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Biomedical subjects

J P Bissonnette

Publications and source records attributed to J P Bissonnette.

8 recordsLinked to original sources

Trimmed radiosurgical fields.

Radiosurgery aims to deliver a high radiation dose to a small target volume while sparing surrounding healthy tissues. However, since the target volume is often large and irregularly-shaped, a significant amount of healthy tissue is irradiated. To improve conformity of the dose volume to the target volume, we propose to optimize the field shape by trimming the field described by the radiosurgery cone with the accelerator jaws for a given arc. We have measured output factors (OF), tissue-maximum ratios (TMR), off-axis ratios (OAR) and penumbrae for 40, 32.5 and 24 mm cone fields trimmed by the lower (i.e., X jaws) and /or upper (i.e., Y jaws) collimator jaws. The smallest field was 8 mm large, and length was limited by the cone size. The average penumbra due to the cone field is 2.8 mm, and 4.1 and 6.1 mm for those due to the X and Y jaws, respectively. Moreover, the penumbrae due to the X and Y jaws are independent of jaw position within the radiosurgical field. Because of the large penumbra involved with the Y jaws, radiosurgical fields should be trimmed by the X1 and/or X2 jaws only. The measured OF's have been fitted with a hyperbolic function. All of the fitted OF's fall within +/- 0.5% of the measured OF's. The TMR values obtained with trimmed fields do not change much, except for the smallest fields (up to 10% at a depth of 20 cm). Therefore, using trimmed radiosurgical fields requires straightforward dosimetric changes and provides a level of beam shaping for large cone fields (> 20 mm in diameter) without introducing additional hardware.

Equipment Design↗

Optimal phosphor thickness for portal imaging.

A theoretical approach known as quantum accounting diagram (QAD) analysis has been used to calculate the spatial-frequency-dependent detective quantum efficiency (DQE) of two portal imaging systems: one based on a video camera and another based on an amorphous silicon array. The spatial frequency-dependent DQEs have then been used to determine indices of displayed and perceived image quality. These indices are figures of merit that can be used to optimize the design of linear imaging systems. We have used this approach to determine which of eight phosphor screen thicknesses (ranging between 67 and 947 mg/cm2) is optimal for the two designs of portal imaging systems. The physical characteristics (i.e., detection efficiencies, gains, and MTFs) of each of the eight x-ray detectors have been measured and combined with the physical characteristics of the remaining components to calculate the theoretical DQEs. In turn, the DQEs have been used to calculate theoretical indices of displayed and perceived image quality for two types of objects: a pelvis object and a pointlike object. The maximal indices of displayed and perceived image quality were obtained with screen thickness ranging between 358 and 947 mg/cm2, depending upon the imaging system design and the object being imaged. Importantly, the results showed that there is no single optimal screen thickness. The optimal thickness depended upon imaging task (e.g., detecting large, low-contrast structures, or detecting edges and small structures). Nevertheless, the results showed that there were only modest improvements in the indices of image quality for phosphor screens thicker than 350-400 mg/cm2.

Biophysical Phenomena↗

A quantum accounting and detective quantum efficiency analysis for video-based portal imaging.

The quality of images generated with radiographic imaging systems can be degraded if an inadequate number of secondary quanta are used at any stage before production of the final image. A theoretical technique known as a "quantum accounting diagram" (QAD) analysis has been developed recently to predict the detective quantum efficiency (DQE) of an imaging system as a function of spatial frequency based on an analysis of the propagation of quanta. It is used to determine the "quantum sink" stage(s) (stages which degrade the DQE of an imaging system due to quantum noise caused by a finite number of quanta), and to suggest design improvements to maximize image quality. We have used this QAD analysis to evaluate a video-based portal imaging system to determine where changes in design will have the most benefit. The system consists of a thick phosphor layer bonded to a 1 mm thick copper plate which is viewed by a T.V. camera. The imaging system has been modeled as ten cascaded stages, including: (i) conversion of x-ray quanta to light quanta; (ii) collection of light by a lens; (iii) detection of light quanta by a T.V. camera; (iv) the various blurring processes involved with each component of the imaging system; and, (v) addition of noise from the T.V. camera. The theoretical DQE obtained with the QAD analysis is in excellent agreement with the experimental DQE determined from previously published data. It is shown that the DQE is degraded at low spatial frequencies (< 0.25 cycles/mm) by quantum sinks both in the number of detected x rays and the number of detected optical quanta. At higher spatial frequencies, the optical quantum sink becomes the limiting factor in image quality. The secondary quantum sinks can be prevented, up to a spatial frequency of 0.5 cycles/mm, by increasing the overall system gain by a factor of 9 or more, or by improving the modulation transfer function (MTF) of components in the optical chain.

Biophysical Phenomena↗

Standard atlas of the gross anatomy of the developing inner ear of the chicken.

