Computed tomography versus transthoracic echocardiography in the detection of complex congenial heart diseases in china:a meta-analysis

Objective:To perform a meta-analysis to evaluate the diagnostic performance of computed tomography(CT) and transthoracic echocardiography(TTE) in complex congenital heart diseases(CHD) in China.Methods:MEDLINE,Cochrane library and China National Knowledge Infrastructure(CNKI) database from January 1966 to October 2010,were searched for initial studies in China.All the studies,published in English or Chinese,used TTE,CT,or both as diagnostic tests for CHD and reported the rate of true-positive,true-negative,false-positive and false-negative diagnoses of CHD from TTE and CT findings with the surgical results as the 'gold-standard'(15 studies,XX patients) were collected.The statistic software package,'Meta-Disc 1.4',was used to conduct data analysis.A covariate analysis was used to evaluate the influence of patient or study-related factors on sensitivity.Results:Pooled sensitivity for diagnosis of CHD were 95% [95% confidence interval(CI):94%~96%] for CT studies and 87%(95% CI:85%~88%) for TTE studies.The difference between the pooled sensitivity of CT and that of TTE was statistically significant(P<0.001).TTE had higher sensitivity [0.96(95% CI:0.94~0.97)] for cardiac malformation but lower sensitivity [0.78(95% CI:0.76~0.81)] for extracardiac malformation than CT.Conclusion:CT can provide added diagnostic information compared with TTE in patients with CHD in China,especially for patients suspected of extracardiac malformation.

Gastric hepatoid adenocarcinoma: A computed tomography report of six cases

We describe the computed tomography(CT)imaging findings in six cases(five males and one female;age range 61-78 years;mean age 67.3 years)with histologically proven hepatoid adenocarcinoma of the stomach(HAS).Five of the six patients had elevated serum alpha-fetoprotein levels.The most common type of gross appearance HAS on CT is a polypoid mass(83%,5/6).The most common contrast enhancement pattern was heterogeneous.All six patients had a regional lymphadenopathy larger than 6 mm in its short axis.Liver metastases(n=3)were noted.Venous tumor thrombosis was identified in the portal vein(n=2)of the regions near primary gastric tumors or metastatic masses.Our findings suggest in an elderly,male patients with a large heterogeneous enhancement tumor,the presence of distant metastases,regional lymphadenopathy and characteristically increased serum alphafetoprotein levels indicates a high likelihood of HAS.

Microstructure Evolution of Sandstone Cemented by Microbe Cement Using X-ray Computed Tomography

The bio-sandstone, which was cemented by microbe cement, was firstly prepared, and then the microstructure evolution process was studied by X-ray computed tomography （X-CT） technique. The experimental results indicate that the microstructure of bio-sandstone becomes dense with the development of age. The evolution of inner structure at different positions is different due to the different contents of microbial induced precipitation calcite. Besides, the increase rate of microbial induced precipitation calcite gradually decreases because of the reduction of microbe absorption content with the decreasing pore size in bio-sandstone.

Infective severe acute pancreatitis:A comparison of ^(99m)Tc-ciprofloxacin scintigraphy and computed tomography

