Radiography Image Classification Using Deep Convolutional Neural Networks

Research has shown that chest radiography images of patients with different diseases, such as pneumonia, COVID-19, SARS, pneumothorax, etc., all exhibit some form of abnormality. Several deep learning techniques can be used to identify each of these anomalies in the chest x-ray images. Convolutional neural networks (CNNs) have shown great success in the fields of image recognition and image classification since there are numerous large-scale annotated image datasets available. The classification of medical images, particularly radiographic images, remains one of the biggest hurdles in medical diagnosis because of the restricted availability of annotated medical images. However, such difficulty can be solved by utilizing several deep learning strategies, including data augmentation and transfer learning. The aim was to build a model that would detect abnormalities in chest x-ray images with the highest probability. To do that, different models were built with different features. While making a CNN model, one of the main tasks is to tune the model by changing the hyperparameters and layers so that the model gives out good training and testing results. In our case, three different models were built, and finally, the last one gave out the best-predicted results. From that last model, we got 98% training accuracy, 84% validation, and 81% testing accuracy. The reason behind the final model giving out the best evaluation scores is that it was a well-fitted model. There was no overfitting or underfitting issues. Our aim with this project was to make a tool using the CNN model in R language, which will help detect abnormalities in radiography images. The tool will be able to detect diseases such as Pneumonia, Covid-19, Effusions, Infiltration, Pneumothorax, and others. Because of its high accuracy, this research chose to use supervised multi-class classification techniques as well as Convolutional Neural Networks (CNNs) to classify different chest x-ray images. CNNs are extremely efficient and successful at reducing the number of parameters while maintaining the quality of the primary model. CNNs are also trained to recognize the edges of various objects in any batch of images. CNNs automatically discover the relevant aspects in labeled data and learn the distinguishing features for each class by themselves.

Resolution analysis of thermal neutron radiography based on accelerator-driven compact neutron source

Owing to the immobility of traditional reactors and spallation neutron sources,the demand for compact thermal neutron radiography(CTNR)based on accelerator neutron sources has rapidly increased in industrial applications.Recently,thermal neutron radiography experiments based on a D-T neutron generator performed by Hefei Institutes of Physical Science indicated a significant resolution deviation between the experimental results and the values calculated using the traditional resolution model.The experimental result was up to 23%lower than the calculated result,which hinders the achievement of the design goal of a compact neutron radiography system.A GEANT4 Monte Carlo code was developed to simulate the CTNR process,aiming to identify the key factors leading to resolution deviation.The effects of a low collimation ratio and high-energy neutrons were analyzed based on the neutron beam environment of the CTNR system.The results showed that the deviation was primarily caused by geometric distortion at low collimation ratios and radiation noise induced by highenergy neutrons.Additionally,the theoretical model was modified by considering the imaging position and radiation noise factors.The modified theoretical model was in good agreement with the experimental results,and the maximum deviation was reduced to 4.22%.This can be useful for the high-precision design of CTNR systems.

Evaluation of an asymptomatic COVID-19 patient post-surgery with chest radiography: A surgeon’s dilemma

Routine chest radiography is not a requirement in post-surgery cardiac bypass patients.However,the safety of abandoning routine chest radiographs in critically ill patients remains uncertain.Surgery in an asymptomatic coronavirus disease 2019(COVID-19)patient presents additional challenges in postoperative management.Chest radiography remains a valuable tool for assessment of all patients,even a stable one.Management of surgical patients as an emergency in an asymptomatic COVID-19 case remains a surgeon’s dilemma.

Digital radiography of crush thoracic trauma in the Sichuan earthquake

AIM:To investigate the features of crush thoracic trauma in Sichuan earthquake victims using chest digital radiography(CDR).METHODS:We retrospectively reviewed 772 CDR of 417 females and 355 males who had suffered crush thoracic trauma in the Sichuan earthquake.Patient age ranged from 0.5 to 103 years.CDR was performed between May 12,2008 and June 7,2008.We looked for injury to the thoracic cage,pulmonary parenchyma and the pleura.obtained in 349 patients,the remaining 423 patients underwent only AP CDR.Thoracic cage fractures,pulmonary contusion and pleural injuries were noted in 331(42.9%;95% CI:39.4%-46.4%),67 and 135 patients,respectively.Of the 256 patients with rib fractures,the mean number of fractured ribs per patient was 3.Rib fractures were mostly distributed from the 3rd through to the 8th ribs and the vast majority involved posterior and lateral locations along the rib.Rib fractures had a significant positive association with non-rib thoracic fractures,pulmonary contusion and pleural injuries(P < 0.001).The number of rib fractures and pulmonary contusions were significant factors associated with patient death.CONCLUSION:Earthquake-related crush thoracic trauma has the potential for multiple fractures.The high number of fractured ribs and pulmonary contusions were significant factors which needed appropriate medical treatment.

