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Luminescence of water during irradiations of proton-beams or X-ray photons lower energy than the Cerenkov-light threshold is promising for range estimation or the distribution measurements of beams. However it is not yet obvious whether the intensities and distributions are stable with the water conditions such as temperature or addition of solvable materials. It remains also unclear whether the luminescence of water linearly increases with the irradiated proton or X-ray energies. Consequently we measured the luminescence of water during irradiations of proton-beam or X-ray photons lower energy than the Cerenkov-light threshold with different water conditions and energies to evaluate the stability and linearity of luminescence of water. We placed a water phantom set with a proton therapy or X-ray system, luminescence images of water with different conditions and energies were measured with a high-sensitivity cooled charge coupled device (CCD) camera during proton or X-ray irradiations to the water phantom. In the stability measurements, imaging was made for different temperatures of water and addition of inorganic and organic materials to water. In the linearity measurements for the proton, we irradiated with four different energies below Cerenkov light threshold. In the linearity measurements for the X-ray, we irradiated X-ray with different supplied voltages. We evaluated the depth profiles for the luminescence images and evaluated the light intensities and distributions. The results showed that the luminescence of water was quite stable with the water conditions. There were no significant changes of intensities and distributions with the different temperatures. Results from the linearity experiments showed that the luminescence of water linearly increased with their energies. We confirmed that luminescence of water is stable with conditions of water. We also confirmed that the luminescence of water linearly increased with their energies. [ABSTRACT FROM AUTHOR]

Purpose The weighted computed tomography dose index ( CTDIw) uses measured CTDI values at the center and periphery of a cylindrical phantom. The CTDIw value is calculated using conventional, Bakalyar's, and Choi's weighting factors. However, these weighting factors were produced from only 16- and 32-cm-diameter cylindrical phantoms. This study aims to devise new weighting factors to provide more accurate average dose in the central cross-sectional plane of cylindrical phantoms over a wide range of object diameters, by using Monte Carlo simulations. Methods Simulations were performed by modeling a Toshiba Aquilion ONE CT scanner, in order to compute the cross-sectional dose profiles of polymethyl methacrylate ( PMMA) cylindrical phantoms of each diameter (8-40 cm at 4-cm steps), for various tube voltages and longitudinal beam widths. Two phantom models were simulated, corresponding to the CTDI100 method and the method recommended by American Association of Physicists in Medicine ( AAPM) task group 111. The dose-computation PMMA cylinders of 1 mm diameter were located between the phantom surfaces and the centers at intervals of 1 mm, from which cross-sectional dose profiles were calculated. By using linear least-squares fits to the obtained cross-sectional dose profiles data, we determined new weighting factors to estimate more accurate average doses in the PMMA cylindrical phantoms by using the CTDIw equation: CTDIw = Wcenter ・ CTDIcenter + Wperiphery ・ CTDIperiphery. In order to demonstrate the validity of the devised new weighting factors, the percentage difference between average dose and CTDIw value was evaluated for the weighting factors (conventional, Bakalyar's, Choi's, and devised new weighting factors) in each calculated cross-sectional dose profile. Results With the use of linear least-squares techniques, new weighting factors (Wcenter = 3/8 and Wperiphery = 5/8 where Wcenter and Wperiphery are weighting factors for CTDIcenter and CTDIperiphery) were determined. The maximum percentage differences between average dose and CTDIw value were 16, −12, −8, and −6% for the conventional, Bakalyar's, Choi's, and devised new weighting factors, respectively. Conclusions We devised new weighting factors (Wcenter = 3/8 and Wperiphery = 5/8) to provide more accurate average dose estimation in PMMA cylindrical phantoms over a wide range of diameter. The CTDIw equation with devised new weighting factors could estimate average dose in PMMA cylindrical phantoms with a maximum difference of −6%. The results of this study can estimate the average dose in PMMA cylindrical phantoms more accurately than the conventional weighting factors (Wcenter = 1/3 and Wperiphery = 2/3). [ABSTRACT FROM AUTHOR]

It is commonly thought that UV or visible-light luminescence imaging of biological subjects during X-ray irradiation at the energy below 120 keV is impossible because the secondary electrons produced in this energy range do not emit Cerenkov light. Contrary to this consensus, we found UV or visible-light luminescence imaging of the subjects were possible with X-ray irradiations of this energy range. We placed one of the biological subjects in a black box; visible-light luminescence images were measured with a high-sensitivity, cooled charge coupled device (CCD) camera during X-ray irradiation at energy below 120 keV. We also conducted the imaging of air without subjects during irradiation of the same X-ray. The biological subjects emitted visible-light luminescence, and the imaging was possible with the irradiation of the X-ray below 120 keV. The luminescence images were observed in only the X-ray irradiated areas. Also air luminescence images could be obtained and the intensity of the luminescence measured from the images was proportionally increased with the exposure dose. UV or visible-light luminescence imaging of biological subjects was possible during X-ray irradiations lower energy than the Cerenkov-light threshold. The phenomenon was different from general X-ray fluorescence because wavelength of the luminescence is UV or visible-light. The luminescence imaging method is promising for estimating the irradiated area with X-ray, which could be used for interventional radiology (IVR). Also air luminescence imaging would be applied to the exposure dose distribution measurements for X-ray of diagnostic X-ray systems. [ABSTRACT FROM AUTHOR]

