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Chen X, Meng Y, Wang L, Zhou W, Chen D, Xie H, Ren S. Highly robust reconstruction framework for three-dimensional optical imaging based on physical model constrained neural networks. Phys Med Biol 2024; 69:075020. [PMID: 38394682 DOI: 10.1088/1361-6560/ad2ca3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 02/23/2024] [Indexed: 02/25/2024]
Abstract
Objective. The reconstruction of three-dimensional optical imaging that can quantitatively acquire the target distribution from surface measurements is a serious ill-posed problem. Traditional regularization-based reconstruction can solve such ill-posed problem to a certain extent, but its accuracy is highly dependent ona priorinformation, resulting in a less stable and adaptable method. Data-driven deep learning-based reconstruction avoids the errors of light propagation models and the reliance on experience and a prior by learning the mapping relationship between the surface light distribution and the target directly from the dataset. However, the acquisition of the training dataset and the training of the network itself are time consuming, and the high dependence of the network performance on the training dataset results in a low generalization ability. The objective of this work is to develop a highly robust reconstruction framework to solve the existing problems.Approach. This paper proposes a physical model constrained neural networks-based reconstruction framework. In the framework, the neural networks are to generate a target distribution from surface measurements, while the physical model is used to calculate the surface light distribution based on this target distribution. The mean square error between the calculated surface light distribution and the surface measurements is then used as a loss function to optimize the neural network. To further reduce the dependence ona prioriinformation, a movable region is randomly selected and then traverses the entire solution interval. We reconstruct the target distribution in this movable region and the results are used as the basis for its next movement.Main Results. The performance of the proposed framework is evaluated with a series of simulations andin vivoexperiment, including accuracy robustness of different target distributions, noise immunity, depth robustness, and spatial resolution. The results collectively demonstrate that the framework can reconstruct targets with a high accuracy, stability and versatility.Significance. The proposed framework has high accuracy and robustness, as well as good generalizability. Compared with traditional regularization-based reconstruction methods, it eliminates the need to manually delineate feasible regions and adjust regularization parameters. Compared with emerging deep learning assisted methods, it does not require any training dataset, thus saving a lot of time and resources and solving the problem of poor generalization and robustness of deep learning methods. Thus, the framework opens up a new perspective for the reconstruction of three-dimension optical imaging.
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Affiliation(s)
- Xueli Chen
- Center for Biomedical-photonics and Molecular Imaging, Advanced Diagnostic-Therapy Technology and Equipment Key Laboratory of Higher Education Institutions in Shaanxi Province, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
- Engineering Research Center of Molecular and Neuro Imaging, Ministry of Education & Xi'an Key Laboratory of Intelligent Sensing and Regulation of trans-Scale Life Information, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
- Innovation Center for Advanced Medical Imaging and Intelligent Medicine, Guangzhou Institute of Technology, Xidian University, Guangzhou, Guangdong 510555, People's Republic of China
| | - Yu Meng
- Center for Biomedical-photonics and Molecular Imaging, Advanced Diagnostic-Therapy Technology and Equipment Key Laboratory of Higher Education Institutions in Shaanxi Province, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
- Engineering Research Center of Molecular and Neuro Imaging, Ministry of Education & Xi'an Key Laboratory of Intelligent Sensing and Regulation of trans-Scale Life Information, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
| | - Lin Wang
- School of Computer Science and Engineering, Xi'an University of Technology, Xi'an, Shaanxi 710048, People's Republic of China
| | - Wangting Zhou
- Center for Biomedical-photonics and Molecular Imaging, Advanced Diagnostic-Therapy Technology and Equipment Key Laboratory of Higher Education Institutions in Shaanxi Province, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
- Engineering Research Center of Molecular and Neuro Imaging, Ministry of Education & Xi'an Key Laboratory of Intelligent Sensing and Regulation of trans-Scale Life Information, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
| | - Duofang Chen
- Center for Biomedical-photonics and Molecular Imaging, Advanced Diagnostic-Therapy Technology and Equipment Key Laboratory of Higher Education Institutions in Shaanxi Province, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
- Engineering Research Center of Molecular and Neuro Imaging, Ministry of Education & Xi'an Key Laboratory of Intelligent Sensing and Regulation of trans-Scale Life Information, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
| | - Hui Xie
- Center for Biomedical-photonics and Molecular Imaging, Advanced Diagnostic-Therapy Technology and Equipment Key Laboratory of Higher Education Institutions in Shaanxi Province, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
- Engineering Research Center of Molecular and Neuro Imaging, Ministry of Education & Xi'an Key Laboratory of Intelligent Sensing and Regulation of trans-Scale Life Information, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
| | - Shenghan Ren
- Center for Biomedical-photonics and Molecular Imaging, Advanced Diagnostic-Therapy Technology and Equipment Key Laboratory of Higher Education Institutions in Shaanxi Province, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
- Engineering Research Center of Molecular and Neuro Imaging, Ministry of Education & Xi'an Key Laboratory of Intelligent Sensing and Regulation of trans-Scale Life Information, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, People's Republic of China
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Wei X, Guo H, Yu J, Liu Y, Zhao Y, He X. Multi-target reconstruction based on subspace decision optimization for bioluminescence tomography. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2023; 240:107711. [PMID: 37451228 DOI: 10.1016/j.cmpb.2023.107711] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Revised: 06/24/2023] [Accepted: 07/06/2023] [Indexed: 07/18/2023]
Abstract
BACKGROUND AND OBJECTIVE Bioluminescence tomography (BLT) is a noninvasive optical imaging technique that provides qualitative and quantitative information on the spatial distribution of tumors in living animals. Researchers have proposed a list of algorithms and strategies for BLT reconstruction to improve its reconstruction quality. However, multi-target BLT reconstruction remains challenging in practical clinical applications due to the mutual interference of optical signals and difficulty in source separation. METHODS To solve this problem, this study proposes the subspace decision optimization (SDO) approach based on the traditional iterative permissible region strategy. The SDO approach transforms a single permissible region into multiple subspaces by clustering analysis. These subspaces are shrunk based on subspace shrinking optimization to achieve spatial continuity of the permissible regions. In addition, these subspaces are merged to construct a new permissible region and then the next iteration of reconstruction is carried out to ensure the stability of the results. Finally, all the iterative results are optimized based on the normal distribution model and the distribution properties of the targets to ensure the sparsity of each target and the non-biasing of the overall results. RESULTS Experimental results show that the SDO approach can automatically identify and separate different targets, ensuring the accuracy and quality of multi-target BLT reconstruction results. Meanwhile, SDO can combine various types of reconstruction algorithms and provide stable and high-quality reconstruction results independent of the algorithm parameters. CONCLUSIONS The SDO approach provides an integrated solution to the multi-target BLT reconstruction problem, realizing the whole process including target recognition, separation, reconstruction, and result enhancement, which can extend the application domain of BLT.
