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This study aimed to develop a refined actuator suitable for psoas major muscle (PM) MR elastography (MRE) and evaluate its measurement precision. MRE was performed on nine healthy volunteers. Discomfort under PM-MRE examinations was evaluated by discomfort scores using a four-point subjective scale. The performance of refined actuator was evaluated in detail; repeatability was evaluated using repeatability coefficients (%RC) according to the Quantitative Imaging Biomarker Alliance (QIBA) and reproducibility with different operators was evaluated using interclass correlation coefficients (ICC). The discomfort score was 1.4 ± 0.53 and it indicated refined actuator was sufficiently comfortable (no pain). In the repeatability study (n = 9), the %RC was approximately 19%, which was comparable to the limit required for clinical liver MREs by the QIBA (19%). In the reproducibility study, the ICCs were > 0.90 (n = 3), indicating that the refined actuator had almost perfect reproducibility. The refined actuator was suitable for PM-MREs and had acceptable repeatability and reproducibility. Refined actuator was expected to meet the standard set by the QIBA (for liver MRE).

BACKGROUND: Digital radiography (DR) is grayscale adjustable and it can be unclear whether an acquired DR image is captured with the minimum radiation dose required. It is necessary to make an image of the amount of noise when taken at a lower dose than the acquired image, without increased exposure. OBJECTIVE: To examine whether an image of unacquired dose can be created from two types of dose DR images acquired using a phantom. METHODS: To create an additive image from two images of different doses, the pixel value of one image is multiplied by a coefficient and added to the other. The normalized noise power spectra (NNPS) of the normal image and the additive image with the same signal-to-noise ratio (SNR) are compared. The image noise of the unacquired doses is estimated from the graph changes of the pixel values and standard deviations of two images. The error between the SNR of the image obtained by changing the dose and the estimated SNR is measured. We propose a multiplication coefficient calculation formula that theoretically adjusts the additive image to the target SNR. The SNR error of the image created based on this formula is measured. RESULTS: The NNPS curves of the additive and normal images show a difference on the high frequency side. According to the statistics considering the preset of mAs value, there is no significant difference at 85%. The SNR estimation error is approximately 1%. The SNR error of the additive image created based on the formula is approximately 5%. CONCLUSION: The noise of the image of unacquired dose can be estimated, and the additive image adjusted to this value can be considered equivalent to the image taken at the actual dose.

This study aims to develop and assess a new automated processing technique in MR elastography (MRE), namely coherent-wave auto-selection (CHASE). CHASE enables automatic selection of the region of interest (ROI) for stiffness measurement by extraction of the coherent wave region (CHASE ROI), and it improves the reconstruction of stiffness by a directional filter oriented along the main wave in each pixel (CHASE filtering). In this study, MRE of a phantom and of the liver of four healthy volunteers was performed. To investigate the potential of CHASE, this study assessed the CHASE according to three indices through the phantom study: 1) agreement on the ROI settings between CHASE and expert observers, 2) noise dependency, and 3) effect of the CHASE on stiffness variability within the CHASE ROI. The agreements on the ROI settings were analyzed by Cohen's kappa coefficient (κ). The noise dependency was analyzed by the mean absolute percentage errors (MAPEs) within the ROI between low (20%-80% amplitudes) and high vibration amplitudes (100% amplitude). The stiffness variability was assessed by standard deviation (SD) within the ROI. In the volunteer study, agreements on the ROI settings (or stiffness value) and stiffness variability within the CHASE ROI were assessed using κ-value (or intraclass correlation coefficient: ICC) and coefficient of variation, respectively. The results showed close agreement on the ROI settings and stiffness (κ-value: greater than 0.61 in both the phantom and volunteer studies, ICC: 0.97 in the volunteer study). The MAPEs within the CHASE ROI were much smaller than those in the whole region of the phantom (CHASE ROI vs. the whole region at 20% amplitude: 10.3% vs. 50.8%). Moreover, in both the phantom and volunteer studies, the stiffness variation within the CHASE ROI was smaller in the elastogram processed with CHASE filtering than in the unprocessed one. Our results demonstrated that the CHASE has high robustness against noise and the potential to provide ROI settings for stiffness measurement comparable to expert observers, as well as improve the reconstruction of stiffness.

