitative assessment of image quality was performed with Leeds and Las Vegas test phantoms in conjunction with qualitative evaluation of clinical patient images for kV imaging and 2.5MV, 6MV and 6MVFFF portal imaging. High and low contrast resolutions were evaluated and imaging doses were measured using these x-rays. Phantom test was performed both in air and in solid water. Clinical patient portal images were also reviewed and qualitatively assessed for these three imaging MV energies. Results: Among the 28 objects in Las Vegas phantom, 16, 17 and 26 of them were resolved using Low Dose technique and 18, 22 and 26 were resolved using High Quality technique with 6MV, 6MVFFF and 2.5MV, respectively. The number of Leeds low contrast objects resolved by 6MV, 6MFFFF and 2.5MV was 6, 15 and 18 with Low Dose technique and 14, 17 and 18 with High Quality technique, respectively. When the test phantoms were embedded in 20cm thick solid water, the results were noticeably affected, but the performance of 2.5MV was still substantially better than 6MV and 6MVFFF. Imaging dose with 2.5MV measured at 10 cm depth was about half of that with 6MV or 6MVFFF. Clinical patient portal images were reviewed and qualitatively assessed for different sites including brain, head-and-neck, chest and pelvis. 2.5MV imaging provided more details and substantially higher contrast. Conclusion: While portal imaging with 6MVFFF provides noticeably better image quality than that with 6MV, the performance of 2.5MV portal imaging is substantially better than both 6MV and 6MVFFF in terms of high and low contrast resolutions as well as lower imaging dose. 2.5MV imaging provides near kV imaging quality.

60 APPLIED LIFE SCIENCES↗

WE-DE-207A-02: Advances in Cone Beam CT Anatomical and Functional Imaging in Angio-Suite to Enable One-Stop-Shop Stroke Imaging Workflow