Luminescence imaging of water using X-ray photon irradiation at energy lower than maximum energy of ~200 keV is thought to be impossible because the secondary electrons produced in this energy range do not emit Cerenkov- light. Contrary to this consensus assumption, we show that the luminescence imaging of water can be achieved by X-ray irradiation at energy lower than 120 keV. We placed water phantoms on a table with a conventional X-ray imaging system, and luminescence images of these phantoms were measured with a high-sensitivity, cooled charge coupled device (CCD) camera during X-ray photon irradiation at energy below 120 keV. We also carried out such imaging of an acrylic block and plastic scintillator. The luminescence images of water phantoms taken during X-ray photon irradiation clearly showed X-ray photon distribution. The intensity of the X-ray photon images of the phantom increased almost proportionally to the number of X-ray irradiations. Lower-energy X-ray photon irradiation showed lower-intensity luminescence at the deeper parts of the phantom due to the higher X-ray absorption in the water phantom. Furthermore, lower-intensity luminescence also appeared at the deeper parts of the acrylic phantom due to its higher density than water. The intensity of the luminescence for water was 0.005% of that for plastic scintillator. Luminescence imaging of water during X-ray photon irradiation at energy lower than 120 keV was possible. This luminescence imaging method is promising for dose estimation in X-ray imaging systems. [ABSTRACT FROM AUTHOR]

Purpose: The objective of this study was to evaluate organ dose and the effective dose to patients undergoing tomosynthesis (TS) and C-arm cone-beam computed tomography (CBCT) examinations and to compare the doses to those in multidetector CT (MDCT) scans. Methods: Patient doses were measured with small sized silicon-photodiode dosimeters, 48 in number, which were implanted at various tissue and organ positions within an anthropomorphic phantom. Output signals from photodiode dosimeters were read out on a personal computer, from which organ and effective doses were computed. The doses in head, chest, abdomen, and hip-joint TS, and in head and abdomen C-arm CBCT were evaluated for routine protocols on Shimadzu TS and C-arm CBCT systems, and the doses in MDCT with the same scan regions as in TS and CBCT were on Toshiba 64-detector-row CT scanners. Results: In TS examination of the head, chest, abdomen, and hip-joint, organ doses for organs within scan ranges were 1–4 mGy, and effective doses were 0.07 mSv for the head scan and around 1 mSv for other scans. In C-arm CBCT examinations of the head and abdomen, organ doses within scan range were 2–37 mGy, and effective doses were 1.2 mSv for the head scan and 4–5 mSv for abdominal scans. Effective doses in TS examinations were approximately a factor of 10 lower, while the doses in CBCT examinations were nearly the same level, compared to the doses in the corresponding MDCT examinations. Conclusions: TS examinations with low doses and excellent resolutions in coronal images compared to recent MDCT would widely be used in tomographic examinations of the chest, abdomen, pelvis, skeletal-joints, and knee instead of MDCT examinations with significantly high doses. Since patient dose in C-arm CBCT was nearly the same level as that in recent MDCT, the same consideration for high radiation dose would be required for the use of CBCT. [ABSTRACT FROM AUTHOR]

