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Biomedical subjects

G T Gullberg

Publications and source records attributed to G T Gullberg.

At least 19 recordsLinked to original sources
PubMed1992

The use of computer-assisted diagnosis in cardiac-perfusion nuclear medicine studies: a review.

The use of computer-assisted diagnosis has become widespread in cardiac nuclear medicine. Quantitative programs are commercially available for ventriculography, phase analysis, and thallium 201 perfusion studies. The goal of these programs is to eliminate interobserver variability by objectively analyzing the studies without causing a loss of accuracy. In addition, by using quantitative data not apparent on visual inspection, some programs attempt to increase sensitivity for disease above that possible by the visual reading of images. Programs that analyze perfusion studies to detect coronary artery disease have received the most interest. Results have varied, but sensitivities as high as 95% have been reported. This review discusses the techniques of computer-assisted diagnosis for thallium 201 myocardial-perfusion studies. The circumferential and washout profile methods are discussed in detail.

Animals↗
PubMed1992

Review of convergent beam tomography in single photon emission computed tomography.

Investigation of convergent-beam single photon emission computed tomography (SPECT) is actively being pursued to evaluate its clinical potentials. Fan-beam, cone-beam, pin-hole and astigmatic collimators are being used with rotating gamma cameras having large crystal areas, to increase the sensitivity for emission and transmission computed tomography of small organs such as the thyroid, brain or heart. With new multi-detector SPECT systems, convergent-beam geometry offers the ability to simultaneously obtain emission and transmission data necessary to quantify uptake of radiopharmaceutical distributions in the heart. The development of convergent-beam geometry in SPECT requires the integration of hardware and software. In considering hardware, the optimum detector system for cone-beam tomography is a system that satisfies the data sufficiency condition for which the scanning trajectory intersects any plane passing through the reconstructed region of interest. However, the major development of algorithms has been for the data insufficient case of single planar orbit acquisitions. The development of these algorithms have made possible the preliminary evaluation of this technology and the imaging of brain and heart are showing significant potential for the clinical application of cone-beam tomography. Presently, significant research activity is pursuing the development of algorithms for data acquisitions that satisfy the data sufficiency condition and that can be implemented easily and inexpensively on clinical SPECT systems.

Brain↗
PubMed1992

A cone-beam tomography algorithm for orthogonal circle-and-line orbit.

A cone-beam algorithm which provides a practical implementation of B D Smith's cone-beam inversion formula is presented. For a cone-beam vertex orbit consisting of a circle and an orthogonal line. This geometry is easy to implement in a SPECT system, and it satisfies the cone-beam data sufficiency condition. The proposed algorithm is in the form of a convolution-back projection, and requires a pre-filtering procedure. Computer simulations show a reduction of the artifacts that are found with the Feldkamp algorithm where the cone-beam vertex orbit is a circle.

Algorithms↗
PubMed1991

An MRI perfusion model incorporating nonequilibrium exchange between vascular and extravascular compartments.

A model of MRI signal intensity which is a function of perfusion is developed based upon the assumption that biological tissue can be represented by a blood and tissue compartment. The longitudinal magnetization is derived from the Bloch equations which are modified to model the magnetization in both the blood and tissue as a function of the following physiological parameters: blood flow velocity; perfusion fraction, which in the model is parameterized in terms of the ratio of the cross-sectional areas of the tissue and blood compartments; diffusion; rate of exchange between the blood and extravascular tissue compartments. Simulations of slice profiles excited by a repetitive sequence of 90 degrees slice-selective pulses show that the signal intensity in the blood and tissue compartments are modulated by the physiological parameters. A key factor in the modulation of the MRI signal is a time-of-flight effect whereby unexcited spins perfuse the excited region and exchange with blood and tissue compartments, thus immediately increasing the slice signal intensity but also delaying the spin exits from the slice, thereby decreasing their contribution to slice signal intensity in future repetitive pulse measurements.

Blood Flow Velocity↗
PubMed1991

Cone beam tomography of the heart using single-photon emission-computed tomography.

