The development of a non-invasive method of visualizing gene expression in larger animals could revolutionize some aspects of gene research by opening up a wider variety of animal systems to explore; some of which may be better models of human systems. Presently, most gene expression studies employ Green Fluorescent Protein (GFP) transfected into the genome of the animal system. For larger animals, an x-ray equivalent of GFP would be desirable due to the high penetrating power of x-rays. A model gene modification system is to use the Sodium (Na) Iodide Symporter (NIS) which will cause the accumulation of iodine in cells which express the NIS. To non-invasively observe the dilute iodine accumulated by the cancer cells transfected with NIS in the head of small animals, such as a rat, two synchrotron-based imaging methods were studied: K-Edge Subtraction (KES) imaging and Fluorescence Subtraction Imaging (FSI).<p> KES needs wide monochromatic x-ray beams at two energies bracketing the K-edge of the contrast agent existing or injected in the tissues. The monochromatic beam in the synchrotron facility normally is prepared by a double crystal monochromator. The appearance of the azimuthal angle (tilt error) in the double crystal monochromator creates intensity variations across the imaging field. This misalignment was studied through another two synchrotron-based imaging methods, Diffraction Enhanced Imaging (DEI) and Multi-Image Radiography (MIR), which show this problem clearly in their processed images. The detailed analysis of the effect of the tilt error, how it affects the resulting images, and how to quantify such an error were presented in the thesis. A post processing method was implemented and the artifacts caused by the improper experimental settings were discussed.<p> With the wide monochromatic beam prepared by the double crystal monochromator, a sequence of KES experiments were done and the detection limit of KES was quantified at a projected amount of 17.5mM-cm iodine in a physical model of a rat head with a radiation dose of 2.65mGy. With the raster scan of the object relative to the monochromatic pencil beam, FSI was studied to obtain higher Signal to Noise Ratio (SNR) for local area and better detection limit compared to KES. The detection limit of FSI was measured as a projected amount of 2.5mM-cm iodine in the same physical rat head with a tolerable radiation dose of 24mGy. According to the comparison of these two imaging techniques with references to imaging time and area, radiation dose, spatial resolution, and SNR, it was concluded that these two imaging techniques can be used complementarily in imaging dilute contrast material. Due to the short imaging time and large imaging area, KES is used first to provide a global view of the object, locate the area of interest, do the preliminary diagnosis, and decide whether the further FSI is necessary. Due to its high SNR for the dilute sample, FSI can be used when the area of interest is known. The combination of these two imaging techniques will be very promising and powerful. To facilitate the comparison of KES and FSI, a quality factor was developed to evaluate the performance of the imaging system.<p> The measured detection limits in our experiments are far beyond the thyroidal iodine concentration of a rat (around 1mM). To further improve the performance of KES, a bent Laue crystal monochromator was designed to do the simultaneous iodine KES imaging which overcomes the artifacts in the iodine image caused by the temporal difference for a single set of images. The designed monochromator can provide two separated x-ray beams bracketing the K-edge of iodine at the same time with a very high spatial resolution which is only depends on the source size, a very high energy resolution which can almost compete with that of the double crystal monochromator, and an acceptable photon flux.

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<p>The Swedish field of digital X-ray imaging has since several years relied heavily on distributed information systems and digital storage containers. </p><p>To ensure accurate and safe radiological reporting, Swedish software-firm eCare AB delivers a system called Feedback—the first and only quality assurance IT support product of its kind. This thesis covers several aspects of the design and implementation of future versions of this software platform. </p><p>The focus lies on distributed directory services and models for secure and robust data propagation in TCP/IP networks. For data propagation, a new application, InfoBroker, has been designed and implemented to facilitate integration between Feedback and other medical IT support systems. The directory services, introduced in this thesis as the Feedback Directory Services, have been designed on the architectural level. A combination of CORBA and Java Enterprise Edition is suggested as the implementation platform.</p>

