High-resolution computed tomography for the comparative study of fossil and extant bone

Special methods have been developed to use computed tomography (CT) for 3-dimensional imaging of both fossil and extant bones. Most commercial CT scanners cannot display the internal structure of fossils because the very high density is beyond the upper limits of the normal CT number scale (Hounsfield scale) of the scanners. X-ray projections from CT scans of fossils were modified by scaling the data to provide an expanded CT number scale, allowing the internal structure of highly fossilized objects to be visualized. These images were compared with state-of-the-art, high-resolution CT images of extant bone. Special image reformatting software was used to provide qualitative and quantitative 3-dimensional imaging. The recent rapid advances in CT technology have made this imaging modality the procedure of choice in much of diagnostic radiology. Use of this tool in paleoanthropology has been limited in the past by restricted access to scanners. However, new developments in CT will make this technique available to many researchers in the near future.     

The relation between external dimensions of the human mandible and cortical bone morphology as determined with the aid of CT scans

Computerized tomographs were taken of 22 mandibles, selected from an early Arab population and aged between 17 and 60 years. A specially designed holder was used to define specific locations along the mandible, namely symphysis, mid sagittal section through the corpus, midpoint of the first molar (M1), gonion and ramus. Cortical cross sectional area and principal moments of inertia were then calculated for the locations specified, to obtain estimates of the resistance of the bone to deformation. They were analyzed in relation to age, sex, side and external dimensions of the mandible. The error of measurement calculated from (i) repeated CT scans (ii) repeated measurements (iii) from comparison of CT scans with a sectioned mandible, were of the same order of magnitude. All values were greater in males than in females; they were only slightly affected by age and were unaffected by side. Mandibular length and ramus height accounted for most of the variation observed in moments of inertia. We consider that these results can best be interpreted in accordance with the hypotheses put forward by Hylander (1975, 1985) according to which the mandible acts as a third degree lever, with “wishboning” forces acting at the symphysis and parasagittal bending at the first molar. We now plan to apply this method to study the “strength” of the mandibles of past populations with different dietary adaptations.     

Differential long bone growth of children between two months and eleven years of age

Diaphyseal lengths of the humerus, radius, femur and tibia of upper-middle class White children between two months and 11 years of age show positive allometric growth, indicating substantial shape or proportional change. The segments of the lower extremity display greater allometric increase than the humerus and radius; variation in relative growth within each extremity is small and inconsistent. Sex differences are consistent, with slightly greater proportional increases demonstrated for boys. The results suggest that absolute intralimb variation in growth, following a disto-proximo growth or maturity gradient, is due to initial differences in size or scale and not to differences in patterns of growth. Developmental variation between extremities is due to scaling plus variation in relative growth patterns.     

Nondestructive tree-ring measurements for Japanese oak and Japanese beech using micro-focus X-ray computed tomography

The purpose of this study is to establish technology for utilizing images taken by micro-focus X-ray computed tomography (CT) to perform nondestructive tree-ring measurement of wooden cultural properties. This paper covers two experiments conducted using Japanese oak as a typical example of ring-porous wood and Japanese beech as a representative example of diffuse-porous wood. In the first experiment, images of thin strip specimens of Japanese oak and Japanese beech taken by micro-focus X-ray CT are compared against those taken by soft X-ray radiography, the method conventionally used in dendrodensitometry. A discussion then follows in regard to image quality and tree-ring width measurement resulting from the two methods. In the second experiment, tomograms are taken of folk art articles made of Japanese oak and Japanese beech, demonstrating that it is possible to use nondestructive means to visualize the tree-rings of three-dimensional objects. The results show that micro-focus X-ray CT offers much promise of widespread utilization in the tree-ring dating of wooden cultural properties.     

