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Savvidis S, Ragazzini R, de Rafael VC, Hutchinson JC, Massimi L, Vittoria FA, Campinoti S, Partridge T, Ogunbiyi OK, Atzeni A, Sebire NJ, De Coppi P, Mittone A, Bravin A, Bonfanti P, Olivo A. Advanced three-dimensional X-ray imaging unravels structural development of the human thymus compartments. COMMUNICATIONS MEDICINE 2024; 4:204. [PMID: 39438572 PMCID: PMC11496816 DOI: 10.1038/s43856-024-00623-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Accepted: 09/25/2024] [Indexed: 10/25/2024] Open
Abstract
BACKGROUND The thymus, responsible for T cell-mediated adaptive immune system, has a structural and functional complexity that is not yet fully understood. Until now, thymic anatomy has been studied using histological thin sections or confocal microscopy 3D reconstruction, necessarily for limited volumes. METHODS We used Phase Contrast X-Ray Computed Tomography to address the lack of whole-organ volumetric information on the microarchitecture of its structural components. We scanned 15 human thymi (9 foetal and 6 postnatal) with synchrotron radiation, and repeated scans using a conventional laboratory x-ray system. We used histology, immunofluorescence and flow cytometry to validate the x-ray findings. RESULTS Application to human thymi at pre- and post-natal stages allowed reliable tracking and quantification of the evolution of parameters such as size and distribution of Hassall's Bodies and medulla-to-cortex ratio, whose changes reflect adaptation of thymic activity. We show that Hassall's bodies can occupy 25% of the medulla volume, indicating they should be considered a third thymic compartment with possible implications on their role. Moreover, we demonstrate compatible results can be obtained with standard laboratory-based x-ray equipment, making this research tool accessible to a wider community. CONCLUSIONS Our study allows overcoming the resolution and/or volumetric limitations of existing approaches for the study of thymic disfunction in congenital and acquired disorders affecting the adaptive immune system.
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Affiliation(s)
- Savvas Savvidis
- Department of Medical Physics and Biomedical Engineering, University College London, London, WC1E 6BT, UK
| | - Roberta Ragazzini
- Epithelial Stem Cell Biology & Regenerative Medicine laboratory, The Francis Crick Institute, London, NW1 1AT, UK
- Institute of Immunity & Transplantation, Division of Infection & Immunity, UCL, London, NW3 2PP, UK
| | - Valeria Conde de Rafael
- Department of Medical Physics and Biomedical Engineering, University College London, London, WC1E 6BT, UK
- Epithelial Stem Cell Biology & Regenerative Medicine laboratory, The Francis Crick Institute, London, NW1 1AT, UK
- Institute of Immunity & Transplantation, Division of Infection & Immunity, UCL, London, NW3 2PP, UK
| | - J Ciaran Hutchinson
- Department of Histopathology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 1EH, UK
| | - Lorenzo Massimi
- Department of Medical Physics and Biomedical Engineering, University College London, London, WC1E 6BT, UK
| | - Fabio A Vittoria
- Department of Medical Physics and Biomedical Engineering, University College London, London, WC1E 6BT, UK
- ENEA - Radiation Protection Institute, Via Martiri di Monte Sole 4, 40129, Bologna, Italy
| | - Sara Campinoti
- Epithelial Stem Cell Biology & Regenerative Medicine laboratory, The Francis Crick Institute, London, NW1 1AT, UK
- Institute of Immunity & Transplantation, Division of Infection & Immunity, UCL, London, NW3 2PP, UK
- The Roger Williams Institute of Hepatology, 111 Coldharbour Lane, SE5 9NT, London, UK
| | - Tom Partridge
- Department of Medical Physics and Biomedical Engineering, University College London, London, WC1E 6BT, UK
| | - Olumide K Ogunbiyi
- Department of Histopathology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 1EH, UK
| | - Alessia Atzeni
- Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, London, WC1E 6BT, UK
| | - Neil J Sebire
- Department of Histopathology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 1EH, UK
| | - Paolo De Coppi
- Stem Cell and Regenerative Medicine Section, Great Ormond Street Institute of Child Health, University College London, London, WC1N 1EH, UK
- Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital NHS Trust, London, UK
| | - Alberto Mittone
- European Synchrotron Radiation Facility, Grenoble, 38043, France
- Advanced Photon Source, Argonne National Labs, Lemont, IL, USA
| | - Alberto Bravin
- European Synchrotron Radiation Facility, Grenoble, 38043, France
- Dept. of Physics "G. Occhialini", University Milano Bicocca, Milano, Italy
| | - Paola Bonfanti
- Epithelial Stem Cell Biology & Regenerative Medicine laboratory, The Francis Crick Institute, London, NW1 1AT, UK.