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Affiliation(s)
- Xiao Wei
- The School of Information Sciences and Technology, Northwest University, Xi'an 710069, China; Xi'an Key Laboratory of Radiomics and Intelligent Perception, Xi'an 710127, China
| | - Hongbo Guo
- The School of Information Sciences and Technology, Northwest University, Xi'an 710069, China; Xi'an Key Laboratory of Radiomics and Intelligent Perception, Xi'an 710127, China.
| | - Jingjing Yu
- The School of Physics and Information Technology, Shaanxi Normal University, Xi'an 710119, China
| | - Yanqiu Liu
- The School of Information Sciences and Technology, Northwest University, Xi'an 710069, China; Xi'an Key Laboratory of Radiomics and Intelligent Perception, Xi'an 710127, China
| | - Yingcheng Zhao
- The School of Information Sciences and Technology, Northwest University, Xi'an 710069, China; Xi'an Key Laboratory of Radiomics and Intelligent Perception, Xi'an 710127, China
| | - Xiaowei He
- The School of Information Sciences and Technology, Northwest University, Xi'an 710069, China; Xi'an Key Laboratory of Radiomics and Intelligent Perception, Xi'an 710127, China.
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Zhang X, Cao X, Zhang P, Song F, Zhang J, Zhang L, Zhang G. Self-Training Strategy Based on Finite Element Method for Adaptive Bioluminescence Tomography Reconstruction. IEEE TRANSACTIONS ON MEDICAL IMAGING 2022; 41:2629-2643. [PMID: 35436185 DOI: 10.1109/tmi.2022.3167809] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Bioluminescence tomography (BLT) is a promising pre-clinical imaging technique for a wide variety of biomedical applications, which can non-invasively reveal functional activities inside living animal bodies through the detection of visible or near-infrared light produced by bioluminescent reactions. Recently, reconstruction approaches based on deep learning have shown great potential in optical tomography modalities. However, these reports only generate data with stationary patterns of constant target number, shape, and size. The neural networks trained by these data sets are difficult to reconstruct the patterns outside the data sets. This will tremendously restrict the applications of deep learning in optical tomography reconstruction. To address this problem, a self-training strategy is proposed for BLT reconstruction in this paper. The proposed strategy can fast generate large-scale BLT data sets with random target numbers, shapes, and sizes through an algorithm named random seed growth algorithm and the neural network is automatically self-trained. In addition, the proposed strategy uses the neural network to build a map between photon densities on surface and inside the imaged object rather than an end-to-end neural network that directly infers the distribution of sources from the photon density on surface. The map of photon density is further converted into the distribution of sources through the multiplication with stiffness matrix. Simulation, phantom, and mouse studies are carried out. Results show the availability of the proposed self-training strategy.
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Zhang H, Hai L, Kou J, Hou Y, He X, Zhou M, Geng G. OPK_SNCA: Optimized prior knowledge via sparse non-convex approach for cone-beam X-ray luminescence computed tomography imaging. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2022; 215:106645. [PMID: 35091228 DOI: 10.1016/j.cmpb.2022.106645] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 12/24/2021] [Accepted: 01/16/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND The development of Cone-beam X-ray luminescence computed tomography (CB-XLCT) has allowed the quantitative in-depth biological imaging, but with a greatly ill-posed and ill-conditioned inverse problem. Although the predefined permissible source region (PSR) is a widely used way to alleviate the problem for CB-XLCT imaging, how to obtain the accurate PSR is still a challenge for the process of inverse reconstruction. METHODS We proposed an optimized prior knowledge via a sparse non-convex approach (OPK_SNCA) for CB-XLCT imaging. Firstly, non-convex Lp-norm optimization model was employed for copying with the inverse problem, and an iteratively reweighted split augmented lagrangian shrinkage algorithm was developed to obtain a group of sparse solutions based on different non-convex p values. Secondly, a series of permissible regions (PRs) with different discretized mesh was further achieved, and the intersection operation was implemented on the group of PRs to get a reasonable PSR. After that, the final PSR was adopted as an optimized prior knowledge to enhance the reconstruction quality of inverse reconstruction. RESULTS Both simulation experiments and in vivo experiment were performed to evaluate the efficiency and robustness of the proposed method. CONCLUSIONS The experimental results demonstrated that our proposed method could significantly improve the imaging quality of the distribution of X-ray-excitable nanophosphors for CB-XLCT.