We report star-trail artifacts of advanced-putrefied brain on postmortem CT (PMCT) of a 77-year-old male approximately one month after death. After CT calibration, routine PMCT (tube current time product: 400 mAs) showed star-trail artifacts, which arose due to cerebral cavitation, but were hardly visible on low-dose PMCT (100 mAs) due to noise. Low-dose PMCT with 4-time-image summation also showed star-trail artifacts. Those are not due to mechanical X-ray detector problems.

In cartilage regenerative medicine, autologous chondrocyte implantation (ACI) has been applied clinically for partial defects of joint cartilage or nasal augmentation. To make treatment with ACI more effective and prevalent, modalities to evaluate the quality of transplanted constructs noninvasively are necessary. In this study, we compared the efficacy of several noninvasive modalities for evaluating the maturation of tissue-engineered auricular cartilage containing a biodegradable polymer scaffold. We first transplanted tissue-engineered cartilage consisting of human auricular chondrocytes, atelocollagen gel, and a poly-l-lactic acid (PLLA) porous scaffold subcutaneously into the back of athymic nude rats. Eight weeks after transplantation, the rats were examined by magnetic resonance imaging (MRI), X-ray, and ultrasound as noninvasive modalities. Then, the excised constructs were examined by histological and biochemical analysis including toluidine blue (TB) staining, glycosaminoglycans content, and enzyme-linked immunosorbent assay of type II collagen. Among the modalities examined, transverse relaxation time (T2) and apparent diffusion coefficient of MRI showed quite a high correlation with histological and biochemical results, suggesting that these can effectively detect the maturation of tissue-engineered auricular cartilage. Since these noninvasive modalities would realize time-course analysis of the maturation of tissue-engineered auricular cartilage, this study provides a substantial insight for improving the quality of tissue-engineered cartilage, leading to improvement of the quality and technique in cartilage regenerative medicine.

We measured standard deviation (SD), noise power spectrum (NPS), and modulation transfer function (MTF) of computed tomography obtained by image summation method (fused CT) using phantoms. SDs, NPSs and MTFs of fused CT up to 25 times summation were calculated. Increased number of image summation reduced SD and NPS, although the effect became small after 10 times summation. MTF remained the same regardless of the number of summation. Fused CT is effective in reducing noise.

The speed of sound (SOS) of a longitudinal wave propagating in the living body reflects the tissue properties and is expected as a promising evaluation index for detection of disease, diagnosis and monitoring. However, in general, the interpretation of SOS is complex, because it is influenced mostly by compressibility and multiple factors. In this study, as a study for the interpretation of SOS, the SOS of cartilage was measured in vivo by using a fusion of ultrasound and magnetic resonance imaging (MRI), and the correlations between the SOS and other quantities were investigated. In summary, as a possible interpretation of SOS of cartilage tissue used in this study, it was suggested that the SOS was partly related to water content.

We aimed to investigate the association between mobility and skeletal muscle strength by using magnetic resonance diffusion tensor imaging (DTI). This study included 20 healthy male volunteers (mean age, 21.8 ± 1.1 years). The maximum voluntary strength (MVC) of each participant was measured with the ankle joint in plantar and dorsal flexion using an instrument for measuring muscle strength. Moreover, magnetic resonance imaging (MRI) was performed with the ankle joint at rest, in plantar flexion, and in dorsal flexion. For imaging, a 1.5-T MRI device was used, and a diffusion-weighted stimulated echo-planar imaging pulse sequence. Tensor eigenvalues (λ), fractional anisotropy (FA), and the apparent diffusion coefficient (ADC) were calculated from data obtained by DTI. The resulting MRI data were compared to the data on muscle mobility or strength and statistically analyzed. Regarding changes in DTI indices during muscle movements, anisotropy of the tibialis anterior was significantly increased from rest to plantar flexion (P < 0.01), whereas no significant change was observed in dorsal flexion (n.s.). In contrast, the extent of significant changes in anisotropy of the medial gastrocnemius (mGC) and soleus (SOL) was small at plantar flexion (mGC, P < 0.01; SOL, n.s.), whereas the indices were significantly increased at dorsal flexion (P < 0.01). Regarding the correlation between MVC of each skeletal muscle and the DTI indices, FA and λ3 were significantly correlated in movements involving the muscles, whereas no significant correlation was observed in movements not involving them. Changes in intramuscular water molecules by elongation and contraction of the skeletal muscle fibers could be assumed to affect changes in diffusional anisotropy. When muscles contract, the space between myocytes was reduced and they might become increasingly dense. Moreover, diffusional anisotropy increased with increasing MVC, whereas ADC remained unchanged. DTI was suggested to produce measurements similar to the degree of muscle strength.