AIM:To evaluate 99mTc-ciprofloxacin scintigraphy compared with computed tomography(CT)for detecting secondary infections associated with severe acute pancreatitis(SAP)in swine.METHODS:Six healthy swine were assigned to a normal control group(group A,n = 6).SAP was induced in group B(n = 9)and C(n = 18),followed by inoculation of the resulting pancreatic necroses with inactive Escherichia coli(E.coli)(group B)and active E.coli(group C),respectively.At 7 d after inoculation,a CT scan and a series of analyses using infecton imaging(at 0.5,1,2,3,4 and 6 h after the administration of 370 MBq of intravenous infecton)were performed.The scintigrams were visually evaluated and semi-quantitatively analyzed using region of interest assignments.The differences in infecton uptake and changes in the lesion-background radioactive count ratios(L/B)in the 3 groups were recorded and compared.After imaging detection,histopathology and bacterial examinations were performed,and infected SAP was regarded as positive.The imaging findings were compared with histopathological and bacteriological results.RESULTS:In group A,6 animals survived without infection in the pancreas.In group B,7/9 swine survived and one suffered from infection.In group C,15/18 animals survived with infection.Hence,the number of normal,non-infected and infected SAP swine was 6,6 and 16,respectively.The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of the infecton method were 93.8%(15/16),91.7%(11/12),92.9%(26/28),93.8%(15/16)and 91.7%(11/12),whereas these values for CT were 12.5%(2/16),100.0%(12/12),50.0%(14/28),100.0%(2/2)and 46.2%(12/26),respectively.The changes in L/B for the infected SAP were significantly different from those of the non-infected and normal swine(P < 0.001).The mean L/B of the infectious foci at 0.5,1,2,3,4 and 6 h was 1.17 ± 0.10,1.71 ± 0.30,2.46 ± 0.45,3.36 ± 0.33,2.04 ± 0.37 and 1.1988 ± 0.09,respectively.At 3 h,the radioactive counts(2350.25 ± 602.35 k)and the mean L/B of the infectious foci were significantly higher than that at 0.5 h(P = 0.000),1 h(P = 0.000),2 h(P = 0.04),4 h(P = 0.000)and 6 h(P = 0.000).CONCLUSION:99m Tc-ciprofloxacin scintigraphy may be an effective procedure for detecting SAP secondary infections with higher sensitivity and accuracy than CT.

Use of high-resolution X-ray computed tomography and 3D image analysis to quantify mineral dissemination and pore space in oxide copper ore particles

Mineral dissemination and pore space distribution in ore particles are important features that influence heap leaching performance. To quantify the mineral dissemination and pore space distribution of an ore particle, a cylindrical copper oxide ore sample (I center dot 4.6 mm x 5.6 mm) was scanned using high-resolution X-ray computed tomography (HRXCT), a nondestructive imaging technology, at a spatial resolution of 4.85 mu m. Combined with three-dimensional (3D) image analysis techniques, the main mineral phases and pore space were segmented and the volume fraction of each phase was calculated. In addition, the mass fraction of each mineral phase was estimated and the result was validated with that obtained using traditional techniques. Furthermore, the pore phase features, including the pore size distribution, pore surface area, pore fractal dimension, pore centerline, and the pore connectivity, were investigated quantitatively. The pore space analysis results indicate that the pore size distribution closely fits a log-normal distribution and that the pore space morphology is complicated, with a large surface area and low connectivity. This study demonstrates that the combination of HRXCT and 3D image analysis is an effective tool for acquiring 3D mineralogical and pore structural data.

Three dimensional distribution of surfactant in microspheres revealed by synchrotron radiation X-ray microcomputed tomography

This study investigated the formulation mechanism of microspheres via internal surfactant distribution. Eudragit L100 based microspheres loaded with bovine serum albumin were prepared by solid in oil in oil emulsion solvent evaporation method using acetone and liquid paraffin system containing sucrose stearate as a surfactant. The fabricated microspheres were evaluated for encapsulation efficiency, particle size, production yield, and in vitro release characteristics. The internal structures of microspheres were characterized using synchrotron radiation X-ray microcomputed tomography(SR-μCT). The enhanced contrast made the sucrose stearate distinguished from Eudragit to have its three dimensional(3D) distribution. Results indicated that the content and concentration determined the state of sucrose stearate and had significant influences on the release kinetics of protein. The dispersity of sucrose stearate was the primary factor that controlled the structure of the microspheres and further affected the encapsulation efficiency, effective drug loading, as well as in vitro release behavior. In conclusion, the 3D internal distribution of surfactant in microspheres and its effects on protein release behaviors have been revealed for the first time. The highly resolved 3D architecture provides new evidence for the deep understanding of the microsphere formation mechanism.

