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Yang S, Wu Q, Wang Q, Lv F. Magnetic Resonance Imaging under Image Enhancement Algorithm to Analyze the Clinical Value of Placement of Drainage Tube on Incision Healing after Hepatobiliary Surgery. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:9269695. [PMID: 35685898 PMCID: PMC9173963 DOI: 10.1155/2022/9269695] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 04/19/2022] [Accepted: 04/23/2022] [Indexed: 11/17/2022]
Abstract
This study was aimed at exploring the application value of magnetic resonance imaging (MRI) based on image enhancement algorithm in analyzing the placement of drainage tubes in the healing of incisions after hepatobiliary surgery. A total of 70 patients with liver cancer undergoing laparoscopic hepatobiliary surgery were selected, including 34 males and 36 females. According to the detection method of postoperative recovery, they were divided into a group A (conventional MRI detection) and a group B (MRI detection based on Retinex algorithm). Patients were divided into two groups according to whether subcutaneous drainage tubes were placed: group C (no subcutaneous drainage tubes were placed) and group D (subcutaneous drainage tubes were placed), with 35 patients in each group. The results showed that there was no significant difference between group A and group B in tumor residual or recurrence. The detection rate of tumor capsule in group B was significantly higher than that in group A (P < 0.05). The sensitivity, specificity, and accuracy of group A for the detection of recurrent lesions were 63.40%, 86.90%, and 78.60%, respectively; those in group B were 82.70%, 98.50%, and 93.20%, respectively. Therefore, the difference between the two groups was statistically significant (P < 0.05). The incidence of poor wound healing and infection in group C were significantly lower than those in group D (P < 0.05). Therefore, the effect of MRI detection based on image enhancement algorithm was more conducive to the evaluation of postoperative recovery due to the traditional MRI detection. In addition, the drainage tube was helpful to the postoperative wound healing and showed high clinical value.
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Affiliation(s)
- Shihai Yang
- Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - Qihua Wu
- Department of Radiology, Chongqing Nanchuan District People's Hospital, Chongqing 408400, China
| | - Qi Wang
- Department of Radiology, Chongqing Nanchuan District People's Hospital, Chongqing 408400, China
| | - Fajin Lv
- Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Paternò G, Cardarelli P, Gambaccini M, Serafini L, Petrillo V, Drebot I, Taibi A. Inverse Compton radiation: a novel x-ray source for K-edge subtraction angiography? Phys Med Biol 2019; 64:185002. [PMID: 31307026 DOI: 10.1088/1361-6560/ab325c] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Coronary angiography is clinically used worldwide to diagnose diseases of coronary arteries. Despite its effectiveness, this technique is quite invasive and it is associated with significant risks due to the arterial catheterisation needed to inject the contrast agent. A valid alternative is using the K-edge subtraction (KES) method, which is based on the subtraction of two images acquired at energies bracketing the K-edge of the contrast element. The enhanced sensitivity of KES allows the intravenous injection of the contrast agent, thus reducing the risks of catheterisation. This technique can be effectively implemented by using intense and quasi-monochromatic x-ray beams. Synchrotron radiation has been proven to work well for this purpose, but its cost and size prevent a widespread clinical application. Inverse Compton sources are among the most promising innovative sources of intense and quasi-monochromatic x-rays. These sources are intrinsically more compact than those based on synchrotron radiation. In this work, the potential application of inverse Compton radiation to KES angiography is investigated. To this purpose, after a short review of the physics behind the inverse Compton process, an analytical framework is described. The proposed model is based on the application of the KES algorithm to calculate the SNR of details inside a suitable mathematical phantom. That allowed us to identify the characteristics of an inverse Compton source required for KES imaging. In particular, it was estimated that a photon fluence of 108 ph mm-2 is necessary to detect signals of clinical interest. Novel sources based on inverse Compton promise to achieve this requirement with an acquisition time of few hundreds of ms. This feature, together with compactness, broad two-dimensional radiation field, absence of harmonic contamination and the ability to deliver high photon fluxes also at high energies, makes this kind of sources promising for KES angiography and other diagnostic applications.
