ArticlePDF Available

Micro‐CT with respiratory and cardiac gating

Authors:

Abstract and Figures

Cardiopulmonary imaging in rodents using micro‐computed tomography (CT) is a challenging task due to both cardiac and pulmonary motion and the limited fluence rate available from micro‐focus x‐ray tubes of most commercial systems. Successful imaging in the mouse requires recognition of both the spatial and temporal scales and their impact on the required fluence rate. Smaller voxels require an increase in the total number of photons (integrated fluence) used in the reconstructed image for constant signal‐to‐noise ratio. The faster heart rates require shorter exposures to minimize cardiac motion blur imposing even higher demands on the fluence rate. We describe a system with fixed tube/detector and with a rotating specimen. A large focal spot x‐ray tube capable of producing high fluence rates with short exposure times was used. The geometry is optimized to match focal spot blur with detector pitch and the resolution limits imposed by the reproducibility of gating. Thus, it is possible to achieve isotropic spatial resolution of 100μm with a fluence rate at the detector 250 times that of a conventional cone beam micro‐CT system with rotating detector and microfocal x‐ray tube. Motion is minimized for any single projection with 10ms exposures that are synchronized to both cardiac and breathing motion. System performance was validated in vivo by studies of the cardiopulmonary structures in C57BL/6 mice, demonstrating the value of motion integration with a bright x‐ray source.
This content is subject to copyright. Terms and conditions apply.
Micro-CT with respiratory and cardiac gating
C. Badeaa), L. W. Hedlund, and G. A. Johnson
Center for In Vivo Microscopy, Box 3302, Duke University Medical Center, Durham, North Carolina
27710
Abstract
Cardiopulmonary imaging in rodents using micro-computed tomography (CT) is a challenging task
due to both cardiac and pulmonary motion and the limited fluence rate available from micro-focus
x-ray tubes of most commercial systems. Successful imaging in the mouse requires recognition of
both the spatial and temporal scales and their impact on the required fluence rate. Smaller voxels
require an increase in the total number of photons (integrated fluence) used in the reconstructed image
for constant signal-to-noise ratio. The faster heart rates require shorter exposures to minimize cardiac
motion blur imposing even higher demands on the fluence rate. We describe a system with fixed
tube/detector and with a rotating specimen. A large focal spot x-ray tube capable of producing high
fluence rates with short exposure times was used. The geometry is optimized to match focal spot blur
with detector pitch and the resolution limits imposed by the reproducibility of gating. Thus, it is
possible to achieve isotropic spatial resolution of 100 μm with a fluence rate at the detector 250 times
that of a conventional cone beam micro-CT system with rotating detector and microfocal x-ray tube.
Motion is minimized for any single projection with 10 ms exposures that are synchronized to both
cardiac and breathing motion. System performance was validated in vivo by studies of the
cardiopulmonary structures in C57BL/6 mice, demonstrating the value of motion integration with a
bright x-ray source.
Keywords
micro-CT; resolution; mouse; gating
I. INTRODUCTION
The growing interest in mouse models of human disease has produced a need for imaging
systems that are designed specifically for small animals. The mouse represents a specific and
important challenge. At 25 g, the mouse is nearly 3000× smaller than humans and requires a
commensurate increase in resolution over clinical systems for comparable organ definition. A
number of investigators have already demonstrated the potential for micro-computed
tomography (CT) in small animal models.1–3 However, cardiopulmonary studies have been
limited.4,5 Since the image noise is proportional to (Δx)2, where Δx is the dimension of the
isotropic voxel, the signal-to-noise ratio (SNR) will decrease significantly over that typical in
clinical settings if the x-ray exposure to the animal is held constant relative to that in the clinical
setting.1,2,6 At the same time, the physiological motion in the mouse is at least 10× faster than
humans. Thus, for in vivo imaging of lung and heart in the mouse, special strategies must be
considered, e.g., short exposures to limit the motion blur with high fluence rate to improve the
SNR. A number of commercial systems are now available that are scaled versions of third-
generation clinical CT scanners with x-ray tube and detector rotating about the object being
scanned.6–8 Since this geometry results in magnification, it requires the use of x-ray tubes
with small focal spots to maintain the desired spatial resolution. We describe a design that
a)Electronic mail:chris@orion.duhs.duke.edu.
NIH Public Access
Author Manuscript
Med Phys. Author manuscript; available in PMC 2006 January 31.
Published in final edited form as:
Med Phys. 2004 December ; 31(12): 3324–3329.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
allows the use of larger focal spot x-ray tubes capable of producing much higher fluence rates
with exposure times short enough (10 ms) to limit motion blur in the heart and lungs. The
system has been constructed to allow simultaneous use of scan synchronous ventilation and
cardiac gating.
II. MATERIALS AND METHODS
The system shown in Fig. 1 employs a fixed detector and x-ray tube with the sample placed as
close to the detector as possible to minimize magnification. The animal is suspended vertically
in a 30 mm acrylic tube that is locked to a support attached to a stepping motor that rotates the
animal under computer control. This approach provides two advantages over the traditional
third-generation CT geometry. First, this approach allows use of a larger x-ray tube with a
higher fluence rate. Second, it is easier to rotate the 25 g animal than the more massive tube
and detector assembly. The system uses a high-capacity rotating anode x-ray source designed
for clinical angiography (Philips SRO 09 50) with a dual 0.3/1.0 mm focal spot operating at 9
kW (0.3 mm focal spot) and 50 kW (1.0 mm focal spot). The detector is a cooled charge-
coupled device camera with a Gd2O2S phosphor on a 3:1 fiber optic reducer (X-ray ImageStar,
Photonics Science, East Sussex, UK). The camera has a 106 mm2 active field of view with an
image matrix of 2048×2048 pixels of 51×51 microns. The camera drivers permit flexible
readout and rebinning. For the studies shown here, data were acquired over a whole field of
view with binning producing two-dimensional 1024×1024 projections.