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Affiliation(s)
- Haibo Zhang
- School of Information Sciences and Technology, Northwest University, Xi'an, Shannxi 710027, China.
| | - Linqi Hai
- School of Information Sciences and Technology, Northwest University, Xi'an, Shannxi 710027, China
| | - Jiaojiao Kou
- School of Information Sciences and Technology, Northwest University, Xi'an, Shannxi 710027, China
| | - Yuqing Hou
- School of Information Sciences and Technology, Northwest University, Xi'an, Shannxi 710027, China
| | - Xiaowei He
- School of Information Sciences and Technology, Northwest University, Xi'an, Shannxi 710027, China
| | - Mingquan Zhou
- School of Information Sciences and Technology, Northwest University, Xi'an, Shannxi 710027, China
| | - Guohua Geng
- School of Information Sciences and Technology, Northwest University, Xi'an, Shannxi 710027, China
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Wei X, Guo H, Yu J, He X, Yi H, Hou Y, He X. A Multilevel Probabilistic Cerenkov Luminescence Tomography Reconstruction Framework Based on Energy Distribution Density Region Scaling. Front Oncol 2021; 11:751055. [PMID: 34745977 PMCID: PMC8570774 DOI: 10.3389/fonc.2021.751055] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Accepted: 10/05/2021] [Indexed: 11/13/2022] Open
Abstract
Cerenkov luminescence tomography (CLT) is a promising non-invasive optical imaging method with three-dimensional semiquantitative in vivo imaging capability. However, CLT itself relies on Cerenkov radiation, a low-intensity radiation, making CLT reconstruction more challenging than other imaging modalities. In order to solve the ill-posed inverse problem of CLT imaging, some numerical optimization or regularization methods need to be applied. However, in commonly used methods for solving inverse problems, parameter selection significantly influences the results. Therefore, this paper proposed a probabilistic energy distribution density region scaling (P-EDDRS) framework. In this framework, multiple reconstruction iterations are performed, and the Cerenkov source distribution of each reconstruction is treated as random variables. According to the spatial energy distribution density, the new region of interest (ROI) is solved. The size of the region required for the next operation was determined dynamically by combining the intensity characteristics. In addition, each reconstruction source distribution is given a probability weight value, and the prior probability in the subsequent reconstruction is refreshed. Last, all the reconstruction source distributions are weighted with the corresponding probability weights to get the final Cerenkov source distribution. To evaluate the performance of the P-EDDRS framework in CLT, this article performed numerical simulation, in vivo pseudotumor model mouse experiment, and breast cancer mouse experiment. Experimental results show that this reconstruction framework has better positioning accuracy and shape recovery ability and can optimize the reconstruction effect of multiple algorithms on CLT.
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Affiliation(s)
- Xiao Wei
- School of Information and Technology, Northwest University, Xi'an, China.,Xi'an Key Laboratory of Radiomics and Intelligent Perception, Northwest University, Xi'an, China
| | - Hongbo Guo
- School of Information and Technology, Northwest University, Xi'an, China.,Xi'an Key Laboratory of Radiomics and Intelligent Perception, Northwest University, Xi'an, China
| | - Jingjing Yu
- School of Physics and Information Technology, Shaanxi Normal University, Xi'an, China
| | - Xuelei He
- School of Information and Technology, Northwest University, Xi'an, China.,Xi'an Key Laboratory of Radiomics and Intelligent Perception, Northwest University, Xi'an, China
| | - Huangjian Yi
- School of Information and Technology, Northwest University, Xi'an, China.,Xi'an Key Laboratory of Radiomics and Intelligent Perception, Northwest University, Xi'an, China
| | - Yuqing Hou
- School of Information and Technology, Northwest University, Xi'an, China.,Xi'an Key Laboratory of Radiomics and Intelligent Perception, Northwest University, Xi'an, China
| | - Xiaowei He
- School of Information and Technology, Northwest University, Xi'an, China.,Xi'an Key Laboratory of Radiomics and Intelligent Perception, Northwest University, Xi'an, China
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Cao X, Zhang J, Yang J, Fan C, Zhao F, Zhou W, Wang L, Geng G, Zhou M, Chen X. A deep unsupervised clustering-based post-processing framework for high-fidelity Cerenkov luminescence tomography. JOURNAL OF APPLIED PHYSICS 2020; 128. [DOI: 10.1063/5.0025877] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/30/2023]
Abstract
Cerenkov Luminescence Tomography (CLT) is a promising optical molecular imaging technology. It involves the three-dimensional reconstruction of the distribution of radionuclide probes inside a single object to indicate a tumor's localization and distribution. However, reconstruction using CLT suffers from severe ill-posedness, resulting in numerous artifacts within the reconstructed images. These artifacts influence the visual effect and may misguide the medical professional (diagnostician), resulting in a wrong diagnosis. Here, we proposed a deep unsupervised clustering-based post-processing framework to eliminate artifacts and facilitate high-fidelity CLT. First, an initial reconstructed image was obtained by a specific reconstruction method. Second, voxel data were generated based on the initial reconstructed result. Third, these voxels were divided into three groups, and only the group with the highest mean intensity was chosen as the final reconstructed result. A group of numerical simulation and in vivo mouse-based experiments were conducted to assess the presented framework's feasibility and potential. The results indicated that the proposed framework could reduce the number of artifacts effectively. The reconstructed image's shape and distribution were more similar to the actual light source than those obtained without the proposed framework.