1. Parallels in the evolution of x-ray angiographic systems and devices used for minimally invasive endovascular therapy Charles Strother - DSA, invented by Dr. Charles Mistretta at UW-Madison, was the technology which enabled the development of minimally invasive endovascular procedures. As DSA became widely available and the potential benefits for accessing the cerebral vasculature from an endovascular approach began to be apparent, industry began efforts to develop tools for use in these procedures. Along with development of catheters, embolic materials, pushable coils and the GDC coils there was simultaneous development and improvement of 2D DSA image quality and the introduction of 3D DSA. Together, these advances resulted in an enormous expansion in the scope and numbers of minimally invasive endovascular procedures. The introduction of flat detectors for c-arm angiographic systems in 2002 provided the possibility of the angiographic suite becoming not just a location for vascular imaging where physiological assessments might also be performed. Over the last decade algorithmic and hardware advances have been sufficient to now realize this potential in clinical practice. The selection of patients for endovascular treatments is enhanced by this dual capability. Along with these advances has been a steady reduction in the radiation exposure required so that today, vascular and soft tissue images may be obtained with equal or in many cases less radiation exposure than is the case for comparable images obtained with multi-detector CT. Learning Objectives: To understand the full capabilities of today’s angiographic suite To understand how c-arm cone beam CT soft tissue imaging can be used for assessments of devices, blood flow and perfusion. Advances in real-time x-ray neuro-endovascular image guidance Stephen Rudin - Reacting to the demands on real-time image guidance for ever finer neurovascular interventions, great improvements in imaging chains are being pursued. For the highest spatial and temporal resolution, x-ray guidance with fluoroscopy and angiography although dominant are still being vastly improved. New detectors such as the Micro-Angiographic Fluoroscope (MAF) and x-ray source designs that enable higher outputs while maintaining small focal spots will be highlighted along with new methods for minimizing the radiation dose to patients. Additionally, new platforms for training and device testing that include patient-specific 3D printed vascular phantoms and new metrics such as generalized relative object detectability for objectively inter-comparing systems will be discussed. This will improve the opportunity for better evaluation of these technological advances which should contribute to the safety and efficacy of image guided minimally invasive neuro-endovascular procedures. Learning Objectives: To understand the operation of new x-ray imaging chain components such as detectors and sources To be informed about the latest testing methods, with 3D printed vascular phantoms, and new evaluation metrics for advanced imaging in x-ray image guided neurovascular interventions Advances in cone beam CT anatomical and functional imaging in angio-suite to enable one-stop-shop stroke imaging workflow Guang-Hong Chen - The introduction of flat-panel detector based cone-beam CT in clinical angiographic imaging systems enabled treating physicians to obtain three-dimensional anatomic roadmaps for bony structure, soft brain tissue, and vasculatures for treatment planning and efficacy checking after the procedures. However, much improvement is needed to reduce image artifacts, reduce radiation dose, and add potential functional imaging capability to provide four-dimensional dynamic information of vasculature and brain perfusion. In this presentation, some of the new techniques developed to address radiation dose issues, image artifact reduction and brain perfusion using C-arm cone-beam CT imaging system will be introduced for the audience. Learning Objectives: To understand the clinical need of one-stop-shop stroke imaging workflow To understand to technical challenges in cone beam CT perfusion To understand the potential technical solutions to enable one-stop-shop imaging workflow Recent advances in devices used in neuro--interventions Mattew Gounis - Over the past two decades, there has been explosive development of medical devices that have revolutionized the endovascular treatment of cerebrovascular diseases. There is now Level 1, Class A evidence that intra-arterial, mechanical thrombectomy in acute ischemic stroke is superior to medical management; and similarly that minimally invasive, endovascular repair of ruptured brain aneurysms is superior to surgical treatment. Stent-retrievers are now standard of care for emergent large vessel occlusions causing a stroke, with a number of patients need to treat for good clinical outcomes as low as 4. Recent technologies such as flow diverters and disrupters, intracranial self-expanding stents, flexible large bore catheters that can reach vessels beyond the circle of Willis, stent-retrievers, and super-compliant balloons are the result of successful miniaturization of design features and novel manufacturing technologies capable of building these devices. This is a rapidly evolving field, and the device technology enabling such advancements will be reviewed. Importantly, image-guidance technology has not kept pace in neurointervention and the ability to adequately characterize these devices in vivo remains a significant opportunity. Learning Objectives: A survey of devices used in neurointerventions, their materials and essential design characteristics Funding support received from NIH and DOD; Funding support received from GE Healthcare; Funding support received from Siemens AX; Patent royalties received from GE Healthcare; G. Chen, Funding received from NIH; funding received from DOD; funding received from GE Healthcare; funding received from Siemens AX.; M. Gounis, consultant for Codman Neurovascular and Stryker Neurovascular; Holds stock in InNeuroCo Inc, research grants: NIH, Medtronic Neurovascular, Microvention/Terumo, Cerevasc LLC, Gentuity, Codman Neurovascular, Philips Healthcare, Stryker Neurovascular, Tay Sachs Foundation, and InNeuroCo Inc.; S. Rudin, Supported in part by NIH Grant R01EB002873 and the Toshiba Medical System Corp.

60 APPLIED LIFE SCIENCES↗

Prospective Evaluation of Dual-Energy Imaging in Patients Undergoing Image Guided Radiation Therapy for Lung Cancer: Initial Clinical Results

Purpose: A prospective feasibility study was conducted to investigate the utility of dual-energy (DE) imaging compared to conventional x-ray imaging for patients undergoing kV-based image guided radiation therapy (IGRT) for lung cancer. Methods and Materials: An institutional review board-approved feasibility study enrolled patients with lung cancer undergoing IGRT and was initiated in September 2011. During daily setup, 2 sequential respiration-gated x-ray images were obtained using an on-board imager. Imaging was composed of 1 standard x-ray image at 120 kVp (1 mAs) and a second image obtained at 60 kVp (4 mAs). Weighted logarithmic subtraction of the 2 images was performed offline to create a soft tissue-selective DE image. Conventional and DE images were evaluated by measuring relative contrast and contrast-to-noise ratios (CNR) and also by comparing spatial localization, using both approaches. Imaging dose was assessed using a calibrated ion chamber. Results: To date, 10 patients with stage IA to IIIA lung cancer were enrolled and 57 DE images were analyzed. DE subtraction resulted in complete suppression of overlying bone in all 57 DE images, with an average improvement in relative contrast of 4.7 ± 3.3 over that of 120 kVp x-ray images (P<.0002). The improvement in relative contrast with DE imaging was seen for both smaller (gross tumor volume [GTV] ≤5 cc) and larger tumors (GTV >5 cc), with average relative contrast improvement ratios of 3.4 ± 4.1 and 5.4 ± 3.6, respectively. Moreover, the GTV was reliably localized in 95% of the DE images versus 74% of the single energy (SE images, (P=.004). Mean skin dose per DE image set was 0.44 ± 0.03 mGy versus 0.43 ± 0.03 mGy, using conventional kV imaging parameters. Conclusions: Initial results of this feasibility study suggest that DE thoracic imaging may enhance tumor localization in lung cancer patients receiving kV-based IGRT without increasing imaging dose.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Technical Note: Image filtering to make computer-aided detection robust to image reconstruction kernel choice in lung cancer CT screening