During development, the chicken inner ear undergoes a series of morphological changes which give rise to the various structures found in the adult, including the mature semicircular canals, utricle, saccule, cochlear duct, endolymphatic duct and sac, and neurons of the eighth cranial nerve ganglion. Beginning as a hollow epithelial sphere, the inner ear is sculpted into this complex labyrinth of fluid-filled ducts punctuated by their associated sensory end organs. In this report, the three-dimensional complexity of the developing inner ear of the chicken embryo is documented in the form of a standard atlas. The protocol involved fixation, dehydration, and clearing of embryonic heads harvested at daily intervals, followed by injection of an opaque dye (enamel paint suspension) into the fluid ducts of the inner ear. The position of the ear is shown relative to surface landmarks at seven different stages of development, ranging from embryonic day 5 (E5) to E18. Also shown are higher-power photomicrographs of the inner ear in isolation taken at daily intervals at E3-E17 and viewed from two orthogonal positions. Three orthogonal views are shown at 6-hour intervals during the critical stages of semicircular canal formation (E6-E7). Quantitative measurements of the linear dimensions of the inner ear (dorsoventral, anteroposterior, and mediolateral axes) as a function of time indicate a linear increase in the growth of the ear from E3 through E18. This atlas should prove valuable for evaluating mutant phenotypes in inner ear morphogenesis following gene perturbation experiments in the chicken.

Anatomy, Artistic↗

Limiting values of backscatter factors for low-energy x-ray beams.

Models for the calculation of upper and lower limiting values to the backscatter factor (BSF) are presented. The upper limit is obtained from Monte Carlo simulations of infinite parallel beams incident on semi-infinite phantoms with the dose contributions from all orders of photon scatter considered. The lower limits are calculated using an analytical photon transport model which considers only the primary dose and the scatter dose from photons that have undergone single scattering interactions in the phantom. The limiting values can be used to evaluate measured and modelled BSF values for x-ray beams with photons of < or = 150 keV. A parametrization of the limiting values in terms of photon energy and irradiation field size is presented so that results determined for monoenergetic beams can be extended to polyenergetic spectra. The utility of the limits is illustrated by comparisons made with BSFs from the literature.

Humans↗

Evaluation of a high-density scintillating glass for portal imaging.

One of the main factors that limits the performance of T.V. camera-based portal imaging systems is the poor light-collection efficiency of the lens and T.V. camera. An x-ray detector that produces more light per incident x ray would help overcome this limitation. We have been evaluating a high-density (3.8 g/cm3), thick (12 mm) glass scintillator for its suitability as an x-ray detector for T.V. camera-based portal imaging systems. The light output and spatial resolution of the glass scintillator has been compared to that of a copper plate/phosphor screen detector using radiographic film and the T.V. camera of our portal imaging system. The film measurements show that the light output of the glass scintillator is 82% of that of the copper plate/phosphor screen, while the T.V. camera measurements show that this value is 48%. A theoretical model of light transport described in this paper suggests that this discrepancy is due to refraction at the glass-air interface. Our measurements of the modulation transfer function (MTF) show that the spatial resolution obtained with the glass scintillator is similar to that obtained with the copper plate phosphor screen. However, the spatial resolution obtained with the glass scintillator decreases as the angle of x-ray incidence increase; this decrease, which is not observed for the copper plate/phosphor screen detector, is due to the large thickness of the glass scintillator. Due to the limited light output and the variable spatial resolution, the transparent glass scintillator, in its current form, is not suitable for portal imaging.

Biophysical Phenomena↗

Optimal radiographic magnification for portal imaging.

Two approaches to estimate the optimal radiographic magnification for a TV camera-based portal imaging system and portal films have been used. The first approach optimizes signal transfer while the second optimizes signal-to-noise ratio (SNR) transfer. In order to perform these optimization calculations, the physical characteristics of the imaging system (modulation transfer function and noise power spectrum) as well as the sizes of the radiation sources of our medical linear accelerators have been measured. Using these data, the optimal magnification considering signal transfer alone (M signal) has been calculated to range between 2.0 and 2.3 for the TV camera-based imaging system and is about 1.0 for portal films. Conversely, the optimal magnification considering SNR transfer (MSNR) has been calculated to range between 1.5 and 1.7 for the TV camera-based imaging system and is about 1.0 for portal films. The results suggest that most portal imaging systems are operated close to their optimal radiographic magnification.

Humans↗

A comparison of semiempirical models for generating tungsten target x-ray spectra.

Models for the computer generation of tungsten target x-ray spectra proposed by Birch and Marshall [Phys. Med. Biol. 24, 505-517 (1979)] and recently by Tucker, Barnes, and Chakraborty [Med. Phys. 18 211-218 (1991)] are compared. Some basic differences in the equations for the number of bremsstrahlung photons of different energies in the spectra are discussed. The models are compared in terms of their ability to characterize x-ray spectra from constant potential clinical units using three parameter equivalent spectra (EQSPEC) determined from the fit of model generated transmission curves through aluminum to measured data. The Kramers model for x-ray generation is included for completeness. It is shown that two of the models generate very similar x-ray spectra from given transmission curves although the fitting parameters in the EQSPEC characterization differ.

Computer Simulation↗