Diagnosing and mapping pulmonary emphysema on X-ray projection images: incremental value of grating-based X-ray dark-field imaging.

Autor: Felix G Meinel, Felix Schwab, Simone Schleede, Martin Bech, Julia Herzen, Klaus Achterhold, Sigrid Auweter, Fabian Bamberg, Ali Ö Yildirim, Alexander Bohla, Oliver Eickelberg, Rod Loewen, Martin Gifford, Ronald Ruth, Maximilian F Reiser, Franz Pfeiffer, Konstantin Nikolaou
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: PLoS ONE, Vol 8, Iss 3, p e59526 (2013)
Druh dokumentu: article
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0059526
Popis: PURPOSE: To assess whether grating-based X-ray dark-field imaging can increase the sensitivity of X-ray projection images in the diagnosis of pulmonary emphysema and allow for a more accurate assessment of emphysema distribution. MATERIALS AND METHODS: Lungs from three mice with pulmonary emphysema and three healthy mice were imaged ex vivo using a laser-driven compact synchrotron X-ray source. Median signal intensities of transmission (T), dark-field (V) and a combined parameter (normalized scatter) were compared between emphysema and control group. To determine the diagnostic value of each parameter in differentiating between healthy and emphysematous lung tissue, a receiver-operating-characteristic (ROC) curve analysis was performed both on a per-pixel and a per-individual basis. Parametric maps of emphysema distribution were generated using transmission, dark-field and normalized scatter signal and correlated with histopathology. RESULTS: Transmission values relative to water were higher for emphysematous lungs than for control lungs (1.11 vs. 1.06, p
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