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biomedical imaging has allowed us to
visualize biological structure and function at macroscopic and microscopic levels
what was the first biomedical imaging technology for seeing inside the body
-William Roentgen, German physicist
-x-ray
-1895
x-rays
-Wavelengths of about 0.1 nm
-A form of ionizing radiation
-Useful for imaging
how do x-rays work on human
Human body is translucent to x-rays of
correct wavelength : can partially penetrate
or be absorbed depending on density of
tissue
x-ray computed tomography
• X-ray images taken as previously
described but from multiple projections; Rotating gantry with x-ray source and detector array around axial plane of patient
• Computer can be used to reconstruct
data into 3-D image; Usually displayed in axial plane, Weighted numbers assigned to
pixel values to represent different materials (bone, water, air)
X-ray Imaging (Plain Film Radiography)
-Creates a projection image: shadow of a 3D image
• Can show fractures and breaks in bones, cavities in teeth, fluid in lungs, cancer in breasts.
• Good contrast when there is a difference in
density of tissue: not good at visualizing
soft tissue (do not vary much in density)
• Contrast agents can be added to enhance
differences in density
advantaged of tomography vs planar radiation
• No superimposition of images outside area of interest
• Higher contrast
• Data from single CT imaging can be viewed in multiple planes
contrast agents
Radiocontrast agents are used to enhance contrast in certain features
iodinated agents
intravascular imaging
barium-based agents
gastro-intestinal imaging
ultrasound imaging
uses sound instead of light to create imaging
ultrasound image formation
-Frequencies between 2 MHz and 18 MHz are often used
• Sound waves are produced by the transducer made of a piezoelectric material: Resonate in response to a voltage, and when stimulated with a wave, creates a voltage
• Sound waves bounce off tissue interfaces and return to the transducer, generating a voltage
timing of arrival of pulses indicates
depth of echogenic material
speed of sound assumed to be constant in tissue
c = 1540m/s
time taken related to distance from transducer
c = 2d/t
doppler imaging
uses ultrasound to visualize and measure blood flow
doppler imaging process
-Transducer produces a signal of a fixed frequency, but the wavelength of the echo can change depending on the direction and angle of the movement of the objects producing the echo; Toward transducer= shorter wavelength, Away from transducer=longer wavelength
• Faster motion will generate larger change in frequency
• Angle that motion makes with ultrasound pulse will also change frequency (greatest effect when transducer is parallel to motion)
other applications of ultrasound imaging
• Determining elastic properties of tissues
• Microscopic bubbles as contrast agent, or targeting agent
• 3D imaging with additional rotation of transducers or arrays of
transducers
ultrasound strengths
• No ionizing radiation
• Inexpensive
• Centimeter-range depth penetration
• Fast scan times
• Can be made portable
ultrasound weaknesses
• Limited resolution
• Limited depth penetration
• Poor visualization of bony structures
nuclear medicine
-First imaging modality designed to measure function within the body rather than structure
• Based on the detection of radioactive molecules, molecules that are unstable and spontaneously decay to release radiation energy, such as gamma rays
alpha decay
• Emits an alpha particle (2 protons + 2 neutrons)
• Can be blocked by a thin sheet of paper
beta decay
• Emits an electron or positron
• Can be blocked by aluminum sheet
gamma decay
• Emits gamma rays
• Very thick dense layer needed to shield
ionizing radiation
Radioactive molecules are ingested, inhaled, or injected and radioactivity
results in ionizing radiation
nuclear imaging methods
• Planar Imaging
• Single Photon Emission Computed Tomography (SPECT)
• Positron Emission Tomography (PET)
Planar and SPECT imaging
Uses molecules that are, or are chemically linked to radioactive elements that emit gamma rays upon decay (γ decay)
PET imaging
• Uses very short-live radioisotopes that emit positrons (β decay) E.g., 11C, 13N, 18F
• Emitted positron encounters an electron, and when the two particles annihilate each other, two gamma rays are generated in exactly opposite directions
-positron-emitting tracer element is conjugated to a biologically active molecule
gamma camera
detects gamma radiation generated in planar, SPECT, and PET
what is a gamma camera assembled from
Collimator, Scintillation detectors, Photomultipliers
how is a cross-sectional image created for SPECT
imaging at many angles (e.g., with multiple cameras), and reconstructing cross-sections from projections
coincidence detection
needed for PET to identify the position of the positron from the simultaneous detection of gamma rays on opposite sides of the body
nuclear medicine imaging applications
• Location of damage caused by heart attack or stroke
• Decreased activity to indicate damage or restriction of blood flow (stroke, infraction, etc.)