Effect of scan mode and focal spot size in airway dimension measurements for ultra-high-resolution computed tomography of chronic obstructive pulmonary disease: A COPDGene phantom study

PurposeQuantitative evaluations of airway dimensions through computed tomography (CT) have revealed a good correlation with airflow limitation in chronic obstructive pulmonary disease. However, large inaccuracies have been known to occur in CT airway measurements. Ultra-high-resolution CT (UHRCT) might improve measurement accuracy using precise scan modes with minimal focal spot. We assessed the effects of scan mode and focal spot size on airway measurements in UHRCT.MethodsCOPDGene Ⅱ phantom, comprising a plastic tube mimicking human airway of inner diameter 3 mm, wall thickness 0.6 mm, and inclination 30 degrees was scanned at super high resolution (SHR, beam collimation of 0.25 mm × 160 rows) and high resolution (HR, beam collimation of 0.5 mm × 80 rows) modes using UHRCT. Each acquisition was performed both with small (0.4 × 0.5 mm) and large (0.6 × 1.3 mm) focal spots. The wall area percentage (WA%) was calculated as the percentage of total airway area occupied by the airway wall. Statistical analysis was performed to compare the WA% measurement errors for each scan mode and focal spot size.ResultsThe WA% measurement errors in the SHR mode were 9.8% with a small focal spot and 18.8% with a large one. The measurement errors in the HR mode were 13.3% with a small focal spot and 21.4% with a large one. There were significant differences between each scan mode and focal spot size (p < 0.05).ConclusionsThe SHR mode with a small focal spot could improve airway measurement accuracy of UHRCT.     

The assessment of trabecular bone parameters and cortical bone strength: A comparison of micro-CT and dental cone-beam CT

This study compared the capabilities of micro-computed tomography (micro-CT) and dental cone-beam computed tomography (CBCT) in assessing trabecular bone parameters and cortical bone strength. Micro-CT and CBCT scans were applied to 28 femurs from 14 rats to obtain independent measurements of the volumetric cancellous bone mineral density (vCanBMD) in the femoral head, volumetric cortical bone mineral density (vCtBMD) in the femoral diaphysis, cross-sectional moment of inertia (CSMI), and bone strength index (BSI) (=CSMI×vCtBMD). Five structural parameters of the trabecular bone of the femoral head were calculated from micro-CT images. A three-point bending test was then conducted to measure the fracture load of each femur. Bivariate linear Pearson analysis was conducted to calculate the correlation coefficients (r values) of the micro-CT, dental CBCT, and three-point bending measurements. The statistical analyses showed a strong correlation between vCanBMD values obtained using micro-CT and dental CBCT (r=0.830). There were strong or moderate correlation between vCanBMD measured using dental CBCT and five parameters of trabecular structure measured using micro-CT. Additionally, the results were satisfactory regardless of whether micro-CT or dental CBCT was used to measure the femoral diaphysis vCtBMD (r=0.733 and 0.680, respectively), CSMI (r=0.756 and 0.726, respectively), or BSI (r=0.846 and 0.847, respectively) to predict fracture loads. This study has yielded a new method for using dental CBCT to evaluate bone parameters and bone strength; however, further studies are necessary to validate the use of dental CBCT on humans.     

Estimation of electron density,effective atomic number and stopping power ratio using dual-layer computed tomography for radiotherapy treatment planning