The luminescence imaging of water using the alpha particle irradiation of several MeV energy range is thought to be impossible because this alpha particle energy is far below the Cerenkov-light threshold and the secondary electrons produced in this energy range do not emit Cerenkov-light. Contrary to this consensus, we found that the luminescence imaging of water was possible with 5.5 MeV alpha particle irradiation. We placed a 2 MBq of 241 Am alpha source in water, and luminescence images of the source were conducted with a high-sensitivity, cooled charge-coupled device (CCD) camera. We also carried out such imaging of the alpha source in three different conditions to compare the photon productions with that of water, in air, with a plastic scintillator, and an acrylic plate. The luminescence imaging of water was observed from 10 to 20 s acquisition, and the intensity was linearly increased with time. The intensity of the luminescence with the alpha irradiation of water was 0.05% of that with the plastic scintillator, 4% with air, and 15% with the acrylic plate. The resolution of the luminescence image of water was better than 0.25 mm FWHM. Alpha particles of 5.5 MeV energy emit luminescence in water. Although the intensity of the luminescence was smaller than that in air, it was clearly observable. The luminescence of water with alpha particles would be a new method for alpha particle detection and distribution measurements in water. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to evaluate radiation dose to patients undergoing computed tomography coronary angiography (CTCA) for prospectively gated axial (PGA) technique and retrospectively gated helical (RGH) technique. Methods: Radiation doses were measured for a 320-detector row CT scanner (Toshiba Aquilion ONE) using small sized silicon-photodiode dosimeters, which were implanted at various tissue and organ positions within an anthropomorphic phantom for a standard Japanese adult male. Output signals from photodiode dosimeters were read out on a personal computer, from which organ and effective doses were computed according to guidelines published in the International Commission on Radiological Protection Publication 103. Results: Organs that received high doses were breast, followed by lung, esophagus, and liver. Breast doses obtained with PGA technique and a phase window width of 16% at a simulated heart rate of 60 beats per minute were 13 mGy compared to 53 mGy with RGH technique using electrocardiographically dependent dose modulation at the same phase window width as that in PGA technique. Effective doses obtained in this case were 4.7 and 20 mSv for the PGA and RGH techniques, respectively. Conversion factors of dose length product to the effective dose in PGA and RGH were 0.022 and 0.025 mSv mGy-1 cm-1 with a scan length of 140 mm. Conclusions: CTCA performed with PGA technique provided a substantial effective dose reduction, i.e., 70%-76%, compared to RGH technique using the dose modulation at the same phase windows as those in PGA technique. Though radiation doses in CTCA with RGH technique were the same level as, or some higher than, those in conventional coronary angiography (CCA), the use of PGA technique reduced organ and effective doses to levels less than CCA except for breast dose. [ABSTRACT FROM AUTHOR]

White matter (WM) fiber bundles change dynamically with age. These changes could be driven by alterations in axonal diameter, axonal density, and myelin content. In this study, we applied a novel fixel‐based analysis (FBA) framework to examine these changes throughout the adult lifespan. Using diffusion‐weighted images from a cohort of 293 healthy volunteers (89 males/204 females) from ages 21 to 86 years old, we performed FBA to analyze age‐related changes in microscopic fiber density (FD) and macroscopic fiber morphology (fiber cross section [FC]). Our results showed significant and widespread age‐related alterations in FD and FC across the whole brain. Interestingly, some fiber bundles such as the anterior thalamic radiation, corpus callosum, and superior longitudinal fasciculus only showed significant negative relationship with age in FD values, but not in FC. On the other hand, some segments of the cerebello‐thalamo‐cortical pathway only showed significant negative relationship with age in FC, but not in FD. Analysis at the tract‐level also showed that major fiber tract groups predominantly distributed in the frontal lobe (cingulum, forceps minor) exhibited greater vulnerability to the aging process than the others. Differences in FC and the combined measure of FD and cross section values observed between sexes were mostly driven by differences in brain sizes although male participants tended to exhibit steeper negative linear relationship with age in FD as compared to female participants. Overall, these findings provide further insights into the structural changes the brain's WM undergoes due to the aging process. [ABSTRACT FROM AUTHOR]

Purpose: The authors previously reported successful luminescence imaging of water during proton irradiation and its application to range estimation. However, since the feasibility of this approach for carbon-ion irradiation remained unclear, the authors conducted luminescence imaging during carbon-ion irradiation and estimated the ranges. Methods: The authors placed a pure-water phantom on the patient couch of a carbon-ion therapy system and measured the luminescence images with a high-sensitivity, cooled charge-coupled device camera during carbon-ion irradiation. The authors also carried out imaging of three types of phantoms (tap-water, an acrylic block, and a plastic scintillator) and compared their intensities and distributions with those of a phantom containing pure-water. Results: The luminescence images of pure-water phantoms during carbon-ion irradiation showed clear Bragg peaks, and the measured carbon-ion ranges from the images were almost the same as those obtained by simulation. The image of the tap-water phantom showed almost the same distribution as that of the pure-water phantom. The acrylic block phantom's luminescence image produced seven times higher luminescence and had a 13% shorter range than that of the water phantoms; the range with the acrylic phantom generally matched the calculated value. The plastic scintillator showed ~15 000 times higher light than that of water. Conclusions: Luminescence imaging during carbon-ion irradiation of water is not only possible but also a promising method for range estimation in carbon-ion therapy. [ABSTRACT FROM AUTHOR]

