Academic literature on the topic 'Phantom energy'

Mammographic techniques used for screening programmes need to be of the highest quality; hence, the need of a good phantom to mimic breast response to radiation. The phantom materials must be sensitive to small changes in the mammography system and provide a means of evaluating the absorbed dose to the breast. These materials have to provide the same attenuation properties as the real tissues being simulated, for the radiation modalities being investigated. Cross-linked hydrophilic copolymers have the potential to be good phantom materials for the breast as their elemental compositions are similar to soft tissue. Two types of hydrophilic copolymer materials used in this study were designated as ED1S and ED4C. They were made from a certain proportionate mixture of methyl methacrylate and vinyl pyrrolidone. The physical properties of the materials such as liquid uptake and dimensional changes in hydration and dehydration processes were studied. The equilibrium water content of ED1S and ED4C fully hydrated in water was 55% and 70% respectively. The samples underwent distortion when dehydrated and a volume approximation formula for the dehydrated samples was derived. The linear attenuation coefficient and the mass attenuation coefficient of the hydrophilic copolymer materials at photon energies in the mammographic energy region were determined. Both a single beam transmission method and a photon transmission tomography method were used. The results were compared with XCOM calculated attenuation coefficients of water and average breasts using the elemental composition found in the literature. It was found that the mass attenuation coefficient of dry hydrophilic copolymer samples closely fit the XCOM calculated old-age breast (Breast 3) and samples fully hydrated in water fit the calculated young-age breast (Breast 1). Measurements were also carried out to determine the linear attenuation coefficient of normal and abnormal breast tissues at four photon energies in the mammographic energy region. The values found were in good accord with calculated average breast values. However, more studies need to be done as only three samples were used. The electron density of the hydrophilic copolymer materials was determined by using the Compton scattering technique. The electron density for dry ED1S sample was (3.1 +/- 0.4) x 1023 electrons per cm3 and for dry ED4C was (4.4 +/- 0.4) x 1023 electrons per cm3.

Includes bibliographical references. .<br>A neutron spectrometer based on an NE230 deuterated organic liquid scintillator (25 mm diameter x 25 mm) has been developed for measuring neutron spectra in water. The spectrometer is capable of measuring neutron energies above 5 MeV, set by the electronic threshold. An important feature of the spectrometer is that it is able to discriminate between recoiling protons that are associated with neutron interactions that take place in the detector from recoiling protons that arise from n-p scattering in the water. The spectrometer was tested by recording pulse height spectra in a water phantom irradiated by neutrons of energy up to ~ 64 MeV. Neutron energy spectra were obtained from the pulse height spectra by Bayesian unfolding with the code MAXED using a response matrix that was determined experimentally. The efficiency of the NE230 detector was determined experimentally relative to an NE213 detector of known efficiency. A series of detailed measurements was taken at positions in the phantom along the axis of the neutron beam while exploratory runs were made off the beam axis. Results from measurements made along the axis of the neutron beam compare well with Monte Carlo calculations using MCNPX.

This thesis focuses on advanced reconstruction methods and Dual Energy (DE) Computed Tomography (CT) applications for proton therapy, aiming at improving patient positioning and investigating approaches to deal with metal artifacts. To tackle the first goal, an algorithm for post-processing input DE images has been developed. The outputs are tumor- and bone-canceled images, which help in recognising structures in patient body. We proved that positioning error is substantially reduced using contrast enhanced images, thus suggesting the potential of such application. If positioning plays a key role in the delivery, even more important is the quality of planning CT. For that, modern CT scanners offer possibility to tackle challenging cases, like treatment of tumors close to metal implants. Possible approaches for dealing with artifacts introduced by such rods have been investigated experimentally at Paul Scherrer Institut (Switzerland), simulating several treatment plans on an anthropomorphic phantom. In particular, we examined the cases in which none, manual or Iterative Metal Artifact Reduction (iMAR) algorithm were used to correct the artifacts, using both Filtered Back Projection and Sinogram Affirmed Iterative Reconstruction as image reconstruction techniques. Moreover, direct stopping power calculation from DE images with iMAR has also been considered as alternative approach. Delivered dose measured with Gafchromic EBT3 films was compared with the one calculated in Treatment Planning System. Residual positioning errors, daily machine dependent uncertainties and film quenching have been taken into account in the analyses. Although plans with multiple fields seemed more robust than single field, results showed in general better agreement between prescribed and delivered dose when using iMAR, especially if combined with DE approach. Thus, we proved the potential of these advanced algorithms in improving dosimetry for plans in presence of metal implants.

