In vivo x-ray phase contrast analyzer-based imaging for longitudinal osteoarthritis studies in guinea pigs

Over the last two decades phase contrast x-ray imaging techniques have been extensively studied for applications in the biomedical field. Published results demonstrate the high capability of these imaging modalities of improving the image contrast of biological samples with respect to standard absorption-based radiography and routinely used clinical imaging techniques. A clear depiction of the anatomic structures and a more accurate disease diagnosis may be provided by using radiation doses comparable to or lower than those used in current clinical methods. In the literature many works show images of phantoms and excised biological samples proving the high sensitivity of the phase contrast imaging methods for in vitro investigations. In this scenario, the applications of the so-called analyzer-based x-ray imaging (ABI) phase contrast technique are particularly noteworthy. The objective of this work is to demonstrate the feasibility of in vivo x-ray ABI phase contrast imaging for biomedical applications and in particular with respect to joint anatomic depiction and osteoarthritis detection. ABI in planar and tomographic modes was performed in vivo on articular joints of guinea pigs in order to investigate the animals with respect to osteoarthritis by using highly monochromatic x-rays of 52 keV and a low noise detector with a pixel size of 47 × 47 µm(2). Images give strong evidence of the ability of ABI in depicting both anatomic structures in complex systems as living organisms and all known signs of osteoarthritis with high contrast, high spatial resolution and with an acceptable radiation dose. This paper presents the first proof of principle study of in vivo application of ABI. The technical challenges encountered when imaging an animal in vivo are discussed. This experimental study is an important step toward the study of clinical applications of phase contrast x-ray imaging techniques.

[1]  V. N. Ingal,et al.  Phase mammography--a new technique for breast investigation. , 1998, Physics in medicine and biology.

[2]  Olivier Mathon,et al.  Invited article: the fast readout low noise camera as a versatile x-ray detector for time resolved dispersive extended x-ray absorption fine structure and diffraction studies of dynamic problems in materials science, chemistry, and catalysis. , 2007, The Review of scientific instruments.

[3]  Richard J. Fitzgerald,et al.  Phase‐Sensitive X‐Ray Imaging , 2000 .

[4]  Paola Coan,et al.  Comparison of analyzer-based imaging computed tomography extraction algorithms and application to bone-cartilage imaging , 2010, Physics in medicine and biology.

[5]  Kentaro Uesugi,et al.  IMAGING LUNG AERATION AND LUNG LIQUID CLEARANCE AT BIRTH USING PHASE CONTRAST X‐RAY IMAGING , 2009, Clinical and experimental pharmacology & physiology.

[6]  Alberto Bravin,et al.  Toward high-contrast breast CT at low radiation dose. , 2008, Radiology.

[7]  Luigi Rigon,et al.  Options and limitations of joint cartilage imaging: DEI in comparison to MRI and sonography , 2005 .

[8]  Paola Coan,et al.  Evaluation of imaging performance of a taper optics CCD; FReLoN' camera designed for medical imaging. , 2006, Journal of synchrotron radiation.

[9]  S. Fiedler,et al.  Imaging lobular breast carcinoma: comparison of synchrotron radiation DEI-CT technique with clinical CT, mammography and histology. , 2004, Physics in medicine and biology.

[10]  Alberto Bravin,et al.  Visualisation of calcifications and thin collagen strands in human breast tumour specimens by the diffraction-enhanced imaging technique: a comparison with conventional mammography and histology. , 2004, European journal of radiology.

[11]  A. Bravin,et al.  Exploiting the x-ray refraction contrast with an analyser: the state of the art , 2003 .

[12]  Fulvia Arfelli,et al.  Chance and limit of imaging of articular cartilage in vitro in healthy and arthritic joints: DEI (diffraction enhanced imaging) in comparison with MRI, CT, and ultrasound , 2005, SPIE Medical Imaging.

[13]  A Bravin,et al.  research papers Acta Crystallographica Section A Foundations of , 2006 .

[14]  Kazuyuki Hyodo,et al.  In-Vivo Imaging of Cancer Implanted in Nude Mice by Two-Crystal Interferometer-Based Phase-Contrast X-Ray Computed Tomography , 2004 .

[15]  M. Young,et al.  Animal models of osteoarthritis: lessons learned while seeking the ‘Holy Grail’ , 2006, Current opinion in rheumatology.

[16]  A. Bravin,et al.  Fiedler S, Bravin A, Keyrilainen J, et al. Imaging lobular breast carcinoma: comparison of synchrotron radiation DEI-CT technique with clinical CT, mammography and histology. Phys Med Biol. 49: 175-188 , 2004 .

[17]  Alberto Bravin,et al.  Phase-contrast X-ray imaging of breast , 2010, Acta radiologica.

[18]  Timothy J. Davis A unified treatment of small‐angle X‐ray scattering, X‐ray refraction and absorption using the Rytov approximation , 1994 .

[19]  T J Davis X-ray diffraction imaging using perfect crystals. , 1996, Journal of X-ray science and technology.

[20]  P A Dieppe,et al.  Recommended methodology for assessing the progression of osteoarthritis of the hip and knee joints. , 1995, Osteoarthritis and cartilage.

[21]  Sharmila Majumdar,et al.  Diffraction enhanced imaging of articular cartilage and comparison with micro-computed tomography of the underlying bone structure , 2004, European Radiology.

[22]  Paola Coan,et al.  Analyzer-based imaging technique in tomography of cartilage and metal implants: a study at the ESRF. , 2008, European journal of radiology.

[23]  Fabian Bamberg,et al.  Characterization of Osteoarthritic and Normal Human Patella Cartilage by Computed Tomography X-ray Phase-Contrast Imaging: A Feasibility Study , 2010, Investigative radiology.

[24]  M. Mayerhoefer,et al.  Detection of degenerative cartilage disease: comparison of high-resolution morphological MR and quantitative T2 mapping at 3.0 Tesla. , 2010, Osteoarthritis and cartilage.

[25]  Application of absorption and refraction matching techniques for diffraction enhanced imaging , 2002 .

[26]  Kozo Nakamura,et al.  Association of radiographic and symptomatic knee osteoarthritis with health-related quality of life in a population-based cohort study in Japan: the ROAD study. , 2010, Osteoarthritis and cartilage.

[27]  E. Förster,et al.  Double crystal diffractometry for the characterization of targets for laser fusion experiments , 1980 .

[28]  Carol Muehleman,et al.  Radiography of rabbit articular cartilage with diffraction-enhanced imaging. , 2003, The anatomical record. Part A, Discoveries in molecular, cellular, and evolutionary biology.

[29]  E Castelli,et al.  Mammography with synchrotron radiation: phase-detection techniques. , 2000, Radiology.

[30]  P. Dieppe,et al.  Associations between pain, function, and radiographic features in osteoarthritis of the knee. , 2006, Arthritis and rheumatism.

[31]  Alberto Bravin,et al.  High-resolution CT by diffraction-enhanced x-ray imaging: mapping of breast tissue samples and comparison with their histo-pathology , 2007, Physics in medicine and biology.

[32]  I. Orion,et al.  Computed tomography of x-ray index of refraction using the diffraction enhanced imaging method. , 2000, Physics in medicine and biology.

[33]  E. Pisano,et al.  Human breast cancer specimens: diffraction-enhanced imaging with histologic correlation--improved conspicuity of lesion detail compared with digital radiography. , 2000, Radiology.

[34]  P. C. Diemoz,et al.  Absorption, refraction and scattering in analyzer-based imaging: comparison of different algorithms. , 2010, Optics express.