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Research ArticleImaging

A Customizable Multimodality Imaging Compound That Relates External Landmarks to Internal Structures

Mulugeta Semework
Journal of Nuclear Medicine Technology December 2015, 43 (4) 267-274; DOI: https://doi.org/10.2967/jnmt.115.162404
Mulugeta Semework
Department of Neuroscience, Columbia University, New York, New York
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  • FIGURE 1.
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    FIGURE 1.

    Initial test of imaging compound (mix) and other ingredients on T1-weighted, T2-weighted, and T2-weighted FLAIR MRI sequences. Arrows indicate compound inside 2-mm-diameter surgical tubing. Commonly used vitamin E tablet disappears in T2-weighted sequences. Ingredient 1 = olive oil; ingredient 2 = purified butter; future ingredient 3 = water.

  • FIGURE 2.
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    FIGURE 2.

    MRI test of compound in various monkey brain sequences. Thin, white layer of compound (top arrows) is seen on top of dental acrylic (opaque mound indicated by lower white arrows) in all scans. Photographs at right show dental acrylic implant in monkey, orientation marker (8-mm-diameter plastic tube filled with compound), and compound placement. FSE = fast spin echo.

  • FIGURE 3.
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    FIGURE 3.

    MRI test of compound in helmet-over-phantom scans. Arrows mark example locations in cross-sectional view of “brain,” where compound is highly MR-visible. Almost all sequences show the compound. Photograph at bottom right shows phantom brain wearing plastic helmet with network of vinyl tubes containing compound. DTI = diffusion tensor imaging; DWI = diffusion-weighted imaging; FSE = fast spin echo; FSPGR = fast spoiled gradient-recalled echo; SAG3D = sagittal 3D; SSFSE = single-shot fast spin echo.

  • FIGURE 4.
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    FIGURE 4.

    MRI test of various formulations of compound: formulation 1 mixed with dental acrylic (A), formulation 1 mixed with acrylic (B), dental acrylic alone (C), formulation 1 without acrylic (D), and formulation 2 without acrylic (E). All were put in 1-mL surgical syringes for stability during scans and ease in visual comparisons. Dental acrylic alone is MR-invisible in all sequences. MRA = MR angiography; MRV = MR venography.

  • FIGURE 5.
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    FIGURE 5.

    Radiography test of various formulations of compound: stainless steel guide tube (2-mm-diameter rod [A]), formulation 1 mixed with dental acrylic in 1-mL surgical syringe (B), formulation 2 mixed with acrylic in 1-mL surgical syringe (C), acrylic alone in 1-mL surgical syringe (D), formulation 1 without acrylic in 1-mL surgical syringe (E), and formulation 2 without acrylic in 1-mL surgical syringe (F). Inset: 75-μm-thick microelectrode (G), 250-μm-thick microelectrode (H), formulation 1 without acrylic in 0.5-mm-wide plastic guide tube (I), and formulation 2 without acrylic in 0.5-mm-wide plastic guide tube (J). Same scan is presented with increasing contrast from top to bottom panels.

  • FIGURE 6.
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    FIGURE 6.

    CT test of various formulations of compound: stainless steel guide tube (2-mm-diameter rod [A]), formulation 1 mixed with dental acrylic in 1-mL surgical syringe (B), formulation 2 mixed with acrylic in 1-mL surgical syringe (C), acrylic alone in 1-mL surgical syringe (D), formulation 1 without acrylic in 1-mL surgical syringe (E), formulation 2 without acrylic in 1-mL surgical syringe (F), 75-μm-thick microelectrode (G), 250-μm-thick microelectrode (H), formulation 1 without acrylic in 0.5-mm-wide plastic guide tube (I), and formulation 2 without acrylic in 0.5-mm-wide plastic guide tube (J). Same scan is presented with increasing contrast from top to bottom panels.

  • FIGURE 7.
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    FIGURE 7.

    High- and low-dose 3D CT test of compound: stainless steel guide tube (2-mm-diameter rod [A]), formulation 1 mixed with dental acrylic in 1-mL surgical syringe (B), formulation 2 mixed with acrylic in 1-mL surgical syringe (C), acrylic alone in 1-mL surgical syringe (D), 75-μm-thick microelectrode (E), 250-μm-thick microelectrode (F), formulation 1 without acrylic in 0.5-mm-wide plastic guide tube (G), and formulation 2 without acrylic in 0.5-mm-wide plastic guide tube (H).