Full-field mapping of internal strain distribution in red sandstone specimen under compression using digital volumetric speckle photography and X-ray computed tomography

It is always desirable to know the interior deformation pattern when a rock is subjected to mechanicalload. Few experimental techniques exist that can represent full-field three-dimensional （3D） straindistribution inside a rock specimen. And yet it is crucial that this information is available for fully understandingthe failure mechanism of rocks or other geomaterials. In this study, by using the newlydeveloped digital volumetric speckle photography （DVSP） technique in conjunction with X-ray computedtomography （CT） and taking advantage of natural 3D speckles formed inside the rock due to materialimpurities and voids, we can probe the interior of a rock to map its deformation pattern under load andshed light on its failure mechanism. We apply this technique to the analysis of a red sandstone specimenunder increasing uniaxial compressive load applied incrementally. The full-field 3D displacement fieldsare obtained in the specimen as a function of the load, from which both the volumetric and the deviatoricstrain fields are calculated. Strain localization zones which lead to the eventual failure of the rock areidentified. The results indicate that both shear and tension are contributing factors to the failuremechanism. 2015 Institute of Rock and Soil Mechanics, Chinese Academy of Sciences. Production and hosting byElsevier B.V. All rights reserved.

X-ray tomography study on the structure of the granular random loose packing

Random loose packing is the minimum-density granular packing which can maintain mechanical stability. In this study, x-ray tomography is used to investigate the internal structure of an isotropically prepared random loose packing through a special apparatus to minimize the effect of gravity. It is found that the minimum packing density is around 0.587. The microscopic structural analysis of the packing is also carried out.

Fast synchrotron X-ray tomography study of the packing structures of rods with different aspect ratios

We present a fast synchrotron X-ray tomography study of the packing structures of rods with different aspect ratios. Utilizing the high flux of the X-rays generated from the third-generation synchrotron source, we can complete a high- resolution tomography scan within a short period of time, after which the three-dimensional （3D） packing structure can be obtained for the subsequent structural analysis. The image phase-retrieval procedure has been implemented to enhance the image contrast. We systematically investigated the effects of particle shape and aspect ratio on the structural properties including packing density and contact number. It turns out that large aspect ratio rod packings will have wider distributions of free volume fraction and larger mean contact numbers.

X-ray Computed Tomography Characterization of 3D Tufted Twill Textile Composite for Aerostructures

Damage assessments in three dimensional (3D) textile composites subjected to mechanical loading can be performed by non-destructive and destructive techniques.This paper applies the two techniques to investigate the fracture behavior of 3D tufted textile composites.X-ray computed tomography as a non-destructive evaluation method is appropriate to detect damage locations and identify their progression in 3D textile composites.Destructive methods such as sectioning toward observing damage provide valuable information about damage patterns.The results of this research could be utilized to evaluate the initial cause of rupture in 3D tufted composites used in aerospace structures and analyze fracture modes and damage progression.

In situ compression and X-ray computed tomography of flow battery electrodes

Redox flow batteries offer a potential solution to an increase in renewable energy generation on the grid by offering long-term, large-scale storage and regulation of power. However, they are currently un- derutilised due to cost and performance issues, many of which are linked to the microstructure of the porous carbon electrodes used. Here, for the first time, we offer a detailed study of the in situ effects of compression on a commercially available carbon felt electrode. Visualisation of electrode structure us- ing X-ray computed tomography shows the non-linear way that these materials compress and various metrics are used to elucidate the changes in porosity, pore size distribution and tortuosity factor under compressions from 0%-90%.

Study of sawtooth oscillations on the HT-7 tokamak using 2D tomography of soft x-ray signal

It is the first time so far as we know that two arrays of multi-channel soft x-ray detectors are used to generate twodimensional （2D） images of sawtooth oscillation on the HT-7 tokamak using the Fourier-Bessel harmonic reconstruction method, and using the singular value decomposition to analyse the data from soft x-ray cameras. By these two arrays, 2D image reconstruction of soft x-ray emissivity can be obtained without assumption of plasma rigid rotation. Tomographic reconstruction of the m=1 mode structure is obtained during the precursor oscillation of the sawtooth crash. The crescent-shaped mode structure appearing on the contour map of the soft x-ray emissivity is consistent with the quasiinterchange mode. The characteristics of the m=1/n=1 mode structure observed in the soft x-ray tomography are as follows： the magnetic surface is made up of the crescent-shaped “hot core” and the circular “cold bubble”. The structure of the magnetic surface rotates in the direction of the electron diamagnetic drift and the rotation frequency is the oscillation frequency of soft x-ray signals.