Purpose: Commonly used diffusion weighted (DW) imaging such as DW spin echo (SE) type echo planar imaging (DW-SE-EPI) is known to be a snapshot-like acquisition and to have a relatively high signal-to-noise ratio. Spiral MRI sequence (SPIRAL) has characteristics similar to these of EPI, but it has rarely been used for diffusion-weighted imaging (DWI). In vivo DW-SPIRAL of the rat brain has almost never been reported. Our purpose in this study was to examine the potential of SE-type two-dimensional (2D) multi-shot spiral acquisition MRI for apparent diffusion coefficient (ADC) mapping of the rat brain in vivo. Materials and Methods: We made an SE-type DW-2D-spiral MRI sequence (DW-SPIRAL) which was prepared on a 2.0-T animal-experiment MR scanner. Comparing the phantom experimental result of DW-SPIRAL with the phantom experimental result of DW SE-type echo-planar imaging (DW-SE-EPI) and conventional DW spin echo imaging (DW-SE), we estimated the characteristics of DW-SPIRAL and assessed the clinical application of DW-SPIRAL in an animal experiment on the rat brain. Results: There was not much difference between the calculated water/glycerol phantom diffusion coefficient of DW-SPIRAL and the calculated diffusion coefficient of DW-SE. This result shows that the DW-SPIRAL sequence is appropriate for use in diffusion weighted imaging. There were fewer phantom image distortions and ghosting artifacts with DW-SPIRAL than with DW-SE-EPI, and this tendency was similar in the animal experiment on the rat brain. Conclusion: The DW-SPIRAL sequence had been successfully tested in phantom experiments and rat brain experiments. It has been demonstrated that the DW-SPIRAL sequence is capable of producing in vivo rat brain DWI.

Objective Using an anthropomorphic phantom, we have investigated the feasibility of digital tomosynthesis (DT) of flat-panel detector (FPD) radiography to reduce radiation dose for sinonasal examination compared to multi-detector computed tomography (MDCT). Materials and methods A female Rando phantom was scanned covering frontal to maxillary sinus using the clinically routine protocol by both 64-detector CT (120 kV, 200 mA s, and 1.375-pitch) and DT radiography (80 kV, 1.0 mA s per projection, 60 projections, 40° sweep, and posterior–anterior projections). Glass dosimeters were used to measure the radiation dose to internal organs including the thyroid gland, brain, submandibular gland, and the surface dose at various sites including the eyes during those scans. We compared the radiation dose to those anatomies between both modalities. Results In DT radiography, the doses of the thyroid gland, brain, submandibular gland, skin, and eyes were 230 ± 90 μGy, 1770 ± 560 μGy, 1400 ± 80 μGy, 1160 ± 2100 μGy, and 112 ± 6 μGy, respectively. These doses were reduced to approximately 1/5, 1/8, 1/12, 1/17, and 1/290 of the respective MDCT dose. Conclusion For sinonasal examinations, DT radiography enables dramatic reduction in radiation exposure and dose to the head and neck region, particularly to the lens of the eye.

