Investigation of a solid-state detector for advanced computed tomography

Utilization of solid-state detectors for computed tomography (CT) has been the focus of many studies. Previous phantom and clinical experiments have shown that one of the important performance parameters for the solid-state detector is the primary speed and afterglow. In this paper, we present a detailed investigation on the signal decay characteristics of the HiLight (GE Medical Systems, Milwaukee, WI) scintillating detector. The detector primary speed and afterglow are modeled by a multiexponential function and fully characterized by a set of time constants and relative strengths. The sensitivity of these parameters to X-ray photon energy, detector aging, and radiation exposure is then established and analyzed. No statistically significant variation is observed in these parameters due to changes in the above external variables. The impact of various decay time constants on CT image quality, such as spatial resolution, noise, and artifacts, is subsequently illustrated with computer simulations and phantom experiments. Finally, an algorithmic correction scheme is derived to compensate for detector afterglow. The correction scheme employs a recursive filter to remove adverse effects of the detector decay on image quality. Experimental results have shown that the correction scheme successfully restores system spatial resolution, produces a more homogeneous noise pattern, and eliminates ring-band image artifacts due to detector afterglow. The effectiveness and robustness of the correction scheme are demonstrated by extensive phantom and clinical experiments.     

Tomographic reconstruction for tilted helical multislice CT

One of the most recent technical advancements in computed tomography (CT) is the introduction of multislice CT (MCT). Because multiple detector rows are used for data acquisition, MCT offers higher volume coverage, faster scan speed, and reduced X-ray tube loading. Recognizing its unique data-sampling pattern, several image reconstruction algorithms were developed. These algorithms have been shown to be adequate in producing clinically acceptable images. Recent studies, however, have revealed that the image quality of MCT can be significantly degraded when helical data are acquired with a tilted gantry. The degraded image quality has rendered this feature unacceptable for clinical usage. In this paper, we first present a detailed investigation on the cause of the image quality degradation. An analytical model is derived to provide a mathematical basis for correction. Several compensation schemes are subsequently presented, and a detailed performance comparison is provided in terms of spatial resolution, noise, computation efficiency, and image artifacts.     

Low-Power Parallel Video Compression Architecture for a Single-Chip Digital CMOS Camera

A low-power, large-scale parallel video compression architecture for a single-chip digital CMOS camera is discussed in this paper. This architecture is designed for highly computationally intensive image and video processing tasks necessary to support video compression. Two designs of this architecture, an MPEG2 encoder and a DV encoder, are presented. At an image resolution of 640 × 480 pixels (MPEG2) and 720 × 576 (DV) and a frame rate of 25 to 30 frames per second, a computational throughput of up to 1.8 billion operations per second (BOPS) is required. This is supported in the proposed architecture using a 40 MHz clock and an array of 40 to 45 parallel processors implemented in a 0.2 m CMOS technology and with a 1.5 V supply voltage. Power consumption is significantly reduced through the single-chip integration of the CMOS photo sensors, the embedded DRAM technology, and the proposed pipelined parallel processors. The parallel processors consume approximately 45 mW of power resulting a power efficiency of 40 BOPS/W.     

Genetic Algorithm for Optimization of Infrastructure Investment Under Time-Resource Constraints

Abstract:   This work shows the infrastructure investment decision is essentially a 0-1, nonlinear, multiobjective knapsack problem. It argues that, without making substantial simplification on some of the practical considerations, a conventional mathematical optimization approach may not be suitable for solving the problem. Further, the use of explicit heuristics may sometimes be unwieldy dependent on the system parameters. An innovative approach based on the concept of genetic algorithms is proposed in the work to tackle the nonlinearity in the decision problem. Based on the experimental results, the proposed approach is capable of producing good quality results. The key success feature of the proposed approach resides in the unique and innovative modeling of system parameters by genetic coding in the algorithms .     

A two-term MEDLINE search strategy for identifying randomized trials in obstetrics and gynecology

In this study, we examined whether endothelin (ET) plays a role in the short-term increase in mean arterial pressure (MAP) after nitric oxide synthase (NOS) inhibition with N(omega)-nitro-L-arginine methyl ester (L-NAME) in stroke-prone spontaneously hypertensive rats (SHRSPs). Experiments were performed by using Inactin-anesthetized male SHRSPs that were pretreated with chlorisondamine to block reflex autonomic cardiovascular effects. Injection of L-NAME (10 mg/kg, i.v.), but not D-NAME, produced rapid and marked increases (74 +/- 3 mm Hg) in MAP that were sustained for >1 h. In SHRSPs that were treated with the ET(A/B) receptor antagonist, L-754,142 (15 mg/kg + 15 mg/kg/h), L-NAME increased MAP by 45 +/- 4 mm Hg (p < 0.0001 compared with L-NAME alone). L-754,142 blocked pressor responses to big ET-1 by >90% but was without effect on pressor responses to norepinephrine. Plasma levels of ET-1 averaged 5 +/- 1 pg/ml in animals given vehicle and were slightly increased in animals given either L-NAME alone (7 +/- 2 pg/ml) or L-754,142 alone (7 +/- 2 pg/ml) but increased markedly when L-NAME and L-754,142 were given together (114 +/- 18 pg/ml). This may relate to an effect of L-754,142 to block ET-receptor-mediated clearance of ET-1. We conclude that ET plays a role in the short-term pressor response after NOS inhibition in SHRSPs.     

Swyer James syndrome following Mycoplasma pneumoniae pneumonia: report of one case

Systemic vasculopathy in patients with neurofibromatosis type 1 is rare. We describe a case of unusual cerebral and renal involvement in a young, 29-year-old patient, who died of a cerebral ischemic attack one year after our observation.     

Active Wegener's granulomatosis is associated with HLA-DR+ CD4+ T cells exhibiting an unbalanced Th1-type T cell cytokine pattern: reversal with IL-10

Wegener's granulomatosis (WG) is a granulomatous vasculitis that affects the upper respiratory tract, lung, and kidney. Since T cells make up a significant proportion of cells infiltrating granulomatous lesions in WG, we investigated the proliferative response and cytokine profile of T cells from these patients. PBMCs were isolated from 12 patients with active WG, 7 patients with inactive disease, and 12 healthy normal donors. PBMCs from clinically active WG patients exhibited increased proliferation following stimulation with either PMA/ionomycin or anti-CD2 and anti-CD28, when compared with normal donors. In addition, these PBMCs exhibited increased secretion of IFN-gamma, but not of IL-4, IL-5, or IL-10. Furthermore, TNF-alpha production from PBMCs and CD4+ T cells isolated from patients with WG was elevated, when compared with healthy donors. In further studies, we investigated the ability of WG patients' monocytes to produce IL-12 and showed that both inactive and active patients produced increased amounts of IL-12. Finally, the in vitro IFN-gamma production by WG PBMC is inhibited in a dose-dependent manner by exogenous IL-10. These data suggest that T cells from WG patients overproduce IFN-gamma and TNF-alpha, probably due to dysregulated IL-12 secretion, and that IL-10 may therefore have therapeutic implications for this disease.     

Diabetes education on wheels

Diabetes education programs remain underdeveloped in the pediatric setting, resulting in increased consumer complaints and financial liability for hospitals. The Diabetes Education on Wheels program was designed to provide comprehensive, outcome-oriented education for patients with juvenile diabetes. The primary goal of the program was to enhance patients' and family members' ability to achieve self-care in the home setting. The program facilitated sequential learning, improved consumer satisfaction, and promoted financial viability for the hospital.