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Affiliation(s)
- Xin Cao
- School of Information Sciences and Technology, Northwest University 1 , Xi'an, Shaanxi 710127, China
| | - Jun Zhang
- School of Information Sciences and Technology, Northwest University 1 , Xi'an, Shaanxi 710127, China
| | - Jianan Yang
- School of Information Sciences and Technology, Northwest University 1 , Xi'an, Shaanxi 710127, China
| | - Chunxiao Fan
- School of Computer Science and Information Engineering, Hefei University of Technology 2 , Hefei, Anhui 230601, China
| | - Fengjun Zhao
- School of Information Sciences and Technology, Northwest University 1 , Xi'an, Shaanxi 710127, China
| | - Wei Zhou
- School of Information Sciences and Technology, Northwest University 1 , Xi'an, Shaanxi 710127, China
| | - Lin Wang
- School of Information Sciences and Technology, Northwest University 1 , Xi'an, Shaanxi 710127, China
| | - Guohua Geng
- School of Information Sciences and Technology, Northwest University 1 , Xi'an, Shaanxi 710127, China
| | - Mingquan Zhou
- Engineering Research Center of Virtual Reality and Applications, Ministry of Education, Beijing Key Laboratory of Digital Preservation and Virtual Reality for Cultural Heritage, Beijing Normal University 3 , Beijing, China
| | - Xueli Chen
- Engineering Research Center of Molecular and Neuro Imaging of Ministry of Education & School of Life Science and Technology, Xidian University 4 , Xi'an, Shaanxi 710071, China
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Zhang H, Huang X, Zhou M, Geng G, He X. Adaptive shrinking reconstruction framework for cone-beam X-ray luminescence computed tomography. BIOMEDICAL OPTICS EXPRESS 2020; 11:3717-3732. [PMID: 33014562 PMCID: PMC7510911 DOI: 10.1364/boe.393970] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 05/19/2020] [Accepted: 06/05/2020] [Indexed: 06/11/2023]
Abstract
Cone-beam X-ray luminescence computed tomography (CB-XLCT) emerged as a novel hybrid technique for early detection of small tumors in vivo. However, severe ill-posedness is still a challenge for CB-XLCT imaging. In this study, an adaptive shrinking reconstruction framework without a prior information is proposed for CB-XLCT. In reconstruction processing, the mesh nodes are automatically selected with higher probability to contribute to the distribution of target for imaging. Specially, an adaptive shrinking function is designed to automatically control the permissible source region at a multi-scale rate. Both 3D digital mouse and in vivo experiments were carried out to test the performance of our method. The results indicate that the proposed framework can dramatically improve the imaging quality of CB-XLCT.
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Affiliation(s)
- Haibo Zhang
- School of Information Sciences and Technology, Northwest University, Xi'an, Shannxi 710027, China
| | | | - Mingquan Zhou
- School of Information Sciences and Technology, Northwest University, Xi'an, Shannxi 710027, China
| | - Guohua Geng
- School of Information Sciences and Technology, Northwest University, Xi'an, Shannxi 710027, China
| | - Xiaowei He
- School of Information Sciences and Technology, Northwest University, Xi'an, Shannxi 710027, China
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8
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Deng Z, Xu X, Garzon-Muvdi T, Xia Y, Kim E, Belcaid Z, Luksik A, Maxwell R, Choi J, Wang H, Yu J, Iordachita I, Lim M, Wong JW, Wang KKH. In Vivo Bioluminescence Tomography Center of Mass-Guided Conformal Irradiation. Int J Radiat Oncol Biol Phys 2019; 106:612-620. [PMID: 31738948 DOI: 10.1016/j.ijrobp.2019.11.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 10/24/2019] [Accepted: 11/03/2019] [Indexed: 01/21/2023]
Abstract
PURPOSE The cone-beam computed tomography (CBCT)-guided small animal radiation research platform (SARRP) has provided unique opportunities to test radiobiologic hypotheses. However, CBCT is less adept to localize soft tissue targets growing in a low imaging contrast environment. Three-dimensional bioluminescence tomography (BLT) provides strong image contrast and thus offers an attractive solution. We introduced a novel and efficient BLT-guided conformal radiation therapy and demonstrated it in an orthotopic glioblastoma (GBM) model. METHODS AND MATERIALS A multispectral BLT system was integrated with SARRP for radiation therapy (RT) guidance. GBM growth curve was first established by contrast CBCT/magnetic resonance imaging (MRI) to derive equivalent sphere as approximated gross target volume (aGTV). For BLT, mice were subject to multispectral bioluminescence imaging, followed by SARRP CBCT imaging and optical reconstruction. The CBCT image was acquired to generate anatomic mesh for the reconstruction and RT planning. To ensure high accuracy of the BLT-reconstructed center of mass (CoM) for target localization, we optimized the optical absorption coefficients μa by minimizing the distance between the CoMs of BLT reconstruction and contrast CBCT/MRI-delineated GBM volume. The aGTV combined with the uncertainties of BLT CoM localization and target volume determination was used to generate estimated target volume (ETV). For conformal irradiation procedure, the GBM was first localized by the predetermined ETV centered at BLT-reconstructed CoM, followed by SARRP radiation. The irradiation accuracy was qualitatively confirmed by pathologic staining. RESULTS Deviation between CoMs of BLT reconstruction and contrast CBCT/MRI-imaged GBM is approximately 1 mm. Our derived ETV centered at BLT-reconstructed CoM covers >95% of the tumor volume. Using the second-week GBM as an example, the ETV-based BLT-guided irradiation can cover 95.4% ± 4.7% tumor volume at prescribed dose. The pathologic staining demonstrated the BLT-guided irradiated area overlapped well with the GBM location. CONCLUSIONS The BLT-guided RT enables 3-dimensional conformal radiation for important orthotopic tumor models, which provides investigators a new preclinical research capability.