A larger focal spot produces a higher fluence rate. But the blur from the larger focal spot reduces
the spatial resolution. One can reduce this blur by moving the tube further from the object and
detector, but this in turn reduces the fluence rate at the detector. The fluence rate can be
optimized by careful tradeoff between the source detector distance and the resolution. The
resolution limit due to penumbral blurring (b) in the projection plane is related to the focal spot
diameter (fs), the object detector distance (odd), and the source detector distance (sdd) by Eq.
(1)
b
=odd
sdd odd fs. (1)
A 25 g mouse is <30 mm in diameter. If one allows a 10 mm space for clearance between the
detector and mouse, one can use 40 mm as a conservative value for odd. The fluence rate from
an x-ray tube is linearly related to the current. The maximum current one can use is limited by
heating. To first order, the current, and therefore the fluence rate from a given focal spot is
proportional to the area of the focal spot. Heat transfer for larger spots is less efficient than for
small focal spots giving rise to a general expression for the fluence rate (φ) at a given sdd that
is shown by Eq. (2).
φ
fs
n
sdd2,(2)
where n ranges between 1 and 2. For a given focal spot, the fluence rate will be optimized when
sdd is set such that the blur equals the desired resolution. Solving Eq. (1) for that condition we
obtain
sdd =
(
fs
b
+ 1
)
* odd. (3)
Substituting sdd in Eq. (2) yields an expression that defines the maximum fluence rate for a
given focal spot at a given resolution.
Badea et al. Page 2
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
φ
fs
n
((
fs
b
+ 1
)
* odd
)
2. (4)
Fitting the two focal spot available on the Phillips tube (0.3 mm at 9 kW and 1.0 mm at 50
kW) yields n=1.44. Figure 2 shows a plot of the maximum fluence rate that can be obtained
as a function of the focal spot dimension for three different cases of limiting resolution (25,
50, and 100 μm). The curves have all been normalized to the maximum fluence rate available
for a resolution of 100 μm, which occurs for a focal spot dimension of ~0.3 mm. For the 0.3
mm focal spot, the sdd for resolution of 100, 50, and 25 μm is 160, 280, and 520 mm,
respectively. The same graph shows the relative exposure for 80 kVp, 10 ms exposure measured
with an MDH 1015 ionization chamber for the 0.3 and 1.0 mm focal spots at the sdd appropriate
for 25, 50, and 100 μm resolution and the maximum current permissible for the focal spot.
These experimental values are also normalized to the maximum measured for 100 μm
resolution at fs =0.3 mm. For the 1.0 mm focal spot, the sdd for resolution of 100, 50, and 25
μm is 440, 840, and 1640 mm, respectively. While the optimum fluence rate is attained for a
0.3 mm focal spot, the majority of our studies were performed with the 1.0 mm focal spot at
sdd of 440 mm yielding a half cone angle of 6.86°, which is adequate with respect to artifacts
associated with the Feldkamp reconstruction algorithm.9
Degradation of the resolution arising from the combination of respiratory and cardiac motion
is limited through a combination of scan synchronous ventilation and cardiac gating. Mice
were perorally intubated, and maintained on isoflurane anesthesia delivered by a mechanical
ventilator10 that also provides a trigger that controls x-ray exposure and camera readout. The
programs synchronizing the x-ray exposure and the detector readout to the physiological
parameters were developed under LABVIEW (National Instruments, Austin, TX). The system
includes three different computers (Dell PCs running Microsoft XP), each assigned specific
tasks, as shown in Fig. 3. A screen capture of the monitoring program showing the relevant
signals from the physiologic monitor is also included. The first computer is used for monitoring
physiological parameters [body temperature, electrocardiographic (ECG) signal, airway
pressure] and controlling the ventilator.11 The second computer sends pulses that control the
camera and the x-ray generator in synchrony with the ECG and ventilation phase. This
computer also controls rotation of the animal through a RS-232 interface to an Oriel Model
13049 digital stepping motor. The third computer acquires and stores the individual two-
dimensional projections. An acquisition window is defined at a specific phase of the ventilation
cycle, e.g., during inspiration, during a period of breath hold or at end expiration. The first
QRS complex of the ECG occurring within the window triggers a 10 ms x-ray exposure. This
prospective gating ensures that the images are always acquired at the same phase of the cardiac
cycle and breathing cycle. After an image is acquired, the animal is rotated to the next image
scanning angle and the procedure is repeated.
X-ray parameters for volume imaging were typically 80 kVp, 150 mA, and 10 ms resulting in
an exposure of ~70 mR per projection. After checking the alignment of the micro-CT system
using a pin phantom, 380 projection images were acquired over a circular orbit of 190° (i.e.,
180° +fan angle) with a step angle of 0.5°. The scanning time for a complete dataset was 15
min. The 2D projection images were used to reconstruct tomograms with a Feldkamp
algorithm,9 using a commercial software package (Cobra EXXIM, EXXIM Computing Corp.,
Livermore, CA). Data were reconstructed with Parker weighting12 as isotropic
1024×1024×1024 arrays with effective digital sampling in the image plane of 90.9 μm, since
the magnification factor for the geometry used was 1.1.