Brachytherapy is radiation therapy performed by placing a radiation source near or inside a tumor. Difference between the current water-based brachytherapy dose formalism (TG-43) and new model based dose calculation algorithms (MBSCAs) can differ by more than a factor of 10 in the calculated doses. There is a need for voxel-by-voxel cross-section assignment, ideally, both the tissue composition and mass density of every voxel should be known for individual patients. A method for determining tissue composition via three material decomposition (3MD) from dual energy CT scans was developed at Linköping university. The method (named DIRA) is a model based iterative reconstruction algorithm that utilizes two photon energies for image reconstruction and 3MD for quantitative tissue classification of the reconstructed volumetric dataset. This thesis has investigated the accuracy of the 3MD method applied on prostate tissue in an anthropomorphic phantom when using two different approximations of soft tissues in DIRA. Also the distributions of CT-numbers for soft tissues in a contemporary dual energy CT scanner have been determined. An investigation whether these distributions can be used for tissue classification of soft tissues via thresholding has been conducted. It was found that the relative errors of mass energy absorption coefficient (MEAC) and linear attenuation coefficient (LAC) of the approximated mixture as functions of photon energy were less than 6 \% in the energy region from 1 keV to 1 MeV. This showed that DIRA performed well for the selected anthropomorphic phantom and that it was relatively insensitive to choice of base materials for the approximation of soft tissues. The distributions of CT-numbers of liver, muscle and kidney tissues overlapped. For example a voxel containing muscle could be misclassified as liver in 42 cases of 100. This suggests that pure thresholding is insufficient as a method for tissue classification of soft tissues and that more advanced methods should be used.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior<br>O fenômeno do colapso gravitacional e a estrutura de estrelas relativísticas são de grande importância em astrofísica desde a formulação da relatividade geral. Alguns trabalhos mais recentes revelam avanços importantes em nosso entendimento da formação de estruturas como buracos negros e singularidades nuas e do comportamento de fluidos exóticos tais como matéria e energia escura, incluindo aqui os fluidos fantasmas. A complexidade do estudo do colapso gravitacional está relacionada à existência de poucas soluções analíticas disponíveis para este fim. Recentemente, soluções auto-similares das equações de campo de Einstein têm atraído grande atenção, não somente pela possibilidade de serem estudadas analiticamente, simplificando o problema, mas também por sua relevância em astrofísica. Neste trabalho, estudamos o colapso gravitacional do fluido anisotrópico com auto-similaridade do segundo e primeiro tipos em espaços-tempos (2 + 1)-dimensionais, com simetria circular. Impondo as equações de estado pr = 0 e p&#952; = &#969;&#961;, onde &#961; determina a densidade de energia e pr, p&#952; as pressões nas direções radial e tangencial do fluido, mostramos que, para soluções com auto-similaridade do segundo tipo, há duas distintas famílias. Para uma delas, as únicas soluções são as que representam fluido de poeira. Todas as soluções para as equações de campo de Einstein são encontradas e suas propriedades locais e globais são estudadas em detalhes. Algumas delas podem ser interpretadas como um processo de colapso gravitacional, em que singularidades nuas e buracos negros são formados. Para a outra família de soluções, temos um modelo cosmológico, com expansão acelerada, que começa em uma singularidade inicial (t = 0), com todas as condições de energia satisfeitas. Nosso propósito foi investigar o papel da não-homogeneidade na aceleração do fluido. Na intenção de estudar as soluções com auto-similaridade do primeiro tipo, mostramos que existe uma solução que representa um processo de colapso gravitacional, resultando em uma estrutura final de buraco negro ou singularidade nua, que podem ser constituídos de um fluido bem comportado ou fantasma.

