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Biomedical subjects

R B Holmes

Publications and source records attributed to R B Holmes.

11 recordsLinked to original sources

Ultrasound quantitation of respiratory organ motion in the upper abdomen.

Organ motion can cause artefacts in abdominal imaging particularly with magnetic resonance imaging (MRI), and may often limit the diagnostic quality of an image. If spatial resolution and image quality are to improve in MRI and other imaging techniques, a more detailed understanding of organ motion is required. Despite the importance of organ motion little quantitative information is available to date. This study was the continuation of work instigated to investigate and quantify respiratory movements of upper abdominal organs for a group of healthy volunteers in order to provide the design criteria for a motion test object for use in MRI. A previous phase of the project allowed construction of a test object but refinements were needed to represent respiratory motion more closely as a consequence of the data presented in this paper. Improvements in the scanning technique and the recording procedure have revealed that, contrary to our initial findings, motion of the diaphragm and liver is predominantly in the superior-inferior (SI) direction with an average displacement (+/- SD) (quiet respiration) of 12 +/- 7 mm (range 7-28 mm) and 10 +/- 8 mm (range 5-17 mm), respectively. For some volunteers, motion of the kidneys can be complex, especially during deep inspiration. New data have been provided by this phase of the motion study on the displacement, velocity and acceleration of abdominal organs as a function of time. These data show that MRI motion artefact reduction techniques which assume that either organ displacement, velocity or acceleration are constant are only applicable during certain phases of the respiratory cycle.

Diaphragm↗

Getting the most out of more.

The Canadian health care system is like the leaning tower of Pisa--a fine structure which everyone wants to preserve and improve. The officials in charge are caught between demands from those who want a new escalator for the visitors, and those who say the main priority is to find ways to prevent the tower from falling over. Our system has evolved in a sound and orderly way and few would wish to dismantle it. It has become caught up in conflict between pressures for growth and problems of how to pay for that growth. The challenge is to keep the system as a whole viable, while adding improvements in a fair and rational manner. No specific solutions are suggested, but rather a positive approach to finding them. While there will be no easy victories, this suggestion should be considered seriously by any who have an interest in getting the most out of more for Canadians.

Canada↗

Effect of finite phosphor thickness on detective quantum efficiency.

In this paper we describe theoretically the relationship between the finite thickness of a phosphor screen and its spatial-frequency-dependent detective quantum efficiency DQE(f-). The finite thickness of the screen causes a variation in both the total number of light quanta emitted from the screen in a burst from a given x-ray interaction and in the spatial distribution of the quanta within the light burst [i.e., shape or point spread function (PSF) of the light burst]. The variation in magnitude of the burst gives rise to a spatial-frequency-independent reduction in DQE, characterized by the scintillation efficiency As. The variation in PSF causes a roll off in DQE with increasing spatial frequency which we have characterized by the function Rc(f). Both As and Rc(f) can be determined from the moments of the distribution of the spatial Fourier spectrum of light bursts emitted from the phosphor and thus they are related: As is a scaling factor for Rc(f). Our theory predicts that it is necessary for all light bursts which appear at the output to have the same magnitude to maximize As and the same shape to maximize Rc(f). These requirements can lead to the result that the fluorescent screen with the highest modulation transfer function will not necessarily have the highest DQE(f) even at high spatial frequencies.

Fourier Analysis↗