All animal studies were conducted under a protocol approved by the Duke University
Institutional Animal Care and Use Committee. Studies were performed on C57BL/6 mice
Badea et al. Page 3
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
weighing between 25 and 30 g. Animals were anesthetized with a 45 mg/Kg intraperitoneal
injection of methohexital and following endotracheal intubation, anesthesia was maintained
with 2%–3% isoflurane. Anesthetic gas was delivered by the custom-made ventilator, which
has been described elsewhere.10,11 The animals were mechanically ventilated at a rate of 90
breaths/min with a tidal volume of 0.4 ml. A solid state pressure transducer on the breathing
valve measured airway pressure. ECG electrodes were taped to the footpads. Body temperature
was recorded using a rectal thermistor. The animals were placed in the cradle in a vertical
position with flexible tubes and wires carrying anesthesia gas and physiologic signals
suspended from above to allow free rotation. All physiological signals were processed
(Coulbourn Instruments, Allentown, PA) and displayed on a computer using a LABVIEW
application, described above. For some studies images were acquired during tail vein infusion
(1 ml/h) of Isovue 370.
III. RESULTS
Figure 4 shows images of a lead bar phantom placed at an odd of 40 mm acquired with (a) 1.0
mm and (b) 0.3 mm focal spots with sdd=440 and sdd=160 mm, respectively. The projections
were acquired as unbinned images, i.e., the pixel size was 51×51 μm. The 5 lp/mm resolution
pattern is resolved in both cases, as predicted by Eq. (1). The modulation transform function
(MTF) of the entire system [Fig. 4(c)] was determined in the reconstructed images using a
procedure described in the American Society of Testing Materials (ASTM) standards.13 To
determine the MTF, we used both unbinned (pixel size=51 μm) and binned projections (pixels
size=102 μm). The MTF at 10% value was in both cases close to 3 lp/mm. The low contrast
detectability of ~0.78%. was determined using a phantom containing different concentrations
of Isovue (370 mg/ml iodine) in solutions of water.
Figure 5 shows a comparison image in the thorax of a C57/BL/6 mouse acquired under four
different conditions: (1) live animal with neither ventilatory or cardiac gating; (2) live animal
with ventilatory synchronization; (3) live animal with both ventilatory synchronization and
cardiac gating; and (4) dead animal. Without ventilatory (and cardiac) gating [Figs. 5(a) and
5(e)], the edge of the diaphragm is poorly defined and there is very little internal structure
visible in the lung [arrow, Fig. 5(a)]. While the cardiac shadow is clear, the edge of the heart
is blurred. The addition of ventilatory synchronization [Figs. 5(b) and 5(f)] improves the
definition of the edge of the diaphragm but the cardiac border is very poorly defined [arrow,
Fig. 5(b)]. While pulmonary vasculature and airways are more clearly seen, they are still blurred
by motion of the heart. Note for example, the branching airways in the magnified section of
the left lung [arrow, Fig. 5(f)]. The combination of cardiac gating with ventilatory
synchronization results in markedly improved definition of the cardiac boundary [arrow, Fig.
5(c)] and the surrounding pulmonary structures [arrow, Fig. 5(g)]. Note in Fig. 5(g), the
definition of airways that are at least fourth-order branches. The anatomic resolution with the
use of ventilatory and cardiac gating is very nearly equal to that when there is no physiologic
motion, i.e., when the animal is dead [Figs. 5(d) and 5(h)]. Note the subtle shift in the pulmonary
structures and narrowing of the airways upon death [arrow, Fig. 5(h)].
The isotropic resolution can be used to advantage in verifying the structures. Figure 6 shows
axial and coronal slabs that have been oriented obliquely to follow the main stem bronchus
allowing one to track the branching airways and determine from the coronal slab, the level of
airway seen in the axial. Each slice is rendered from four contiguous pixels (i.e., the slice
thickness is 400 μm), thus presenting a larger slice through which one can track the airways
and vessels. In these two images, one sees vena cava (VC) descending aorta (DA), right (RB),
and left (LB) pulmonary bronchi and associated bronchial vessels, and the gall bladder. These
images show room for improvement. Note the streaks off the ribs, probably arising from beam
Badea et al. Page 4
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
hardening and imperfect alignment. In some slices, telltale circles suggest the need for more
careful gain equalization. Work is currently under way to make these improvements.
IV. DISCUSSION AND CONCLUSIONS
Motion and photon fluence rate are the two most important determinants of the image quality
in micro-CT. Current work under way in our laboratory suggests that with proper care, the
position of the heart and diaphragm can be reliably reproduced through the course of a
physiologically controlled study to ~100 μm.14 Ford et al.15 have recently reported the
characteristics of a commercial system with a microfocal x-ray tube operating at 80 kVp and
0.1 mA yielding a fluence rate at the detector of 2.6×107 photons/mm2 s. The angiographic
tube used in this work, operating at 80 kVp, 100 mA produced an exposure of 70 mR at the
detector in a 10 ms exposure or ~1.5×109 photons/mm2 s, i.e., a fluence rate that is 57 times
higher. The tube is capable of operating at 620 mA, i.e., a fluence nearly 250 times greater than
the microfocal tubes.