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Affiliation(s)
- Zijian Deng
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Xiangkun Xu
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Tomas Garzon-Muvdi
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Neurosurgery, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Yuanxuan Xia
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Eileen Kim
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Zineb Belcaid
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Andrew Luksik
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Russell Maxwell
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - John Choi
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Hailun Wang
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Jingjing Yu
- School of Physics and Information Technology, Shaanxi Normal University, Shanxi, China
| | - Iulian Iordachita
- Laboratory for Computational Sensing and Robotics, Johns Hopkins University, Baltimore, Maryland
| | - Michael Lim
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - John W Wong
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Ken Kang-Hsin Wang
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
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Feng J, Jia K, Li Z, Pogue BW, Yang M, Wang Y. Bayesian sparse-based reconstruction in bioluminescence tomography improves localization accuracy and reduces computational time. JOURNAL OF BIOPHOTONICS 2018; 11:e201700214. [PMID: 29119702 DOI: 10.1002/jbio.201700214] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2017] [Accepted: 11/07/2017] [Indexed: 06/07/2023]
Abstract
Bioluminescence tomography (BLT) provides fundamental insight into biological processes in vivo. To fully realize its potential, it is important to develop image reconstruction algorithms that accurately visualize and quantify the bioluminescence signals taking advantage of limited boundary measurements. In this study, a new 2-step reconstruction method for BLT is developed by taking advantage of the sparse a priori information of the light emission using multispectral measurements. The first step infers a wavelength-dependent prior by using all multi-wavelength measurements. The second step reconstructs the source distribution based on this developed prior. Simulation, phantom and in vivo results were performed to assess and compare the accuracy and the computational efficiency of this algorithm with conventional sparsity-promoting BLT reconstruction algorithms, and results indicate that the position errors are reduced from a few millimeters down to submillimeter, and reconstruction time is reduced by 3 orders of magnitude in most cases, to just under a few seconds. The recovery of single objects and multiple (2 and 3) small objects is simulated, and the recovery of images of a mouse phantom and an experimental animal with an existing luminescent source in the abdomen is demonstrated. Matlab code is available at https://github.com/jinchaofeng/code/tree/master.
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Affiliation(s)
- Jinchao Feng
- Faculty of Information and Technology, Beijing University of Technology, Beijing, China
- Beijing Laboratory of Advanced Information Networks, Beijing, China
- Beijing Advanced Innovation Center for Future Internet Technology, Beijing University of Technology, Beijing, China
- Beijing Key Laboratory of Computational Intelligence and Intelligent System, Beijing University of Technology, Beijing, 100124
| | - Kebin Jia
- Faculty of Information and Technology, Beijing University of Technology, Beijing, China
- Beijing Laboratory of Advanced Information Networks, Beijing, China
- Beijing Advanced Innovation Center for Future Internet Technology, Beijing University of Technology, Beijing, China
- Beijing Key Laboratory of Computational Intelligence and Intelligent System, Beijing University of Technology, Beijing, 100124
| | - Zhe Li
- Faculty of Information and Technology, Beijing University of Technology, Beijing, China
- Beijing Laboratory of Advanced Information Networks, Beijing, China
- Beijing Advanced Innovation Center for Future Internet Technology, Beijing University of Technology, Beijing, China
| | - Brian W Pogue
- Thayer school of Engineering, Dartmouth College, Hanover, New Hampshire
| | - Mingjie Yang
- Faculty of Information and Technology, Beijing University of Technology, Beijing, China
- Beijing Laboratory of Advanced Information Networks, Beijing, China
- Beijing Advanced Innovation Center for Future Internet Technology, Beijing University of Technology, Beijing, China
| | - Yaqi Wang
- Faculty of Information and Technology, Beijing University of Technology, Beijing, China
- Beijing Laboratory of Advanced Information Networks, Beijing, China
- Beijing Advanced Innovation Center for Future Internet Technology, Beijing University of Technology, Beijing, China
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10
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Guo H, Yu J, Hu Z, Yi H, Hou Y, He X. A hybrid clustering algorithm for multiple-source resolving in bioluminescence tomography. JOURNAL OF BIOPHOTONICS 2018; 11:e201700056. [PMID: 28700135 DOI: 10.1002/jbio.201700056] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Revised: 06/20/2017] [Accepted: 06/21/2017] [Indexed: 05/23/2023]
Abstract
Bioluminescence tomography is a preclinical imaging modality to locate and quantify internal bioluminescent sources from surface measurements, which experienced rapid growth in the last 10 years. However, multiple-source resolving remains a challenging issue in BLT. In this study, it is treated as an unsupervised pattern recognition problem based on the reconstruction result, and a novel hybrid clustering algorithm combining the advantages of affinity propagation (AP) and K-means is developed to identify multiple sources automatically. Moreover, we incorporate the clustering analysis into a general multiple-source reconstruction framework, which can provide stable reconstruction and accurate resolving result without providing the number of targets. Numerical simulations and in vivo experiments on 4T1-luc2 mouse model were conducted to assess the performance of the proposed method in multiple-source resolving. The encouraging results demonstrate significant effectiveness and potential of our method in preclinical BLT applications.
