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Sample records for pediatric chest x-ray

  1. Lung boundary detection in pediatric chest x-rays

    NASA Astrophysics Data System (ADS)

    Candemir, Sema; Antani, Sameer; Jaeger, Stefan; Browning, Renee; Thoma, George R.

    2015-03-01

    Tuberculosis (TB) is a major public health problem worldwide, and highly prevalent in developing countries. According to the World Health Organization (WHO), over 95% of TB deaths occur in low- and middle- income countries that often have under-resourced health care systems. In an effort to aid population screening in such resource challenged settings, the U.S. National Library of Medicine has developed a chest X-ray (CXR) screening system that provides a pre-decision on pulmonary abnormalities. When the system is presented with a digital CXR image from the Picture Archive and Communication Systems (PACS) or an imaging source, it automatically identifies the lung regions in the image, extracts image features, and classifies the image as normal or abnormal using trained machine-learning algorithms. The system has been trained on adult CXR images, and this article presents enhancements toward including pediatric CXR images. Our adult lung boundary detection algorithm is model-based. We note the lung shape differences during pediatric developmental stages, and adulthood, and propose building new lung models suitable for pediatric developmental stages. In this study, we quantify changes in lung shape from infancy to adulthood toward enhancing our lung segmentation algorithm. Our initial findings suggest pediatric age groupings of 0 - 23 months, 2 - 10 years, and 11 - 18 years. We present justification for our groupings. We report on the quality of boundary detection algorithm with the pediatric lung models.

  2. Chest X-Ray

    MedlinePlus

    ... by Image/Video Gallery Your radiologist explains chest x-ray. Transcript Welcome to Radiology Info dot org! Hello, ... you about chest radiography also known as chest x-rays. Chest x-rays are the most commonly performed ...

  3. Chest X Ray?

    MedlinePlus

    ... this page from the NHLBI on Twitter. Chest X Ray A chest x ray is a fast and painless imaging test that ... tissue scarring, called fibrosis. Doctors may use chest x rays to see how well certain treatments are working ...

  4. Chest x-ray

    MedlinePlus

    Chest radiography; Serial chest x-ray; X-ray - chest ... You stand in front of the x-ray machine. You will be told to hold your breath when the x-ray is taken. Two images are usually taken. You will ...

  5. Chest X-Ray

    MedlinePlus Videos and Cool Tools

    ... Site Index A-Z Spotlight Recently posted: Anal Cancer Facet Joint Block Video: Lung Cancer Screening Video: Upper GI Tract X-ray Video: ... of lung conditions such as pneumonia, emphysema and cancer. A chest x-ray requires no special preparation. ...

  6. Chest X-Ray (Chest Radiography)

    MedlinePlus

    ... News Physician Resources Professions Site Index A-Z X-ray (Radiography) - Chest Chest x-ray uses a very ... limitations of Chest Radiography? What is a Chest X-ray (Chest Radiography)? The chest x-ray is the ...

  7. Severity Quantification of Pediatric Viral Respiratory Illnesses in Chest X-ray Images

    PubMed Central

    Okada, Kazunori; Golbaz, Marzieh; Mansoor, Awais; Perez, Geovanny F; Pancham, Krishna; Khan, Abia; Nino, Gustavo; Linguraru, Marius George

    2015-01-01

    Accurate assessment of severity of viral respiratory illnesses (VRIs) allows early interventions to prevent morbidity and mortality in young children. This paper proposes a novel imaging biomarker framework with chest X-ray image for assessing VRI’s severity in infants, developed specifically to meet the distinct challenges for pediatric population. The proposed framework integrates three novel technical contributions: a) lung segmentation using weighted partitioned active shape model, b) obtrusive object removal using graph cut segmentation with asymmetry constraint, and c) severity quantification using information-theoretic heterogeneity measures. This paper presents our pilot experimental results with a dataset of 148 images and the ground-truth severity scores given by a board-certified pediatric pulmonologist, demonstrating the effectiveness and clinical relevance of the presented framework. PMID:26736226

  8. Tuberculosis, advanced - chest x-rays (image)

    MedlinePlus

    ... tissue, and can cause tissue death. These chest x-rays show advanced pulmonary tuberculosis. There are multiple light ... location of cavities within these light areas. The x-ray on the left clearly shows that the opacities ...

  9. Aspergillosis - chest x-ray (image)

    MedlinePlus

    ... usually occurs in immunocompromised individuals. Here, a chest x-ray shows that the fungus has invaded the lung ... are usually seen as black areas on an x-ray. The cloudiness on the left side of this ...

  10. Coccidioidomycosis - chest x-ray (image)

    MedlinePlus

    This chest x-ray shows the affects of a fungal infection, coccidioidomycosis. In the middle of the left lung (seen on the ... defined borders. Other diseases that may explain these x-ray findings include lung abscesses, chronic pulmonary tuberculosis, chronic ...

  11. Adenocarcinoma - chest x-ray (image)

    MedlinePlus

    This chest x-ray shows adenocarcinoma of the lung. There is a rounded light spot in the right upper lung (left side ... density. Diseases that may cause this type of x-ray result would be tuberculous or fungal granuloma, and ...

  12. Chest X-Ray (Chest Radiography)

    MedlinePlus

    ... have very controlled x-ray beams and dose control methods to minimize stray (scatter) radiation. This ensures that those parts of a patient's body not being imaged receive minimal radiation exposure. top ...

  13. 20 CFR 718.102 - Chest roentgenograms (X-rays).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Chest roentgenograms (X-rays). 718.102... roentgenograms (X-rays). (a) A chest roentgenogram (X-ray) shall be of suitable quality for proper classification...-rays as described in Appendix A. (b) A chest X-ray to establish the existence of pneumoconiosis...

  14. 20 CFR 718.102 - Chest roentgenograms (X-rays).

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false Chest roentgenograms (X-rays). 718.102... roentgenograms (X-rays). (a) A chest roentgenogram (X-ray) shall be of suitable quality for proper classification...-rays as described in Appendix A. (b) A chest X-ray to establish the existence of pneumoconiosis...

  15. 20 CFR 718.102 - Chest roentgenograms (X-rays).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Chest roentgenograms (X-rays). 718.102... roentgenograms (X-rays). (a) A chest roentgenogram (X-ray) shall be of suitable quality for proper classification...-rays as described in Appendix A. (b) A chest X-ray to establish the existence of pneumoconiosis shall...

  16. [Lateral chest X-rays. Radiographic anatomy].

    PubMed

    García Villafañe, C; Pedrosa, C S

    2014-01-01

    Lateral chest views constitute an essential part of chest X-ray examinations, so it is fundamental to know the anatomy on these images and to be able to detect the variations manifested on these images in different diseases. The aim of this article is to review the normal anatomy and main normal variants seen on lateral chest views. For teaching purposes, we divide the thorax into different spaces and analyze each in an orderly way, especially emphasizing the anatomic details that are most helpful for locating lesions that have already been detected in the posteroanterior view or for detecting lesions that can be missed in the posteroanterior view.

  17. Interpretation of the neonatal chest X-ray.

    PubMed

    Barnes, N; Pilling, D W

    1999-11-01

    Most neonatal X-rays are seen initially by a paediatrician without formal training in interpretation of chest X-rays. This article aims to help improve the information obtained from these X-rays which are often complex. Many factors affect accurate interpretation of the neonatal chest X-ray, including good quality radiographs, appropriate viewing conditions and thorough education.

  18. Lung mass, right upper lung - chest x-ray (image)

    MedlinePlus

    This picture is a chest x-ray of a person with a lung mass. This is a front view, where the lungs are the two dark areas and ... visible in the middle of the chest. The x-ray shows a mass in the right upper lung, ...

  19. A rare cause of misdiagnosis in chest X-ray

    PubMed Central

    Ortiz-Mendoza, Carlos Manuel

    2016-01-01

    Chest X-ray is a usual tool for family physicians; however, unexpected findings in chest X-ray are a frequent challenge. We present a rare case of pulmonary hilar nodule misdiagnosis in a chest X-ray. An 84-year-old woman was sent with a diagnosis of a right pulmonary hilum nodule. She had a history of chronic obstructive pulmonary disease; so in a chest X-ray, her family physician discovered a “nodule” in her right lung hilum. Her physical exam was not relevant. In our hospital, a thoracic computed tomography (CT) scan verified the mass in the right pulmonary hilum; nevertheless, in a coronal CT scan, the “hilum lump” was the tortuous descending aorta that created an angle. This case illustrates how anatomical changes associated with vascular aging may cause this exceptional pitfall in chest X-ray. PMID:28217605

  20. Coal worker's lungs - chest x-ray (image)

    MedlinePlus

    This chest x-ray shows coal worker's lungs. There are diffuse, small, light areas on both sides (1 to 3 mm) in ... the lungs. Diseases that may result in an x-ray like this include: simple coal workers pneumoconiosis (CWP) - ...

  1. Implementation of Chest X-ray Observation Report Entry System

    PubMed Central

    Seo, Suk-Tae; Park, Hee-Joon; Kim, Min Soo; Son, Chang-Sik; Park, Hyoung-Seob; Jeon, Hyo Chan; Jung, Chi Young

    2010-01-01

    Objectives X-rays are widely used in medical examinations. In particular, chest X-rays are the most frequent imaging test. However, observations are usually recorded in a free-text format. Therefore, it is difficult to standardize the information provided to construct a database for the sharing of clinical data. Here, we describe a simple X-ray observation entry system that can interlock with an electronic medical record system. Methods We investigated common diagnosis indices. Based on the indices, we have designed an entry system which consists of 5 parts: 1) patient lists, 2) image selection, 3) diagnosis result entry, 4) image view, and 5) main menu. The X-ray observation results can be extracted in an Excel format. Results The usefulness of the proposed system was assessed in a study using over 500 patients' chest X-ray images. The data was readily extracted in a format that allowed convenient assessment. Conclusions We proposed the chest X-ray observation entry system. The proposed X-ray observation system, which can be linked with an electronic medical record system, allows easy extraction of standardized clinical information to construct a database. However, the proposed entry system is limited to chest X-rays and it is impossible to interpret the semantic information. Therefore, further research into domains using other interpretation methods is required. PMID:21818450

  2. X-ray face mask and chest shield device

    SciTech Connect

    Moti, S.

    1981-08-25

    A protective face mask is disclosed that is designed to shield an x-ray technician or machine operator primarily from random secondary or scatter x-rays deflected toward his face, head and neck by the table, walls, equipment and other reflecting elements in an x-ray room or chamber, during the period of exposure while adjacent the object or person being exposed to the x-ray beam. The face mask and chest shield device can be mounted on a patient's shoulders in reverse attitude to protect the back of a patient's head and neck from the x-ray beam while being exposed to such beam for chest or upper body portion study and examination. The face mask is relatively or substantially transparent and contains lead in combination with a plastic ionomer or comonomer, which absorbs or resists penetration, to a degree, of the random deflected secondary or scatter x-rays or the x-ray beam through the mask. The face mask is removably attachable to the chest shield for facile application of the device to and support upon the shoulders of the technician or the patient.

  3. Quality assessment of digital X-ray chest images using an anthropomorphic chest phantom

    NASA Astrophysics Data System (ADS)

    Vodovatov, A. V.; Kamishanskaya, I. G.; Drozdov, A. A.; Bernhardsson, C.

    2017-02-01

    The current study is focused on determining the optimal tube voltage for the conventional X-ray digital chest screening examinations, using a visual grading analysis method. Chest images of an anthropomorphic phantom were acquired in posterior-anterior projection on four digital X-ray units with different detector types. X-ray images obtained with an anthropomorphic phantom were accepted by the radiologists as corresponding to a normal human anatomy, hence allowing using phantoms in image quality trials without limitations.

  4. The efficacy of X-rays after chest tube removal.

    PubMed

    Palesty, J A; McKelvey, A A; Dudrick, S J

    2000-01-01

    The insertion and subsequent removal of chest tubes are frequently performed procedures. We hypothesize that routine chest radiographs obtained after chest tube removal to confirm the absence of any post-procedure complications have little impact on clinical management. A 5-year retrospective study of 73 patients with tube thoracotomies was performed in a level II trauma center's intensive care unit. Patients were identified from billing records for chest tube placement. Medical records and official chest x-ray film reports, both before and after removal, were reviewed, and demographic data were collected. Of the 73 patients examined, only 8 had postprocedure reports that differed from the preprocedure reports. Two of these 8 patients required reinsertion of a chest tube to treat the recurrence of a significant pneumothorax. However, the decision to reinsert the chest tube was based on the patient's clinical appearance rather than on the x-ray findings. Chest radiography following the removal of chest tubes should not be a routinely performed procedure, but should preferably be based on the good clinical judgement and discrimination of the surgeon.

  5. [Photostimulation plates or conventional films for bedside chest x-ray in pediatric radiology? A comparative study of quality of image and the dose delivered to patients].

    PubMed

    Maccia, C; Docou le Pointe, H; Fery-Lemonnier, E; Nadeau, X; Montagne, J P; Charpentier, E; Ariche-Cohen, M; Viens-Bitker, C

    1996-11-01

    Image quality and patient doses received during chest bedside examinations performed with conventional (film-screen combination) and photostimulable phosphorus plate systems were compared in a study carried out in 1993 in a French pediatric radiology department. Seventy one children (36 males and 35 females) aged between 9 days and 18 years (average: 43 months) were included in the study. Technical performances of all radiological equipment used were permanently checked through a quality control program. One conventional and 3 "photostimulable" films were performed for each patient included (mAs product selected for "photostimulable" system was progressively reduced down to 60% of that of conventional technique). TLD Lithium Fluoride chips were used to measure entrance surface dose during the examination. Image quality of 284 films (213 "photostimulable" + 71 conventional) was assessed by three independent radiologists. Advantages and drawbacks of both studied imaging techniques are discussed in terms of patient dose reduction and image quality.

  6. Dose optimization in pediatric cardiac x-ray imaging

    SciTech Connect

    Gislason, Amber J.; Davies, Andrew G.; Cowen, Arnold R.

    2010-10-15

    Purpose: The aim of this research was to explore x-ray beam parameters with intent to optimize pediatric x-ray settings in the cardiac catheterization laboratory. This study examined the effects of peak x-ray tube voltage (kVp) and of copper (Cu) x-ray beam filtration independently on the image quality to dose balance for pediatric patient sizes. The impact of antiscatter grid removal on the image quality to dose balance was also investigated. Methods: Image sequences of polymethyl methacrylate phantoms approximating chest sizes typical of pediatric patients were captured using a modern flat-panel receptor based x-ray imaging system. Tin was used to simulate iodine-based contrast medium used in clinical procedures. Measurements of tin detail contrast and flat field image noise provided the contrast to noise ratio. Entrance surface dose (ESD) and effective dose (E) measurements were obtained to calculate the figure of merit (FOM), CNR{sup 2}/dose, which evaluated the dose efficiency of the x-ray parameters investigated. The kVp, tube current (mA), and pulse duration were set manually by overriding the system's automatic dose control mechanisms. Images were captured with 0, 0.1, 0.25, 0.4, and 0.9 mm added Cu filtration, for 50, 55, 60, 65, and 70 kVp with the antiscatter grid in place, and then with it removed. Results: For a given phantom thickness, as the Cu filter thickness was increased, lower kVp was favored. Examining kVp alone, lower values were generally favored, more so for thinner phantoms. Considering ESD, the 8.5 cm phantom had the highest FOM at 50 kVp using 0.4 mm of Cu filtration. The 12 cm phantom had the highest FOM at 55 kVp using 0.9 mm Cu, and the 16 cm phantom had highest FOM at 55 kVp using 0.4 mm Cu. With regard to E, the 8.5 and 12 cm phantoms had the highest FOM at 50 kVp using 0.4 mm of Cu filtration, and the 16 cm phantom had the highest FOM at 50 kVp using 0.25 mm Cu. Antiscatter grid removal improved the FOM for a given set of x-ray

  7. Respiratory distress in newborn: evaluation of chest X-rays.

    PubMed

    Roggini, M; Pepino, D; D'Avanzo, M; Andreoli, G M; Ceccanti, S; Capocaccia, P

    2010-06-01

    We discuss the anatomic and pathophysiological patterns of preterm and term newborn. Particular attention is directed to technical artefacts relating to the interpretation of chest radiography. We analyze the reading of chest X-Ray of preterm with low birth weight and poor lung maturation. Are also taken into account X-Ray features relating to alveolar "recruitment" and radiographic changes after surfactant's administration. We highlight the most important paintings of bruncopulmonary dysplasia and its evolution. The most frequent neonatal pulmonary inflammation and thoraco-pulmonary malformation, that may affect more the neonatologist, are mentioned. We discuss the new diagnostic approach with non invasive techniques (ultrasound) in the neonatal distress. Some easily recognizable congenital heart disease are finally describes.

  8. Using Gagne's theory to teach chest X-ray interpretation.

    PubMed

    Belfield, Jane

    2010-03-01

    as a Radiologist providing teaching for medical students and junior doctors, I have spent time devising lesson plans. It is vital to know the aims and objectives prior to teaching sessions in order that the students benefit as much as possible. This article describes a lesson plan for interpretation of a chest X-Ray using a theory described by Robert Gagne. Gagne developed a model of instructional design, which provides information and interaction to enhance the learning process. This model is based on nine instructional events used during a teaching session. These are: gaining attention, informing the learner of the objective, stimulating recall of prior material, presenting the stimulus material, providing learning guidance, eliciting the performance, providing feedback, assessing the performance and enhancing retention and transfer. this article uses the nine points described by Gagne and describes a model of how to teach chest X-ray interpretation. Each of Gagne's points is illustrated with a specific example of how this would fit into the Radiology teaching session. Gagne's theory of instructional design can be adapted depending on the subject being taught. It is useful, both for the teacher and the student, to prepare a lesson plan in advance with knowledge of required aims and objectives. Having run teaching sessions which use Gagne's theory, students have given very positive feedback and as a teacher I found the lesson ran more smoothly. Blackwell Publishing Ltd 2010.

  9. Eigen analysis for classifying chest x-ray images

    NASA Astrophysics Data System (ADS)

    Bones, Philip J.; Butler, Anthony P. H.

    2004-10-01

    A method first employed for face recognition has been employed to analyse a set of chest x-ray images. After marking certain common features on the images, they are registered by means of an affine transformation. The differences between each registered image and the mean of all images in the set are computed and the first K principal components are found, where K is less than or equal to the number of images in the set. These form eigenimages (we have coined the term 'eigenchests') from which an approximation to any one of the original images can be reconstructed. Since the method effectively treats each pixel as a dimension in a hyperspace, the matrices concerned are huge; we employ the method developed by Turk and Pentland for face recognition to make the computations tractable. The K coefficients for the eigenimages encode the variation between images and form the basis for discriminating normal from abnormal. Preliminary results have been obtained for a set of eigenimages formed from a set of normal chests and tested on separate sets of normals and patients with pneumonia. The distributions of coefficients have been observed to be different for the two test sets and work is continuing to determine the most sensitive method for detecting the differences.

  10. [Detection of pleural plaques on chest X-ray film by chest physicians].

    PubMed

    Enomoto, Tatsuji; Matsumoto, Aki; Saito, Hitoshi; Narato, Ritsuko; Shingu, Akiko; Sugisaki, Midori; Nakamura, Seiichi; Takeda, Toshiaki; Nomura, Koichiro

    2010-04-01

    With increasing awareness about health damage due to asbestos exposure, the number of people presenting with non-occupational exposure has increased remarkably. Consequently, chest physicians in general hospitals must read the chest X-ray films of patients with asbestos exposure. Can non-specialized chest physicians, who may have little experience of occupational medicine, diagnose pleural plaques accurately? The study subjects were 44 consecutive patients who were admitted to our hospital, under the Japanese medical health check system for workers employed in dangerous work. Their chest X-ray films were checked by 4 chest physicians, who were independently informed that the patients had a high suspicion of asbestos exposure. The detection rate of chest Xray for pleural plaques was compared with computed tomography (CT) results as the gold standard. The sensitivity was 0.818 and the specificity was 0.393. The sensitivity of the presence of pleural plaques was lower in anterior and posterior sites, and on the pleura adjacent to the mediastinum, pericardium and vertebral (0.429, 0.348, 0.217), while specificity was lower on lateral sites (0.610). Chest physicians in general hospitals must be trained in the manifestation of asbestos-related diseases.

  11. Do X-rays after chest tube removal change patient management?

    PubMed

    Johnson, Bret; Rylander, Michele; Beres, Alana L

    2017-05-01

    A link between childhood radiation and future cancer risks exists, and reduction of unnecessary radiation in childhood has been recommended. Pneumothoraces, pleural effusions, and many surgical procedures require placement of a chest tube/pigtail catheter. Traditional management is daily x-rays, with an x-ray after tube removal. Our hypothesis is the "post pull" x-ray rarely results in changing clinical management of the patient. With IRB approval, a 5-year retrospective chart review was performed. Inclusion criteria were chest tube or pigtail placed for any reason with complete records. Data collected were demographics, reason for and duration of placement, number of x-rays done prior to and after removal. Primary outcome was whether the "post pull" x-ray changed clinical management. A total of 179 episodes were evaluated. Seventeen were excluded for incomplete data, or death/transfer of the patient with the tube in situ. Forty-nine tubes/pigtails were placed for pneumothorax, 48 for pleural effusion/empyema, 9 for hemothorax, and 51 during operative procedure. A median of 5 x-rays was done post insertion. 99% of the patients (160/162) had a "post pull" x-ray performed after tube removal. In 9 cases the x-ray changed patient management. X-ray after chest tube/pigtail removal rarely changes patient management. We recommend considering imaging if there are clinical symptoms. Prognosis study, level II (retrospective cohort). Copyright © 2017 Elsevier Inc. All rights reserved.

  12. 20 percent lower lung cancer mortality with low-dose CT vs chest X-ray

    Cancer.gov

    Scientists have found a 20 percent reduction in deaths from lung cancer among current or former heavy smokers who were screened with low-dose helical computed tomography (CT) versus those screened by chest X-ray.

  13. Ultrasound detection of pneumothorax compared with chest X-ray and computed tomography scan.

    PubMed

    Nagarsheth, Khanjan; Kurek, Stanley

    2011-04-01

    Pneumothorax after trauma can be a life threatening injury and its care requires expeditious and accurate diagnosis and possible intervention. We performed a prospective, single blinded study with convenience sampling at a Level I trauma center comparing thoracic ultrasound with chest X-ray and CT scan in the detection of traumatic pneumothorax. Trauma patients that received a thoracic ultrasound, chest X-ray, and chest CT scan were included in the study. The chest X-rays were read by a radiologist who was blinded to the thoracic ultrasound results. Then both were compared with CT scan results. One hundred and twenty-five patients had a thoracic ultrasound performed in the 24-month period. Forty-six patients were excluded from the study due to lack of either a chest X-ray or chest CT scan. Of the remaining 79 patients there were 22 positive pneumothorax found by CT and of those 18 (82%) were found on ultrasound and 7 (32%) were found on chest X-ray. The sensitivity of thoracic ultrasound was found to be 81.8 per cent and the specificity was found to be 100 per cent. The sensitivity of chest X-ray was found to be 31.8 per cent and again the specificity was found to be 100 per cent. The negative predictive value of thoracic ultrasound for pneumothorax was 0.934 and the negative predictive value for chest X-ray for pneumothorax was found to be 0.792. We advocate the use of chest ultrasound for detection of pneumothorax in trauma patients.

  14. Failure of chest X-rays to diagnose pneumothoraces after blunt trauma.

    PubMed

    Collins, J A; Samra, G S

    1998-01-01

    We report four cases of occult pneumothorax in patients who had suffered blunt trauma. In each case supine chest X-rays failed to diagnose an anterior pneumothorax. Subsequent spiral computerised tomography scans of the chest showed anterior pneumothoraces in all cases. In two of the cases anterior pneumothoraces were present in spite of a chest drain having been placed in the pleural cavity. We recommend the insertion of anteriorly positioned chest drains to relieve pneumothoraces in severely injured trauma patients.

  15. Accuracy of remote chest X-ray interpretation using Google Glass technology.

    PubMed

    Spaedy, Emily; Christakopoulos, Georgios E; Tarar, Muhammad Nauman J; Christopoulos, Georgios; Rangan, Bavana V; Roesle, Michele; Ochoa, Cristhiaan D; Yarbrough, William; Banerjee, Subhash; Brilakis, Emmanouil S

    2016-09-15

    We sought to explore the accuracy of remote chest X-ray reading using hands-free, wearable technology (Google Glass, Google, Mountain View, California). We compared interpretation of twelve chest X-rays with 23 major cardiopulmonary findings by faculty and fellows from cardiology, radiology, and pulmonary-critical care via: (1) viewing the chest X-ray image on the Google Glass screen; (2) viewing a photograph of the chest X-ray taken using Google Glass and interpreted on a mobile device; (3) viewing the original chest X-ray on a desktop computer screen. One point was given for identification of each correct finding and a subjective rating of user experience was recorded. Fifteen physicians (5 faculty and 10 fellows) participated. The average chest X-ray reading score (maximum 23 points) as viewed through the Google Glass, Google Glass photograph on a mobile device, and the original X-ray viewed on a desktop computer was 14.1±2.2, 18.5±1.5 and 21.3±1.7, respectively (p<0.0001 between Google Glass and mobile device, p<0.0001 between Google Glass and desktop computer and p=0.0004 between mobile device and desktop computer). Of 15 physicians, 11 (73.3%) felt confident in detecting findings using the photograph taken by Google Glass as viewed on a mobile device. Remote chest X-ray interpretation using hands-free, wearable technology (Google Glass) is less accurate than interpretation using a desktop computer or a mobile device, suggesting that further technical improvements are needed before widespread application of this novel technology. Published by Elsevier Ireland Ltd.

  16. First experience with x-ray dark-field radiography for human chest imaging (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Noel, Peter B.; Willer, Konstantin; Fingerle, Alexander A.; Gromann, Lukas B.; De Marco, Fabio; Scherer, Kai H.; Herzen, Julia; Achterhold, Klaus; Gleich, Bernhard; Münzel, Daniela; Renz, Martin; Renger, Bernhard C.; Fischer, Florian; Braun, Christian; Auweter, Sigrid; Hellbach, Katharina; Reiser, Maximilian F.; Schröter, Tobias; Mohr, Jürgen; Yaroshenko, Andre; Maack, Hanns-Ingo; Pralow, Thomas; van der Heijden, Hendrik; Proksa, Roland; Köhler, Thomas; Wieberneit, Nataly; Rindt, Karsten; Rummeny, Ernst J.; Pfeiffer, Franz

    2017-03-01

    Purpose: To evaluate the performance of an experimental X-ray dark-field radiography system for chest imaging in humans and to compare with conventional diagnostic imaging. Materials and Methods: The study was institutional review board (IRB) approved. A single human cadaver (52 years, female, height: 173 cm, weight: 84 kg, chest circumference: 97 cm) was imaged within 24 hours post mortem on the experimental x-ray dark-field system. In addition, the cadaver was imaged on a clinical CT system to obtain a reference scan. The grating-based dark-field radiography setup was equipped with a set of three gratings to enable grating-based dark-field contrast x-ray imaging. The prototype operates at an acceleration voltage of up to 70 kVp and with a field-of-view large enough for clinical chest x-ray (>35 x 35 cm2). Results: It was feasible to extract x-ray dark-field signal of the whole human thorax, clearly demonstrating that human x-ray dark-field chest radiography is feasible. Lung tissue produced strong scattering, reflected in a pronounced x-ray dark-field signal. The ribcage and the backbone are less prominent than the lung but are also distinguishable. Finally, the soft tissue is not present in the dark-field radiography. The regions of the lungs affected by edema, as verified by CT, showed less dark-field signal compared to healthy lung tissue. Conclusion: Our results reveal the current status of translating dark-field imaging from a micro (small animal) scale to a macro (patient) scale. The performance of the experimental x-ray dark-field radiography setup offers, for the first time, obtaining multi-contrast chest x-ray images (attenuation and dark-field signal) from a human cadaver.

  17. 20 CFR Appendix A to Part 718 - Standards for Administration and Interpretation of Chest Roentgenograms (X-Rays)

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Interpretation of Chest Roentgenograms (X-Rays) A Appendix A to Part 718 Employees' Benefits EMPLOYMENT STANDARDS... 718—Standards for Administration and Interpretation of Chest Roentgenograms (X-Rays) The following... procedures are used in administering and interpreting X-rays and that the best available medical evidence...

  18. Osteosarcoma follow-up: chest X-ray or computed tomography?

    PubMed

    Paioli, Anna; Rocca, Michele; Cevolani, Luca; Rimondi, Eugenio; Vanel, Daniel; Palmerini, Emanuela; Cesari, Marilena; Longhi, Alessandra; Eraldo, Abate Massimo; Marchesi, Emanuela; Picci, Piero; Ferrari, Stefano

    2017-01-01

    In patients with relapsed osteosarcoma, the surgical excision of all metastases, defined as second complete remission (CR-2), is the factor that mainly influences post-relapse survival (PRS). Currently a validated follow-up policy for osteosarcoma is not available, both chest X-ray and computed tomography (CT) are suggested for lung surveillance. The purpose of this study is to evaluate whether the type of imaging technique used for chest surveillance, chest X-ray or CT, influenced the rate of CR-2 and prognosis in patients with recurrent osteosarcoma. Patients up to 40 years with extremity osteosarcoma enrolled in consecutive clinical trials and treated at the Rizzoli Institute from 1986 to 2009 were identified. Only patients who had lung metastases alone as first pattern of recurrence were considered for the analysis. The rate of CR-2, overall survival (OS) and PRS were the end-points of the study. The median follow-up was 47 months (1-300), 215 patients were eligible. Lung metastases were detected by chest X-ray in 100 (47%) patients, by CT in 112 (52%) and by symptoms in 3 (1%). CR-2 rate was 60% for patients followed by X-rays and 88% for those followed by CT (p < .0001). 5-year PRS was 30% (95% CI 21-39) in the X-ray group and 49% (95% CI 39-59) in the CT group (p = .0004). 5-year OS was 35% (95% CI 26-44) in the X-ray group and 60% (95% CI 51-70) in the CT group (p = .004). A follow-up strategy with chest CT leads to a higher rate of CR-2 and significantly improves PRS and OS in osteosarcoma, compared to chest X-ray.

  19. Acquired heart disease in adults: what can a chest X-ray tell us?

    PubMed

    Tovar Pérez, M; Rodríguez Mondéjar, M R

    The last 25 to 30 years have seen enormous advances in imaging techniques for the diagnosis of heart disease (echocardiography, cardiac MRI, CT angiography, etc.). Nevertheless, the first imaging test done in patient with heart disease continues to be plain-film chest X-rays. This economical, widely available technique makes it possible to follow up patients with heart disease and even to assess the severity of disease in some cases. This article explains how to read a chest X-ray systematically and the radiologic signs that make possible to suspect heart disease; it also provides detailed information about the signs of heart failure and the meaning of cardiac calcifications. Plain-film chest X-rays provide valuable additional information in the diagnosis and management of adult patients with heart disease. Copyright © 2017 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.

  20. Extravascular lung water index measurement in critically ill children does not correlate with a chest x-ray score of pulmonary edema

    PubMed Central

    2010-01-01

    Introduction Extravascular lung water index (EVLWI) can be measured at the bedside using the transpulmonary thermodilution technique (TPTD). The goal of this study was to compare EVLWI values with a chest x-ray score of pulmonary edema and markers of oxygenation in critically ill children. Methods This was a prospective observational study in a pediatric intensive care unit of a university hospital. We included 27 critically ill children with an indication for advanced invasive hemodynamic monitoring. No specific interventions for the purpose of the study were carried out. Measurements included EVLWI and other relevant hemodynamic variables. Blood gas analysis, ventilator parameters, chest x-ray and TPTD measurements were obtained within a three-hour time frame. Two radiologists assessed the chest x-ray and determined a score for pulmonary edema. Results A total of 103 measurements from 24 patients were eligible for final analysis. Mean age was two years (range: two months to eight years). Median cardiac index was 4.00 (range: 1.65 to 10.85) l/min/m2. Median EVLWI was 16 (range: 6 to 31) ml/kg. The weighted kappa between the chest x-ray scores of the two radiologists was 0.53. There was no significant correlation between EVLWI or chest x-ray score and the number of ventilator days, severity of illness or markers of oxygenation. There was no correlation between EVLWI and the chest x-ray score. EVLWI was significantly correlated with age and length (r2 of 0.47 and 0.67 respectively). Conclusions The extravascular lung water index in critically ill children does not correlate with a chest x-ray score of pulmonary edema, nor with markers of oxygenation. PMID:20529308

  1. Inter-observer agreement in interpreting chest X-rays on children with acute lower respiratory tract infections and concurrent wheezing.

    PubMed

    Bada, Carlos; Carreazo, Nilton Yhuri; Chalco, Juan Pablo; Huicho, Luis

    2007-05-03

    Many children with acute lower respiratory tract infections (ALRI) present to the emergency ward with concurrent wheezing. A chest x-ray is often requested to rule out pneumonia. We assessed inter-observer agreement in interpreting x-rays on such children. DESIGNS AND SETTING: Prospective consecutive case study at Instituto de Salud del Niño, Lima, Peru. Chest x-rays were obtained from eligible children younger than two years old with ALRI and concurrent wheezing who were seen in the emergency ward of a nationwide pediatric referral hospital. The x-rays were read independently by three different pediatric residents who were aware only that the children had a respiratory infection. All the children had received inhaled beta-adrenergic agonists before undergoing chest x-rays. Lobar and complicated pneumonia cases were excluded from the study. Two hundred x-rays were read. The overall kappa index was 0.2. The highest individual kappa values for specific x-ray findings ranged from 0.26 to 0.34 for rib horizontalization and from 0.14 to 0.31 for alveolar infiltrate. Inter-observer variation was intermediate for alveolar infiltrate (kappa 0.14 to 0.21) and for air bronchogram (kappa 0.13 to 0.23). Reinforcement of the bronchovascular network (kappa 0.10 to 0.16) and air trapping (kappa 0.05 to 0.20) had the lowest agreement. There was poor inter-observer agreement for chest x-ray interpretation on children with ALRI and concurrent wheezing seen at the emergency ward. This may preclude reliable diagnosing of pneumonia in settings where residents make management decisions regarding sick children. The effects of training on inter-observer variation need further studies.

  2. Impact of routine admission chest X-ray films on patient care

    SciTech Connect

    Hubbell, F.A.; Greenfield, S.; Tyler, J.L.; Chetty, K.; Wyle, F.A.

    1985-01-24

    The authors evaluated the impact of routine chest X-ray films, obtained on admission, on the treatment of patients on internal medicine wards of the Veterans Administration Medical Center, Long Beach, California - a population known to have a high prevalence of cardiopulmonary disease. The reasons for ordering chest films were determined prospectively, and three Department of Medicine faculty members reviewed the charts of admitted patients to determine the impact of chest-film results on patient care. Routine chest X-ray films were ordered for 294 (60 per cent) of the 491 patients studied. Abnormalities were noted in 106 (36 per cent) of these 294 patients. The findings were previously known, chronic, and stable in 86 patients; they were new in only 20. Treatment was changed because of chest-film results in only 12 (4 per cent) of the patients. In only one of these patients would appropriate treatment probably have been omitted if a chest film had not been obtained, and the patient's outcome was not improved by the treatment instituted. The authors conclude that the impact of routine admission chest X-ray films on patient care is very small, even in a population with a high prevalence of cardiopulmonary disease. They recommend that such films not be ordered solely because of admission. 16 references, 3 tables.

  3. The Interest of Performing "On-Demand Chest X-rays" after Lung Resection by Minimally Invasive Surgery.

    PubMed

    Haddad, Laura; Bubenheim, Michael; Bernard, Alain; Melki, Jean; Peillon, Christophe; Baste, Jean-Marc

    2017-10-01

    Background There is a lack of consensus in hospital centers regarding costly daily routine chest X-rays after lung resection by minimally invasive surgery. Indeed, there is no evidence that performing daily chest X-rays prevents postoperative complications. Our objective was to compare chest X-rays performed on demand when there was clinical suspicion of postoperative complications and chest X-rays performed systematically in daily routine practice. Methods This prospective single-center study compared 55 patients who had on-demand chest X-rays and patients in the literature who had daily routine chest X-rays. Our primary evaluation criterion was length of hospitalization. Results The length of hospitalization was 5.3 ± 3.3 days for patients who had on-demand X-rays, compared with 4 to 9.7 days for patients who had daily routine X-rays. Time to chest tube removal (4.34 days), overall complication rate (27.2%), reoperation rate (3.6%), and mortality rate (1.8%) were comparable to those in the literature. On average, our patients only had 1.22 ± 1.8 on-demand X-rays, compared with 3.3 X-rays if daily routine protocol had been applied. Patients with complications had more X-rays (3.4 ± 1.8) than patients without complications (0.4 ± 0.7). Conclusion On-demand chest X-rays do not seem to delay the diagnosis of postoperative complications or increase morbidity-mortality rates. Performing on-demand chest X-rays could not only simplify surgical practice but also have a positive impact on health care expenses. However, a broader randomized study is warranted to validate this work and ultimately lead to national consensus. Georg Thieme Verlag KG Stuttgart · New York.

  4. The role of postoperative chest radiography in pediatric tracheotomy.

    PubMed

    Greenberg, J S; Sulek, M; de Jong, A; Friedman, E M

    2001-07-30

    A postoperative chest radiograph has traditionally been obtained after tracheotomies to evaluate for the presence of a pneumothorax and to assess tube position. Several recent studies in adults have questioned the usefulness of routine postoperative chest radiography in uncomplicated cases, but the role of post-operative chest radiography in pediatric patients has not been previously reviewed. We performed this study to examine the clinical utility of post-tracheotomy chest radiography in pediatric patients and determine if this routine practice impacts patient management enough to merit continued usage. A retrospective review was performed of 200 consecutive pediatric patients who underwent tracheotomies by the otolaryngology service in a tertiary care pediatric hospital from January 1994 to June 1999. All patients received postoperative chest radiographs. Five of 200 patients had a new postoperative radiographic finding, with three requiring interventions. Two patients required chest tube placement for pneumothorax, and one patient required tracheostomy tube change for repositioning. Fifty-one patients, including both pneumothoraces, exhibited clinical signs of pneumothorax (decreased breath sounds or oxygen saturation) in the immediate postoperative period. Chest X-ray ruled out a pneumothorax in the remaining 49 patients. The majority of these 51 patients were less than 2 years old (94%, P=0.002) or weighed less than 17 kg (89%, P=0.004). Postoperative chest X-rays yielded clinically relevant information in 168 patients that fell into one or more of four high risk categories: age less than 2, weight less than 17 kg, emergent procedures, or concomitant central line placement. Avoiding chest X-rays in the remaining 32 patients would have resulted in potential savings of $5000, which does not reflect the actuarial cost of a missed complication. Since the majority of our patients (84%) fell into a high-risk category, we feel it would be prudent to continue

  5. Viewing Another Person's Eye Movements Improves Identification of Pulmonary Nodules in Chest X-Ray Inspection

    ERIC Educational Resources Information Center

    Litchfield, Damien; Ball, Linden J.; Donovan, Tim; Manning, David J.; Crawford, Trevor

    2010-01-01

    Double reading of chest x-rays is often used to ensure that fewer abnormalities are missed, but very little is known about how the search behavior of others affects observer performance. A series of experiments investigated whether radiographers benefit from knowing where another person looked for pulmonary nodules, and whether the expertise of…

  6. Viewing Another Person's Eye Movements Improves Identification of Pulmonary Nodules in Chest X-Ray Inspection

    ERIC Educational Resources Information Center

    Litchfield, Damien; Ball, Linden J.; Donovan, Tim; Manning, David J.; Crawford, Trevor

    2010-01-01

    Double reading of chest x-rays is often used to ensure that fewer abnormalities are missed, but very little is known about how the search behavior of others affects observer performance. A series of experiments investigated whether radiographers benefit from knowing where another person looked for pulmonary nodules, and whether the expertise of…

  7. Annual Screening with Chest X-Ray Does Not Reduce Lung Cancer Deaths

    Cancer.gov

    Annual screening for lung cancer using a standard chest x-ray does not reduce the risk of dying from lung cancer when compared with no annual screening, according to findings from the NCI-led Prostate, Lung, Colorectal, and Ovarian (PLCO) screening trial.

  8. [A dyspnoeic boy with two round masses on his chest X-ray].

    PubMed

    Simons, Barbara; van Waas, Marjolein; Verhallen, Jacintha T C M

    2016-01-01

    A 5-year-old boy presented with vomiting and dyspnoea. His chest X-ray showed two round consolidations in his right lung, one of them with air bronchograms, which were caused by round pneumonia. Round pneumonia presents with multiple lesions in only 2% of cases.

  9. Ability of physicians to diagnose congestive heart failure based on chest X-ray.

    PubMed

    Kennedy, Sarah; Simon, Barry; Alter, Harrison J; Cheung, Paul

    2011-01-01

    Chest X-ray interpretation is an important skill in the diagnosis of congestive heart failure (CHF) by emergency physicians. This study evaluated the ability of emergency physicians to recognize CHF on chest X-ray and the effect of level of training and confidence upon accuracy of interpretation. This was a prospective, blinded study in which 24 patients with an elevated brain natriuretic peptide, low ejection fraction, and diagnosis of CHF were retrospectively identified. In addition, 31 patients without CHF were identified and used as controls. These 55 chest X-rays were presented to emergency attending and housestaff and a radiologist. We calculated the accuracy of the raters' diagnoses, and measured their confidence in that diagnosis and their level of training. Physicians correctly identified the CHF chest X-rays 79% of the time (sensitivity 59%, specificity 96%; positive likelihood ratio 14.6, negative likelihood ratio 0.43). Accuracy ranged from a low of 78% among first-year residents to a high of 85% among attending, and from 73% (confidence rating of 3/5) to 91% (confidence rating of 5/5). Increasing confidence was significantly correlated with accuracy across the spectrum (p = 0.001). An accuracy of 95% among radiologists suggests that a negative X-ray does not rule out CHF. High specificity (96%) and low sensitivity (59%) suggest that emergency physicians are excellent at identifying CHF on X-ray when present, but under-call it frequently. Sensitivity may be much higher in real life given clinical correlation. Both increased level of training and higher confidence significantly improved accuracy. Copyright © 2011 Elsevier Inc. All rights reserved.

  10. Kernel descriptors for chest x-ray analysis

    NASA Astrophysics Data System (ADS)

    Orbán, Gergely Gy.; Horváth, Gábor

    2017-03-01

    In this study, we address the problem of lesion classification in radiographic scans. We adapt image kernel functions to be applicable for high-resolution, grayscale images to improve the classification accuracy of a support vector machine. We take existing kernel functions inspired by the histogram of oriented gradients, and derive an approximation that can be evaluated in linear time of the image size instead of the original quadratic complexity, enabling highresolution input. Moreover, we propose a new variant inspired by the matched filter, to better utilize intensity space. The new kernels are improved to be scale-invariant and combined with a Gaussian kernel built from handcrafted image features. We introduce a simple multiple kernel learning framework that is robust when one of the kernels, in the current case the image feature kernel, dominates the others. The combined kernel is input to a support vector classifier. We tested our method on lesion classification both in chest radiographs and digital tomosynthesis scans. The radiographs originated from a database including 364 patients with lung nodules and 150 healthy cases. The digital tomosynthesis scans were obtained by simulation using 91 CT scans from the LIDC-IDRI database as input. The new kernels showed good separation capability: ROC AuC was in [0.827, 0.853] for the radiograph database and 0.763 for the tomosynthesis scans. Adding the new kernels to the image-feature-based classifier significantly improved accuracy: AuC increased from 0.958 to 0.967 and from 0.788 to 0.801 for the two applications.