Purpose: In lung cancer computed tomography (CT) screening, the performance of a computer-aided detection (CAD) system depends on the selection of the image reconstruction kernel. To reduce this dependence on reconstruction kernels, the authors propose a novel application of an image filtering method previously proposed by their group. Methods: The proposed filtering process uses the ratio of modulation transfer functions (MTFs) of two reconstruction kernels as a filtering function in the spatial-frequency domain. This method is referred to as MTF{sub ratio} filtering. Test image data were obtained from CT screening scans of 67 subjects who each had one nodule. Images were reconstructed using two kernels: f{sub STD} (for standard lung imaging) and f{sub SHARP} (for sharp edge-enhancement lung imaging). The MTF{sub ratio} filtering was implemented using the MTFs measured for those kernels and was applied to the reconstructed f{sub SHARP} images to obtain images that were similar to the f{sub STD} images. A mean filter and a median filter were applied (separately) for comparison. All reconstructed and filtered images were processed using their prototype CAD system. Results: The MTF{sub ratio} filtered images showed excellent agreement with the f{sub STD} images. The standard deviation for the difference between these images was very small, ∼6.0 Hounsfield units (HU). However, the mean and median filtered images showed larger differences of ∼48.1 and ∼57.9 HU from the f{sub STD} images, respectively. The free-response receiver operating characteristic (FROC) curve for the f{sub SHARP} images indicated poorer performance compared with the FROC curve for the f{sub STD} images. The FROC curve for the MTF{sub ratio} filtered images was equivalent to the curve for the f{sub STD} images. However, this similarity was not achieved by using the mean filter or median filter. Conclusions: The accuracy of MTF{sub ratio} image filtering was verified and the method was demonstrated to be effective for reducing the kernel dependence of CAD performance.

60 APPLIED LIFE SCIENCES↗

SU-F-P-48: The Quantitative Evaluation and Comparison of Image Distortion and Loss of X-Ray Images Between Anti-Scattered Grid and Moire Compensation Processing in Digital Radiography

Purpose: To quantitatively analyze the influence image processing for Moire elimination has in digital radiography by comparing the image acquired from optimized anti-scattered grid only and the image acquired from software processing paired with misaligned low-frequency grid. Methods: Special phantom, which does not create scattered radiation, was used to acquire non-grid reference images and they were acquired without any grids. A set of images was acquired with optimized grid, aligned to pixel of a detector and other set of images was acquired with misaligned low-frequency grid paired with Moire elimination processing algorithm. X-ray technique used was based on consideration to Bucky factor derived from non-grid reference images. For evaluation, we analyze by comparing pixel intensity of acquired images with grids to that of reference images. Results: When compared to image acquired with optimized grid, images acquired with Moire elimination processing algorithm showed 10 to 50% lower mean contrast value of ROI. Severe distortion of images was found with when the object’s thickness was measured at 7 or less pixels. In this case, contrast value measured from images acquired with Moire elimination processing algorithm was under 30% of that taken from reference image. Conclusion: This study shows the potential risk of Moire compensation images in diagnosis. Images acquired with misaligned low-frequency grid results in Moire noise and Moire compensation processing algorithm used to remove this Moire noise actually caused an image distortion. As a result, fractures and/or calcifications which are presented in few pixels only may not be diagnosed properly. In future work, we plan to evaluate the images acquired without grid but based on 100% image processing and the potential risks it possesses.