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Affiliation(s)
- Hongbo Guo
- The School of Information Sciences and Technology, Northwest University, Xi'an, China
- Chinese Academy of Sciences, Key Laboratory of Molecular Imaging, Institute of Automation, Beijing, China
| | - Jingjing Yu
- The School of Physics and Information Technology, Shaanxi Normal University, Xi'an, China
| | - Zhenhua Hu
- Chinese Academy of Sciences, Key Laboratory of Molecular Imaging, Institute of Automation, Beijing, China
| | - Huangjian Yi
- The School of Information Sciences and Technology, Northwest University, Xi'an, China
| | - Yuqing Hou
- The School of Information Sciences and Technology, Northwest University, Xi'an, China
| | - Xiaowei He
- The School of Information Sciences and Technology, Northwest University, Xi'an, China
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11
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Zhang B, Wong JW, Iordachita II, Reyes J, Nugent K, Tran PT, Tuttle SW, Koumenis C, Wang KKH. Evaluation of On- and Off-Line Bioluminescence Tomography System for Focal Irradiation Guidance. Radiat Res 2016; 186:592-601. [PMID: 27869556 DOI: 10.1667/rr14423.1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
In response to the limitations of computed tomography (CT) and cone-beam CT (CBCT) in irradiation guidance, especially for soft-tissue targets without the use of contrast agents, our group developed a solution that implemented bioluminescence tomography (BLT) as the image-guidance modality for preclinical radiation research. However, adding such a system to existing small animal irradiators is no small task. A potential solution is to utilize an off-line BLT system in close proximity to the irradiator, with stable and effective animal transport between the two systems. In this study, we investigated the localization accuracy of an off-line BLT system when used for the small animal radiation research platform (SARRP) and compared the results with those of an on-line system. The CBCT was equipped on both the off-line BLT system and the SARRP, with a distance of 5 m between them. To evaluate the setup error during animal transport between the two systems, the mice underwent CBCT imaging on the SARRP and were then transported to the off-line system for a second CBCT imaging session. The normalized intensity difference of the two images and the corresponding histogram and correlation were computed to evaluate if the transport process perturbed animal positioning. Strong correlation (correlation coefficients >0.95) between the SARRP and the off-line mouse CBCT was observed. The offset of the implanted light source center can be maintained within 0.2 mm during transport. To compare the target localization accuracy using the on-line SARRP BLT and the off-line system, a self-illuminated bioluminescent source was implanted in the abdomen of anesthetized mice. In addition to the application for dose calculation, CBCT imaging was also employed to generate the mesh grid of the imaged mouse for BLT reconstruction. Two scenarios were devised and compared, which involved localization of the luminescence source based on either: 1. on-line SARRP bioluminescence image and CBCT; or 2. off-line bioluminescence image and SARRP CBCT. The first scenario is assumed to have the least setup error, because no animal transport was involved. The second scenario examines if an off-line BLT system, with the mesh generated from the SARRP CBCT, can be used to guide SARRP irradiation when there is minimal target contrast in CBCT. Stability during animal transport between the two systems was maintained. The center of mass (CoM) of the light source reconstructed by the off-line BLT had an offset of 1.0 ± 0.4 mm from the true CoM derived from the SARRP CBCT. These results are comparable to the offset of 1.0 ± 0.2 mm using on-line BLT. With CBCT information provided by the SARRP and effective animal immobilization during transport, these findings support the utilization of an off-line BLT-guided system, in close proximity to the SARRP, for accurate soft-tissue target localization. In addition, a dedicated standalone BLT system for our partner site at the University of Pennsylvania was introduced in this study.