  11. Comparison of dual energy subtraction chest radiography and traditional chest X-rays in the detection of pulmonary nodules.

    PubMed

    Manji, Farheen; Wang, Jiheng; Norman, Geoff; Wang, Zhou; Koff, David

    2016-02-01

    Dual energy subtraction (DES) radiography is a powerful but underutilized technique which aims to improve the diagnostic value of an X-ray by separating soft tissue from bones, producing two different images. Compared to traditional chest X-rays, DES requires exposure to higher doses of radiation but may achieve higher accuracy. The objective of this study was to assess the clinical benefits of DES radiography by comparing the speed and accuracy of diagnosis of pulmonary nodules with DES versus traditional chest X-rays. Five radiologists and five radiology residents read the DES and traditional chest X-rays of 51 patients, 34 with pulmonary nodules and 17 without. Their accuracy and speed in the detection of nodules were measured using specialized image display software. DES radiography reduced reading time from 13 to 10 sec (P<0.0001) in staff and from 21 to 15 sec in residents (P<0.0001). There was also a small increase in sensitivity 0.58 to 0.67 overall (P<0.10) with no change in specificity (0.85 overall). By eliminating rib shadows in soft tissue images, DES improved the speed and accuracy of radiologists in the diagnosis of pulmonary nodules.

  12. Radiological findings in megaesophagus secondary to Chagas disease: chest X-ray and esophagogram*

    PubMed Central

    Abud, Thiago Giansante; Abud, Lucas Giansante; Vilar, Vanessa Sales; Szejnfeld, Denis; Reibscheid, Samuel

    2016-01-01

    Objective To identify and classify the radiographic patterns of megaesophagus in Chagas disease, as seen on esophagograms and chest X-rays. Materials and Methods This was a prospective study of 35 patients diagnosed with esophageal disease via manometry. The changes found on esophagograms were stratified according to Rezende's classification, divided into four categories (grades I through IV) determined by the degree of dilatation and impairement of esophageal motility. We subsequently correlated that ranking with the chest X-ray findings: gastric air bubble; air-fluid level; and mediastinal widening. Results Among the 35 patients, the esophageal disease was classified as grade I in 9 (25.7%), grade II in 3 (8.6%), grade III in 19 (54.3%), and grade IV in 4 (11.4%). None of the patients with grade I esophageal disease showed changes on chest X-rays. In two of the three patients with grade II disease, there was no gastric air-bubble, although there were no other findings in any of the grade II patients. Of the 19 patients with grade III disease, 15 had abnormal findings on X-rays. All four patients with grade IV disease showed abnormalities. Conclusion The use of Rezende's classification is feasible, encompassing findings ranging from the subtle changes that characterize the initial phases of esophageal disease to the complete akinesia seen in dolicomegaesophagus. Chest X-ray findings are more common in patients with advanced stages of the disease and indicate the degree of esophageal involvement in Chagas disease. PMID:28100930

  13. X-ray tube current modulation and patient doses in chest CT.

    PubMed

    He, Wenjun; Huda, Walter; Magill, Dennise; Tavrides, Emily; Yao, Hai

    2011-01-01

    The aim of the study was to investigate how patient effective doses vary as a function of X-ray tube projection angle, as well as the patient long axis, and quantify how X-ray tube current modulation affects patient doses in chest CT examinations. Chest examinations were simulated for a gantry CT scanner geometry with projections acquired for a beam width of 4 cm. PCXMC 2.0.1 was used to calculate patient effective doses at 15° intervals around the patient's isocentre, and at nine locations along the patient long axis. Idealised tube current modulation schemes were modelled as a function of the X-ray tube angle and the patient long axis. Tube current modulations were characterised by the modulation amplitude R, which was allowed to vary between 1.5 and 5. Effective dose maxima occur for anteroposterior projections at the location of the (radiosensitive) breasts. The maximum to minimum ratio of effective doses as a function of the patient long axis was 4.9, and as a function of the X-ray tube angle was 2.1. Doubling the value of R reduces effective doses from longitudinal modulation alone by ∼4% and from angular modulation alone by ∼2%. In chest CT, tube current modulation schemes currently have longitudinal R values of ∼2.2, and angular R values that range between 1.5 and 3.4. Current X-ray tube current modulation schemes are expected to reduce patient effective doses in chest CT examinations by ∼10%, with longitudinal modulation accounting for two-thirds and angular modulation for the remaining one-third.

  14. Is the chest x-ray an appropriate screening exam for ER patients with AMS?

    PubMed

    Birkemeier, Krista L; Nipper, Michael L; Williams, Jonathan M

    2008-11-01

    Emergency department patients with altered mental status (AMS) regularly undergo a routine chest radiograph at our institution. While there are many causes of chest pathology seen on the chest radiograph that may cause an altered mental status, it is not clear that a routine chest radiograph for these patients affects management. The goal of this study is to determine if a chest radiograph is an appropriate screening examination for AMS. This is a retrospective review of 100 consecutive patients who underwent head computed tomography for altered mental status in the emergency department and had a chest radiograph during the same visit. Of 100 patients undergoing a routine chest radiograph for AMS, 17 had findings which altered patient care, 15 of those had signs/symptoms which clearly indicated that a chest radiograph was needed, and the other two had leukocytosis. The routine performance of a chest radiograph in the setting of a patient presenting to the emergency department with altered mental status affected medical management in 17%, a modest benefit. The positive predictive value of a chest x-ray in these patients may be improved if certain symptomatologies are present.

  15. [Manifestations of lobar atelectasis on chest x-rays and correlation with computed tomography findings].

    PubMed

    Cortés Campos, A; Martínez Rodríguez, M

    2014-01-01

    Atelectasis is an important indicator of potentially severe underlying disease that must be diagnosed as early as possible. One of the most common mechanisms is the reabsorption of air distal to respiratory tract obstruction. The chest x-ray is an excellent tool to diagnose atelectasis, and it is especially useful for ruling out central bronchial obstructions (e.g., from endobronchial tumors). If the signs of volume loss are not recognized correctly, the diagnosis and treatment can be delayed. This article describes the main findings of lobar atelectasis on chest x-rays and their correlations with CT findings, including the classic signs described in the literature and other, less known and sometimes subtle signs. Copyright © 2013 SERAM. Published by Elsevier Espana. All rights reserved.

  16. Image quality of digital chest X-rays: wet versus dry laser printers.

    PubMed

    Zähringer, M; Wassmer, G; Krug, B; Winnekendonk, G; Gossmann, A; Lackner, K J

    2001-09-01

    The aim of this study was to compare the image quality of digital chest x-rays (Thoravision) obtained with 2 "wet" laser imagers of different matrix sizes and a "dry" system. Fifty chest x-rays in 2 planes were printed out in normal (100%) and reduced (61%) format using 3 different systems: 2 "wet" laser imagers (Agfa Matrix LR 3300, 4256 x 5174 pixels, 315 dpi; Agfa Scopix LR 5200, 8512 x 10348 pixels, 630 dpi), and one "dry" system (Agfa Drystar 3000,4352 x 5295 pixels, 330 dpi). All tests yielded normal findings. Anonymous images were evaluated by 4 independent reviewers on record forms rating the detectability of predefined anatomic structures. When the image quality of diagnosis-relevant, anatomic structures was evaluated on digital chest x-rays reproduced in normal and reduced format, the wet laser imagers did not show significant advantages over the dry system, Agfa Drystar 3000. The Agfa Drystar 3000 system is a feasible alternative for reproducing digital images, particularly for decentralized archives.

  17. Development of a stationary chest tomosynthesis system using carbon nanotube x-ray source array

    NASA Astrophysics Data System (ADS)

    Shan, Jing

    X-ray imaging system has shown its usefulness for providing quick and easy access of imaging in both clinic settings and emergency situations. It greatly improves the workflow in hospitals. However, the conventional radiography systems, lacks 3D information in the images. The tissue overlapping issue in the 2D projection image result in low sensitivity and specificity. Both computed tomography and digital tomosynthesis, the two conventional 3D imaging modalities, requires a complex gantry to mechanically translate the x-ray source to various positions. Over the past decade, our research group has developed a carbon nanotube (CNT) based x-ray source technology. The CNT x-ray sources allows compacting multiple x-ray sources into a single x-ray tube. Each individual x-ray source in the source array can be electronically switched. This technology allows development of stationary tomographic imaging modalities without any complex mechanical gantries. The goal of this work is to develop a stationary digital chest tomosynthesis (s-DCT) system, and implement it for a clinical trial. The feasibility of s-DCT was investigated. It is found that the CNT source array can provide sufficient x-ray output for chest imaging. Phantom images have shown comparable image qualities as conventional DCT. The s-DBT system was then used to study the effects of source array configurations and tomosynthesis image quality, and the feasibility of a physiological gated s-DCT. Using physical measures for spatial resolution, the 2D source configuration was shown to have improved depth resolution and comparable in-plane resolution. The prospective gated tomosynthesis images have shown substantially reduction of image blur associated with lung motions. The system was also used to investigate the feasibility of using s-DCT as a diagnosis and monitoring tools for cystic fibrosis patients. A new scatter reduction methods for s-DCT was also studied. Finally, a s-DCT system was constructed by

  18. Identification of unknown body using DNA analysis and dental characteristics in chest X-ray photograph.

    PubMed

    Minaguchi, Kiyoshi; Maruyama, Sayaka; Kasahara, Iku; Nohira, Chizuru; Hanaoka, Yoichi; Tsai, Tohkai; Kiriyama, Hitoshi; Takahashi, Nobuyuki

    2005-11-01

    An unknown skeletonized body was identified by DNA analysis and dental information. The body had already been cremated when a candidate for the unknown body was proposed. Therefore, for DNA analysis we used teeth that had been kept for a long time after use for serological examination. We also used a chest X-ray photograph of the candidate and photographs of dentition, as well as dental X-ray photographs taken when the unknown body was found. Because DNA obtained from teeth was highly degraded, we amplified three PCR fragments to determine the 766 bp mitochondrial DNA (mtDNA) sequence including HV1 and HV2. Polymorphism of the ABO locus was also analyzed using small PCR fragments. Although the isolated DNA was contaminated, probably with DNA from a different individual, DNA polymorphisms of mtDNA and the ABO locus could be analyzed. We discuss the reliability of our conclusions from the point of view of the necessity of constructing an accurate mtDNA database. Although a dentist who had treated the teeth of the unknown body could not be found, a chest X-ray photograph for medical diagnosis was very useful in comparing dental characteristics, as it included an image of the frontal part of the lower jaw and upper teeth.

  19. Prospective gated chest tomosynthesis using CNT X-ray source array

    NASA Astrophysics Data System (ADS)

    Shan, Jing; Burk, Laurel; Wu, Gongting; Lee, Yueh Z.; Heath, Michael D.; Wang, Xiaohui; Foos, David; Lu, Jianping; Zhou, Otto

    2015-03-01

    Chest tomosynthesis is a low-dose 3-D imaging modality that has been shown to have comparable sensitivity as CT in detecting lung nodules and other lung pathologies. We have recently demonstrated the feasibility of stationary chest tomosynthesis (s-DCT) using a distributed CNT X-ray source array. The technology allows acquisition of tomographic projections without moving the X-ray source. The electronically controlled CNT x-ray source also enables physiologically gated imaging, which will minimize image blur due to the patient's respiration motion. In this paper, we investigate the feasibility of prospective gated chest tomosynthesis using a bench-top s-DCT system with a CNT source array, a high- speed at panel detector and realistic patient respiratory signals captured using a pressure sensor. Tomosynthesis images of inflated pig lungs placed inside an anthropomorphic chest phantom were acquired at different respiration rate, with and without gating for image quality comparison. Metal beads of 2 mm diameter were placed on the pig lung for quantitative measure of the image quality. Without gating, the beads were blurred to 3:75 mm during a 3 s tomosynthesis acquisition. When gated to the end of the inhalation and exhalation phase the detected bead size reduced to 2:25 mm, much closer to the actual bead size. With gating the observed airway edges are sharper and there are more visible structural details in the lung. Our results demonstrated the feasibility of prospective gating in the s-DCT, which substantially reduces image blur associated with lung motion.

  20. Stationary chest tomosynthesis using a carbon nanotube x-ray source array: a feasibility study.

    PubMed

    Shan, Jing; Tucker, Andrew W; Lee, Yueh Z; Heath, Michael D; Wang, Xiaohui; Foos, David H; Lu, Jianping; Zhou, Otto

    2015-01-07

    Chest tomosynthesis is a low-dose, quasi-3D imaging modality that has been demonstrated to improve the detection sensitivity for small lung nodules, compared to 2D chest radiography. The purpose of this study is to investigate the feasibility and system requirements of stationary chest tomosynthesis (s-DCT) using a spatially distributed carbon nanotube (CNT) x-ray source array, where the projection images are collected by electronically activating individual x-ray focal spots in the source array without mechanical motion of the x-ray source, detector, or the patient. A bench-top system was constructed using an existing CNT field emission source array and a flat panel detector. The tube output, beam quality, focal spot size, system in-plane and in-depth resolution were characterized. Tomosynthesis slices of an anthropomorphic chest phantom were reconstructed for image quality assessment. All 75 CNT sources in the source array were shown to operate reliably at 80 kVp and 5 mA tube current. Source-to-source consistency in the tube current and focal spot size was observed. The incident air kerma reading per mAs was measured as 74.47 uGy mAs(-1) at 100 cm. The first half value layer of the beam was 3 mm aluminum. An average focal spot size of 2.5  ×  0.5 mm was measured. The system MTF was measured to be 1.7 cycles mm(-1) along the scanning direction, and 3.4 cycles mm(-1) perpendicular to the scanning direction. As the angular coverage of 11.6°-34°, the full width at half maximum of the artifact spread function improved greatly from 9.5 to 5.2 mm. The reconstructed tomosynthesis slices clearly show airways and pulmonary vascular structures in the anthropomorphic lung phantom. The results show the CNT source array is capable of generating sufficient dose for chest tomosynthesis imaging. The results obtained so far suggest an s-DCT using a distributed CNT x-ray source array is feasible.

  1. Stationary chest tomosynthesis using a carbon nanotube x-ray source array: a feasibility study

    NASA Astrophysics Data System (ADS)

    Shan, Jing; Tucker, Andrew W.; Lee, Yueh Z.; Heath, Michael D.; Wang, Xiaohui; Foos, David H.; Lu, Jianping; Zhou, Otto

    2015-01-01

    Chest tomosynthesis is a low-dose, quasi-3D imaging modality that has been demonstrated to improve the detection sensitivity for small lung nodules, compared to 2D chest radiography. The purpose of this study is to investigate the feasibility and system requirements of stationary chest tomosynthesis (s-DCT) using a spatially distributed carbon nanotube (CNT) x-ray source array, where the projection images are collected by electronically activating individual x-ray focal spots in the source array without mechanical motion of the x-ray source, detector, or the patient. A bench-top system was constructed using an existing CNT field emission source array and a flat panel detector. The tube output, beam quality, focal spot size, system in-plane and in-depth resolution were characterized. Tomosynthesis slices of an anthropomorphic chest phantom were reconstructed for image quality assessment. All 75 CNT sources in the source array were shown to operate reliably at 80 kVp and 5 mA tube current. Source-to-source consistency in the tube current and focal spot size was observed. The incident air kerma reading per mAs was measured as 74.47 uGy mAs-1 at 100 cm. The first half value layer of the beam was 3 mm aluminum. An average focal spot size of 2.5  ×  0.5 mm was measured. The system MTF was measured to be 1.7 cycles mm-1 along the scanning direction, and 3.4 cycles mm-1 perpendicular to the scanning direction. As the angular coverage of 11.6°-34°, the full width at half maximum of the artifact spread function improved greatly from 9.5 to 5.2 mm. The reconstructed tomosynthesis slices clearly show airways and pulmonary vascular structures in the anthropomorphic lung phantom. The results show the CNT source array is capable of generating sufficient dose for chest tomosynthesis imaging. The results obtained so far suggest an s-DCT using a distributed CNT x-ray source array is feasible.

  2. An image processing system for digital chest X-ray images.

    PubMed

    Cocklin, M; Gourlay, A; Jackson, P; Kaye, G; Miessler, M; Kerr, I; Lams, P

    1984-01-01

    This paper investigates the requirements for image processing of digital chest X-ray images. These images are conventionally recorded on film and are characterised by large size, wide dynamic range and high resolution. X-ray detection systems are now becoming available for capturing these images directly in photoelectronic-digital form. In this report, the hardware and software facilities required for handling these images are described. These facilities include high resolution digital image displays, programmable video look up tables, image stores for image capture and processing and a full range of software tools for image manipulation. Examples are given of the application of digital image processing techniques to this class of image.

  3. Dynamic chest radiography: flat-panel detector (FPD) based functional X-ray imaging.

    PubMed

    Tanaka, Rie

    2016-07-01

    Dynamic chest radiography is a flat-panel detector (FPD)-based functional X-ray imaging, which is performed as an additional examination in chest radiography. The large field of view (FOV) of FPDs permits real-time observation of the entire lungs and simultaneous right-and-left evaluation of diaphragm kinetics. Most importantly, dynamic chest radiography provides pulmonary ventilation and circulation findings as slight changes in pixel value even without the use of contrast media; the interpretation is challenging and crucial for a better understanding of pulmonary function. The basic concept was proposed in the 1980s; however, it was not realized until the 2010s because of technical limitations. Dynamic FPDs and advanced digital image processing played a key role for clinical application of dynamic chest radiography. Pulmonary ventilation and circulation can be quantified and visualized for the diagnosis of pulmonary diseases. Dynamic chest radiography can be deployed as a simple and rapid means of functional imaging in both routine and emergency medicine. Here, we focus on the evaluation of pulmonary ventilation and circulation. This review article describes the basic mechanism of imaging findings according to pulmonary/circulation physiology, followed by imaging procedures, analysis method, and diagnostic performance of dynamic chest radiography.

  4. Copper filtration in pediatric digital X-ray imaging: its impact on image quality and dose.

    PubMed

    Brosi, Philippe; Stuessi, Anja; Verdun, Francis R; Vock, Peter; Wolf, Rainer

    2011-07-01

    The effect of copper (Cu) filtration on image quality and dose in different digital X-ray systems was investigated. Two computed radiography systems and one digital radiography detector were used. Three different polymethylmethacrylate blocks simulated the pediatric body. The effect of Cu filters of 0.1, 0.2, and 0.3 mm thickness on the entrance surface dose (ESD) and the corresponding effective doses (EDs) were measured at tube voltages of 60, 66, and 73 kV. Image quality was evaluated in a contrast-detail phantom with an automated analyzer software. Cu filters of 0.1, 0.2, and 0.3 mm thickness decreased the ESD by 25-32%, 32-39%, and 40-44%, respectively, the ranges depending on the respective tube voltages. There was no consistent decline in image quality due to increasing Cu filtration. The estimated ED of anterior-posterior (AP) chest projections was reduced by up to 23%. No relevant reduction in the ED was noted in AP radiographs of the abdomen and pelvis or in posterior-anterior radiographs of the chest. Cu filtration reduces the ESD, but generally does not reduce the effective dose. Cu filters can help protect radiosensitive superficial organs, such as the mammary glands in AP chest projections.

  5. Chest physiotherapy in pediatric practice.

    PubMed

    Balachandran, A; Shivbalan, So; Thangavelu, S

    2005-06-01

    Chest physiotherapy (CPT) in children is generally considered as a separate and specialized treatment modality that should be rendered only by a physiotherapist. Actually this is not difficult if one has a proper understanding of the basic concept and principle behind the maneuver. This article aims at making CPT simple, so that it could be incorporated in routine pediatric practice for managing respiratory ailments.

  6. Validation of a clinical decision rule: chest X-ray in patients with chest pain and possible acute coronary syndrome.

    PubMed

    Goldschlager, Romi; Roth, Hedley; Solomon, Jarryd; Robson, Scott; Green, Jessica; Green, Sarah; Spanger, Manfred; Gunn, Robyn; Cameron, Peter

    2014-08-01

    Current literature suggests that a large proportion of chest X-rays (CXRs) performed in emergency department (ED) patients with chest pain and suspected acute coronary syndrome (ACS) are unnecessary. The Canadian ACS Guidelines aim to guide clinicians in the appropriate use of CXR within this patient population. This study determined the prevalence of clinically significant CXR abnormalities and assessed the utility of the guidelines in a population of ED patients with chest pain and suspected ACS. Included in the study were participants over the age of 18 who presented to an Australian metropolitan ED, over a 1-year period, with a primary complaint of chest pain and who had a CXR and troponin level ordered in the ED (N = 760). We retrospectively compared their radiographic findings with their recommendations for CXR according to the ACS Guidelines. We found that 12 % of the participants had a clinically significant chest X-ray. The guidelines had a sensitivity of 80 % (95 % CI 0.70-0.87) and specificity of 50 % (95 % CI 0.47-0.54). The positive predictive value was 18 % (95 % CI 0.15-0.22) with a 95 % negative predictive value (95 % CI 0.92-0.97). Had the ACS guidelines been applied to our patient population, the number of CXR performed would have been reduced by 47 %. This study suggests that the ACS Guidelines has the potential to reduce the numbers of unnecessary CXR performed in ED patients. However, this would come at the expense of missing a minority of significant CXR abnormalities.

  7. Procarbazine-induced interstitial pneumonitis with a normal chest x-ray: a case report

    SciTech Connect

    Garbes, I.D.; Henderson, E.S.; Gomez, G.A.; Bakshi, S.P.; Parthasarathy, K.L.; Castillo, N.B.

    1986-01-01

    Pulmonary toxicity due to cytotoxic drugs is well described in the literature. This is most commonly described in association with bleomycin, busulfan, and methotrexate. This report presents a case of interstitial pneumonitis with a normal chest x-ray that is most certainly due to procarbazine. In addition, the role of gallium-67 citrate scintigraphy in early diagnosis is discussed. This is especially important since discontinuation of the drug before radiographic manifestations of pulmonary toxicity become evident may prevent permanent pulmonary injury and its sequelae.

  8. Immunological profile of chest x-ray-negative, asymptomatic asbestos workers

    SciTech Connect

    Lahat, N.; Sobel, E.; Djerassi, L.; Kaufman, G.; Horenstein, L.; Gruener, N.

    1988-01-01

    Several immunologic parameters, both humoral and cellular, were studied in the serum and peripheral blood lymphocytes derived from chest x-ray-negative, asymptomatic asbestos workers. All humoral and cellular parameters were intact, except the con-A-induced T cell suppressor activity and T cell division in autologous mixed lymphocyte reaction, which were significantly elevated in the asbestos plant workers. The significance of these increased T cell activities in asbestos exposed people is not clear, and further clinical and immunological follow-up is warranted.

  9. [What future for chest x-ray against ultra-low-dose computed tomography?

    PubMed

    Ohana, M; Ludes, C; Schaal, M; Meyer, E; Jeung, M-Y; Labani, A; Roy, C

    2017-02-01

    Technological improvements, with iterative reconstruction at the foreground, have lowered the radiation dose of a chest CT close to that of a PA and lateral chest x-ray. This ultra-low dose chest CT (ULD-CT) has an image quality that is degraded on purpose, yet remains diagnostic in many clinical indications. Thus, its effectiveness is already validated for the detection and the monitoring of solid parenchymal nodules, for the diagnosis and monitoring of infectious lung diseases and for the screening of pleural lesions secondary to asbestos exposure. Its limitations are the analysis of the mediastinal structures, the severe obesity (BMI>35) and the detection of interstitial lesions. If it can replace the standard chest CT in these indications, all the more in situations where radiation dose is a major problem (young patients, repeated exams, screening), it progressively emerges as a first line alternative for chest radiograph, providing more data at a similar radiation cost. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  10. Atlas-based Rib-Bone Detection in Chest X-rays

    PubMed Central

    Candemir, Sema; Jaeger, Stefan; Antani, Sameer; Bagci, Ulas; Folio, Les R.; Xu, Ziyue; Thoma, George

    2016-01-01

    This paper investigates using rib-bone atlases for automatic detection of rib-bones in chest X-rays (CXRs). We built a system that takes patient X-ray and model atlases as input and automatically computes the posterior rib borders with high accuracy and efficiency. In addition to conventional atlas, we propose two alternative atlases: (i) automatically computed rib bone models using Computed Tomography (CT) scans, and (ii) dual energy CXRs. We test the proposed approach with each model on 25 CXRs from the Japanese Society of Radiological Technology (JSRT) dataset and another 25 CXRs from the National Library of Medicine CXR dataset. We achieve an area under the ROC curve (AUC) of about 95% for Montgomery and 91% for JSRT datasets. Using the optimal operating point of the ROC curve, we achieve a segmentation accuracy of 88.91 ± 1.8 % for Montgomery and 85.48 ± 3.3 % for JSRT datasets. Our method produces comparable results with the state-of-the-art algorithms. The performance of our method is also excellent on challenging X-rays as it successfully addressed the rib-shape variance between patients and number of visible rib-bones due to patient respiration. PMID:27156048

  11. Atlas-based rib-bone detection in chest X-rays.

    PubMed

    Candemir, Sema; Jaeger, Stefan; Antani, Sameer; Bagci, Ulas; Folio, Les R; Xu, Ziyue; Thoma, George

    2016-07-01

    This paper investigates using rib-bone atlases for automatic detection of rib-bones in chest X-rays (CXRs). We built a system that takes patient X-ray and model atlases as input and automatically computes the posterior rib borders with high accuracy and efficiency. In addition to conventional atlas, we propose two alternative atlases: (i) automatically computed rib bone models using Computed Tomography (CT) scans, and (ii) dual energy CXRs. We test the proposed approach with each model on 25 CXRs from the Japanese Society of Radiological Technology (JSRT) dataset and another 25 CXRs from the National Library of Medicine CXR dataset. We achieve an area under the ROC curve (AUC) of about 95% for Montgomery and 91% for JSRT datasets. Using the optimal operating point of the ROC curve, we achieve a segmentation accuracy of 88.91±1.8% for Montgomery and 85.48±3.3% for JSRT datasets. Our method produces comparable results with the state-of-the-art algorithms. The performance of our method is also excellent on challenging X-rays as it successfully addressed the rib-shape variance between patients and number of visible rib-bones due to patient respiration. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. A Solitary Feature-based Lung Nodule Detection Approach for Chest X-Ray Radiographs.

    PubMed

    Li, Xuechen; Shen, Linlin; Luo, Suhuai

    2017-01-31

    Lung cancer is one of the most deadly diseases. It has a high death rate and its incidence rate has been increasing all over the world. Lung cancer appears as a solitary nodule in chest x-ray radiograph (CXR). Therefore, lung nodule detection in CXR could have a significant impact on early detection of lung cancer. Radiologists define a lung nodule in chest x-ray radiographs as "solitary white nodule-like blob". However, the solitary feature has not been employed for lung nodule detection before. In this paper, a solitary feature-based lung nodule detection method was proposed. We employed stationary wavelet transform and convergence index filter to extract the texture features and used AdaBoost to generate white nodule-likeness map. A solitary feature was defined to evaluate the isolation degree of candidates. Both the isolation degree and the white nodule-likeness were used as final evaluation of lung nodule candidates. The proposed method shows better performance and robustness than those reported in previous research. More than 80% and 93% of lung nodules in the lung field in the JSRT database were detected when the false positives per image was two and five, respectively. The proposed approach has the potential of being used in clinical practice.

  13. Gray-scale transform and evaluation for digital x-ray chest images on CRT monitor

    NASA Astrophysics Data System (ADS)

    Furukawa, Isao; Suzuki, Junji; Ono, Sadayasu; Kitamura, Masayuki; Ando, Yutaka

    1997-04-01

    In this paper, an experimental evaluation of a super high definition (SHD) imaging system for digital x-ray chest images is presented. The SHD imaging system is proposed as a platform for integrating conventional image media. We are involved in the use of SHD images in the total digitizing of medical records that include chest x-rays and pathological microscopic images, both which demand the highest level of quality among the various types of medical images. SHD images use progressive scanning and have a spatial resolution of 2000 by 2000 pixels or more and a temporal resolution (frame rate) of 60 frames/sec or more. For displaying medical x-ray images on a CRT, we derived gray scale transform characteristics based on radiologists' comments during the experiment, and elucidated the relationship between that gray scale transform and the linearization transform for maintaining the linear relationship with the luminance of film on a light box (luminance linear transform). We then carried out viewing experiments based on a five-stage evaluation. Nine radiologists participated in our experiment, and the ten cases evaluated included pulmonary fibrosis, lung cancer, and pneumonia. The experimental results indicated that conventional film images and those on super high definition CRT monitors have nearly the same quality. They also show that the gray scale transform for CRT images decided according to radiologists' comments agrees with the luminance linear transform in the high luminance region. And in the low luminance region, it was found that the gray scale transform had the characteristics of level expansion to increase the number of levels that can be expressed.

  14. Impact of chest X-ray before discharge in asymptomatic children after cardiac surgery--prospective evaluation.

    PubMed

    Quandt, Daniel; Knirsch, Walter; Niesse, Oliver; Schraner, Thomas; Dave, Hitendu; Kretschmar, Oliver

    2013-01-01

    In many paediatric cardiac units chest radiographs are performed routinely before discharge after cardiac surgery. These radiographs contribute to radiation exposure. To evaluate the diagnostic impact of routine chest X-rays before discharge in children undergoing open heart surgery and to analyze certain risk factors predicting pathologic findings. This was a prospective (6 months) single-centre observational clinical study. One hundred twenty-eight consecutive children undergoing heart surgery underwent biplane chest X-ray at a mean of 13 days after surgery. Pathologic findings on chest X-rays were defined as infiltrate, atelectasis, pleural effusion, pneumothorax, or signs of fluid overload. One hundred nine asymptomatic children were included in the final analysis. Risk factors, such as age, corrective versus palliative surgery, reoperation, sternotomy versus lateral thoracotomy, and relevant pulmonary events during postoperative paediatric intensive care unit (PICU) stay, were analysed. In only 5.5 % (6 of 109) of these asymptomatic patients were pathologic findings on routine chest X-ray before discharge found. In only three of these cases (50 %), subsequent noninvasive medical intervention (increasing diuretics) was needed. All six patients had relevant pulmonary events during their PICU stay. Risk factor analysis showed only pulmonary complications during PICU stay to be significantly associated (p = 0.005) with pathologic X-ray findings. Routine chest radiographs before discharge after cardiac surgery can be omitted in asymptomatic children with an uneventful and straightforward perioperative course. Chest radiographs before discharge are warrantable if pulmonary complications did occur during their PICU stay, as this is a risk factor for pathologic findings in chest X-rays before discharge.

  15. Radiographers' performance in chest X-ray interpretation: the Nigerian experience

    PubMed Central

    Egbe, N O; Akpan, B E

    2015-01-01

    Objective: To assess the performance of Nigerian radiographers in interpretation of plain chest radiographs and to assess whether age, years since qualification and sector of practice are associated with performance. Methods: A test set of 50 radiographs containing 23 cases with no pathology (normal) and 27 abnormal cases (cardiopulmonary conditions) independently confirmed by 3 radiologists were presented to 51 radiographers in a random order. Readers independently evaluated radiographs for absence or presence of disease and stated the location, radiographic features and diagnosis. Readers self-reported their age, years since qualification and sector of practice. Receiver operating characteristic was used to assess the performance. Mann–Whitney U test was used to assess whether age, years since qualification and sector of practice were associated with performance. Results: Mean location sensitivity was 88.9 [95% confidence interval (CI), 0.787–0.980]. Mean sensitivity and specificity were 76.9 (95% CI, 0.658–0.864) and 79.8 (95% CI, 0.658–0.864), respectively. Age was not associated with performance (p = 0.07). Number of years qualified as radiographer (p = 0.005) and private practice (p = 0.004) were positively associated with performance. Conclusion: Nigerian radiographers can correctly report chest radiographs to a reasonable standard, and performance is associated with number of years since qualification and the sector of practice. Advances in knowledge: There are less than 300 radiologists serving a Nigerian population of about 170 million; therefore, X-ray interpretation by radiographers deserves consideration. Nigerian radiographers have potential to interpret chest X-ray in the clinical setting, and this may significantly improve radiology service delivery in this region. PMID:25966290

  16. Evaluation and Management of the Nursing Home Resident With Respiratory Symptoms and an Equivocal Chest X-Ray Report.

    PubMed

    McClester Brown, Mallory; Sloane, Philip D; Kistler, Christine E; Reed, David; Ward, Kimberly; Weber, David; Zimmerman, Sheryl

    2016-12-01

    Pneumonia is a leading cause of morbidity and mortality in nursing home (NH) residents. Chest x-ray evidence is considered a key diagnostic criterion for pneumonia by the Infectious Disease Society of America (IDSA) diagnostic guidelines, the modified McGeer diagnostic criteria, and the Loeb criteria for initiating antibiotics; however, x-ray interpretation is often equivocal. We conducted chart audits of patients in NHs who had chest x-rays for new respiratory symptoms to determine the degree of ambiguity in the radiology reports and their relationship to antibiotic prescription decisions. Cross-sectional study. Thirty-one NHs in North Carolina. Two hundred twenty-six NH residents who had a chest x-ray. Medical charts were abstracted to record (1) the patient's clinical presentation when a chest x-ray was ordered, (2) the verbatim report of the chest x-ray, and (3) the patient's course during the subsequent 7 days. To standardize the radiologist reports, a seven-category coding system was developed, which was further aggregated into three groups based on the radiologist's description of the likelihood of pneumonia. Of the 226 chest x-rays, 118 (52%) identified a very low likelihood of pneumonia, 67 (30%) indicated that pneumonia was present or highly likely, and the remaining 41 (18%) used a variety of terms to describe uncertainty regarding the presence of pneumonia. NH medical providers tended to treat ambiguous chest x-ray reports similarly to positive x-ray reports, prescribing antibiotic therapy to 71% of patients with ambiguous reports and 78% of positive reports. Also notable is that 40 (34%) of the 118 patients with a very low likelihood of pneumonia based on chest x-ray results were prescribed antibiotics, the majority of whom failed to meet criteria for a clinical diagnosis of pneumonia or chronic obstructive pulmonary disease exacerbation. The moderate rate of ambiguous x-ray interpretations in NH residents is likely a combination of the poor quality

  17. A Novel Evaluation for Predicting Aortic Complicated Lesions Using Calcification on Chest X-ray.

    PubMed

    Yamaguchi, Yoshitaka; Tanaka, Tomotaka; Yoshimura, Sohei; Koga, Masatoshi; Nagatsuka, Kazuyuki; Toyoda, Kazunori

    2017-07-28

    The aorta is a significant source of cerebral thromboembolisms. Aortic complicated lesions (ACLs) are key findings on transesophageal echocardiography (TEE) for assessing aortic sources of emboli to the brain. TEE is sometimes avoided due to its invasiveness. However, few reports have examined alternative methods for predicting ACLs. We investigated relationships between aortic arch calcification (AAC) on chest X-ray and ACLs. Participants comprised 300 patients with acute ischemic stroke or transient ischemic attack who underwent TEE for the evaluation of the aortic arch and heart. A postero-anterior plain chest X-ray in the recumbent position was evaluated on admission for each patient. AAC was evaluated using 4 grades (0-3) and "AAC thickness" defined as the distance from the inner margin of the most distant AAC to the outer margin of the aortic vessel wall. ACLs were defined by intima-media thickness (IMT) ≥4.0 mm or presence of ulcerated or mobile plaques. Carotid maximum IMT on ultrasonography was also evaluated. Comparison of the diagnostic ability to predict ACL was performed between AAC grades and AAC thickness or AAC thickness and carotid maximum IMT using the Delong method. ACLs were identified in 71 patients (23.7%), including ACLs with ulcerated plaques in 24 (8.0%) and ACLs with mobile plaques in 9 (3.0%). Plaque thickness was greater in higher AAC grades or higher quartiles of AAC thickness (p for trend <0.001 each). The Cochran-Armitage test showed that both higher AAC grade and higher quartile of AAC thickness were significantly associated with the presence of ACLs, as well as the presence of ulcerated or mobile plaques (p for trend < 0.001 each). Receiver-operating characteristic (ROC) analysis showed optimal cut-off values for AAC thickness of 5.6 mm for ACLs and 6.0 mm for ulcerated or mobile plaques. Multivariate logistic regression revealed a higher grade of AAC (grades 2-3) and AAC thickness (≥6 mm) as significantly associated with ACLs

  18. Ultrasound for Localization of Central Venous Catheter: A Good Alternative to Chest X-Ray?

    PubMed Central

    Kamalipour, Hamid; Ahmadi, Sedigheh; Kamali, Karmella; Moaref, Alireza; Shafa, Masih; Kamalipour, Parsa

    2016-01-01

    Background Chest radiography after central venous catheter (CVC) insertion is the main method of verifying the catheter location. Despite the widespread use of radiography for detecting catheter position, x-ray may not always be readily available, especially in the operating room. Objectives We aimed to compare contrast-enhanced ultrasonography (CEUS) and chest radiography for detecting the correct location of CVCs. Methods One hundred sixteen consecutive patients with indications for CVC before cardiac surgery were enrolled in this observational study. After catheter insertion, CEUS was performed. Portable radiography was obtained postoperatively in the intensive care unit. Sensitivity, specificity, and predictive values were determined by comparing the ultrasonography results with radiographic findings as a reference standard. Results Chest radiography revealed 16 CVC misplacements: two cases of intravascular and 14 cases of right atrium (RA) misplacement. CEUS detected 11 true catheter malpositionings in the RA, while it could not recognize seven catheter placements correctly. CEUS showed two false RA misplacements and five falsely correct CVC positions. A sensitivity of 98% and specificity of 69% were achieved for CEUS in detecting CVC misplacements. Positive and negative predictive values were 95% and 85%, respectively. The interrater agreement (kappa) between CEUS and radiography was 0.72 (P < 0.001). Conclusions Despite close concordance between ultrasonography and chest radiography, CEUS is not a suitable alternative for standard chest radiography in detecting CVC location; however, considering its high sensitivity and acceptable specificity in our study, its usefulness as a triage method for detecting CVC location on a real-time basis in the operating room cannot be ignored. PMID:27847699

  19. Radiation doses to paediatric patients and comforters undergoing chest X rays.

    PubMed

    Sulieman, A; Vlychou, M; Tsougos, I; Theodorou, K

    2011-09-01

    Pneumonia is an important cause of hospital admission among children in the developed world and it is estimated to be responsible for 3-18 % of all paediatric admissions. Chest X ray is an important examination for pneumonia diagnosis and for evaluation of complications. This study aims to determine the entrance surface dose (ESD), organ, effective doses and propose a local diagnostic reference level. The study was carried out at the university hospital of Larissa, Greece. Patients were divided into three groups: organ and effective doses were estimated using National Radiological Protection Board software. The ESD was determined by thermoluminescent dosemeters for 132 children and 76 comforters. The average ESD value was 55 ± 8 µGy. The effective dose for patients was 11.2 ± 5 µSv. The mean radiation dose for comforter is 22 ± 3 µGy. The radiation dose to the patients is well within dose constraint, in the light of the current practice.

  20. Tuberculosis contact investigation using interferon-gamma release assay with chest x-ray and computed tomography.

    PubMed

    Fujikawa, Akira; Fujii, Tatsuya; Mimura, Satoshi; Takahashi, Ryota; Sakai, Masao; Suzuki, Shinya; Kyoto, Yukishige; Uwabe, Yasuhide; Maeda, Shinji; Mori, Toru

    2014-01-01

    Between September 2009 and January 2010, 6 members of the Japanese Eastern Army, who had completed the same training program, were diagnosed with active tuberculosis (TB) on different occasions. The Ministry of Defense conducted a contact investigation of all members who had come into contact with the infected members. The purpose of this study was to verify the efficacy of the TB screening protocol used in this investigation. A total of 884 subjects underwent interferon-gamma release assay (IGRA) and chest X-ray. The 132 subjects who were IGRA positive or with X-ray findings suggestive of TB subsequently underwent chest computer tomography (CT). Chest CT was performed for 132 subjects. Based on CT findings, 24 (2.7%) subjects were classified into the active TB group, 107 (12.1%) into the latent tuberculosis infection (LTBI) group, and 753 (85.2%) into the non-TB group. The first 2 groups underwent anti-TB therapy, and all 3 groups were followed for 2 years after treatment. Although one subject in the active TB group experienced relapse during the follow-up period, no patient in the LTBI or non-TB groups developed TB. IGRA and chest X-ray, followed by chest CT for those IGRA positive or with suspicious X-ray findings, appears to be an effective means of TB contact screening and infection prevention.

  1. Tuberculosis Contact Investigation Using Interferon-Gamma Release Assay with Chest X-Ray and Computed Tomography

    PubMed Central

    Fujikawa, Akira; Fujii, Tatsuya; Mimura, Satoshi; Takahashi, Ryota; Sakai, Masao; Suzuki, Shinya; Kyoto, Yukishige; Uwabe, Yasuhide; Maeda, Shinji; Mori, Toru

    2014-01-01

    Between September 2009 and January 2010, 6 members of the Japanese Eastern Army, who had completed the same training program, were diagnosed with active tuberculosis (TB) on different occasions. The Ministry of Defense conducted a contact investigation of all members who had come into contact with the infected members. The purpose of this study was to verify the efficacy of the TB screening protocol used in this investigation. A total of 884 subjects underwent interferon-gamma release assay (IGRA) and chest X-ray. The 132 subjects who were IGRA positive or with X-ray findings suggestive of TB subsequently underwent chest computer tomography (CT). Chest CT was performed for 132 subjects. Based on CT findings, 24 (2.7%) subjects were classified into the active TB group, 107 (12.1%) into the latent tuberculosis infection (LTBI) group, and 753 (85.2%) into the non-TB group. The first 2 groups underwent anti-TB therapy, and all 3 groups were followed for 2 years after treatment. Although one subject in the active TB group experienced relapse during the follow-up period, no patient in the LTBI or non-TB groups developed TB. IGRA and chest X-ray, followed by chest CT for those IGRA positive or with suspicious X-ray findings, appears to be an effective means of TB contact screening and infection prevention. PMID:24454900

  2. Aspergillus and mucormycosis presenting with normal chest X-ray in an immunocompromised host.

    PubMed

    Gupta, Vipin; Rajagopalan, Natarajan; Patil, Mahantesh; Shivaprasad, C

    2014-04-09

    Invasive aspergillus and mucormycosis infection are not uncommon in immunocompromised individuals. Endobronchial fungal infections have been reported in the literature, especially in patient's with diabetes complicated by diabetic ketoacidosis, but end bronchial coinfection with aspergillus and mucormycosis without pulmonary involvement has not been described in the literature. We report the case of a woman with diabetes who presented with gastrointestinal symptoms, ketoacidosis and respiratory distress, with an apparently normal chest X-ray. Investigations revealed a cavitatory lesion in the left lower lobe of the lungs on CT scan. Bronchoscopy revealed intense mucosal oedema and whitish plaques at the lower end of the trachea and right main stem bronchus with a normal left bronchial tree. Microbiological and pathological results confirmed aspergillus and mucormycosis. Despite aggressive medical management, the patient deteriorated and died of respiratory failure. Strong suspicion of invasive fungal infections in immunocompromised patients with respiratory failure and minimal chest infiltrates, early fibreoptic bronchoscopy and early aggressive treatment is crucial for the patient's survival.