Contrast sensitivity in 14 MeV fast neutron radiography

Fast neutron radiography(FNR) is an effective non-destructive testing technique.Due to the scattering effect and low detection efficiency,the detection limit of FNR under certain conditions cannot be determined.In order to obtain the minimum detectable thickness by FNR,we studied the contrast sensitivity of FNR lead samples,both theoretically and experimentally.We then clarified the relationship between pixel value and irradiation time,and sample materials and thickness.Our experiment,using a4-cm-thick lead sample,verified our theoretical expression of FNR contrast sensitivity.

Areal density and spatial resolution of high energy electron radiography

Ultrafast imaging tools are of great importance for determining the dynamic density distribution in high energy density （HED） matter. In this work, we designed a high energy electron radiography （HEER） system based on a linear electron accelerator to evaluate its capability for imaging HED matter. 40 MeV electron beams were used to image an aluminum target to study the density resolution and spatial resolution of HEER. The results demonstrate a spatial resolution of tens of micrometers. The interaction of the beams with the target and the beam transport of the transmitted electrons are further simulated with EGS5 and PARMELA codes, with the results showing good agreement with the experimental resolution. Furthermore, the experiment can be improved by adding an aperture at the Fourier plane.

Comparison of conventional radiography and MDCT in suspected scaphoid fractures

AIM: To determine the diagnostic accuracy and radiation dose of conventional radiography and multidetector computed tomography(MDCT) in suspected scaphoid fractures.METHODS: One hundred twenty-four consecutive patients were enrolled in our study who had suffered from a wrist trauma and showed typical clinical symptoms suspicious of an acute scaphoid fracture. All patients had initially undergone conventional radiography. Subsequent MDCT was performed within 10 d because of persisting clinical symptoms. Using the MDCT data as the reference standard, a fourfold table was used to classify the test results. The effective dose and impaired energy were assessed in order to compare the radiation burden of the two techniques. The Wilcoxon test was performed to compare the two diagnostic modalities.RESULTS: Conventional radiography showed 34 acute fractures of the scaphoid in 124 patients(42.2%). Subsequent MDCT revealed a total of 42 scaphoid fractures. The sensitivity of conventional radiography for scaphoid fracture detection was 42.8% and its specificity was 80% resulting in an overall accuracy of 59.6%. Conventional radiography was significantly inferior to MDCT(P < 0.01) concerning scaphoidfracture detection. The mean effective dose of MDCT was 0.1 m Sv compared to 0.002 m Sv of conventional radiography.CONCLUSION: Conventional radiography is insufficient for accurate scaphoid fracture detection. Regarding the almost negligible effective dose, MDCT should serve as the first imaging modality in wrist trauma.

Monte Carlo simulation for bremsstrahlung and photoneutron yields in high-energy x-ray radiography

This paper reports on the results of calculations using a Monte Carlo code （MCNP5） to study the properties of photons, electrons and photoneutrons obtained in the converted target and their transportations in x-ray radiography. A comparison between measurements and calculations for bremsstrahlung and photoneutrons is presented. The radiographic rule and the effect of the collimator on the image are studied with the experimental model. The results provide exact parameters for the optimal design of radiographic layout and shielding systems.

