1. Development of A Micro-CT Scanner with Dual-Energy Option and Endovascular Contrast Agent Administration Protocol for Fetal and Neonatal Virtual Autopsy
- Author
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Zboray, Robert; https://orcid.org/0000-0003-0811-7396, Schweitzer, Wolf; https://orcid.org/0000-0002-1223-2023, Ebert, Lars; https://orcid.org/0000-0002-8215-7006, Wolf, Martin; https://orcid.org/0000-0001-7525-891X, Guglielmini, Sabino; https://orcid.org/0000-0001-6493-2753, Haemmerle, Stefan, Weiss, Stephan, Koller, Bruno, Zboray, Robert; https://orcid.org/0000-0003-0811-7396, Schweitzer, Wolf; https://orcid.org/0000-0002-1223-2023, Ebert, Lars; https://orcid.org/0000-0002-8215-7006, Wolf, Martin; https://orcid.org/0000-0001-7525-891X, Guglielmini, Sabino; https://orcid.org/0000-0001-6493-2753, Haemmerle, Stefan, Weiss, Stephan, and Koller, Bruno
- Abstract
The rate of parental consent for fetal and perinatal autopsy is decreasing, whereas parents are more likely to agree to virtual autopsy by non-invasive imaging methods. Fetal and perinatal virtual autopsy needs high-resolution and good soft-tissue contrast for investigation of the cause of death and underlying trauma or pathology in fetuses and stillborn infants. This is offered by micro-computed tomography (CT), as opposed to the limited resolution provided by clinical CT scanners, and this is one of the most promising tools for non-invasive perinatal postmortem imaging. We developed and optimized a micro-CT scanner with a dual-energy imaging option. It is dedicated to post-mortem CT angiography and virtual autopsy of fetuses and stillborn infants in that the chamber can be cooled down to around 5 °C; this increases tissue rigidity and slows decomposition of the native specimen. This, together with the dedicated gantry-based architecture, attempts to reduce potential motion artifacts. The developed methodology is based on prior endovascular injection of a BaSO4-based contrast agent. We explain the design choices and considerations for this scanner prototype. We give details of the treatment of the optimization of the dual-energy and virtual mono-energetic imaging option that has been based on minimizing noise propagation and maximizing the contrast-to-noise ratio for vascular features. We demonstrate the scanner capabilities with proof-of-concept experiments on phantoms and stillborn piglets.
- Published
- 2024