  3. Skull x-ray

    MedlinePlus

    X-ray - head; X-ray - skull; Skull radiography; Head x-ray ... Chernecky CC, Berger BJ. Radiography of skull, chest, and cervical spine - diagnostic. In: Chernecky CC, Berger BJ, eds. Laboratory Tests and Diagnostic Procedures . 6th ed. ...

  4. Annual Screening with Chest X-Ray Does Not Reduce Lung Cancer Deaths | Division of Cancer Prevention

    Cancer.gov

    Annual screening for lung cancer using a standard chest x-ray does not reduce the risk of dying from lung cancer when compared with no annual screening, according to findings from the NCI-led Prostate, Lung, Colorectal, and Ovarian (PLCO) screening trial. |

  5. Determination of chest x-ray cost using activity based costing approach at Penang General Hospital, Malaysia.

    PubMed

    Atif, Muhammad; Sulaiman, Syed Azhar Syed; Shafie, Asrul Akmal; Saleem, Fahad; Ahmad, Nafees

    2012-01-01

    Activity based costing (ABC) is an approach to get insight of true costs and to solve accounting problems. It provides more accurate information on product cost than conventional accounting system. The purpose of this study was to identify detailed resource consumption for chest x-ray procedure. Human resource cost was calculated by multiplying the mean time spent by employees doing specific activity to their per-minute salaries. The costs of consumables and clinical equipments were obtained from the procurement section of the Radiology Department. The cost of the building was calculated by multiplying the area of space used by the chest X-ray facility with the unit cost of public building department. Moreover, straight-line deprecation with a discount rate of 3% was assumed for calculation of equivalent annual costs for building and machines. Cost of electricity was calculated by multiplying number of kilo watts used by electrical appliance in the year 2010 with electricity tariff for Malaysian commercial consumers (MYR 0.31 per kWh). Five activities were identified which were required to develop one chest X-ray film. Human resource, capital, consumable and electricity cost was MYR 1.48, MYR 1.98, MYR 2.15 and MYR 0.04, respectively. Total cost of single chest X-ray was MYR 5.65 (USD 1.75). By applying ABC approach, we can have more detailed and precise estimate of cost for specific activity or service. Choice of repeating a chest X-ray can be based on our findings, when cost is a limiting factor.

  6. Determination of chest x-ray cost using activity based costing approach at Penang General Hospital, Malaysia

    PubMed Central

    Atif, Muhammad; Sulaiman, Syed Azhar Syed; Shafie, Asrul Akmal; Saleem, Fahad; Ahmad, Nafees

    2012-01-01

    Background Activity based costing (ABC) is an approach to get insight of true costs and to solve accounting problems. It provides more accurate information on product cost than conventional accounting system. The purpose of this study was to identify detailed resource consumption for chest x-ray procedure. Methods Human resource cost was calculated by multiplying the mean time spent by employees doing specific activity to their per-minute salaries. The costs of consumables and clinical equipments were obtained from the procurement section of the Radiology Department. The cost of the building was calculated by multiplying the area of space used by the chest X-ray facility with the unit cost of public building department. Moreover, straight-line deprecation with a discount rate of 3% was assumed for calculation of equivalent annual costs for building and machines. Cost of electricity was calculated by multiplying number of kilo watts used by electrical appliance in the year 2010 with electricity tariff for Malaysian commercial consumers (MYR 0.31 per kWh). Results Five activities were identified which were required to develop one chest X-ray film. Human resource, capital, consumable and electricity cost was MYR 1.48, MYR 1.98, MYR 2.15 and MYR 0.04, respectively. Total cost of single chest X-ray was MYR 5.65 (USD 1.75). Conclusion By applying ABC approach, we can have more detailed and precise estimate of cost for specific activity or service. Choice of repeating a chest X-ray can be based on our findings, when cost is a limiting factor. PMID:22891098

  7. Chest MR imaging in the follow-up of pulmonary alterations in paediatric patients with middle lobe syndrome: comparison with chest X-ray.

    PubMed

    Fraioli, F; Serra, G; Ciarlo, G; Massaccesi, V; Liberali, S; Fiorelli, A; Macrì, F; Catalano, C

    2013-04-01

    The authors evaluated the role of magnetic resonance (MR) imaging of the chest in comparison with chest X-ray in the follow-up of pulmonary abnormalities detected by computed tomography (CT) in paediatric patients with middle lobe syndrome. Seventeen patients with middle lobe syndrome (mean age 6.2 years) underwent chest CT at the time of diagnosis (100 kV, CARE dose with quality reference of 70 mAs; collimation 24×1.2 mm; rotation time 0.33 s; scan time 5 s); at follow-up after a mean of 15.3 months, all patients were evaluated with chest MR imaging with a respiratory-triggered T2-weighted BLADE sequence (TR 2,000; TE 27 ms; FOV 400 mm; flip angle 150°; slice thickness 5 mm) and chest X-ray. Images from each modality were assessed for the presence of pulmonary consolidations, bronchiectases, bronchial wall thickening and mucous plugging. Hilar and mediastinal lymphadenopathies were assessed on CT and MR images. Baseline CT detected consolidations in 100% of patients, bronchiectases in 35%, bronchial wall thickening in 53% and mucous plugging in 35%. MR imaging and chest X-ray identified consolidations in 65% and 35%, bronchiectases in 35% and 29%, bronchial wall thickening in 59% and 6% and mucous plugging in 25% and 0%, respectively. Lymphadenopathy was seen in 64% of patients at CT and in 47% at MR imaging. Patients with middle lobe syndrome show a wide range of parenchymal and bronchial abnormalities at diagnosis. Compared with MR imaging, chest X-ray seems to underestimate these changes. Chest MR imaging might represent a feasible and radiation-free option for an overall assessment of the lung in the follow-up of patients with middle lobe syndrome.

  8. SOSORT 2012 consensus paper: reducing x-ray exposure in pediatric patients with scoliosis

    PubMed Central

    2014-01-01

    This 2012 Consensus paper reviews the literature on side effects of x-ray exposure in the pediatric population as it relates to scoliosis evaluation and treatment. Alternative methods of spinal assessment and imaging are reviewed, and strategies for reducing the number of radiographs are developed. Using the Delphi technique, SOSORT members developed consensus statements that describe how often radiographs should be taken in each of the pediatric and adolescent sub-populations. PMID:24782912

  9. Final year physiotherapy student's reliability in chest X-ray interpretation.

    PubMed

    Ball, Valerie; Chiu, Caren Sze; Lian, Yun-Perng; Lingeswaran, Laksmini

    2017-08-17

    Newly qualified physiotherapists may be required to interpret an unreported chest X-ray (CXR) as part of their physiotherapy assessment in "on call" situations. Their interpretation may influence the patient management strategies they adopt. There is no research published which have tested the reliability of final year physiotherapy students in CXR interpretation. Twenty-five final year physiotherapy students were asked to view and interpret the findings of six CXRs, together with a brief vignette, typical of a single commonly encountered diagnosis. Students were also asked if they had received additional CXR training on placement or had a desire to specialize in respiratory care. The CXR interpretations were scored as incorrect 0, partially correct 1 (abnormality detected but not able to diagnose or missed some detail) and 2 correct. Scores for each of the six CXRs were added to give a total score (out of 12). The median score was 3 out of 12, (range 0-9). Median scores were slightly higher at 4 out of 12 in those students with additional training or a desire to specialize (range 1-7), but this was not statistically significant (p = 0.43). Final year physiotherapy students were not able to reliably interpret CXRs. These findings were consistent with previous published research involving medical students. Therefore on graduation before starting "on call" duties it is recommended newly qualified physiotherapists receive additional training in CXR interpretation.

  10. The accuracy of mobile teleradiology in the evaluation of chest X-rays.

    PubMed

    Schwartz, Adam B; Siddiqui, Gina; Barbieri, John S; Akhtar, Amana L; Kim, Woojin; Littman-Quinn, Ryan; Conant, Emily F; Gupta, Narainder K; Pukenas, Bryan A; Ramchandani, Parvati; Lev-Toaff, Anna S; Tobey, Jennifer D; Torigian, Drew A; Praestgaard, Amy H; Kovarik, Carrie L

    2014-12-01

    We assessed the diagnostic accuracy of digital photographs of plain film chest X-rays (CXRs) obtained using a mobile phone. The study was a randomized, non-inferiority trial, in which physical plain film CXRs viewed on a light box were compared with digital photographs of plain film CXRs. CXRs were selected from a database of radiology studies to show common pathologies found in Botswana associated with pneumonia, lung carcinoma, tuberculosis, pneumothorax and interstitial disease, as well as normal findings. The pre-selected diagnoses were subsequently verified by a second radiologist. Seven radiologists were randomized to review 75 plain film CXRs on light boxes before viewing 75 digital photographs, or vice versa. Their responses were considered correct if they matched the pre-defined diagnosis. For both modalities, the correct diagnosis was provided in 79% of cases; for plain film CXRs, the correct diagnosis was provided in 82% of cases and for digital photographs the correct diagnosis was provided in 76% of cases. The difference in diagnostic accuracy was -5.7% (95% CI: -10.8% to -0.5%), which confirmed non-inferiority (P<0.001) for the primary outcome of diagnostic accuracy. A subgroup analysis demonstrated non-inferiority for lung carcinoma and pneumonia images, although non-inferiority was not achieved for pneumothorax, tuberculosis, interstitial disease or normal images. The study demonstrates that digital photographs of CXRs obtained via a mobile phone equipped with a digital camera are non-inferior to plain film CXRs.

  11. The completeness of chest X-ray procedure codes in the Danish National Patient Registry

    PubMed Central

    Hjertholm, Peter; Flarup, Kaare Rud; Guldbrandt, Louise Mahncke; Vedsted, Peter

    2017-01-01

    Objective The aim of this validation study was to assess the completeness of the registrations of chest X-rays (CXR) in two different versions of the Danish National Patient Registry (DNPR). Material and methods We included electronic record data on CXR performed on patients aged 40 to 99 years from nine radiology departments covering 20 Danish hospitals. From each department, we included data from three randomly selected weeks between 2004 and 2011 (reference standard). In two versions of the DNPR from the State Serum Institute (SSI) and Statistics Denmark, respectively, we investigated the proportion of registered CXR compared to the reference standard. Furthermore, we compared the completeness of the recorded data according to the responsible department (main department). Results We identified 11,235 patients and 12,513 CXR in the reference standard. The data from the SSI contained 12,265 (98%) CXR, whereas the data from Statistics Denmark comprised 9,151 (73.1%) CXR. The completeness of the SSI data was fairly constant across years, radiology departments, medical specialties, and age groups. The data from Statistics Denmark was almost complete in 2011 (95.8%). However, for the remaining study period, the data with radiology departments registered as the main department were lacking in the version from Statistics Denmark, and so the overall completeness was 73.1%. Conclusion The completeness of CXR registrations varied between 98% and 73% depending on the information source, and this should be considered when investigating radiology services in the basis of DNPR. PMID:28293121

  12. Lung ultrasound and chest x-ray for detecting pneumonia in an acute geriatric ward

    PubMed Central

    Ticinesi, Andrea; Lauretani, Fulvio; Nouvenne, Antonio; Mori, Giulia; Chiussi, Giulia; Maggio, Marcello; Meschi, Tiziana

    2016-01-01

    Abstract Background: Our aim was to compare the accuracy of lung ultrasound (LUS) and standard chest x-ray (CXR) for diagnosing pneumonia in older patients with acute respiratory symptoms (dyspnea, cough, hemoptysis, and atypical chest pain) admitted to an acute-care geriatric ward. Methods: We enrolled 169 (80 M, 89 F) multimorbid patients aged 83.0 ± 9.2 years from January 1 to October 31, 2015. Each participant underwent CXR and bedside LUS within 6 hours from ward admission. LUS was performed by skilled clinicians, blinded to CXR results and clinical history. The final diagnosis (pneumonia vs no-pneumonia) was established by another clinician reviewing clinical and laboratory data independent of LUS results and possibly prescribing chest contrast-enhanced CT. Diagnostic parameters of CXR and LUS were compared with McNemar test on the whole cohort and after stratification for Rockwood Clinical Frailty Scale. Results: Diagnostic accuracy for pneumonia (96 patients) was significantly higher in LUS (0.90, 95% confidence interval [CI] 0.83–0.96) compared with CXR (0.67, 95%CI 0.60–0.74, P < 0.001). LUS had a better sensitivity (0.92, 95%CI 0.86–0.97 vs 0.47, 95%CI 0.37–0.57) and negative predictive value (0.95, 95% CI 0.83–0.96 vs 0.57, 95%CI 0.48–0.56). In those patients with frailty (n = 87 with Rockwood Clinical Frailty Scale ≥5), LUS maintained a high diagnostic accuracy, but CXR did not (P = 0.0003). Interobserver agreement for LUS, calculated in a subsample of 29 patients, was high (k = 0.90). Conclusions: In multimorbid patients admitted to an acute geriatric ward, LUS was more accurate than CXR for the diagnosis of pneumonia, particularly in those with frailty. A wider use of LUS should be implemented in this setting. PMID:27399134

  13. Clinical decision rule to prevent unnecessary chest X-ray in patients with blunt multiple traumas.

    PubMed

    Forouzanfar, Mohammad Mehdi; Safari, Saeed; Niazazari, Maryam; Baratloo, Alireza; Hashemi, Behrooz; Hatamabadi, Hamid Reza; Rahmati, Farhad; Sanei Taheri, Morteza

    2014-12-01

    Since the diagnostic yield of chest X-ray (CXR) is not high enough, when it is ordered for all the multiple trauma patients, this study was aimed to evaluate the relationship between clinical and CXR findings in order to formulate a clinical decision rule to prevent unnecessary CXR in these patients. Stable multiple blunt trauma patients referring to the ED were included. The clinical and radiographic findings of all the patients were collected and the relationships between these variables analysed. Finally, based on the regression coefficients (β) of the variables, the Thoracic Injury Rule-out Criteria (TIRC) were designed. A total of 2607 patients were included (males: 78.9%, mean age: 34.1 ± 15.0 years). Age over 60 (β = 0.8; 95% CI: 0.27-1.34; P = 0.003), crepitation (β = 4.33; 95% CI: 1.65-7.0; P < 0.001), loss of consciousness (β = 3.16; 95% CI: 2.44-3.88; P < 0.001), decrease in pulmonary sounds (β = 2.67; 95% CI: 1.73-3.6; P < 0.001), chest wall pain (β = 2.12; 95% CI: 1.63-2.61; P < 0.001) and tenderness (β = 1.78; 95% CI: 1.26-2.27; P < 0.001), dyspnea (β = 1.3; 95% CI: 0.41-2.18; P = 0.004) and abrasion (β = 0.5; 95% CI: 0.22-0.83; P = 0.03) were independent factors predicting thoracic injury. CXR in stable conscious multiple blunt trauma patients under 60 years, without chest wall pain and tenderness, decrease in pulmonary sounds, crepitation, skin abrasion, and dyspnea did not provide any additional findings. Based on TIRC, it seems that CXR in stable multiple blunt trauma patients who are conscious and under 60 and have no decrease in pulmonary sounds, no dyspnea, no thoracic skin abrasion, and no crepitation can be ignored. © 2014 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  14. Are chest X-rays mandatory following central venous recatheterization over a wire?

    PubMed

    Amshel, C E; Palesty, J A; Dudrick, S J

    1998-06-01

    Exchange of a central venous catheter (CVC) over a guidewire is a frequent clinical procedure, especially in surgical intensive care units. At most hospitals, a chest X-ray (CXR) is obtained routinely after recatheterization to confirm accurate catheter placement and to rule out complications such as pneumothorax. We hypothesized that the incidence of complications after central venous recatheterization over a guidewire is too low to justify automatic performance and the associated expense of a routine postprocedure CXR. Initially we undertook a retrospective study of a total of 295 patients with a Swan-Ganz catheter (SGC), of which 92 SGCs were exchanged over a guidewire for a CVC between July 1, 1994, and June 30, 1996, at a university-affiliated community hospital. Age, gender, duration of SGC placement, type of central catheter used for exchange with the SGC, and CXRs and their reports were noted. From July 1, 1996, to October 1, 1997, the study has been continued prospectively. Thus far, in this ongoing investigation, we have identified 505 patients (201 prospective) who had a SGC placed, 210 (116 prospective) of whom had their SGC removed electively, leaving the SGC introducer in place for advancement of a guidewire, and subsequent replacement by a CVC. Of all the patients with a SGC, 40 per cent had the SGC replaced with a CVC over a guidewire, and follow-up CXRs and their reports confirmed that all exchanged triple lumen catheter tips were appropriately positioned in the superior vena cava with zero complications. With the advent of managed care, a savings of $115/CXR (one view X-ray and reading cost at our hospital) would be gained without the added risk of radiation exposure to the patient if a CXR were not mandatory after an uncomplicated guidewire replacement of a central line. It appears from these data that a CXR is not justified as a routine study after replacement of all CVCs over a wire from the standpoints of both patient risk and expense

  15. Chest X-ray Artifact Caused by Bilateral 99mTc-Antimony Trisulfite Injection for Sentinel Node Imaging in a Patient With Breast Cancer.

    PubMed

    Makis, William; Robinson, Don; McEwan, Alexander J B; Riauka, Terence A

    2016-04-01

    A 52-year-old woman diagnosed with invasive ductal carcinoma of both breasts had a chest x-ray for preoperative assessment. A striking artifact was noted by the x-ray technologist, who, as a result, became very concerned about radiation exposure from the patient. The patient had undergone bilateral sentinel lymph node injections in the nuclear medicine department with Tc-antimony trisulfite colloid just 2 hours before the chest x-ray. Radiation exposure to the x-ray technologist was determined to be similar to 8 hours of naturally occurring background radiation (∼2.96 μSv).

  16. Automatic estimation of heart boundaries and cardiothoracic ratio from chest x-ray images

    NASA Astrophysics Data System (ADS)

    Dallal, Ahmed H.; Agarwal, Chirag; Arbabshirani, Mohammad R.; Patel, Aalpen; Moore, Gregory

    2017-03-01

    Cardiothoracic ratio (CTR) is a widely used radiographic index to assess heart size on chest X-rays (CXRs). Recent studies have suggested that also two-dimensional CTR might contain clinical information about the heart function. However, manual measurement of such indices is both subjective and time consuming. This study proposes a fast algorithm to automatically estimate CTR indices based on CXRs. The algorithm has three main steps: 1) model based lung segmentation, 2) estimation of heart boundaries from lung contours, and 3) computation of cardiothoracic indices from the estimated boundaries. We extended a previously employed lung detection algorithm to automatically estimate heart boundaries without using ground truth heart markings. We used two datasets: a publicly available dataset with 247 images as well as clinical dataset with 167 studies from Geisinger Health System. The models of lung fields are learned from both datasets. The lung regions in a given test image are estimated by registering the learned models to patient CXRs. Then, heart region is estimated by applying Harris operator on segmented lung fields to detect the corner points corresponding to the heart boundaries. The algorithm calculates three indices, CTR1D, CTR2D, and cardiothoracic area ratio (CTAR). The method was tested on 103 clinical CXRs and average error rates of 7.9%, 25.5%, and 26.4% (for CTR1D, CTR2D, and CTAR respectively) were achieved. The proposed method outperforms previous CTR estimation methods without using any heart templates. This method can have important clinical implications as it can provide fast and accurate estimate of cardiothoracic indices.

  17. Role of the trauma-room chest x-ray film in assessing the patient with severe blunt traumatic injury

    PubMed Central

    McLellan, Barry A.; Ali, Jameel; Towers, Mark J.; Sharkey, P. William

    1996-01-01

    Objectives To examine the accuracy of standard trauma-room chest x-ray films in assessing blunt abdominal trauma and to determine the significance of missed injuries under these circumstances. Design A retrospective review. Setting A regional trauma unit in a tertiary-care institution. Patients Multiply injured trauma patients admitted between January 1988 and December 1990 who died within 24 hours of injury and in whom an autopsy was done. Intervention Standard radiography of the chest. Main Outcome Measures Chest injuries diagnosed and recorded by the trauma room team from standard anteroposterior x-ray films compared with the findings at autopsy and with review of the films by a staff radiologist initially having no knowledge of the injuries and later, if injuries remained undetected, having knowledge of the autopsy findings. Results Thirty-seven patients met the study criteria, and their cases were reviewed. In 11 cases, significant injuries were noted at autopsy and not by the trauma-room team, and in 7 cases these injuries were also missed by the reviewing radiologist. Injuries missed by the team were: multiple rib fractures (11 cases), sternal fractures (3 cases), diaphragmatic tear (2 cases) and intimal aortic tear (1 case). In five cases, chest tubes were not inserted despite the presence (undiagnosed) of multiple rib fractures and need for intubation and positive-pressure ventilation. Conclusions Significant blunt abdominal trauma, potentially requiring operative management or chest-tube insertion, may be missed on the initial anteroposterior chest x-ray film. Caution must therefore be exercised in interpreting these films in the trauma resuscitation room. PMID:8599789

  18. Routine chest x-rays in intensive care units: a systematic review and meta-analysis

    PubMed Central

    2012-01-01

    Introduction Chest x-rays (CXRs) are the most frequent radiological tests performed in the intensive care unit (ICU). However, the utility of performing daily routine CXRs is unclear. Methods We searched Medline and Embase (1948 to March 2011) for randomized and quasi-randomized controlled trials (RCTs) and before-after observational studies comparing a strategy of routine CXRs to a more restrictive approach with CXRs performed to investigate clinical changes among critically ill adults or children. In duplicate, we extracted data on the CXR strategy, study quality and clinical outcomes (ICU and hospital mortality; duration of mechanical ventilation and ICU and hospital stay). Results Nine studies (39,358 CXRs; 9,611 patients) were included in the meta-analysis. Three trials (N = 870) of moderate to good quality provided information on the safety of a restrictive routine CXR strategy; only one trial systematically assessed for missed findings. Pooled data from trials showed no evidence of effect of a restrictive approach on ICU mortality (risk ratio [RR] 1.04, 95% confidence interval [CI] 0.84 to 1.28, P = 0.72; two trials, N = 776), hospital mortality (RR 0.98, 95% CI 0.68 to 1.41, P = 0.91; two trials, N = 259), ICU length of stay (weighted mean difference [WMD] -0.86 days, 95% CI -2.38 to 0.66 days, P = 0.27; three trials, N = 870), hospital length of stay (WMD -2.50 days, 95% CI -6.62 to 1.61 days, P = 0.23; two trials, N = 259), or duration of mechanical ventilation (WMD -0.30 days, 95% CI -1.48 to 0.89 days, P = 0.62; three trials, N = 705). Adding data from six observational studies, one of which systematically screened for missed findings, gave similar results. Conclusions This meta-analysis did not detect any harm associated with a restrictive chest radiograph strategy. However, confidence intervals were wide and harm was not rigorously assessed. Therefore, the safety of abandoning routine CXRs in patients admitted to the ICU remains uncertain. PMID

  19. Measurement of radiotherapy x-ray skin dose on a chest wall phantom.

    PubMed

    Quach, K Y; Morales, J; Butson, M J; Rosenfeld, A B; Metcalfe, P E

    2000-07-01

    Sufficient skin dose needs to be delivered by a radiotherapy chest wall treatment regimen to ensure the probability of a near surface tumor recurrence is minimized. To simulate a chest wall treatment a hemicylindrical solid water phantom of 7.5 cm radius was irradiated with 6 MV x-rays using 20x20 cm2 and 10x20 cm2 fields at 100 cm source surface distance (SSD) to the base of the phantom. A surface dose profile was obtained from 0 to 180 degrees, in 10 degrees increments around the circumference of the phantom. Dosimetry results obtained from radiochromic film (effective depth of 0.17 mm) were used in the investigation, the superficial doses were found to be 28% (of Dmax) at the 0 degrees beam entry position and 58% at the 90 degrees oblique beam position. Superficial dose results were also obtained using extra thin thermoluminescent dosimeters (TLD) (effective depth 0.14 mm) of 30% at 0 degrees, 57% at 90 degrees, and a metal oxide semiconductor field effect transistor (MOSFET) detector (effective depth 0.5 mm) of 43% at 0 degrees, 62% at 90 degrees. Because the differences in measured superficial doses were significant and beyond those related to experimental error, these differences are assumed to be mostly attributable to the effective depth of measurement of each detector. We numerically simulated a bolus on/bolus off technique and found we could increase the coverage to the skin. Using an alternate "bolus on," "bolus off" regimen, the skin would receive 36.8 Gy at 0 degrees incidence and 46.4 Gy at 90 degrees incidence for a prescribed midpoint dose of 50 Gy. From this work it is evident that, as the circumference of the phantom is traversed the SSD increases and hence there is an inverse square fluence fall-off, this is more than offset by the increase in skin dose due to surface curvature to a plateau at about 90 degrees. Beyond this angle it is assumed that beam attenuation through the phantom and inverse square fall-off is causing the surface dose to

  20. Non-malignant chest x ray changes in patients with mesothelioma in a large cohort of asbestos insulation workers.

    PubMed Central

    Lilis, R; Ribak, J; Suzuki, Y; Penner, L; Bernstein, N; Selikoff, I J

    1987-01-01

    To assess the prevalence of non-malignant chest x ray abnormalities in cases of mesothelioma 184 cases of mesothelioma (72 pleural and 112 peritoneal) which had occurred in a cohort of asbestos insulation workers followed up since 1967 were studied. Chest x ray films of satisfactory quality, on which the presence or absence of non-malignant radiological changes indicating interstitial pulmonary fibrosis or pleural fibrosis or both, could be assessed with a high degree of certainty were available. In some cases (20% for pleural mesothelioma, 11.6% for peritoneal mesothelioma) non-malignant radiological changes were not radiologically detectable. Parenchymal interstitial fibrosis (small irregular opacities) only was found in a proportion of cases (25.4% of pleural mesotheliomas, 12.5% of peritoneal mesotheliomas). Pleural fibrosis only was detected in 17% of cases of pleural mesothelioma and 27% of cases of peritoneal mesothelioma. Most patients had both parenchymal and pleural fibrosis. Although these results tend to indicate that in peritoneal mesothelioma the proportion of pleural fibrosis is significantly higher, these findings might have been due to the fact that in most cases of pleural mesothelioma non-malignant changes were interpreted in one hemithorax only. In 46 cases (21 pleural, 25 peritoneal) in which sufficient lung tissue was available histopathology of lung parenchyma indicated the presence of interstitial fibrosis; in 20 (43.5%) of these the chest x ray film had been read as negative. Thus the absence of radiologically detectable small opacities on the chest x ray film does not exclude the existence of interstitial pulmonary fibrosis in cases of mesothelioma among insulation workers. With lower levels of exposure (such as in family contacts of asbestos workers) it is conceivable that mesothelioma might occur in the absence of interstitial pulmonary fibrosis. PMID:3606969

  1. X-ray vs. CT in identifying significant C-spine injuries in the pediatric population.

    PubMed

    Hale, Andrew T; Alvarado, Abraham; Bey, Amita K; Pruthi, Sumit; Mencio, Gregory A; Bonfield, Christopher M; Martus, Jeffrey E; Naftel, Robert P

    2017-06-27

    Evaluation of cervical spine injury (CSI) in children requires rapid, yet accurate assessment of damage. Given concerns of radiation exposure, expert consensus advises that computed tomography (CT) should be used sparingly. However, CT can provide superior image resolution and detection of pathology. Herein, we evaluate if X-ray offers equal diagnostic accuracy compared to CT imaging in identifying CSI in children. We conducted a retrospective study between October 2000 and March 2012 of pediatric patients evaluated for cervical spine injury at a level 1 trauma center. All patients included in this study were imaged with cervical spine X-rays and CT at the time of injury. Demographic information, mechanism of injury, significant versus non-significant injury (as defined by the NEXUS criteria), radiographic findings, level of the injury, presence of spinal cord injury, treatment, clinical outcome, and length of follow-up were collected. Chi-squared (χ (2)) and Fisher's exact tests were used as appropriate and means and standard deviations were reported. We identified 1296 patients who were screened for CSI. Of those, 164 patients were diagnosed with spinal cord/column injuries (CSI). Eighty-nine patients were excluded for only having a CT or X-ray imaging without the other modality. Thus, a total of 75 patients with CSI were included in the final cohort. Using the NEXUS definitions, 78% of patients had clinically significant injuries while 22% had non-significant injuries. There were no injuries detected on X-ray that were not also detected on CT. For all injuries, X-ray sensitivity was 50.7%. X-rays were more sensitive to significant injuries (62.3%) compared in non-significant injuries, which were missed on all X-rays (0%). Therefore, X-rays did not identify 24 significant cervical spine injuries (32%) as defined by NEXUS. CT is superior to X-rays in detecting both clinically significant and insignificant cervical spine injuries. These results were not dependent

  2. European Guidelines for AP/PA chest X-rays: routinely satisfiable in a paediatric radiology division?

    PubMed

    Tschauner, Sebastian; Marterer, Robert; Gübitz, Michael; Kalmar, Peter I; Talakic, Emina; Weissensteiner, Sabine; Sorantin, Erich

    2016-02-01

    Accurate collimation helps to reduce unnecessary irradiation and improves radiographic image quality, which is especially important in the radiosensitive paediatric population. For AP/PA chest radiographs in children, a minimal field size (MinFS) from "just above the lung apices" to "T12/L1" with age-dependent tolerance is suggested by the 1996 European Commission (EC) guidelines, which were examined qualitatively and quantitatively at a paediatric radiology division. Five hundred ninety-eight unprocessed chest X-rays (45% boys, 55% girls; mean age 3.9 years, range 0-18 years) were analysed with a self-developed tool. Qualitative standards were assessed based on the EC guidelines, as well as the overexposed field size and needlessly irradiated tissue compared to the MinFS. While qualitative guideline recommendations were satisfied, mean overexposure of +45.1 ± 18.9% (range +10.2% to +107.9%) and tissue overexposure of +33.3 ± 13.3% were found. Only 4% (26/598) of the examined X-rays completely fulfilled the EC guidelines. This study presents a new chest radiography quality control tool which allows assessment of field sizes, distances, overexposures and quality parameters based on the EC guidelines. Utilising this tool, we detected inadequate field sizes, inspiration depths, and patient positioning. Furthermore, some debatable EC guideline aspects were revealed. • European Guidelines on X-ray quality recommend exposed field sizes for common examinations. • The major failing in paediatric radiographic imaging techniques is inappropriate field size. • Optimal handling of radiographic units can reduce radiation exposure to paediatric patients. • Constant quality control helps ensure optimal chest radiographic image acquisition in children.

  3. [Recommendations for reporting benign asbestos-related findings in chest X-ray and CT to the accident insurances].

    PubMed

    Kraus, T; Borsch-Galetke, E; Elliehausen, H J; Frank, K; Hering, K G; Hieckel, H G; Hofmann-Preiss, K; Jacques, W; Jeremie, U; Kotschy-Lang, N; Mannes, E; Otten, H; Raab, W; Raithel, H J; Schneider, W D; Tuengerthal, S

    2009-12-01

    Asbestos-related diseases still play an important role in occupational medicine. The detection of benign asbestos-related diseases is one condition for the compensation of asbestos-related lung cancer in Germany. Due to the increasing use of computed tomography, asbestos-related diseases are more frequently detected in the early stages. The present article proposes recommendations for the findings which have to be reported as suspicious for being asbestos-related based on a) chest X-rays and b) computed tomography using the International Classification System for Occupational and Environmental Respiratory Diseases (ICOERD).

  4. Diagnostic chest x-rays and breast cancer risk before age 50 years for BRCA1 and BRCA2 mutation carriers

    PubMed Central

    John, Esther M.; McGuire, Valerie; Thomas, Duncan; Haile, Robert; Ozcelik, Hilmi; Milne, Roger L.; Felberg, Anna; West, Dee W.; Miron, Alexander; Knight, Julia A.; Terry, Mary Beth; Daly, Mary; Buys, Saundra S.; Andrulis, Irene L.; Hopper, John L.; Southey, Melissa C.; Giles, Graham G.; Apicella, Carmel; Thorne, Heather; Whittemore, Alice S.

    2013-01-01

    Background The effects of low-dose medical radiation on breast cancer risk are uncertain, and few studies have included genetically susceptible women, such as those who carry germline BRCA1 and BRCA2 mutations. Methods We studied 454 BRCA1 and 273 BRCA2 mutation carriers aged <50 years from three breast cancer family registries in the USA, Canada, and Australia/New Zealand. We estimated breast cancer risk associated with diagnostic chest x-rays by comparing mutation carriers with breast cancer (cases) with those without breast cancer (controls). Exposure to chest x-rays was self-reported. Mammograms were not considered in the analysis. Results After adjusting for known risk factors for breast cancer, the odds ratio (OR) for a history of diagnostic chest x-rays, excluding those for tuberculosis or pneumonia, was 1.16 (95% confidence interval (CI) = 0.64–2.11) for BRCA1 mutations carriers and 1.22 (95% CI=0.62–2.42) for BRCA2 mutations carriers. The OR was statistically elevated for BRCA2 mutation carriers with 3–5 diagnostic chest x-rays (p = 0.01), but not for those with 6 or more chest x-rays. Few women reported chest fluoroscopy for tuberculosis or chest x-rays for pneumonia; the OR estimates were elevated, but not statistically significant, for BRCA1 mutation carriers. Conclusions Our findings do not support a positive association between diagnostic chest x-rays and breast cancer risk before age 50 years for BRCA1 or BRCA2 mutation carriers. Impact Given the increasing use of diagnostic imaging involving higher ionizing radiation doses, further studies of genetically predisposed women are warranted. PMID:23853209

  5. Anatomy-based transmission factors for technique optimization in portable chest x-ray

    NASA Astrophysics Data System (ADS)

    Liptak, Christopher L.; Tovey, Deborah; Segars, William P.; Dong, Frank D.; Li, Xiang

    2015-03-01

    Portable x-ray examinations often account for a large percentage of all radiographic examinations. Currently, portable examinations do not employ automatic exposure control (AEC). To aid in the design of a size-specific technique chart, acrylic slabs of various thicknesses are often used to estimate x-ray transmission for patients of various body thicknesses. This approach, while simple, does not account for patient anatomy, tissue heterogeneity, and the attenuation properties of the human body. To better account for these factors, in this work, we determined x-ray transmission factors using computational patient models that are anatomically realistic. A Monte Carlo program was developed to model a portable x-ray system. Detailed modeling was done of the x-ray spectrum, detector positioning, collimation, and source-to-detector distance. Simulations were performed using 18 computational patient models from the extended cardiac-torso (XCAT) family (9 males, 9 females; age range: 2-58 years; weight range: 12-117 kg). The ratio of air kerma at the detector with and without a patient model was calculated as the transmission factor. Our study showed that the transmission factor decreased exponentially with increasing patient thickness. For the range of patient thicknesses examined (12-28 cm), the transmission factor ranged from approximately 21% to 1.9% when the air kerma used in the calculation represented an average over the entire imaging field of view. The transmission factor ranged from approximately 21% to 3.6% when the air kerma used in the calculation represented the average signals from two discrete AEC cells behind the lung fields. These exponential relationships may be used to optimize imaging techniques for patients of various body thicknesses to aid in the design of clinical technique charts.

  6. Entrance surface dose and image quality: comparison of adult chest and abdominal X-ray examinations in general practitioner clinics, public and private hospitals in Malaysia.

    PubMed

    Hambali, Ahmad Shariff; Ng, Kwan-Hoong; Abdullah, Basri Johan Jeet; Wang, Hwee-Beng; Jamal, Noriah; Spelic, David C; Suleiman, Orhan H

    2009-01-01

    This study was undertaken to compare the entrance surface dose (ESD) and image quality of adult chest and abdominal X-ray examinations conducted at general practitioner (GP) clinics, and public and private hospitals in Malaysia. The surveyed facilities were randomly selected within a given category (28 GP clinics, 20 public hospitals and 15 private hospitals). Only departmental X-ray units were involved in the survey. Chest examinations were done at all facilities, while only hospitals performed abdominal examinations. This study used the x-ray attenuation phantoms and protocols developed for the Nationwide Evaluation of X-ray Trends (NEXT) survey program in the United States. The ESD was calculated from measurements of exposure and clinical geometry. An image quality test tool was used to evaluate the low-contrast detectability and high-contrast detail performance under typical clinical conditions. The median ESD value for the adult chest X-ray examination was the highest (0.25 mGy) at GP clinics, followed by private hospitals (0.22 mGy) and public hospitals (0.17 mGy). The median ESD for the adult abdominal X-ray examination at public hospitals (3.35 mGy) was higher than that for private hospitals (2.81 mGy). Results of image quality assessment for the chest X-ray examination show that all facility types have a similar median spatial resolution and low-contrast detectability. For the abdominal X-ray examination, public hospitals have a similar median spatial resolution but larger low-contrast detectability compared with private hospitals. The results of this survey clearly show that there is room for further improvement in performing chest and abdominal X-ray examinations in Malaysia.

  7. [Patterns of pulmonary vascularization on plain-film chest X-rays].

    PubMed

    Rodríguez Carnero, P; Bustos García de Castro, A

    2014-01-01

    Plain chest films are a fundamental tool in the practice of medicine. The apparent simplicity of plain chest films sometimes leads us to forget that interpreting them correctly can provide very valuable information, especially if the interpretation is grounded in key clinical information. To interpret a plain chest film, it is important to pay attention to the pulmonary vascularization. This article reviews the normal shape and distribution of the pulmonary vessels on plain chest films and the most common pathologic vascular patterns, including those seen in pulmonary hypertension, hyperemia, hypovascularization, and alternative perfusion. Copyright © 2013 SERAM. Published by Elsevier Espana. All rights reserved.

  8. Visualizing and enhancing a deep learning framework using patients age and gender for chest x-ray image retrieval

    NASA Astrophysics Data System (ADS)

    Anavi, Yaron; Kogan, Ilya; Gelbart, Elad; Geva, Ofer; Greenspan, Hayit

    2016-03-01

    We explore the combination of text metadata, such as patients' age and gender, with image-based features, for X-ray chest pathology image retrieval. We focus on a feature set extracted from a pre-trained deep convolutional network shown in earlier work to achieve state-of-the-art results. Two distance measures are explored: a descriptor-based measure, which computes the distance between image descriptors, and a classification-based measure, which performed by a comparison of the corresponding SVM classification probabilities. We show that retrieval results increase once the age and gender information combined with the features extracted from the last layers of the network, with best results using the classification-based scheme. Visualization of the X-ray data is presented by embedding the high dimensional deep learning features in a 2-D dimensional space while preserving the pairwise distances using the t-SNE algorithm. The 2-D visualization gives the unique ability to find groups of X-ray images that are similar to the query image and among themselves, which is a characteristic we do not see in a 1-D traditional ranking.

  9. Immediate chest X-ray for patients at risk of lung cancer presenting in primary care: randomised controlled feasibility trial.

    PubMed

    Neal, Richard D; Barham, Allan; Bongard, Emily; Edwards, Rhiannon Tudor; Fitzgibbon, Jim; Griffiths, Gareth; Hamilton, Willie; Hood, Kerenza; Nelson, Annmarie; Parker, David; Porter, Cath; Prout, Hayley; Roberts, Kirsty; Rogers, Trevor; Thomas-Jones, Emma; Tod, Angela; Yeo, Seow Tien; Hurt, Chris N

    2017-01-01

    Achieving earlier stage diagnosis is one option for improving lung cancer outcomes in the United Kingdom. Patients with lung cancer typically present with symptoms to general practitioners several times before referral or investigation. We undertook a mixed methods feasibility individually randomised controlled trial (the ELCID trial) to assess the feasibility and inform the design of a definitive, fully powered, UK-wide, Phase III trial of lowering the threshold for urgent investigation of suspected lung cancer. Patients over 60, with a smoking history, presenting with new chest symptoms to primary care, were eligible to be randomised to intervention (urgent chest X-ray) or usual care. The trial design and materials were acceptable to GPs and patients. We randomised 255 patients from 22 practices, although the proportion of eligible patients who participated was lower than expected. Survey responses (89%), and the fidelity of the intervention (82% patients X-rayed within 3 weeks) were good. There was slightly higher anxiety and depression in the control arm in participants aged >75. Three patients (1.2%) were diagnosed with lung cancer. We have demonstrated the feasibility of individually randomising patients at higher risk of lung cancer, to a trial offering urgent investigation or usual care.

  10. What is the clinical significance of chest CT when the chest x-ray result is normal in patients with blunt trauma?

    PubMed

    Kea, Bory; Gamarallage, Ruwan; Vairamuthu, Hemamalini; Fortman, Jonathan; Lunney, Kevin; Hendey, Gregory W; Rodriguez, Robert M

    2013-08-01

    Computed tomography (CT) has been shown to detect more injuries than plain radiography in patients with blunt trauma, but it is unclear whether these injuries are clinically significant. This study aimed to determine the proportion of patients with normal chest x-ray (CXR) result and injury seen on CT and abnormal initial CXR result and no injury on CT and to characterize the clinical significance of injuries seen on CT as determined by a trauma expert panel. Patients with blunt trauma older than 14 years who received emergency department chest imaging as part of their evaluation at 2 urban level I trauma centers were enrolled. An expert trauma panel a priori classified thoracic injuries and subsequent interventions as major, minor, or no clinical significance. Of 3639 participants, 2848 (78.3%) had CXR alone and 791 (21.7%) had CXR and chest CT. Of 589 patients who had chest CT after a normal CXR result, 483 (82.0% [95% confidence interval [CI], 78.7-84.9%]) had normal CT results, and 106 (18.0% [95% CI, 15.1%-21.3%]) had CTs diagnosing injuries-primarily rib fractures, pulmonary contusion, and incidental pneumothorax. Twelve patients had injuries classified as clinically major (2.0% [95% CI, 1.2%-3.5%]), 78 were clinically minor (13.2% [95% CI, 10.7%-16.2%]), and 16 were clinically insignificant (2.7% (95% CI, 1.7%-4.4%]). Of 202 patients with CXRs suggesting injury, 177 (87.6% [95% CI, 82.4%-91.5%]) had chest CTs confirming injury and 25 (12.4% [95% CI, 8.5%-17.6%]) had no injury on CT. Chest CT after a normal CXR result in patients with blunt trauma detects injuries, but most do not lead to changes in patient management. Copyright © 2013 Elsevier Inc. All rights reserved.

