Data processing techniques impact quantification of cortico-cortical evoked potentials.

Background: Cortico-cortical evoked potentials (CCEPs) are a common tool for probing effective connectivity in intracranial human electrophysiology. As with all human electrophysiology data, CCEP data are highly susceptible to noise. To address noise, filters and re-referencing are often applied to CCEP data, but different processing strategies are used from study to study.

Timing, Energy, and Spatial Characterization of Highly Sampled Monolithic PET Detectors with Different Thicknesses.

The HyPET project proposes a hybrid dedicated TOF-PET for prostate imaging, with pixelated detector blocks in the front layer and monolithic blocks in the back layer. In this work, four detector configurations have been experimentally evaluated for the rear detector layer. The detector configuration consists of LYSO monolithic blocks with the same size (25.

Repeatability of 18F-FDG uptake in metastatic bone lesions of breast cancer patients and implications for accrual to clinical trials.

Background: Standard measures of response such as Response Evaluation Criteria in Solid Tumors are ineffective for bone lesions, often making breast cancer patients with bone-dominant metastases ineligible for clinical trials with potentially helpful therapies. In this study we prospectively evaluated the test-retest uptake variability of 2-deoxy-2-[F]fluoro-D-glucose (F-FDG) in a cohort of breast cancer patients with bone-dominant metastases to determine response criteria. The thresholds for 95% specificity of change versus no-change were then applied to a second cohort of breast cancer patients with bone-dominant metastases.

Splenic artery pathology presentation, operative interventions, and outcomes in 88 patients with vascular Ehlers-Danlos syndrome.

Objective: Vascular Ehlers-Danlos syndrome (VEDS) is rare and associated with arteriopathies. The aim of this study is to investigate the presentation, operative interventions, and outcomes of splenic arterial pathology in a population of more than 1500 individuals with genetically confirmed VEDS due to pathogenic COL3A1 variants.

Methods: Cross-sectional analysis of 1547 individuals was performed.

Practical Tools for Patient-specific Characterization and Dosimetry of Radiopharmaceutical Extravasation.

Extravasation during radiopharmaceutical injection may occur with a frequency of more than 10%. In these cases, radioactivity remains within tissue and deposits unintended radiation dose. Characterization of extravasations is a necessary step in accurate dosimetry, but a lack of free and publicly available tools hampers routine standardized analysis.

Classifying vertebral artery anatomy abnormality in children with skeletal dysplasia.

Purpose: Skeletal dysplasia (SKD) have predictably abnormal occipitocervical skeletal anatomy, but a similar understanding of their vertebral artery anatomy is not known. Knowledge and classification of vertebral artery anatomy in SKD patients is important for safe surgical planning. We aimed to determine if predictably abnormal vertebral artery anatomy exists in pediatric SKD.

The ability of magnetic resonance black blood vessel wall imaging to evaluate blunt cerebrovascular injury following acute trauma.

Background And Purpose: Blunt cerebrovascular injury (BCVI) is associated with a significant risk of ischemic stroke when left untreated. Cross-sectional imaging is vital to early BCVI diagnosis and treatment; however, conventional luminal vessel imaging is limited in its ability to evaluate for vessel wall pathology. The purpose of this study is to evaluate the ability of vessel wall magnetic resonance imaging (VWI) to detect and evaluate BCVI in acutely injured trauma patients relative to neck computed tomographic angiography (CTA).

Diagnostic yield of non-invasive imaging in patients following non-traumatic out-of-hospital sudden cardiac arrest: A systematic review.

Aim: To review data for non-invasive imaging in the diagnosis of non-traumatic out-of-hospital cardiac arrest (OHCA).

Data Sources: We searched MEDLINE, EMBASE, Cochrane library, and clinicaltrials.gov databases from inception to January 2017 for studies utilizing non-invasive imaging to identify potential causes of OHCA [computed tomography (CT), ultrasound including echocardiography, and magnetic resonance (MRI)].

Pediatric mandibular metastasis: A rare finding of neuroblastoma.

We present a case of metastatic neuroblastoma to the mandible in an 11-month-old patient presenting with worsening right-sided proptosis and scalp swelling after a fall 2 weeks prior. Initial evaluation with computed tomography of the head demonstrated soft tissue masses centered at the right sphenoid and right mandible. These masses proved to be metastatic lesions from an intra-abdominal neuroblastoma.

Carotid intraplaque hemorrhage on vessel wall MRI does not correlate with TCD emboli monitoring in patients with recently symptomatic carotid atherosclerosis.

Background Carotid intraplaque hemorrhage (IPH) seen on vessel wall MRI is associated with an increased risk of stroke or transient ischemic attack, as are microembolic signals (MES) detected by transcranial Doppler (TCD). We sought to examine the association between IPH and MES in acute stroke patients with symptomatic carotid atherosclerosis. Methods Through a retrospective chart review, we included patients from 2011 to 2013 with acute ischemic stroke due to carotid atherosclerosis of varying stenosis who had both 3D volumetric MRI of the neck and TCD emboli monitoring.

Depth of Interaction Calibration and Capabilities in 2×2 Discrete Crystal Arrays and Digital Silicon Photomultipliers.

Digital silicon photomultiplers (dSiPMs) have potential in the advancement of PET detectors. Their advantages include decreased dark counts through selective microcell activation, fast timing, and flexibility configuring event triggering and collection. Further improvements in PET image resolution are possible when photon depth of interaction (DOI) is available, as this reduces parallax error caused by mispositioning events at the peripheral field of view.

