Whole-body x-ray dark-field radiography of a human cadaver

Autor: Jana Andrejewski, Fabio De Marco, Konstantin Willer, Wolfgang Noichl, Alex Gustschin, Thomas Koehler, Pascal Meyer, Fabian Kriner, Florian Fischer, Christian Braun, Alexander A. Fingerle, Julia Herzen, Franz Pfeiffer, Daniela Pfeiffer
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: European Radiology Experimental, Vol 5, Iss 1, Pp 1-9 (2021)
Druh dokumentu: article
ISSN: 2509-9280
DOI: 10.1186/s41747-020-00201-1
Popis: Abstract Background Grating-based x-ray dark-field and phase-contrast imaging allow extracting information about refraction and small-angle scatter, beyond conventional attenuation. A step towards clinical translation has recently been achieved, allowing further investigation on humans. Methods After the ethics committee approval, we scanned the full body of a human cadaver in anterior-posterior orientation. Six measurements were stitched together to form the whole-body image. All radiographs were taken at a three-grating large-object x-ray dark-field scanner, each lasting about 40 s. Signal intensities of different anatomical regions were assessed. The magnitude of visibility reduction caused by beam hardening instead of small-angle scatter was analysed using different phantom materials. Maximal effective dose was 0.3 mSv for the abdomen. Results Combined attenuation and dark-field radiography are technically possible throughout a whole human body. High signal levels were found in several bony structures, foreign materials, and the lung. Signal levels were 0.25 ± 0.13 (mean ± standard deviation) for the lungs, 0.08 ± 0.06 for the bones, 0.023 ± 0.019 for soft tissue, and 0.30 ± 0.02 for an antibiotic bead chain. We found that phantom materials, which do not produce small-angle scatter, can generate a strong visibility reduction signal. Conclusion We acquired a whole-body x-ray dark-field radiograph of a human body in few minutes with an effective dose in a clinical acceptable range. Our findings suggest that the observed visibility reduction in the bone and metal is dominated by beam hardening and that the true dark-field signal in the lung is therefore much higher than that of the bone.
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