  11. Digital chest X-ray through a mobile van: public private partnership to detect sputum negative pulmonary TB.

    PubMed

    Datta, Bornali; Hazarika, Anupama; Shewade, Hemant Deepak; Ayyagari, Kavita; Kumar, Ajay M V

    2017-02-14

    Nearly half of the smear negative pulmonary TB in National TB Programme remain undetected in Haryana (north Indian state), probably due to poor access to chest radiography. A corporate hospital stepped into fill this infrastructure gap in Rewari district of Haryana by sending a mobile van with digital x-ray facilities and paramedic staff. The staff of the public health facility coordinated with the eligible patients and ensured that they visited on the designated day. The District TB Officer interpreted the x-ray and made decisions about diagnosis and treatment. The support was provided between May and Dec 2014 in seven public health centres (primary/secondary level) of the district. A total of 355 patients were examined, of whom 122 (34.4%) were diagnosed as smear negative pulmonary TB and started on treatment according to programme guidelines. This public-private partnership needs to be scaled-up and better designed studies are required to assess community-level impact and cost-effectiveness.

  12. [Computer-assisted report generation and image transmission in bedside chest x-rays in intensive therapy units].

    PubMed

    Pirronti, T; Meduri, A; Natale, L; Sallustio, G; Salcuni, M; Giannecchini, S

    1991-11-01

    Since a few years ago, in our department the bedside chest X-rays of intensive care patients have been reported by means of a computer program which has also storing function. This computer program is a guideline for the radiologist and is organized in pages having a logical sequence. The program has proved very useful in learning the correct reporting of bedside chest X-rays. The nosographic data of the patients, the ventilatory and the technical data are stored for a better clinico-radiological correlation. The last four reports are displayed on the monitor to better understand the patient's history. The other reports become part of a "historical" archive. Most important is the cooperation with the referring physician: to make the most of it, a system has been implemented which sends the images from the Radiology Department to Intensive Care. The images are filmed with a camera and then digitalized on 1024 x 768 matrix with 16 million colors and 256 gray levels. Each workstation is composed of: AT286 computer with 60-MB hard disk, hardware or the digitalization and compression of images, a high-resolution monitor, an intercommunication system, and a modem. It is possible to zoom on the images, but a close-up on the image with the camera is better for improved spatial resolution. The images are stored on the hard disk: each image requires 3M bytes, but it can be compressed down to 25:1 with no detail loss. The images are transmitted via modem in at least 20 seconds/image. More images can be sent out-line. During transmission, it is possible to talk by the intercommunication system, pointing out structures on the monitor or drawing objects on both sides of the system. In our experience, image quality is good. We are therefore considering extending the network to other Departments and making the transmission of images of pathologic specimens possible. The natural evolution of this system is the teleconsult.

  13. [Do we agree on the technical quality of our chest X-rays? A radiologist, an expert in X-ray diagnosis, and a family doctor try to find out].

    PubMed

    Garófano-Jerez, J M; Quesada-Jiménez, F; Cabrerizo-Castro, J; Morales-Navarra, G; García-Ruiz, T; Lardelli-Claret, P

    2005-11-30

    To appraise the degree of concordance in the interpretation of the technical quality of chest x-rays at a health centre between an expert in x-ray diagnosis, a family doctor, and a radiologist. Transversal study. Setting. Primary care. Cartuja Health Centre, Granada, Spain. Patients at the Cartuja Health Centre who had a simple chest x-ray in 2002. 150 studies were chosen by simple randomised sampling. Two were rejected because they dealt with a repeat examination of the same patient and seven because they did not reach minimum quality. The final sample was 141 x-rays. The observers filled in independently, for each examination, an 11-item protocol on the technical quality of the images. The kappa index between pairs of observers was calculated for each item, as was the overall kappa index. 96% of the examinations were conducted with large x-ray plates (3543). There was only acceptable or good concordance between the 3 observers in 2 questions (kappa, 0.559-0.858). In 5 questions concordance was homogeneously low (kappa, 0.034-0.375). In some questions there was a strong discrepancy between the appraisal of the expert and that of the 2 other observers. General concordance can be considered low, although it is somewhat greater between the radiologist and the family doctor than between either of these and the expert. This poses the need to improve professional training in evaluation of the technical quality of images. In addition, there was unnecessary expense in large-size x-ray plates.

  14. [A comparative study on severity of tuberculosis cases between those found by periodical chest X-ray examination and those found by symptomatic visit to OPD in Japan].

    PubMed

    Yoshiyama, Takashi; Kato, Jinichi; Wada, Masako; Ogata, Hideo; Ito, Kunihiko

    2003-06-01

    Japanese national tuberculosis control program (NTP) has included indiscriminate chest X-ray examination for adult population. A comparative study on the severity of pulmonary tuberculosis cases in a hospital in Tokyo by the mode of detection (between cases found by periodical check and cases found by symptomatic visit) and previous history of X-ray examination (among cases detected by periodical check, cases detected by symptomatic visit but with previous history of periodical check and cases without history of chest X-ray examination during the past 3 years). The comparison between patients found by symptomatic visit with and without previous history of periodical check showed that there was no difference in the grade of sputum smear positivity at the time of diagnosis but that those without previous history of periodical check were more serious as to chest X-ray findings. The comparison between patients found by symptomatic visit with previous history of periodical check and those detected by the periodical check showed that the grade of smear positivity was less among those found by the periodical check but no difference as to chest X-ray findings, however, comparing cases of these two categories in the age group of 40-59, those detected by the periodical check were less serious as to both X-ray findings and smear result. There were 21 persons who were indicated requiring further investigation but actually were not examined. The severity of tuberculosis among these 21 persons were more serious as to the grade of smear positivity than those detected by periodical X-ray examination.

  15. [Screening chest X-ray examination with kinetic analysis using flat-panel detector].

    PubMed

    Sanada, Shigeru; Tanaka, Rie; Kobayashi, Takeshi; Suzuki, Masayuki; Inoue, Hitoshi

    2003-11-01

    We are developing dynamic screening radiography to provide kinetic information for lung respiratory examination using a flat-panel-detector (FPD) system. We modified the FPD system (CANON CXDI-22) to take sequential images for a short period of time (10 seconds, 3 frames/sec). Sequential chest radiographs from full inspiration to expiration were taken and analyzed for diaphragm movement and density changes in local lung areas to objectively detect respiratory anomalies. Our methods derived some respiratory functions such as regional air passage and lung structure movement, and suggested that the degree of chronic obstructive pulmonary disease and interstitial pneumonia could be evaluated quantitatively.

  16. Can routine trauma bay chest x-ray be bypassed with an extended focused assessment with sonography for trauma examination?

    PubMed

    Soult, Michael C; Weireter, Leonard J; Britt, Rebecca C; Collins, Jay N; Novosel, Timothy J; Reed, Scott F; Britt, L D

    2015-04-01

    The objective of this study was to investigate the feasibility of using ultrasound (US) in place of portable chest x-ray (CXR) for the rapid detection of a traumatic pneumothorax (PTX) requiring urgent decompression in the trauma bay. All patients who presented as a trauma alert to a single institution from August 2011 to May 2012 underwent an extended focused assessment with sonography for trauma (FAST). The thoracic cavity was examined using four-view US imaging and were interpreted by a chief resident (Postgraduate Year 4) or attending staff. US results were compared with CXR and chest computed tomography (CT) scans, when obtained. The average age was 37.8 years and 68 per cent of the patients were male. Blunt injury occurred in 87 per cent and penetrating injury in 12 per cent of activations. US was able to predict the absence of PTX on CXR with a sensitivity of 93.8 per cent, specificity of 98 per cent, and a negative predictive value of 99.9 per cent compared with CXR. The only missed PTX seen on CXR was a small, low anterior, loculated PTX that was stable for transport to CT. The use of thoracic US during the FAST can rapidly and safely detect the absence of a clinically significant PTX. US can replace routine CXR obtained in the trauma bay and allow more rapid initiation of definitive imaging studies.

  17. Chest x ray films from construction workers: International Labour Office (ILO 1980) classification compared with routine readings.

    PubMed Central

    Albin, M; Engholm, G; Fröström, K; Kheddache, S; Larsson, S; Swantesson, L

    1992-01-01

    The extent of agreement between International Labour Office (ILO) and clinical readings of chest x ray films from construction workers was studied. From a survey of 5898 workers 258 subjects with a profusion of small opacities of > or = 1/1 and a stratified sample of subjects with profusion < 1/1 were selected. Only 41% of the films classified as ILO profusion category > or = 1/1 were clinically recorded as non-normal for the parenchyma. The proportion of films recorded as pneumoconiotic (or possibly so) was especially low for irregular opacities (22%), but increased with the profusion category (both rounded and irregular) as well as with the size of rounded opacities (p 3/11, q 12/25, r 3/4). Only with the profusion category > or = 2/1 were most of the films recorded as pneumoconiotic. The specificity and sensitivity were highest in the geographical areas where a few clinical readers had assessed many films each. The proportion of false negative clinical reports was low for circumscribed pleural thickening of the chest wall (9%) and diaphragmatic pleural thickening (6%). For calcified pleural changes and for the combination of diffuse pleural thickening and obliteration of the costophrenic angle, false negative reports were absent. The present study shows an unsatisfactory sensitivity for clinical compared with ILO readings as a means for screening the parenchyma of workers with a risk of pneumoconiosis. PMID:1472445

  18. Frequent chest X-ray fluoroscopy and breast cancer incidence among tuberculosis patients in Massachusetts

    SciTech Connect

    Boice, J.D. Jr.; Preston, D.; Davis, F.G.; Monson, R.R. )

    1991-02-01

    The incidence of breast cancer was determined in 4940 women treated for tuberculosis between 1925 and 1954 in Massachusetts. Among 2573 women examined by X-ray fluoroscopy an average of 88 times during lung collapse therapy and followed for an average of 30 years, 147 breast cancers occurred in contrast to 113.6 expected (observed/expected (O/E) = 1.29; 95% confidence interval (CI) = 1.1-1.5). No excess of breast cancer was seen among 2367 women treated by other means: 87 observed versus 100.9 expected. Increased rates for breast cancer were not apparent until about 10 to 15 years after the initial fluoroscopy examination. Excess risk then remained high throughout all intervals of follow-up, up to 50 years after first exposure. Age at exposure strongly influenced the risk of radiation-induced breast cancer with young women being at highest risk and those over age 40 being at lowest risk (relative risk (RR) = 1.06). Mean radiation dose to the breast was estimated to be 79 cGy, and there was strong evidence for a linear relationship between dose and breast cancer risk. Allowing for a 10-year minimum latent period, the relative risk at 1 Gy was estimated as 1.61 and the absolute excess as 10.7 per 10(4) woman-years per gray. When compared to other studies, our data suggest that the breast is one of the most sensitive tissues to the carcinogenic force of radiation, that fractionated exposures are similar to single exposures of the same total dose in their ability to induce breast cancer, that risk remains high for many years after exposure, and that young women are especially vulnerable to radiation injury.

  19. NIH-funded study shows 20 percent reduction in lung cancer mortality with low-dose CT compared to chest X-ray: | Division of Cancer Prevention

    Cancer.gov

    Scientists have found a 20 percent reduction in deaths from lung cancer among current or former heavy smokers who were screened with low-dose helical computed tomography (CT) versus those screened by chest X-ray. The primary research results from the National Lung Screening Trial (NLST) were published online today in the New England Journal of Medicine. |

  20. Assessment of Limited Chest X-ray Technique in Postcardiac Surgery Management

    PubMed Central

    Salehi, Mehrdad; Saberi, Kianoush; Rahmanian, Mehrzad; Bakhshandeh, Ali Reza; Sharifi, Shahnaz

    2017-01-01

    Objectives: The objective of this study is to investigate the safety of elimination of chest radiography in the postcardiac surgery Intensive Care Unit (ICU). Methods and Design: We compared patients in two different groups of routine CXR (RCXR) and limited CXR (LCXR) and their diagnostic and therapeutic outcome in a University hospital-based single center from 2014 to 2016. 3 CXR in the RCXR group and 1 CXR in the limited group was performed, in addition to on-demand criteria. Measurement and Main Results: A total of 978 samples were acceptable for analysis which 55.21% of RCXR and 59.50% of LCXR were male patients. In total, 523 abnormalities in RCXR group and 154 occasions in LCXR group resulted in 26.73% diagnostic efficacy for RCXRs and 28.57% for LCXR. From 1956 CXR that was taken in RCXR group, 72 occasions required intervention (3.68%) and 84 cases out of 539 (15.58%) LCXR needed an action to therapy. This means a 14.40% in RCXRs’ abnormalities and 56.00% of LCXRs’ abnormalities were accompanied with some interventions. Conclusions: Abolishing routine CXR in the ICUs would not be harmful for the patients, and it can be managed based on their clinical status and other safer imaging techniques. PMID:28074793

  1. Pitfalls and variants in pediatric chest imaging.

    PubMed

    García Asensio, D; Fernández Martín, M

    2016-05-01

    Most pitfalls in the interpretation of pediatric chest imaging are closely related with the technique used and the characteristics of pediatric patients. To obtain a quality image that will enable the correct diagnosis, it is very important to use an appropriate technique. It is important to know how technical factors influence the image and to be aware of the possible artifacts that can result from poor patient cooperation. Moreover, radiologists need to be familiar with the normal anatomy in children, with the classic radiologic findings, and with the anatomic and developmental variants to avoid misinterpreting normal findings as pathological. Copyright © 2016 SERAM. Published by Elsevier España, S.L.U. All rights reserved.

  2. Comparison of image quality among three X-ray systems for chest radiography: first step in optimisation.

    PubMed

    Nocetti, D; Ubeda, C; Calcagno, S; Acevedo, J; Pardo, D

    2015-07-01

    The aim of this study was to compare the performance of three digital X-ray systems [one flat-panel (DR) and two computed radiography (CR)] for chest radiography in terms of the entrance surface air kerma (ESAK) delivered to a polymethyl methacrylate phantom of 20 cm (equivalent to an adult patient) and image quality through of numerical evaluations using a test object (TO). The tube charge applied was ranged from 0.6 to 32 mAs, to a fixed tension of 125 kVp. The DR system presented the highest mean values of ESAK (615.9 µGy) along with the highest signal-to-noise ratio values, whereas CR systems showed a better high-contrast spatial resolution. Differences were statistically significant in both cases regarding the tube charge used. Thus, this parameter should be mainly considered to optimise the radiological protection through exposure settings selected. This survey represents the first effort to achieve optimisation in digital radiology for Chile.

  3. Cost-effectiveness of interferon-γ release assay versus chest X-ray for tuberculosis screening of employees.

    PubMed

    Kowada, Akiko

    2011-12-01

    Currently, an annual chest X-ray examination (CXR) for detection of active tuberculosis (TB) in employees aged ≥40 years is recommended in the guidelines of the Japan Industrial Safety and Health Law. Interferon-γ release assays are new alternatives to the tuberculin skin test for detecting Mycobacterium tuberculosis infection, with higher specificity than the tuberculin skin test and without cross-reactivity with the Bacille Calmette-Guérin vaccine. This study aimed to assess the cost-effectiveness of employee TB screening using QuantiFERON-TB Gold In-Tube (QFT) versus CXR. Markov models were constructed. The target population was a hypothetical cohort of immunocompetent 40-year-old individuals, using a societal perspective and a lifetime horizon. All costs and clinical benefits were discounted at a fixed annual rate of 3%. In a base-case analysis, the QFT strategy was the most cost-effective ($US 262.84; 22.87049 quality-adjusted life-years [QALYs]) compared with no screening ($448.38; 22.85452 QALYs) and CXR ($543.50; 22.85453 QALYs) [year 2009 values]. The QFT strategy is currently robust for screening Bacille Calmette-Guérin- vaccinated employees in Japan. There appears to be little role for CXR. These findings may be applicable to other countries in terms of choosing optimal TB screening for employees. Copyright © 2011 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  4. Estimation of mean sojourn time for lung cancer by chest X-ray screening with a Bayesian approach.

    PubMed

    Chien, Chun-Ru; Lai, Mei-Shu; Chen, Tony Hsiu-Hsi

    2008-11-01

    Very few studies, particularly from oriental population, reported the progression of lung cancer from asymptomatic to symptomatic phase. The present study aimed to estimate mean sojourn time (MST) of lung cancer, an average duration period in which tumour can be asymptotically detected by chest X-ray (CXR), taking into account gender, smoking and histological type. Based on institutional cancer registry for lung cancer patients with prior non-diagnostic CXR (n=221), data were collected on demographic features, histology type, survival status, history of smoking, and asymptomatic or symptomatic status in light of chief complaint at diagnosis retrieved from medical records. The MST for the natural history of lung cancer underpinning a three-state Markov model was estimated with a Bayesian approach. The estimated MST for lung cancer was 5.51 months (95% credible interval: 4.04-7.12). Small cell lung carcinoma was even statistically significantly shorter MST than non-small cell lung carcinoma (3.01 (3-3.98) months vs. 6.07 (4.44-8.25) months). In parallel with literatures reporting tumour growth rate related to CXR and computed tomography (CT), the shorter mean sojourn time by using CXR estimated in our study strongly suggests that CT screening may be more effective in early detection of lung cancer in population-based screening.

  5. Pleuro-pulmonary tumours detected by clinical and chest X-ray analyses in rats transplanted with mesothelioma cells

    PubMed Central

    Pimpec-Barthes, F Le; Bernard, I; Alsamad, I Abd; Renier, A; Kheuang, L; Fleury-Feith, J; Devauchelle, P; Colonna, F Quintin; Riquet, M; Jaurand, M C

    1999-01-01

    New strategies for cancer therapy must be developed, especially in severe neoplasms such as malignant pleural mesothelioma. Animal models of cancer, as close as possible to the human situation, are needed to investigate novel therapeutical approaches. Orthotopic transplantation of cancer cells is then relevant and efforts should be made to follow up tumour evolution in animals. In the present study, we developed a method for the orthotopic growth of mesothelioma cells in the pleural cavity of Fischer 344 and nude rats, along with a procedure for clinical survey. Two mesothelioma cell lines, of rat and human origin, were inoculated by transthoracic puncture. Body weight determination and chest X-ray analyses permitted the follow-up of tumour evolution by identifying different stages. Autopsies showed that tumours localized on the whole pleural cavity (diaphragm, parietal pleura), mediastinum and pericardium. Tumour morphology and antigenic characteristics were consistent with those of the inoculated cells and were similar in both types of rats inoculated with the same cell type. These results demonstrate that mesothelioma formation in rats can be followed up by clinical and radiographic survey after gentle intrathoracic inoculation of mesothelioma cells, thus allowing the definition of stages of interest for further experimental trials. © 1999 Cancer Research Campaign PMID:10604731

  6. [Comparison of chest and abdominal x-ray radiation dose and its image quality-a multi-center study].

    PubMed

    Uto, Tomoyuki; Ishiyama, Akihiro; Kimura, Hiroya; Katuragi, Yuji; Masunari, Toyokazu; Shibutani, Takayuki; Ishiki, Koichi; Nakanishi, Ken; Anai, Tatuya; Sumida, Shigeru; Morimatu, Takashi; Miyano, Hideto

    2011-01-01

    While radiography provides us clinically valuable information, it increases the risk of radiation exposure. Previous studies have reported great variations in radiation doses among institutions. It is concerning that radiation doses will increase and vary greatly from institution to institution when digital radiographic modalities become more common. In the present study, we measured chest and abdominal radiation doses at 10 institutions that had X-ray digital imaging systems. Differences in radiation doses among the institutions were evaluated and compared with the previous reports. The image quality at the measured radiation doses were also evaluated. The doses were measured by the same dosimeter, and the image quality at a specific dose was evaluated using the standard deviation of the digital values and Wiener spectrum. Our results indicate that the difference in radiation among institutions was approximately five-fold at a maximum and smaller than the previous reports had indicated. The image quality was improved as the dose was increased. We considered the five-fold difference to be the result of variations in optimum image quality and associated radiation doses among institutions. In summary, evaluating the radiation dose along with the image quality is important to optimize the doses.

  7. Prognostic significance of the lung scintigraphy scan result and corresponding chest X-ray in patients with suspected pulmonary embolism.

    PubMed

    Al-Adhami, A S; Simpson, A J; Reid, J H; MacDougall, M; Murchison, J T

    2010-09-01

    To determine whether the survival of patients with suspected acute pulmonary embolism (PE) relates to radiological probability of acute PE assessed using lung scintigraphy scans (LSS). Lung scintigraphy scan results from a venous thromboembolism database were categorised as high, indeterminate or low probability using the modified PIOPED criteria and corresponding chest X-rays (CXRs) as normal or abnormal. Mortality data on these cases were obtained from the General Register Office for Scotland, and survival was analysed using the Kaplan-Meier method. Of the 1,818 LSS analysed, 941 (51.8%) were normal, 532 (29.3%) indeterminate and 345 (19.0%) high probability. After an adjustment for age and gender, no significant survival difference was found between patients with normal and high probability LSS (p=0.182). However, patients with indeterminate LSS had significantly lower survival than patients in the other groups. This difference persisted after adjustment for CXR result. Indeterminate LSS results are associated with a poor prognosis. Careful follow-up of patients with inderminate LSS would appear to be justified.

  8. Farewell to an old friend: chest X-ray vs high-resolution computed tomography in welders' lung disease.

    PubMed

    Tutkun, Engin; Abusoglu, Sedat; Yilmaz, Hinc; Gunduzoz, Meside; Evcik, Ender; Ozis, Türkan Nadir; Keskinkilic, Bekir; Unlu, Ali

    2014-04-01

    Welder's lung disease originated from a mixed exposure to different kinds of metals and chemicals from welding fumes. Because of these various harmful effects, irreversible morphological changes may occur in all parts of the respiratory tract, airways and lung parenchyma. Parenchymal changes are the main lesions that define the severity of exposure. The grade of these lesions is the main criteria for compensation claims and the clinical threshold for the occupational health physician's decision making of work change in order to protect the worker's health. In this study, our aim was to compare the diagnostic performance of chest X-ray (CXR) and high-resolution computed tomography (HRCT) for welders' lung disease. Seventy-four male welders aged between 25 and 55 years were enrolled to this study. Clinical diagnoses were compared by CXR and HRCT. Same radiologists evaluated the scans without any knowledge about the medical history of the patient (double-blinded evaluation). The agreement between radiologists was compared with Cohen's kappa statistics. The mean age for 74 welders was 40.7 years. The mean duration of exposure was 18.9 years. Although all were found to be nonpathological on the CXR, 27 mild nodular and nine mild linear opacities, five emphysematous changes, three ground glass infiltrates and one pleural thickening were detected by HRCT. HRCT provides better diagnostic performance compared to CXR for the diagnosis of welders' lung disease. © 2013 John Wiley & Sons Ltd.

  9. Complete blood counts, liver function tests, and chest x-rays as routine screening in early-stage breast cancer: value added or just cost?

    PubMed

    Louie, Raphael J; Tonneson, Jennifer E; Gowarty, Minda; Goodney, Philip P; Barth, Richard J; Rosenkranz, Kari M

    2015-11-01

    Current National Comprehensive Cancer Network guidelines for breast cancer staging include pre-treatment complete blood count (CBC) and liver function tests (LFT) to screen for occult metastatic disease. To date, the relevance of these tests in detecting metastatic disease in asymptomatic women with early-stage breast cancer (Stage I/II) has not been demonstrated. Although chest x-rays are no longer recommended in the NCCN guidelines, many centers continue to include this imaging as part of their screening process. We aim to determine the clinical and financial impact of these labs and x-rays in the evaluation of early-stage breast cancer patients. A single institution IRB-approved retrospective chart review was conducted of patients with biopsy-proven invasive breast cancer treated from January 1, 2005–December 31, 2009. We collected patient demographics, clinical and pathologic staging, chest x-ray, CBC, and LFT results at the time of referral. Patients were stratified according to radiographic stage at the time of diagnosis. We obtained Medicare reimbursement fees for cost analysis. From 2005 to 2009, 1609 patients with biopsy-proven invasive breast cancer were treated at our institution. Of the 1082 patients with radiographic stage I/II disease, 27.3 % of patients had abnormal CBCs. No additional testing was performed to evaluate these abnormalities. In the early-stage population, 24.7 % of patients had elevated LFTs, resulting in 84 additional imaging studies. No metastatic disease was detected. The cost of CBC, LFTs and chest x-rays was $110.20 per patient, totaling $106,410.99. Additional tests prompted by abnormal results cost $58,143.30 over the five-year period. We found that pre-treatment CBCs, LFTs, and chest x-rays did not improve detection of occult metastatic disease but resulted in additional financial costs. Avoiding routine ordering of these tests would save the US healthcare system $25.7 million annually.

  10. The x-ray light valve: a potentially low-cost, digital radiographic imaging system--a liquid crystal cell design for chest radiography.

    PubMed

    Szeto, Timothy C; Webster, Christie Ann; Koprinarov, Ivaylo; Rowlands, J A

    2008-03-01

    Digital x-ray radiographic systems are desirable as they offer high quality images which can be processed, transferred, and stored without secondary steps. However, current clinical systems are extraordinarily expensive in comparison to film-based systems. Thus, there is a need for an economical digital imaging system for general radiology. The x-ray light valve (XLV) is a novel digital x-ray detector concept with the potential for high image quality and low cost. The XLV is comprised of a photoconductive detector layer and liquid crystal (LC) cell physically coupled in a sandwich structure. Upon exposure to x rays, charge is collected at the surface of the photoconductor, causing a change in the reflective properties of the LC cell. The visible image so formed can subsequently be digitized with an optical scanner. By choosing the properties of the LC cell in combination with the appropriate photoconductor thickness and bias potentials, the XLV can be optimized for various diagnostic imaging tasks. Specifically for chest radiography, we identified three potentially practical reflective cell designs by selecting from those commonly used in LC display technology. The relationship between reflectance and x-ray exposure (i.e., the characteristic curve) was determined for all three cells using a theoretical model. The results indicate that the reflective electrically controlled birefringence (r-ECB) cell is the preferred choice for chest radiography, provided that the characteristic curve can be shifted towards lower exposures. The feasibility of the shift of the characteristic curve is shown experimentally. The experimental results thus demonstrate that an XLV based on the r-ECB cell design exhibits a characteristic curve suitable for chest radiography.

  11. A Comparative Study Using Numerical Methods for Surface X Ray Doses with Conventional and Digital Radiology Equipment in Pediatric Radiology

    NASA Astrophysics Data System (ADS)

    Dan, Posa Ioan; Florin, Georgescu Remus; Virgil, Ciobanu; Antonescu, Elisabeta

    2011-09-01

    The place of the study is a pediatrics clinic which realizes a great variety of emergency, ambulatory ad hospital examinations. The radiology compartment respects work procedures and a system to ensure the quality of X ray examinations. The results show a constant for the programmator of the digital detector machine for the tension applied to the tube. For the screen-film detector machine the applied tension increases proportionally with the physical development of the child considering the trunk thickness.

  12. A Comparative Study Using Numerical Methods for Surface X Ray Doses with Conventional and Digital Radiology Equipment in Pediatric Radiology

    SciTech Connect

    Dan, Posa Ioan; Florin, Georgescu Remus; Virgil, Ciobanu; Antonescu, Elisabeta

    2011-09-14

    The place of the study is a pediatrics clinic which realizes a great variety of emergency, ambulatory ad hospital examinations. The radiology compartment respects work procedures and a system to ensure the quality of X ray examinations. The results show a constant for the programmator of the digital detector machine for the tension applied to the tube. For the screen-film detector machine the applied tension increases proportionally with the physical development of the child considering the trunk thickness.

  13. Use of an Electromagnetic Device Compared With Chest X-ray to Confirm Nasogastric Feeding Tube Position in Critical Care.

    PubMed

    Bear, Danielle E; Champion, Alice; Lei, Katie; Smith, John; Beale, Richard; Camporota, Luigi; Barrett, Nicholas A

    2016-05-01

    Insertion of nasogastric feeding tubes (NGTs) is common in critical care. However, misplacement is frequent and can carry a significant morbidity. Current methods to confirm position of NGTs are not reliable in this setting. We retrospectively compared the position of NGTs using an electromagnetically guided nasogastric tube (e-NGT) with that demonstrated by chest x-ray (CXR), the proportion of lung placements avoided, and the time taken to establish enteral feeding. This was a retrospective, observational study undertaken in a tertiary referral, adult intensive care unit between February 2006 and November 2013. Patients were included if they had a radiologically confirmed NGT. All CXRs were independently reviewed by an intensivist to determine position, and a subset of patients had their e-NGT image independently reviewed for quality control. Statistical analysis was in the form of sensitivity and specificity and descriptive where indicated. In total, 121 NGT placements in 113 patients were analyzed. We found a sensitivity of 98% (95% confidence interval [CI], 93.9%-99.7%) and a specificity of 100% (95% CI, 48.0%-100.0%) when using the e-NGT compared with CXR. In the subset of 51 independently reviewed e-NGT images, 9 lung placements were avoided. The mean (SD) time from e-NGT placement to CXR was 185 (264.4) minutes and to feeding was 404 (77.8) minutes. When placed by a dedicated team, e-NGT allowed immediate detection of tube misplacement. As such, if used as the sole method for determining NGT position, e-NGTs minimize feeding delay and the need for multiple CXRs with subsequent cost savings. © 2015 American Society for Parenteral and Enteral Nutrition.

  14. Interest of chest X-ray in tailoring the diagnostic strategy in patients with suspected pulmonary embolism.

    PubMed

    Robin, Philippe; Le Roux, Pierre-Yves; Tissot, Valentin; Delluc, Aurélien; Le Duc-Pennec, Alexandra; Abgral, Ronan; Palard, Xavier; Couturaud, Francis; Le Gal, Grégoire; Salaun, Pierre-Yves

    2015-09-01

    Current diagnostic strategies for pulmonary embolism rely on the sequential use of noninvasive diagnostic tests including ventilation-perfusion (V/Q) scan and computed tomography pulmonary angiography (CTPA). V/Q scan remains criticized because of a high proportion of nondiagnostic test results, especially when the chest X-ray (CXR) is abnormal. The present study assesses whether CXR results have an impact on the conclusiveness of a noninvasive diagnostic strategy of pulmonary embolism based on the combination of pretest probability, compression ultrasonography, V/Q scan, and CTPA. Patients suspected of having pulmonary embolism were managed according to a validated diagnostic strategy. All patients underwent a CXR within 24 h of the suspicion of pulmonary embolism. CXR results were correlated to strategy conclusiveness, as assessed by the rate of required CTPA as per the diagnostic algorithm. Two hundred and twenty-three patients were retrospectively analyzed. CXRs were considered as normal in 108 (48%) patients and abnormal in 115 (52%) patients. According to the diagnostic algorithm, a CTPA was required to reach a diagnostic conclusion in 11 (10%) patients of the normal CXR group, and in 14 (12%) patients of the abnormal CXR group (P > 0.05). In this study, the presence of CXR abnormalities did not have an impact on the conclusiveness of a diagnostic strategy of pulmonary embolism based on V/Q scan. CXR abnormalities should likely not be regarded as a contraindication to the use of V/Q scan in patients with suspected pulmonary embolism.

  15. Dosimetric evaluation of X-ray examinations of paranasal sinuses in pediatric patients*

    PubMed Central

    Cantalupo, Beatriz de Lucena Villa-Chan; Xavier, Aline Carvalho da Silva; da Silva, Clemanzy Mariano Leandro; Andrade, Marcos Ely Almeida; de Barros, Vinícius Saito Monteiro; Khoury, Helen Jamil

    2016-01-01

    Objective To estimate the entrance surface air kerma (Ka,e) and air kerma in the region of radiosensitive organs in radiographs of pediatric paranasal sinuses. Materials and Methods Patient data and irradiation parameters were collected in examinations of the paranasal sinuses in children from 0 to 15 years of age at two children's hospitals in the city of Recife, PE, Brazil. We estimated the Ka,e using the X-ray tube outputs and selected parameters. To estimate the air kerma values in the regions of the eyes and thyroid, we used thermoluminescent dosimeters. Results The Ka,e values ranged from 0.065 to 1.446 mGy in cavum radiographs, from 0.104 to 7.298 mGy in Caldwell views, and from 0.113 to 7.824 mGy in Waters views. Air kerma values in the region of the eyes ranged from 0.001 to 0.968 mGy in cavum radiographs and from 0.011 to 0.422 mGy in Caldwell and Waters views . In the thyroid region, air kerma values ranged from 0.005 to 0.932 mGy in cavum radiographs and from 0.002 to 0.972 mGy in Caldwell and Waters views. Conclusion The radiation levels used at the institutions under study were higher than those recommended in international protocols. We recommend that interventions be initiated in order to reduce patient exposure to radiation and therefore the risks associated with radiological examination of the paranasal sinuses. PMID:27141129

  16. Aortic arch calcification on chest X-ray combined with coronary calcium score show additional benefit for diagnosis and outcome in patients with angina

    PubMed Central

    Woo, Jong Shin; Kim, Weon; Kwon, Se Hwan; Youn, Hyo Chul; Kim, Hyun Soo; Kim, Jin Bae; Kim, Soo Joong; Kim, Woo-Shik; Kim, Kwon Sam

    2016-01-01

    Background The coronary artery calcium (CAC) and aortic arch calcification (AoAC) are individually associated with cardiovascular disease and outcome. This study investigated the predictive value of AoAC combined with CAC for cardiovascular diagnosis and outcome in patients with angina. Methods A total of 2018 stable angina patients who underwent chest X-ray and cardiac multi-detector computed tomography were followed up for four years to assess adverse events, which were categorized as cardiac death, stroke, myocardial infarction, or repeated revascularization. The extent of AoAC on chest X-ray was graded on a scale from 0 to 3. Results During the four years of follow-up, 620 patients were treated by coronary stenting and 153 (7%) adverse events occurred. A higher grade of AoAC was associated with a higher CAC score. Cox regression showed that the CAC score, but not AoAC, were associated with adverse events. In patients with CAC score < 400, AoAC showed an additive predictive value in detecting significant coronary artery disease (CAD). A gradual increases in the risk of adverse events were noted if AoAC was present in patients with similar CAC score. Conclusions As AoAC is strongly correlated with the CAC score regardless of age or gender, careful evaluation of CAD would be required in patients with AoAC on conventional chest X-rays. PMID:27103916

  17. The Effect of False-Positive Results on Subsequent Participation in Chest X-ray Screening for Lung Cancer

    PubMed Central

    Sato, Akira; Hamada, Shota; Urashima, Yuki; Tanaka, Shiro; Okamoto, Hiroaki; Kawakami, Koji

    2016-01-01

    Background High attendance rates and regular participation in disease screening programs are important contributors to program effectiveness. The objective of this study was to examine the effects of an initial false-positive result in chest X-ray screening for lung cancer on subsequent screening participation. Methods This historical cohort study analyzed individuals who first participated in a lung cancer screening program conducted by Yokohama City between April 2007 and March 2011, and these participants were retrospectively tracked until March 2013. Subsequent screening participation was compared between participants with false-positive results and those with negative results in evaluation periods between 365 (for the primary outcome) and 730 days. The association of screening results with subsequent participation was evaluated using a generalized linear regression model, with adjustment for characteristics of patients and screening. Results The proportions of subsequent screening participation within 365 days were 12.9% in 3132 participants with false-positive results and 6.7% in 15 737 participants with negative results. Although the differences in attendance rates were reduced with longer cutoffs, participants with false-positive results were consistently more likely to attend subsequent screening than patients with negative results (P < 0.01). The predictors of subsequent screening participation were false-positive results (risk ratio [RR] 1.72; 95% confidence interval [CI], 1.54–1.92), older age (RR 1.17; 95% CI, 1.11–1.23), male sex (RR 1.46; 95% CI, 1.29–1.64), being a current smoker (RR 0.80; 95% CI, 0.69–0.93), current employment (RR 0.79; 95% CI, 0.70–0.90), and being screened at a hospital cancer center (vs public health centers; RR 1.36; 95% CI, 1.15–1.60). Conclusions Our findings indicated that subsequent participation in lung cancer screening was more likely among participants with false-positive results in an initial screening than

  18. A More Efficient, Radiation-Free Alternative to Systematic Chest X-Ray for the Detection of Embolized Seeds to the Lung

    SciTech Connect

    Morrier, Janelle; Chretien, Mario; Martin, Andre-Guy; Vigneault, Eric; Beaulieu, Luc

    2010-11-15

    Purpose: To evaluate the efficacy of a seed-migration detector and to compare its performance to fluoroscopy and postoperative chest radiographs. Methods and Materials: A gamma scintillation survey meter was converted to a seed-migration detector by adding a shield on the probe detection window. The detector response to three {sup 125}I seed activities was characterized for different source-to-detector distances in water. The detector was used to perform a chest evaluation on 737 patients at their first postoperative visit. When the detector showed positive activity, seed migration was confirmed by taking a chest radiograph and by looking at the region with fluoroscopy. Results: One hundred and three patients (14.0%) presented at least one embolized seed. This accounts for 123 of the 39,887 seeds. Eighty-seven, 12, and 4 patients had respectively one, two, and three seed embolization. Compared with the seed-migration detector, detection based on fluoroscopy would have led to 13 false-negative detections (of 103, or 12.6%), and the radiograph would have resulted in 31 or 30.1%. More important, standard chest X-ray would have required a survey and extra radiation dose to lung to 100% of the patients, rather than the 14% who required it. Conclusions: The usual recommendation to perform chest radiographs at the first follow-up visit to scan lungs for embolized seeds should be revised because of the high false-negative rate. Scintillator-based gamma counter detector provides superior detection sensitivity and should be adopted as a standard of practice. Chest X-ray could be limited to documenting cases of positive migration.

  19. X-ray dose from pediatric cardiac catheterization: a comparison of materials and methods for measurement or calculation.

    PubMed

    Herron, Brent; Strain, John; Fagan, Thomas; Wright, Linda; Shockley, Heather

    2010-11-01

    Pediatric cardiac catheterization procedures have the potential to transmit high X-ray doses, which may lead to acute effects or latent skin reactions. Direct measurement of radiation dose was facilitated using nanodot dosimeters and radiochromic film. Direct measurement results were compared with vendor-listed dosimetry and calculation using phantom data. Vendor-listed data demonstrated a wide discrepancy with measured data, whereas the calculation reproducibly overestimated the actual dose. A simple formula was derived to calculate the dose using fluoroscopy time, cine frame quantity and average cine mA in a biplane environment.

  20. Prevalence of occupational pleural thickening: a look at chest x-rays from the first National Health and Nutrition Examination Survey

    SciTech Connect

    Rogan, W.J.; Gladenn, B.C.; Ragan, B.; Anderson, H.A.

    1987-11-01

    The prevalence of occupational pleural thickening in the United States in the mid-1970s was estimated; since asbestos often reduces pleural thickening, this estimate in turn was used to estimate the presence of asbestos exposure. Chest x-rays obtained by the 1971-1975 National Health and Nutrition Examination Survey were reread by three readers using the International Labour Office criteria for diagnosis of pleural thickening consistent with dust exposure. All 289 x-rays showing any pleural abnormalities plus a 3-to-1 age-, sex-, and race-matched control series were reread. Using two of three readings as positive, and extrapolating to the US population from this defined sample, the authors showed that 2.3% of males and 0.2% of females had occupational pleural thickening on x-ray, with a strong increase with age in white males. This provides a US population estimate of 1.3 million people with occupational pleural thickening and approximately 8 million people with asbestos exposure in the mid-1970s. This cohort might make a substantial contribution to cancer mortality into the next century.

  1. REDUCE-PCP study: radiographs in the emergency department utilization criteria evaluation-pediatric chest pain.

    PubMed

    Neff, Justin; Anderson, Melanie; Stephenson, Trent; Young, Joe; Hennes, Halim; Suter, Robert

    2012-05-01

    Many emergency physicians order chest x-rays (CXRs) for pediatric patients who present with a chief complaint of chest pain despite a paucity of research to support this testing, which exposes patients to radiation, cost, and delays. This study aimed to begin development of a decision making tool that will allow emergency physicians to selectively obtain CXR films in pediatric patients presenting with chest pain. We performed a retrospective cohort study of 400 consecutive pediatric patients with a chief complaint of chest pain and reviewed charts to determine how many received a CXR and which clinical characteristics were present in all patients. Chest radiograph findings were graded for significance as follows: (1) no or minor clinical significance: normal result in the CXR film without effect on the immediate evaluation of a patient; (2) moderate clinical significance: only impact on plan for follow-up; and (3) major clinical significance: result in the CXR film directly affects immediate management. We then evaluated each chart for historical or examination findings that might identify criteria associated with positive radiographic findings to propose a set of criteria that could lead to the development of a decision rule that allows a reduced utilization while having a high sensitivity for clinically significant positive findings on CXR film. Of the 400 pediatric patients reviewed, 63.5% (n = 254) received a CXR in the emergency department (ED). Of those receiving a CXR, only 8.26% (n = 21) had a finding that affected either ED management or follow-up planning. The criteria that would have identified all patients with positive results in the CXR films were abnormal vital signs, shortness of breath, palpitations, presence of comorbidities, abnormal or unilateral breath sounds, history of trauma, murmur, or cough. This pilot study demonstrates the potential for a decision rule to eliminate both cost and radiation exposure by using defined criteria to determine

  2. Role of chest X-ray in citing central venous catheter tip: A few case reports with a brief review of the literature

    PubMed Central

    Venugopal, Achuthan Nair; Koshy, Rachel Cherian; Koshy, Sumod M

    2013-01-01

    Central venous catheter (CVC) insertions are increasingly performed in surgical patients and intensive therapy. A simple and invasive procedure performed under strict sterile precautions with complications ranging from arrhythmias; infections; and life-threatening complications such as pericardial tamponade, cardiac perforation and even death. A post-procedure chest X-ray (CXR), though does not accurately assess the tip of the catheter in relation to the superior vena cava (SVC) and right atrium (RA), can detect malpositions, safety of catheter tip, pneumothorax and kinking. We would like to share some of the malpositions we encountered in our centre, their management and a brief review of the literature on optimal catheter tip location. PMID:24106371

  3. Predictors of Airspace Disease on Chest X-ray in Emergency Department Patients With Clinical Bronchiolitis: A Systematic Review and Meta-analysis.