X-Ray Computed Tomography for Root Quantification

Soil cores from a field growing barley and barley mutants without root hairs under conventional and minimum tillage were sampled. They were X-ray scanned to produce a 3D image and then the roots were washed out and weight and length were determined by conventional means. Root volume and surface area were then calculated from the 3D images using state of the art software and methodology, and the measured and calculated measures were correlated. The only strong and significant correlation was between measured weight and calculated volume for mutants without root hairs. It is concluded that the software cannot segment out very small roots, but segmentation accuracy also depends on root structure in some unknown way. Any study using X-ray computed tomography to quantify roots as they grow in situ should start with a calibration for the conditions in question.

Soft X-ray Tomography on HT-7

The soft X-ray imaging system on HT-7 is introduced. Fourier-Bessel expansion method is used to reconstruct the soft X-ray emission distribution. Simulation results show that the inversion accuracy is associated with the angular expansion limit and the hot core displacement. In addition, tomographic results of sawtooth oscillations in a typical low hybrid current drive （LHCD） plasma are presented. It is shown that the reconstructions are reliable to analyze the perturbative mode and the evolution.

Identification of m = 2 competent mode of complex magneto-hydro-dynamics activities during internal soft disruption based on singular value decomposition and tomography of soft-X-ray emission on the HT-7 tokamak

In this paper,the singular value decomposition（SVD） method as a filter is applied before the tomographic inversion of soft-X-ray emission.Series of ＇filtered＇ signals including specific chronos and topos are obtained.（Here,chronos and topos are the decomposed spatial vectors and the decomposed temporal vectors,respectively）.Given specific magnetic flux function with coupling m = 1 and m = 2 modes,the line-integrated soft-X-ray signals at all chords have been obtained.Then m = 1 and m = 2 modes have been identified by tomography of simulated ＇filtered＇ signals extracted by the SVD method.Finaly,using the experimental line-integrated soft-X-ray signals,m = 2 competent mode of complex magnetohydrodynamics（MHD） activities during internal soft disruption is observed.This result demonstrates that m = 2 mode plays an important role in internal disruption（Here,m is the poloidal mode number）.

Investigation of noise properties in grating-based x-ray phase tomography with reverse projection method

The relationship between noise variance and spatial resolution in grating-based x-ray phase computed tomography（PCT） imaging is investigated with reverse projection extraction method, and the noise variances of the reconstructed absorption coefficient and refractive index decrement are compared. For the differential phase contrast method, the noise variance in the differential projection images follows the same inverse-square law with spatial resolution as in conventional absorption-based x-ray imaging projections. However, both theoretical analysis and simulations demonstrate that in PCT the noise variance of the reconstructed refractive index decrement scales with spatial resolution follows an inverse linear relationship at fixed slice thickness, while the noise variance of the reconstructed absorption coefficient conforms with the inverse cubic law. The results indicate that, for the same noise variance level, PCT imaging may enable higher spatial resolution than conventional absorption computed tomography（ACT）, while ACT benefits more from degraded spatial resolution. This could be a useful guidance in imaging the inner structure of the sample in higher spatial resolution.

Effective Atomic Number Measurement with Energy-Resolved Computed Tomography Using Two-Dimensional “transXend” Detector