Objective Quantitative MR imaging techniques of degenerative cartilage have been reported as useful indicators of degenerative changes in cartilage extracellular matrix, which consists of proteoglycans, collagen, non-collagenous proteins, and water. Apparent diffusion coefficient (ADC) mapping of cartilage has been shown to correlate mainly with the water content of the cartilage. As the water content of the cartilage in turn correlates with its viscoelasticity, which directly affects the mechanical strength of articular cartilage, ADC can serve as a potentially useful indicator of the mechanical strength of cartilage. The aim of this study was to investigate the correlation between ADC and viscoelasticity as measured by indentation testing. Materials and methods Fresh porcine knee joints (n = 20, age 6 months) were obtained from a local abattoir. ADC of porcine knee cartilage was measured using a 3-Tesla MRI. Indentation testing was performed on an electromechanical precision-controlled system, and viscosity coefficient and relaxation time were measured as additional indicators of the viscoelasticity of cartilage. The relationship between ADC and viscosity coefficient as well as that between ADC and relaxation time were assessed. Results ADC was correlated with relaxation time and viscosity coefficient (R2 = 0.75 and 0.69, respectively, p

It is important to evaluate the elasticity of tissue-engineered cartilage, for evaluating its structural strength. However, in vivo evaluation of tissue-engineered cartilage elasticity has not been established. On the other hand, since the speed of sound (SOS) is available for elasticity evaluation, we have proposed in vivo measurement method of SOS using ultrasound and MR images. This method determines the SOS based on the thickness measurement using the MR image and the time-of-flight (TOF) measurement using the ultrasound. In this study, this method was applied to the SOS measurement in tissue-engineered cartilage, and then relation between in vivo SOS and elasticity was investigated. As the result, in vivo SOS had a high correlation with Young's modulus. This result reveals that in vivo evaluation of tissue-engineered cartilage elasticity is available through in vivo SOS measurement.

In order to detect the disease and degeneration of cartilage early, evaluations of acoustic properties are expected, but the physical meaning should be clarified. On the other hand, we have proposed a multimodal method using ultrasound (US) and magnetic resonance (MR) images for in vivo SOS measurement. In this study, the method was applied for the tissue-engineered cartilage, and the SOS was compared with T1, T2, apparent diffusion coefficient (ADC), attenuation coefficient (ATT), and Young’s modulus (YM). All procedures were approved by the Animal Care and Use Committee of our institution. 12-week-old male rats were used, and five different types of tissue-engineered cartilage was subcutaneously implanted in the back of rat (n = 30). Under anesthesia, MR and US images including same cross-sections were acquired separately, by using a MR imager of 2 Tesla and a US device of 13 MHz. At this time, T1, T2, ADC were also measured. The SOS was determined by the thickness measurement using the MR image and the...

Since the speed of sound (SOS) reflects tissue characteristics and is expected as an evaluation index of elasticity and water content, the noninvasive measurement of SOS is eagerly anticipated. However, it is difficult to measure the SOS by using an ultrasound device alone. Therefore, we have presented a noninvasive measurement method of SOS using ultrasound (US) and magnetic resonance (MR) images. By this method, we determine the longitudinal SOS based on the thickness measurement using the MR image and the time of flight (TOF) measurement using the US image. The accuracy of SOS measurement is affected by the accuracy of image registration and the accuracy of thickness measurements in the MR and US images. In this study, we address the accuracy improvement in the latter thickness measurement, and present an image-processing-based method for improving the accuracy of thickness measurement. The method was investigated by using in vivo data obtained from a tissue-engineered cartilage implanted in the back of a rat, with an unclear boundary.

In this study, the mutual fusion of chondrocyte pellets was promoted in order to produce large-sized tissue-engineered cartilage with a three-dimensional (3D) shape. Five pellets of human auricular chondrocytes were first prepared, which were then incubated in an agarose mold. After 3 weeks of culture in matrix production-promoting medium under 5.78g/cm(2) compression, the tissue-engineered cartilage showed a sufficient mechanical strength. To confirm the usefulness of these methods, a transplantation experiment was performed using beagles. Tissue-engineered cartilage prepared with 50 pellets of beagle chondrocytes was transplanted subcutaneously into the cell-donor dog for 2 months. The tissue-engineered cartilage of the beagles maintained a rod-like shape, even after harvest. Histology showed fair cartilage regeneration. Furthermore, 20 pellets were made and placed on a beta-tricalcium phosphate prism, and this was then incubated within the agarose mold for 3 weeks. The construct was transplanted into a bone/cartilage defect in the cell-donor beagle. After 2 months, bone and cartilage regeneration was identified on micro-computed tomography and magnetic resonance imaging. This approach involving the fusion of small pellets into a large structure enabled the production of 3D tissue-engineered cartilage that was close to physiological cartilage tissue in property, without conventional polyper scaffolds.