Objectifs : L’objectif a été de d’optimiser les protocoles d’acquisition des examens d’angiomammographie double-énergie, d’étudier la faisabilité de l’angiotomosynthèse pour la détection et la caractérisation des tumeurs mammaires, et d’étudier la faisabilité des biopsies stéréotaxiques sous guidage de l’angiomammographie. Méthodes : Une étude d’optimisation des paramètres d’acquisition de l’angiomammographie a été réalisée dans 4 situations cliniques pour lesquelles la qualité diagnostique requise des images de basse énergie et la dose totale délivrée à la patiente ne sont pas identiques. L’optimisation des paramètres d'exposition (anode/filtre, kVp, mAs) des images de basse énergie (BE) et haute énergie (HE) a été réalisée à partir d’une modélisation théorique de la chaîne d’acquisition. Une validation a été effectuée par mesures expérimentales sur des images de fantôme d’inserts d’iode. Nous avons ensuite étudié la technique d’angiotomosynthèse mammaire basée sur une approche double-énergie. Un nouveau fantôme anthropomorphique numérique du sein et de ses lésions, basé sur l’utilisation de primitives géométriques complexes et d’une technique de maillage surfacique, a été amélioré et utilisé pour évaluer les performances de l’angiomammographie optimisée, puis de l’angiotomosynthèse en comparaison à l’angiomammographie. Enfin, nous avons proposé un scénario pour la réalisation d’un examen de stéréotaxie avec injection d’un agent de contraste iodé et étudié la faisabilité de recombinaison d’image de haute et de basse énergie acquises à des temps différents de l’injection.Résultats et conclusion : Les optima des paramètres d’exposition trouvés par simulation avec les valeurs de SDNRpixel et SDNR2pixel /Dosetotale qui en résultent, ont été confirmés expérimentalement. Les valeurs de SDNR par pixel dans les images recombinées sont augmentées pour toutes les indications cliniques en comparaison à celle obtenues avec SenoBright ® (produit commercial de référence). L'impact sur la qualité de l’image de BE, évalué par des expérimentations sur fantôme CDMAM, a montré que les paramètres optimisés fournissent une détection similaire ou acceptable par rapport à la mammographie standard, à l’exception de l'indication de dépistage lorsque l’on considère les objets de très petits diamètres.L’étude de lecture humaine d’images simulées d’un fantôme anthropomorphique du sein incluant le rehaussement glandulaire physiologique et différents modèle tumoraux n’a pas montré d’augmentation significative de sensibilité de détection des acquisition 3D d’angiotomosynthèse comparativement aux acquisitions 2D d’angiomammographie. Les deux paramètres qui influençaient le plus la sensibilité était la concentration en iode des tumeurs et la densité du sein. L’angiomammographie était par ailleurs significativement plus spécifique que l’angiotomosynthèse. Une perspective d’amélioration pour l’angiotomosynthèse pourrait donc être l’utilisation d’algorithmes de reconstruction 3D spécifiques de cette modalité qui minimiseraient le bruit de reconstruction. Le scénario proposé pour la réalisation de biopsies sous guidage de l’angiomammographie, a mis en évidence deux contraintes techniques que sont l’échauffement du tube à rayons X et le surcroit de dose dû à la répétition des paires d’acquisitions en haute et basse énergies. Une des solutions envisagées a été de limiter le nombre d’acquisitions de BE. Notre étude a montré que la recombinaison d’une image HE avec une image BE acquise antérieurement modifiait le SDNR des lésions simulées comparativement à une recombinaison appariée d’images BE et HE acquises au même temps de l’injection. Ces modifications dépendaient du temps du pic de rehaussement maximal et du washout de la lésion<br>Objectives: The purpose was to optimize the exposure parameters of CESM examinations, to assess the feasibility of contrast-enhanced DBT (CE-DBT) for the detection and the characterization of breast tumors, and to assess CESM-guided stereotactic biopsies. Methods: At first, we optimized the CESM exposure parameters in four different clinical applications for which different levels of average glandular dose and different low energy image quality are required. The optimization of exposure parameters (anode/filter, kVp, mAs) for low energy (LE) and high energy (HE) images at different levels of average glandular dose and different ratios between LE and total doses has been conducted using a simulator of the x-ray mammographic image chain. An experimental validation was then performed through phantom experiments. Secondly, we