The authors evaluated cone beam single-photon emission-computed tomography (SPECT) of the heart. A new cone beam reconstruction algorithm was used to reconstruct data collected from "short scan" acquisitions (of slightly more than 180 degrees) of a detector anteriorally traversing a noncircular orbit. The less than 360 degrees acquisition was used to minimize the attenuation artifacts that result from reconstructing posterior projections of 201T1 emissions from the heart. The algorithm includes a new method for reconstructing truncated projections of background tissue activity that eliminates reconstruction ring artifacts. Phantom and patient results are presented which compare a high-resolution cone beam collimator (50-cm focal length; 6.0-mm full width at half maximum [FWHM] at 10 cm) to a low-energy general purpose (LEGP) parallel hole collimator (8.2-mm FWHM at 10 cm) which is 1.33 times more sensitive. The cone beam tomographic results are free of reconstruction artifacts and show improved spatial and contrast resolution over that obtained with the LEGP parallel hole collimator. The limited angular sampling restrictions and truncation problems associated with cone beam tomography do not deter from obtaining diagnostic information. However, even though these preliminary results are encouraging, a thorough clinical study is still needed to investigate the specificity and sensitivity of cone beam tomography.

Algorithms↗
PubMed1990

The geometric transfer function for cone and fan beam collimators.

Geometric response functions are derived for both cone and fan beam collimators for the scintillation camera. The formulation is based on an effective response function which is determined by the geometric response of a single hole. The technique provides an accurate description of the spatial resolution by characterising the complete geometric response function which includes the effects of the shape and orientation of the collimator holes. The theoretical formulation was used to design a fan beam collimator for SPECT imaging and was shown to agree well with the experimental results.

Equipment Design↗
PubMed1989

Flow-induced phase effects and compensation technique for slice-selective pulses.

Flowing spins experience a time-varying frequency during the application of slice-selective radiofrequency (RF) pulses. As a result the flowing spins accumulate phase relative to stationary spins as the spins are rotated toward the transverse plane. Using finite difference techniques to solve the Bloch equations for flowing spins, the phase of the transverse magnetization after a slice-selective pulse was evaluated for varying flow velocities and for tip angles which ranged between 0 degrees and 180 degrees. The following results were obtained for constant slice thickness: (1) For a fixed tip angle, the phase varies nonlinearly with velocity. (2) For a fixed velocity, the phase varies nonlinearly with tip angle. For small tip angles the nonlinearity in the variation as a function of velocity is very small but increases for tip angles greater than 90 degrees and becomes especially severe near 180 degrees. A method is proposed to desensitize the phase of flowing spins during the application of slice-selective pulses. The compensation scheme depends upon tip angle but is virtually independent of flow velocity. The technique was tested and verified with clinical images.

Abdomen↗
PubMed1989

Correction of nonuniform attenuation in cardiac SPECT imaging.

Correction for photon attenuation in cardiac SPECT imaging using a measured attenuation distribution with an iterative expectation maximization (EM) algorithm and an iterative Chang algorithm were compared with the conventional filtered backprojection and an iterative EM algorithm without attenuation correction. The attenuation distribution was determined from a transmission computed tomography study that was obtained using an external collimated sheet source. The attenuation of the emitting photons was modeled in the EM algorithm by an attenuated projector-backprojector that used the estimated attenuation distribution to calculate attenuation factors for each pixel along each projection and backprojection ray. Results from a heart-lung phantom study and a 201Tl patient study demonstrated that the iterative EM algorithm with attenuation correction provided improved image quality in terms of reduced streak artifacts and noise, and more accurate quantitative information in terms of improved radioactivity distribution uniformity where uniformity existed, and better anatomic object definition.

Algorithms↗
PubMed1988

Noise characteristics for cone beam collimators: a comparison with parallel hole collimator.