Light-Sharing Interface for dMiCE Detectors using Sub-Surface Laser Engraving.

We have previously reported on dMiCE, a method of resolving depth or interaction (DOI) in a pair of discrete crystals by encoding light sharing properties as a function of depth in the interface of this crystal-element pair. A challenge for this method is the cost and repeatability of interface treatment for a crystal pair. In this work, we report our preliminary results on using sub-surface laser engraving (SSLE) as a means of forming this depth-dependent interface in a dMiCE detector.

Resolution Properties of a Prototype Continuous Miniature Crystal Element (cMiCE) Scanner.

Continuous miniature crystal element (cMiCE) detectors are a potentially lower cost alternative for high resolution discrete crystal PET detector designs. We report on performance characteristics of a prototype PET scanner consisting of two cMiCE detector modules. Each cMiCE detector is comprised of a 50 × 50 × 8 mm LYSO crystal coupled to a 64 channel multi-anode PMT.

Multiple-hit parameter estimation in monolithic detectors.

We examine a maximum-a-priori (MAP) method for estimating the primary interaction position of gamma rays with multiple-interaction sites (hits) in a monolithic detector. In assessing the performance of a multiple-hit estimator over that of a conventional one-hit estimator, we consider a few different detector and readout configurations of a 50-mm-wide square LSO block. For this study, we use simulated data from SCOUT, a Monte-Carlo tool for photon tracking and modeling scintillation-camera output.

Measurements of entrance-surface vs. conventional single-ended readout of a monolithic scintillator.

Availability of compact high-gain, low-noise Silicon Photomultipliers (SiPM) prompts us to examine readout sensors on the entrance surface (SES) as compared to the conventional single-ended readout with sensors on the opposing surface. We measured detector response statistics versus 3D position for these configurations using an 8×8 SiPM array on a 15-mm-thick by 32-mm-wide LYSO block. We calibrate an independently distributed multivariate-normal likelihood model and use it to generate maximum-likelihood estimates of 3D interaction position.

Evolution of the Design of a Second Generation FireWire Based Data Acquisition System.

Our laboratory has previously reported on the basic design concepts of an updated FireWire based data acquisition system for depth-of-interaction detector systems designed at the University of Washington. The new version of our data acquisition system leverages the capabilities of modern field programmable gate arrays (FPGA) and puts almost all functions into the FPGA, including the FireWire elements, the embedded processor, and pulse timing and integration. The design is centered around an acquisition node board (ANB) that includes 64 serial ADC channels, one high speed parallel ADC, FireWire 1394b support, the FPGA, a serial command bus and signal lines to support a rough coincidence window implementation to reject singles events from being sent on the FireWire bus.

New Continuous Miniature Crystal Element (cMiCE) Detector Geometries.

Continuous miniature crystal element (cMiCE) detectors are a potentially lower cost alternative to high resolution discrete crystal designs. We report on the intrinsic spatial resolution performance for two cMiCE PET detector designs with depth of interaction (DOI) positioning capability. The first detector utilizes a 50 mm by 50 mm by 8 mm LYSO crystal coupled to a 64 channel, multi-anode PMT.

SCOUT: A Fast Monte-Carlo Modeling Tool of Scintillation Camera Output.

We have developed a Monte-Carlo photon-tracking and readout simulator called SCOUT to study the stochastic behavior of signals output from a simplified rectangular scintillation-camera design. SCOUT models the salient processes affecting signal generation, transport, and readout. Presently, we compare output signal statistics from SCOUT to experimental results for both a discrete and a monolithic camera.

Comparison of Detector Intrinsic Spatial Resolution Characteristics for Sensor on the Entrance Surface and Conventional Readout Designs.

We report on a high resolution, monolithic crystal PET detector design concept that provides depth of interaction (DOI) positioning within the crystal. Our design utilizes a novel sensor on the entrance surface (SES) approach combined with a maximum likelihood positioning algorithm. We compare the intrinsic spatial resolution characteristics (i.

Design of a Second Generation Firewire Based Data Acquisition System for Small Animal PET Scanners.

The University of Washington developed a Firewire based data acquisition system for the MiCES small animal PET scanner. Development work has continued on new imaging scanners that require more data channels and need to be able to operate within a MRI imaging system. To support these scanners, we have designed a new version of our data acquisition system that leverages the capabilities of modern field programmable gate arrays (FPGA).

Design of a High Resolution, Monolithic Crystal, PET/MRI Detector with DOI Positioning Capability.

We report on a high resolution, monolithic crystal PET detector design concept that provides depth of interaction (DOI) positioning within the crystal and is compatible for operation in a MRI scanner to support multimodal anatomic and functional imaging. Our design utilizes a novel sensor on the entrance surface (SES) approach combined with a maximum likelihood positioning algorithm. The sensor will be a two-dimensional array of micro-pixel avalanche photodiodes (MAPD).

Calibration procedure for a continuous miniature crystal element (cMiCE) detector.

We report on methods to speed up the calibration process for a continuous miniature crystal element (cMiCE) detector. Our cMiCE detector is composed of a 50 mm by 50 mm by 8 mm thick LYSO crystal coupled to a 64-channel, flat panel photomultiplier tube (PMT). This detector is a lower cost alternative to designs that use finely pixilated individual crystal detectors.