The fundamental resolution limits in the system described here are imposed by the precision
with which pulmonary and cardiac motion are repeatable across the time course of a study (10–
20 min) and motion during a single exposure. Recent work has shown the reproducibility to
be on the order of 50–100 μm.14 The beating heart of a mouse moves as much as 2 mm through
the course of one cardiac cycle. Given that diastole is ~50% of the 100 ms R-R interval, the
exposure time must be less than 50 ms in order to minimize the impact of cardiac motion. As
seen in Fig. 5, the impact of cardiac motion is seen in the lung even if ventilatory
synchronization is used. This is not surprising given the motion that the heart must induce in
the surrounding lung parenchyma. Thus to minimize these effects, one must have a fluence
rate that is significantly higher than available from microfocal tubes. For spatial resolution
~100 μm, imposed by the reproducibility of the motion control, the 1 mm focal spot delivers
a fluence rate 250× higher than that available from microfocal spot tubes. The gain is less
dramatic as one seeks higher spatial resolution, which might be attainable outside the thoracic
cavity. But even at 25-μm resolution, there are still flux gains from 0.3/1.0 mm focal spots that
can be obtained for rotating anodes.
Compensation for both cardiac and ventilatory motion is essential for successful pulmonary
imaging. Cavanaugh et al. have demonstrated ventilatorygated micro-CT with exposure
integration periods of 100 ms.5 But as is demonstrated in Fig. 5, the cardiac motion can have
a substantial impact on the surrounding lung tissue. Prospective and retrospective gating are
both possible. Retrospective gating has been particularly successful for magnetic resonance
imaging, where one must match the cardiac cycle and the TR to keep the magnetization constant
from view to view.16 A CT study to use both cardiac and ventilatory gating used prospective
gating,17 which was easily implemented. The limitation when using a conventional third-
generation geometry is that gating is accomplished while the gantry is moving at a constant
angular velocity. Thus some views can be lost if there are any irregularities in the heartbeat.
The major advantage of the geometry used here is that it allows prospective gating of both
ventilatory and cardiac motion, since the period between views (angles) is not important.
Moreover, the mouse is so small that the stepping motor can advance asynchronously. The use
of the fixed gantry with the rotating animal is not without problems. Animal support is more
difficult. The system is not well suited for high throughput. Radiation shielding is necessary.
And some may argue that the vertical orientation of the animal is not natural. For the present,
the benefit of a high fluence rate allowing reduction of cardiac blur appears to outweigh these
disadvantages in those studies of the thorax requiring the highest possible spatial resolution.
The use of micro-CT in cardiopulmonary studies of the mouse has been limited to date because
of the lack of appropriate instrumentation and the challenges of physiological support. While
Badea et al. Page 5
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
studies of the mouse heart and lungs have been successful using magnetic resonance imaging
(MRI), they are very challenging for many of the same reasons seen in this work.18–20 MR
of the lung is particularly difficult because of magnetic susceptibility and the very limited
proton density in the lung.21 The lung is a very appealing target for micro-CT, since the CT
contrast is high. Dose, a major concern in micro-CT, will be relatively low because of the
inherent low (radiographic) density. The approach outlined here has addressed two of the most
critical barriers making high quality micro-CT of the mouse cardiopulmonary system much
more accessible.
Acknowledgements
All work was performed at the Duke Center for In Vivo Microscopy, a NCRR National Resource (P41 RR05959).
Additional support was provided by NCI (R24-CA 92656) and a grant from the Department of Defense (DoD-DAMD
17-02-2-0004). The authors would like to thank Ted Wheeler for animal support.
References
1. Jorgensen SM, Demirkaya O, Ritman EL. “Three-dimensional imaging of vasculature and parenchyma
in intact rodent organs with X-ray micro-CT,”. Am J Physiol 1998;275:H1103–1114. [PubMed:
9724319]
2. Ritman EL. “Molecular imaging in small animals—roles for micro-CT,”. J Cell Biochem Suppl
2002;39:116–24. [PubMed: 12552611]
3. Paulus MJ, et al. “High resolution X-ray computed tomography: an emerging tool for small animal
cancer research,”. Neoplasia 2000;2:62–70. [PubMed: 10933069]
4. Kennel SJ, et al. “High resolution computed tomography and MRI for monitoring lung tumor growth
in mice undergoing radioimmunotherapy: correlation with histology,”. Med Phys 2000;27:1101–1107.
[PubMed: 10841415]
5. Cavanaugh D, et al. “In vivo respiratory-gated micro-CT imaging in small-animal oncology models,”.
Molecular Imaging 2004;3:55–62. [PubMed: 15142412]
6. Holdsworth DW, Thornton MM. “Micro-CT in small animal and specimen imaging,”. Trends
Biotechnol 2002;20:S34–39.
7. Paulus MJ, et al. “A review of high-resolution X-ray computed tomography and other imaging
modalities for small animal research,”. Lab Anim 2001;30:36–45.
8. Wang G, Vannier M. “Micro-CT scanners for biomedical applications: An overview,”. Adv Imaging
Electron Phys 2001;16:18–27.
9. Feldkamp LA, Davis LC, Kress JW. “Practical cone-beam algorithm,”. J Opt Soc Am A 1984;1:612–
619.
10. Hedlund LW, Johnson GA. “Mechanical ventilation for imaging the small animal lung,”. ILAR J
2002;43:159–174. [PubMed: 12105383]
11. Hedlund LW, et al. “MR-compatible ventilator for small animals: computer-controlled ventilation
for proton and noble gas imaging,”. Magn Reson Imaging 2000;18:753–759. [PubMed: 10930785]
12. Parker DL. “Optimal short scan convolution reconstruction for fan beam CT,”. Med Phys 1982;9:254–
257. [PubMed: 7087912]
13. Standard Test Method for Measurements of Computed Tomography (CT) System Performance
(American Society for Testing and Materials, Philadelphia, 1995).