    PubMed

    Chao, Jennifer H; Lin, Raymond Chou-Jui; Marneni, Shashidhar; Pandya, Shreya; Alhajri, Sana; Sinert, Richard

    2016-10-01

    An abnormal chest X-ray (CXR) inconsistent with simple bronchiolitis is found in 7%-23% of cases. Despite national guidelines stating "current evidence does not support routine radiography in children with bronchiolitis"; the use of CXR in these patients remains high. Inappropriate use of CXR not only exposes children to excess radiation, but also increases medical costs. The majority of the time, CXRs are obtained to diagnose or rule out pneumonia. We aim to provide an evidence-based approach defining the utility of CXR in bronchiolitis for the diagnosis and treatment of bacterial pneumonia. We performed a systematic review and meta-analysis to describe potential predictors of a CXR with airspace disease in patients with bronchiolitis. We searched the medical literature from 1965 to June 2015 in PubMed/EMBASE using the following PICO formulation of our clinical question, "What characteristic(s) of history/physical examination (H&P) and vital signs (VS) in a child with bronchiolitis should prompt the physician to order a CXR?": Patients-pediatric emergency department (ED) patients (<2 years) with clinical bronchiolitis; Intervention-H&P and VS; Comparator-a CXR positive for airspace disease (+CXR), defined as atelectasis versus infiltrate or infiltrate/consolidation; and Outcome-operating characteristics of H&P and VS predicting an +CXR were calculated: sensitivity, specificity, and likelihood ratios (LR+ or LR-). The methodologic quality of the studies was assessed using the quality assessment of studies of diagnostic accuracy tool (QUADAS-2). We created a test-treatment threshold model based on the operating characteristics of the CXR to accurately identify a child with bronchiolitis and a superimposed bacterial pneumonia while accounting for the risks of a CXR and risks of treating patients with and without a bacterial infection. We found five studies including 1,139 patients meeting our inclusion/exclusion criteria. Prevalence of a +CXR ranged from 7% to 23

  4. Development of Portable Digital Radiography System with a Device for Monitoring X-ray Source-Detector Angle and Its Application in Chest Imaging.

    PubMed

    Kim, Tae-Hoon; Heo, Dong-Woon; Jeong, Chang-Won; Ryu, Jong-Hyun; Jun, Hong Young; Han, Seung-Jun; Ha, Taeuk; Yoon, Kwon-Ha

    2017-03-07

    This study developed a device measuring the X-ray source-detector angle (SDA) and evaluated the imaging performance for diagnosing chest images. The SDA device consisted of Arduino, an accelerometer and gyro sensor, and a Bluetooth module. The SDA values were compared with the values of a digital angle meter. The performance of the portable digital radiography (PDR) was evaluated using the signal-to-noise (SNR), contrast-to-noise ratio (CNR), spatial resolution, distortion and entrance surface dose (ESD). According to different angle degrees, five anatomical landmarks were assessed using a five-point scale. The mean SNR and CNR were 182.47 and 141.43. The spatial resolution and ESD were 3.17 lp/mm (157 μm) and 0.266 mGy. The angle values of the SDA device were not significantly difference as compared to those of the digital angle meter. In chest imaging, the SNR and CNR values were not significantly different according to the different angle degrees. The visibility scores of the border of the heart, the fifth rib and the scapula showed significant differences according to different angles (p < 0.05), whereas the scores of the clavicle and first rib were not significant. It is noticeable that the increase in the SDA degree was consistent with the increases of the distortion and visibility score. The proposed PDR with a SDA device would be useful for application in the clinical radiography setting according to the standard radiography guidelines.

  5. The 60-film set with 8-index for examining physicians' proficiency in reading pneumoconiosis chest X-rays.

    PubMed

    Zhou, Huashi; Kusaka, Yukinori; Tamura, Taro; Suganuma, Narufumi; Subhannachart, Ponglada; Siriruttanapruk, Somkiat; Dumavibhat, Narongpon; Zhang, Xing; Sishodiya, P K; Van Duy, Khuong; Hering, Kurt G; Parker, John E; Algranti, Eduardo; Fedotov, Igor; Shida, Hisao; Akira, Masanori

    2012-01-01

    The 60-film set was developed by experts (Expert Group) for examining 8 indices: sensitivity (X(1)) and specificity (X(2)) for pneumoconiosis, sensitivity(X(3)) and specificity for (X(4)) large opacities, sensitivity (X(5)) and specificity (X(6)) for pleural plaque, profusion increment consistency for small opacities (X(7)), and shape differentiation for small opacities (X(8)) of physicians' reading skills on pneumoconiosis X-ray according to ILO 2000 Classification. The aim of this study was to assess the appropriateness of the exam film set for evaluating physicians' reading skills. 29 physicians (A1-Group) and 24 physicians (A2-Group) attended the 1st and 2nd "Asian Intensive Reader of Pneumoconioses" (AIR Pneumo) training course, respectively, and 22 physicians (B-Group) attended Brazilian training course. After training, they took examination of reading 60-film exam set. The examinees' reading results in terms of 8 indices were compared between the examinee groups and the Expert Group by parametric unpaired t-test. The Examinee Group consisting of A1-Group, A2-Group and B-Group was inferior to the Expert Group in all indices. There was no significant difference for X(7) of A1-Group, X(7) and X(8) of A2-Group (p>0.05) compared with the Expert Group. There was a significant difference in X(8) at p<0.05 between A1-Group and A2-Group, in X(3) at p<0.05 between A1-Group and B-Group, in both X(1) and in X(3) at p<0.05 between A2-Group and B-Group. Accordingly, the 60-film set providing 8 indices designed might be a good method for evaluation of the physicians' reading proficiency at different training settings.

  6. Hand X-ray in pediatric endocrinology: Skeletal age assessment and beyond

    PubMed Central

    De Sanctis, Vincenzo; Di Maio, Salvatore; Soliman, Ashraf T.; Raiola, Giuseppe; Elalaily, Rania; Millimaggi, Giuseppe

    2014-01-01

    quality of the X-ray. Moreover, it is imperative to assume a correct hand positioning because poor positioning can change the appearance of some bones. It is also preferable to employ scoring methods to these techniques and percentiles rather than BA in years and months. In addition, the possible differences in maturation among different population should be kept in mind. PMID:25538880

  7. Diagnostic value of FASH ultrasound and chest X-ray in HIV-co-infected patients with abdominal tuberculosis.

    PubMed

    Heller, T; Goblirsch, S; Bahlas, S; Ahmed, M; Giordani, M-T; Wallrauch, C; Brunetti, E

    2013-03-01

    In human immunodeficiency virus (HIV) co-infected tuberculosis (TB) patients with negative acid-fast bacilli smears, chest radiography (CXR) is usually the first imaging step in the diagnostic work-up. Ultrasound, also in the form of focused assessment with sonography for TB-HIV (FASH), is an additional imaging modality used to diagnose extra-pulmonary TB (EPTB). Findings from 82 patients with abdominal TB diagnosed by ultrasound were analysed and compared with CXR results. Enlarged abdominal lymph nodes were seen in 75.6% of the patients, spleen abscesses in 41.2% and liver lesions in 30.6%. CXR showed a miliary pattern in 21.9% of the patients; 26.8% of the CXR had no radiological changes suggestive of pulmonary TB. This patient group would benefit from ultrasound in diagnostic algorithms for HIV-associated EPTB.

  8. Digital tomosynthesis as a problem-solving imaging technique to confirm or exclude potential thoracic lesions based on chest X-ray radiography.

    PubMed

    Quaia, Emilio; Baratella, Elisa; Poillucci, Gabriele; Kus, Sara; Cioffi, Vincenzo; Cova, Maria Assunta

    2013-05-01

    To assess the capability of digital tomosynthesis (DTS) as a problem-solving imaging technique to confirm or exclude potential thoracic lesions based on chest x-ray radiography (CXR). Four hundred and-sixty five patients (263 male, 202 female; age, 72.47 ± 11.33 years) with suspected thoracic lesion(s) after the initial onsite analysis of CXR underwent DTS. Two independent readers prospectively analyzed in consensus CXR and DTS images on a picture archiving and communications system-integrated workstation and proposed a diagnosis according to a confidence score for each lesion: 1 or 2 = definite or probable pulmonary or pleural benign lesion or pseudolesion deserving no further diagnostic work-up; 3 = indeterminate; 4 or 5 = probable or definite pulmonary lesion deserving further diagnostic work-up by computed tomography (CT). In patients who did not undergo chest CT, the DTS findings had to be confirmed by 6 to 12 months' imaging follow-up. Finally, 229 pulmonary lesions (193 thoracic and 36 pleural lesions) and 236 pseudolesions were identified. Based on DTS images, readers correctly classified all pseudolesions except for 10/236 (reader 1) or 11/236 (reader 2) pseudolesions and 7 (reader 1) or 6 (reader 2) pulmonary subpleural lesions located in the anterior or posterior lung region close to the thoracic wall. Chest CT was performed in 127/465 (27%) patients, whereas in 338/465 patients (73%) CXR doubtful findings were resolved by DTS. DTS allowed to exclude most pseudolesions initially considered as potential thoracic lesions on the preliminary onsite assessment of CXR and allowed to exclude pulmonary lesions deserving CT assessment in about three fourths of the patients. Copyright © 2013 AUR. Published by Elsevier Inc. All rights reserved.

  9. Could the use of bedside lung ultrasound reduce the number of chest x-rays in the intensive care unit?

    PubMed

    Brogi, Etrusca; Bignami, Elena; Sidoti, Anna; Shawar, Mohammed; Gargani, Luna; Vetrugno, Luigi; Volpicelli, Giovanni; Forfori, Francesco

    2017-09-13

    Lung ultrasound can be used as an alternative to chest radiography (CXR) for the diagnosis and follow-up of various lung diseases in the intensive care unit (ICU). Our aim was to evaluate the influence that introducing a routine daily use of lung ultrasound in critically ill patients may have on the number of CXRs and as a consequence, on medical costs and radiation exposure. Data were collected by conducting a retrospective evaluation of the medical records of adult patients who needed thoracic imaging and were admitted to our academic polyvalent ICU. We compared the number of CXRs and relative costs before and after the introduction of lung ultrasound in our ICU. A total of 4134 medical records were collected from January 2010 to December 2014. We divided our population into two groups, before (Group A, 1869 patients) and after (Group B, 2265 patients) the introduction of a routine use of LUS in July 2012. Group A performed a higher number of CXRs compared to Group B (1810 vs 961, P = 0.012), at an average of 0.97 vs 0.42 exams per patient. The estimated reduction of costs between Groups A and B obtained after the introduction of LUS, was 57%. No statistically significant difference between the outcome parameters of the two groups was observed. Lung ultrasound was effective in reducing the number of CXRs and relative medical costs and radiation exposure in ICU, without affecting patient outcome.

  10. [The use of chest X-rays for surveillance of bacterial pneumonias in children in Latin America].

    PubMed

    Lagos, Rosanna; di Fabio, José Luis; Moënne, Karla; Muñoz M, Alma; Wasserman, Steven; de Quadros, Ciro

    2003-05-01

    The Division of Vaccines and Immunization of the Pan American Health Organization (PAHO) is promoting epidemiological surveillance of bacterial pneumonias in children in Latin America in order to generate scientific evidence to support future decisions concerning using vaccines to control such pneumonias in the countries of the Region of the Americas. The diagnosis of these diseases rarely includes bacteriological documentation of the causative agent. Therefore, studies of this type that are carried out around the world accept radiological images of alveolar consolidation as a confirmatory criterion for a presumptively bacterial pneumonia. This piece examines the theoretical rationale and requirements for using thorax radiology as an instrument for epidemiological surveillance of bacterial pneumonias. The piece also summarizes the activities carried out during 2 years of joint efforts between the Center for Vaccine Development (Centro para Vacunas en Desarrollo) of Chile and PAHO's Division of Vaccines and Immunization. During those 2 years, the two groups encouraged the epidemiological study of bacterial pneumonias in Latin American children, using internationally accepted criteria and definitions as well as tools and practical solutions adapted to the reality of the Region of the America. The activities carried out so far show both the need for and the feasibility of standardizing the interpretation of chest radiographs so that they can be used in epidemiological studies.

  11. [Chest ultrasonography in pediatric critical care practice].

    PubMed

    Riu, B; Ruiz, J; Mari, A; Silva, S

    2013-12-01

    An increasingly amount of evidence suggests that lung ultrasonography constitutes a relevant complementary diagnostic tool for adults patient in acute respiratory failure. A comprehensive and standardized ultrasonographic semiology has been described, relying on accurate and reproducible data directly obtained at patient's bedside. Therefore, pleural effusion, pneumothorax, pulmonary consolidation and interstitial lung disease can be diagnosed in a critical care environment with a similar level of performance than when reference diagnosis methods such as thoracic CT-scan are employed. Furthermore, lung ultrasonography seems to be able to contribute to an early therapeutic decision based on such online physiopathological data. Pioneers works in this field have suggested an attractive similarity between the ultrasonographic patterns described in adults and children. Nevertheless, the clinical usefulness of lung ultrasonographic approach in the pediatric critical care medicine still needs to be confirmed by specifically designed studies.

  12. WE-E-18A-02: Enhancement of Lung Tumor Visibility by Dual-Energy X-Ray Imaging in An Anthropomorphic Chest Phantom Study

    SciTech Connect

    Menten, MJ; Fast, MF; Nill, S; Oelfke, U

    2014-06-15

    Purpose: Intrafractional lung tumor motion during radiotherapy can be compensated for by tracking the tumor position using x-ray imaging and adapting the treatment in real-time. However, locating the tumor with an automated template-matching algorithm is often challenging if the tumor is obscured by ribs. This study investigates the feasibility of creating dual-energy (DE) images of the chest with increased tumor visibility on an Elekta XVI system. Methods: An anthropomorphic chest phantom was imaged at two different energies. Low-energy images were obtained at 80 kVp (0.8 mAs); high-energy images at 129 kVp (0.6 mAs, additional 1.26 mm tin filter). A Geant4 Monte-Carlo framework was developed allowing simulation of the x-ray tube, flat-panel detector and phantom in order to optimize the beam energies, filtration and the weighting factor used to subtract the individual images into a synthetic DE image. The weighting factor was selected to minimize the visibility of bones while maintaining a sufficient tumor visibility. We scored the bone visibility as the contrast of tumor (with bone) to tumor (without bone), and similarly of lung tissue (with bone) to lung tissue (without bone). Tumor visibility was quantified as the contrast between tumor and lung tissue (both without bone). Results: In the experimentally obtained DE image the bone visibility was reduced by 79.2% in tumor and by 96.8% in lung tissue while the overall tumor visibility only decreased by 69.5%. The Monte-Carlo simulation yielded similar results reducing the scores by 90.0%, 85.3% and only 71.9%, respectively. Conclusion: This work demonstrates the feasibility of DE imaging to enhance lung tumor detectability. In the future, we hope to further refine the Monte-Carlo simulation to more accurately predict the weighting factors which would aid real-time implementation. Furthermore, we plan to use the Monte-Carlo framework to simulate DE images of actual lung tumors. The authors would like to thank Paul

  13. [Chest pain in pediatric emergency departments: a usually benign process].

    PubMed

    Gastesi Larrañaga, M; Fernández Landaluce, A; Mintegi Raso, S; Vázquez Ronco, M; Benito Fernández, J

    2003-09-01

    To describe the characteristics and management of the children aged less than 14 years presenting to the pediatric emergency department with chest pain. Retrospective review of all the patients who presented to the pediatric emergency department with chest pain from 15 January 2001 to 14 January 2002. Families received a follow-up telephone call inquiring about the patient's outcome. The Mann-Whitney U test was used for non-parametric data and the Chi-square test with Yates' correction and Fisher's exact test were used for categorical data. Statistical significance was set at p<0.05. In 2001, 161 children presented with chest pain, representing 0.34% of the total number of consultations. Less than half of these patients (48%) had associated symptoms. Physical examination revealed abnormalities in 63% of the patients (39.1%). The most common finding was pain on palpation of the chest wall. Additional diagnostic tests were performed in 129 patients (80%). These included 116 radiographs, 62 electrocardiograms and nine miscellaneous tests. Abnormalities were found in seven chest radiographs. Only one child was admitted to hospital with pneumonia. The most common discharge diagnoses were idiopathic and/or musculoskeletal chest pain in 139 patients, pain of respiratory origin in 14 patients, gastrointestinal disorders in one patient, cardiac problems in one patient and other morbid processes in nine patients. Children with associated symptoms were more likely to receive a diagnosis other than nonspecific chest pain (28% vs 3.2% in children without other symptoms; relative risk: 8.66). Outpatient treatment included analgesics in 105 patients (65.2%). Only two children (1.2%) returned for reevaluation and no important findings were detected. Telephone follow-up was carried out in 117 children (72.6%). The pain lasted for less than 24 hours in 52 patients (32.2%). Thirty percent of the patients missed at least one day of school because of chest pain. Chest pain is an

  14. Development of Portable Digital Radiography System with a Device for Monitoring X-ray Source-Detector Angle and Its Application in Chest Imaging

    PubMed Central

    Kim, Tae-Hoon; Heo, Dong-Woon; Jeong, Chang-Won; Ryu, Jong-Hyun; Jun, Hong Young; Han, Seung-Jun; Ha, Taeuk; Yoon, Kwon-Ha

    2017-01-01

    This study developed a device measuring the X-ray source-detector angle (SDA) and evaluated the imaging performance for diagnosing chest images. The SDA device consisted of Arduino, an accelerometer and gyro sensor, and a Bluetooth module. The SDA values were compared with the values of a digital angle meter. The performance of the portable digital radiography (PDR) was evaluated using the signal-to-noise (SNR), contrast-to-noise ratio (CNR), spatial resolution, distortion and entrance surface dose (ESD). According to different angle degrees, five anatomical landmarks were assessed using a five-point scale. The mean SNR and CNR were 182.47 and 141.43. The spatial resolution and ESD were 3.17 lp/mm (157 μm) and 0.266 mGy. The angle values of the SDA device were not significantly difference as compared to those of the digital angle meter. In chest imaging, the SNR and CNR values were not significantly different according to the different angle degrees. The visibility scores of the border of the heart, the fifth rib and the scapula showed significant differences according to different angles (p < 0.05), whereas the scores of the clavicle and first rib were not significant. It is noticeable that the increase in the SDA degree was consistent with the increases of the distortion and visibility score. The proposed PDR with a SDA device would be useful for application in the clinical radiography setting according to the standard radiography guidelines. PMID:28272336

  15. Chest X-ray vs. Xpert® MTB/RIF assay for the diagnosis of sputum smear-negative tuberculosis in Uganda.

    PubMed

    Wekesa, C; Kirenga, B J; Joloba, M L; Bwanga, F; Katamba, A; Kamya, M R

    2014-02-01

    An out-patient clinic in a country with high rates of tuberculosis-human immunodeficiency virus (TB-HIV) co-infection. Cross-sectional analytical study of 123 adults with chronic cough and no previous anti-tuberculosis treatment. Demographic, clinical, chest X-ray (CXR) and GeneXpert® MTB/RIF data were collected. Proportions of TB diagnoses using both tests were calculated and compared using an unpaired t-test. Sixty-six patients (53.7%) were female and 35 (28.5%) tested positive for HIV; 21 (17.1%) were Xpert-positive, while 51 (42.5%) had CXR suggestive of TB (P = 0.0018), of whom only 15 (29.4%) were Xpert-positive. CXR was suggestive of pulmonary TB in 15 (71.4%) of the 21 patients with a positive Xpert test. The majority of the sputum smear-negative patients did not have TB on single Xpert testing. CXR gave an overestimate of sputum smear-negative TB cases.

  16. Reduction in Radiation Dose in a Pediatric Cardiac Catheterization Lab Using the Philips AlluraClarity X-ray System.

    PubMed

    Sullivan, Patrick M; Harrison, David; Badran, Sarah; Takao, Cheryl M; Ing, Frank F

    2017-08-02

    The objective of this study was to compare radiation doses and imaging quality using Philips AlluraClarity (Philips Healthcare, Best, The Netherlands) X-ray system and an older generation reference system. AlluraClarity is a new generation fluoroscopy system designed to reduce radiation without compromising image quality, but reports of its use in pediatric patients are limited. Dose area products (DAP, mGy cm(2)) and DAP/kg were compared in patients catheterized using Allura Xper and AlluraClarity systems over a year of use for each. Randomly selected studies from each system were assessed for image quality. The 430 patients imaged with Clarity were larger than the 332 imaged with Xper (median BSA: 0.74 vs. 0.64 m(2), p = 0.06), and median total fluoroscopic times (TFT) were similar (15.8 vs. 16.1 min, p = 0.37). Median DAPs were 8661 mGy cm(2) (IQR: 18,300 mGy cm(2)) and 4523 mGy cm(2) (IQR: 11,596 mGy cm(2)) with Xper and Clarity, respectively (p < 0.001). There was a reduction in median DAP in all procedure categories. After adjustment for BSA, TFT, and procedure type, using Clarity was associated with a 57.5% (95% CI 51.5-62.8%, p < 0.001) reduction in DAP for all procedures. Reductions did not significantly differ by weight (<10 kg, 10-40 kg, ≥ 40 kg). There was an adjusted percent reduction in DAP for each procedure category ranging from 39.0% (95% CI 25.6-50.1%, p < 0.001) for cardiac biopsies with or without coronary angiography to 67.6% (95% CI 61.2-72.8%, p < 0.001) for device occlusions. Mean overall imaging quality scores (4.3 ± 0.8 with Clarity vs. 4.4 ± 0.6 with Xper, p = 0.62) and scores based on specific quality parameters were similar in the two groups. Use of AlluraClarity substantially reduced radiation doses compared to the older generation reference system without compromising imaging quality in a pediatric cardiac catheterization lab.

  17. Feasibility study of the diagnosis and monitoring of cystic fibrosis in pediatric patients using stationary digital chest tomosynthesis

    NASA Astrophysics Data System (ADS)

    Potuzko, Marci; Shan, Jing; Pearce, Caleb; Lee, Yueh Z.; Lu, Jianping; Zhou, Otto

    2015-03-01

    Digital chest tomosynthesis (DCT) is a 3D imaging modality which has been shown to approach the diagnostic capability of CT, but uses only one-tenth the radiation dose of CT. One limitation of current commercial DCT is the mechanical motion of the x-ray source which prolongs image acquisition time and introduces motion blurring in images. By using a carbon nanotube (CNT) x-ray source array, we have developed a stationary digital chest tomosynthesis (s- DCT) system which can acquire tomosynthesis images without mechanical motion, thus enhancing the image quality. The low dose and high quality 3D image makes the s-DCT system a viable imaging tool for monitoring cystic fibrosis (CF) patients. The low dose is especially important in pediatric patients who are both more radiosensitive and have a longer lifespan for radiation symptoms to develop. The purpose of this research is to evaluate the feasibility of using s-DCT as a faster, lower dose means for diagnosis and monitoring of CF in pediatric patients. We have created an imaging phantom by injecting a gelatinous mucus substitute into porcine lungs and imaging the lungs from within an anthropomorphic hollow chest phantom in order to mimic the human conditions of a CF patient in the laboratory setting. We have found that our s-DCT images show evidence of mucus plugging in the lungs and provide a clear picture of the airways in the lung, allowing for the possibility of using s- DCT to supplement or replace CT as the imaging modality for CF patients.

  18. Computer-aided detection (CAD) of solid pulmonary nodules in chest x-ray equivalent ultralow dose chest CT - first in-vivo results at dose levels of 0.13mSv.

    PubMed

    Messerli, Michael; Kluckert, Thomas; Knitel, Meinhard; Rengier, Fabian; Warschkow, René; Alkadhi, Hatem; Leschka, Sebastian; Wildermuth, Simon; Bauer, Ralf W

    2016-12-01

    To determine the value of computer-aided detection (CAD) for solid pulmonary nodules in ultralow radiation dose single-energy computed tomography (CT) of the chest using third-generation dual-source CT at 100kV and fixed tube current at 70 mAs with tin filtration. 202 consecutive patients undergoing clinically indicated standard dose chest CT (1.8±0.7 mSv) were prospectively included and scanned with an additional ultralow dose CT (0.13±0.01 mSv) in the same session. Standard of reference (SOR) was established by consensus reading of standard dose CT by two radiologists. CAD was performed in standard dose and ultralow dose CT with two different reconstruction kernels. CAD detection rate of nodules was evaluated including subgroups of different nodule sizes (<5, 5-7, >7mm). Sensitivity was further analysed in multivariable mixed effects logistic regression. The SOR included 279 solid nodules (mean diameter 4.3±3.4mm, range 1-24mm). There was no significant difference in per-nodule sensitivity of CAD in standard dose with 70% compared to 68% in ultralow dose CT both overall and in different size subgroups (all p>0.05). CAD led to a significant increase of sensitivity for both radiologists reading the ultralow dose CT scans (all p<0.001). In multivariable analysis, the use of CAD (p<0.001), and nodule size (p<0.0001) were independent predictors for nodule detection, but not BMI (p=0.933) and the use of contrast agents (p=0.176). Computer-aided detection of solid pulmonary nodules using ultralow dose CT with chest X-ray equivalent radiation dose has similar sensitivities to those from standard dose CT. Adding CAD in ultralow dose CT significantly improves the sensitivity of radiologists. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  19. Radiological surveillance of formerly asbestos-exposed power industry workers: rates and risk factors of benign changes on chest X-ray and MDCT

    PubMed Central

    2014-01-01

    Background To determine the prevalence of asbestos-related changes on chest X-ray (CXR) and low-dose multidetector-row CT (MDCT) of the thorax in a cohort of formerly asbestos-exposed power industry workers and to assess the importance of common risk factors associated with specific radiological changes. Methods To assess the influence of selected risk factors (age, time since first exposure, exposure duration, cumulative exposure and pack years) on typical asbestos-related radiographic changes, we employed multiple logistic regression and receiver operating characteristic (ROC) analysis. Results On CXR, pleural changes and asbestosis were strongly associated with age, years since first exposure and exposure duration. The MDCT results showed an association between asbestosis and age and between plaques and exposure duration, years since first exposure and cumulative exposure. Parenchymal changes on CXR and MDCT, and diffuse pleural thickening on CXR were both associated with smoking. Using a cut-off of 55 years for age, 17 years for exposure duration and 28 years for latency, benign radiological changes in the cohort with CXR could be predicted with a sensitivity of 82.0% for all of the three variables and a specificity of 47.4%, 39.0% and 40.6%, respectively. Conclusions Participants aged 55 years and older and those with an asbestos exposure of at least 17 years or 28 years since first exposure should be seen as having an increased risk of abnormal radiological findings. For implementing a more focused approach the routine use of low-dose MDCT rather than CXR at least for initial examinations would be justified. PMID:24808921

  20. PA/Lateral chest X-ray is equivalent to cine-fluoroscopy for the detection of conductor externalization in defibrillation leads.

    PubMed

    Steinberg, Christian; Sarrazin, Jean-François; Philippon, François; Champagne, Jean; Molin, Franck; Nault, Isabelle; Blier, Louis; Bouchard, Marc-André; Arsenault, Jean; O'Hara, Gilles

    2015-01-01

    Riata™ and Riata ST defibrillation leads (St. Jude Medical, Sylmar, CA, USA) are susceptible to insulation defects with conductor externalization. Cine-fluoroscopy is considered to be the gold standard for the documentation of insulation defects, but similar detection rates have been reported for posterior-anterior (PA)/lateral chest x-ray (CXR) with zooming. Prospective single-center study to assess the diagnostic equivalence of a PA/lateral CXR with zooming for the detection of Riata insulation defects in a direct comparison to cine-fluoroscopy. Seventy-eight consecutive patients underwent 3-view cine-fluoroscopy and a PA/lateral CXR. All CXRs and cine-fluoroscopy images were reviewed by blinded electrophysiologists and staff radiologists. Forty-four of 78 patients had an abnormal cine-fluoroscopy (56%). The diagnostic correlation between PA/lateral CXR and cine-fluoroscopy was excellent (κ = 0.90; 95% confidence interval 0.80-1.00). PA/lateral CXR was equivalent to cine-fluoroscopy for the detection of conductor externalization showing a sensitivity of 97.7% and a specificity of 91.2%. The mean radiation effective dose of CXR was significantly lower compared to cine-fluoroscopy (0.09 millisievert [mSV] vs 0.85 ± 0.47 mSv; P < 0.001). Also, CXR was significantly less expensive. PA/lateral CXR with zooming is equivalent to cine-fluoroscopy for the detection of Riata insulation defects and should be considered as the preferred screening method. ©2014 Wiley Periodicals, Inc.

  1. Performance of ultralow-dose CT with iterative reconstruction in lung cancer screening: limiting radiation exposure to the equivalent of conventional chest X-ray imaging.

    PubMed

    Huber, Adrian; Landau, Julia; Ebner, Lukas; Bütikofer, Yanik; Leidolt, Lars; Brela, Barbara; May, Michelle; Heverhagen, Johannes; Christe, Andreas

    2016-10-01

    To investigate the detection rate of pulmonary nodules in ultralow-dose CT acquisitions. In this lung phantom study, 232 nodules (115 solid, 117 ground-glass) of different sizes were randomly distributed in a lung phantom in 60 different arrangements. Every arrangement was acquired once with standard radiation dose (100 kVp, 100 references mAs) and once with ultralow radiation dose (80 kVp, 6 mAs). Iterative reconstruction was used with optimized kernels: I30 for ultralow-dose, I70 for standard dose and I50 for CAD. Six radiologists examined the axial 1-mm stack for solid and ground-glass nodules. During a second and third step, three radiologists used maximum intensity projection (MIPs), finally checking with computer-assisted detection (CAD), while the others first used CAD, finally checking with the MIPs. The detection rate was 95.5 % with standard dose (DLP 126 mGy*cm) and 93.3 % with ultralow-dose (DLP: 9 mGy*cm). The additional use of either MIP reconstructions or CAD software could compensate for this difference. A combination of both MIP reconstructions and CAD software resulted in a maximum detection rate of 97.5 % with ultralow-dose. Lung cancer screening with ultralow-dose CT using the same radiation dose as a conventional chest X-ray is feasible. • 93.3 % of all lung nodules were detected with ultralow-dose CT. • A sensitivity of 97.5 % is possible with additional image post-processing. • The radiation dose is comparable to a standard radiography in two planes. • Lung cancer screening with ultralow-dose CT is feasible.

  2. Necrotizing Fasciitis of the Chest Wall: Report of Pediatric Cases.

    PubMed

    Kumar, Monica; Meeks, Andrew; Kearl, Liza

    2015-09-01

    Necrotizing fasciitis is a soft tissue infection uncommonly described in children and is associated with significant morbidity and mortality if not treated early and aggressively. Reports of cases involving the upper torso are rare in general. In adults, necrotizing fasciitis is most commonly described in the abdomen, perineum, and extremities. For children, particularly neonates, necrotizing fasciitis most commonly involves the trunk presenting as omphalitis. In this report, we describe 2 pediatric cases of necrotizing fasciitis of the chest wall that presented within 6 months from each other at Los Angeles County Hospital/University of Southern California Pediatric Emergency Department. Both cases involved previously healthy children with above normal body mass indices of 36 and 25.6, respectively. These cases are noteworthy because of the rarity of necrotizing fasciitis among children especially in the chest wall, atypical presentation with nonspecific symptoms which made the diagnosis challenging, and suggestion that obesity may be a potential risk factor. Despite the rarity of this disease, the information presented in these cases may aid in raising the index of suspicion for diagnosis of necrotizing fasciitis.

  3. Polylactide bioabsorbable struts for chest wall reconstruction in a pediatric patient.

    PubMed

    Makarawo, Tafadzwa P; Reynolds, Richard A; Cullen, Marc L

    2015-02-01

    Chest wall reconstruction after pediatric tumor resection is challenging. Children have unique characteristics related to growth and prosthetic material for reconstruction must be chosen carefully. Poly-L-Lactide (PLA), a bioabsorbable prosthetic material, has been used in the plate form for reconstruction after tumor resection in children. Recently developed PLA struts have been successfully used to reconstruct pediatric chest wall deformities. This is the first description of the use of PLA rib struts to reconstruct chest wall defects after a pediatric chest wall tumor resection. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  4. Comparison of effective radiation doses from X-ray, CT, and PET/CT in pediatric patients with neuroblastoma using a dose monitoring program

    PubMed Central

    Kim, Yeun Yoon; Shin, Hyun Joo; Kim, Myung-Joon; Lee, Mi-Jung

    2016-01-01

    PURPOSE We aimed to evaluate the use of a dose monitoring program for calculating and comparing the diagnostic radiation doses in pediatric patients with neuroblastoma. METHODS We retrospectively reviewed diagnostic and therapeutic imaging studies performed on pediatric patients with neuroblastoma from 2003 to 2014. We calculated the mean effective dose per exam for X-ray, conventional computed tomography (CT), and CT of positron emission tomography/computed tomography (PET/CT) from the data collected using a dose monitoring program (DoseTrack group) since October 2012. Using the data, we estimated the cumulative dose per person and the relative dose from each modality in all patients (Total group). The effective dose from PET was manually calculated for all patients. RESULTS We included 63 patients with a mean age of 3.2±3.5 years; 28 had a history of radiation therapy, with a mean irradiated dose of 31.9±23.2 Gy. The mean effective dose per exam was 0.04±0.19 mSv for X-ray, 1.09±1.11 mSv for CT, and 8.35±7.45 mSv for CT of PET/CT in 31 patients of the Dose-Track group. The mean estimated cumulative dose per patient in the Total group was 3.43±2.86 mSv from X-ray (8.5%), 7.66±6.09 mSv from CT (19.1%), 18.35±13.52 mSv from CT of PET/CT (45.7%), and 10.71±10.05 mSv from PET (26.7%). CONCLUSION CT of PET/CT contributed nearly half of the total cumulative dose in pediatric patients with neuroblastoma. The radiation dose from X-ray was not negligible because of the large number of X-ray images. A dose monitoring program can be useful for calculating radiation doses in patients with cancer. PMID:27306659

  5. Comparison of effective radiation doses from X-ray, CT, and PET/CT in pediatric patients with neuroblastoma using a dose monitoring program.

    PubMed

    Kim, Yeun Yoon; Shin, Hyun Joo; Kim, Myung Joon; Lee, Mi-Jung

    2016-01-01

    We aimed to evaluate the use of a dose monitoring program for calculating and comparing the diagnostic radiation doses in pediatric patients with neuroblastoma. We retrospectively reviewed diagnostic and therapeutic imaging studies performed on pediatric patients with neuroblastoma from 2003 to 2014. We calculated the mean effective dose per exam for X-ray, conventional computed tomography (CT), and CT of positron emission tomography/computed tomography (PET/CT) from the data collected using a dose monitoring program (DoseTrack group) since October 2012. Using the data, we estimated the cumulative dose per person and the relative dose from each modality in all patients (Total group). The effective dose from PET was manually calculated for all patients. We included 63 patients with a mean age of 3.2±3.5 years; 28 had a history of radiation therapy, with a mean irradiated dose of 31.9±23.2 Gy. The mean effective dose per exam was 0.04±0.19 mSv for X-ray, 1.09±1.11 mSv for CT, and 8.35±7.45 mSv for CT of PET/CT in 31 patients of the DoseTrack group. The mean estimated cumulative dose per patient in the Total group was 3.43±2.86 mSv from X-ray (8.5%), 7.66±6.09 mSv from CT (19.1%), 18.35±13.52 mSv from CT of PET/CT (45.7%), and 10.71±10.05 mSv from PET (26.7%). CT of PET/CT contributed nearly half of the total cumulative dose in pediatric patients with neuroblastoma. The radiation dose from X-ray was not negligible because of the large number of X-ray images. A dose monitoring program can be useful for calculating radiation doses in patients with cancer.

  6. Patient-specific dose estimation for pediatric chest CT

    SciTech Connect

    Li Xiang; Samei, Ehsan; Segars, W. Paul; Sturgeon, Gregory M.; Colsher, James G.; Frush, Donald P.

    2008-12-15

    Current methods for organ and effective dose estimations in pediatric CT are largely patient generic. Physical phantoms and computer models have only been developed for standard/limited patient sizes at discrete ages (e.g., 0, 1, 5, 10, 15 years old) and do not reflect the variability of patient anatomy and body habitus within the same size/age group. In this investigation, full-body computer models of seven pediatric patients in the same size/protocol group (weight: 11.9-18.2 kg) were created based on the patients' actual multi-detector array CT (MDCT) data. Organs and structures in the scan coverage were individually segmented. Other organs and structures were created by morphing existing adult models (developed from visible human data) to match the framework defined by the segmented organs, referencing the organ volume and anthropometry data in ICRP Publication 89. Organ and effective dose of these patients from a chest MDCT scan protocol (64 slice LightSpeed VCT scanner, 120 kVp, 70 or 75 mA, 0.4 s gantry rotation period, pitch of 1.375, 20 mm beam collimation, and small body scan field-of-view) was calculated using a Monte Carlo program previously developed and validated to simulate radiation transport in the same CT system. The seven patients had normalized effective dose of 3.7-5.3 mSv/100 mAs (coefficient of variation: 10.8%). Normalized lung dose and heart dose were 10.4-12.6 mGy/100 mAs and 11.2-13.3 mGy/100 mAs, respectively. Organ dose variations across the patients were generally small for large organs in the scan coverage (<7%), but large for small organs in the scan coverage (9%-18%) and for partially or indirectly exposed organs (11%-77%). Normalized effective dose correlated weakly with body weight (correlation coefficient: r=-0.80). Normalized lung dose and heart dose correlated strongly with mid-chest equivalent diameter (lung: r=-0.99, heart: r=-0.93); these strong correlation relationships can be used to estimate patient-specific organ dose for

  7. Dose evaluation for paediatric chest x-ray examinations in Brazil and Sudan: low doses and reliable examinations can be achieved in developing countries

    NASA Astrophysics Data System (ADS)

    Mohamadain, K. E. M.; da Rosa, L. A. R.; Azevedo, A. C. P.; Guebel, M. R. N.; Boechat, M. C. B.; Habani, F.

    2004-03-01

    Radiation protection in paediatric radiology deserves special attention since it is assumed that children are more sensitive to radiation than adults. The aim of this work is to estimate the entrance skin dose (ESD), the body organ dose (BOD) and the effective dose (E) for chest x-ray exposure of paediatric patients in five large units, three in Sudan and two in Brazil, and to compare the results obtained in both countries with each other and with other values obtained by some European countries. Two examination projections have been investigated, namely, postero-anterior (PA) and antero-posterior (AP). The age intervals considered were: 0-1 year, 1-5 years, 5-10 years and 10-15 years. The results have been obtained with the use of a software called DoseCal. Results of mean ESD for the age interval 1-5 years and AP projection are: 66 µGy (Instituto de Pediatria e Puericultura Martagão Gesteira—IPPMG Hospital), 41, 86 and 68 µGy (Instituto Fernandes Figueira—IFF Hospital), 161 µGy (Omdurman Hospital), 395 µGy (Khartoum Hospital) and 23 µGy (Ahmed Gasim Hospital). In the case of the IFF Hospital, the results refer, respectively, to rooms 1, 2 and for the six mobile equipments. The reference dose values given by the European Guidelines were exceeded in the Khartoum Hospital whilst in all the other hospitals results obtained were below CEC reference values and comparable with the results found in Sweden, Germany, Spain and Italy. The mean E for the same age interval was 11 µSv in the IPPMG, 6, 15 and 11 µSv in the IFF, respectively for rooms 1, 2 and the 6 mobiles, 25 µSv in the Omdurman Hospital, 45 µSv in the Khartoum Hospital and 3 µSv in the Ahmed Gasim Hospital. These are some examples of the large discrepancies that have been detected in this survey.

  8. Patient-specific dose estimation for pediatric chest CT

    PubMed Central

    Li, Xiang; Samei, Ehsan; Segars, W. Paul; Sturgeon, Gregory M.; Colsher, James G.; Frush, Donald P.

    2008-01-01

    Current methods for organ and effective dose estimations in pediatric CT are largely patient generic. Physical phantoms and computer models have only been developed for standard/limited patient sizes at discrete ages (e.g., 0, 1, 5, 10, 15years old) and do not reflect the variability of patient anatomy and body habitus within the same size/age group. In this investigation, full-body computer models of seven pediatric patients in the same size/protocol group (weight: 11.9–18.2kg) were created based on the patients’ actual multi-detector array CT (MDCT) data. Organs and structures in the scan coverage were individually segmented. Other organs and structures were created by morphing existing adult models (developed from visible human data) to match the framework defined by the segmented organs, referencing the organ volume and anthropometry data in ICRP Publication 89. Organ and effective dose of these patients from a chest MDCT scan protocol (64 slice LightSpeed VCT scanner, 120kVp, 70 or 75mA, 0.4s gantry rotation period, pitch of 1.375, 20mm beam collimation, and small body scan field-of-view) was calculated using a Monte Carlo program previously developed and validated to simulate radiation transport in the same CT system. The seven patients had normalized effective dose of 3.7–5.3mSv∕100mAs (coefficient of variation: 10.8%). Normalized lung dose and heart dose were 10.4–12.6mGy∕100mAs and 11.2–13.3mGy∕100mAs, respectively. Organ dose variations across the patients were generally small for large organs in the scan coverage (<7%), but large for small organs in the scan coverage (9%–18%) and for partially or indirectly exposed organs (11%–77%). Normalized effective dose correlated weakly with body weight (correlation coefficient:r=−0.80). Normalized lung dose and heart dose correlated strongly with mid-chest equivalent diameter (lung: r=−0.99, heart: r=−0.93); these strong correlation relationships can be used to estimate patient

  9. Joint x-ray

    MedlinePlus

    X-ray - joint; Arthrography; Arthrogram ... x-ray technologist will help you position the joint to be x-rayed on the table. Once in place, pictures are taken. The joint may be moved into other positions for more ...

  10. Cosmic x ray physics

    NASA Technical Reports Server (NTRS)

    Mccammon, Dan; Cox, D. P.; Kraushaar, W. L.; Sanders, W. T.

    1990-01-01

    The annual progress report on Cosmic X Ray Physics is presented. Topics studied include: the soft x ray background, proportional counter and filter calibrations, the new sounding rocket payload: X Ray Calorimeter, and theoretical studies.

  11. Cosmic x ray physics

    NASA Technical Reports Server (NTRS)

    Mccammon, Dan; Cox, D. P.; Kraushaar, W. L.; Sanders, W. T.

    1991-01-01

    The annual progress report on Cosmic X Ray Physics for the period 1 Jan. to 31 Dec. 1990 is presented. Topics studied include: soft x ray background, new sounding rocket payload: x ray calorimeter, and theoretical studies.

  12. Evaluation of entrance surface air kerma in pediatric chest radiography

    NASA Astrophysics Data System (ADS)

    Porto, L.; Lunelli, N.; Paschuk, S.; Oliveira, A.; Ferreira, J. L.; Schelin, H.; Miguel, C.; Denyak, V.; Kmiecik, C.; Tilly, J.; Khoury, H.

    2014-11-01

    The objective of this study was to evaluate the entrance surface air kerma in pediatric chest radiography. An evaluation of 301 radiographical examinations in anterior-posterior (AP) and posterior-anterior (PA) (166 examinations) and lateral (LAT) (135 examinations) projections was performed. The analyses were performed on patients grouped by age; the groups included ages 0-1 y, 1-5 y, 5-10 y, and 10-15 y. The entrance surface air kerma was determined with DoseCal software (Radiological Protection Center of Saint George's Hospital, London) and thermoluminescent dosimeters. Two different exposure techniques were compared. The doses received by patients who had undergone LAT examinations were 40% higher, on average, those in AP/PA examinations because of the difference in tube voltage. A large high-dose “tail” was observed for children up to 5 y old. An increase in tube potential and corresponding decrease in current lead to a significant dose reduction. The difference between the average dose values for different age ranges was not practically observed, implying that the exposure techniques are still not optimal. Exposure doses received using the higher tube voltage and lower current-time product correspond to the international diagnostic reference levels.

  13. Calculation of dose conversion factors for posterior-anterior chest radiography of adults with a relatively high-energy X-ray spectrum.