assessed the potential of CE-DBT based on a dual-energy approach. A new mesh-based anthropomorphic breast phantom was improved and used to evaluate the performance of CESM and then to compare CESM and CE-DBT. Finally, we evaluated the technical feasibility of CESM-guided biopsy. After identifying some technical constraints, we assessed the performance of the recombination of LE and HE images acquired at different times after injection, using simulated images of a geometric phantom with uniform texture, and simulated images of an anthropomorphic textured phantom with and without motion artifacts.Results and conclusion : For the four different clinical indications, optima found by simulation, with resulting SDNRpixel and SDNR2pixel/Dosetotal, were confirmed through real acquisition of images on phantoms. Our results indicate that the SDNR per pixel in recombined CESM images increased in all of the four clinical indications compared to recombined images obtained using SenoBright ® (commercial product used as reference). This result suggests the possibility to detect more subtle contrast enhancements and to decrease the number of false negatives found in clinical CESM examinations. The impact of a new dose allocation between LE and HE exposures was also evaluated on LE image quality. Results from CDMAM phantom experiments indicate that optimized parameters provide similar or acceptable detection compared to standard mammography, except for screening indication when considering the very small diameter objects.The human observer study on anthropomorphic phantom images, taking into account tumor and breast parenchyma enhancement, revealed that detection and characterization sensitivity of iodine-enhanced lesions are not statistically different between 2D CESM and 3D CE-DBT. The most influencing parameters for the detectability and the lesion size assessment were the lesion iodine concentration and the breast density. CESM was significantly more specific than CE-DBT. One of the assumptions to explain this result is the presence of higher noise in CE-DBT than in CESM images. A future improvement for CE-DBT could therefore be the design of a specific reconstruction algorithm minimizing reconstructed noise.With respect to CESM-guided biopsy the proposed scenario pointed out two major constraints, one related to the thermal load of the x-ray tube, the second related to the increased dose due to the repetition of LE and HE images. One proposed solution was to limit the number of LE exposures, requiring the possibility to recombined LE and HE images acquired at different injection time points. Our study showed that the recombination of a HE image with a LE image acquired earlier leads to SDNR changes compared to paired recombination. These changes are function of the enhancement time to peak and the washout of the lesion, and had a limited impact on the lesion detectability

This work encompasses the study of energy dispersive X-ray diffraction CT (EDXRDCT) system to be installed outside breast tissue biopsy subtraction operation theatre. The system was tested using different materials that simulate breast tissue diffraction pattern contrast and shape compactness. The system spatial resolution was assessed to detect the smallest possible details in each position. The system detection of detail shapes was calculated using compactness parameter. Initially the EDXRDCT system was used with a pinhole CdTe detector to radiate samples of raw materials and different combinations of materials were counted to simulate the contrast between breast tissue at 1.1 nm- i and 1.6 nm- i . The system was then tested using cylindrical samples of two materials with different details sizes (2 mm, 1 mm and O.5mm) that simulate the contrast between breast tissues. Profiles of the EDXRDCT images were plotted and found that details until 1 mm of size can be detected. Some samples of different shapes and materials that simulate breast tissue was scanned using the EDXRDCT system with HEXITEC detector. Scanned parameters were optimised for the beast compactness results that give close values to MicroCT findings. Furthermore a waxed real tissue of liver was scanned to prove the feasibility of scanning waxed tissue instead of fresh ones. The compactness and diffraction of sample details was measured. Finally, a phantom that simulates breast tissue contrast and shapes was designed to test the EDXRDCT system with HEXITEC detector. The system was capable to show details shape and give close compactness values to Micro CT results in 2.5 hours scanning time.