Imaging internal density structure of the Laoheishan volcanic cone with cosmic ray muon radiography

Muon radiography is a promising technique for imaging the internal density structures of targets such as tunnels,pyramids,and volcanoes up to a scale of a few hundred meters by measuring the flux attenuation of cosmic ray muons after they have traveled through these targets.In this study,we conducted experimental muon radiography of one of the volcanoes in the Wudalianchi area in Northeast China to image its internal density structure.The muon detector used in this study was composed of plastic scintillators and silicon photomultipliers.After approximately one and a half months of observing the crater and conduit of the Laoheishan volcano cone in Wudalianchi from September 23^(rd) to November 10^(th) 2019,more than 3 million muon tracks fulfilling the data selection criteria were collected.Based on the muon samples and high-resolution topography obtained through aerial photogrammetry using an unmanned aerial vehicle,a density image of the Laoheishan volcano cone was constructed.The results obtained in this experiment demonstrate the feasibility of using a radiography technique based on plastic scintillator detectors.To obtain the density distribution,we performed a detailed background analysis and found that low-energy charged particles dominated the background noise.Relatively higher densities were found near the surface of the volcanic cone,whereas relatively lower densities were found near the center of the volcanic cone.The experiment in this study is the first volcano muon tomography study performed in China.Our work provides an important reference for future research.

Proton radiography of magnetic fields generated with an open-ended coil driven by high power laser pulses

Recently generation of strong magnetic(B)fields has been demonstrated in capacitor coils heated by high power laser pulses[S.Fujioka et al.,Sci.Rep.3,1170(2013)].This paper will present a direct measurement of B field generated with an open-ended coil target driven by a nanosecond laser pulse using ultrafast proton radiography.The radiographs are analyzed with particle-tracing simulations.The B field at the coil center is inferred to be ~50 T at an irradiance of ~5×10^(14) W·cm^(-2).The B field generation is attributed to the background cold electron flow pointing to the laser focal spot,where a target potential is induced due to the escape of energetic electrons.

Chest radiography requirements for patients with asymptomatic COVID-19 undergoing coronary artery bypass surgery:Three case reports

BACKGROUND The coronavirus disease 2019(COVID-19),caused by severe acute respiratory syndrome coronavirus-2,represents a major challenge to health care systems both globally and regionally,with many opting by cancelling elective surgeries.Cardiac operations in patients diagnosed with COVID-19 have been imperative due to their emergency nature,critical condition of patients awaiting cardiac surgery,and accumulated number of cardiac surgical interventions throughout the last months.CASE SUMMARY Here we describe three COVID-19 positive cases who underwent coronary surgery,on an urgent basis.We did not experience worsening of the patients’clinical condition due to COVID-19 and therefore a routine post-operative chest Xray(CXR)was not required.None of the health care providers attending the patients endured cross infection.Further trials would be needed in order to confirm these results.CONCLUSION While the pandemic has adversely hit the health systems worldwide,cardiac surgical patients who concomitantly contracted COVID-19 may undergo a smooth post-operative course as a routine post-operative CXR may not be required.

Simulation study on characteristics of information extraction in multiple-image radiography

Simulation experiments were performed to investigate the characteristics of information extraction in multiple-image radiography(MIR) based on geometrical optics approximation. Different Poisson noise levels were added to the simulation, and the results show that Poisson noise deteriorates the extraction results, with the degree of refraction > USAXS > absorption. The effects of Poisson noise are negligible when the detector's photon counts are about 1000 ph/pixel. A wider sampling range allows more accurate extraction results, but a narrower sampling range has a better signal-to-noise ratio for high Poisson noise levels, e.g., PN(10). The sampling interval can be suitably increased with a minor impact on the extraction results for low Poisson noise levels(PN(10000)). The extraction results are incomplete because a portion of the samplerocking curve is beyond the sampling range. This induces artifacts in the images, especially for strong refraction and USAXS signals. The artifacts are not obvious when the refraction angle and standard deviation of the USAXS are smaller than the sampling range by an order of magnitude.In general, the absorption barely affects the extraction results. However, additional Poisson noise will be generated when the sample is made of high-Z elements or has a large size due to the strong absorption. Here, the extraction results will deteriorate, and additional exposure time is required. This simulation provides important details on practical applications of MIR, with improvements in information extraction.

Evaluation of Diagnostic Efficacy of Digital Subtraction Radiography in the Diagnosis of Simulated External Root Resorption: An <i>in Vitro</i>Study