60 APPLIED LIFE SCIENCES↗

Comparing deflection measurements of a magnetically steerable catheter using optical imaging and MRI

Purpose: Magnetic resonance imaging (MRI) is an emerging modality for interventional radiology, giving clinicians another tool for minimally invasive image-guided interventional procedures. Difficulties associated with endovascular catheter navigation using MRI guidance led to the development of a magnetically steerable catheter. The focus of this study was to mechanically characterize deflections of two different prototypes of the magnetically steerable catheterin vitro to better understand their efficacy. Methods: A mathematical model for deflection of the magnetically steerable catheter is formulated based on the principle that at equilibrium the mechanical and magnetic torques are equal to each other. Furthermore, two different image based methods for empirically measuring the catheter deflection angle are presented. The first, referred to as the absolute tip method, measures the angle of the line that is tangential to the catheter tip. The second, referred to the base to tip method, is an approximation that is used when it is not possible to measure the angle of the tangent line. Optical images of the catheter deflection are analyzed using the absolute tip method to quantitatively validate the predicted deflections from the mathematical model. Optical images of the catheter deflection are also analyzed using the base to tip method to quantitatively determine the differences between the absolute tip and base to tip methods. Finally, the optical images are compared to MR images using the base to tip method to determine the accuracy of measuring the catheter deflection using MR. Results: The optical catheter deflection angles measured for both catheter prototypes using the absolute tip method fit very well to the mathematical model (R{sup 2} = 0.91 and 0.86 for each prototype, respectively). It was found that the angles measured using the base to tip method were consistently smaller than those measured using the absolute tip method. The deflection angles measured using optical data did not demonstrate a significant difference from the angles measured using MR image data when compared using the base to tip method. Conclusions: This study validates the theoretical description of the magnetically steerable catheter, while also giving insight into different methods and modalities for measuring the deflection angles of the prototype catheters. These results can be used to mechanically model future iterations of the design. Quantifying the difference between the different methods for measuring catheter deflection will be important when making deflection measurements in future studies. Finally, MR images can be used to reliably measure deflection angles since there is no significant difference between the MR and optical measurements.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

An initial study on the estimation of time-varying volumetric treatment images and 3D tumor localization from single MV cine EPID images

Purpose: In this work the authors develop and investigate the feasibility of a method to estimate time-varying volumetric images from individual MV cine electronic portal image device (EPID) images. Methods: The authors adopt a two-step approach to time-varying volumetric image estimation from a single cine EPID image. In the first step, a patient-specific motion model is constructed from 4DCT. In the second step, parameters in the motion model are tuned according to the information in the EPID image. The patient-specific motion model is based on a compact representation of lung motion represented in displacement vector fields (DVFs). DVFs are calculated through deformable image registration (DIR) of a reference 4DCT phase image (typically peak-exhale) to a set of 4DCT images corresponding to different phases of a breathing cycle. The salient characteristics in the DVFs are captured in a compact representation through principal component analysis (PCA). PCA decouples the spatial and temporal components of the DVFs. Spatial information is represented in eigenvectors and the temporal information is represented by eigen-coefficients. To generate a new volumetric image, the eigen-coefficients are updated via cost function optimization based on digitally reconstructed radiographs and projection images. The updated eigen-coefficients are then multiplied with the eigenvectors to obtain updated DVFs that, in turn, give the volumetric image corresponding to the cine EPID image. Results: The algorithm was tested on (1) Eight digital eXtended CArdiac-Torso phantom datasets based on different irregular patient breathing patterns and (2) patient cine EPID images acquired during SBRT treatments. The root-mean-squared tumor localization error is (0.73 ± 0.63 mm) for the XCAT data and (0.90 ± 0.65 mm) for the patient data. Conclusions: The authors introduced a novel method of estimating volumetric time-varying images from single cine EPID images and a PCA-based lung motion model. This is the first method to estimate volumetric time-varying images from single MV cine EPID images, and has the potential to provide volumetric information with no additional imaging dose to the patient.

60 APPLIED LIFE SCIENCES↗

A Joint Roman Space Telescope and Rubin Observatory Synthetic Wide-Field Imaging Survey

