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Biomedical subjects

N Nakamori

Publications and source records attributed to N Nakamori.

10 recordsLinked to original sources

Effect of scattered radiation on image noise in cone beam CT.

Cone beam CT has a capability for the 3-dimensional imaging of large volumes with isotropic resolution, and has a potentiality for 4-dimensional imaging (dynamic volume imaging), because cone beam CT acquires data of a large volume with one rotation of an x-ray tube-detector pair. However, one of the potential drawbacks of cone beam CT is a larger amount of scattered x-rays, which may enhance the noise in reconstructed images, and thus affect the low-contrast detectablity. Our aim in this work was to estimate the scatter fractions and effects of scatter on image noise, and to seek methods of improving image quality in cone beam CT. First we derived a relationship between the noise in a reconstructed image and in an x-ray intensity measurement. Then we estimated the scatter to primary ratios in x-ray measurements using a Monte-Carlo simulation. From these we estimated the image noise under relevant clinical conditions. The results showed that the scattered radiation made a substantial contribution to the image noise. However, focused collimators could improve it by decreasing the scattered radiation drastically while keeping the primary radiation at nearly the same level. A conventional grid also improved the image noise, though the improvement was less than that of focused collimators.

Head↗

Relation between radiographic mottle for double and single emulsions.

The radiographic density fluctuations produced by using dual screen-film systems are designated as the radiographic mottle. The density fluctuation of the radiographic mottle for the double emulsions at a density of the double emulsions consists of those for the front and back emulsions on a radiograph. However, the relation between the Wiener spectra of the radiographic mottle for the double and single emulsions had not been studied. Hence we compared the Wiener spectra of the radiographic mottle for the double emulsions with the sum of those for the front and back emulsions on the same radiographs and with the sum of those for the emulsions at the same densities. At all densities of more than 0.62 for lower spatial frequencies (< or = 1 mm-1), the Wiener spectral values of the radiographic mottle for the double emulsions were greater than the sum of those for the front and back emulsions for both comparisons on the same radiographs and at the same densities. In order to investigate the reason of the above phenomena, we separated the Wiener spectral values of the radiographic mottle for various densities into those of the three factors, i.e., quantum mottle, structure mottle, and film granularity, and performed the same comparisons as the radiographic mottle. Also, to explain the results for the three factors, we obtained the Wiener spectral values of the spatial fluctuations of the light exposure or the fluorescence intensity and the gradients of the characteristic curves of the film for the double and single emulsions of the x-ray film. As a result of the investigation, we found that the phenomena on the radiographic mottle were caused by that (1) on the same radiographs the squares of the gradients of the characteristic curves for the double emulsions were about 5.3 times as great as those for the single emulsion at densities of more than 0.62 of the double emulsions, and (2) at the same density of more than 0.62 those were more than about 2.2 times as great as those for the single emulsion.

Biophysical Phenomena↗

Computer-aided diagnosis: development of automated schemes for quantitative analysis of radiographic images.

Preliminary results obtained with computer-aided diagnosis (CAD) from various radiographic examinations are very encouraging. However, CAD is still at an early stage of its development. It will be necessary to increase further the understanding of image features of normal and abnormal patterns, to establish databases, and to devise specific approaches for particular types of pathology. Although the existing schemes are designed to be applied to digital radiographs, similar techniques can be applied in the future to cross-sectional images such as CT, MRI, and ultrasound. We believe that CAD will become clinically practical in the near future.

Angiography↗

Effect of heart-size parameters computed from digital chest radiographs on detection of cardiomegaly. Potential usefulness for computer-aided diagnosis.

Heart size is an important and useful diagnostic parameter in chest radiographs. However, there is a large variation in the subjective judgment of cardiac enlargement (cardiomegaly). To reduce this subjective element, the authors are developing an automated system for quantitative analysis of heart size in digital chest radiographs. Four hundred chest radiographs were reviewed initially by two radiologists and were classified into two groups: those with and those without cardiomegaly. Another radiologist reviewed 47 images which were not classified consistently in the initial review. The authors used these radiographs to construct a database for determination of cardiomegaly. Numerous parameters related to heart size were obtained in a semiautomated analysis of these radiographs, and the use of each parameter for detection of cardiomegaly was evaluated by means of receiver operating characteristic analysis. The authors also examined whether the accuracy would be improved when they applied multivariate analysis to a pair of parameters. From the analyses of the individual parameters, the automatically determined cardiothoracic ratio was found to be the single most effective measure for detecting cardiomegaly in chest radiographs. However, multivariate analysis provided results superior to those with an individual parameter.

Cardiomegaly↗

Data compression: effect on diagnostic accuracy in digital chest radiography.