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Affiliation(s)
- Bin Zhang
- a Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland
| | - John W Wong
- a Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland
| | - Iulian I Iordachita
- b Laboratory for Computational Sensing and Robotics, Johns Hopkins University, Baltimore, Maryland
| | - Juvenal Reyes
- a Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland
| | - Katriana Nugent
- a Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland
| | - Phuoc T Tran
- a Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland.,c Departments of Oncology and Urology, Johns Hopkins University, Baltimore, Maryland
| | - Stephen W Tuttle
- d Department of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Constantinos Koumenis
- d Department of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Ken Kang-Hsin Wang
- a Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland
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12
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Zhang B, Wang KKH, Yu J, Eslami S, Iordachita I, Reyes J, Malek R, Tran PT, Patterson MS, Wong JW. Bioluminescence Tomography-Guided Radiation Therapy for Preclinical Research. Int J Radiat Oncol Biol Phys 2015; 94:1144-53. [PMID: 26876954 DOI: 10.1016/j.ijrobp.2015.11.039] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2015] [Revised: 10/26/2015] [Accepted: 11/29/2015] [Indexed: 11/28/2022]
Abstract
PURPOSE In preclinical radiation research, it is challenging to localize soft tissue targets based on cone beam computed tomography (CBCT) guidance. As a more effective method to localize soft tissue targets, we developed an online bioluminescence tomography (BLT) system for small-animal radiation research platform (SARRP). We demonstrated BLT-guided radiation therapy and validated targeting accuracy based on a newly developed reconstruction algorithm. METHODS AND MATERIALS The BLT system was designed to dock with the SARRP for image acquisition and to be detached before radiation delivery. A 3-mirror system was devised to reflect the bioluminescence emitted from the subject to a stationary charge-coupled device (CCD) camera. Multispectral BLT and the incomplete variables truncated conjugate gradient method with a permissible region shrinking strategy were used as the optimization scheme to reconstruct bioluminescent source distributions. To validate BLT targeting accuracy, a small cylindrical light source with high CBCT contrast was placed in a phantom and also in the abdomen of a mouse carcass. The center of mass (CoM) of the source was recovered from BLT and used to guide radiation delivery. The accuracy of the BLT-guided targeting was validated with films and compared with the CBCT-guided delivery. In vivo experiments were conducted to demonstrate BLT localization capability for various source geometries. RESULTS Online BLT was able to recover the CoM of the embedded light source with an average accuracy of 1 mm compared to that with CBCT localization. Differences between BLT- and CBCT-guided irradiation shown on the films were consistent with the source localization revealed in the BLT and CBCT images. In vivo results demonstrated that our BLT system could potentially be applied for multiple targets and tumors. CONCLUSIONS The online BLT/CBCT/SARRP system provides an effective solution for soft tissue targeting, particularly for small, nonpalpable, or orthotopic tumor models.
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Affiliation(s)
- Bin Zhang
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Ken Kang-Hsin Wang
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland.
| | - Jingjing Yu
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland; School of Physics and Information Technology, Shaanxi Normal University, Shaanxi, China
| | - Sohrab Eslami
- Laboratory for Computational Sensing and Robotics, Johns Hopkins University, Baltimore, Maryland
| | - Iulian Iordachita
- Laboratory for Computational Sensing and Robotics, Johns Hopkins University, Baltimore, Maryland
| | - Juvenal Reyes
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Reem Malek
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Phuoc T Tran
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland; Department of Oncology and Urology, Brady Urological Institute, Johns Hopkins University, Baltimore, Maryland
| | - Michael S Patterson
- Department of Medical Physics and Applied Radiation Sciences, McMaster University, Hamilton, Ontario, Canada
| | - John W Wong
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland
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13
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Weersink RA, Ansell S, Wang A, Wilson G, Shah D, Lindsay PE, Jaffray DA. Integration of optical imaging with a small animal irradiator. Med Phys 2014; 41:102701. [DOI: 10.1118/1.4894730] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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14
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Zhang J, Chen D, Liang J, Xue H, Lei J, Wang Q, Chen D, Meng M, Jin Z, Tian J. Incorporating MRI structural information into bioluminescence tomography: system, heterogeneous reconstruction and in vivo quantification. BIOMEDICAL OPTICS EXPRESS 2014; 5:1861-76. [PMID: 24940545 PMCID: PMC4052915 DOI: 10.1364/boe.5.001861] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2014] [Revised: 05/11/2014] [Accepted: 05/12/2014] [Indexed: 05/13/2023]
Abstract
Combining two or more imaging modalities to provide complementary information has become commonplace in clinical practice and in preclinical and basic biomedical research. By incorporating the structural information provided by computed tomography (CT) or magnetic resonance imaging (MRI), the ill poseness nature of bioluminescence tomography (BLT) can be reduced significantly, thus improve the accuracies of reconstruction and in vivo quantification. In this paper, we present a small animal imaging system combining multi-view and multi-spectral BLT with MRI. The independent MRI-compatible optical device is placed at the end of the clinical MRI scanner. The small animal is transferred between the light tight chamber of the optical device and the animal coil of MRI via a guide rail during the experiment. After the optical imaging and MRI scanning procedures are finished, the optical images are mapped onto the MRI surface by interactive registration between boundary of optical images and silhouette of MRI. Then, incorporating the MRI structural information, a heterogeneous reconstruction algorithm based on finite element method (FEM) with L 1 normalization is used to reconstruct the position, power and region of the light source. In order to validate the feasibility of the system, we conducted experiments of nude mice model implanted with artificial light source and quantitative analysis of tumor inoculation model with MDA-231-GFP-luc. Preliminary results suggest the feasibility and effectiveness of the prototype system.