We present and validate 20 deg(2) of overlapping synthetic imaging surveys representing the full depth of the Nancy Grace Roman Space Telescope High-Latitude Imaging Survey (HLIS) and 5 yr of observations of the Vera C. Rubin Observatory Legacy Survey of Space and Time (LSST). The two synthetic surveys are summarized, with reference to the existing 300 deg(2) of LSST simulated imaging produced as part of Dark Energy Science Collaboration (DESC) Data Challenge 2 (DC2). Both synthetic surveys observe the same simulated DESC DC2 universe. For the synthetic Roman survey, we simulate for the first time fully chromatic images along with the detailed physics of the Sensor Chip Assemblies derived from lab measurements using the flight detectors. The simulated imaging and resulting pixel-level measurements of photometric properties of objects span a wavelength range of similar to 0.3-2.0 mu m. We also describe updates to the Roman simulation pipeline, changes in how astrophysical objects are simulated relative to the original DC2 simulations, and the resulting simulated Roman data products. We use these simulations to explore the relative fraction of unrecognized blends in LSST images, finding that 20-30 per cent of objects identified in LSST images with i-band magnitudes brighter than 25 can be identified as multiple objects in Roman images. These simulations provide a unique testing ground for the development and validation of joint pixel-level analysis techniques of ground- and space-based imaging data sets in the second half of the 2020s - in particular the case of joint Roman-LSST analyses.

gravitational lensing↗

SU-E-I-74: Image-Matching Technique of Computed Tomography Images for Personal Identification: A Preliminary Study Using Anthropomorphic Chest Phantoms

Purpose: Fingerprints, dental impressions, and DNA are used to identify unidentified bodies in forensic medicine. Cranial Computed tomography (CT) images and/or dental radiographs are also used for identification. Radiological identification is important, particularly in the absence of comparative fingerprints, dental impressions, and DNA samples. The development of an automated radiological identification system for unidentified bodies is desirable. We investigated the potential usefulness of bone structure for matching chest CT images. Methods: CT images of three anthropomorphic chest phantoms were obtained on different days in various settings. One of the phantoms was assumed to be an unidentified body. The bone image and the bone image with soft tissue (BST image) were extracted from the CT images. To examine the usefulness of the bone image and/or the BST image, the similarities between the two-dimensional (2D) or threedimensional (3D) images of the same and different phantoms were evaluated in terms of the normalized cross-correlation value (NCC). Results: For the 2D and 3D BST images, the NCCs obtained from the same phantom assumed to be an unidentified body (2D, 0.99; 3D, 0.93) were higher than those for the different phantoms (2D, 0.95 and 0.91; 3D, 0.89 and 0.80). The NCCs for the same phantom (2D, 0.95; 3D, 0.88) were greater compared to those of the different phantoms (2D, 0.61 and 0.25; 3D, 0.23 and 0.10) for the bone image. The difference in the NCCs between the same and different phantoms tended to be larger for the bone images than for the BST images. These findings suggest that the image-matching technique is more useful when utilizing the bone image than when utilizing the BST image to identify different people. Conclusion: This preliminary study indicated that evaluating the similarity of bone structure in 2D and 3D images is potentially useful for identifying of an unidentified body.

60 APPLIED LIFE SCIENCES↗

THE SLOAN DIGITAL SKY SURVEY STRIPE 82 IMAGING DATA: DEPTH-OPTIMIZED CO-ADDS OVER 300 deg{sup 2} IN FIVE FILTERS

We present and release co-added images of the Sloan Digital Sky Survey (SDSS) Stripe 82. Stripe 82 covers an area of ∼300 deg{sup 2} on the celestial equator, and has been repeatedly scanned 70-90 times in the ugriz bands by the SDSS imaging survey. By making use of all available data in the SDSS archive, our co-added images are optimized for depth. Input single-epoch frames were properly processed and weighted based on seeing, sky transparency, and background noise before co-addition. The resultant products are co-added science images and their associated weight images that record relative weights at individual pixels. The depths of the co-adds, measured as the 5σ detection limits of the aperture (3.''2 diameter) magnitudes for point sources, are roughly 23.9, 25.1, 24.6, 24.1, and 22.8 AB magnitudes in the five bands, respectively. They are 1.9-2.2 mag deeper than the best SDSS single-epoch data. The co-added images have good image quality, with an average point-spread function FWHM of ∼1'' in the r, i, and z bands. We also release object catalogs that were made with SExtractor. These co-added products have many potential uses for studies of galaxies, quasars, and Galactic structure. We further present and release near-IR J-band images that cover ∼90 deg{sup 2} of Stripe 82. These images were obtained using the NEWFIRM camera on the NOAO 4 m Mayall telescope, and have a depth of about 20.0-20.5 Vega magnitudes (also 5σ detection limits for point sources)