- Institute of Immunity & Transplantation, Division of Infection & Immunity, UCL, London, NW3 2PP, UK.
| | - Alessandro Olivo
- Department of Medical Physics and Biomedical Engineering, University College London, London, WC1E 6BT, UK.
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2
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Gerli MFM, Calà G, Beesley MA, Sina B, Tullie L, Sun KY, Panariello F, Michielin F, Davidson JR, Russo FM, Jones BC, Lee DDH, Savvidis S, Xenakis T, Simcock IC, Straatman-Iwanowska AA, Hirst RA, David AL, O'Callaghan C, Olivo A, Eaton S, Loukogeorgakis SP, Cacchiarelli D, Deprest J, Li VSW, Giobbe GG, De Coppi P. Single-cell guided prenatal derivation of primary fetal epithelial organoids from human amniotic and tracheal fluids. Nat Med 2024; 30:875-887. [PMID: 38438734 PMCID: PMC10957479 DOI: 10.1038/s41591-024-02807-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 01/05/2024] [Indexed: 03/06/2024]
Abstract
Isolation of tissue-specific fetal stem cells and derivation of primary organoids is limited to samples obtained from termination of pregnancies, hampering prenatal investigation of fetal development and congenital diseases. Therefore, new patient-specific in vitro models are needed. To this aim, isolation and expansion of fetal stem cells during pregnancy, without the need for tissue samples or reprogramming, would be advantageous. Amniotic fluid (AF) is a source of cells from multiple developing organs. Using single-cell analysis, we characterized the cellular identities present in human AF. We identified and isolated viable epithelial stem/progenitor cells of fetal gastrointestinal, renal and pulmonary origin. Upon culture, these cells formed clonal epithelial organoids, manifesting small intestine, kidney tubule and lung identity. AF organoids exhibit transcriptomic, protein expression and functional features of their tissue of origin. With relevance for prenatal disease modeling, we derived lung organoids from AF and tracheal fluid cells of congenital diaphragmatic hernia fetuses, recapitulating some features of the disease. AF organoids are derived in a timeline compatible with prenatal intervention, potentially allowing investigation of therapeutic tools and regenerative medicine strategies personalized to the fetus at clinically relevant developmental stages.
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Affiliation(s)
- Mattia Francesco Maria Gerli
- Department of Surgical Biotechnology, Division of Surgery and Interventional Science, University College London, London, UK.
- Great Ormond Street Institute of Child Health, University College London, London, UK.