External root resorption can induce the degeneration of dental cementum and dentine and may extend towards the pulp reductive. Digital subtraction radiography can function as a useful tool in diagnosing degenerative carious lesions. This study investigated the diagnostic value of digital subtraction radiography in detecting external root resorption. This was a descriptive study conducted using the lab trial method. Artificially-induced external root resorption was created in different sizes at the coronal and apical aspects of 20 premolar teeth. Digital radiographs were obtained of each tooth under standard conditions and these radiographs were subtracted by imaging devices. The subtracted images and the digital radiographs were observed by three radiologists. Chi-square, Kappa test, and Z-test were used to analyze the data. The mean of general sensitivity of digital subtraction radiography and direct digital radiography was low in diagnosing 0.05 mm lesions (Sen = 35%), yet, the accuracy index was good for all lesions (Acc ≥ 65%). Other diagnostic parameters were also acceptable. Both types of radiography worked better in diagnosing coronal than apical lesions (P > 0.05). The interpreters (observers) showed a better performance in diagnosing external root resorption using digital subtraction radiography compared to digital radiography. Both modalities were exact and accurate in detecting 0.05 mm lesions as well as other lesions. However, the results of digital subtraction radiography were not significantly different from those of direct digital radiography.

Enhanced K-Edge Radiography Using a High-Spatial-Resolution Cadmium Telluride Array Detector

To confirm the imaging effect of a dual-energy (DE) cadmium telluride (CdTe) array detector (XCounter, Actaeon) and to perform fundamental studies on DE computed tomography, we performed enhanced K-edge radiography using iodine (I) and gadolinium (Gd) media. DE radiography was performed using an X-ray generator with a 0.1-mm-diam-focus tube and a 0.5-mm-thick beryllium window, a 1.0-mm-thick aluminum filter for absorbing extremely low-energy photons, and the CdTe array detector with pixel dimensions of 0.1 × 0.1 mm2. Each pixel has a charge-sensitive amplifier and a dual-energy counter, and the event pulses from the amplifier are sent to the counter to determine two threshold energies. The tube current was a maximum value of 0.50 mA, and the tube voltages for I- and Gd-K-edge radiograms were 60 and 80 kV, respectively. In the I-K-edge radiography of a dog-heart phantom at an energy range of 33 - 60 keV, the muscle density increased, and fine coronary arteries were visible. Utilizing Gd-K-edge radiography of a rabbit head phantom at an energy range of 50 - 80 keV, the muscle density increased, and fine blood vessels in the nose were observed at high contrasts. Using the DE array detector, we confirmed the image-contrast variations with changes in the threshold energy.

Flash X-ray radiography technique to study the high velocity impact of soft projectile on E-glass/epoxy composite material

In the present paper, the high velocity impact of 9 mm soft lead projectile on 10 mm and 30 mm thick Eglass/epoxy composites was studied using a 450 kV Flash X-ray radiography(FXR) system. The basic parameters of FXR imaging, such as effect of ratio of target to film(TF) and source to target(ST) distances and X-ray penetration thickness of the composite material were optimized based on clarity and the actual dimensions of the objects. The optimized parameters were used in the FXR imaging of the ballistic event of 9 mm soft projectile on E-glass/epoxy composite. The real time deformation patterns of both the projectile and composite target during the ballistic impact were captured and studied at different time intervals. The notable failure modes of the 10 mm thick target with time include fibre breakage, bulging on the back side, delamination, recovery of the bulging, reverse bulging and its recovery. However, with increase in thickness of the target to 30 mm the only failure mechanism observed is the breaking of fibres. The ballistic impact event was also numerically simulated using commercially available LS-DYNA software. The numerically simulated deformation patterns of the projectile and target at different time intervals are closely matching with the corresponding radiographic images.

Low Energy Plasma Focus as an Intense X-ray Source for Radiography

Study on X-ray emission from a low energy (1.8 kJ) plasma focus devicepowered by a 9 μF capacitor bank, charged at 20 kV and giving peak discharge current of about 175kA by using a lead-inserted copper-tapered anode is reported. The X-ray yield in different energywindows is measured as a function of hydrogen filling pressure. The maximum yield in 4π-geometry isfound to be (27.3+-1.1) J and corresponding wall plug efficiency for X-ray generation is 1.52+-0.06%. X-ray emission, presumably due to bombarding activity of electrons in current sheath at theanode tip was dominant, which is confirmed by the pinhole images. The feasibility of the device asan intense X-ray source for radiography is demonstrated.

Noise analysis of grating-based x-ray differential phase-contrast imaging with angular signal radiography

X-ray phase-contrast imaging is one of the novel techniques,and has potential to enhance image quality and provide the details of inner structures nondestructively.In this work,we investigate quantitatively signal-to-noise ratio（SNR） of grating-based x-ray phase contrast imaging（GBPCI） system by employing angular signal radiography（ASR）.Moreover,photon statistics and mechanical error that is a major source of noise are investigated in detail.Results show the dependence of SNR on the system parameters and the effects on the extracted absorption,refraction and scattering images.Our conclusions can be used to optimize the system design for upcoming practical applications in the areas such as material science and biomedical imaging.

