O'Hare, Neil (1991) A study of the imaging of contrast agents for use in computerised tomography. PhD thesis, Dublin City University.
Abstract
A computed tomography (CT) scanner is a device which
is capable of mapping the variation in linear attenuation
coefficient in a slice through an object. This is achieved
by the multiple measurement of the attenuation of an X-ray
beam at various positions and angles through the body. In
medical diagnostic imaging using CT, contrast agents are
administered to patients resulting in increased
attenuation of the beam in the areas where the contrast
agent resides. The increased contrast results in the
easier and more accurate visualisation of abnormalities.
In contrast-enhanced CT, iodine is almost universally
used as the contrast agent when imaging the heart and
associated arteries / veins. This is due to its low
toxicity and high enhancement. It has been used
extensively in traditional diagnostic radiology prior to
the introduction of CT. A study was performed to determine
whether iodine was the optimum element, in terms of the
minimum concentration needed for visualisation, to use in
contrast-enhanced CT scanning of the myocardium / heart
wall. The results of this study show that gadolinium, and
not iodine, is the optimum element to use as a CT contrast
agent. Gadolinium, chelated to DTPA, is presently used as
a contrast agent in MRI.
The above study concentrated only on the particular
case of imaging the myocardium. A theoretical study was
undertaken to determine the minimum concentration of any
element when scanned using two different imaging methods.
The situation studied was that of administering the
contrast agent / analyte to a cylinder, which is itself
contained inside another cylinder, the space between
filled with some matrix. By varying the size of the inner
cylinder, administration of a contrast agent to various
organs or arteries can be simulated. By varying the size
of the outer cylinder, various object / patient sizes can
be studied.
In the first imaging method, two scans are performed
at any energy, one with and one without the analyte
present. These scans are subtracted to yield an image of
the analyte alone. In the second method two scans are
performed; one on the high side and one on the low side of
the K absorption edge of the analyte. Again these are
subtracted to yield an image of the analyte since the
variation in the attenuation of the matrix across the
K-edge is minor compared to that of the analyte.
The equations were verified by both computer
simulations and experimental scans. Two important results
were obtained. As the relative size of the inner cylinder
decreases, firstly the optimum element shifts towards
higher atomic number transition elements and secondly, the
ratio of the minimum concentration of the optimum
elements to the minimum concentration of iodine needed
decreases making the case for using the transition
elements as contrast agents stronger when imaging low
relative size objects.
Metadata
Item Type: | Thesis (PhD) |
---|---|
Date of Award: | 1991 |
Refereed: | No |
Supervisor(s): | Fryar, Joseph |
Uncontrolled Keywords: | Tomography; Imaging |
Subjects: | Physical Sciences > Physics |
DCU Faculties and Centres: | DCU Faculties and Schools > Faculty of Science and Health > School of Physical Sciences |
Use License: | This item is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 3.0 License. View License |
ID Code: | 19235 |
Deposited On: | 10 Sep 2013 11:05 by Celine Campbell . Last Modified 27 Oct 2016 11:23 |
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