Digital radiography systems are important diagnostic tools for modern medicine. The images are produced when x-ray sensitive materials are coupled directly onto the sensing element of the detector panels. As a result, the size of the detector panels is the same size as the x-ray image. An alternative to the modern DR system is to image the x-ray phosphor screen with a lens onto a digital camera. Potential advantages of this approach include rapid readout, flexible magnification and field of view depending on applications. We have evaluated lens-coupled DR systems for the task of signal detection by analyzing the covariance matrix of the images for three cases, using a perfect detector and lens, when images are affected by blurring due to the lens and screen, and for a signal embedded in a complex random background. We compared the performance of lens-coupled DR systems using three types of digital cameras. These include a scientific CCD, a scientific CMOS, and a prosumer DSLR camera. We found that both the prosumer DSLR and the scientific CMOS have lower noise than the scientific CCD camera by looking at their noise power spectrum. We have built two portable low-cost DR systems, which were used in the field in Nepal and Utah. We have also constructed a lens-coupled CT system, which included a calibration routine and an iterative reconstruction algorithm written in CUDA.

The most promising technology for radiography is active matrix flat panel imaging systems (AMFPI). However, AMFPI systems are relatively expensive in comparison with conventional computed radiography (CR) systems. Therefore for general radiography applications low cost systems are needed, especially in hospitals and healthcare systems of the developing countries. The focus of this research is the fabrication and characterization of a low cost amorphous silicon metal-semiconductor-metal photodetector as a photosensitive element in a AMFPI systems. Metal-Semiconductor-Metal photodetectors (MSM-PD) are attractive as sensors due to their ease of fabrication and compatibility with thin film transistor fabrication process primarily because there is no p+ doped layer in comparison with conventional p-i-n photodiodes. We have reported low dark current lateral a-Si MSM-PD (lower than 20pA/mm2 ) with responsivity of 280mA/W and EQE of 65 percent to green light ( l = 525nm). These improvement are achieved by introduction of a PI blocking layer and operating the device at high electric field (15 V/µm). This new structure eliminates the need of p+ and n+ layers which makes this structure fully compatible with the a-Si:H TFT fabrication process and consequently a low cost flat panel imager. Further, in this study we have investigated the effect of the spacing and width of the comb structure in the proposed lateral a-Si MSM-PD to determine the best configuration. Moreover, a-Si MSM-PD with PI blocking layer shows a linear behaviour to the photon flux in the wide range of 200nW/cm2 - 300µW/cm2 intensity of the incoming light. In comparison to vertical p-i-n structures, the reported MSM lateral device shows gains in terms of dynamic range, ease of fabrication (no p+ layer) without any deterioration in EQE and responsivity. This results are promising and encourage the development of a-Si lateral MSM-PD for indirect conversion large area medical imaging applications and especially low cost flat.

The Swedish field of digital X-ray imaging has since several years relied heavily on distributed information systems and digital storage containers. To ensure accurate and safe radiological reporting, Swedish software-firm eCare AB delivers a system called Feedback—the first and only quality assurance IT support product of its kind. This thesis covers several aspects of the design and implementation of future versions of this software platform. The focus lies on distributed directory services and models for secure and robust data propagation in TCP/IP networks. For data propagation, a new application, InfoBroker, has been designed and implemented to facilitate integration between Feedback and other medical IT support systems. The directory services, introduced in this thesis as the Feedback Directory Services, have been designed on the architectural level. A combination of CORBA and Java Enterprise Edition is suggested as the implementation platform.

