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Li Y, Samant P, Cochran C, zhao Y, Keyak JH, Hu X, Yu A, Xiang L. The feasibility study of XACT imaging for characterizing osteoporosis. Med Phys 2022; 49:7694-7702. [PMID: 35962866 PMCID: PMC10567061 DOI: 10.1002/mp.15906] [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: 01/05/2022] [Revised: 07/08/2022] [Accepted: 07/21/2022] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND Osteoporosis is a progressive bone disease that is characterized by a decrease in bone mass and the deterioration in bone microarchitecture, which might be related to age and space travel. An unmet need exists for the development of novel imaging technologies to characterize osteoporosis. PURPOSE The purpose of our study is to investigate the feasibility of X-ray-induced acoustic computed tomography (XACT) imaging for osteoporosis detection. METHODS An in-house simulation workflow was developed to assess the ability of XACT for osteoporosis detection. To evaluate this simulation workflow, a three-dimensional digital bone phantom for XACT imaging was created by a series of two-dimensional micro-computed tomography (micro-CT) slices of normal and osteoporotic bones in mice. In XACT imaging, the initial acoustic pressure rise caused by the X-ray induce acoustic (XA) effect is proportional to bone density. First, region growing was deployed for image segmentation of different materials inside the bone. Then k-wave simulations were deployed to model XA wave propagation, attenuation, and detection. Finally, the time-varying pressure signals detected at each transducer location were used to reconstruct the XACT image with a time-reversal reconstruction algorithm. RESULTS Through the simulated XACT images, cortical porosity has been calculated, and XA signal spectra slopes have been analyzed for the detection of osteoporosis. The results have demonstrated that osteoporotic bones have lower bone mineral density and higher spectra slopes. These findings from XACT images were in good agreement with porosity calculation from micro-CT images. CONCLUSION This work explores the feasibility of using XACT imaging as a new imaging tool for Osteoporosis detection. Considering that acoustic signals are generated by X-ray absorption, XACT imaging can be combined with traditional X-ray imaging that holds potential for clinical management of osteoporosis and other bone diseases.
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Affiliation(s)
- Yizhou Li
- Department of Orthopedics Trauma and Microsurgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China
- School of Electrical and Computer Engineering, The University of Oklahoma, Norman, Oklahoma, USA
- Department of Orthopedics, Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia, China
| | - Pratik Samant
- School of Electrical and Computer Engineering, The University of Oklahoma, Norman, Oklahoma, USA
- Department of Oncology, University of Oxford, Oxford, UK
| | - Christian Cochran
- School of Electrical and Computer Engineering, The University of Oklahoma, Norman, Oklahoma, USA
| | - Yue zhao
- School of Electrical and Computer Engineering, The University of Oklahoma, Norman, Oklahoma, USA
| | - Joyce H. Keyak
- Department of Radiological Sciences, University of California, Irvine, Irvine, California, USA
| | - Xiang Hu
- Department of Orthopedics Trauma and Microsurgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China
| | - Aixi Yu
- Department of Orthopedics Trauma and Microsurgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China
| | - Liangzhong Xiang
- School of Electrical and Computer Engineering, The University of Oklahoma, Norman, Oklahoma, USA
- Department of Radiological Sciences, University of California, Irvine, Irvine, California, USA
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California, USA
- Beckman Laser Institute & Medical Clinic, University of California, Irvine, Irvine, California, USA
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Affiliation(s)
- Brian C Lentle
- Department of Radiology, University of British Columbia, Vancouver, Canada
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