Evaluation of Positive Predictive Value for Digital Panoramic Radiography in Comparison to Ultrasound in the Diagnosis of Calcified Carotid Atheroma

Aim: Detection of calcified carotid atheroma (CCA) has an important role in reducing the incidence of Cerebro Vascular Accident (CVA). The aim of this study was to evaluate efficacy of panoramic digital radiography in detecting atherosclerosis. Methods: It is descriptive-analytical diagnostic study. The people (22 to 62 years old) were referred to a radiology clinic to perform panoramic radiography for diagnosis of CCA. Individuals who were suspected were introduced to the radiology department of dental school to undergo ultrasound evaluation to CCA. For the 41 patients (55 sides), ultrasound was performed. For data analysis, the Chi-square and Fisher's exact test were used. Results: The prevalence of CCA was 2.43%. The PPV of digital panoramic was 45.5%. There was no significant relationship between age (P = 0.14) and sex (P = 0.539) and PPV of digital panoramic. The PPV of digital panoramic was significantly associated with hypertension (P = 0.032). Conclusion: It seems that panoramic can be used to screen patients with a history of hypertension for atherosclerosis.

A Derived Exposure Chart for Computed Radiography in a Negroid Population

Background: Computed radiography has a wider exposure latitude when compared with film-screen imaging system. Consequently, the risk of dose creep is high. A conscientious effort is there-fore, needed by the radiographer to keep exposure as low as reasonably achievable. Objective: To derive a computed radiography exposure chart for a negroid population using AGFA photostimulable phosphor plates and a GE static X-ray machine. Materials and Method: A static X-ray machine, a digitizer, and photostimulable phosphor plates were used for the X-ray examination. Chest examinations were done at a Focus-Film-Distance (FFD) of 150 - 180 cm while all other examinations were conducted at 90 - 100 cm FFD. The range of exposure factors (kVp, mA and mAs) used by radiog-raphers in the centre was noted and the 90th percentile calculated. Over a three-month period, the patients were examined with the 90th percentile of tube potential (kVp) while keeping other factors constant. The kVp was gradually decreased and halted if radiologists and radiographers uncon-nected with the work expressed misgivings about the quality of the image. A similar procedure was adopted for the tube current (mA). The threshold adopted as low as reasonably achievable was the factor preceding the point of observation by other personnel. Metrics for central tendency from the statistical packages for social sciences, version 17.0 was used to analyze the data. Results: 335 subjects of both gender aged 0 - 92 years were examined by the researchers. Adult exposure factors used by the radiographers (and those derived by the researchers) had a range of 45 - 130 kVp (62 - 94 kVp), 63 - 320 mA (100 - 250 mA) and 4.0 - 25.0 mAs (5.0 - 20.0 mAs) respectively. Pediatric chest (and researchers-derived) factors were 50 - 75 kVp (52 - 65 kVp), 50 - 250 mA (100 - 220 mA) and 3.20 - 10.0 mAs (3.2 - 6.5 mAs) respectively. Conclusion: Upper threshold of adult (and paediatric) exposure factors in computed radiography with comparable equipment and accessories should not exceed 94 kVp (65 kVp), 250 mA (220 mA) and 20.0 mAs (6.5 mAs) respectively. The derived exposure chart is also adequate to address motion unsharpness in chest examinations.

Signal-to-noise ratio comparison of angular signal radiography and phase stepping method

Grating-based x-ray phase contrast imaging has the potential to be applied in future medical applications as it is compatible with both laboratory and synchrotron source. However, information retrieval methods are important because acquisition speed, scanning mode, image quality, and radiation dose depend on them. Phase-stepping （PS） is a widely used method to retrieve information, while angular signal radiography （ASR） is a newly established method. In this manuscript, signal-to-noise ratios （SNRs） of ASR are compared with that of PS. Numerical experiments are performed to validate theoretical results. SNRs comparison shows that for refraction and scattering images ASR has higher SNR than PS method, while for absorption image both methods have same SNR. Therefore, our conclusions would have guideline in future preclinical and clinical applications.