Comparison of different numerical treatments for x-ray phase tomography of soft tissue from differential phase projections

Comparison of Low-Brilliance X-Ray Phase-Contrast Tomography and Contrast-Enhanced Attenuation-Contrast Micro-Computed Tomography of Rat Kidneys

Key Points

X-ray phase-contrast imaging provides superior contrast to attenuation-based X-ray imaging with soft-tissue samples. X-ray phase-contrast tomography is a viable alternative to contrast-enhanced attenuation-based micro–computed tomography in laboratory-based kidney imaging. X-ray phase-contrast imaging could be a suitable method for screening and characterization of rodent renal pathologies.

Background

Structural analysis of soft biological tissues is conventionally conducted with destructive 2D histology. Three-dimensional information can be accessed with noninvasive imaging methods, such as X-ray micro–computed tomography (micro-CT). Although attenuation-based X-ray imaging alone does not provide reasonable contrast with soft-tissue samples, the combination with contrast-enhancing staining has proven effective. The staining process, however, comes with several disadvantages, such as tissue alterations and laboriousness. A novel X-ray imaging method known as phase-contrast imaging has emerged as an interesting alternative to contrast-enhanced micro-CT. Our objective was to show the feasibility of laboratory-based phase-contrast imaging in (murine) kidney research.

Methods

X-ray phase-contrast images of male rat kidneys were acquired with a Talbot-Lau interferometer. Moreover, attenuation-based X-ray images of the same unstained kidneys were acquired with a regular micro-CT device. Afterward, the kidneys were stained with phosphotungstic acid for several months. Attenuation-based micro-CT images were reacquired after the staining. Contrast-to-noise ratio was evaluated for all three cases.

Results

For unstained kidneys, the phase-contrast images show significantly improved contrast in comparison with attenuation images. Several key features, including the cortex, inner and outer medulla, papilla, as well as the main blood vessels, can be identified. While the contrast in attenuation images improves significantly after staining, the benefit is deteriorated by sample areas that the contrast agent did not reach properly, even after 206 days.

Conclusions

Our results indicate that X-ray phase-contrast imaging is a viable option for kidney imaging in a laboratory setting, providing comparable or better results than contrast-enhanced micro-CT. With imaging setups optimized for image resolution and faster imaging times, the advantages of phase-contrast imaging will be even greater.

Optimization of contrast and dose in x-ray phase-contrast tomography with a Talbot-Lau interferometer

X-ray phase-contrast imaging has become a valuable tool for biomedical research due to its improved contrast abilities over regular attenuation-based imaging. The recently emerged Talbot-Lau interferometer can provide quantitative attenuation, phase-contrast and dark-field image data, even with low-brilliance x-ray tube sources. Thus, it has become a valid option for clinical environments. In this study, we analyze the effects of x-ray tube voltage and total number of images on the contrast-to-noise ratio (CNR) and dose-weighted CNR (CNRD) calculated from tomographic transmission and phase-contrast data of a phantom sample. Constant counting statistics regardless of the voltage was ensured by adjusting the image exposure time for each voltage setting. The results indicate that the x-ray tube voltage has a clear effect on both image contrast and noise. This effect is amplified in the case of phase-contrast images, which is explained by the polychromatic x-ray spectrum and the dependence of interferometer visibility on the spectrum. CNRD is additionally affected by the total imaging time. While submerging the sample into a water container effectively reduces image artefacts and improves the CNR, the additional attenuation of the water must be compensated with a longer exposure time. This reduces dose efficiency. Both the CNR and CNRD are higher in the phase-contrast images compared to transmission images. For transmission images, and phase-contrast images without the water container, CNRD can be increased by using higher tube voltages (in combination with a lower exposure time). For phase-contrast images with the water container, CNRD is increased with lower tube voltages. In general, the CNRD does not strongly depend on the number of tomographic angles or phase steps used.

Clinical stakeholder preferences for paediatric cardiac surgery outcome reporting in Australia and New Zealand

BACKGROUND

Outcome reporting is an essential element of quality assurance. Evaluation of the information needs of stakeholders of outcome reporting is limited. This study aimed to examine stakeholder preferences for the content, format, and dissemination of paediatric cardiac surgery performance data in Australia and New Zealand.

METHODS

Semi-structured interviews were completed with a purposive sample of Queensland stakeholders to evaluate their attitudes and expectations regarding reporting of paediatric cardiac surgery outcomes. The interviews were audio-recorded and transcribed. Two researchers used an interpretive description approach to analyse the transcripts qualitatively.

RESULTS

Nineteen stakeholders were interviewed including fifteen clinicians, four parents, one hospital administrator, and one consumer advocate were interviewed. Mortality was highlighted as the area of greatest interest in reports by clinical and consumer groups. The majority preferred hospital rather than individual/clinician-level reporting. Annual reports were preferred by clinicians who requested reports be distributed electronically.

CONCLUSIONS

The evidence generated from outcome reporting in paediatric cardiac surgery is highly desired by clinicians, administrators, parents, families, and advocacy groups. Clinical users prefer information to assist in clinical decision-making, while families seek personalised information at crucial time points in their clinical journey.

High sensitivity X-ray phase contrast imaging by laboratory grating-based interferometry at high Talbot order geometry

X-ray phase contrast imaging is a powerful analysis technique for materials science and biomedicine. Here, we report on laboratory grating-based X-ray interferometry employing a microfocus X-ray source and a high Talbot order (35th) asymmetric geometry to achieve high angular sensitivity and high spatial resolution X-ray phase contrast imaging in a compact system (total length <1 m). The detection of very small refractive angles (∼50 nrad) at an interferometer design energy of 19 keV was enabled by combining small period X-ray gratings (1.0, 1.5 and 3.0 µm) and a single-photon counting X-ray detector (75 µm pixel size). The performance of the X-ray interferometer was fully characterized in terms of angular sensitivity and spatial resolution. Finally, the potential of laboratory X-ray phase contrast for biomedical imaging is demonstrated by obtaining high resolution X-ray phase tomographies of a mouse embryo embedded in solid paraffin and a formalin-fixed full-thickness sample of human left ventricle in water with a spatial resolution of 21.5 µm.