About one third of all deaths worldwide can be traced back to cardiovascular diseases. An interventional radiology procedure for their diagnosis is Digital Subtraction Angiography (DSA). An alternative to DSA is K-Edge subtraction (KES) imaging, which has been shown to be advantageous for moving organs and eliminating image artifacts caused by patient movement. As highly brilliant, monochromatic X-rays are required for this method, it has been limited to synchrotron facilities so far, restraining the feasibility in clinical routine. Compact synchrotron X-ray sources based on inverse Compton scattering, which have been evolving substantially over the past decade, provide X-rays with sufficient brilliance that meet spatial and financial requirements affordable in laboratory settings or for university hospitals. In this work, we demonstrate a first proof-of-principle K-edge subtraction imaging experiment using the Munich Compact Light Source (MuCLS), the first user-dedicated installation of a compact synchrotron X-ray source worldwide. It is shown experimentally that the technique of KES increases the visibility of small blood vessels overlaid by bone structures.
X-ray coronary angiography is an invaluable tool for the diagnosis of coronary artery disease. However, the use of iodine-based contrast media can be contraindicated for patients who present with chronic renal insufficiency or with severe iodine allergy. These patients could benefit from a reduced contrast agent concentration, possibly achieved through application of a mono-energetic x-ray beam. While large-scale synchrotrons are impractical for daily clinical use, the technology of compact synchrotron sources strongly advanced during the last decade. Here we present a quantitative analysis of the benefits a compact synchrotron source can offer in coronary angiography. Simulated projection data from quasi-mono-energetic and conventional x-ray tube spectra is used for a CNR comparison. Results show that compact synchrotron spectra would allow for a significant reduction of contrast media. Experimentally, we demonstrate the feasibility of coronary angiography at the Munich Compact Light Source, the first commercial installation of a compact synchrotron source.X-ray imaging is an invaluable diagnostic tool in clinical practice. While conventional x-ray tubes are well established and reliable in clinical x-ray imaging, their broad bremsstrahlung spectra impose a number of drawbacks with respect to image quality. The polychromatic spectrum can introduce beam hardening artifacts or impede the aim to optimize both the dose level and the image quality, as the x-ray energy cannot be tuned directly to the desired range. On the other hand, 3rd generation synchrotron sources offer highly brilliant and monochromatic x-ray beams, but their high spatial and financial demands make their clinical use impracticable. To close this performance gap, new types of x-ray sources have been investigated throughout the last decades. One possibility are compact light sources (CLS) based on inverse Compton scattering 1 , which provide a quasi-mono-energetic, tunable and partially coherent x-ray beam. The first commercially sold system has only recently been installed in Munich, Germany 2 .One of the clinical applications that could benefit significantly from a mono-energetic x-ray beam is coronary angiography, as it relies on contrast media application. A mono-energetic x-ray beam could thoroughly exploit the sudden increase of the absorption coefficient of a contrast medium at its K-edge.Coronary angiography is an invaluable tool for the diagnosis of coronary disease. Complications are frequently associated with the high amount of iodine-based contrast media that are injected during the catheterization procedure. Especially for patients presenting with pre-existing renal insufficiency, there is a high risk to suffer from renal failure due to nephrotoxic effects of iodine-based contrast agents, resulting in severe renal dysfunction and a high risk of subsequent dialysis treatment 3-6 . In addition, several patients show allergic reactions following iodine injection, with the life-threatening risk of anaphylaxis 6 . A high amount of iodine c...
Inverse Compton scattering provides means to generate low-divergence partially coherent quasi-monochromatic, i.e. synchrotron-like, X-ray radiation on a laboratory scale. This enables the transfer of synchrotron techniques into university or industrial environments. Here, the Munich Compact Light Source is presented, which is such a compact synchrotron radiation facility based on an inverse Compton X-ray source (ICS). The recent improvements of the ICS are reported first and then the various experimental techniques which are most suited to the ICS installed at the Technical University of Munich are reviewed. For the latter, a multipurpose X-ray application beamline with two end-stations was designed. The beamline's design and geometry are presented in detail including the different set-ups as well as the available detector options. Application examples of the classes of experiments that can be performed are summarized afterwards. Among them are dynamic in vivo respiratory imaging, propagation-based phase-contrast imaging, grating-based phase-contrast imaging, X-ray microtomography, K-edge subtraction imaging and X-ray spectroscopy. Finally, plans to upgrade the beamline in order to enhance its capabilities are discussed.
In clinical diagnosis, X-ray computed tomography (CT) is one of the most important imaging techniques. Yet, this method lacks the ability to differentiate similarly absorbing substances like commonly used iodine contrast agent and calcium which is typically seen in calcifications, kidney stones and bones. K-edge subtraction (KES) imaging can help distinguish these materials by subtracting two CT scans recorded at different X-ray energies. So far, this method mostly relies on monochromatic X-rays produced at large synchrotron facilities. Here, we present the first proof-of-principle experiment of a filter-based KES CT method performed at a compact synchrotron X-ray source based on inverse-Compton scattering, the Munich Compact Light Source (MuCLS). It is shown that iodine contrast agent and calcium can be clearly separated to provide CT volumes only showing one of the two materials. These results demonstrate that KES CT at a compact synchrotron source can become an important tool in pre-clinical research.
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