79 ASTRONOMY AND ASTROPHYSICS↗

SU-E-J-14: A Comparison of a 2.5MV Imaging Beam to KV and 6MV Imaging Beams

Purpose: To compare image quality metrics and dose of TrueBeam V2.0’s 2.5MV imaging beam and kV and 6MV images. Methods: To evaluate the MV image quality, the Standard Imaging QC-3 and Varian Las Vegas (LV) phantoms were imaged using the ‘quality’ and ‘low dose’ modes and then processed using RIT113 V6.3. The LEEDS phantom was used to evaluate the kV image quality. The signal to noise ratio (SNR) was also evaluated in patient images using Matlab. In addition, dose per image was evaluated at a depth of 5cm using solid water for a 28.6 cm × 28.6 cm field size, which is representative of the largest jaw settings at an SID of 150cm. Results: The 2.5MV images had lower dose than the 6 MV images and a contrast to noise ratio (CNR) about 1.4 times higher, when evaluated using the QC-3. When energy was held constant but dose varied, the different modes, ‘low dose’ and ‘quality’, showed less than an 8% difference in CNR. The ‘quality’ modes demonstrated better spatial resolution than the ‘low dose’; however, even with the ‘low dose’ all line pairs were distinct except for the 0.75lp/mm on the 2.5MV. The LV phantom was used to measure low contrast detectability and showed similar results to the QC-3. Several patient images all confirmed that SNR were highest in kV images followed by 2.5MV and then 6MV. Qualitatively, for anatomical areas with large variability in thickness, like lateral head and necks, 2.5MV images show more anatomy, such as shoulder position, than kV images. Conclusions: The kV images clearly provide the best image metrics per unit dose. The 2.5MV beam showed excellent contrast at a lower dose than 6MV and may be superior to kV for difficult to image areas that include large changes in anatomical thickness. P Balter: Varian, Sun Nuclear, Philips, CPRIT.

60 APPLIED LIFE SCIENCES↗

An image assessment study of image acceptability of the Galileo low gain antenna mission

This paper describes a study conducted by NASA Ames Research Center (ARC) in collaboration with the Jet Propulsion Laboratory (JPL), Pasadena, California on the image acceptability of the Galileo Low Gain Antenna mission. The primary objective of the study is to determine the impact of the Integer Cosine Transform (ICT) compression algorithm on Galilean images of atmospheric bodies, moons, asteroids and Jupiter's rings. The approach involved fifteen volunteer subjects representing twelve institutions involved with the Galileo Solid State Imaging (SSI) experiment. Four different experiment specific quantization tables (q-table) and various compression stepsizes (q-factor) to achieve different compression ratios were used. It then determined the acceptability of the compressed monochromatic astronomical images as evaluated by Galileo SSI mission scientists. Fourteen different images were evaluated. Each observer viewed two versions of the same image side by side on a high resolution monitor, each was compressed using a different quantization stepsize. They were requested to select which image had the highest overall quality to support them in carrying out their visual evaluations of image content. Then they rated both images using a scale from one to five on its judged degree of usefulness. Up to four pre-selected types of images were presented with and without noise to each subject based upon results of a previously administered survey of their image preferences. Fourteen different images in seven image groups were studied. The results showed that: (1) acceptable compression ratios vary widely with the type of images; (2) noisy images detract greatly from image acceptability and acceptable compression ratios; and (3) atmospheric images of Jupiter seem to have higher compression ratios of 4 to 5 times that of some clear surface satellite images.

Chuang, S. L.↗

Image quality and diagnostic accuracy of complex-averaged high b value images in diffusion-weighted MRI of prostate cancer