High-resolution digital images make up very large data sets that are relatively slow to transmit and expensive to store. Data compression techniques are being developed to address this problem, but significant image deterioration can occur at high compression ratios. In this study, the authors evaluated a form of adaptive block cosine transform coding, a new compression technique that allows considerable compression of digital radiographs with minimal degradation of image quality. To determine the effect of data compression on diagnostic accuracy, observer tests were performed with 60 digitized chest radiographs (2,048 x 2,048 matrix, 1,024 shades of gray) containing subtle examples of pneumothorax, interstitial infiltrate, nodules, and bone lesions. Radiographs with no compression, with 25:1 compression, and with 50:1 compression ratios were presented in randomized order to 12 radiologists. The results suggest that, with this compression scheme, compression ratios as high as 25:1 may be acceptable for primary diagnosis in chest radiology.

Humans↗

Computer-aided diagnosis in chest radiology.

Digital radiography offers several important advantages over conventional systems, including abilities for image manipulation, transmission, and storage. In the long term, however, the unique ability to apply artificial intelligence techniques for automated detection and quantitation of disease may have an even greater impact on radiologic practice. Although CAD is still in its infancy, the results of several recent studies clearly indicate a major potential for the future. The concept of using computers to analyze medical images is not new, but recent advances in computer technology together with progress in implementing practical digital radiography systems have stimulated research efforts in this exciting field. Several facets of CAD are presently being developed at the University of Chicago and elsewhere for application in chest radiology as well as in mammography and vascular imaging. To date, investigators have focused on a limited number of subjects that have been, by their nature, particularly suitable for computer analysis. There is no aspect of radiologic diagnosis that could not potentially benefit from this approach, however. The ultimate goal of these endeavors is to provide a system for comprehensive automated image analysis, the results of which could be accepted or modified at the discretion of the radiologist.

Breast Diseases↗

Quantitative computer-aided analysis of lung texture in chest radiographs.

The authors describe a computerized method to quantify and characterize interstitial diseases by using physical texture measures obtained from an analysis of the power spectrum of lung textures in digital chest radiographs. They compared these texture measures obtained from standard radiographs from the International Labour Office (ILO) classification scheme and the ILO classification categories for small opacities in pneumoconioses. Their preliminary results indicate that texture measures obtained from this computer analysis of the ILO standard radiographs correspond closely with the ILO classification categories.

Computer Graphics↗

Effects of scattered X-rays on CT images.

Scatter to primary radiation ratios at detector positions were calculated for uniform cylindrical water phantoms in both third and fourth generation x-ray CT scanners using the Monte Carlo simulation method. A rapid method for determining the scattering angle is given. In the process of image reconstruction, the effect of scatter was isolated by applying our new calculation technique. The decrease in CT number due to scatter was found to be less than 10. In the third generation CT scanner the rate of scatter is larger at the centre than at the edge because of the effect of the collimator at the detectors. As a result the cupping artefact occurs in the CT image. The collimator cannot be used in the fourth generation CT scanner and, therefore, the rate of scatter is almost uniform, leading to the appearance of rounded-off edges.

Humans↗

Image feature analysis and computer-aided diagnosis in digital radiography: automated analysis of sizes of heart and lung in chest images.

We are developing an automated method for determining a number of parameters related to the size and shape of the heart and of the lungs in chest radiographs. In order to obtain standard patterns of the cardiac shadow as "gold standards," four radiologists traced their best estimates of the entire contour of the heart, including the largely invisible inferior margin, on 11 radiographs. These contours were analyzed by Fourier transform, and the results were used as a guide to obtain a shift-variant cosine function which was applied to the prediction of the cardiac contour by fitting a limited number of detected heart boundary points. These points were obtained from analysis of edge gradients in two orthogonal directions. A simple observer study indicated that the contours of the heart shadows computed for 60 chest radiographs were generally acceptable to radiologists for estimation of the size and area of the projected heart. We also detected the rib cage and the edges of the diaphragm, which enabled us to determine the projected thoracic area. From these results, we calculated the cardiothoracic ratio and other parameters, such as the ratio of the projected heart area to the projected thoracic area.

Cardiomegaly↗

Image feature analysis and computer-aided diagnosis in digital radiography: effect of digital parameters on the accuracy of computerized analysis of interstitial disease in digital chest radiographs.

We are developing a computerized method for measurement of lung texture in digital chest radiographs for detection and characterization of interstitial disease. Physical texture measures are obtained from analysis of the power spectrum of the lung texture. We have investigated the effect of digital parameters such as pixel size, regions of interest size, the number of quantitation levels, and the peak frequency of the visual system response, as well as the effect of the unsharp masking technique on the performance of this computerized method. We calculated the texture measures by changing digital parameters for 100 normal lungs and 100 abnormal lungs in our database. Receiver operating characteristic (ROC) curves were employed for evaluation of the performance of this computerized method for distinguishing between normal and abnormal lungs. We used the area under the ROC curve to compare the detection accuracy for interstitial infiltrates. We believe that the results of this study may be useful as a guide in the design of computerized schemes for lung texture analysis in digital chest radiographs.

Diagnosis, Computer-Assisted↗