L'imagerie par rayons X est fortement développée dans notre société et notamment dans les domaines industriels, médicaux ou sécuritaires. L'utilisation de cette méthode d'imagerie des structures internes (pour la détection d'irrégularité, de contrôle non destructif de pièces ou de menaces) est quotidienne. En radiographie, le contraste produit sur les images est relié à la variation de l'atténuation du flux de rayons X, qui est fonction de la densité, de l'épaisseur du matériau étudié ainsi que de la longueur d'onde utilisée. Ainsi par exemple, des gaines métalliques, des os ou des armes amènent du contraste sur l'image. Mais en plus de leur atténuation, les rayons X vont subir un déphasage qui est d'autant plus important que le matériau est peu atténuant. Ce phénomène va amener du contraste, dit de phase, permettant d'imager des matériaux peu denses tels que des plastiques, composites, tissus mous ou explosifs. Ce travail de thèse présente le développement et l'adaptation, dans le domaine des rayons X, de méthodes d'imagerie par contraste de phase sur des équipements de laboratoire. Le but est de compléter, d'une manière plus accessible et quotidienne, les demandes d'évaluation non destructives. Ce manuscrit se découpe suivant deux axes portant sur la simulation d'une part et sur le développement instrumental d'autre part. Un outil de simulation a été développé portant sur une description hybride alliant optique géométrique et optique ondulatoire. Les limites du modèle et des validations sont présentées. La partie instrumentale se focalise sur l'étude de deux techniques d'imagerie différentielle de phase. La première technique est de l'interférométrie à décalage multilatéral, dont l'adaptation sur tube à rayons X est réalisée pour la première fois. Une exploitation intéressante de la redondance de la mesure que produit la technique sera notamment introduite. La deuxième approche est une technique d'interférométrie de suivi de tavelure, dont nous présenterons une nouvelle exploitation. / X-ray imaging is widely used in non-destructive testing dedicated to industry, medical or security domain. In most of the radiographic techniques, the image contrast depends on the attenuation of the X-ray beam by the sample. This attenuation is function of the density and thickness of the object and of the wavelength. Therefore, objects like metal covers, bones or weapons bring contrast on the image. In addition to attenuation, phase shifting happens, in particular for low-attenuating material. This phenomenon brings contrast, called phase contrast, and allows a X-ray image of low-attenuating material as plastics, composites, soft tissues or explosives. This work presents development and adaptation, in the X-ray domain, of phase contrast imaging techniques on laboratory equipment. The goal is to bring phase contrast imaging in daily use. This manuscript is split in two parts, simulation and instrumentation. A simulation tool has been developed, mixing geometrical optic and wave optic. Limits of the model and validation are presented. For the instrumental part, two interferometric techniques have been considered. The first one is multi-lateral interferometry where adaptation on X-ray tube is presented for the first time. Interesting use of the measurement recurrence will be introduced. The second one is speckle tracking interferometry, recently adapted on X-ray tube, for which we present new advancements.

In this thesis, we present ProxiSART, a flexible proximal framework for robust 3D cone beam tomographic reconstruction based on the Simultaneous Algebraic Reconstruction Technique (SART). We derive the proximal operator for the SART algorithm and use it for minimizing the data term in a proximal algorithm. We show the flexibility of the framework by plugging in different powerful regularizers, and show its robustness in achieving better reconstruction results in the presence of noise and using fewer projections. We compare our framework to state-of-the-art methods and existing popular software tomography reconstruction packages, on both synthetic and real datasets, and show superior reconstruction quality, especially from noisy data and a small number of projections.

Continuous improvement of image quality is one of the priorities in medical imaging. Therefore, development of a simulation tool allowing to generate realistic images would be of great value to understand better the impact of the components on the image quality metrics and to choose imaging set-ups or new design features to optimize output of existing systems and to prototype new ones and to formalize the link between objective and subjective image quality metrics. Therefore, the purpose of this project, was to contribute to adaptation and validation of an existing simulator for simulation of C-arm X-ray imaging. Firstly, the study of the existing simulation tool was performed to choose further development axes. Afterwards, preliminary estimations of simulation complexity by evaluating the number of photons for a given imaging examination were performed. Previous studies[1] showed the determining impact of focal spot on imaging performance (reducing the limiting spatial frequency in common examination conditions) of X-ray interventional imaging systems.  Therefore, the work focused on the improvements of source model, in particular realistic focal spot was defined and simulations of images with close-to-real sharpness were performed and compared to experimentally acquired images. Finally, a part of this project was dedicated to scatter study. An experimental set-up and "scatter map" analysis were designed to determine the scatter evolution as function of imaging field-of-view.  First simulations were also performed. [1] Samei, E., Ranger, N., MacKenzie, A., Honey, I., Dobbins, J. and Ravin, C. (2008). Detector or System? Extending the Concept of Detective Quantum Efficiency to Characterize the Performance of Digital Radiographic Imaging Systems 1. Radiology, 249(3), pp.926-937.

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