| | - Giuseppe Calà
- Department of Surgical Biotechnology, Division of Surgery and Interventional Science, University College London, London, UK
- Great Ormond Street Institute of Child Health, University College London, London, UK
| | - Max Arran Beesley
- Great Ormond Street Institute of Child Health, University College London, London, UK
| | - Beatrice Sina
- Great Ormond Street Institute of Child Health, University College London, London, UK
- Politecnico di Milano, Milan, Italy
| | - Lucinda Tullie
- Great Ormond Street Institute of Child Health, University College London, London, UK
- Stem Cell and Cancer Biology Laboratory, The Francis Crick Institute, London, UK
| | - Kylin Yunyan Sun
- Department of Surgical Biotechnology, Division of Surgery and Interventional Science, University College London, London, UK
- Great Ormond Street Institute of Child Health, University College London, London, UK
| | - Francesco Panariello
- Armenise/Harvard Laboratory of Integrative Genomics, Telethon Institute of Genetics and Medicine, Pozzuoli, Italy
| | - Federica Michielin
- Great Ormond Street Institute of Child Health, University College London, London, UK
| | - Joseph R Davidson
- Great Ormond Street Institute of Child Health, University College London, London, UK
- Elizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK
| | - Francesca Maria Russo
- Department of Development and Regeneration, Woman and Child and UZ Leuven Clinical Department of Obstetrics and Gynaecology, KU Leuven, Leuven, Belgium
| | - Brendan C Jones
- Great Ormond Street Institute of Child Health, University College London, London, UK
| | - Dani Do Hyang Lee
- Great Ormond Street Institute of Child Health, University College London, London, UK
| | - Savvas Savvidis
- Department of Medical Physics and Biomedical Engineering, University College London, London, UK
| | - Theodoros Xenakis
- Great Ormond Street Institute of Child Health, University College London, London, UK
| | - Ian C Simcock
- Great Ormond Street Institute of Child Health, University College London, London, UK
- Department of Radiology, Great Ormond Street Hospital, London, UK
| | | | - Robert A Hirst
- Department of Respiratory Sciences, University of Leicester, Leicester, UK
| | - Anna L David
- Elizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK
- Department of Development and Regeneration, Woman and Child and UZ Leuven Clinical Department of Obstetrics and Gynaecology, KU Leuven, Leuven, Belgium
| | | | - Alessandro Olivo
- Department of Medical Physics and Biomedical Engineering, University College London, London, UK
| | - Simon Eaton
- Great Ormond Street Institute of Child Health, University College London, London, UK
| | - Stavros P Loukogeorgakis
- Great Ormond Street Institute of Child Health, University College London, London, UK
- Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Davide Cacchiarelli
- Armenise/Harvard Laboratory of Integrative Genomics, Telethon Institute of Genetics and Medicine, Pozzuoli, Italy
- Department of Translational Medicine, University of Naples Federico II, Naples, Italy
- Genomics and Experimental Medicine Program, Scuola Superiore Meridionale, Naples, Italy
| | - Jan Deprest
- Elizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK
- Department of Development and Regeneration, Woman and Child and UZ Leuven Clinical Department of Obstetrics and Gynaecology, KU Leuven, Leuven, Belgium
| | - Vivian S W Li
- Stem Cell and Cancer Biology Laboratory, The Francis Crick Institute, London, UK
| | | | - Paolo De Coppi
- Great Ormond Street Institute of Child Health, University College London, London, UK.
- Department of Development and Regeneration, Woman and Child and UZ Leuven Clinical Department of Obstetrics and Gynaecology, KU Leuven, Leuven, Belgium.
- Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
- Medical and Surgical Department of the Fetus, Newborn and Infant, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy.
- NIHR Great Ormond Street Hospital Biomedical Research Centre, London, UK.
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3
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Lioliou G, Buchanan I, Astolfo A, Endrizzi M, Bate D, Hagen CK, Olivo A. Framework to optimize fixed-length micro-CT systems for propagation-based phase-contrast imaging. OPTICS EXPRESS 2024; 32:4839-4856. [PMID: 38439226 DOI: 10.1364/oe.510317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 01/11/2024] [Indexed: 03/06/2024]
Abstract
A laboratory X-ray imaging system with a setup that closely resembles commercial micro-CT systems with a fixed source-to-detector distance of ∼90 cm is investigated for single distance propagation-based phase-contrast imaging and computed tomography (CT). The system had a constant source-to-detector distance, and the sample positions were optimized. Initially, a PTFE wire was imaged, both in 2D and 3D, to characterize fringe contrast and spatial resolution for different X-ray source settings and source-to-sample distances. The results were compared to calculated values based on theoretical models and to simulated (wave-optics based) results, with good agreement being found. The optimization of the imaging system is discussed. CT scans of two biological samples, a tissue-engineered esophageal scaffold and a rat heart, were then acquired at the optimum parameters, demonstrating that significant image quality improvements can be obtained with widely available components placed inside fixed-length cabinets through proper optimization of propagation-based phase-contrast.