Purpose: To evaluate the impact of complex-averaging on image quality (IQ) and diagnostic accuracy of acquired and calculated high b value (aHBV, cHBV) images in diffusion-weighted prostate MRI. Materials and methods: This retrospective study included 84 patients who underwent multiparametric prostate MRI at 3 Tesla without endorectal coil. DWIs were acquired at three different b values which included two lower b values (b = 50,900 s/mm{sup 2}) and one higher b value (aHBV at 2000 s/mm{sup 2}). The acquired data were postprocessed to generate two different types of trace-weighted images—using conventional magnitude-averaging and complex-averaging. Using lower b values (b = 50,900 s/mm{sup 2}) from both conventional and complex-averaged image sets, cHBV images (b = 2000 s/mm{sup 2}) and ADC maps were derived. All image sets were reviewed by two radiologists in different reading sessions to assess image quality and PIRADS. The diagnostic accuracy of different image sets for the detection of prostate lesions was performed by correlating PIRADS and Gleason scores. Results: Complex-averaging did not impact ADC values of the prostate lesions compared to magnitude-averaging (P = 0.08). Complex-averaging improved image quality of acquired high b value and calculated high b value images (P < 0.0001). Complex-averaging also improved the level of confidence (LOC) of the acquired high b value for both readers (P < 0.0001, P < 0.05), but only for reader A in calculated high b value (P < 0.0001). The image quality of calculated high b value images was not significantly different than acquired high b value images. The dataset combining complex-averaging and calculated high b value provided the highest diagnostic accuracy (but not statistically significant) for detection of the significant prostate lesion compared to the magnitude-averaged acquired high b value (79.55% vs. 72.73%; P = 0.317). The mean acquisition time for b = 2000 s/mm{sup 2} sequence (aHBV) was 6 min 30 s (± 1 min 16 s) out of a total of 28 min 31 s (± 4 min 26 s) for the entire mp-MRI protocol (approximately 25% of total scan time). Conclusion: Complex-averaging provides better image quality and level of confidence without significant impact on ADC values and diagnostic accuracy for detection of the significant prostate lesions . The calculated high b value images are also comparable to (and can substitute) the acquired high b value images which can help in reducing the imaging time.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

SU-F-I-73: Surface Dose from KV Diagnostic Beams From An On-Board Imager On a Linac Machine Using Different Imaging Techniques and Filters

Purpose: To quantitatively investigate the surface dose deposited in patients imaged with a kV on-board-imager mounted on a radiotherapy machine using different clinical imaging techniques and filters. Methods: A high sensitivity photon diode is used to measure the surface dose on central-axis and at an off-axis-point which is mounted on the top of a phantom setup. The dose is measured for different imaging techniques that include: AP-Pelvis, AP-Head, AP-Abdomen, AP-Thorax, and Extremity. The dose measurements from these imaging techniques are combined with various filtering techniques that include: no-filter (open-field), half-fan bowtie (HF), full-fan bowtie (FF) and Cu-plate filters. The relative surface dose for different imaging and filtering techniques is evaluated quantiatively by the ratio of the dose relative to the Cu-plate filter. Results: The lowest surface dose is deposited with the Cu-plate filter. The highest surface dose deposited results from open fields without filter and it is nearly a factor of 8–30 larger than the corresponding imaging technique with the Cu-plate filter. The AP-Abdomen technique delivers the largest surface dose that is nearly 2.7 times larger than the AP-Head technique. The smallest surface dose is obtained from the Extremity imaging technique. Imaging with bowtie filters decreases the surface dose by nearly 33% in comparison with the open field. The surface doses deposited with the HF or FF-bowtie filters are within few percentages. Image-quality of the radiographic images obtained from the different filtering techniques is similar because the Cu-plate eliminates low-energy photons. The HF- and FF-bowtie filters generate intensity-gradients in the radiographs which affects image-quality in the different imaging technique. Conclusion: Surface dose from kV-imaging decreases significantly with the Cu-plate and bowtie-filters compared to imaging without filters using open-field beams. The use of Cu-plate filter does not affect image-quality and may be used as the default in the different imaging techniques.

60 APPLIED LIFE SCIENCES↗

MO-DE-207A-09: Low-Dose CT Image Reconstruction Via Learning From Different Patient Normal-Dose Images