Accumulating evidence from anatomical and neuroimaging studies suggests that the cerebellum is engaged in a variety of motor and cognitive tasks. Given its various functions, a key question is whether the cerebellum also plays an important role in the brain's integrative functions. Here, we hypothesize the existence of connector regions, also known as connector hubs, where multiple resting state networks converged in the cerebellum. To verify this, we employed a recently developed voxel-level network measure called functional connectivity overlap ratio (FCOR), which could be used to quantify the spatial extent of a region's connection to several large-scale cortical networks. Using resting state functional MRI data from 101 healthy participants, cerebellar FCOR maps were constructed and used to identify the locations of connector hubs in the cerebellum. Results showed that a number of cerebellar regions exhibited strong connectivity with multiple functional networks, verifying our hypothesis. These highly connected regions were located in the posterior cerebellum, especially in lobules VI, VII, and IX, and mainly connected to the core neurocognitive networks such as default mode and executive control networks. Regions associated with the sensorimotor network were also localized in lobule V, VI, and VIII, albeit in small clusters. These cerebellar connector hubs may play an essential role in the processing of information across the core neurocognitive networks. [ABSTRACT FROM AUTHOR]

CT examinations of the head and neck are the most commonly performed CT studies in children, raising concern about radiation dose and their risks to children. The purpose of this study was to clarify radiation dose levels for children of 6 years of age undergoing head and neck multidetector CT (MDCT) examinations. Radiation doses were measured with small-sized silicon-photodiode dosimeters that were implanted at various tissue and organ positions within a standard 6-year-old anthropomorphic phantom. Organ and effective doses of brain CT were evaluated for 19 protocols in nine hospitals on various (2–320 detector rows) MDCT scanners. The maximum value of mean organ dose in brain CT was 34.3 mGy for brain. Maximum values of mean doses for the radiosensitive lens and thyroid were 32.7 mGy for lens in brain CT and 17.2 mGy for thyroid in neck CT. seventy-fifth percentile of effective dose distribution in brain CT was approximately the same as the diagnostic reference level (DRL) in the 2003 UK survey. The results of this study would encourage revision of MDCT protocols in pediatric head and neck CT examinations for dose reduction and protocol standardization. [ABSTRACT FROM AUTHOR]

Neuroimaging studies have shown that the brain is functionally organized into several large-scale brain networks. Within these networks are regions that are widely connected to several other regions within and/or outside the network. Regions that connect to several other networks, known as connector hubs, are believed to be crucial for information transfer and between-network communication within the brain. To identify regions with high between-network connectivity at the voxel level, we introduced a novel metric called functional connectivity overlap ratio (FCOR), which quantifies the spatial extent of a region's connection to a given network. Using resting state functional magnetic resonance imaging data, FCOR maps were generated for several well-known large-scale resting state networks (RSNs) and used to examine the relevant associations among different RSNs, identify connector hub regions in the cerebral cortex, and elucidate the hierarchical functional organization of the brain. Constructed FCOR maps revealed a strong association among the core neurocognitive networks (default mode, salience, and executive control) as well as among primary processing networks (sensorimotor, auditory, and visual). Prominent connector hubs were identified in the bilateral middle frontal gyrus, posterior cingulate, lateral parietal, middle temporal, dorsal anterior cingulate, and anterior insula, among others, regions mostly associated with the core neurocognitive networks. Finally, clustering the whole brain using FCOR features yielded a topological organization that arranges brain regions into a hierarchy of information processing systems with the primary processing systems at one end and the heteromodal systems comprising connector hubs at the other end. [ABSTRACT FROM AUTHOR]

Healthy aging is associated with structural and functional changes in the brain even in individuals who are free of neurodegenerative diseases. Using resting state functional magnetic resonance imaging data from a carefully selected cohort of participants, we examined cross sectional changes in the functional organization of several large-scale brain networks over the adult lifespan and its potential association with general cognitive performance. Converging results from multiple analyses at the voxel, node, and network levels showed widespread reorganization of functional brain networks with increasing age. Specifically, the primary processing (visual and sensorimotor) and visuospatial (dorsal attention) networks showed diminished network integrity, while the so-called core neurocognitive (executive control, salience, and default mode) and basal ganglia networks exhibited relatively preserved between-network connections. The visuospatial and precuneus networks also showed significantly more widespread increased connectivity with other networks. Graph analysis suggested that this reorganization progressed towards a more integrated network topology. General cognitive performance, assessed by Addenbrooke's Cognitive Examination-Revised total score, was positively correlated with between-network connectivity among the core neurocognitive and basal ganglia networks and the integrity of the primary processing and visuospatial networks. Mediation analyses further indicated that the observed association between aging and relative decline in cognitive performance could be mediated by changes in relevant functional connectivity measures. Overall, these findings provided further evidence supporting widespread age-related brain network reorganization and its potential association with general cognitive performance during healthy aging. [ABSTRACT FROM AUTHOR]