14. W. Mai et al., “Effects of breathing motion on the spatial resolution in microscopic imaging techniques
of rodents,” Proceedings of the IEEE International Symposium on Biomedical Imaging, pp. 472–476
(2004).
15. Ford NL, Thornton MM, Holdsworth DW. “Fundamental image quality limits for microcomputed
tomography in small animals,”. Med Phys 2003;30:2869–2877. [PubMed: 14655933]
16. Glover GH, Pelc NJ. “A rapid-gated cine MRI technique,”. Magn Reson Annu 1988:299–333.
[PubMed: 3079300]
17. Johnson GA, Godwin JD, Fram EK. “Gated multiplanar computed tomography,”. Radiology
1982;145:195–197. [PubMed: 7122877]
Badea et al. Page 6
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
18. Slawson SE, et al. “Cardiac MRI of the normal and hypertrophied mouse heart,”. Magn Reson Med
1998;39:980–987. [PubMed: 9621922]
19. Schneider JE, et al. “Rapid identification and 3D reconstruction of complex cardiac malformations
in transgenic mouse embryos using fast gradient echo sequence magnetic resonance imaging,”. J Mol
Cell Cardiol 2003;35:217–222. [PubMed: 12606262]
20. B. T. Chen, A. T. Yordanov, and G. A. Johnson, “Ventilation-synchronous MR microscopy of
pulmonary structure and ventilation in mice,” Magn. Reson. Med. (in press 2004).
21. Gewalt SL, et al. “MR miscroscopy of the rat lung using projection reconstruction,”. Magn Reson
Med 1993;29:99–106. [PubMed: 8419748]
Badea et al. Page 7
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
Fig. 1.
The x-ray tube (a) and detector (b) are stationary. The mouse is supported in an acrylic tube
(c) placed on a support which is rotated by a computer-controlled stepping motor (d). The tube
and detector are supported on a gantry (e) constructed from extruded aluminum to limit the
impact of building vibration. The relative position of the elements of the scanner is easily
adjusted. The valve for scan synchronous ventilation (f) and ECG leads are supported from the
top of the gantry.
Badea et al. Page 8
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
Fig. 2.
Relative fluence rate is plotted as a function of focal spot dimension for limiting resolution at
25, 50, and 100 μm. The fluence rate is normalized to the maximum that is attained for
resolution at 100 μm with a focal spot of 0.3 mm. The normalized exposures for 80 kVp, 10
ms are plotted for the 0.3 and 1.0 mm focal spots at the sdd required for resolution of 100, 50,
and 25 μm and the maximum current available for the two focal spots (100 and 620 mA).
Badea et al. Page 9
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
Fig. 3.
A schematic of the system is shown (a) and the signal wave forms during sampling in (b). The
system is controlled by three computers each running LABVIEW. PC1 controls the ventilator
and monitors the physiologic signals from the animal. PC2 acts as the sequencer for the system.
It receives triggers from PC1 that control the x-ray generator and the stepping motor for the
gantry. PC3 receives the trigger from PC2 that controls the camera acquisition, integration,
and readout. (b) shows a capture of the monitoring application during sampling. Trace 1 shows
the pressure at the ventilator. In this example a window is enabled at end expiration (trace 2)
which is then logically combined with the ECG (trace 3) to allow exposures 1 and 2 (EX1,
EX2). Trace 4 shows the digital signal to advance the table to the next projection.
Badea et al. Page 10
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
Fig. 4.
The limiting resolution imposed by the focal spot and geometry was verified in projection
images for the 0.3 mm (a) and 1 mm (b) focal spots using a digital camera with a 0.05 mm
pitch. (c) The MTF of the entire micro-CT system measured in reconstructed images with a
disk phantom as described in ASTM.13
Badea et al. Page 11
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
Fig. 5.
Coronal slices are shown at the same level from four studies done on the same mouse. The
lower images show the left lung from each image magnified by 3×. (a) and (e) are from the
ungated study. (b) and (f) were obtained with ventilatory synchronization; (c) and (g) were
obtained with ventilatory synchronization and cardiac gating; (d) and (h) were obtained on the
same animal after sacrifice with an anesthetic overdose.
Badea et al. Page 12
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
Fig. 6.
Axial and coronal 400 μm slabs extracted from the study with ventilatory and cardiac gating
providing detailed anatomy of the thorax: vena cava (VC), descending aorta (DA), right (RB)
and left (LB) pulmonary bronchi and associated bronchial vessels, and the gall bladder.
Badea et al. Page 13
Med Phys. Author manuscript; available in PMC 2006 January 31.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
... Furthermore, its value in the characterization of cardiac function and blood flow will contribute to the study of genetic models and drug safety evaluation [28,42]. In small animal cardiac imaging, the main challenge is the introduction of strong motion artifacts in reconstructed images due to respiratory and cardiac motion [3]. Although research [10,23] has shown that ignoring respiration does not significantly affect anatomic information in cardiac studies, cardiac contractile motion is a factor that cannot be ignored. ...
... Compared with the retrospective gating schemes, the prospective gating can guarantee a uniform projection distribution and has better imaging results. However, its acquisition speed was relatively slow because multiple sets of experiments were required to acquire the data of multiple cardiac motion phases in earlier research [3,4]. In 2011, a fast prospective gating (FPG) strategy was proposed for mouse cardiac imaging [23], which required only one set of experiments to acquire multiple cardiac motion phase projection data at each projection angle. ...
