Towards synchrotron phase-contrast lung imaging in patients - a proof-of-concept study on porcine lungs in a human-scale chest phantom

J Synchrotron Radiat. 2018 Nov 1;25(Pt 6):1827-1832. doi: 10.1107/S1600577518013401. Epub 2018 Oct 24.

Abstract

In-line free propagation phase-contrast synchrotron tomography of the lungs has been shown to provide superior image quality compared with attenuation-based computed tomography (CT) in small-animal studies. The present study was performed to prove the applicability on a human-patient scale using a chest phantom with ventilated fresh porcine lungs. Local areas of interest were imaged with a pixel size of 100 µm, yielding a high-resolution depiction of anatomical hallmarks of healthy lungs and artificial lung nodules. Details like fine spiculations into surrounding alveolar spaces were shown on a micrometre scale. Minor differences in artificial lung nodule density were detected by phase retrieval. Since we only applied a fraction of the X-ray dose used for clinical high-resolution CT scans, it is believed that this approach may become applicable to the detailed assessment of focal lung lesions in patients in the future.

Keywords: high-resolution porcine lung imaging; phase retrieval; preclinical chest phantom; propagation based imaging; synchrotron radiation.

MeSH terms

  • Algorithms
  • Anatomic Landmarks
  • Animals
  • Humans
  • Image Processing, Computer-Assisted
  • In Vitro Techniques
  • Lung / diagnostic imaging*
  • Phantoms, Imaging*
  • Proof of Concept Study
  • Swine
  • Synchrotrons*
  • Tomography, X-Ray Computed