Purpose: To investigate a novel low-dose CT (LdCT) image reconstruction strategy for lung CT imaging in radiation therapy. Methods: The proposed approach consists of four steps: (1) use the traditional filtered back-projection (FBP) method to reconstruct the LdCT image; (2) calculate structure similarity (SSIM) index between the FBP-reconstructed LdCT image and a set of normal-dose CT (NdCT) images, and select the NdCT image with the highest SSIM as the learning source; (3) segment the NdCT source image into lung and outside tissue regions via simple thresholding, and adopt multiple linear regression to learn high-order Markov random field (MRF) pattern for each tissue region in the NdCT source image; (4) segment the FBP-reconstructed LdCT image into lung and outside regions as well, and apply the learnt MRF prior in each tissue region for statistical iterative reconstruction of the LdCT image following the penalized weighted least squares (PWLS) framework. Quantitative evaluation of the reconstructed images was based on the signal-to-noise ratio (SNR), local binary pattern (LBP) and histogram of oriented gradients (HOG) metrics. Results: It was observed that lung and outside tissue regions have different MRF patterns predicted from the NdCT. Visual inspection showed that our method obviously outperformed the traditional FBP method. Comparing with the region-smoothing PWLS method, our method has, in average, 13% increase in SNR, 15% decrease in LBP difference, and 12% decrease in HOG difference from reference standard for all regions of interest, which indicated the superior performance of the proposed method in terms of image resolution and texture preservation. Conclusion: We proposed a novel LdCT image reconstruction method by learning similar image characteristics from a set of NdCT images, and the to-be-learnt NdCT image does not need to be scans from the same subject. This approach is particularly important for enhancing image quality in radiation therapy.

60 APPLIED LIFE SCIENCES↗

Demonstration of a time-integrated short line of sight neutron imaging system for inertial confinement fusion

The Neutron Imaging System (NIS) is an important diagnostic for understanding implosions of deuterium-tritium capsules at the National Ignition Facility. While the detectors for the existing system must be positioned 28 m from the source to produce sufficient imaging magnification and resolution, recent testing of a new short line of sight neutron imaging system has shown sufficient resolution to allow reconstruction of the source image with quality similar to that of the existing NIS on a 11.6 m line of sight. The new system used the existing pinhole aperture array and a stack of detectors composed of 2 mm thick high-density polyethylene converter material followed by an image plate. In these detectors, neutrons enter the converter material and interact with protons, which recoil and deposit energy within the thin active layer of the image plate through ionization losses. The described system produces time-integrated images for all neutron energies passing through the pinhole. We present details of the measurement scheme for this novel technique to produce energy-integrated neutron images as well as source reconstruction results from recent experiments at NIF.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Multimodal imaging and machine learning to enhance microscope images of shale

A machine learning based image processing workflow is presented to enhance shale source rock microscopic images obtained using diverse imaging platforms. Images were acquired from a 30 μm diameter cylindrical Vaca Muerta shale sample using both nondestructive Transmission X-Ray Microscopy (TXM, alternately referred to as nano computed tomography) and destructive Focused Ion Beam-Scanning Electron Microscopy (FIB-SEM). Output cross-sectional images from each modality were aligned using a combination of manual and automated registration techniques to create a registered image dataset. We then apply this dataset for two image processing tasks: prediction of image cross sections with SEM-like resolution from nondestructive TXM data and repair of charged region artifacts (localized accumulation of electrons) within SEM images. The image processing algorithms for both tasks use deep learning models, specifically image-to-image Convolutional Neural Networks (CNNs) and conditional Generative Adversarial Networks (cGANs). In the image enhancement tasks, we are able to achieve significant qualitative and quantitative improvement in TXM images. Here, the best model reaches an average Peak Signal to Noise Ratio (PSNR) of 15.8 dB. Conditioning on TXM data is also shown to reduce artifacts from SEM charging, achieving an average PSNR of 25.8 dB. Furthermore, our results suggest that properly trained and validated networks are capable of significant enhancement of images obtained using nondestructive techniques, thereby improving interpretation of two- and three-dimensional images while preserving samples for future use.

58 GEOSCIENCES↗

Comparison of polystyrene scintillator fiber array and monolithic polystyrene for neutron imaging and radiography

The neutron imaging diagnostic at the National Ignition Facility has been operating since 2011 generating neutron images of deuterium-tritium (DT) implosions at peak compression. The current design features a scintillating fiber array, which allows for high imaging resolution to discern small-scale structure within the implosion. In recent years, it has become clear that additional neutron imaging systems need to be constructed in order to provide 3D reconstructions of the DT source and these additional views need to be on a shorter line of sight. As a result, there has been increased effort to identify new image collection techniques that improve upon imaging resolution for these next generation neutron imaging systems, such as monolithic deuterated scintillators. This work details measurements performed at the Weapons Neutron Research Facility at Los Alamos National Laboratory that compares the radiographic abilities of the fiber scintillator with a monolithic scintillator, which may be featured in a future short line of sight neutron imaging systems.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