    PubMed

    Schultz, F W; Geleijns, J; Zoetelief, J

    1994-08-01

    In a survey of X-ray units as applied for thorax examinations considerable variations were observed in entrance dose among different hospitals in the Leyden region. For the median exposure conditions, i.e. 125 kVp, heavy filtering and large focus-to-skin distance (177.5 cm), absorbed dose distributions have been derived using mathematical phantoms of a standard male or female adult. For relatively high-energy X-rays, back scatter factors were calculated by Monte Carlo simulation. In addition, conversion factors were obtained, relating organ doses to air kerma, free in air. Effective dose equivalent and effective dose were calculated according to ICRP-26 and ICRP-60 recommendations, respectively. The computational procedures were compared with results reported in the literature for a similar exposure configuration but using lower-energy X-rays. Causes of relative differences ranging from -56% to +34% were analysed. In addition to the photon energy spectrum and filtering, the exposure geometry appears to be a very important parameter which can be optimized for the purpose of dose reduction.

  14. [Aspects of radiation protection during chest X-radiography].

    PubMed

    Seidenbusch, M C; Schneider, K

    2015-07-01

    Radiation safety in conventional X-ray diagnostics is based on the concepts of justification, optimization of an X-ray examination and limitation of the radiation exposure achieved during the examination. Optimization of an X-ray examination has to be considered as a multimodal process in which all technical components of the X-ray equipment have to be adapted to each other and also have to be adapted to the anthropometric characteristics of patients and the clinical indications. In this article the technical components of a conventional pediatric chest X-radiograph are presented, and recommendations for optimizing chest X-rays in children are provided. The following measures are of prime importance: correct x-ray beam limitation, using the posteroanterior projection when possible and not using anti-scatter grids in children under approximately 8 years old. In pediatric radiology chest x-rays that are taken not at the peak of inspiration can also be of some diagnostic significance. Optimization of an X-ray examination inevitably results in the limitation of radiation exposure.

  15. [Technical quality control of chest x-rays for the health surveillance of workers exposed to the risk of pneumoconiosis: proposal for a qualitative screening method].

    PubMed

    Manzari, Giovanna; Valenti, E; D'Epifanio, F; Quercia, A; Cardona, E

    2003-01-01

    The necessity of a qualitative screening has arisen from the fact that good technical quality is of fundamental importance for evaluating initial pneumoconiosis, for reducing inter- and intra-reader variability, for effective secondary prevention and for forensic medicine purposes. The authors report experience in use of a method to evaluate the quality of chest radiographs performed in health surveillance programs for workers at risk for development of pneumoconiosis. 747 postero-anterior chest radiographs concerning employees of 21 ceramic factories in the Province of Viterbo were examined. A standardized pattern was created for this evaluation. The pattern considers the main factors that can influence the quality of chest radiographs and assigns points for each of them. That factors are: 1) reproduced image of the lung's vascular structure, chiefly in the peripheral portions; 2) reproduced image of heart border, aorta, diaphragm; 3) deep inspiration; 4) symmetric image of the chest; 5) position of the scapulae; 6) visualization of the costal-phrenic angles; 7) technical impairments. The application of the method revealed that half of the chest radiographs examined had poor image quality for a suitable reading, in conformity with the ILO 1980 guidelines. The critical points are poor visualization of the lung's vascular structure due to overexposure or underexposure, technical impairments, non-correct scapulae position. The authors believe that the suggested method can be a useful instrument for self-testing the quality of chest radiographs performed in radiology centers and for the National Health Service to test the quality of chest radiographs performed in health surveillance programs.

  16. Thoracic spine x-ray

    MedlinePlus

    Vertebral radiography; X-ray - spine; Thoracic x-ray; Spine x-ray; Thoracic spine films; Back films ... care provider's office. You will lie on the x-ray table in different positions. If the x-ray ...

  17. Incidental detection of late presenting co-arctation of the aorta on chest x-ray: the importance of rib notching

    PubMed Central

    Warne, Richard Roger; Ong, Jeremy Sze Luong; Murray, Conor P

    2012-01-01

    A 31-year-old obese male presented to the emergency department with symptoms and signs suggestive of a viral upper respiratory tract illness with a background of low exercise tolerance. Rib notching was identified on plain film chest radiography and subsequent CT of the thorax identified a moderately tight 2-mm juxta-ductal co-arctation of the aorta with multiple enlarged chest wall collaterals. The patient underwent a two-stage percutaneous procedure involving stent insertion and angioplasty up to 16 mm with significant improvement in exercise capacity and a modest reduction in blood pressure. PMID:22665915

  18. Genotoxic and cytotoxic effects of X-ray on buccal epithelial cells following panoramic radiography: A pediatric study.

    PubMed

    Agarwal, Poonam; Vinuth, Dhundanalli Puttalingaiah; Haranal, Shashidevi; Thippanna, Chandrashekar K; Naresh, Nitesh; Moger, Ganapathi

    2015-01-01

    Ionizing radiation is a potent mutagenic agent capable of inducing both mutation and chromosomal aberrations. Non-lethal doses of ionizing radiation may induce genomic instability favoring carcinogenesis. In spite of their mutagenic potential, this kind of radiation is an important tool for diagnosis of the disease and is used in medical and dental practice. It has been believed that the number of micronucleus and increased frequency of other nuclear alterations, including karyorrhexis, condensed chromatin and pyknosis, are related to the increasing effects of carcinogens. Many approaches and techniques have been developed for the monitoring of human populations exposed to various mutagens, but the analysis of micronuclei (MN) has become a standard approach for the assessment of chromosomal damage in human populations. To assess the effects of radiation exposure from panoramic radiography on the buccal epithelial cells (BECs) of pediatric patients. The study included 20 pediatric patients who had to undergo panoramic radiography for further dental treatment. Exfoliated BECs were obtained and examined immediately before and 10 days after radiation exposure. The cells were stained using rapid Papanicolaou (PAP) kit. Evaluation for MN and nuclear alterations was carried out by an oral pathologist and data were statistically analyzed using the "t" test. The mean number of MN in the BECs before exposure of pediatric patients to panoramic radiography was 4.25 and after exposure was 4.40. This difference was not found to be statistically significant (P < 0.0001). However, the mean nuclear alterations of 8.70 and 15.75 before and after exposure were statistically significant (P < 0.0001). Panoramic radiographs can induce cytotoxicity but not genotoxic effects in buccal mucosal cells. Hence, dental radiographs should be prescribed only when deemed indispensable.

  19. Semi-automated measurements of heart-to-mediastinum ratio on 123I-MIBG myocardial scintigrams by using image fusion method with chest X-ray images

    NASA Astrophysics Data System (ADS)

    Kawai, Ryosuke; Hara, Takeshi; Katafuchi, Tetsuro; Ishihara, Tadahiko; Zhou, Xiangrong; Muramatsu, Chisako; Abe, Yoshiteru; Fujita, Hiroshi

    2015-03-01

    MIBG (iodine-123-meta-iodobenzylguanidine) is a radioactive medicine that is used to help diagnose not only myocardial diseases but also Parkinson's diseases (PD) and dementia with Lewy Bodies (DLB). The difficulty of the segmentation around the myocardium often reduces the consistency of measurement results. One of the most common measurement methods is the ratio of the uptake values of the heart to mediastinum (H/M). This ratio will be a stable independent of the operators when the uptake value in the myocardium region is clearly higher than that in background, however, it will be unreliable indices when the myocardium region is unclear because of the low uptake values. This study aims to develop a new measurement method by using the image fusion of three modalities of MIBG scintigrams, 201-Tl scintigrams, and chest radiograms, to increase the reliability of the H/M measurement results. Our automated method consists of the following steps: (1) construct left ventricular (LV) map from 201-Tl myocardium image database, (2) determine heart region in chest radiograms, (3) determine mediastinum region in chest radiograms, (4) perform image fusion of chest radiograms and MIBG scintigrams, and 5) perform H/M measurements on MIBG scintigrams by using the locations of heart and mediastinum determined on the chest radiograms. We collected 165 cases with 201-Tl scintigrams and chest radiograms to construct the LV map. Another 65 cases with MIBG scintigrams and chest radiograms were also collected for the measurements. Four radiological technologists (RTs) manually measured the H/M in the MIBG images. We compared the four RTs' results with our computer outputs by using Pearson's correlation, the Bland-Altman method, and the equivalency test method. As a result, the correlations of the H/M between four the RTs and the computer were 0.85 to 0.88. We confirmed systematic errors between the four RTs and the computer as well as among the four RTs. The variation range of the H

  20. Chest wall reconstruction in a pediatric patient with ectopia cordis.

    PubMed

    Mohan, Raja; Peralta, Mat; Perez, Ramiro; Rosenkranz, Eliot R; Panthaki, Zubin J

    2010-08-01

    Ectopia cordis is defined as a congenital malposition of the heart outside of the thoracic cavity. It is a rare condition, and complete ectopia cordis can be a fatal condition. Successful surgical reconstruction of this defect has been reported but is uncommon. The general approach to reconstructing the chest wall involves repositioning the heart and providing adequate coverage of the chest wall defect. We describe our experience with a patient who had complete thoracic ectopia cordis treated with staged chest wall reconstruction. The first stage involved temporary closure with synthetic material, and the second stage involved definitive reconstruction with autologous bone and cartilage grafts supported with plates. The patient has been active and without complaints since the second stage and is awaiting tracheal decannulation. There have been a few descriptions of how to approach chest wall reconstruction in patients with ectopia cordis. The 2 stage method described can be considered to repair the chest wall defect in complete thoracic ectopia cordis.

  1. Bone x-ray

    MedlinePlus

    ... not being scanned. Alternative Names X-ray - bone Images Skeleton Skeletal spine Osteogenic sarcoma - x-ray References ... urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows ...

  2. Dental x-rays

    MedlinePlus

    X-ray - teeth; Radiograph - dental; Bitewings; Periapical film; Panoramic film; Digital image ... dentist's office. There are many types of dental x-rays. Some of them are: Bitewing. Shows the crown ...

  3. X-ray (image)

    MedlinePlus

    X-rays are a form of ionizing radiation that can penetrate the body to form an image on ... will be shades of gray depending on density. X-rays can provide information about obstructions, tumors, and other ...

  4. X-Ray Lasers

    ERIC Educational Resources Information Center

    Chapline, George; Wood, Lowell

    1975-01-01

    Outlines the prospects of generating coherent x rays using high-power lasers and indentifies problem areas in their development. Indicates possible applications for coherent x rays in the fields of chemistry, biology, and crystallography. (GS)

  5. X-ray

    MedlinePlus

    ... image. For most x-rays, the risk of cancer or defects is very low. Most experts feel that the benefits of appropriate x-ray ... Geleijns J, Tack D. Medical physics: radiation risks. In: Adam A, Dixon AK, Gillard ...

  6. X-Ray Toolkit

    SciTech Connect

    2015-10-20

    Radiographic Image Acquisition & Processing Software for Security Markets. Used in operation of commercial x-ray scanners and manipulation of x-ray images for emergency responders including State, Local, Federal, and US Military bomb technicians and analysts.

  7. Primitive chest wall neuroectodermal tumor in a pediatric patient.

    PubMed

    Liu, Zhengcheng; Zou, Wei; Ma, Guodong; Pan, Yanqing

    2011-10-01

    A 13-year-old boy with a primitive neuroectodermal tumor of the chest wall is presented. After four cycles of chemotherapy, a computed tomography scan of his chest showed a larger mass invading the left upper lobe of the lung. He underwent resection of the left chest wall from the left fourth to sixth ribs, including the tumor, combined with left upper lobectomy and lymph node dissection. A diagnosis of primitive neuroectodermal tumor was confirmed histopathologically and immunohistochemically. After surgery, four cycles of chemotherapy with ifosfamide and etoposide were given. One year after treatment, the patient is currently doing well without evidence of recurrence.

  8. Sinus x-ray

    MedlinePlus

    Paranasal sinus radiography; X-ray - sinuses ... sinus x-ray is taken in a hospital radiology department. Or the x-ray may be taken ... Brown J, Rout J. ENT, neck, and dental radiology. In: Adam A, Dixon AK, Gillard JH Schaefer- ...

  9. Hand x-ray

    MedlinePlus

    X-ray - hand ... A hand x-ray is taken in a hospital radiology department or your health care provider's office by an ... technician. You will be asked to place your hand on the x-ray table, and keep it ...

  10. Simple X-ray versus ultrasonography examination in blunt chest trauma: effective tools of accurate diagnosis and considerations for rib fractures

    PubMed Central

    Hwang, Eun Gu; Lee, Yunjung

    2016-01-01

    Simple radiography is the best diagnostic tool for rib fractures caused by chest trauma, but it has some limitations. Thus, other tools are also being used. The aims of this study were to investigate the effectiveness of ultrasonography (US) for identifying rib fractures and to identify influencing factors of its effectiveness. Between October 2003 and August 2007, 201 patients with blunt chest trauma were available to undergo chest radiographic and US examinations for diagnosis of rib fractures. The two modalities were compared in terms of effectiveness based on simple radiographic readings and US examination results. We also investigated the factors that influenced the effectiveness of US examination. Rib fractures were detected on radiography in 69 patients (34.3%) but not in 132 patients. Rib fractures were diagnosed by using US examination in 160 patients (84.6%). Of the 132 patients who showed no rib fractures on radiography, 92 showed rib fractures on US. Among the 69 patients of rib fracture detected on radiography, 33 had additional rib fractures detected on US. Of the patients, 76 (37.8%) had identical radiographic and US results, and 125 (62.2%) had fractures detected on US that were previously undetected on radiography or additional fractures detected on US. Age, duration until US examination, and fracture location were not significant influencing factors. However, in the group without detected fractures on radiography, US showed a more significant effectiveness than in the group with detected fractures on radiography (P=0.003). US examination could detect unnoticed rib fractures on simple radiography. US examination is especially more effective in the group without detected fractures on radiography. More attention should be paid to patients with chest trauma who have no detected fractures on radiography. PMID:28119889

  11. Simple X-ray versus ultrasonography examination in blunt chest trauma: effective tools of accurate diagnosis and considerations for rib fractures.

    PubMed

    Hwang, Eun Gu; Lee, Yunjung

    2016-12-01

    Simple radiography is the best diagnostic tool for rib fractures caused by chest trauma, but it has some limitations. Thus, other tools are also being used. The aims of this study were to investigate the effectiveness of ultrasonography (US) for identifying rib fractures and to identify influencing factors of its effectiveness. Between October 2003 and August 2007, 201 patients with blunt chest trauma were available to undergo chest radiographic and US examinations for diagnosis of rib fractures. The two modalities were compared in terms of effectiveness based on simple radiographic readings and US examination results. We also investigated the factors that influenced the effectiveness of US examination. Rib fractures were detected on radiography in 69 patients (34.3%) but not in 132 patients. Rib fractures were diagnosed by using US examination in 160 patients (84.6%). Of the 132 patients who showed no rib fractures on radiography, 92 showed rib fractures on US. Among the 69 patients of rib fracture detected on radiography, 33 had additional rib fractures detected on US. Of the patients, 76 (37.8%) had identical radiographic and US results, and 125 (62.2%) had fractures detected on US that were previously undetected on radiography or additional fractures detected on US. Age, duration until US examination, and fracture location were not significant influencing factors. However, in the group without detected fractures on radiography, US showed a more significant effectiveness than in the group with detected fractures on radiography (P=0.003). US examination could detect unnoticed rib fractures on simple radiography. US examination is especially more effective in the group without detected fractures on radiography. More attention should be paid to patients with chest trauma who have no detected fractures on radiography.

  12. Time and resources of peripherally inserted central catheter insertion procedures: a comparison between blind insertion/chest X-ray and a real time tip navigation and confirmation system

    PubMed Central

    Tomaszewski, Kenneth J; Ferko, Nicole; Hollmann, Sarah S; Eng, Simona C; Richard, Howard M; Rowe, Lynn; Sproule, Susan

    2017-01-01

    Background The Sherlock 3CG™ Tip Confirmation System (TCS) provides real-time peripherally inserted central catheter (PICC) tip insertion information using passive magnetic navigation and patient cardiac electrical activity. It is an alternative tip confirmation method to fluoroscopy or chest X-ray for PICC tip insertion confirmation in adults. The purpose of this study was to evaluate time and cost of the Sherlock 3CG TCS and blind insertion with chest X-ray tip confirmation (BI/CXR) for PICC insertions. Methods A cross-sectional, observational Time and Motion study was conducted. Data were collected at four hospitals in the US. Two hospitals used Sherlock 3CG TCS and two hospitals used BI/CXR to place/confirm successful PICC tip location. Researchers observed PICC insertions, collecting data from the beginning (ie, PICC kit opening) to catheter tip confirmation (ie, released for intravenous [IV] therapy). An economic model was developed to project outcomes for a larger population. Results A total of 120 subjects were enrolled, with 60 subjects enrolled in each arm and 30 enrolled at each of the four US hospitals. The mean time from initiation of the PICC procedure to the time to release for IV therapy was 33.93 minutes in the Sherlock 3CG arm and 176.32 minutes in the BI/CXR arm (p < 0.001). No malpositions were observed for PICC insertions using the Sherlock 3CG TCS, while 20% of subjects in the BI/CXR arm had a malposition. BI/CXR subjects had significantly more total malpositions (mean 0.23 vs. 0, p < 0.001). For a hypothetical population of 1,000 annual patients, adoption of Sherlock 3CG TCS was predicted to be cost saving compared with BI/CXR in all three analysis years. Conclusion The results from this study demonstrate that Sherlock 3CG TCS, when compared with BI/CXR, is a superior alternative with regard to time to release subject to therapy, malposition rates, and minimization of X-ray exposure. PMID:28223832

  13. The role of chest physiotherapy in prevention of postextubation atelectasis in pediatric patients with neuromuscular diseases.

    PubMed

    Bilan, Nemat; Poorshiri, Bita

    2013-01-01

    There are controversial findings in the literature on the effects of chest physiotherapy on postextubation lung collapse in pediatric age group. Therefore, we aimed to investigate the efficacy of chest physiotherapy in prevention of postextubation atelectasis in pediatric patients. In a case-control study from March 2007 to March 2011, two groups of patients (35 patients in each group) susceptible to lung collapse were enrolled in the study. The studied patients had neuromuscular diseases such as spinal muscular atrophy, Guillain-Barre syndrome, critical illness polyneuropathy/myopathy, and cerebral palsy. The patients were randomly divided into two groups (case and control); The case group underwent daily chest physiotherapy through vibrator and chest percussion and the control group was under supervision. In the latter group, the underlying disease was treated and the lung collapse was managed, if occurred. The frequency of atelectasis was lower in the case group who received prophylactic chest physiotherapy compared to the control group (16.6% vs. 40%). Chest physiotherapy as well as appropriate and regular change of position can considerably reduce the rate of pulmonary collapse in pediatric patients.

  14. The Role of Chest Physiotherapy in Prevention of Postextubation Atelectasis in Pediatric Patients with Neuromuscular Diseases

    PubMed Central

    BILAN, Nemat; POORSHIRI, Bita

    2013-01-01

    Objective There are controversial findings in the literature on the effects of chest physiotherapy on postextubation lung collapse in pediatric age group. Therefore, we aimed to investigate the efficacy of chest physiotherapy in prevention of postextubation atelectasis in pediatric patients. Materials & Methods In a case-control study from March 2007 to March 2011, two groups of patients (35 patients in each group) susceptible to lung collapse were enrolled in the study. The studied patients had neuromuscular diseases such as spinal muscular atrophy, Guillain-Barre syndrome, critical illness polyneuropathy/myopathy, and cerebral palsy. The patients were randomly divided into two groups (case and control); The case group underwent daily chest physiotherapy through vibrator and chest percussion and the control group was under supervision. In the latter group, the underlying disease was treated and the lung collapse was managed, if occurred. Results The frequency of atelectasis was lower in the case group who received prophylactic chest physiotherapy compared to the control group (16.6% vs. 40%). Conclusion Chest physiotherapy as well as appropriate and regular change of position can considerably reduce the rate of pulmonary collapse in pediatric patients. PMID:24665285

  15. Revised Pediatric Reference Data for the Lateral Distal Femur Measured by Hologic Discovery/Delphi Dual Energy X-Ray Absorptiometry

    PubMed Central

    Zemel, Babette S.; Stallings, Virginia A.; Leonard, Mary B.; Paulhamus, Donna R.; Kecskemethy, Heidi H.; Harcke, H. Theodore; Henderson, Richard C

    2015-01-01

    Background Lateral distal femur (LDF) scans by dual energy x-ray absorptiometry (DXA) are often feasible in children for whom other sites are not measurable. Pediatric reference data for LDF are not available for more recent DXA technology. Aims To assess older pediatric LDF reference data, construct new reference curves for LDF bone mineral density (BMD), and demonstrate the comparability of LDF BMD to other measures of BMD and strength assessed by DXA and by peripheral quantitative computed tomography (pQCT). Methods LDF, spine and whole body scans of 821 healthy children, 5 to 18 years of age, recruited at a single center were obtained using a Hologic Delphi/Discovery system. Tibia trabecular and total BMD (3% site), cortical geometry (38% site) (cortical thickness, section modulus, strain strength index) were assessed by pQCT. Sex and race-specific reference curves were generated using LMS-ChartMaker and Z-scores calculated and compared by correlation analysis. Results Z-scores for LDF BMD based on published findings demonstrated overestimation or underestimation of the prevalence of low BMD-for-age depending on the region of interest considered. Revised LDF reference curves were generated. The new LDF Z-scores were strongly and significantly associated with weight, BMI, spine and whole body BMD Z-scores, and all pQCT Z-scores. Conclusion These findings demonstrate the comparability of LDF measurements to other clinical and research bone density assessment modes, and enable assessment of BMD in children with disabilities, who are particularly prone to low trauma fractures of long bones, and for whom traditional DXA measurement sites are not feasible. PMID:19321369

  16. DXA performance in a pediatric population: precision of body composition measurements in healthy term-born infants using dual-energy X-ray absorptiometry.

    PubMed

    de Knegt, Victoria Elizabeth; Carlsen, Emma Malchau; Bech Jensen, Jens-Erik; Lade Rasmussen, Anne Mette; Pryds, Ole

    2015-01-01

    Dual-energy X-ray absorptiometry (DXA) has been hailed as a golden standard for measuring body composition in adults but remains to be fully assessed for the infant population. A total of 64 newborn infants were allocated to 1 of 3 groups. All underwent 2 Hologic Discovery A DXA scans. Suboptimal scans were reconstructed, and an investigation into the success of adjustment was carried out. Depending on group, the factors of weight change and repositioning were investigated. Test-retest variation and coefficients of variation for DXA body composition estimates were calculated. Furthermore, the effects of flannel sheets and breast milk were investigated using a pediatric phantom. Reconstruction of suboptimal scans resulted in more accurate body weight estimates. Moderate weight change and repositioning had no significant effect on the variation between scans. No significant body composition changes occurred between scans. The test-retest variation varied between 6.3% and 11.8%. Flannel sheets and breast milk affected DXA results significantly. High precision of DXA measurements was obtained in our newborn population. Reconstructing scans is a viable way of correcting minor movement artifacts. Moderate weight changes and repositioning have no significant effect on DXA results, whereas flannel sheets and milk do.

  17. Use of computerized tomography and chest x-rays in evaluating efficacy of aerosolized recombinant human DNase in cystic fibrosis patients younger than age 5 years: a preliminary study.

    PubMed

    Nasr, S Z; Kuhns, L R; Brown, R W; Hurwitz, M E; Sanders, G M; Strouse, P J

    2001-05-01

    The aim of this study was to evaluate the ability of high-resolution computerized tomography (HRCT) of the chest and chest x-rays (CXR) to determine efficacy of inhaled recombinant human DNase (rhDNase) in cystic fibrosis (CF) patients younger than 5 years of age. A randomized, double-blind, placebo-controlled pilot study of 12 patients with CF younger than 5 years of age, attending the University of Michigan Cystic Fibrosis Center (Ann Arbor, MI) was conducted. The changes in the HRCT and CXR score from baseline to day 100 of therapy were assessed using a previously validated scoring system. The mean changes of HRCT scores between the rhDNase and placebo groups were found to be significant at the 95% level, with mean change +/- SE mean of - 1.00 +/- 0.53 and 0.58 +/- 0.24 for rhDNase and placebo groups, respectively (P = 0.02). The difference in CXR score was not significant between the two groups. An analysis was performed to relate HRCT subscores to CXR score; only thickening of the intra-interlobular septae was significantly correlated with the total CXR score (r = - 0.7, P < 0.01). There was improvement in the parents' assessments of the patients' well-being, with improvement in physical activity, decreased cough, sleep quality, and appetite in those subjects receiving rhDNase. We conclude that the administration of rhDNase was associated with improvement in the HRCT scan in CF patients younger than 5 years of age. Findings indicate that HRCT of the chest is useful and sensitive in studying responses to therapy in patients with CF lung disease. To our knowledge, this is the first report of the use of HRCT to assess the effectiveness of a therapeutic modality in so young a CF patient population.

  18. X-ray binaries

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Satellite X-ray experiments and ground-based programs aimed at observation of X-ray binaries are discussed. Experiments aboard OAO-3, OSO-8, Ariel 5, Uhuru, and Skylab are included along with rocket and ground-based observations. Major topics covered are: Her X-1, Cyg X-3, Cen X-3, Cyg X-1, the transient source A0620-00, other possible X-ray binaries, and plans and prospects for future observational programs.

  19. Management of pediatric chest pain using a standardized assessment and management plan.

    PubMed

    Friedman, Kevin G; Kane, David A; Rathod, Rahul H; Renaud, Ashley; Farias, Michael; Geggel, Robert; Fulton, David R; Lock, James E; Saleeb, Susan F

    2011-08-01

    Chest pain is a common reason for referral to pediatric cardiologists and often leads to an extensive cardiac evaluation. The objective of this study is to describe current management practices in the assessment of pediatric chest pain and to determine whether a standardized care approach could reduce unnecessary testing. We reviewed all patients, aged 7 to 21 years, presenting to our outpatient pediatric cardiology division in 2009 for evaluation of chest pain. Demographics, clinical characteristics, patient outcomes, and resource use were analyzed. Testing included electrocardiography (ECG) in all 406 patients, echocardiography in 175 (43%), exercise stress testing in 114 (28%), event monitoring in 40 (10%), and Holter monitoring in 30 (7%). A total of 44 (11%) patients had a clinically significant medical or family history, an abnormal cardiac examination, and/or an abnormal ECG. Exertional chest pain was present in 150 (37%) patients. In the entire cohort, a cardiac etiology for chest pain was found in only 5 of 406 (1.2%) patients. Two patients had pericarditits, and 3 had arrhythmias. We developed an algorithm using pertinent history, physical examination, and ECG findings to suggest when additional testing is indicated. Applying the algorithm to this cohort could lead to an ∼20% reduction in echocardiogram and outpatient rhythm monitor use and elimination of exercise stress testing while still capturing all cardiac diagnoses. Evaluation of pediatric chest pain is often extensive and rarely yields a cardiac etiology. Practice variation and unnecessary resource use remain concerns. Targeted testing can reduce resource use and lead to more cost-effective care.

  20. Chronic cough and a normal chest X-ray - a simple systematic approach to exclude common causes before referral to secondary care: a retrospective cohort study.

    PubMed

    Turner, Richard D; Bothamley, Graham H

    2016-03-03

    Chronic cough is common in the community and can cause significant morbidity. It is not clear how closely treatment guidelines are used in general practice, or how often specialist referral is indicated. We aimed to assess the management of chronic cough in primary care before referral to a cough clinic, and to assess the outcome of managing chronic cough with an approach of simple investigation and empirical treatment trials. Data were extracted from the records of all patients attending a district general hospital respiratory clinic over a two-year period with isolated chronic cough lasting ⩾8 weeks. The clinic assessed symptoms with a cough-severity visual analogue scale and the Leicester Cough Questionnaire. Among 266 patients, the most frequent diagnoses were asthma (29%), gastro-oesophageal reflux (22%) and angiotensin-converting enzyme inhibitor use (14%). In all, 12% had unexplained chronic cough. Common diagnoses had often not been excluded in primary care: only 21% had undergone spirometry, 86% had undergone chest radiography and attempts to exclude asthma with corticosteroids had been made only in 39%. In the clinic few investigations were conducted that were not available in primary care. Substantial improvements in symptoms occurred with a median (interquartile range) total of 2 (2-3) clinic visits. We estimated that 87% of patients could have been managed solely in primary care; we did not identify distinguishing characteristics among this group. Most cases of chronic cough referred to secondary care could be managed with a simple and systematic approach, which is potentially transferrable to a community setting.

  1. Upper Third to Lower Third Width Ratio on Chest X-Ray May Predict Severity of Obstruction in Obstructive Lung Disease

    PubMed Central

    Hamidi, Sahand; Shakiba, Maryam; Massahnia, Sara

    2014-01-01

    Background The symptoms and functional limitations due to obstructive lung disease (OLD) are the direct results of airway and lung parenchymal destruction. In these conditions, airflow obstruction leads to increased work of breathing, and gas exchange abnormalities. Hyperinflation, which is inferred from a standard chest radiograph (CXR), may imply increased total lung capacity that can be seen in patients with OLD. Based on experimental observations in OLD patients, we proposed that upper third width in posterioranterior (PA) CXR could be used as a rapid screening method for suggestion of OLD. Materials and Methods In this cross-sectional study, 99 patients admitted to the Respiratory Ward of Razi Medical Center, a teaching referral hospital affiliated to Guilan University of Medical Sciences (GUMS), were entered in the study. The inclusion criteria were any FEV1 with FEV1/FVC <70% or FEV1/FVC>70% with MMEF 75/25 <65%. All cases with diagnostic possibilities other than OLD were excluded. The PA and lateral CXR were performed and 13 measurements – including previous well-known measurements and our proposed new ones- were made by an ordinary ruler on the films. Results There was no significant correlation between the upper third width and superior/inferior (sup/inf) ratio with spirometric indices in patients. When considering only patients with FEV1/FVC <70%, middle third proportion width had a significant correlation with FEV1/FVC. In subgroup analysis when considering sup/inf ratio > 0.8, superior and inferior third widths were correlated with FEV1/FVC and when considering sup/inf ratio > 0.9, sup/inf ratio was significantly correlated with FEV1/FVC and FEV1. Conclusion The sup/inf ratio >0.9 in PA CXR, may be a predictor of obstructive pattern in OLD patients. For better correlation determination, larger and more extensive studies are needed. PMID:25191489

  2. Pediatric imaging/doppler ultrasound of the chest: Extracardiac diagnosis

    SciTech Connect

    Huhta, J.C.

    1986-01-01

    In this book the author spells out new diagnostic applications in pediatrics for high resolution cross-sectional ultrasonography, and demonstrates the ways in which Doppler techniques complement the cross-sectional method. This reference presents practical, step-by-step methods for non-invasive ultrasound examination of extra-cardiac anatomy and assessment of vascular blood flow.

  3. X-ray Spectrometry.

    ERIC Educational Resources Information Center

    Markowicz, Andrzej A.; Van Grieken, Rene E.

    1984-01-01

    Provided is a selective literature survey of X-ray spectrometry from late 1981 to late 1983. Literature examined focuses on: excitation (photon and electron excitation and particle-induced X-ray emission; detection (wavelength-dispersive and energy-dispersive spectrometry); instrumentation and techniques; and on such quantitative analytical…

  4. X-ray beamsplitter

    DOEpatents

    Ceglio, N.M.; Stearns, D.G.; Hawryluk, A.M.; Barbee, T.W. Jr.

    1987-08-07

    An x-ray beamsplitter which splits an x-ray beam into two coherent parts by reflecting and transmitting some fraction of an incident beam has applications for x-ray interferometry, x-ray holography, x-ray beam manipulation, and x-ray laser cavity output couplers. The beamsplitter is formed of a wavelength selective multilayer thin film supported by a very thin x-ray transparent membrane. The beamsplitter resonantly transmits and reflects x-rays through thin film interference effects. A thin film is formed of 5--50 pairs of alternate Mo/Si layers with a period of 20--250 A. The support membrane is 10--200 nm of silicon nitride or boron nitride. The multilayer/support membrane structure is formed across a window in a substrate by first forming the structure on a solid substrate and then forming a window in the substrate to leave a free-standing structure over the window. 6 figs.

  5. X-Ray

    MedlinePlus

    ... of gray. For some types of X-ray tests, a contrast medium — such as iodine or barium — is introduced into your body to provide greater detail on the images. X-ray technology is used to examine many parts of the ...

  6. Abdominal x-ray

    MedlinePlus

    An abdominal x-ray is an imaging test to look at organs and structures in the abdomen. Organs include the spleen, stomach, and intestines. When the test is done to look at the bladder and kidney structures, it is called a KUB (kidneys, ureters, bladder) x-ray.

  7. X-ray beamsplitter

    DOEpatents

    Ceglio, Natale M.; Stearns, Daniel S.; Hawryluk, Andrew M.; Barbee, Jr., Troy W.

    1989-01-01

    An x-ray beamsplitter which splits an x-ray beam into two coherent parts by reflecting and transmitting some fraction of an incident beam has applications for x-ray interferometry, x-ray holography, x-ray beam manipulation, and x-ray laser cavity output couplers. The beamsplitter is formed of a wavelength selective multilayer thin film supported by a very thin x-ray transparent membrane. The beamsplitter resonantly transmits and reflects x-rays through thin film interference effects. A thin film is formed of 5-50 pairs of alternate Mo/Si layers with a period of 20-250 A. The support membrane is 10-200 nm of silicon nitride or boron nitride. The multilayer/support membrane structure is formed across a window in a substrate by first forming the structure on a solid substrate and then forming a window in the substrate to leave a free-standing structure over the window.

  8. X-ray lasers

    SciTech Connect

    Elton, R.C.

    1990-01-01

    This paper provides a source that surveys the fundamentals of x-ray lasers and summarizes recent advances. The author emphasizes x-ray lasers created using high temperature plasmas as the medium. Specific topics discussed included electron-collisional excitation pumping, plasma laser pumping, and gamma-ray lasers. Numerous literature references provided.

  9. X-ray lasers

    SciTech Connect

    Elton, R.C.

    1990-01-01

    This book is both an introduction to x-ray lasers and a how-to-guide for specialists. It provides comprehensive overview and describes useful examples of analysis and experiments as background and guidance for researchers undertaking new laser designs. The book collects the knowledge and experience gained in two decades of x-ray laser development.

  10. X-ray Spectrometry.

    ERIC Educational Resources Information Center

    Markowicz, Andrzej A.; Van Grieken, Rene E.

    1984-01-01

    Provided is a selective literature survey of X-ray spectrometry from late 1981 to late 1983. Literature examined focuses on: excitation (photon and electron excitation and particle-induced X-ray emission; detection (wavelength-dispersive and energy-dispersive spectrometry); instrumentation and techniques; and on such quantitative analytical…

  11. X-ray Polarimetry

    NASA Astrophysics Data System (ADS)

    Kallman, T.

    In spite of the recent advances in X-ray instrumentation, polarimetry remains an area which has been virtually unexplored in the last 20 years. The scientific motivation to study polarization has increased during this time: emission models designed to repro- duce X-ray spectra can be tested using polarization, and polarization detected in other wavelength bands makes clear predictions as to the X-ray polarization. Polarization remains the only way to infer geometrical properties of sources which are too small to be spatially resolved. At the same time, there has been recent progress in instrumen- tation which is likely to allow searches for X-ray polarization at levels significantly below what was possible for early detectors. In this talk I will review the history of X-ray polarimetry, discuss some experimental techniques and the scientific problems which can be addressed by future experiments.

  12. X-ray generator

    DOEpatents

    Dawson, John M.

    1976-01-01

    Apparatus and method for producing coherent secondary x-rays that are controlled as to direction by illuminating a mixture of high z and low z gases with an intense burst of primary x-rays. The primary x-rays are produced with a laser activated plasma, and these x-rays strip off the electrons of the high z atoms in the lasing medium, while the low z atoms retain their electrons. The neutral atoms transfer electrons to highly excited states of the highly striped high z ions giving an inverted population which produces the desired coherent x-rays. In one embodiment, a laser, light beam provides a laser spark that produces the intense burst of coherent x-rays that illuminates the mixture of high z and low z gases, whereby the high z atoms are stripped while the low z ones are not, giving the desired mixture of highly ionized and neutral atoms. To this end, the laser spark is produced by injecting a laser light beam, or a plurality of beams, into a first gas in a cylindrical container having an adjacent second gas layer co-axial therewith, the laser producing a plasma and the intense primary x-rays in the first gas, and the second gas containing the high and low atomic number elements for receiving the primary x-rays, whereupon the secondary x-rays are produced therein by stripping desired ions in a neutral gas and transfer of electrons to highly excited states of the stripped ions from the unionized atoms. Means for magnetically confining and stabilizing the plasma are disclosed for controlling the direction of the x-rays.

  13. The Depths from Skin to the Major Organs at Chest Acupoints of Pediatric Patients

    PubMed Central

    Ma, Yi-Chun; Peng, Ching-Tien; Huang, Yu-Chuen; Lin, Hung-Yi; Lin, Jaung-Geng

    2015-01-01

    Background. Acupuncture is applied to treat numerous diseases in pediatric patients. Few reports have been published on the depth to which it is safe to insert needle acupoints in pediatric patients. We evaluated the depths to which acupuncture needles can be inserted safely in chest acupoints in pediatric patients and the variations in safe depth according to sex, age, body weight, and body mass index (BMI). Methods. We retrospectively studied computed tomography (CT) images of pediatric patients aged 4 to 18 years who had undergone chest CT at China Medical University Hospital from December 2004 to May 2013. The safe depth of chest acupoints was directly measured from the CT images. The relationships between the safe depth of these acupoints and sex, age, body weight, and BMI were analyzed. Results. The results demonstrated significant differences in depth among boys and girls at KI25 (kidney meridian), ST16 (stomach meridian), ST18, SP17 (spleen meridian), SP19, SP20, PC1 (pericardium meridian), LU2 (lung meridian), and GB22 (gallbladder meridian). Safe depth significantly differed among the age groups (P < 0.001), weight groups (P < 0.05), and BMI groups (P < 0.05). Conclusion. Physicians should focus on large variations in needle depth during acupuncture for achieving optimal therapeutic effect and preventing complications. PMID:26457105

  14. Ultrasound-Guided Placement of Central Venous Port Systems via the Right Internal Jugular Vein: Are Chest X-Ray and/or Fluoroscopy Needed to Confirm the Correct Placement of the Device?

    PubMed

    Miccini, Michelangelo; Cassini, Diletta; Gregori, Matteo; Gazzanelli, Sergio; Cassibba, Simone; Biacchi, Daniele

    2016-10-01

    Percutaneous central venous port (CVP) placement using ultrasound-guidance (USG) via right internal jugular vein is described as a safe and effective procedure. The aim of this study is to determine whether intraoperative fluoroscopy (IF) and/or postoperative chest X-ray (CXR) are required to confirm the correct position of the catheter. Between January 2012 and December 2014, 302 adult patients underwent elective CVP system placement under USG. The standard venous access site was the right internal jugular vein. The length of catheter was calculated based on the height of the patient. IF was always performed to confirm US findings. 176 patients were men and 126 were women and average height was 176.2 cm (range 154-193 cm). The average length of the catheter was 16.4 cm (range 14-18). Catheter malposition and pneumothorax were observed in 4 (1.3 %) and 3 (1 %) patients, respectively. IF confirmed the correct position of the catheter in all cases. Catheter misplacement (4 cases) was previously identified and corrected on USG. Our rates of pneumothorax are in accordance with those of the literature (0.5-3 %). Ultrasonography has resulted in improved safety and effectiveness of port system implantation. The routine use of CXR and IF should be considered unnecessary.

  15. X-ray crystallography

    NASA Technical Reports Server (NTRS)

    2001-01-01

    X-rays diffracted from a well-ordered protein crystal create sharp patterns of scattered light on film. A computer can use these patterns to generate a model of a protein molecule. To analyze the selected crystal, an X-ray crystallographer shines X-rays through the crystal. Unlike a single dental X-ray, which produces a shadow image of a tooth, these X-rays have to be taken many times from different angles to produce a pattern from the scattered light, a map of the intensity of the X-rays after they diffract through the crystal. The X-rays bounce off the electron clouds that form the outer structure of each atom. A flawed crystal will yield a blurry pattern; a well-ordered protein crystal yields a series of sharp diffraction patterns. From these patterns, researchers build an electron density map. With powerful computers and a lot of calculations, scientists can use the electron density patterns to determine the structure of the protein and make a computer-generated model of the structure. The models let researchers improve their understanding of how the protein functions. They also allow scientists to look for receptor sites and active areas that control a protein's function and role in the progress of diseases. From there, pharmaceutical researchers can design molecules that fit the active site, much like a key and lock, so that the protein is locked without affecting the rest of the body. This is called structure-based drug design.

  16. X-ray crystallography

    NASA Technical Reports Server (NTRS)

    2001-01-01

    X-rays diffracted from a well-ordered protein crystal create sharp patterns of scattered light on film. A computer can use these patterns to generate a model of a protein molecule. To analyze the selected crystal, an X-ray crystallographer shines X-rays through the crystal. Unlike a single dental X-ray, which produces a shadow image of a tooth, these X-rays have to be taken many times from different angles to produce a pattern from the scattered light, a map of the intensity of the X-rays after they diffract through the crystal. The X-rays bounce off the electron clouds that form the outer structure of each atom. A flawed crystal will yield a blurry pattern; a well-ordered protein crystal yields a series of sharp diffraction patterns. From these patterns, researchers build an electron density map. With powerful computers and a lot of calculations, scientists can use the electron density patterns to determine the structure of the protein and make a computer-generated model of the structure. The models let researchers improve their understanding of how the protein functions. They also allow scientists to look for receptor sites and active areas that control a protein's function and role in the progress of diseases. From there, pharmaceutical researchers can design molecules that fit the active site, much like a key and lock, so that the protein is locked without affecting the rest of the body. This is called structure-based drug design.

  17. Knowledge of oxygen administration, aerosol medicine, and chest physiotherapy among pediatric healthcare workers in Italy.