In order to evaluate the properties of a cone beam (CB) collimator and three-dimensional filtered backprojection algorithm, the noise characteristics of this collimator configuration were determined and comparisons with a parallel hole (PH) collimator were made. Noise characteristics were evaluated using two approaches: the first consisted of assessing the magnitude of local random fluctuations in the reconstructed images, and the second consisted of assessing the noise texture in these images in the frequency domain by evaluating the noise power spectrum. Data used for these measurements were simulated using Monte Carlo models of SPECT systems equipped with cone beam and parallel hole collimators. Finally, to compare experimentally a specially designed high resolution CB collimator with a high resolution (HRES) PH collimator, measurements of a physical phantom were performed. Results of our studies show better noise magnitude for CB collimators; however, for CB collimators with short focal lengths (40-60 cm) the shape of %RMS noise distributions differs from slice to slice.

Computer Simulation↗
PubMed1987

MR vascular imaging with a fast gradient refocusing pulse sequence and reformatted images from transaxial sections.

The authors present a method for obtaining magnetic resonance (MR) images of intra- and extracranial vessels from thin contiguous transaxial sections. A section-selective gradient refocusing pulse sequence with a short repetition time caused flow-related enhancement from spins that flowed perpendicular to the transaxial sections. The signal was further enhanced by means of flow compensation gradients to rephase any phase shifts resulting from moving spins in the presence of the imaging gradients. Coronal and sagittal sections, reformatted from multiple transaxial sections, are shown to have excellent vessel contrast without the use of contrast material. These images were obtained in 12 minutes of acquisition time from as many as 60 sections of 3-mm thickness. Such a technique shows significant promise for MR angiography.

Cerebral Arteries↗
PubMed1986

Time-of-flight MR flow imaging: selective saturation recovery with gradient refocusing.

A novel magnetic resonance flow-imaging technique is presented and its suitability evaluated for both qualitative and quantitative imaging of flow. The method is derived from a selective saturation-recovery scheme consisting of a tagging and detection pulse followed by a bipolar read gradient. The detrimental phase effects causing signal loss at fast flow are shown to be greatly reduced because of the absence of a 180 degrees pulse and its associated section-selection gradient. The second loss mechanism intrinsic to 180 degrees spin echoes, the washout of excited spins between excitation and detection pulse, likewise is not present with the discussed technique. Assuming a parabolic flow profile, the authors calculated the signal evolution curve and found it to be in agreement with the experimental washout curve. The technique is shown to provide high-intensity signals for arteries such as carotid and vertebral arteries. Arteries and veins can be differentiated by judiciously choosing interpulse intervals or by alternating selective and nonselective tagging pulses.

Blood Flow Velocity↗
PubMed1986

SPECT liver imaging using an iterative attenuation correction algorithm and an external flood source.

The results obtained from the inclusion of a new intrinsic attenuation correction algorithm into a protocol for SPECT liver imaging are presented in this study. A total of six patients were evaluated with this protocol. The new algorithm uses a transmission tomographic acquisition that is obtained before a standard emission tomograph, and requires the use of an external flood source. The transmission tomograph results in an attenuation image, or map, of the patient. The attenuation map then serves as input into the final intrinsic correction algorithm, that also uses data from a standard emission acquisition. The results of the six patients studied show that the algorithm can correct for attenuation effects without degrading image quality. In all the cases studied, the attenuation corrected images made the cases easier to interpret than did the images obtained without attenuation correction.

Aged↗
PubMed1986

Design and clinical utility of a fan beam collimator for SPECT imaging of the head.

A long bore fan beam collimator for imaging the head was designed and constructed for a SPECT system with a rotating scintillation camera. In order to avoid the patient's shoulder during rotation of the camera with a thick camera housing, the long bore design is necessary to allow the collimator to get close to the patient's head for improved spatial resolution. Operating at the minimum radius of rotation, the prototype fan beam collimator provides about the same spatial resolution as the high resolution collimator, while the geometric efficiency is equal to approximately 85% of that of the general purpose and approximately 55% higher than the high resolution collimator. Images from a phantom study demonstrate good image quality and are void of artifacts. Comparative clinical studies on temporomandibular joints (TMJ) between the LEGP and fan beam collimators also confirm the superior image quality obtained with the fan beam collimator.