Tables

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    TABLE 1

    MRI Parameters

    FigureSeriesTypeEcho time (ms)Repetition time (ms)Inversion time (ms)Thickness (mm)MatrixResolutionPixel spacing (mm)Scanner
    1T13D43401120 × 120256 × 2560.47 × 0.47Signa
    T22D97.275,20002120 × 120256 × 2560.47 × 0.47Signa
    FLAIR2D120.6410,0022,2002120 × 120224 × 2560.47 × 0.47Signa
    2T2 fast spin echo2D105.7610,8182384 × 256512 × 5120.27 × 0.27Discovery
    T1 FLAIR2D27.682,300.06970.542320 × 224512 × 5120.27 × 0.27Discovery
    T2 FLAIR2D125.608,0002,2502320 × 224512 × 5120.27 × 0.27Discovery
    BRAVO3D4.109.364502384 × 256512 × 5120.27 × 0.27Discovery
    3T1 FLAIR2D16.813,000.011,0005288 × 192512 × 5120.49 × 0.49Discovery
    Diffusion-weighted2D80.88,00005128 × 128224 × 2560.94 × 0.94Discovery
    T2 fast spin echo2D80.48,00004128 × 128256 × 2560.94 × 0.94Discovery
    Diffusion tensor2D80.48,00004128 × 128256 × 2560.94 × 0.94Discovery
    Single-shot fast spin echo2D40.10953.7805288 × 192512 × 5120.43 × 0.43Discovery
    SAG 3D FSPGR3D2.556.325001128 × 128256 × 2560.98 × 0.98Discovery
    Fractional anisotropy2D80.48,00004128 × 128256 × 2560.94 × 0.94Discovery
    4BRAVO3D2.556.325001128 × 128256 × 2560.98 × 0.98Discovery
    T1 FLAIR2D242,3002320 × 244140 × 1400.44 × 0.57Discovery
    T2 FLAIR2D1208,0002,2502320 × 244140 × 1400.44 × 0.57Discovery
    MR angiography3DOut of phase231.2256 × 192140 × 1050.55 × 0.55Discovery
    MR venography2DMinimumMinimum1.5256 × 192140 × 1050.55 × 0.55Discovery
    • *1.5-T Signa Excite (GE Healthcare).

    • †3-T Discovery MR750 (GE Healthcare).

    • SAG FSPGR = sagittal fast spoiled gradient-recalled echo.

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    TABLE 2

    Radiography Parameters (Fig. 5)

    kVpTube current (mA)ModalityFilterArea–dose product (dGy ⋅ cm ⋅ cm)ResolutionField of viewExposure (mAs)Pixel spacing (mm)Exposure time (ms)
    62101Bone densitometryMultiple/copper0.09865 × 1,136173 × 2271.610.19 × 0.1916
    • View popup
    TABLE 3

    CT Parameters

    Scan typeTotal delivered (mAs)Total DLP (mGy ⋅ cm)TypeTube potential (kV)mAsReference quality milliamperageCT dose index volume (mGy)DLP mGy ⋅ cmRotation time (s)Section collimation (mm)Figure
    High dose1,628190Topogram12030mA5.30.66/7
    HR1209.091900.5
    Low dose85489Topogram12035mA5.30.627
    HR503.80890.5
    • DLP = dose–length product; total DLP = DLP of entire examination (estimated radiation exposure).

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Journal of Nuclear Medicine Technology: 43 (4)
Journal of Nuclear Medicine Technology
Vol. 43, Issue 4
December 1, 2015
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A Customizable Multimodality Imaging Compound That Relates External Landmarks to Internal Structures
Mulugeta Semework
Journal of Nuclear Medicine Technology Dec 2015, 43 (4) 267-274; DOI: 10.2967/jnmt.115.162404

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A Customizable Multimodality Imaging Compound That Relates External Landmarks to Internal Structures
Mulugeta Semework
Journal of Nuclear Medicine Technology Dec 2015, 43 (4) 267-274; DOI: 10.2967/jnmt.115.162404
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