    PubMed

    Esposito, Susanna; Brivio, Anna; Tagliabue, Claudia; Galeone, Carlotta; Tagliaferri, Laura; Serra, Domenico; Foà, Michela; Patria, Maria Francesca; Marchisio, Paola; Principi, Nicola

    2011-06-01

    Oxygen administration, aerosol devices and drugs, or the use of chest physiotherapy are common practices in pediatrics; however, little is known about the knowledge of pediatric healthcare workers concerning the right utilization of these tools. The aim of this study was to fill this gap as a preliminary step in the implementation of appropriate educational programs. This cross-sectional survey of a nationally representative sample of Italian pediatricians and nurses was carried out between September 1 and October 8, 2008. A self-administered, anonymous questionnaire concerning the approach to respiratory disease in infants and children was distributed to all of the participants at the Annual Congress of the Italian Society of Pediatrics, together with a stamped envelope addressed to the trained study researchers. Of the 900 distributed questionnaires, 76.7% were completed and returned by 606 physicians (199 primary care pediatricians, 245 hospital pediatricians, and 162 pediatric residents) and 84 pediatric nurses. The vast majority of the respondents did not know the percentage of hemoglobin saturation indicating hypoxemia that requires oxygen administration. Most of the nurses admitted to overusing mucolytics and inhalatory corticosteroids, did not know the role of ipratropium bromide, were unable to indicate the first-line drug for respiratory distress, and did not know the correct dose of salbutamol. Only a minority of the respondents were able to specify the indications for chest physiotherapy. The nurses gave the fewest correct answers regardless of their age, gender, work setting, or the frequency with which they cared for children with respiratory distress in a year cared. The knowledge of primary care pediatricians, hospital pediatricians, and pediatric nurses in Italy concerning the use of pulse oximetry, aerosol devices and drugs, and chest physiotherapy is far from satisfactory and should be improved. Educational programs are therefore required for

  18. Resource reduction in pediatric chest pain: Standardized clinical assessment and management plan.

    PubMed

    Saleeb, Susan F; McLaughlin, Sarah R; Graham, Dionne A; Friedman, Kevin G; Fulton, David R

    2017-09-24

    Using a Standardized Clinical Assessment and Management Plan (SCAMP) for pediatric patients presenting to clinic with chest pain, we evaluated the cost impact associated with implementation of the care algorithm. Prior to introduction of the SCAMP, we analyzed charges for 406 patients with chest pain, seen in 2009, and predicted 21% reduction of overall charges had the SCAMP methodology been used. The SCAMP recommended an echocardiogram for history, examination, or ECG findings suggestive of a cardiac etiology for chest pain. Resource utilization was reviewed for 1517 patients (7-21 years) enrolled in the SCAMP from July 2010 to April 2014. Compared to the 2009 historic cohort, patients evaluated by the SCAMP had higher rates of exertional chest pain (45% vs 37%) and positive family history (5% vs 1%). The SCAMP cohort had fewer abnormal physical examination findings (1% vs 6%) and abnormal electrocardiograms (3% vs 5%). Echocardiogram use increased in the SCAMP cohort compared to the 2009 historic cohort (45% vs 41%), whereas all other ancillary testing was reduced: exercise stress testing (4% SCAMP vs 28% historic), Holter (4% vs 7%), event monitors (3% vs 10%), and MRI (1% vs 2%). Total charges were reduced by 22% ($822 625) by use of the Chest Pain SCAMP, despite a higher percentage of patients for whom echocardiogram was recommended compared to the historic cohort. The Chest Pain SCAMP effectively streamlines cardiac testing and reduces resource utilization. Further reductions can be made by algorithm refinement regarding echocardiograms for exertional symptoms. © 2017 Wiley Periodicals, Inc.

  19. X-ray laser

    DOEpatents

    Nilsen, Joseph

    1991-01-01

    An X-ray laser (10) that lases between the K edges of carbon and oxygen, i.e. between 44 and 23 Angstroms, is provided. The laser comprises a silicon (12) and dysprosium (14) foil combination (16) that is driven by two beams (18, 20) of intense line focused (22, 24) optical laser radiation. Ground state nickel-like dysprosium ions (34) are resonantly photo-pumped to their upper X-ray laser state by line emission from hydrogen-like silicon ions (32). The novel X-ray laser should prove especially useful for the microscopy of biological specimens.

  20. X-ray superbubbles

    NASA Technical Reports Server (NTRS)

    Cash, W.

    1983-01-01

    Four regions of the galaxy, the Cygnus Superbubble, the Eta Carina complex, the Orion/Eridanus complex, and the Gum Nebula, are discussed as examples of collective effects in the interstellar medium. All four regions share certain features, indicating a common structure. The selection effects which determine the observable X-ray properties of the superbubbles are discussed, and it is demonstrated that only a very few more in our Galaxy can be detected in X rays. X-ray observation of extragalactic superbubbles is shown to be possible but requires the capabilities of a large, high quality, AXAF class observatory.

  1. Abdomen X-Ray (Radiography)

    MedlinePlus

    ... News Physician Resources Professions Site Index A-Z X-ray (Radiography) - Abdomen Abdominal x-ray uses a very ... of an abdominal x-ray? What is abdominal x-ray? An x-ray (radiograph) is a noninvasive medical ...

  2. [Chest pain with ischemic electrocardiographic changes: mitral valve prolapse in pediatrics. Case report].

    PubMed

    Matamala-Morillo, Miguel Ángel; Rodríguez-González, Moisés; Segado-Arenas, Antonio

    2015-01-01

    Chest pain is rare and usually benign in pediatrics. Cardiac etiology is even rarer. However, it is a symptom associated with ischemic heart disease and it imposes great social alarm, even in health care workers. Therefore, it is necessary to know the most common causes of this symptom in children, as well as serious diseases that can cause it, which require prompt medical attention. We report a case of chest pain associated with ischemic electrocardiographic changes in a patient with mitral valve prolapse and MASS phenotype (mitral valve prolapse, aortic root enlargement, and skeletal and skin alterations), we review the mitral valve prolapse and stress the importance of knowing it in the pediatric setting.

  3. X-ray calorimeters

    NASA Astrophysics Data System (ADS)

    Porter, F. Scott

    X-ray calorimeter instruments for astrophysics have seen rapid development since they were invented in 1984. The prime instrument on all currently planned X-ray spectroscopic observatories is based on calorimeter technology. This relatively simple detection concept that senses the energy of an incident photon by measuring the temperature rise of an absorber material at very low temperatures can form the basis of a very high-performance, non-dispersive spectrometer. State-of-theart calorimeter instruments have resolving powers of over 3000, large simultaneous bandpasses, and near unit efficiency. This coupled with the intrinsic imaging capability of a pixilated X-ray calorimeter array, allows true spectral-spatial instruments to be constructed. This chapter briefly reviews the detection scheme, the state of the art in X-ray calorimeter instruments and the future outlook for this technology.

  4. X-ray - skeleton

    MedlinePlus

    ... medlineplus.gov/ency/article/003381.htm X-ray - skeleton To use the sharing features on this page, ... ray views may be uncomfortable. If the whole skeleton is being imaged, the test usually takes 1 ...

  5. X-Ray Diffraction.

    ERIC Educational Resources Information Center

    Smith, D. K.; Smith, K. L.

    1980-01-01

    Reviews applications in research and analytical characterization of compounds and materials in the field of X-ray diffraction, emphasizing new developments in applications and instrumentation in both single crystal and powder diffraction. Cites 414 references. (CS)

  6. Cosmic x ray physics

    NASA Technical Reports Server (NTRS)

    Mccammon, Dan; Cox, D. P.; Kraushaar, W. L.; Sanders, W. T.

    1992-01-01

    This final report covers the period 1 January 1985 - 31 March 1992. It is divided into the following sections: the soft x-ray background; proportional counter and filter calibrations; sounding rocket flight preparations; new sounding rocket payload: x-ray calorimeter; and theoretical studies. Staff, publications, conference proceedings, invited talks, contributed talks, colloquia and seminars, public service lectures, and Ph. D. theses are listed.

  7. X-ray Binaries

    NASA Astrophysics Data System (ADS)

    Lewin, Walter H. G.; van Paradijs, Jan; van den Heuvel, Edward Peter Jacobus

    1997-01-01

    Preface; 1. The properties of X-ray binaries, N. E. White, F. Nagase and A. N. Parmar; 2. Optical and ultraviolet observations of X-ray binaries J. van Paradijs and J. E. McClintock; 3. Black-hole binaries Y. Tanaka and W. H. G. Lewin; 4. X-ray bursts Walter H. G. Lewin, Jan Van Paradijs and Ronald E. Taam; 5. Millisecond pulsars D. Bhattacharya; 6. Rapid aperiodic variability in binaries M. van der Klis; 7. Radio properties of X-ray binaries R. M. Hjellming and X. Han; 8. Cataclysmic variable stars France Anne-Dominic Córdova; 9. Normal galaxies and their X-ray binary populations G. Fabbiano; 10. Accretion in close binaries Andrew King; 11. Formation and evolution of neutron stars and black holes in binaries F. Verbunt and E. P. J. van den Heuvel; 12. The magnetic fields of neutron stars and their evolution D. Bhattacharya and G. Srinivasan; 13. Cosmic gamma-ray bursts K. Hurley; 14. A catalogue of X-ray binaries Jan van Paradijs; 15. A compilation of cataclysmic binaries with known or suspected orbital periods Hans Ritter and Ulrich Kolb; References; Index.

  8. Clocking femtosecond X rays.

    PubMed

    Cavalieri, A L; Fritz, D M; Lee, S H; Bucksbaum, P H; Reis, D A; Rudati, J; Mills, D M; Fuoss, P H; Stephenson, G B; Kao, C C; Siddons, D P; Lowney, D P; Macphee, A G; Weinstein, D; Falcone, R W; Pahl, R; Als-Nielsen, J; Blome, C; Düsterer, S; Ischebeck, R; Schlarb, H; Schulte-Schrepping, H; Tschentscher, Th; Schneider, J; Hignette, O; Sette, F; Sokolowski-Tinten, K; Chapman, H N; Lee, R W; Hansen, T N; Synnergren, O; Larsson, J; Techert, S; Sheppard, J; Wark, J S; Bergh, M; Caleman, C; Huldt, G; van der Spoel, D; Timneanu, N; Hajdu, J; Akre, R A; Bong, E; Emma, P; Krejcik, P; Arthur, J; Brennan, S; Gaffney, K J; Lindenberg, A M; Luening, K; Hastings, J B

    2005-03-25

    Linear-accelerator-based sources will revolutionize ultrafast x-ray science due to their unprecedented brightness and short pulse duration. However, time-resolved studies at the resolution of the x-ray pulse duration are hampered by the inability to precisely synchronize an external laser to the accelerator. At the Sub-Picosecond Pulse Source at the Stanford Linear-Accelerator Center we solved this problem by measuring the arrival time of each high energy electron bunch with electro-optic sampling. This measurement indirectly determined the arrival time of each x-ray pulse relative to an external pump laser pulse with a time resolution of better than 60 fs rms.

  9. X-ray Reflection

    NASA Astrophysics Data System (ADS)

    Fabian, A. C.; Ross, R. R.

    2010-12-01

    Material irradiated by X-rays produces backscattered radiation which is commonly known as the Reflection Spectrum. It consists of a structured continuum, due at high energies to the competition between photoelectric absorption and electron scattering enhanced at low energies by emission from the material itself, together with a complex line spectrum. We briefly review the history of X-ray reflection in astronomy and discuss various methods for computing the reflection spectrum from cold and ionized gas, illustrated with results from our own work reflionx. We discuss how the reflection spectrum can be used to obtain the geometry of the accretion flow, particularly the inner regions around black holes and neutron stars.

  10. X-ray fluorescence experiment

    NASA Technical Reports Server (NTRS)

    Adler, I.; Trombka, J. I.; Gerard, J.; Schmadebeck, R.; Lowman, P.; Blodgett, H.; Yin, L.; Eller, E.; Lamothe, R.; Gorenstein, P.

    1972-01-01

    The preliminary results from the Sco X-1 and Cyg X-1 obtained from the Apollo 15 X-ray detector data are presented along with preliminary results of the X-ray fluorescence spectrometric data of the lunar surface composition. The production of the characteristic X-rays following the interaction of solar X-rays with the lunar surface is described along with the X-ray spectrometer. Preliminary analyses of the astronomical X-ray observation and the X-ray fluorescence data are presented.

  11. Simplified dispatcher instructions improve bystander chest compression quality during simulated pediatric resuscitation.

    PubMed

    Rodriguez, Silvana Arciniegas; Sutton, Robert M; Berg, Marc D; Nishisaki, Akira; Maltese, Matthew; Meaney, Peter A; Niles, Dana E; Leffelman, Jessica; Berg, Robert A; Nadkarni, Vinay M

    2014-01-01

    Cardiopulmonary resuscitation (CPR) quality is associated with survival outcomes after out-of-hospital cardiac arrest. The objective of this study was to evaluate the effectiveness of simplified dispatcher CPR instructions to improve the chest compression (CC) quality during simulated pediatric cardiac arrest in public places. Adult bystanders recruited in public places were randomized to receive one of two scripted dispatcher CPR instructions: (1) "Push as hard as you can" (PUSH HARD) or (2) "Push approximately 2 inches" (TWO INCHES). A pediatric manikin with realistic CC characteristics (similar to a 6-year-old child), and a CPR recording defibrillator was used for quantitative CC data collection during a 2-min simulated pediatric scenario. The primary outcome was average CC depth treated as a continuous variable. Secondary outcomes included compliance with American Heart Association (AHA) CPR targets. Analysis was by two-sided unpaired t-test and Chi-square test, as appropriate. 128 out of 140 providers screened met inclusion/exclusion criteria and all 128 consented. The average CC depth (mean (SEM)) was greater in PUSH HARD compared to TWO INCHES (43 (1) vs. 36 (1) mm, p<0.01) and met AHA targets more often (39% (25/64) vs. 20% (13/64), p=0.02). CC rates trended higher in the PUSH HARD group (93 (4) vs. 82 (4) CC/min, p=0.06). More providers did not achieve full chest recoil with PUSH HARD compared to TWO INCHES (53% (34/64) vs. 75% (48/64), p=0.01). Simplified dispatcher assisted pediatric CPR instructions: "Push as hard as you can" was associated with lay bystanders providing deeper and faster CCs on a simulated, 6-year-old pediatric manikin. However, percentage of providers leaning between CC increased. The potential effect of these simplified instructions in younger children remains unanswered. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  12. X-ray beam finder

    DOEpatents

    Gilbert, H.W.

    1983-06-16

    An X-ray beam finder for locating a focal spot of an X-ray tube includes a mass of X-ray opaque material having first and second axially-aligned, parallel-opposed faces connected by a plurality of substantially identical parallel holes perpendicular to the faces and a film holder for holding X-ray sensitive film tightly against one face while the other face is placed in contact with the window of an X-ray head.

  13. Neck x-ray

    MedlinePlus

    ... look at cervical vertebrae. These are the 7 bones of the spine in the neck. ... A neck x-ray can detect: Bone joint that is out of position (dislocation) Breathing in a foreign object Broken bone (fracture) Disk problems (disks ...

  14. Extremity x-ray

    MedlinePlus

    ... this test if you have signs of: A fracture Tumor Arthritis (inflammation of the joints) Normal Results The x-ray shows normal structures for the age of the person. What Abnormal Results Mean ... bone (fracture) Dislocated bone Osteomyelitis (infection) Arthritis Other conditions for ...

  15. Sickle cell crisis in the adult: chest radiographic findings and comparison with pediatric sickle cell disease.

    PubMed Central

    Miller, J. A.; Hinrichs, C. R.

    2001-01-01

    With the advent of improved therapy, an increasing proportion of individuals suffering from sickle cell disease (SCD) are surviving into adulthood. In contrast to children, little has been documented concerning the typical radiographic findings in adults presenting with sickle cell crises (SCC). We describe the chest radiographic (CXR) manifestations of adults with SCD presenting in SSC, correlated to hemoglobin (Hb) values, and compare them to those of the pediatric sickle cell population. The chest radiographs of 66 consecutive adults presenting to our emergency department complaining of symptoms consistent with acute SCC were retrospectively reviewed over a 12-month period. The radiographic findings were correlated with admission Hb values and compared with those of 50 children with known SCD presenting with SCC. Chi square analysis revealed no significant difference between the cardiovascular and bony findings in the adults and in those of the pediatric controls (p > 0.08-p > 1.0). However, one important difference in the two cohorts was that upper lobe infiltrates occurred exclusively in the pediatric group (p = 0.06). There was a statistically significant (p < 0.05) difference in cardiovascular and skeletal abnormalities between adults with Hb above and below the mean (8.2 g/dL). The radiographic features of adults presenting in acute SCCs are similar to those of children. Although the chest radiograph is often normal, in decreasing frequency, cardiovascular abnormalities, pneumonia sparing the upper lobes, and aseptic osteonecrosis of the shoulders and spine are not uncommon. There is a significant relationship, however, between cardiovascular abnormalities and Hb levels. Images Figure 1 Figure 2 PMID:12653383

  16. Resource Utilization Reduction for Evaluation of Chest Pain in Pediatrics Using a Novel Standardized Clinical Assessment and Management Plan (SCAMP)

    PubMed Central

    Verghese, George R.; Friedman, Kevin G.; Rathod, Rahul H.; Meiri, Amir; Saleeb, Susan F.; Graham, Dionne A.; Geggel, Robert L.; Fulton, David R.

    2012-01-01

    Background Chest pain is a common reason for referral to pediatric cardiologists. Although pediatric chest pain is rarely attributable to serious cardiac pathology, extensive and costly evaluation is often performed. We have implemented a standardized approach to pediatric chest pain in our pediatric cardiology clinics as part of a broader quality improvement initiative termed Standardized Clinical Assessment and Management Plans (SCAMPs). In this study, we evaluate the impact of a SCAMP for chest pain on practice variation and resource utilization. Methods and Results We compared demographic variables, clinical characteristics, and cardiac testing in a historical cohort (n=406) of patients presenting to our outpatient division for initial evaluation of chest pain in the most recent pre-SCAMP calendar year (2009) to patients enrolled in the chest pain SCAMP (n=364). Demographic variables including age at presentation, sex, and clinical characteristics were similar between groups. Adherence to the SCAMP algorithm for echocardiography was 84%. Practice variation decreased significantly after implementation of the SCAMP (P<0.001). The number of exercise stress tests obtained was significantly lower in the SCAMP-enrolled patients compared with the historic cohort (∼3% of patients versus 29%, respectively; P<0.001). Similarly, there was a 66% decrease in utilization of Holter monitors and 75% decrease in the use of long-term event monitors after implementation of the chest pain SCAMP (P=0.003 and P<0.001, respectively). The number of echocardiograms obtained was similar between groups. Conclusions Implementation of a SCAMP for evaluation of pediatric chest pain has lead to a decrease in practice variation and resource utilization. (J Am Heart Assoc. 2012;1:jah3-e000349 doi: 10.1161/JAHA.111.000349.) PMID:23130120

  17. Planetary X ray experiment

    NASA Technical Reports Server (NTRS)

    Anderson, K. A.

    1972-01-01

    Design studies for an X-ray experiment using solid state detectors and for an experiment using a proportional counter for investigating Jovian and Saturnian magnetospheres are reported. Background counting rates through the forward aperture and leakage fluxes are discussed for each design. It is concluded that the best choice of instrument appears to have following the characteristics: (1) two separate multiwire proportional counters for redundancy; (2) passive collimation to restrict the field to about 5 deg, wiregrid modulation collimation to about 0.1 deg angular resolution; (3) no active shielding system around the counter body; and (4) light passive shielding around any portion of the counter body exposed to space to absorb most of the cosmic X-ray background.

  18. Health care utilization and psychosocial factors in pediatric noncardiac chest pain.

    PubMed

    Lee, Jennifer L; Gilleland, Jordan; Campbell, Robert M; Simpson, Patricia; Johnson, Gregory L; Dooley, Kenneth J; Blount, Ronald L

    2013-03-01

    This study investigated factors related to health care utilization (HCU) among patients presenting to pediatric cardiologists with symptoms of chest pain later diagnosed as noncardiac chest pain (NCCP). Participants included 67 children and adolescents diagnosed with NCCP and their parent. Measures of HCU, pain severity, and child self-report and parent self-report of anxiety and depression were collected at the cardiologist's office. The child's sex was examined as a moderator of HCU. Pain severity and maternal and child depression were significant contributors to the variance in child HCU. The relationship between depression and HCU was moderated by the child's sex, with boys higher in levels of maternal or child depression reporting greater HCU. Psychological factors are related to HCU for children with NCCP, with depression positively associated with HCU. The child's sex plays an important role in depression and HCU. Family-focused psychological screening of pediatric patients with NCCP may aid in identifying families who may benefit from referrals for psychological assessment and treatment. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  19. X-ray Spectrometer

    NASA Technical Reports Server (NTRS)

    Porter, F. Scott

    2004-01-01

    The X-ray Spectrometer (XRS) instrument is a revolutionary non-dispersive spectrometer that will form the basis for the Astro-E2 observatory to be launched in 2005. We have recently installed a flight spare X R S microcalorimeter spectrometer at the EBIT-I facility at LLNL replacing the XRS from the earlier Astro-E mission and providing twice the resolution. The X R S microcalorimeter is an x-ray detector that senses the heat deposited by the incident photon. It achieves a high energy resolution by operating at 0.06K and by carefully controlling the heat capacity and thermal conductance. The XRS/EBIT instrument has 32 pixels in a square geometry and achieves an energy resolution of 6 eV at 6 keV, with a bandpass from 0.1 to 12 keV (or more at higher operating temperature). The instrument allows detailed studies of the x-ray line emission of laboratory plasmas. The XRS/EBIT also provides an extensive calibration "library" for the Astro-E2 observatory.

  20. X-Ray Vision

    NASA Technical Reports Server (NTRS)

    Ramsey, B. D.; Elsner, R. F.; Engelhaupt, D.; Kolodziejczak, J. J.; ODell, S. L.; Speegle, C. O.; Weisskopf, M. C.

    2004-01-01

    We are fabricating optics for the hard-x-ray region using electroless nickel replication. The attraction of this process, which has been widely used elsewhere, is that the resulting full shell optics are inherently stable and thus can have very good angular resolution. The challenge with this process is to develop lightweight optics (nickel has a relatively high density of 8.9 g/cu cm), and to keep down the costs of mandrel fabrication. We accomplished the former through the development of high-strength nickel alloys that permit very thin shells without fabrication- and handling-induced deformations. For the latter, we have utilized inexpensive grinding and diamond turning to figure the mandrels and then purpose-built polishing machines to finish the surface. In-house plating tanks and a simple water-bath separation system complete the process. To date we have built shells ranging in size from 5 cm diameter to 50 cm, and with thickness down to 100 micron. For our HERO balloon program, we are fabricating over 200 iridium-coated shells, 250 microns thick, for hard-x-ray imaging up to 75 keV. Early test results on these have indicated half-power-diameters of 15 arcsec. The status of these and other hard-x-ray optics will be reviewed.

  1. X-Ray Vision

    NASA Technical Reports Server (NTRS)

    Ramsey, B. D.; Elsner, R. F.; Engelhaupt, D.; Kolodziejczak, J. J.; ODell, S. L.; Speegle, C. O.; Weisskopf, M. C.

    2004-01-01

    We are fabricating optics for the hard-x-ray region using electroless nickel replication. The attraction of this process, which has been widely used elsewhere, is that the resulting full shell optics are inherently stable and thus can have very good angular resolution. The challenge with this process is to develop lightweight optics (nickel has a relatively high density of 8.9 g/cu cm), and to keep down the costs of mandrel fabrication. We accomplished the former through the development of high-strength nickel alloys that permit very thin shells without fabrication- and handling-induced deformations. For the latter, we have utilized inexpensive grinding and diamond turning to figure the mandrels and then purpose-built polishing machines to finish the surface. In-house plating tanks and a simple water-bath separation system complete the process. To date we have built shells ranging in size from 5 cm diameter to 50 cm, and with thickness down to 100 micron. For our HERO balloon program, we are fabricating over 200 iridium-coated shells, 250 microns thick, for hard-x-ray imaging up to 75 keV. Early test results on these have indicated half-power-diameters of 15 arcsec. The status of these and other hard-x-ray optics will be reviewed.

  2. X-ray Spectrometer

    NASA Technical Reports Server (NTRS)

    Porter, F. Scott

    2004-01-01

    The X-ray Spectrometer (XRS) instrument is a revolutionary non-dispersive spectrometer that will form the basis for the Astro-E2 observatory to be launched in 2005. We have recently installed a flight spare X R S microcalorimeter spectrometer at the EBIT-I facility at LLNL replacing the XRS from the earlier Astro-E mission and providing twice the resolution. The X R S microcalorimeter is an x-ray detector that senses the heat deposited by the incident photon. It achieves a high energy resolution by operating at 0.06K and by carefully controlling the heat capacity and thermal conductance. The XRS/EBIT instrument has 32 pixels in a square geometry and achieves an energy resolution of 6 eV at 6 keV, with a bandpass from 0.1 to 12 keV (or more at higher operating temperature). The instrument allows detailed studies of the x-ray line emission of laboratory plasmas. The XRS/EBIT also provides an extensive calibration "library" for the Astro-E2 observatory.

  3. X-Ray Astronomy

    NASA Technical Reports Server (NTRS)

    Wu, S. T.

    2000-01-01

    Dr. S. N. Zhang has lead a seven member group (Dr. Yuxin Feng, Mr. XuejunSun, Mr. Yongzhong Chen, Mr. Jun Lin, Mr. Yangsen Yao, and Ms. Xiaoling Zhang). This group has carried out the following activities: continued data analysis from space astrophysical missions CGRO, RXTE, ASCA and Chandra. Significant scientific results have been produced as results of their work. They discovered the three-layered accretion disk structure around black holes in X-ray binaries; their paper on this discovery is to appear in the prestigious Science magazine. They have also developed a new method for energy spectral analysis of black hole X-ray binaries; four papers on this topics were presented at the most recent Atlanta AAS meeting. They have also carried Monte-Carlo simulations of X-ray detectors, in support to the hardware development efforts at Marshall Space Flight Center (MSFC). These computation-intensive simulations have been carried out entirely on the computers at UAH. They have also carried out extensive simulations for astrophysical applications, taking advantage of the Monte-Carlo simulation codes developed previously at MSFC and further improved at UAH for detector simulations. One refereed paper and one contribution to conference proceedings have been resulted from this effort.

  4. X-ray lithography masking

    NASA Technical Reports Server (NTRS)

    Smith, Henry I. (Inventor); Lim, Michael (Inventor); Carter, James (Inventor); Schattenburg, Mark (Inventor)

    1998-01-01

    X-ray masking apparatus includes a frame having a supporting rim surrounding an x-ray transparent region, a thin membrane of hard inorganic x-ray transparent material attached at its periphery to the supporting rim covering the x-ray transparent region and a layer of x-ray opaque material on the thin membrane inside the x-ray transparent region arranged in a pattern to selectively transmit x-ray energy entering the x-ray transparent region through the membrane to a predetermined image plane separated from the layer by the thin membrane. A method of making the masking apparatus includes depositing back and front layers of hard inorganic x-ray transparent material on front and back surfaces of a substrate, depositing back and front layers of reinforcing material on the back and front layers, respectively, of the hard inorganic x-ray transparent material, removing the material including at least a portion of the substrate and the back layers of an inside region adjacent to the front layer of hard inorganic x-ray transparent material, removing a portion of the front layer of reinforcing material opposite the inside region to expose the surface of the front layer of hard inorganic x-ray transparent material separated from the inside region by the latter front layer, and depositing a layer of x-ray opaque material on the surface of the latter front layer adjacent to the inside region.

  5. Monitoring X-Ray Emission from X-Ray Bursters

    NASA Technical Reports Server (NTRS)

    Kaaret, Philip

    1998-01-01

    The goal of this investigation was to use the All-Sky Monitor on the Rossi X-Ray Timing Explorer (RXTE) in combination with the Burst and Transient Source Experiment on the Compton Gamma-Ray Observatory to simultaneously measure the x-ray (2-12 keV) and hard x-ray (20-100 keV) emission from x-ray bursters. The investigation was successful. We made the first simultaneous measurement of hard and soft x-ray emission and found a strong anticorrelation of hard and soft x-ray emission from the X-Ray Burster 4U 0614+091. The monitoring performed under this investigation was also important in triggering target of opportunity observations of x-ray bursters made under the investigation hard x-ray emission of x-ray bursters approved for RXTE cycles 1 and 2. These observations lead to a number of papers on high-frequency quasi-periodic oscillations and on hard x-ray emission from the x-ray bursters 4U 0614+091 and 4U 1705-44.

  6. Panoramic Dental X-Ray

    MedlinePlus

    ... Physician Resources Professions Site Index A-Z Panoramic Dental X-ray Panoramic dental x-ray uses a ... Your e-mail address: Personal message (optional): Bees: Wax: Notice: RadiologyInfo respects your privacy. Information entered here ...

  7. Soft X-ray Imaging

    SciTech Connect

    Seely, John

    1999-05-20

    The contents of this report cover the following: (1) design of the soft x-ray telescope; (2) fabrication and characterization of the soft x-ray telescope; and (3) experimental implementation at the OMEGA laser facility.

  8. Fluctuation X-Ray Scattering

    SciTech Connect

    Saldin, PI: D. K.; Co-I's: J. C. H. Spence and P. Fromme

    2013-01-25

    The work supported by the grant was aimed at developing novel methods of finding the structures of biomolecules using x-rays from novel sources such as the x-ray free electron laser and modern synchrotrons

  9. Encapsulating X-Ray Detectors

    NASA Technical Reports Server (NTRS)

    Conley, Joseph M.; Bradley, James G.

    1987-01-01

    Vapor-deposited polymer shields crystals from environment while allowing X rays to pass. Polymer coating transparental to X rays applied to mercuric iodide detector in partial vacuum. Coating protects crystal from sublimation, chemical attack, and electrical degradation.

  10. Dual X-ray absorptiometry

    NASA Astrophysics Data System (ADS)

    Altman, Albert; Aaron, Ronald

    2012-07-01

    Dual X-ray absorptiometry is widely used in analyzing body composition and imaging. Both the method and its limitations are related to the Compton and photoelectric contributions to the X-ray attenuation coefficients of materials.

  11. X-Ray Exam: Foot

    MedlinePlus

    ... Habits for TV, Video Games, and the Internet X-Ray Exam: Foot KidsHealth > For Parents > X-Ray Exam: Foot Print A A A What's in ... You Have Questions What It Is A foot X-ray is a safe and painless test that uses ...

  12. X-Ray Exam: Wrist

    MedlinePlus

    ... Habits for TV, Video Games, and the Internet X-Ray Exam: Wrist KidsHealth > For Parents > X-Ray Exam: Wrist Print A A A What's in ... You Have Questions What It Is A wrist X-ray is a safe and painless test that uses ...

  13. X-Ray Exam: Ankle

    MedlinePlus

    ... Habits for TV, Video Games, and the Internet X-Ray Exam: Ankle KidsHealth > For Parents > X-Ray Exam: Ankle Print A A A What's in ... You Have Questions What It Is An ankle X-ray is a safe and painless test that uses ...

  14. X-Ray Exam: Finger

    MedlinePlus

    ... Habits for TV, Video Games, and the Internet X-Ray Exam: Finger KidsHealth > For Parents > X-Ray Exam: Finger Print A A A What's in ... You Have Questions What It Is A finger X-ray is a safe and painless test that uses ...

  15. X-Ray Exam: Pelvis

    MedlinePlus

    ... Habits for TV, Video Games, and the Internet X-Ray Exam: Pelvis KidsHealth > For Parents > X-Ray Exam: Pelvis Print A A A What's in ... You Have Questions What It Is A pelvis X-ray is a safe and painless test that uses ...

  16. X-Ray Exam: Forearm

    MedlinePlus

    ... Habits for TV, Video Games, and the Internet X-Ray Exam: Forearm KidsHealth > For Parents > X-Ray Exam: Forearm Print A A A What's in ... You Have Questions What It Is A forearm X-ray is a safe and painless test that uses ...

  17. Tunable X-ray source

    DOEpatents

    Boyce, James R [Williamsburg, VA

    2011-02-08

    A method for the production of X-ray bunches tunable in both time and energy level by generating multiple photon, X-ray, beams through the use of Thomson scattering. The method of the present invention simultaneously produces two X-ray pulses that are tunable in energy and/or time.

  18. X-Ray Exam: Hip

    MedlinePlus

    ... Old Feeding Your 1- to 2-Year-Old X-Ray Exam: Hip KidsHealth > For Parents > X-Ray Exam: Hip A A A What's in this ... español Radiografía: cadera What It Is A hip X-ray is a safe and painless test that uses ...

  19. X-Ray Exam: Wrist

    MedlinePlus

    ... Old Feeding Your 1- to 2-Year-Old X-Ray Exam: Wrist KidsHealth > For Parents > X-Ray Exam: Wrist A A A What's in this ... español Radiografía: muñeca What It Is A wrist X-ray is a safe and painless test that uses ...

  20. X-Ray Exam: Ankle

    MedlinePlus

    ... Old Feeding Your 1- to 2-Year-Old X-Ray Exam: Ankle KidsHealth > For Parents > X-Ray Exam: Ankle A A A What's in this ... español Radiografía: tobillo What It Is An ankle X-ray is a safe and painless test that uses ...

  1. X-Ray Exam: Foot

    MedlinePlus

    ... Old Feeding Your 1- to 2-Year-Old X-Ray Exam: Foot KidsHealth > For Parents > X-Ray Exam: Foot A A A What's in this ... español Radiografía: pie What It Is A foot X-ray is a safe and painless test that uses ...

  2. SMM x ray polychromator

    NASA Technical Reports Server (NTRS)

    Saba, J. L. R.

    1993-01-01

    The objective of the X-ray Polychromator (XRP) experiment was to study the physical properties of solar flare plasma and its relation to the parent active region to understand better the flare mechanism and related solar activity. Observations were made to determine the temperature, density, and dynamic structure of the pre-flare and flare plasma as a function of wavelength, space and time, the extent to which the flare plasma departs from thermal equilibrium, and the variation of this departure with time. The experiment also determines the temperature and density structure of active regions and flare-induced changes in the regions.

  3. X-ray satellite

    NASA Technical Reports Server (NTRS)

    1985-01-01

    An overview of the second quarter 1985 development of the X-ray satellite project is presented. It is shown that the project is proceeding according to plan and that the projected launch date of September 9, 1987 is on schedule. An overview of the work completed and underway on the systems, subsystems, payload, assembly, ground equipment and interfaces is presented. Problem areas shown include cost increases in the area of focal instrumentation, the star sensor light scattering requirements, and postponements in the data transmission subsystems.

  4. X-ray lithography source

    DOEpatents

    Piestrup, Melvin A.; Boyers, David G.; Pincus, Cary

    1991-01-01

    A high-intensity, inexpensive X-ray source for X-ray lithography for the production of integrated circuits. Foil stacks are bombarded with a high-energy electron beam of 25 to 250 MeV to produce a flux of soft X-rays of 500 eV to 3 keV. Methods of increasing the total X-ray power and making the cross section of the X-ray beam uniform are described. Methods of obtaining the desired X-ray-beam field size, optimum frequency spectrum and elminating the neutron flux are all described. A method of obtaining a plurality of station operation is also described which makes the process more efficient and economical. The satisfying of these issues makes transition radiation an exellent moderate-priced X-ray source for lithography.

  5. X-ray lithography source

    DOEpatents

    Piestrup, M.A.; Boyers, D.G.; Pincus, C.

    1991-12-31

    A high-intensity, inexpensive X-ray source for X-ray lithography for the production of integrated circuits is disclosed. Foil stacks are bombarded with a high-energy electron beam of 25 to 250 MeV to produce a flux of soft X-rays of 500 eV to 3 keV. Methods of increasing the total X-ray power and making the cross section of the X-ray beam uniform are described. Methods of obtaining the desired X-ray-beam field size, optimum frequency spectrum and eliminating the neutron flux are all described. A method of obtaining a plurality of station operation is also described which makes the process more efficient and economical. The satisfying of these issues makes transition radiation an excellent moderate-priced X-ray source for lithography. 26 figures.

  6. An innovative pediatric chest tube insertion task trainer simulation: a technical report and pilot study.

    PubMed

    Al-Qadhi, Samim A; Pirie, Jonathan R; Constas, Nora; Corrin, Michael S C; Ali, Murtaza

    2014-10-01

    Iatrogenic complications associated with chest tube insertion (CTI) could be related to the gaps in the procedural fidelity of the current CTI training models and their insufficiency to support training of procedural mastery. A CTI bench model simulation developed with reference to preexisting curriculum increases trainees' exposure and practice of this clinical skill. Newly developed training models need to be recognized by trainees as a usable learning device. In this report, we describe the development of a novel CTI model, based on curriculum, and survey its usability as a training model among pediatric trainees. Based on the acute trauma life support curriculum for CTI and expert interview, a pediatric CTI task trainer (PCTITT) model was developed, piloted, and then implemented for usability by volunteer pediatric residents and pediatric emergency fellows in 2 procedural training courses. Participants responded to 11 questions designed to capture self-reported attitudes toward the usability of the PCTITT as a training model for CTI. Results were obtained using a subjective 5-point Likert scale. Of the 32 participants, we achieved a response rate of 75%. Of these respondents, 92% had some kind of CTI hands-on training in the past, and 50% had experience with a real patient. Of these respondents, 91% recommended this model for training, and 80% stated that this model was superior to previous models. A PCTITT is an easy to create and feasible bench top task trainer to teach CTI skills, which integrates with other simulations currently in use the process of teaching CTI. Trainees recognized it as usable and superior to previous models. Future work needs to focus on the improvement of model fidelity, skills transferability, and tool validation.

  7. Estimation of optimal pediatric chest compression depth by using computed tomography

    PubMed Central

    Jin, Soo Young; Oh, Seong Beom; Kim, Young Oh

    2016-01-01

    Objective This study aimed to compare the optimal chest compression depth for infants and children with that of adults when the simulated compression depth was delivered according to the current guidelines. Methods A total of 467 consecutive chest computed tomography scans (93 infants, 110 children, and 264 adults) were reviewed. The anteroposterior diameter and compressible diameter (CD) for infants and children were measured at the inter-nipple level and at the mid-lower half of the spine for adults. Compression ratio (CR) to CD was calculated at simulated 1/4, 1/3, and 1/2 antero-posterior compressions in infants and children, and simulated 5- and 6-cm compressions in adults. Results In adults, the CRs to CD at simulated 5- and 6-cm compression depth were 41.7±0.16%, 50.0±7.3% respectively. In children and infants, the CRs to CD at 1/3 chest compression were 55.1±2.4% and 51.8±2.4%, respectively, and at 1/2 chest compression, CRs were 82.7±3.7% and 77.7±3.6%, respectively. The CRs to CD of 4-cm compression depth in infants and 5-cm compression depth in children were 74.4±10.9%, 62.5±8.7%, respectively. The CRs to CD for children and infants were significantly higher than in adults (P<0.001). The CR to CD of 4-cm compression depth in children was almost similar to that of 6-cm compression depth in adults (50.0± 6.9% vs. 50.0±7.3%, P=0.985). Conclusion Current pediatric guidelines for compression depth are too deep compared to those in adults. We suggest using 1/3 of the anteroposterior chest diameter or about 4 cm in children and less than 4 cm in infants. PMID:27752612

  8. Feasibility of Pediatric Chest CT Using Spectral Filtration on Third-generation Dual-source CT.

    PubMed

    Liu, Wei; Liu, Jingjuan; Xue, Huadan; Sui, Xin; Song, Wei; Xu, Kai; Wan, Weilin; Li, Zhenghong; Jin, Zhengyu

    2017-02-20

    Objective To prospectively investigate the radiation dose and image quality of pediatric chest CT using Sn100 kV on a third-generation dual-source CT (DSCT)in comparison to standard 100 kV chest CT. Methods From December 12,2015 to June 30,2016,45 consecutive pediatric patients referred for non-contrast chest CT scan in Peking Union Medical College Hospital were prospectively enrolled as study group. They were examined at 100 kV with a dedicated tin filter on a third-generation DSCT. These patients were retrospectively matched with 45 patients who were examined on a second-generation DSCT at 100 kV without tin filter. The radiation dose as well as the lung and mediastinal window image quality(IQ)of the two groups were compared and analyzed statistically. IQ was evaluated using a five-point scale (1=unevaluable,5=excellent). Differences of radiation dose and noise between the two groups were determined with variance analysis and t test,IQ with Mann-Whitney U test,and the consistency of diagnosis with Kappa test. Results The average CT dose index volume of the study group was (0.24±0.11)mGy,which was decreased by 92% compared with the control group [(3.10+1.18)mGy] (t=16.287,P=0.000). Mean dose-length product and mean effective dose for study group were significantly lower than those of control group [(7.13±4.72)mGy·cm vs. (84.78±46.78)mGy·cm,t=11.077,P=0.000;(0.11±0.06)mSv vs.(1.23±0.61)mSv,t=12.334,P=0.000]. There was no significant difference between the two groups in terms of image noise (t=-0.003,P=0.397)and contrast to noise ratio (t=0.545,P=0.488). There was no significant difference between the two groups in lung window IQ (doctor 1:U=796.000,P=0.055;doctor 2:U=889.500,P=0.277),while significant difference was seen concerning of the mediastinal window IQ (doctor 1:U=305.000,P=0.000;doctor 2:U=276.500,P=0.000). Referring to the lung window,the median IQ for the study group and control group was 4 (3-5)and 4 (3-5),respectively. All imaging findings had

  9. Etiologies of Chronic Cough in Pediatric Cohorts: CHEST Guideline and Expert Panel Report.

    PubMed

    Chang, Anne B; Oppenheimer, John J; Weinberger, Miles; Grant, Cameron C; Rubin, Bruce K; Irwin, Richard S

    2017-09-01

    There is no published systematic review on the etiologies of chronic cough or the relationship between OSA and chronic cough in children aged ≤ 14 years. We thus undertook a systematic review based on key questions (KQs) using the Population, Intervention, Comparison, Outcome format. The KQs follow: Among children with chronic (> 4 weeks) cough (KQ 1) are the common etiologies different from those in adults? (KQ 2) Are the common etiologies age or setting dependent, or both? (KQ 3) Is OSA a cause of chronic cough in children? We used the CHEST Expert Cough Panel's protocol and the American College of Chest Physicians (CHEST) methodological guidelines and Grading of Recommendations Assessment, Development, and Evaluation framework. Data from the systematic reviews in conjunction with patients' values and preferences and the clinical context were used to form recommendations. Delphi methodology was used to obtain consensus. Combining KQs 1 and 2, we found moderate-level evidence from 10 prospective studies that the etiologies of cough in children are different from those in adults and are setting dependent. Data from three studies found that common etiologies of cough in young children were different from those in older children. However, data relating sleep abnormalities to chronic cough in children were found only in case studies. There is moderate-quality evidence that common etiologies of chronic cough in children are different from those in adults and are dependent on age and setting. As there are few data relating OSA and chronic cough in children, the panel suggested that these children should be managed in accordance with pediatric sleep guidelines. Copyright © 2017. Published by Elsevier Inc.

  10. Hard X-Ray Emission of X-Ray Bursters

    NASA Technical Reports Server (NTRS)

    Kaaret, P.

    1999-01-01

    The primary goal of this proposal was to perform an accurate measurement of the broadband x-ray spectrum of a neutron-star low-mass x-ray binary found in a hard x-ray state. This goal was accomplished using data obtained under another proposal, which has provided exciting new information on the hard x-ray emission of neutron-star low-mass x-ray binaries. In "BeppoSAX Observations of the Atoll X-Ray Binary 4U0614+091", we present our analysis of the spectrum of 4U0614+091 over the energy band from 0.3-150 keV. Our data confirm the presence of a hard x-ray tail that can be modeled as thermal Comptonization of low-energy photons on electrons having a very high temperature, greater than 220 keV, or as a non-thermal powerlaw. Such a very hard x-ray spectrum has not been previously seen from neutron-star low-mass x-ray binaries. We also detected a spectral feature that can be interpreted as reprocessing, via Compton reflection, of the direct emission by an optically-thick disk and found a correlation between the photon index of the power-law tail and the fraction of radiation reflected which is similar to the correlation found for black hole candidate x-ray binaries and Seyfert galaxies. A secondary goal was to measure the timing properties of the x-ray emission from neutronstar low-mass x-ray binaries in their low/hard states.