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Esposito M, Astolfo A, Cipiccia S, Jones CM, Savvidis S, Ferrara JD, Endrizzi M, Dudhia J, Olivo A. Technical note: Cartilage imaging with sub-cellular resolution using a laboratory-based phase-contrast x-ray microscope. Med Phys 2023; 50:6130-6136. [PMID: 37431640 PMCID: PMC10947188 DOI: 10.1002/mp.16599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 05/10/2023] [Accepted: 06/12/2023] [Indexed: 07/12/2023] Open
Abstract
BACKGROUND Microscopic imaging of cartilage is a key tool for the study and development of treatments for osteoarthritis. When cellular and sub-cellular resolution is required, histology remains the gold standard approach, albeit limited by the lack of volumetric information as well as by processing artifacts. Cartilage imaging with the sub-cellular resolution has only been demonstrated in the synchrotron environment. PURPOSE To provide a proof-of-concept demonstration of the capability of a laboratory-based x-ray phase-contrast microscope to resolve sub-cellular features in a cartilage sample. METHODS This work is based on a laboratory-based x-ray microscope using intensity-modulation masks. The structured nature of the beam, resulting from the mask apertures, allows the retrieval of three contrast channels, namely, transmission, refraction and dark-field, with resolution depending only on the mask aperture width. An ex vivo equine cartilage sample was imaged with the x-ray microscope and results were validated with synchrotron tomography and histology. RESULTS Individual chondrocytes, that is, cells responsible for cartilage formation, could be detected with the laboratory-based microscope. The complementarity of the three retrieved contrast channels allowed the detection of sub-cellular features in the chondrocytes. CONCLUSIONS We provide the first proof-of-concept of imaging cartilage tissue with sub-cellular resolution using a laboratory-based x-ray microscope.
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Affiliation(s)
- Michela Esposito
- Department of Medical Physics and Biomedical EngineeringUniversity College LondonLondonUK
| | - Alberto Astolfo
- Department of Medical Physics and Biomedical EngineeringUniversity College LondonLondonUK
| | - Silvia Cipiccia
- Department of Medical Physics and Biomedical EngineeringUniversity College LondonLondonUK
- Diamond Light SourceHarwell Science and Innovation CampusDidcotUK
| | | | - Savvas Savvidis
- Department of Medical Physics and Biomedical EngineeringUniversity College LondonLondonUK
| | | | - Marco Endrizzi
- Department of Medical Physics and Biomedical EngineeringUniversity College LondonLondonUK
| | | | - Alessandro Olivo
- Department of Medical Physics and Biomedical EngineeringUniversity College LondonLondonUK
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5
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Navarrete-León C, Doherty A, Savvidis S, Gerli MFM, Piredda G, Astolfo A, Bate D, Cipiccia S, Hagen CK, Olivo A, Endrizzi M. X-ray phase-contrast microtomography of soft tissues using a compact laboratory system with two-directional sensitivity. OPTICA 2023; 10:880-887. [PMID: 37841216 PMCID: PMC10575607 DOI: 10.1364/optica.487270] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 05/18/2023] [Accepted: 06/01/2023] [Indexed: 10/17/2023]
Abstract
X-ray microtomography is a nondestructive, three-dimensional inspection technique applied across a vast range of fields and disciplines, ranging from research to industrial, encompassing engineering, biology, and medical research. Phase-contrast imaging extends the domain of application of x-ray microtomography to classes of samples that exhibit weak attenuation, thus appearing with poor contrast in standard x-ray imaging. Notable examples are low-atomic-number materials, like carbon-fiber composites, soft matter, and biological soft tissues. We report on a compact and cost-effective system for x-ray phase-contrast microtomography. The system features high sensitivity to phase gradients and high resolution, requires a low-power sealed x-ray tube, a single optical element, and fits in a small footprint. It is compatible with standard x-ray detector technologies: in our experiments, we have observed that single-photon counting offered higher angular sensitivity, whereas flat panels provided a larger field of view. The system is benchmarked against known-material phantoms, and its potential for soft-tissue three-dimensional imaging is demonstrated on small-animal organs: a piglet esophagus and a rat heart. We believe that the simplicity of the setup we are proposing, combined with its robustness and sensitivity, will facilitate accessing quantitative x-ray phase-contrast microtomography as a research tool across disciplines, including tissue engineering, materials science, and nondestructive testing in general.