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Affiliation(s)
- Jun Zhang
- School of Life Science and Technology, Xidian University, Xi’an, Shaanxi 710071,
China
| | - Duofang Chen
- School of Life Science and Technology, Xidian University, Xi’an, Shaanxi 710071,
China
| | - Jimin Liang
- School of Life Science and Technology, Xidian University, Xi’an, Shaanxi 710071,
China
- contributed equally
| | - Huadan Xue
- Peking Union Medical College Hospital, Beijing 100730,
China
| | - Jing Lei
- Peking Union Medical College Hospital, Beijing 100730,
China
| | - Qin Wang
- Peking Union Medical College Hospital, Beijing 100730,
China
| | - Dongmei Chen
- School of Life Science and Technology, Xidian University, Xi’an, Shaanxi 710071,
China
| | - Ming Meng
- Peking Union Medical College Hospital, Beijing 100730,
China
| | - Zhengyu Jin
- Peking Union Medical College Hospital, Beijing 100730,
China
- contributed equally
| | - Jie Tian
- School of Life Science and Technology, Xidian University, Xi’an, Shaanxi 710071,
China
- Key Laboratory of Molecular Imaging of Chinese Academy of Sciences, Institute of Automation, Chinese Academy of Sciences, Beijing 100190,
China
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15
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Naser MA, Patterson MS, Wong JW. Algorithm for localized adaptive diffuse optical tomography and its application in bioluminescence tomography. Phys Med Biol 2014; 59:2089-109. [PMID: 24694875 DOI: 10.1088/0031-9155/59/8/2089] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
A reconstruction algorithm for diffuse optical tomography based on diffusion theory and finite element method is described. The algorithm reconstructs the optical properties in a permissible domain or region-of-interest to reduce the number of unknowns. The algorithm can be used to reconstruct optical properties for a segmented object (where a CT-scan or MRI is available) or a non-segmented object. For the latter, an adaptive segmentation algorithm merges contiguous regions with similar optical properties thereby reducing the number of unknowns. In calculating the Jacobian matrix the algorithm uses an efficient direct method so the required time is comparable to that needed for a single forward calculation. The reconstructed optical properties using segmented, non-segmented, and adaptively segmented 3D mouse anatomy (MOBY) are used to perform bioluminescence tomography (BLT) for two simulated internal sources. The BLT results suggest that the accuracy of reconstruction of total source power obtained without the segmentation provided by an auxiliary imaging method such as x-ray CT is comparable to that obtained when using perfect segmentation.
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Affiliation(s)
- Mohamed A Naser
- Department of Medical Physics and Applied Radiation Sciences, McMaster University, 1260 Main St West, Hamilton, ON, L8S 4L8, Canada
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16
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Shi S, Mao H. A generalized hybrid algorithm for bioluminescence tomography. BIOMEDICAL OPTICS EXPRESS 2013; 4:709-24. [PMID: 23667787 PMCID: PMC3646598 DOI: 10.1364/boe.4.000709] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2013] [Revised: 03/29/2013] [Accepted: 03/29/2013] [Indexed: 05/24/2023]
Abstract
Bioluminescence tomography (BLT) is a promising optical molecular imaging technique on the frontier of biomedical optics. In this paper, a generalized hybrid algorithm has been proposed based on the graph cuts algorithm and gradient-based algorithms. The graph cuts algorithm is adopted to estimate a reliable source support without prior knowledge, and different gradient-based algorithms are sequentially used to acquire an accurate and fine source distribution according to the reconstruction status. Furthermore, multilevel meshes for the internal sources are used to speed up the computation and improve the accuracy of reconstruction. Numerical simulations have been performed to validate this proposed algorithm and demonstrate its high performance in the multi-source situation even if the detection noises, optical property errors and phantom structure errors are involved in the forward imaging.
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17
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Naser MA, Patterson MS, Wong JW. Self-calibrated algorithms for diffuse optical tomography and bioluminescence tomography using relative transmission images. BIOMEDICAL OPTICS EXPRESS 2012; 3:2794-808. [PMID: 23162719 PMCID: PMC3493244 DOI: 10.1364/boe.3.002794] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2012] [Revised: 10/03/2012] [Accepted: 10/09/2012] [Indexed: 05/20/2023]
Abstract
Reconstruction algorithms for diffuse optical tomography (DOT) and bioluminescence tomography (BLT) have been developed based on diffusion theory. The algorithms numerically solve the diffusion equation using the finite element method. The direct measurements of the uncalibrated light fluence rates by a camera are used for the reconstructions. The DOT is self-calibrated by using all possible pairs of transmission images obtained with external sources along with the relative values of the simulated data and the calculated Jacobian. The reconstruction is done in the relative domain with the cancelation of any geometrical or optical factors. The transmission measurements for the DOT are used for calibrating the bioluminescence measurements at each wavelength and then a normalized system of equations is built up which is self-calibrated for the BLT. The algorithms have been applied to a three dimensional model of the mouse (MOBY) segmented into tissue regions which are assumed to have uniform optical properties. The DOT uses the direct method for calculating the Jacobian. The BLT uses a reduced space of eigenvectors of the Green's function with iterative shrinking of the permissible source region. The reconstruction results of the DOT and BLT algorithms show good agreement with the actual values when using either absolute or relative data. Even a small calibration error causes significant degradation of the reconstructions based on absolute data.
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Affiliation(s)
- Mohamed A. Naser
- Department of Medical Physics and Applied Radiation Sciences,
McMaster University, 1280 Main Street West, Hamilton, Ontario L8S4K1,
Canada
| | - Michael S. Patterson
- Department of Medical Physics and Applied Radiation Sciences,
McMaster University, 1280 Main Street West, Hamilton, Ontario L8S4K1,
Canada
- Juravinski Cancer Center, 699 Concession Street, Hamilton,
Ontario L8V5C2, Canada
| | - John W. Wong
- Department of Radiation Oncology and Molecular Radiation
Sciences, Johns Hopkins University, School of Medicine, 401 North Broadway, Suite 1440,
Baltimore, MD 21231, USA
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