Article
Full-text available
BACKGROUND: Micro-computed tomography is important in cardiac imaging for preclinical small animal models, but motion artifacts may appear due to the rapid heart rates. To avoid the influence of motion artifacts, the prospective ECG gating schemes based on an X-ray source trigger have been published for cardiac imaging. However, due to the lack of pulsed X-ray exposure modes, high-resolution micro-focus X-ray sources do not support source triggering in most cases. OBJECTIVE: To develop a fast-cardiac multiphase acquisition strategy using prospective ECG gating for micro-focus X-ray tubes with a continuous emission mode. METHODS: The proposed detector-trigger-based prospective ECG gating acquisition scheme (DTB-PG) triggers the X-ray detector at the R peak of ECG, and then collects multiple phase projections of the heart in one ECG cycle by sequence acquisition. Cardiac multiphase images are reconstructed after performing the same acquisition in all views. The feasibility of this strategy was verified in multiphase imaging experiments of a phantom with 150 ms motion period and a mouse heart on a micro-focus micro-CT system with continuous emission mode. RESULTS: Using a high frame-rate CMOS detector, DTB-PG discriminated the positions of the motion phantom well in 10 different phases, and was also able to distinguish the changes in the cardiac volume of the mouse in different phases. The acquisition rate of DTB-PG is much faster than other prospective gating schemes, as demonstrated by theoretical analysis. CONCLUSIONS: DTB-PG combines the advantages of prospective ECG gating strategies and the X-ray detector-trigger mode to suppress the motion artifacts, achieve ultra-fast acquisition rates, and relax hardware limitations.
... The micro-CT system, which has been extensively discussed previously (Badea et al., 2004), rotates the animal that is held vertically while using a stationary tube and an X-ray detector. This allows for the use of a high flux rotating anode X-ray source (Philips SRO 09 50) with a dual 0.3/1.0 ...
... The 1.0-mm focused spot, for instance, can sustain 50 kW, which is more than 6000 times the power of conventional micro focal spot X-ray tubes. The geometric blur can be reduced by using the stationary tube/detector with the revolving specimen, leading to a net flux increase at the detector of almost 250 over commercial systems (Badea et al., 2004). We used a high-resolution detector with 50 50 mm pixels covering a 2048 × 2048 picture matrix with a 106 mm active area input (Micro photonics X-ray Image Star camera, East Sussex, UK). ...
... However, most of the challenges arise from the short cardiac and respiratory cycles of these mammals. This is overcome by using short exposures to limit motion artifacts as well as higher photon fluence rates 18 . In general, we found that the use of cardiac gating, as well as the adjustment of isoflurane concentrations to decrease the respiratory rate, produced the clearest images. ...
... CT is a relatively new clinical diagnostic method that can distinguish the difference in X-ray absorption capacity and transmittance between different tissues, input the measurement data into the computer, and reconstruct the fault plane image after the computer processes the data [187,188]. When mixed with other materials, the negatively charged surface and multifunctional groups of composite nanomaterials can play a defining role in CT imaging, even if SeNPs alone do not have an isotope labeling function. ...
Article
Full-text available
The incidence and mortality rates of lung cancer are among the highest in the world. Traditional treatment methods include surgery, chemotherapy, and radiotherapy. Although rapid progress has been achieved in the past decade, treatment limitations remain. It is therefore imperative to identify safer and more effective therapeutic methods, and research is currently being conducted to identify more efficient and less harmful drugs. In recent years, the discovery of antitumor drugs based on the essential trace element selenium (Se) has provided good prospects for lung cancer treatments. In particular, compared to inorganic Se (Inorg-Se) and organic Se (Org-Se), Se nanomedicine (Se nanoparticles; SeNPs) shows much higher bioavailability and antioxidant activity and lower toxicity. SeNPs can also be used as a drug delivery carrier to better regulate protein and DNA biosynthesis and protein kinase C activity, thus playing a role in inhibiting cancer cell proliferation. SeNPs can also effectively activate antigen-presenting cells to stimulate cell immunity, exert regulatory effects on innate and regulatory immunity, and enhance lung cancer immunotherapy. This review summarizes the application of Se-based species and materials in lung cancer diagnosis, including fluorescence, MR, CT, photoacoustic imaging and other diagnostic methods, as well as treatments, including direct killing, radiosensitization, chemotherapeutic sensitization, photothermodynamics, and enhanced immunotherapy. In addition, the application prospects and challenges of Se-based drugs in lung cancer are examined, as well as their forecasted future clinical applications and sustainable development. Graphical Abstract
... 7,8 To investigate the lungs in 3D, high-resolution micro computed tomography (micro-CT) can be used on fixed specimens, and in vivo micro-CT machines can image live rodents. To investigate the lungs at a specified respiratory phase, prospectively gated imaging allows for each projection view to be acquired at the same point in the respiratory cycle, [12][13][14][15][16] whereas retrospective approaches select only the desired in-phase projections for reconstruction. [17][18][19][20][21][22] Parameswaran et al. 5 fixed sections of mouse lung tissue and stained with silver to provide contrast in the micro-CT images in order to measure the alveolar airspace volume. ...