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Affiliation(s)
- Carlos Navarrete-León
- Department of Medical Physics and Biomedical Engineering, University College London, Gower Street, London, WC1E 6BT, UK
| | - Adam Doherty
- Department of Medical Physics and Biomedical Engineering, University College London, Gower Street, London, WC1E 6BT, UK
| | - Savvas Savvidis
- Department of Medical Physics and Biomedical Engineering, University College London, Gower Street, London, WC1E 6BT, UK
| | - Mattia F. M. Gerli
- UCL Division of Surgery and Interventional Science, Royal Free Hospital, Rowland Hill Street, London, NW3 2PF, UK
- Stem Cell and Regenerative Medicine Section, Great Ormond Street Institute of Child Health, University College London, London, WC1N 1EH, UK
| | - Giovanni Piredda
- Research Center for Microtechnology, Vorarlberg University of Applied Sciences, Hochschulstr. 1, 6850, Dornbirn, Austria
| | - Alberto Astolfo
- Department of Medical Physics and Biomedical Engineering, University College London, Gower Street, London, WC1E 6BT, UK
| | - David Bate
- Department of Medical Physics and Biomedical Engineering, University College London, Gower Street, London, WC1E 6BT, UK
- Nikon X-Tek Systems Ltd, Tring, Herts, HP23 4JX, UK
| | - Silvia Cipiccia
- Department of Medical Physics and Biomedical Engineering, University College London, Gower Street, London, WC1E 6BT, UK
| | - Charlotte K. Hagen
- Department of Medical Physics and Biomedical Engineering, University College London, Gower Street, London, WC1E 6BT, UK
| | - Alessandro Olivo
- Department of Medical Physics and Biomedical Engineering, University College London, Gower Street, London, WC1E 6BT, UK
| | - Marco Endrizzi
- Department of Medical Physics and Biomedical Engineering, University College London, Gower Street, London, WC1E 6BT, UK
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6
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Lioliou G, Roche i Morgó O, Marathe S, Wanelik K, Cipiccia S, Olivo A, Hagen CK. Cycloidal-spiral sampling for three-modal x-ray CT flyscans with two-dimensional phase sensitivity. Sci Rep 2022; 12:21336. [PMID: 36494470 PMCID: PMC9734192 DOI: 10.1038/s41598-022-25999-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Accepted: 12/07/2022] [Indexed: 12/13/2022] Open
Abstract
We present a flyscan compatible acquisition scheme for three-modal X-Ray Computed Tomography (CT) with two-dimensional phase sensitivity. Our approach is demonstrated using a "beam tracking" setup, through which a sample's attenuation, phase (refraction) and scattering properties can be measured from a single frame, providing three complementary contrast channels. Up to now, such setups required the sample to be stepped at each rotation angle to sample signals at an adequate rate, to prevent resolution losses, anisotropic resolution, and under-sampling artefacts. However, the need for stepping necessitated a step-and-shoot implementation, which is affected by motors' overheads and increases the total scan time. By contrast, our proposed scheme, by which continuous horizontal and vertical translations of the sample are integrated with its rotation (leading to a "cycloidal-spiral" trajectory), is fully compatible with continuous scanning (flyscans). This leads to greatly reduced scan times while largely preserving image quality and isotropic resolution.