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Affiliation(s)
- G Paternò
- Dipartimento di Fisica e Scienze della Terra, Università di Ferrara, Via G. Saragat 1, 44122 Ferrara, Italy. INFN-Sez. Ferrara, Via G. Saragat 1, 44122 Ferrara, Italy
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Balta C, Bouwman RW, Sechopoulos I, Broeders MJM, Karssemeijer N, van Engen RE, Veldkamp WJH. A model observer study using acquired mammographic images of an anthropomorphic breast phantom. Med Phys 2017; 45:655-665. [DOI: 10.1002/mp.12703] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Revised: 10/19/2017] [Accepted: 11/12/2017] [Indexed: 12/31/2022] Open
Affiliation(s)
- Christiana Balta
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, Wijchenseweg 101, 6538 SW, Nijmegen, The Netherlands.,Department of Radiology and Nuclear Medicine, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Ramona W Bouwman
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, Wijchenseweg 101, 6538 SW, Nijmegen, The Netherlands
| | - Ioannis Sechopoulos
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, Wijchenseweg 101, 6538 SW, Nijmegen, The Netherlands.,Department of Radiology and Nuclear Medicine, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Mireille J M Broeders
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, Wijchenseweg 101, 6538 SW, Nijmegen, The Netherlands.,Department for Health Evidence, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Nico Karssemeijer
- Department of Radiology and Nuclear Medicine, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Ruben E van Engen
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, Wijchenseweg 101, 6538 SW, Nijmegen, The Netherlands
| | - Wouter J H Veldkamp
- Department of Radiology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands
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Bouwman RW, Mackenzie A, van Engen RE, Broeders MJM, Young KC, Dance DR, den Heeten GJ, Veldkamp WJH. Toward image quality assessment in mammography using model observers: Detection of a calcification-like object. Med Phys 2017; 44:5726-5739. [PMID: 28837225 DOI: 10.1002/mp.12532] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Revised: 07/17/2017] [Accepted: 08/17/2017] [Indexed: 12/23/2022] Open
Abstract
PURPOSE Model observers (MOs) are of interest in the field of medical imaging to assess image quality. However, before procedures using MOs can be proposed in quality control guidelines for mammography systems, we need to know whether MOs are sensitive to changes in image quality and correlations in background structure. Therefore, as a proof of principle, in this study human and model observer (MO) performance are compared for the detection of calcification-like objects using different background structures and image quality levels of unprocessed mammography images. METHOD Three different phantoms, homogeneous polymethyl methacrylate, BR3D slabs with swirled patterns (CIRS, Norfolk, VA, USA), and a prototype anthropomorphic breast phantom (Institute of Medical Physics and Radiation Protection, Technische Hochschule Mittelhessen, Germany) were imaged on an Amulet Innovality (FujiFilm, Tokyo, Japan) mammographic X-ray unit. Because the complexities of the structures of these three phantoms were different and not optimized to match the characteristics of real mammographic images, image processing was not applied in this study. In addition, real mammograms were acquired on the same system. Regions of interest (ROIs) were extracted from each image. In half of the ROIs, a 0.25-mm diameter disk was inserted at four different contrast levels to represent a calcification-like object. Each ROI was then modified, so four image qualities relevant for mammography were simulated. The signal-present and signal-absent ROIs were evaluated by a non-pre-whitening model observer with eye filter (NPWE) and a channelized Hotelling observer (CHO) using dense difference of Gaussian channels. The ROIs were also evaluated by human observers in a two alternative forced choice experiment. Detectability results for the human and model observer experiments were correlated using a mixed-effect regression model. Threshold disk contrasts for human and predicted human observer performance based on the NPWE MO and CHO were estimated. RESULTS Global trends in threshold contrast were similar for the different background structures, but absolute contrast threshold levels differed. Contrast thresholds tended to be lower in ROIs from simple phantoms compared with ROIs from real mammographic images. The correlation between human and model observer performance was not affected by the range of image quality levels studied. CONCLUSIONS The correlation between human and model observer performance does not depend on image quality. This is a promising outcome for the use of model observers in image quality analysis and allows for subsequent research toward the development of MO-based quality control procedures and guidelines.
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Affiliation(s)
- Ramona W Bouwman
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, PO Box 6873, 6503 GJ, Nijmegen, The Netherlands
| | - Alistair Mackenzie
- National Co-ordinating Centre for the Physics of Mammography (NCCPM), Royal Surrey County Hospital, Guildford, Surrey, GU2 7XX, UK
| | - Ruben E van Engen
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, PO Box 6873, 6503 GJ, Nijmegen, The Netherlands
| | - Mireille J M Broeders
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, PO Box 6873, 6503 GJ, Nijmegen, The Netherlands
- Radboud Institute for Health Sciences (RIHS), Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Kenneth C Young
- National Co-ordinating Centre for the Physics of Mammography (NCCPM), Royal Surrey County Hospital, Guildford, Surrey, GU2 7XX, UK
- Department of Physics, University of Surrey, Guildford, Surrey, GU2 7XH, UK
| | - David R Dance
- National Co-ordinating Centre for the Physics of Mammography (NCCPM), Royal Surrey County Hospital, Guildford, Surrey, GU2 7XX, UK
- Department of Physics, University of Surrey, Guildford, Surrey, GU2 7XH, UK
| | - Gerard J den Heeten
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, PO Box 6873, 6503 GJ, Nijmegen, The Netherlands
- Department of Radiology, Academic Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
| | - Wouter J H Veldkamp
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, PO Box 6873, 6503 GJ, Nijmegen, The Netherlands
- Department of Radiology, Leiden University Medical Centre, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands
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