Radiofrequency ablation (RFA) is an important modality in tumor treatment. One of the challenging issues is how to control and evaluate RFA treatment. This study is one of the first systems to examine magnetic resonance elastography (MRE) for RFA evaluation. The ex vivo experiments were designed and performed on bovine and porcine liver tissues respectively. It is found that the contrast ratios of the common imaging protocols were 1:1.09 (2.44:2.65) only for bovine tissues and 1:1.12 (2.19:2.45) for porcine tissues, but they were enhanced to 1:3.03 (25.74:78.04) and 1:3.66 (9.16:33.55) respectively on MRE. In conclusion, MRE is a good solution for RFA evaluation.

The aim of our study was to simulate an effective diffusion-weighted imaging (DWI) pulse sequence and to evaluate the best b value in skeletal muscle. The evaluated pulse sequences were spin echo (SE), stimulated echo (STE), and gradient-recalled echo (GRE). The signal intensity changed in some DWI pulse sequences when the b value was changed. Moreover, the static magnetic field of 1.5 T was compared with that of 3.0 T. Next, diffusion tensor imaging of the human skeletal muscle was measured. The experimental subjects were healthy male volunteers (n = 7; age 21.8 ± 1.1 years). We changed the b value in steps of 100 s/mm2 from 0 to 2000 s/mm2, and the diffusion values [fractional anisotropy (FA), λ 1, λ 2, and λ 3] were calculated based on the data. The STE method could maintain signals up to b values of 1300 s/mm2, but the SE and GRE methods suffered from high noise. In the human study, the mean FA (±SD) was 0.41 ± 0.02 in the tibialis anterior muscle (TA) and 0.31 ± 0.02 in the soleus muscle (SOL) at a b value of 1000 s/mm2. The correlation of the FA with the b value coefficient and the P value by Student’s t test were r = 0.981 and P

Purpose: Applying regenerated cartilage in a clinical setting requires noninvasive evaluation to detect the maturity of cartilage tissue. Magnetic resonance (MR) imaging of articular cartilage is well accepted and has been applied clinically in recent years. We attempt to establish a noninvasive method to evaluate the maturity of regenerated cartilage tissue using gadolinium-enhanced MR imaging. Methods: To reconstruct cartilaginous tissue, we embedded articular chondrocytes harvested from bovine humeral head in agarose gel and cultured the cells in vitro up to 4 weeks. The fixed charge density (FCD) of the cartilage was determined using MRI gadolinium exclusion method. The sulfated glycosaminoglycan (sGAG) content was determined by dimethylmethylene blue dye-binding assay. Results: The sGAG content and FCD of the regenerated cartilage increased with duration of culture. In the T1Gd maps, the [Gd-DTPA2-] in the specimen decreased, and the boundary between the sample disk and the bath solution of phosphate buffered saline (PBS) became clearer as time in culture increased. In the linear regression analysis, FCD and sGAG content correlated significantly. Conclusion: Gadolinium-enhanced MR imaging measurements can be useful predictors of the degree of cartilaginous tissue formation.

This paper describes a new image reconstruction method for the half-Fourier MR imaging. The signal to noise ration (SNR) is decreased almost one over square root of 2 as same as the conventional half-Fourier MR imaging. It is possible to apply into almost of every MR imaging using Fourier transformation for the image reconstruction such as SE, GRE, Fast-SE, EPI, etc.. Moreover, it is also apply to the spiral imaging and radial scan. The proposed method combined with the keyhole technology, navigator echo and random scanning are useful in practical use.