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Affiliation(s)
- G. Lioliou
- grid.83440.3b0000000121901201Department of Medical Physics and Biomedical Engineering, University College London, Malet Place, London, WC1E 6BT UK
| | - O. Roche i Morgó
- grid.83440.3b0000000121901201Department of Medical Physics and Biomedical Engineering, University College London, Malet Place, London, WC1E 6BT UK
| | - S. Marathe
- grid.18785.330000 0004 1764 0696Diamond Light Source, Harwell Science and Innovation Campus, Fermi Avenue, Didcot, OX11 0DE UK
| | - K. Wanelik
- grid.18785.330000 0004 1764 0696Diamond Light Source, Harwell Science and Innovation Campus, Fermi Avenue, Didcot, OX11 0DE UK
| | - S. Cipiccia
- grid.83440.3b0000000121901201Department of Medical Physics and Biomedical Engineering, University College London, Malet Place, London, WC1E 6BT UK
| | - A. Olivo
- grid.83440.3b0000000121901201Department of Medical Physics and Biomedical Engineering, University College London, Malet Place, London, WC1E 6BT UK
| | - C. K. Hagen
- grid.83440.3b0000000121901201Department of Medical Physics and Biomedical Engineering, University College London, Malet Place, London, WC1E 6BT UK
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7
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Roche i Morgó O, Aleksejev J, Astolfo A, Savvidis S, Gerli MFM, Cipiccia S, Olivo A, Hagen CK. Utility of knife-edge position tracking in cycloidal computed tomography. OPTICS EXPRESS 2022; 30:43209-43222. [PMID: 36523024 PMCID: PMC9765405 DOI: 10.1364/oe.470798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 10/03/2022] [Accepted: 10/03/2022] [Indexed: 06/17/2023]
Abstract
Cycloidal computed tomography provides high-resolution images within relatively short scan times by combining beam modulation with dedicated under-sampling. However, implementing the technique relies on accurate knowledge of the sample's motion, particularly in the case of continuous scans, which is often unavailable due to hardware or software limitations. We have developed an easy-to-implement position tracking technique using a sharp edge, which can provide reliable information about the trajectory of the sample and thus improve the reconstruction process. Furthermore, this approach also enables the development of other innovative sampling schemes, which may otherwise be difficult to implement.
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Affiliation(s)
- Oriol Roche i Morgó
- Dept. of Medical Physics and Biomedical Engineering, University College London, WC1E 6BT, UK
| | - Jure Aleksejev
- Dept. of Medical Physics and Biomedical Engineering, University College London, WC1E 6BT, UK
| | - Alberto Astolfo
- Dept. of Medical Physics and Biomedical Engineering, University College London, WC1E 6BT, UK
| | - Savvas Savvidis
- Dept. of Medical Physics and Biomedical Engineering, University College London, WC1E 6BT, UK
| | - Mattia FM Gerli
- UCL Divison of Surgery and Interventional Science, University College London, Rowland Hill Street, London, NW3 2P, UK
| | - Silvia Cipiccia
- Dept. of Medical Physics and Biomedical Engineering, University College London, WC1E 6BT, UK
| | - Alessandro Olivo
- Dept. of Medical Physics and Biomedical Engineering, University College London, WC1E 6BT, UK
| | - Charlotte K. Hagen
- Dept. of Medical Physics and Biomedical Engineering, University College London, WC1E 6BT, UK
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