• Bone growth, fractures, tumors and infections using bone scans
• Increased activity to indicate tumor or fracture
• Size, shape, position, irregularities in liver and spleen
• Blood flow, metabolism, neurotransmitter binding, in brain scans
what are functional images from positron electron tomography often combines and superimposed with
images from Computed Tomography or Magnetic Resonance Imaging
magnetic resonance imaging
-Uses a magnet and alternating radio frequency field to alter the magnetic spins of nuclei in the body
• As these nuclei rotate, a rotating magnetic
field can be detected by the scanner
MRI
• No ionizing radiation
• 2-D or 3-D images of the body
• Excellent for soft tissues
generation of an MRI image
• Use a spatially varying magnetic field
• This leads to different precession frequency of the protons at different regions of the tissue
• Resulting MR signal from different regions of a tissue would have a characteristic frequency
• Frequency → location mapping
T1 Image
• Grey matter = gray
• White matter = whit(er)
• CSF = black
T2 Image
• Grey matter = white
• White matter = dark
• CSF = white
what do T1 vs T2 images reflect
differences in relaxation rates between tissues
MR Contrast Agents
• Intravenously injected to enhance visibility of blood vessels, inflammation, tumors
• Typically composed of gadolinium compounds; Alter the relaxation times of tissues when present
MRI applications
excellent for soft tissues (brain, cartilage, muscle, etc)
fMRI (functional magnetic resonance imaging)
• Imaging of the brain by detecting changes to blood flow
• Magnetization of iron (Fe) in hemoglobin is used to detect oxygenation of blood
MRI strengths
-imaging of entire body at any depth
-excellent soft tissue visualization
-no ionizing radiation
MRI weaknesses
-extremely expensive machines
-magnetic precautions must be taken
-long time to perform scans
optical imaging
Allows human vision to see inside the body and at small scales
types of optical imaging
• Microscopy (optical, fluorescence, confocal)
• Endoscopy (fiber optics)
• Optical Coherence Tomography (near Infrared)
what does refraction of light through lenses allow us to see
magnified images of objects through microscopy
speed of light in a vacuum
c=299,792,458 m/s
refractive index
𝑛 = 𝑐/𝑣, where 𝑣= speed of light in given medium
snell’s law
𝑛1 sin 𝜃1 = 𝑛2 sin 𝜃2
compound microscope
• Objective Magnification = M1
• Eyepiece lens Magnification = M2 ;Lens of eye forms real image on retina
• Total system magnification = M1 * M2
histology
used to examine cells and tissues
common stains for histology
Hematoxylin (nucleus) and Eosin (cytoplasm)
fluorescence microscopy
Uses fluorophores (fluorochrome) that selectively stain to obtain functional information in images
fluorescence
1. Absorption of a photon excites the fluorophore, creating an excited electronic singlet state
2. Excited state lasts for a few nanoseconds, and fluorophores go to a relaxed single excited state
3. A photon is emitted, returning the fluorophore to its ground state.
-Due to energy dissipation, energy of emitted photon is of lower energy (longer wavelength)
fluorophores
• fluorescein (FITC), Alexafluors, rhodamine (TRITC), cyanine, eosine
• Often conjugated to antibodies for immunofluorescence
biological fluorescent fluorophores
• Nucleic acid stains are used to stain the cell nucleus (e.g., DAPI, Hoechst)
• Phalloidin stains actin fibers
fluorescent proteins
• E.g., Green fluorescent proteins (GFP), RFP, etc.
• Cells or organisms can be transfected to genetically express GFP as a marker
confocal microscopy
• Thin sections of images are taken and can be stacked to produce a three- dimension image
• Light emerging from points above and below a selected focal plane are filtered out using a pinhole.
endoscopy
uses fiber optics to bring light into and out of the body through passageways, allowing views of internal structures
endoscopes
long snakelike devices with internal fiber optics, and channels for other instruments
examples of endoscopes
Bronchoscopy, colonoscopy, arthroscopy, etc
optics fiber
fiber made of quality silica or plastic that can transmit light between two ends of the fiber
fiber optics
• Based on the principle of total internal reflection
• Total internal reflection occurs at boundaries between materials
• Can occur when light comes from a high-refractive index material to a low-refractive index material, and if incident angle is shallow enough, below a critical angle
collimator
filters gamma rays
scintillation
detect presence of gamma rays; crystalline materials that exhibit luminescence when excited by ionizing radiation
photomultipliers
convert light energy to electrical energy
mason trichome purpose
differentiate collagen (and other connective tissues) from muscle fibers, cytoplasm, and nuclei. helpful for identifying fibrosis or tissue scarring
mason trichome principle
3-dye staining technique; stains nuclei dark blue/black, muscle and cytoplasm red, and collagen or mucus blue or green (depending on dye variant)
mason trichrome applications
commonly used in liver, kidney, and heart biopsies to evaluate fibrosis, smooth muscle changes, and structural organization of tissues