Article
Purpose: We hypothesize that in vivo respiratory-gated micro computed tomography (micro-CT) imaging can noninvasively provide structural and functional information about the lungs in a cigarette-exposure model of chronic obstructive pulmonary disease in mice. Approach: Female C57BL/6 mice were exposed to cigarette smoke or ambient air for 1, 3, or 6 months. Each mouse received a respiratory-gated micro-CT scan at baseline and another scan following the exposure period, while anaesthetized and free-breathing. Images were obtained representing end-expiration and peak inspiration, and measurements were performed to characterize the lung structure and compute functional metrics. Following the final micro-CT session, the mice were euthanized and the lungs prepared for histology. Results: Following 6 months of smoke-exposure, the mice exhibited larger increases in end-expiration lung volume and functional residual capacity, and a reduction in weight gain when compared with air-exposed mice. The histogram of CT numbers in the lung obtained during end-expiration also showed a shift to lower CT numbers following 6 months of smoke-exposure, indicating increased air content within the lungs. The metrics suggested air-trapping in the lung, which is consistent with emphysema. In the 3-month exposure group, only the reduction in weight gain was significant compared with the air-exposed group. Histological analysis confirmed that the 6-month smoke-exposed mice likely developed centrilobular emphysema as measured by the mean linear intercept. Conclusions: Respiratory-gated micro-CT imaging of free-breathing mice at multiple respiratory phases is noninvasive and provides additional information about lung structure and function that complements postmortem techniques and could be used to monitor changes over time.
... First attempts of 3d imaging of a beating (mouse) heart were already performed. Using a laboratory X-ray imaging setup and iodine-based contrast agents, the dynamics of murine hearts was investigated in time-gated 4d studies [355,356]. However, they lack in resolution and the image quality is insufficient to characterize the structure of the myocardium. ...
... However, these fast-acquisition systems are not widely available, and the reduction in acquisition time comes at the expense of lower photon count, which may be detrimental for certain applications. Motion artifacts can also be reduced by modifying the angular acquisition scheme [17], [18], or by acquiring phase-locked or ensemble-averaged measurements [6], [19]. ...
Article
We propose to use piecewise linear interpolation (PLI) in time to reduce motion artifacts in transmission computed tomography (CT). PLI is motivated by the natural occurrence of piecewise-linear evolution of voxel values during object motion. The method is specifically examined in the context of high-accuracy quantitative measurements that are compromised by small motions, and particularly sub-pixel motion. Compared to existing methods, the proposed approach offers three advantages: (i) the flexibility in the interpolation parameters provides a framework for joint optimization and data-informed dynamic CT, (ii) both continuous motion and sudden changes in voxel values can be represented while preserving the continuity of the interpolated solution, and (iii) the compactness of the interpolation functions reduces the increase in algorithmic cost. Total variation regularization is used with a second-order accurate discretization, and the resulting formulation is solved with the Chambolle-Pock proximal algorithm. The applicability of the method in practical cases is demonstrated using synchrotron data, with an algorithmic cost of two to four times that of equivalent static reconstruction algorithms.
Article
Full-text available
Current respiratory 4DCT imaging for high-dose rate thoracic radiotherapy treatments are negatively affected by the complex interaction of cardiac and respiratory motion. We propose an imaging method to reduce artifacts caused by thoracic motion, CArdiac and REspiratory adaptive CT (CARE-CT), that monitors respiratory motion and ECG signals in real-time, triggering CT acquisition during combined cardiac and respiratory bins. Using a digital phantom, conventional 4DCT and CARE-CT acquisitions for nineteen patient-measured physiological traces were simulated. Ten respiratory bins were acquired for conventional 4DCT scans and ten respiratory bins during cardiac diastole were acquired for CARE-CT scans. Image artifacts were quantified for 10 common thoracic organs at risk (OAR) substructures using the differential normalized cross correlation between axial slices (ΔNCC), mean squared error (MSE) and sensitivity. For all images, on average, CARE-CT improved the ΔNCC for 18/19 and the MSE and sensitivity for all patient traces. The ΔNCC was reduced for all cardiac OARs (mean reduction 21%). The MSE was reduced for all OARs (mean reduction 36%). In the digital phantom study, the average scan time was increased from 1.8 ± 0.4 min to 7.5 ± 2.2 min with a reduction in average beam on time from 98 ± 28 s to 45 s using CARE-CT compared to conventional 4DCT. The proof-of-concept study indicates the potential for CARE-CT to image the thorax in real-time during the cardiac and respiratory cycle simultaneously, to reduce image artifacts for common thoracic OARs.
Article
This study aims to investigate whether adding neoadjuvant radiotherapy (RT), anti-programmed cell death protein-1 (PD-1) antibody (anti-PD-1), or RT + anti-PD-1 to surgical resection improves disease-free survival for mice with soft tissue sarcomas (STS). We generated a high mutational load primary mouse model of STS by intramuscular injection of adenovirus expressing Cas9 and guide RNA targeting Trp53 and intramuscular injection of 3-methylcholanthrene (MCA) into the gastrocnemius muscle of wild-type mice (p53/MCA model). We randomized tumor-bearing mice to receive isotype control or anti-PD-1 antibody with or without RT (20 Gy), followed by hind limb amputation. We used micro-CT to detect lung metastases with high spatial resolution, which was confirmed by histology. We investigated if sarcoma metastasis was regulated by immunosurveillance by lymphocytes or tumor cell-intrinsic mechanisms. Compared to surgery with isotype control antibody, the combination of anti-PD-1, RT, and surgery improved local recurrence-free survival (p=0.035) and disease-free survival (p=0.005), but not metastasis-free survival. Mice treated with RT, but not anti-PD-1, showed significantly improved local recurrence-free survival and metastasis-free survival over surgery alone (p=0.043 and p=0.007, respectively). The overall metastasis rate was low (~12%) in the p53/MCA sarcoma model, which limited the power to detect further improvement in metastasis-free survival with addition of anti-PD-1 therapy. Tail vein injections of sarcoma cells into immunocompetent mice suggested that impaired metastasis was due to inability of sarcoma cells to grow in the lungs rather than a consequence of immunosurveillance. In conclusion, neoadjuvant RT improves metastasis-free survival after surgery in a primary model of STS.