PurposeAssess the accuracy for quantitative measurements of electron density relative to water (ρ_e/ρ_e,w), effective atomic number (Z_eff) and stopping power ratio relative to water (SPR_w) using a dual-layer computed tomography (DLCT) system.Methods and MaterialsA tissue characterization phantom was scanned using DLCT with varying scanning parameters (i.e., tube voltage, rotation time, CTDI_vol, and scanning mode) and different reference materials. Then, electron density ρ_e/ρ_e,w and atomic number Z_eff images were reconstructed, and their values were determined for each reference materials. Based on these two values, SPR_w was calculated. Finally, the percent error (PE) against the theoretical values was calculated for reference materials.ResultsSignificant linear relationships (p < 0.001) were observed between the measured and theoretical ρ_e/ρ_e,w (r = 1.000), Z_eff (r = 0.989) and SPR_w (r = 1.000) values. The PE for each reference material varied from –2.0 to 1.2% (mean, <0.1%) for electron density ρ_e/ρ_e,w, from –6.4 to 8.0% (mean, –2.0%) for atomic number Z_eff, and from –2.0 to 1.9% (mean, 0.3%) for stopping power ratio SPR_w. The mean PE of ρ_e/ρ_e,w (<0.1%), Z_eff (<–2.5%) and SPR_w (<0.4%) was verified across the variation of scanning parameters (p > 0.85).ConclusionsDLCT provides a reasonable accuracy in the measurements of ρ_e/ρ_e,w, Z_eff and SPR_w, and could enhance radiotherapy treatment planning and the subsequent outcomes.     

Linear enamel hypoplasia in the great apes: analysis by genus and locality

Most studies report a high prevalence of linear enamel hypoplasia (LEH) in the great apes relative to other nonhuman primates and some human populations. It is unclear if this difference is a direct result of poor health status for the great apes, or if it represents differential incidence due to a lower threshold (sensu Goodman and Rose, 1990 Am. J. Phys. Anthropol. [suppl.] 33:59-110) for the occurrence of enamel hypoplasia among great apes. This study uses the Smithsonian National Museum of Natural History's great ape collection to examine the prevalence of LEH, the most common type of hypoplasia observed. Frequencies of LEH are reported, as well as analyses by taxa and provenience. The study sample consists of 136 specimens and includes 41 gorillas, 25 chimpanzees, and 70 orangutans. Analyses of frequencies are presented for both individuals and teeth by taxonomic category and locality. Among the individuals in this study, 63.97% are affected by LEH. Overall, gorillas (29.27%) exhibit lower frequencies of LEH than chimpanzees (68.00%) and orangutans (82.86%). There is a marked difference in LEH frequencies between mountain and lowland gorillas. There is no difference in LEH frequencies between Sumatran and Bornean orangutans. A range of variation for the great apes in enamel hypoplasia frequencies is found when taxon and locality are considered. It is likely that both biological and environmental factors influence the high frequencies of enamel hypoplasia exhibited in the great apes.     

Implementation and application of a Monte Carlo model for an in vivo micro computed tomography system

Micro computed tomography (µCT) scanners are used to create high-resolution images and to quantify properties of the scanned objects. While modern µCT scanners benefit from the cone beam geometry, they are compromised by scatter radiation. This work aims to develop a Monte Carlo (MC) model of a µCT scanner in order to characterize the scatter radiation in the detector plane.The EGS++ framework with the MC code EGSnrc was used to simulate the particle transport through the main components of the XtremeCT (SCANCO Medical AG, Switzerland). The developed MC model was based on specific information of the manufacturer and was validated against measurements. The primary and the scatter radiation were analyzed and by implementing a dedicated tracing method, the scatter radiation was subdivided into different scatter components.The comparisons of measured and simulated transmission values for different absorber and filter combinations result in a mean difference of 0.2% ± 1.4%, with a maximal local difference of 3.4%. The reconstructed image of the phantom based on measurements agrees well with the image reconstructed using the MC model. The local contribution of scattered radiation is up to 10% of the total radiation in the detector plane and most of the scattered particles result from interactions in the scanned object. The MC simulations show that scatter radiation contains information about the structure of the object.In conclusion, a MC model for a µCT scanner was successfully validated and applied to analyze the characteristics of the scatter radiation for a µCT scanner.     