Introduction: We have previously developed an effective atomic number (Zeff) measurement method using linear attenuation coefficients (LACs) obtained by energy-resolved computed tomography (CT) with one-dimensional (1D) detector. The energy-resolved CT was performed with a “transXend” detector, which measured X-rays as electric current and then gave X-ray energy distribution with unfolding analysis using pre-estimated response function (RF). The purpose of this study is to measure Zeff by the energy-resolved CT using a flat panel detector (FPD). Methods: To demonstrate a 2D transXend detector, we developed the stripe absorbers for the FPD. Eleven human tissue-equivalent material rods which were grouped into four material categories were measured by X-rays with 120 kVp tube voltage, 2.3 mA tube current, and 1.0 s exposure time. Zeff is measured by the ratio of LACs with two different pseudo-monochromatic X-ray energies. RFs of each rod material were estimated by numerical calculation. First, we employed the RF estimated for the same rod material (self-RF scenario). Second, we employed the RF estimated for the different rod materials in the same material category (cross-RF scenario). The purpose of the cross-RF scenario was to find representative rod materials in each material category. Results: Upon the self-RF scenario, measured Zeffs were systematically underestimated. Median relative error to theoretical Zeff was -6.92% (range: -7.89% - -4.60%). After normalizing measured Zeffs to the theoretical one for Breast, median relative error improved to -0.75% (range: -1.79% - +1.73%). Upon the cross-RF scenario, the representative rod materials were found in two material categories. Conclusion: Zeff measurements were performed by energy-resolved CT using 2D transXend detector with numerically-estimated RF data. Normalized Zeffs for all rod materials in the self-RF scenario were in good agreement with the theoretical ones.

Usefulness of Chest Computed Tomography for Diagnosis of Idiopathic Pneumomediastinum with Negative Findings on Plain X-Ray

Idiopathic pneumomediastinum is rare in children. Few cases of patients with pneumomediastinum show negative findings on X-ray examination. Chest computed tomography (CT) was very useful for the diagnosis and evaluation of the extent of pneumomediastinum. We report here a case of idiopathic pneumomediastinum in a 15-year-old boy who exhibited no significant chest X-ray finding. The patient was referred to our institute for the further evaluation of pre-cordial pain and breathing difficulty. Precordial pain suddenly developed, when he was carrying a portable shrine on his shoulder (day of onset). He was admitted to another institute 3 days after onset because of worsening precordial pain. On admission, he presented with 98% saturation of hemoglobin in the peripheral blood under room air. Plain chest X-ray also revealed no abnormal findings. A half-dissolved gastrographin swallow showed no leakage of gastrographin from the pharynx and esophagus to the mediastinum, and no diverticulum within the esophagus. Plain chest CT revealed extensive emphysema around the trachea from the neck to the portion inferior to the carina of trachea. The patient was diagnosed with idiopathic pneumomediastinum because the cause was unclear. We decided to admit him to our institute under fasting conditions and rest. His symptoms improved 3 days after onset. The lesion had disap-peared 8 days after onset on chest CT. When young people experience precordial pain which increases on inspiration, we must consider pneumomediastinum in a differential diagnosis, and it is important to perform chest CT.

Prenatal Diagnosis of Proximal Femoral Focal Deficiency Combining Ultrasound and Computer Tomography

Four cases of proximal femoral focal deficiency (PFFD) in an otherwise healthy infant are described. Antenatal diagnosis was made at 27, 23, 23 and 18 weeks of gestation by routine ultrasound (US) examination. Computer Tomography (CT) was performed after 30 weeks of gestation and confirmed the images obtained by US. The diagnosis was confirmed after delivery. These cases illustrate the importance of combining US and CT to improve accuracy of prenatal diagnosis of skeletal disorders.

Reduction of the Beam Hardening Artifacts in the X-Ray Computer Tomography: Energy Discrimination with a Photon-Counting Detector

The material identification is a pressing requirement for the sensitive security applications. Dual-energy X-ray computer tomography (DXCT) has been investigated for material identification in the medical and security fields. It requires two tomographic images at sufficiently different energies. To discriminate dangerous materials of light elements such as plastic bombs in luggage, it is needed to measure accurately with several tens of kilo electron volts where such materials exhibit significant spectral differences. However, CT images in that energy region often include artifacts from beam hardening. To reduce these artifacts, a novel reconstruction method has been investigated. It is an extension of the Al-gebraic Reconstruction Technique and Total Variation (ART-TV) method that reduces the artifacts in a lower-energy CT image by referencing it to an image obtained at higher energy. The CT image of a titanium sample was recon-structed using this method in order to demonstrate the artifact reduction capability.