Background Although advanced medical imaging technologies give detailed diagnostic information, a low-dose, fast, and inexpensive option for early detection of respiratory diseases and follow-ups is still lacking. The novel method of x-ray dark-field chest imaging might fill this gap but has not yet been studied in living humans. Enabling the assessment of microstructural changes in lung parenchyma, this technique presents a more sensitive alternative to conventional chest x-rays, and yet requires only a fraction of the dose applied in CT. We studied the application of this technique to assess pulmonary emphysema in patients with chronic obstructive pulmonary disease (COPD). MethodsIn this diagnostic accuracy study, we designed and built a novel dark-field chest x-ray system (Technical University of Munich, Munich, Germany)-which is also capable of simultaneously acquiring a conventional thorax radiograph ( 7s, 0•035 mSv effective dose). Patients who had undergone a medically indicated chest CT were recruited from the department of Radiology and Pneumology of our site (Klinikum rechts der Isar, Technical University of Munich, Munich, Germany). Patients with pulmonary pathologies, or conditions other than COPD, that might influence lung parenchyma were excluded. For patients with different disease stages of pulmonary emphysema, x-ray dark-field images and CT images were acquired and visually assessed by five readers. Pulmonary function tests (spirometry and body plethysmography) were performed for every patient and for a subgroup of patients the measurement of diffusion capacity was performed. Individual patient datasets were statistically evaluated using correlation testing, rank-based analysis of variance, and pair-wise post-hoc comparison. Findings Between October, 2018 and December, 2019 we enrolled 77 patients. Compared with CT-based parameters (quantitative emphysema ρ=-0•27, p=0•089 and visual emphysema ρ=-0•45, p=0•0028), the dark-field signal (ρ=0•62, p<0•0001) yields a stronger correlation with lung diffusion capacity in the evaluated cohort. Emphysema assessment based on dark-field chest x-ray features yields consistent conclusions with findings from visual CT image interpretation and shows improved diagnostic performance than conventional clinical tests characterising emphysema. Pair-wise comparison of corresponding test parameters between adjacent visual emphysema severity groups (CT-based, reference standard) showed higher effect sizes. The mean effect size over the group comparisons (absent-trace, trace-mild, mild-moderate, and moderate-confluent or advanced destructive visual emphysema grades) for the COPD assessment test score is 0•21, for forced expiratory volume in 1 s (FEV 1 )/functional vital capacity is 0•25, for FEV 1 % of predicted is 0•23, for residual volume % of predicted is 0•24, for CT emphysema index is 0•35, for dark-field signal homogeneity within lungs is 0•38, for dark-field signal texture within lungs is 0•38, and for darkfield-based emphysema severity is 0•42. Interpretation X-r...
neutron grating interferometry (nGi) is a unique technique allowing to probe magnetic and nuclear properties of materials not accessible in standard neutron imaging. the signal-to-noise ratio of an nGI setup is strongly dependent on the achievable visibility. Hence, for analysis of weak signals or short measurement times a high visibility is desired. We developed a new talbot-Lau interferometer using the third Talbot order with an unprecedented visibility (0.74) over a large field of view. Using the third talbot order and the resulting decreased asymmetry allows to access a wide correlation length range. Moreover, we have used a novel technique for the production of the absorption gratings which provides nearly binary gratings even for thermal neutrons. the performance of the new interferometer is demonstrated by visualizing the local magnetic domain wall density in electrical steel sheets when influenced by residual stress induced by embossing. We demonstrate that it is possible to affect the density of the magnetic domain walls by embossing and therefore to engineer the guiding of magnetic fields in electrical steel sheets. The excellent performance of our new setup will also facilitate future studies of dynamic effects in electric steels and other systems. Neutron radiography is a method allowing for non-destructive analysis of the inner structure of an object 1. Because the neutron cross-sections show no systematic dependence on the atomic number, both light and heavy elements can be visualized. Moreover, the contrast between different materials can be varied by using isotopes. Therefore, neutron imaging has been established to be a very efficient technique in materials science, research in cultural heritage, archaeology, and engineering, where imaging with X-rays fails to produce sufficient contrast. Neutron imaging is, however, limited by the coarse spatial resolution imposed by the limitations in neutron flux and the spatial resolution of the neutron detectors. Currently, the achieved spatial resolution is in the low single μm range 2-7. Paths towards resolving structures with higher resolution (e.g. water transport in fuel cells) are, for example, improving the detector resolution 3-6 or in some cases using neutron grating interferometry (nGI) 8,9 as a spatially resolved ultra-small-angle scattering technique. nGI simultaneously gathers spatially resolved information about the transmission-(TI), the differential phase contrast-(DPCI) and the scattering/dark-field (DFI) of a sample. Most notably, the contrast provided by the DFI 10,11 is generated by ultra-small-angle neutron scattering (USANS) off structures on a length scale similar to the correlation length of the interferometer setup, which is typically in the range 0.1 μm to 10 μm. Such structures are caused by variations of the nuclear or magnetic
Here we report on a non-destructive, spatially resolving and easy to implement quality and parameter control method for high aspect ratio X-ray absorption gratings. Based on angular X-ray transmission measurements, our proposed technique allows to determine the duty cycle, the transmittance, the height, as well as the local inclination of the absorbing grating structures. A key advantage of the presented method is a fast and extensive grating quality evaluation without the need of implementing an entire grating interferometer. In addition to the local and surface-based analysis using a scanning electron microscope, our non-destructive method provides global averaged macroscopic and spatially resolved grating structure information without the requirement of resolving individual grating lines.
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