Article
Full-text available
A convolution-backprojection formula is deduced for direct reconstruction of a three-dimensional density function from a set of two-dimensional projections. The formula is approximate but has useful properties, including errors that are relatively small in many practical instances and a form that leads to convenient computation. It reduces to the standard fan-beam formula in the plane that is perpendicular to the axis of rotation and contains the point source. The algorithm is applied to a mathematical phantom as an example of its performance.
Article
Full-text available
A microcomputed tomography (micro-CT) scanner, which generates three-dimensional (3-D) images consisting of up to a billion cubic voxels, each 5-25 micron on a side, and which has isotropic spatial resolution, is described. Its main components are a spectroscopic X-ray source that produces selectable primary emission peaks at approximately 9, 18, or 25 keV and a fluorescing thin crystal plate that is imaged (at selectable magnification) with a lens onto a 2.5 x 2.5-cm, 1,024 x 1,024-pixel, charge-coupled device (CCD) detector array. The specimen is positioned close to the crystal and is rotated in 721 equiangular steps around 360 degrees between each X-ray exposure and its CCD recording. Tomographic reconstruction algorithms, applied to these recorded images, are used to generate 3-D images of the specimen. The system is used to scan isolated, intact, fixed rodent organs (e.g., heart or kidney) with the image contrast of vessel lumens enhanced with contrast medium. 3-D image display and analysis are used to address physiological questions about the internal structure-to-function relationships of the organs.
Article
The functioning and construction of micro-computerized tomography (CT) scanners, used in biomedical imaging, is discussed. The features of a typical micro-CT scanner include an X-ray microfocused source; a detector array; an object stage; a system control mechanism; and computing resources for image reconstruction. Micro-CT scanners can be used for bone analysis, to identify phenotypes of small animals, in assessing and monitoring tumours in small animals, and in studies of vascular structures.
Article
The problem of using a divergent fan beam convolution reconstruction algorithm in conjunction with a minimal complete (180° plus the fan angle) data set is reviewed. It is shown that by proper weighting of the initial data set, image quality essentially equivalent to the quality of reconstructions from 360° data sets is obtained. The constraints on the weights are that the sum of the two weights corresponding to the same line‐integral must equal one, in regions of no data the weights must equal zero, and the weights themselves as well as the gradient of the weights must be continuous over the full 360°. After weighting the initial data with weights that satisfy these constraints, image reconstruction can be conveniently achieved by using the standard (hardwired if available) convolver and backprojector of the specific scanner.
Article
Laboratory systems for microscopic computed tomography (micro-CT) have recently evolved from specialized prototype tools to become essential components of many research laboratories. The availability of commercial systems with almost microscopic resolution and the capability to image live animals has opened up entirely new applications for micro-CT in laboratory investigation. This review describes the technical aspects of micro-CT and highlights some current research applications. Micro-CT has the potential to replace serial histology as the reference standard in many in vitro studies, and provides a practical approach to obtain quantitative information during some longitudinal investigations in vivo.
Article
Multiplanar reformatting was combined with electrocardiographically gated computed tomography (CT) to provide a three-dimensional assessment of the beating heart of a live dog. Separate systolic and diastolic images were made in transverse, sagittal, coronal, and paraxial views. Three-dimensional contour images that outlined the cardiac chambers and the myocardium were then made using a separate research computer. This three-dimensional appreciation of cardiac morphology could be extended to assess regional function. Practical problems that limit the application of these methods are discussed, along with the proposed solutions.
Article
Projection reconstruction has been implemented with self-refocused selection pulses on a small bore, 2.0 T MR microscope, to allow imaging of lung parenchyma. Scan synchronous ventilation and cardiac gating have been integrated with the sequence to minimize motion artifacts. A systematic survey of the pulse sequence parameters has been undertaken in conjunction with the biological gating parameters to optimize resolution and signal-to-noise (SNR). The resulting projection images with effective echo time of < 300 microseconds allow definition of lung parenchyma with an SNR improvement of approximately 15 x over a more conventional 2DFT short echo gradient sequence.
Article
With the development of recent transgenic techniques, studies involving mice offer opportunities to increase understanding of cardiac disease. This provides motivation for the current study to perform noninvasive evaluation of the normal and hypertrophied mouse heart with MRI. By acquiring ECG and respiratory signals, the MR image acquisition was gated to both the cardiac and respiratory cycles. Combining a spin-warp imaging sequence with an RF surface coil resulted in short-axis images that allowed quantification of in vivo cardiac mass. Excellent agreement between MRI-determined (y) and postmortem heart weight (x) was obtained: y = 0.991x + 1.43 (r = 0.996). Isoproterenol, at 282 micromol/kg body weight (BW) and 573 micromol/kg BW, induced a dose-dependent increase in the ratio of heart weight to BW of 16.8 +/- 1.09% and 24.1 +/- 1.71%, respectively, which was accurately measured by MRI. These results demonstrate the ability of MRI to noninvasively monitor cardiac anatomy in the mouse.