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W A Kalender

Publications and source records attributed to W A Kalender.

97 records · Page 6Linked to original sources

System performance of multislice spiral computed tomography.

Multislice spiral CT offers many new possibilities for clinical CT imaging. Drastically increased scan speeds and z-resolution, respectively, as well as applications such as cardiac CT that have become feasible for the first time in routine clinical use. The concept of multiple simultaneously acquired slices yields image quality equivalent or better than single-slice spiral CT. Especially, there is no dependence on spiral pitch, neither with regard to noise nor to slice sensitivity. The reconstructed slice width can be chosen freely and retrospectively, which offers additional flexibility when evaluating optimal protocols for various kinds of examinations. Three-dimensional isotropic resolution can be achieved routinely with examinations fast enough to scan in a single breath hold (Fig. 9). Without any drawbacks in image quality, MSCT in combination with online tube current modulation can reduce patient dose. In some body regions, dose is decreased to 50% compared to a scan with constant tube current. One of the most promising new applications is the dedicated ECG-gated cardiac interpolation 180 degrees MCI, which allows four-dimensional (4-D) imaging of the heart. The complete beating heart can be reconstructed in well-defined phases of the heart cycle, thereby adding high temporal resolution to isotropic 3-D spatial resolution (for more examples refer to http://www.imp.uni-erlangen.de/e/research/cardio/).

Algorithms↗

Evaluation of a prototype dual-energy computed tomographic apparatus. II. Determination of vertebral bone mineral content.

A prototype dual-energy computed tomographic (CT) scanner (Siemens Somatom DR3) with rapid kVp switching and prereconstruction processing has been used to measure vertebral bone mineral density. With this approach misregistration and beam hardening inaccuracies can be reduced considerably. Basis material images of aluminum- and Lucite-equivalent density enable measurements of bone mineral density that are nearly independent of the amount of marrow fat. To simulate variable marrow fat, alcohol-water mixtures were used as media in calibration standards. A section of dried trabecular bone was also scanned immersed in varying alcohol-water mixtures. In both simulations it was shown that the dual-energy measurement is nearly independent of marrow composition whereas the single-energy measurement would be strongly influenced by marrow fat. Dual-energy CT was compared to dual-photon absorptiometry (153Gd) for the measurement of bone mineral mass of ten excised human vertebrae. There was a high degree of correlation between the two measurements (r = 0.97). Dual-energy and single-energy CT measurements on 17 patients with suspected metabolic bone disease strongly support the conclusion that the influence of fat can lead to significant errors in single-energy determinations of the mineral density of trabecular bone.

Bone Marrow↗

Evaluation of a prototype dual-energy computed tomographic apparatus. I. Phantom studies.

We report the evaluation of a prototype dual-energy implementation using rapid kVp switching on a clinical computed tomographic scanner. The method employs prereconstruction basis material decomposition of the dual-energy projection data. Each dual-energy scan can be processed into conventional single-kVp images, basis material density images, and monoenergetic images. Phantom studies were carried out to qualitatively and quantitatively evaluate and validate the approach.

Biometry↗

A new calibration phantom for quantitative computed tomography.

We report on a new calibration phantom for quantitative computed tomography which has been improved with respect to reference materials and geometrical setup. Instead of liquid calibration solutions, we use polyethylene-based water- and bone-equivalent plastics. The size of the phantom is considerably reduced by using only two samples. This design guarantees long-term stability and it offers advantages with respect to radiation geometry.

Calibration↗

Physical performance characteristics of spiral CT scanning.

CT scanning in spiral geometry is achieved by continuously transporting the patient through the gantry in synchrony with continuous data acquisition over a multitude of 360-deg scans. Data for reconstruction of images in planar geometry are estimated from the spiral data by interpolation. The influence of spiral scanning on image quality is investigated. Most of the standard physical performance parameters, e.g., spatial resolution, image uniformity, and contrast, are not affected; results differ for pixel noise and slice sensitivity profiles. For linear interpolation, pixel noise is expected to be reduced by a factor of 0.82; reduction factors of 0.81 to 0.83 were measured. Slice sensitivity profiles are changed as a function of table feed d, measured in millimeters per 360-deg scan; they are smoothed as the original profile is convolved with the object motion function. The motion function is derived for linear interpolation that constitutes a triangle with a base line width of 2d and a maximal height equal to 1/d. Calculations of both the full width at half-maximum and the shape of the profiles were in good agreement with experimental results. The effect of the widened profiles, in particular of their extended tail ends, on image quality is demonstrated in phantom measurements.

Humans↗

Simulation study of cerebral blood flow measurements in xenon-CT: evaluation of washin/washout procedures.

Simulation programs have been created that allow one to vary image pixel noise, the number and the distribution of scans with time, cerebral tissue parameters, and the type of xenon CT inhalation procedure in order to investigate CBF measurements with respect to accuracy and signal-to-noise ratio (SNR). In particular, standard washin studies were compared to washin/washout studies. Based on the results of these simulations, a new protocol is suggested; it consists of only 3 min of xenon inhalation (washin phase) and 3 min of washout, monitored by one reference and six enhancement scans taken at 1-min intervals. Compared with a standard 8-min washin study of equal total dose, flow standard deviation (s.d.) for an unconstrained least-squares algorithm is reduced by factors of 2.2 and 1.2 for gray and white matter, respectively; for flow distributed uniformly from 20 to 80 ml/min/100 g, an average s.d. reduction factor of 1.7 is achieved. This was confirmed experimentally in a volunteer study using noise power spectrum analysis. In addition, effects of tissue heterogeneity have been investigated; both the bias and s.d. of flow estimates due to varying proportions of white and gray matter in a given volume element are reduced in washin/washout protocols. When compared to a short washin-only study of 4.5 min, the 3-min washin/3-min washout study provides an improvement of flow s.d. by a factor of 1.6 and 1.9 for gray and white matter, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Administration, Inhalation↗