Equipment Design↗
PubMed1985

An attenuated projector-backprojector for iterative SPECT reconstruction.

A new ray-driven projector-backprojector which can easily be adapted for hardware implementation is described and simulated in software. The projector-backprojector discretely models the attenuated Radon transform of a source distributed within an attenuating medium as line integrals of discrete pixels, obtained using the standard sampling technique of averaging the emission source or attenuation distribution over small square regions. Attenuation factors are calculated for each pixel during the projection and backprojection operations instead of using precalculated values. The calculation of the factors requires a specification of the attenuation distribution, estimated either from an assumed constant distribution and an approximate body outline or from transmission measurements. The distribution of attenuation coefficients is stored in memory for efficient access during the projection and backprojection operations. The reconstruction of the source distribution is obtained by using a conjugate gradient or SIRT type iterative algorithm which requires one projection and one backprojection operation for each iteration.

Heart↗
PubMed1985

A count-based algorithm for attenuation-corrected volume determination using data from an external flood source.

We discuss the basic features of a count-based algorithm for attenuation-corrected volume determination, for use with planar gamma camera images. The attenuation correction is arrived at by combining the results of two 180 degrees opposed images with a transmission image obtained with an external flood source. A sample of the imaged radioactive volume is used to convert the attenuation-corrected count to an absolute volume. The algorithm is best suited to the measurement of small to medium-sized volumes of uniform activity, such as are encountered in cardiac blood-pool imaging.

Heart↗
PubMed1978

Quantitative potentials of dynamic emission computed tomography.

Statistical uncertainties in emission computed tomography were simulated in 60 computer studies involving various numbers of events and distributions of activity. Previous studies have shown that for a uniform disc of activity of rms percentage of uncertainty per resolution cell is: 120 X (number of resolution cells)1/4 X (number of events per resolution cell)- 1/2. In this work we examined the more general situation where one or two regions of uniform activity are surrounded by a uniform background, and found that for an equal number of recorded events the uncertainties were reduced when the activity was concentrated in a portion of the field. The empirical relation rms % uncertainty in nt = 120(N)1/4(nt)-3/4, where nt is the number of events in an average target (organ) resolution cell and N is the total number of events recorded, satisfactorily described the relationships between uncertainties, contrast, total number of detected events, and number of resolution cells for all 60 computer studies. By means of this relation, we show the theoretical possibility of gated cardiac imaging with 20% uncertainty in 1 cm X 1 cm regions, and of 1-sec cerebral blood-flow images with 20% uncertainty in 2 cm X 2 cm regions.

Computers↗
PubMed1977

Emission computer assisted tomography with single-photon and positron annihilation photon emitters.

Computed transverse section emission tomography using 99mTc with the Anger camera is compared to positron annihilation coincident detection using a ring of crystals and 68Ga. The single-photon system has a line spread function (LSF) of 9 mm full width at half maximum (FWHM) at the collimator and gives a transverse section reconstruction LSF of 11 mm FWHM with 144 views. The positron ring has a LSF of 6 mm at the center with a transverse section reconstruction LSF of 7.5 mm FWHM. Correction for uniformity of detector response and accurate center of rotation determination is essential in both techniques. The signal-to-noise ratio in a reconstruction is diminished by a factor of 1.2 x (number of resolution elements)1/4 over that expected from the average number of events per resolution element. Attenuation compensation causes more noise to appear in the center than the edge for both modes and an average increase in uncertainty of 30%. The effects of attenuation result in more loss of data for positron coincidence imaging than for single-photon imaging even at energies of 80 keV. For a 20-cm cylinder imaged in transverse section, only 20% of the positron annihilation events are not scattered; however, at 140 keV, 40% of the photons are not scattered. The relative crystal efficiency gives single-photon imaging an advantage of 5. On the other hand, the solid angle advantage of positron photon coincidence imaging is about 100 for the comparisons of this paper. Taking these factors into account, we find positron-computed section imaging has a tenfold increase in sensitivity over multiple-view imaging with the scintillation camera, which gives multiple sections but requires camera or patient rotation.

Elementary Particles↗