Improvement of image quality for pancreatic cancer using deep learning-generated virtual monochromatic images: Comparison with single-energy computed tomography

PurposeTo construct a deep convolutional neural network that generates virtual monochromatic images (VMIs) from single-energy computed tomography (SECT) images for improved pancreatic cancer imaging quality.Materials and methodsFifty patients with pancreatic cancer underwent a dual-energy CT simulation and VMIs at 77 and 60 keV were reconstructed. A 2D deep densely connected convolutional neural network was modeled to learn the relationship between the VMIs at 77 (input) and 60 keV (ground-truth). Subsequently, VMIs were generated for 20 patients from SECT images using the trained deep learning model.ResultsThe contrast-to-noise ratio was significantly improved (p < 0.001) in the generated VMIs (4.1 ± 1.8) compared to the SECT images (2.8 ± 1.1). The mean overall image quality (4.1 ± 0.6) and tumor enhancement (3.6 ± 0.6) in the generated VMIs assessed on a five-point scale were significantly higher (p < 0.001) than that in the SECT images (3.2 ± 0.4 and 2.8 ± 0.4 for overall image quality and tumor enhancement, respectively).ConclusionsThe quality of the SECT image was significantly improved both objectively and subjectively using the proposed deep learning model for pancreatic tumors in radiotherapy.     

A palaeontological and phylogenetical analysis of squaliform sharks (Chondrichthyes: Squaliformes) based on dental characters

Squaliformes comprise the major proportion of modern deep-water sharks, yet their fossil history and phylogenetic relationships are still poorly understood. New analyses have been undertaken, however, and new living and fossil species have been discovered during the past 10 years. A cladistic analysis involving 29 dental characters has been made and most living and fossil genera are included. On the basis of their dental morphology, the monophyly of the Squaliformes can be supported if the fossil genus Protospinax is excluded. The traditional phylogenetic positions of most living genera, Protosqualus, Cretascymnus and Eoetmopterus, are confirmed despite the fact that the Oxynotidae, Etmopterinae, Palaeomicroides, Proetmopterus and Microetmopterus have some atypical phylogenetic relationships within the Squaliformes. The addition of the palaeontological data in a phylogenetic tree including fossil and living Squaliformes demonstrates some gaps in the fossil record. Nevertheless, and as a consequence of that stratigraphy-phylogeny inference, two particular events can be pinpointed in the history of the Squaliformes: the first one occurs after the major Cenomanian-Turonian anoxic event and the second one after the Cretaceous/Tertiary crisis. The first radiation involves the majority of the living Squaliformes (Somniosinae, Centrophorinae, most of the Etmopterinae, Oxynotinae) in deep-sea waters, the second, the more epipelagic sharks (most of the Dalatiidae), suggesting a secondary adaptation to more shallow environments.     

Monte Carlo evaluation of glandular dose in cone-beam X-ray computed tomography dedicated to the breast: Homogeneous and heterogeneous breast models

PurposeIn cone-beam computed tomography dedicated to the breast (BCT), the mean glandular dose (MGD) is the dose metric of reference, evaluated from the measured air kerma by means of normalized glandular dose coefficients (DgN_CT). This work aimed at computing, for a simple breast model, a set of DgN_CT values for monoenergetic and polyenergetic X-ray beams, and at validating the results vs. those for patient specific digital phantoms from BCT scans.MethodsWe developed a Monte Carlo code for calculation of monoenergetic DgN_CT coefficients (energy range 4.25–82.25 keV). The pendant breast was modelled as a cylinder of a homogeneous mixture of adipose and glandular tissue with glandular fractions by mass of 0.1%, 14.3%, 25%, 50% or 100%, enveloped by a 1.45 mm-thick skin layer. The breast diameter ranged between 8 cm and 18 cm. Then, polyenergetic DgN_CT coefficients were analytically derived for 49-kVp W-anode spectra (half value layer 1.25–1.50 mm Al), as in a commercial BCT scanner. We compared the homogeneous models to 20 digital phantoms produced from classified 3D breast images.ResultsPolyenergetic DgN_CT resulted 13% lower than most recent published data. The comparison vs. patient specific breast phantoms showed that the homogeneous cylindrical model leads to a DgN_CT percentage difference between −15% and +27%, with an average overestimation of 8%.ConclusionsA dataset of monoenergetic and polyenergetic DgN_CT coefficients for BCT was provided. Patient specific breast models showed a different volume distribution of glandular dose and determined a DgN_CT 8% lower, on average, than homogeneous breast model.     

