19 March 2014Small-animal dark-field radiography for pulmonary emphysema evaluation
Andre Yaroshenko, Felix G. Meinel, Katharina Hellbach, Martin Bech, Astrid Velroyen, Mark Müller, Fabian Bamberg, Konstantin Nikolaou, Maximilian F. Reiser M.D., Ali Ö. Yildirim, Oliver Eickelberg, Franz Pfeiffer
Andre Yaroshenko,1 Felix G. Meinel,2 Katharina Hellbach,2 Martin Bech,1,3 Astrid Velroyen,1 Mark Müller,1 Fabian Bamberg,2 Konstantin Nikolaou,2 Maximilian F. Reiser M.D.,2 Ali Ö. Yildirim,4 Oliver Eickelberg,4 Franz Pfeiffer1
1Technische Univ. München (Germany) 2Ludwig-Maximilians-Univ. Hospital München (Germany) 3Lund Univ. (Sweden) 4Helmholtz Zentrum München GmbH (Germany)
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Chronic obstructive pulmonary disease (COPD) is one of the leading causes of morbidity and mortality worldwide and
emphysema is one of its main components. The disorder is characterized by irreversible destruction of the alveolar walls
and enlargement of distal airspaces. Despite the severe changes in the lung tissue morphology, conventional chest
radiographs have only a limited sensitivity for the detection of mild to moderate emphysema. X-ray dark-field is an
imaging modality that can significantly increase the visibility of lung tissue on radiographic images. The dark-field
signal is generated by coherent, small-angle scattering of x-rays on the air-tissue interfaces in the lung. Therefore,
morphological changes in the lung can be clearly visualized on dark-field images. This is demonstrated by a preclinical
study with a small-animal emphysema model. To generate a murine model of pulmonary emphysema, a female
C57BL/6N mouse was treated with a single orotracheal application of porcine pancreatic elastase (80 U/kg body weight)
dissolved in phosphate-buffered saline (PBS). Control mouse received PBS. The mice were imaged using a small-animal
dark-field scanner. While conventional x-ray transmission radiography images revealed only subtle indirect signs of the
pulmonary disorder, the difference between healthy and emphysematous lungs could be clearly directly visualized on the
dark-field images. The dose applied to the animals is compatible with longitudinal studies. The imaging results correlate
well with histology. The results of this study reveal the high potential of dark-field radiography for clinical lung imaging.
Andre Yaroshenko,Felix G. Meinel,Katharina Hellbach,Martin Bech,Astrid Velroyen,Mark Müller,Fabian Bamberg,Konstantin Nikolaou,Maximilian F. Reiser M.D.,Ali Ö. Yildirim,Oliver Eickelberg, andFranz Pfeiffer
"Small-animal dark-field radiography for pulmonary emphysema evaluation", Proc. SPIE 9033, Medical Imaging 2014: Physics of Medical Imaging, 90331M (19 March 2014); https://doi.org/10.1117/12.2042995
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Andre Yaroshenko, Felix G. Meinel, Katharina Hellbach, Martin Bech, Astrid Velroyen, Mark Müller, Fabian Bamberg, Konstantin Nikolaou, Maximilian F. Reiser M.D., Ali Ö. Yildirim, Oliver Eickelberg, Franz Pfeiffer, "Small-animal dark-field radiography for pulmonary emphysema evaluation," Proc. SPIE 9033, Medical Imaging 2014: Physics of Medical Imaging, 90331M (19 March 2014); https://doi.org/10.1117/12.2042995