Elimination of biological and physical artifacts in abdomen and brain computed tomography procedures using filtering techniques

IntroductionMedical images are usually affected by biological and physical artifacts or noise, which reduces image quality and hence poses difficulties in visual analysis, interpretation and thus requires higher doses and increased radiographs repetition rate.ObjectivesThis study aims at assessing image quality during CT abdomen and brain examinations using filtering techniques as well as estimating the radiogenic risk associated with CT abdomen and brain examinations.Materials and MethodsThe data were collected from the Radiology Department at Royal Care International (RCI) Hospital, Khartoum, Sudan. The study included 100 abdominal CT images and 100 brain CT images selected from adult patients. Filters applied are namely: Mean filter, Gaussian filter, Median filter and Minimum filter. In this study, image quality after denoising is measured based on the Mean Squared Error (MSE), Peak Signal-to-Noise Ratio (PSNR), and the Structural Similarity Index Metric (SSIM).ResultsThe results show that the images quality parameters become higher after applications of filters. Median filter showed improved image quality as interpreted by the measured parameters: PSNR and SSIM, and it is thus considered as a better filter for removing the noise from all other applied filters.DiscussionThe noise removed by the different filters applied to the CT images resulted in enhancing high quality images thereby effectively revealing the important details of the images without increasing the patients’ risks from higher doses.ConclusionsFiltering and image reconstruction techniques not only reduce the dose and thus the radiation risks, but also enhances high quality imaging which allows better diagnosis.     

Assessing the accuracy of high-resolution X-ray computed tomography of primate trabecular bone by comparisons with histological sections

Different lines of evidence suggest that trabecular bone architecture contains a functional signal related to an organism's locomotor behavior. An understanding of the interspecific and intraspecific variation in extant nonhuman primate trabecular structure is needed to evaluate its usefulness as a tool to reconstruct the locomotor habits of extinct primates. High-resolution X-ray computed tomography (HRXCT) is a new imaging approach with a resolution in the tens of microns that allows nondestructive access to the internal structure of bony elements. Previous studies indicate that such resolution is necessary to accurately quantify structural parameters of trabecular bone. The primary goal of this study was to test the accuracy of HRXCT by comparing stereological measurements from HRXCT images and histological thin sections of cancellous bone taken from the proximal femur and humerus of baboons. To this end, 11 bone samples were scanned on an HRXCT scanner and then thin-sectioned to reveal the scanned plane. HRXCT images were thresholded using a modified half-maximum height protocol. The stereological measurements included bone volume fraction (BV/TV), trabecular number (Tb.N), bone surface to volume ratio (BS/BV), trabecular thickness (Tb.Th), and trabecular spacing (Tb.Sp). The measurement errors on the HRXCT images were 10.90% for BV/TV, 6.06% for Tb.N, 14.19% for BS/BV, 14.33% for Tb.Th, and 7.09% for Tb.Sp, but none of these measurements were significantly different from the histological standards (alpha = 0.05). A second goal of this study was to examine the influence of thresholding, a necessary step in any morphometric study using computed tomography, on the accuracy of the quantitative morphometry. Threshold values derived from a modified half-maximum height protocol showed that parameters derived from the region of interest (area in which stereological measurements were later taken) produced better reconstructions of the actual bone structure than threshold values derived from more inclusive areas of bone. We conclude that HRXCT can accurately reconstruct the complex architecture of trabecular bone, and that thresholding is a nontrivial step in trabecular bone studies, with even slight changes in the protocol greatly affecting the morphometric data. HRXCT represents a valuable analytical tool that should be of interest to a great many researchers in physical anthropology because it allows nondestructive access to internal morphology, thereby preserving valuable and limited skeletal collections.