  11. Pediatric data for dual X-ray absorptiometric measures of normal lumbar bone mineral density in children under 5 years of age using the lunar prodigy densitometer

    PubMed Central

    Manousaki, D.; Rauch, F.; Chabot, G.; Dubois, J.; Fiscaletti, M.; Alos, N.

    2016-01-01

    Objectives: Knowledge of physiological variations of bone mineral density (BMD) in newborns and infants is necessary to evaluate pathological changes associated with fractures. Limited reference data for children under 5 years old are available. This study provides normative data of lumbar BMD for the Lunar Prodigy in young children under 5 years old. Subjects and methods: We assessed cross-sectionally 155 healthy children (77 boys, 80% Caucasian), ranging in age from newborn to the age of 5 years. Lumbar bone mineral content (BMC) and areal BMD were measured by dual-energy X-ray absorptiometry using a Lunar Prodigy absorptiometer. Volumetric BMD was calculated using the Kroeger and Carter methods. Results: BMC and areal BMD increased from birth to 5 years (p<0.001). Volumetric BMD did not change with age. BMD and BMC correlated with age, weight and height (R2≥0.85 for all), with a maximum gain between the ages of 1 and 4 years, which did not follow the same pattern as height velocity. We did not find significant sex difference for any of the three measured parameters. Conclusion: This study provides normative data for lumbar spine densitometry of infants and young children using the Lunar Prodigy DXA system. PMID:27609039

  12. [Characteristics of specifications of transportable inverter-type X-ray equipment].

    PubMed

    Yamamoto, Keiichi; Miyazaki, Shigeru; Asano, Hiroshi; Shinohara, Fuminori; Ishikawa, Mitsuo; Ide, Toshinori; Abe, Shinji; Negishi, Toru; Miyake, Hiroyuki; Imai, Yoshio; Okuaki, Tomoyuki

    2003-07-01

    Our X-ray systems study group measured and examined the characteristics of four transportable inverter-type X-ray equipments. X-ray tube voltage and X-ray tube current were measured with the X-ray tube voltage and the X-ray tube current measurement terminals provided with the equipment. X-ray tube voltage, irradiation time, and dose were measured with a non-invasive X-ray tube voltage-measuring device, and X-ray output was measured by fluorescence meter. The items investigated were the reproducibility and linearity of X-ray output, error of pre-set X-ray tube voltage and X-ray tube current, and X-ray tube voltage ripple percentage. The waveforms of X-ray tube voltage, the X-ray tube current, and fluorescence intensity draw were analyzed using the oscilloscope gram and a personal computer. All of the equipment had a preset error of X-ray tube voltage and X-ray tube current that met JIS standards. The X-ray tube voltage ripple percentage of each equipment conformed to the tendency to decrease when X-ray tube voltage increased. Although the X-ray output reproducibility of system A exceeded the JIS standard, the other systems were within the JIS standard. Equipment A required 40 ms for X-ray tube current to reach the target value, and there was some X-ray output loss because of a trough in X-ray tube current. Owing to the influence of the ripple in X-ray tube current, the strength of the fluorescence waveform rippled in equipments B and C. Waveform analysis could not be done by aliasing of the recording device in equipment D. The maximum X-ray tube current of transportable inverter-type X-ray equipment is as low as 10-20 mA, and the irradiation time of chest X-ray photography exceeds 0.1 sec. However, improvement of the radiophotographic technique is required for patients who cannot move their bodies or halt respiration. It is necessary to make the irradiation time of the equipments shorter for remote medical treatment.

  13. Miniature x-ray source

    DOEpatents

    Trebes, James E.; Stone, Gary F.; Bell, Perry M.; Robinson, Ronald B.; Chornenky, Victor I.

    2002-01-01

    A miniature x-ray source capable of producing broad spectrum x-ray emission over a wide range of x-ray energies. The miniature x-ray source comprises a compact vacuum tube assembly containing a cathode, an anode, a high voltage feedthru for delivering high voltage to the anode, a getter for maintaining high vacuum, a connection for an initial vacuum pump down and crimp-off, and a high voltage connection for attaching a compact high voltage cable to the high voltage feedthru. At least a portion of the vacuum tube wall is highly x-ray transparent and made, for example, from boron nitride. The compact size and potential for remote operation allows the x-ray source, for example, to be placed adjacent to a material sample undergoing analysis or in proximity to the region to be treated for medical applications.

  14. British X-ray astronomy

    NASA Astrophysics Data System (ADS)

    Pounds, K. A.

    1986-09-01

    The development of solar and cosmic X-ray studies in the UK, in particular the Skylark and Ariel programs, is discussed. The characteristics and capabilities of the X-ray emulsion detector developed to monitor the solar X-radiation in the Skylark program, and of the proportional counter spectrometer developed for solar X-ray measurements on the Ariel I satellite are described. The designs and functions of the pin-hole camera, the Bragg crystal spectrometer, and the X-ray spectroheliograph are exmained. The Skylark observations of cosmic X-ray sources and high-resolution solar spectra, and the Ariel 5 data on cosmic X-ray sources are presented. Consideration is given to the Ariel 6, the U.S. Einstein Observatory, Exosat, and ASTRO-C.

  15. Solar X-ray physics

    SciTech Connect

    Bornmann, P.L. )

    1991-01-01

    Research on solar X-ray phenomena performed by American scientists during 1987-1990 is reviewed. Major topics discussed include solar images observed during quiescent times, the processes observed during solar flares, and the coronal, interplanetary, and terrestrial phenomena associated with solar X-ray flares. Particular attention is given to the hard X-ray emission observed at the start of the flare, the energy transfer to the soft X-ray emitting plasma, the late resolution of the flare as observed in soft X-ray, and the rate of occurrence of solar flares as a function of time and latitude. Pertinent aspects of nonflaring, coronal X-ray emission and stellar flares are also discussed. 175 refs.

  16. X-Ray Polarization Imaging

    DTIC Science & Technology

    2006-07-01

    anatomic structures. Johns and Yaffe (2), building on the work of Alvarez and Macovski (3) and that of Lehmann et al (4), discuss a method for...sources of contrast related to both the wave and par- ticulate nature of x rays. References 1. Johns PC, Yaffe MJ. X-ray characterization of normal and...application to mammography. Med Phys 1985; 12:289–296. 3. Alvarez RE, Macovski A. Energy-selective reconstructions in x-ray computerized tomography. Phys

  17. Topological X-Rays Revisited

    ERIC Educational Resources Information Center

    Lynch, Mark

    2012-01-01

    We continue our study of topological X-rays begun in Lynch ["Topological X-rays and MRI's," iJMEST 33(3) (2002), pp. 389-392]. We modify our definition of a topological magnetic resonance imaging and give an affirmative answer to the question posed there: Can we identify a closed set in a box by defining X-rays to probe the interior and without…

  18. Topological X-Rays Revisited

    ERIC Educational Resources Information Center

    Lynch, Mark

    2012-01-01

    We continue our study of topological X-rays begun in Lynch ["Topological X-rays and MRI's," iJMEST 33(3) (2002), pp. 389-392]. We modify our definition of a topological magnetic resonance imaging and give an affirmative answer to the question posed there: Can we identify a closed set in a box by defining X-rays to probe the interior and without…

  19. X-ray Absorption Spectroscopy

    SciTech Connect

    Yano, Junko; Yachandra, Vittal K.

    2009-07-09

    This review gives a brief description of the theory and application of X-ray absorption spectroscopy, both X-ray absorption near edge structure (XANES) and extended X-ray absorption fine structure (EXAFS), especially, pertaining to photosynthesis. The advantages and limitations of the methods are discussed. Recent advances in extended EXAFS and polarized EXAFS using oriented membranes and single crystals are explained. Developments in theory in understanding the XANES spectra are described. The application of X-ray absorption spectroscopy to the study of the Mn4Ca cluster in Photosystem II is presented.

  20. X-ray photonics: Bending X-rays with nanochannels

    NASA Astrophysics Data System (ADS)

    Pelliccia, Daniele

    2016-02-01

    X-ray counterparts of visible light optical elements are notoriously difficult to realize because the refractive index of all materials is close to unity. It has now been demonstrated that curved waveguides fabricated on a silicon chip can channel and deflect X-ray beams by consecutive grazing reflections.

  1. Head-to-head comparison of chest x-ray/head and neck MRI, chest CT/head and neck MRI, and (18)F-FDG-PET/CT for detection of distant metastases and synchronous cancer in oral, pharyngeal, and laryngeal Cancer.

    PubMed

    Rohde, Max; Nielsen, Anne L; Johansen, Jørgen; Sørensen, Jens A; Diaz, Anabel; Asmussen, Jon T; Nielsen, Mie K; Thomassen, Anders; Christiansen, Janus M; Nguyen, Nina; Gerke, Oke; Alavi, Abass; Høilund-Carlsen, Poul Flemming; Godballe, Christian

    2017-06-01

    Purpose: To determine the detection rate of distant metastasis and synchronous cancer comparing clinically used imaging strategies based on a) chest X-ray + head and neck magnetic resonance imaging (CXR/MRI) and b) chest computed tomography + head and neck MRI (CHCT/MRI) to c) (18)F-fluoro-deoxy-glucose-positron emission tomography/computed tomography (PET/CT) upfront in the diagnostic work-up of patients with oral, pharyngeal, or laryngeal cancer. Methods: A prospective cohort study based on paired data. Consecutive patients with histologically verified primary head and squamous cell carcinoma (HNSCC) at Odense University Hospital from September 2013 to March 2016 were offered participation. Included patients underwent a) CXR/MRI and b) CHCT/MRI and c) PET/CT on the same day and prior to biopsy. Scans were read blind by separate teams of experienced nuclear physicians and/or radiologists. The true detection rate (TDR) of distant metastasis and synchronous cancer was assessed for CXR/MRI, CHCT/MRI, and PET/CT. Results: A total of 307 patients were included. CXR/MRI correctly detected 3 (1%) patients with distant metastasis, CHCT/MRI detected 11 (4%) patients, and PET/CT detected 18 (6%) patients. The absolute differences of 5% and 2%, respectively, were statistically significant in favor of PET/CT. Also, PET/CT correctly detected 25 (8%) synchronous cancers, which was significantly more than CXR/MRI (3 patients, 1%) and CHCT/MRI (6 patients, 2%). TDR of distant metastasis and/or synchronous cancer with PET/CT was 13% (40 patients), which was significantly higher than 2% (6 patients) for CXR/MRI and 6% (17 patients) for CHCT/MRI. Conclusion: A clinical imaging strategy based on PET/CT demonstrated a significantly higher detection rate of distant metastasis and/or synchronous cancer than strategies in current clinical imaging guidelines, of which European ones primarily recommend CXR/MRI, while US guidelines preferably point to CHCT/MRI in patients with HNSCC

  2. Motion based X-ray imaging modality.

    PubMed

    Szigeti, Krisztián; Máthé, Domokos; Osváth, Szabolcs

    2014-10-01

    A new X-ray imaging method (patent pending) was developed to visualize function-related motion information. We modify existing X-ray imaging methods to provide four images without increasing the necessary measurement time or radiation dose. The most important of these images is a new "kinetic" image that represents motions inside the object or living body. The motion-based contrast of the kinetic image can help visualize details that were not accessible before. The broad range of the movements and high sensitivity of the method are illustrated by imaging the mechanics of a working clock and the chest of a living African clawed frog (Xenopus laevis). The heart, valves, aorta, and lungs of the frog are clearly visualized in spite of the low soft tissue contrast of the animal. The new technology also reconstructs a "static" image similar to the existing conventional X-ray image. The static image shows practically the same information as the conventional image. The new technology presents two more images which show the point-wise errors of the static and kinetic images. This technique gives a better estimation of errors than present methods because it is based entirely on measured data. The new technology could be used in imaging cardiopulmonary movements, nondestructive testing, or port security screening.

  3. X-ray based extensometry

    NASA Technical Reports Server (NTRS)

    Jordan, E. H.; Pease, D. M.

    1988-01-01

    A totally new method of extensometry using an X-ray beam was proposed. The intent of the method is to provide a non-contacting technique that is immune to problems associated with density variations in gaseous environments that plague optical methods. X-rays are virtually unrefractable even by solids. The new method utilizes X-ray induced X-ray fluorescence or X-ray induced optical fluorescence of targets that have melting temperatures of over 3000 F. Many different variations of the basic approaches are possible. In the year completed, preliminary experiments were completed which strongly suggest that the method is feasible. The X-ray induced optical fluorescence method appears to be limited to temperatures below roughly 1600 F because of the overwhelming thermal optical radiation. The X-ray induced X-ray fluorescence scheme appears feasible up to very high temperatures. In this system there will be an unknown tradeoff between frequency response, cost, and accuracy. The exact tradeoff can only be estimated. It appears that for thermomechanical tests with cycle times on the order of minutes a very reasonable system may be feasible. The intended applications involve very high temperatures in both materials testing and monitoring component testing. Gas turbine engines, rocket engines, and hypersonic vehicles (NASP) all involve measurement needs that could partially be met by the proposed technology.

  4. Astronomical X-Ray Optics

    NASA Technical Reports Server (NTRS)

    Joy, M. K.

    2000-01-01

    Over the past two decades, grazing incidence optics have transformed observational x-ray astronomy into a major scientific discipline at the cutting edge of research in astrophysics and cosmology. This review summarizes the fundamental design principles of grazing incidence optics for astronomical applications, describes the capabilities of the current generation of x-ray telescopes, and explores several avenues of future development.

  5. Dual x-ray absorptiometry

    NASA Astrophysics Data System (ADS)

    Altman, Albert; Aaron, Ronald

    2011-04-01

    Dual x-ray absorptiometry is widely used in analyzing body composition and imaging. We discuss the physics of the method and exhibit its limitations and show it is related to the Compton and photoelectric contributions to the x-ray absorption coefficients of materials.

  6. X-ray position detector

    NASA Technical Reports Server (NTRS)

    Garmire, G. (Inventor)

    1972-01-01

    An X-ray position detector for real time operation is described. A set of proportional counters is arranged into an array which can detect and indicate the position of an X-ray interaction within the array, in the X Y plane.

  7. High performance x-ray anti-scatter grid

    DOEpatents

    Logan, C.M.

    1995-05-23

    Disclosed are an x-ray anti-scatter grid for x-ray imaging, particularly for screening mammography, and method for fabricating same, x-rays incident along a direct path pass through a grid composed of a plurality of parallel or crossed openings, microchannels, grooves, or slots etched in a substrate, such as silicon, having the walls of the microchannels or slots coated with a high opacity material, such as gold, while x-rays incident at angels with respect to the slots of the grid, arising from scatter, are blocked. The thickness of the substrate is dependent on the specific application of the grid, whereby a substrate of the grid for mammography would be thinner than one for chest radiology. Instead of coating the walls of the slots, such could be filed with an appropriate liquid, such as mercury. 4 Figs.

  8. High performance x-ray anti-scatter grid

    DOEpatents

    Logan, Clinton M.

    1995-01-01

    An x-ray anti-scatter grid for x-ray imaging, particularly for screening mammography, and method for fabricating same, x-rays incident along a direct path pass through a grid composed of a plurality of parallel or crossed openings, microchannels, grooves, or slots etched in a substrate, such as silicon, having the walls of the microchannels or slots coated with a high opacity material, such as gold, while x-rays incident at angels with respect to the slots of the grid, arising from scatter, are blocked. The thickness of the substrate is dependent on the specific application of the grid, whereby a substrate of the grid for mammography would be thinner than one for chest radiology. Instead of coating the walls of the slots, such could be filed with an appropriate liquid, such as mercury.

  9. X-ray shearing interferometer

    DOEpatents

    Koch, Jeffrey A [Livermore, CA

    2003-07-08

    An x-ray interferometer for analyzing high density plasmas and optically opaque materials includes a point-like x-ray source for providing a broadband x-ray source. The x-rays are directed through a target material and then are reflected by a high-quality ellipsoidally-bent imaging crystal to a diffraction grating disposed at 1.times. magnification. A spherically-bent imaging crystal is employed when the x-rays that are incident on the crystal surface are normal to that surface. The diffraction grating produces multiple beams which interfere with one another to produce an interference pattern which contains information about the target. A detector is disposed at the position of the image of the target produced by the interfering beams.

  10. X-Ray Tomographic Reconstruction

    SciTech Connect

    Bonnie Schmittberger

    2010-08-25

    Tomographic scans have revolutionized imaging techniques used in medical and biological research by resolving individual sample slices instead of several superimposed images that are obtained from regular x-ray scans. X-Ray fluorescence computed tomography, a more specific tomography technique, bombards the sample with synchrotron x-rays and detects the fluorescent photons emitted from the sample. However, since x-rays are attenuated as they pass through the sample, tomographic scans often produce images with erroneous low densities in areas where the x-rays have already passed through most of the sample. To correct for this and correctly reconstruct the data in order to obtain the most accurate images, a program employing iterative methods based on the inverse Radon transform was written. Applying this reconstruction method to a tomographic image recovered some of the lost densities, providing a more accurate image from which element concentrations and internal structure can be determined.

  11. X-Ray Diffraction Apparatus

    NASA Technical Reports Server (NTRS)

    Blake, David F. (Inventor); Bryson, Charles (Inventor); Freund, Friedmann (Inventor)

    1996-01-01

    An x-ray diffraction apparatus for use in analyzing the x-ray diffraction pattern of a sample is introduced. The apparatus includes a beam source for generating a collimated x-ray beam having one or more discrete x-ray energies, a holder for holding the sample to be analyzed in the path of the beam, and a charge-coupled device having an array of pixels for detecting, in one or more selected photon energy ranges, x-ray diffraction photons produced by irradiating such a sample with said beam. The CCD is coupled to an output unit which receives input information relating to the energies of photons striking each pixel in the CCD, and constructs the diffraction pattern of photons within a selected energy range striking the CCD.

  12. Focusing X-Ray Telescopes

    NASA Technical Reports Server (NTRS)

    O'Dell, Stephen; Brissenden, Roger; Davis, William; Elsner, Ronald; Elvis, Martin; Freeman, Mark; Gaetz, Terrance; Gorenstein, Paul; Gubarev, Mikhall; Jerlus, Diab; hide

    2010-01-01

    During the half-century history of x-ray astronomy, focusing x-ray telescopes, through increased effective area and finer angular resolution, have improved sensitivity by 8 orders of magnitude. Here, we review previous and current x-ray-telescope missions. Next, we describe the planned next-generation x-ray-astronomy facility, the International X-ray Observatory (IXO). We conclude with an overview of a concept for the next next-generation facility, Generation X. Its scientific objectives will require very large areas (about 10,000 sq m) of highly-nested, lightweight grazing-incidence mirrors, with exceptional (about 0.1-arcsec) resolution. Achieving this angular resolution with lightweight mirrors will likely require on-orbit adjustment of alignment and figure.

  13. X-ray monitoring optical elements

    DOEpatents

    Stoupin, Stanislav; Shvydko, Yury; Katsoudas, John; Blank, Vladimir D.; Terentyev, Sergey A.

    2016-12-27

    An X-ray article and method for analyzing hard X-rays which have interacted with a test system. The X-ray article is operative to diffract or otherwise process X-rays from an input X-ray beam which have interacted with the test system and at the same time provide an electrical circuit adapted to collect photoelectrons emitted from an X-ray optical element of the X-ray article to analyze features of the test system.

  14. X-ray diagnostics for TFTR

    SciTech Connect

    von Goeler, S.; Hill, K.W.; Bitter, M.

    1982-12-01

    A short description of the x-ray diagnostic preparation for the TFTR tokamak is given. The x-ray equipment consists of the limiter x-ray monitoring system, the soft x-ray pulse-height-analysis-system, the soft x-ray imaging system and the x-ray crystal spectrometer. Particular attention is given to the radiation protection of the x-ray systems from the neutron environment.

  15. Idiopathic thoracic aortic aneurysm at pediatric age.

    PubMed

    Marín-Manzano, E; González-de-Olano, D; Haurie-Girelli, J; Herráiz-Sarachaga, J I; Bermúdez-Cañete, R; Tamariz-Martel, A; Cuesta-Gimeno, C; Pérez-de-León, J

    2009-03-01

    A 6-year-old-boy presented with epigastric pain and vomiting over 1 year. Chest X-ray and esophagogastric transit showed a mediastinal mass. A chest computerized tomography angiogram demonstrated a descending thoracic aortic aneurysm. Analytical determinations carried out were all negative. The aneurysm was surgically repaired using a Dacron patch. The anatomopathological study described atherosclerotic lesions with calcifications, compatible with an atherosclerotic aneurysm wall. Aneurysms are uncommon in the pediatric population. Usually, no pathogenesis can be determined, and thus, such cases are grouped as idiopathic. Direct repair with or without patch is a therapeutic alternative in pediatric aneurysms and can allow the growth of the aortic circumference.

  16. X-Ray Imaging System

    NASA Technical Reports Server (NTRS)

    1986-01-01

    The FluoroScan Imaging System is a high resolution, low radiation device for viewing stationary or moving objects. It resulted from NASA technology developed for x-ray astronomy and Goddard application to a low intensity x-ray imaging scope. FlouroScan Imaging Systems, Inc, (formerly HealthMate, Inc.), a NASA licensee, further refined the FluoroScan System. It is used for examining fractures, placement of catheters, and in veterinary medicine. Its major components include an x-ray generator, scintillator, visible light image intensifier and video display. It is small, light and maneuverable.

  17. X-Ray Imaging System

    NASA Astrophysics Data System (ADS)

    1986-01-01

    The FluoroScan Imaging System is a high resolution, low radiation device for viewing stationary or moving objects. It resulted from NASA technology developed for x-ray astronomy and Goddard application to a low intensity x-ray imaging scope. FlouroScan Imaging Systems, Inc, (formerly HealthMate, Inc.), a NASA licensee, further refined the FluoroScan System. It is used for examining fractures, placement of catheters, and in veterinary medicine. Its major components include an x-ray generator, scintillator, visible light image intensifier and video display. It is small, light and maneuverable.

  18. Dissociative X-ray Lasing

    NASA Astrophysics Data System (ADS)

    Miao, Q.; Liu, J.-C.; Ågren, H.; Rubensson, J.-E.; Gel'mukhanov, F.

    2012-12-01

    X-ray lasing is predicted to ensue when molecules are pumped into dissociative core-excited states by a free-electron-laser pulse. The lasing is due to the population inversion created in the neutral dissociation product, and the process features self-trapping of the x-ray pulse at the gain ridge. Simulations performed for the HCl molecule pumped at the 2p1/2→6σ resonance demonstrate that the scheme can be used to create ultrashort coherent x-ray pulses.

  19. X-RAY MONITORING OF ULTRALUMINOUS X-RAY SOURCES

    SciTech Connect

    Kaaret, Philip; Feng Hua

    2009-09-10

    X-ray monitoring observations were performed with the Swift observatory of the ultraluminous X-ray sources Holmberg IX X-1, NGC 5408 X-1, and NGC 4395 X-2 and also of the nuclear X-ray source in NGC 4395. Holmberg IX X-1 remains in the hard X-ray spectral state as its flux varies by a factor of 7 up to a (isotropic) luminosity of 2.8 x 10{sup 40} erg s{sup -1}. This behavior may suggest an unusually massive compact object. We find excess power at periods near 60 days and 28 days in the X-ray emission from Holmberg IX X-1. Additional monitoring is required to test the significance of these signals. NGC 5408 X-1 and NGC 4395 X-2 appear to remain in the soft spectral state found by Chandra and XMM with little variation in spectral hardness even as the luminosity changes by a factor of 9. We found an outburst from the nuclear source in NGC 4395 reaching an X-ray luminosity of 9 x 10{sup 40} erg s{sup -1}, several times higher than any previously reported.

  20. Correlations between global clotting function tests, duration of operation, and postoperative chest tube drainage in pediatric cardiac surgery.

    PubMed

    Hayashi, Tamaki; Sakurai, Yoshihiko; Fukuda, Kazuyoshi; Yada, Koji; Ogiwara, Kenichi; Matsumoto, Tomoko; Yoshizawa, Hiroyuki; Takahashi, Yukihiro; Yoshikawa, Yoshiro; Hayata, Yoshihiro; Taniguchi, Shigeki; Shima, Midori

    2011-08-01

    Systemic coagulation disorders after cardiac surgery represent serious postoperative complications. There have been few reports, however, identifying preoperative coagulation tests that predict postoperative bleeding. The aim of the present study was to investigate the relationship between postoperative hemorrhage and coagulation parameters determined by global coagulation assays, to define potential predictive markers. Twenty-one pediatric patients were enrolled. Blood samples were collected before and 24 h after cardiac surgery. Laboratory investigations included platelet count, hematocrit, classical coagulation tests [prothrombin time, activated partial thromboplastin time, thrombin-antithrombin complex (TAT)], rotation thromboelastometry (ROTEM), and the thrombin generation test (TGT). The duration of the surgical procedure was recorded. Chest tube drainage was monitored for 24 h after operation as an index of postoperative hemorrhage. Comparisons between preoperative and postoperative results indicated that TAT increased significantly after operation, whereas ROTEM parameters did not show a hypercoagulable pattern. Preoperative endogenous thrombin potential (ETP) measured in the TGT and clot formation time (CFT) in the ROTEM correlated with chest tube drainage. The classical coagulation tests were not informative. Postoperatively, peak height and ETP in TGT, all ROTEM parameters, and duration of surgery were correlated with chest tube drainage. Duration of surgery was correlated with postoperative ROTEM parameters but not with TGT. Postoperative maximum clot firmness and AUC were correlated with platelet count decrease ratio. The preoperative CFT and ETP provide useful indices for predicting postoperative chest tube drainage volume. In addition, the duration of surgery also correlated with chest tube drainage and affected ROTEM parameters. © 2011 Blackwell Publishing Ltd.

  1. Lumbosacral spine x-ray

    MedlinePlus

    ... should be taken before children receive x-rays. Considerations There are some back problems that an x- ... imaging for low back pain: advice for high-value health care from the American College of Physicians. ...

  2. Miniature x-ray source

    DOEpatents

    Trebes, James E.; Bell, Perry M.; Robinson, Ronald B.

    2000-01-01

    A miniature x-ray source utilizing a hot filament cathode. The source has a millimeter scale size and is capable of producing broad spectrum x-ray emission over a wide range of x-ray energies. The miniature source consists of a compact vacuum tube assembly containing the hot filament cathode, an anode, a high voltage feedthru for delivering high voltage to the cathode, a getter for maintaining high vacuum, a connector for initial vacuum pump down and crimp-off, and a high voltage connection for attaching a compact high voltage cable to the high voltage feedthru. At least a portion of the vacuum tube wall is fabricated from highly x-ray transparent materials, such as sapphire, diamond, or boron nitride.

  3. CELESTIAL X-RAY SOURCES.

    DTIC Science & Technology

    sources, (4) the physical conditions in the pulsating x-ray source in the Crab Nebula , and (5) miscellaneous related topics. A bibliography of all work performed under the contract is given. (Author)

  4. Nanoscale X-ray imaging

    NASA Astrophysics Data System (ADS)

    Sakdinawat, Anne; Attwood, David

    2010-12-01

    Recent years have seen significant progress in the field of soft- and hard-X-ray microscopy, both technically, through developments in source, optics and imaging methodologies, and also scientifically, through a wide range of applications. While an ever-growing community is pursuing the extensive applications of today's available X-ray tools, other groups are investigating improvements in techniques, including new optics, higher spatial resolutions, brighter compact sources and shorter-duration X-ray pulses. This Review covers recent work in the development of direct image-forming X-ray microscopy techniques and the relevant applications, including three-dimensional biological tomography, dynamical processes in magnetic nanostructures, chemical speciation studies, industrial applications related to solar cells and batteries, and studies of archaeological materials and historical works of art.

  5. Future x-ray missions

    NASA Astrophysics Data System (ADS)

    Mushotzky, Richard F.

    2002-11-01

    Recent results from XMM-Newton and Chandra show that sufficiently sensitive x_ray imaging and spectroscopic capabilities allow one to observe the evolution of active galaxies out to z ~ 6, the x-ray signature of luminous star forming galaxies at z~3, as well as the origin and evolution of cosmic structure. With the advent of new optical/UV/IR and radio capabilities in the next decade, it is appropriate to evaluate the future capabilities of planned x-ray missions (e.g., Constellation_X and Astro-E2) as well as other missions being developed (e.g., Gen-X, XEUS, and Astro-G) or under advance planning (MAXIM and EXIST). I will present a summary of the present status of the field and the capabilities of these missions for extragalactic x-ray astronomy.

  6. X-Ray Exam: Pelvis

    MedlinePlus

    ... KidsHealth in the Classroom What Other Parents Are Reading Your Child's Development (Birth to 3 Years) Feeding ... radiologist (a doctor who is specially trained in reading and interpreting X-ray images). The radiologist will ...

  7. X-Ray Exam: Forearm

    MedlinePlus

    ... KidsHealth in the Classroom What Other Parents Are Reading Your Child's Development (Birth to 3 Years) Feeding ... a radiologist (a doctor who's specially trained in reading and interpreting X-ray images). The radiologist will ...

  8. X-Ray Exam: Finger

    MedlinePlus

    ... KidsHealth in the Classroom What Other Parents Are Reading Your Child's Development (Birth to 3 Years) Feeding ... Results A radiologist, a doctor specially trained in reading and interpreting X-ray images, will look at ...

  9. Imaging X-ray spectrometer

    NASA Technical Reports Server (NTRS)

    Grant, P. A.; Jackson, J. W., Jr.; Alcorn, G. E.; Marshall, F. E. (Inventor)

    1984-01-01

    An X-ray spectrometer for providing imaging and energy resolution of an X-ray source is described. This spectrometer is comprised of a thick silicon wafer having an embedded matrix or grid of aluminum completely through the wafer fabricated, for example, by thermal migration. The aluminum matrix defines the walls of a rectangular array of silicon X-ray detector cells or pixels. A thermally diffused aluminum electrode is also formed centrally through each of the silicon cells with biasing means being connected to the aluminum cell walls and causes lateral charge carrier depletion between the cell walls so that incident X-ray energy causes a photoelectric reaction within the silicon producing collectible charge carriers in the form of electrons which are collected and used for imaging.

  10. X-ray microtomographic scanners

    SciTech Connect

    Syryamkin, V. I. Klestov, S. A.

    2015-11-17

    The article studies the operating procedures of an X-ray microtomographic scanner and the module of reconstruction and analysis 3D-image of a test sample in particular. An algorithm for 3D-image reconstruction based on image shadow projections and mathematical methods of the processing are described. Chapter 1 describes the basic principles of X-ray tomography and general procedures of the device developed. Chapters 2 and 3 are devoted to the problem of resources saving by the system during the X-ray tomography procedure, which is achieved by preprocessing of the initial shadow projections. Preprocessing includes background noise removing from the images, which reduces the amount of shadow projections in general and increases the efficiency of the group shadow projections compression. In conclusion, the main applications of X-ray tomography are presented.

  11. Bone X-Ray (Radiography)

    MedlinePlus

    ... have very controlled x-ray beams and dose control methods to minimize stray (scatter) radiation. This ensures that those parts of a patient's body not being imaged receive minimal radiation exposure. top ...

  12. Abdomen X-Ray (Radiography)

    MedlinePlus

    ... have very controlled x-ray beams and dose control methods to minimize stray (scatter) radiation. This ensures that those parts of a patient's body not being imaged receive minimal radiation exposure. top ...

  13. X-ray astronomical spectroscopy

    NASA Technical Reports Server (NTRS)

    Holt, S. S.

    1980-01-01

    The current status of the X-ray spectroscopy of celestial X-ray sources, ranging from nearby stars to distant quasars, is reviewed. Particular emphasis is placed on the role of such spectroscopy as a useful and unique tool in the elucidation of the physical parameters of the sources. The spectroscopic analysis of degenerate and nondegenerate stellar systems, galactic clusters and active galactic nuclei, and supernova remnants is discussed.

  14. X-ray computed tomography

    NASA Astrophysics Data System (ADS)

    1993-05-01

    The primary advantage of the X-ray computed tomography (XRCT) NDE method is that features are not superposed in the image, thereby rendering them easier to interpret than radiographic projection images. Industrial XRCT systems, unlike medical diagnostic systems, have no size and dosage constraints; they are accordingly used for systems from the scale of gas turbine blades, with hundreds-of-kV energies, to those of the scale of ICBMs, requiring MV-level X-ray energies.

  15. Electromechanical x-ray generator

    DOEpatents

    Watson, Scott A; Platts, David; Sorensen, Eric B

    2016-05-03

    An electro-mechanical x-ray generator configured to obtain high-energy operation with favorable energy-weight scaling. The electro-mechanical x-ray generator may include a pair of capacitor plates. The capacitor plates may be charged to a predefined voltage and may be separated to generate higher voltages on the order of hundreds of kV in the AK gap. The high voltage may be generated in a vacuum tube.

  16. X-ray Sensitive Material

    DTIC Science & Technology

    2015-12-01

    The research resulted in a composite material that holds a quasi-permanent electric charge and rapidly discharges the electric charge upon X-ray...temperature extremes encountered during processing and potential application. (U) The result of these efforts was a composite material that would hold a...quasi-permanent electric charge and rapidly discharge the electric charge upon X-ray exposure. The composite material combined the properties of an

  17. Tokamak x ray diagnostic instrumentation

    SciTech Connect

    Hill, K.W.; Beiersdorfer, P.; Bitter, M.; Fredrickson, E.; Von Goeler, S.; Hsuan, H.; Johnson, L.C.; Liew, S.L.; McGuire, K.; Pare, V.

    1987-01-01

    Three classes of x-ray diagnostic instruments enable measurement of a variety of tokamak physics parameters from different features of the x-ray emission spectrum. (1) The soft x-ray (1 to 50 keV) pulse-height-analysis (PHA) diagnostic measures impurity concentrations from characteristic line intensities and the continuum enhancement, and measures the electron temperature from the continuum slope. (2) The Bragg x-ray crystal spectrometer (XCS) measures the ion temperature and neutral-beam-induced toroidal rotation velocity from the Doppler broadening and wavelength shift, respectively, of spectral lines of medium-Z impurity ions. Impurity charge state distributions, precise wavelengths, and inner-shell excitation and recombination rates can also be studied. X rays are diffracted and focused by a bent crystal onto a position-sensitive detector. The spectral resolving power E/..delta..E is greater than 10/sup 4/ and time resolution is 10 ms. (3) The x-ray imaging system (XIS) measures the spatial structure of rapid fluctuations (0.1 to 100 kHZ) providing information on MHD phenomena, impurity transport rates, toroidal rotation velocity, plasma position, and the electron temperature profile. It uses an array of silicon surface-barrier diodes which view different chords of the plasma through a common slot aperture and operate in current (as opposed to counting) mode. The effectiveness of shields to protect detectors from fusion-neutron radiation effects has been studied both theoretically and experimentally.

  18. Cosmic X-ray physics

    NASA Technical Reports Server (NTRS)

    Mccammon, D.; Cox, D. P.; Kraushaar, W. L.; Sanders, W. T.

    1985-01-01

    A progress report of research activities carried out in the area of cosmic X-ray physics is presented. The Diffuse X-ray Spectrometer DXS which has been flown twice as a rocket payload is described. The observation times proved to be too small for meaningful X-ray data to be obtained. Data collection and reduction activities from the Ultra-Soft X-ray background (UXT) instrument are described. UXT consists of three mechanically-collimated X-ray gas proportional counters with window/filter combinations which allow measurements in three energy bands, Be (80-110 eV), B (90-187 eV), and O (e84-532 eV). The Be band measurements provide an important constraint on local absorption of X-rays from the hot component of the local interstellar medium. Work has also continued on the development of a calorimetric detector for high-resolution spectroscopy in the 0.1 keV - 8keV energy range.

  19. X-Rays, Pregnancy and You

    MedlinePlus

    ... and Procedures Medical Imaging Medical X-ray Imaging X-Rays, Pregnancy and You Share Tweet Linkedin Pin it ... the decision with your doctor. What Kind of X-Rays Can Affect the Unborn Child? During most x- ...

  20. Center for X-Ray Optics, 1992

    SciTech Connect

    Not Available

    1993-08-01

    This report discusses the following topics: Center for X-Ray Optics; Soft X-Ray Imaging wit Zone Plate Lenses; Biological X-Ray microscopy; Extreme Ultraviolet Lithography for Nanoelectronic Pattern Transfer; Multilayer Reflective Optics; EUV/Soft X-ray Reflectometer; Photoemission Microscopy with Reflective Optics; Spectroscopy with Soft X-Rays; Hard X-Ray Microprobe; Coronary Angiography; and Atomic Scattering Factors.

  1. Standardized Interpretation of Chest Radiographs in Cases of Pediatric Pneumonia From the PERCH Study

    PubMed Central

    Deloria Knoll, Maria; Barger-Kamate, Breanna; de Campo, John; de Campo, Margaret; Diallo, Mahamadou; Ebruke, Bernard E.; Feikin, Daniel R.; Gleeson, Fergus; Gong, Wenfeng; Hammitt, Laura L.; Izadnegahdar, Rasa; Kruatrachue, Anchalee; Madhi, Shabir A.; Manduku, Veronica; Matin, Fariha Bushra; Mahomed, Nasreen; Moore, David P.; Mwenechanya, Musaku; Nahar, Kamrun; Oluwalana, Claire; Ominde, Micah Silaba; Prosperi, Christine; Sande, Joyce; Suntarattiwong, Piyarat; O’Brien, Katherine L.

    2017-01-01

    Abstract Background. Chest radiographs (CXRs) are a valuable diagnostic tool in epidemiologic studies of pneumonia. The World Health Organization (WHO) methodology for the interpretation of pediatric CXRs has not been evaluated beyond its intended application as an endpoint measure for bacterial vaccine trials. Methods. The Pneumonia Etiology Research for Child Health (PERCH) study enrolled children aged 1–59 months hospitalized with WHO-defined severe and very severe pneumonia from 7 low- and middle-income countries. An interpretation process categorized each CXR into 1 of 5 conclusions: consolidation, other infiltrate, both consolidation and other infiltrate, normal, or uninterpretable. Two members of a 14-person reading panel, who had undertaken training and standardization in CXR interpretation, interpreted each CXR. Two members of an arbitration panel provided additional independent reviews of CXRs with discordant interpretations at the primary reading, blinded to previous reports. Further discordance was resolved with consensus discussion. Results. A total of 4172 CXRs were obtained from 4232 cases. Observed agreement for detecting consolidation (with or without other infiltrate) between primary readers was 78% (κ = 0.50) and between arbitrators was 84% (κ = 0.61); agreement for primary readers and arbitrators across 5 conclusion categories was 43.5% (κ = 0.25) and 48.5% (κ = 0.32), respectively. Disagreement was most frequent between conclusions of other infiltrate and normal for both the reading panel and the arbitration panel (32% and 30% of discordant CXRs, respectively). Conclusions. Agreement was similar to that of previous evaluations using the WHO methodology for detecting consolidation, but poor for other infiltrates despite attempts at a rigorous standardization process. PMID:28575359

  2. [What are the tools for post-occupational follow-up, how should they be performed and what are their performance, limits and benefit/risk ratio? Chest X-Ray and CT scan].

    PubMed

    Ferretti, G

    2011-06-01

    Chest radiography and computed tomography (CT) are the two radiological techniques used for the follow-up of people exposed to asbestos. Since the last conference of consensus (1999), the scientific literature has primarily covered high-resolution CT and high-resolution volume CT (HR-VCT). We consider in turn the contribution of digital thoracic radiography, recommendations for the performance of HR-VCT to ensure the quality of examination while controlling the delivered radiation dose, and the need to refer to the "CT atlas of benign diseases related to asbestos exposure", published by a group of French experts in 2007, for interpretation. The results of the published studies concerning radiography or CT are then reviewed. We note the great interobserver variability in the recognition of pleural plaques and asbestosis, indicating the need for adequate training of radiologists, and the importance of defining standardized, quantified criteria for CT abnormalities. The very low agreement between thoracic and general radiologists must be taken into account. The reading of CT scans in cases of occupational exposure to asbestos should be entrusted to thoracic radiologists or to general radiologists having validated specific training. A double interpretation of CT could be considered in medicosocial requests. CT is more sensitive than chest radiography in the detection of bronchial carcinoma but generates a great number of false positive results (96 to 99%). No scientific data are available to assess the role of imaging by either CT or chest radiography in the early detection of mesothelioma. Copyright © 2011 SPLF. Published by Elsevier Masson SAS. All rights reserved.

  3. Ultrafast X-ray Sources

    SciTech Connect

    George Neil

    2010-04-19

    Since before the scattering of X-rays off of DNA led to the first understanding of the double helix structure, sources of X-rays have been an essential tool for scientists examining the structure and interactions of matter. The resolution of a microscope is proportional to the wavelength of light so x-rays can see much finer structures than visible light, down to single atoms. In addition, the energy of X-rays is resonant with the core atomic levels of atoms so with appropriate wavelengths the placement of specific atoms in a large molecule can be determined. Over 10,000 scientists use synchrotron sources, storage rings of high energy electrons, each year worldwide. As an example of such use, virtually every picture of a protein or drug molecule that one sees in the scientific press is a reconstruction based on X-ray scattering of synchrotron light from the crystallized form of that molecule. Unfortunately those pictures are static and proteins work through configuration (shape) changes in response to energy transfer. To understand how biological systems work requires following the energy flow to these molecules and tracking how shape changes drive their interaction with other molecules. We'd like to be able to freeze the action of these molecules at various steps along the way with an X-ray strobe light. How fast does it have to be? To actually get a picture of a molecule in a fixed configuration requires X-ray pulses as short as 30 femtoseconds (1/30 of a millionth of a millionth of a second). To capture the energy flow through changes in electronic levels requires a faster strobe, less than 1 femtosecond! And to acquire such information in smaller samples with higher accuracy demands brighter and brighter X-rays. Unfortunately modern synchrotrons (dubbed 3rd Generation Light Sources) cannot deliver such short bright pulses of X-rays. An entirely new approach is required, linear-accelerator (linac-)-based light sources termed 4th or Next Generation Light Sources

  4. Model-based iterative reconstruction in ultra-low-dose pediatric chest CT: comparison with adaptive statistical iterative reconstruction.

    PubMed

    Kim, Hae Jin; Yoo, So-Young; Jeon, Tae Yeon; Kim, Ji Hye

    2016-01-01

    To evaluate image quality and dose reduction of ultra-low-dose pediatric chest CT reconstructed with model-based iterative reconstruction (MBIR), as compared with adaptive statistical iterative reconstruction (ASIR). Fifty-seven patients (mean age 14 years, M:F=31:26) who underwent ultra-low-dose chest CT reconstructed with both MBIR and ASIR were enrolled in the study. The subjective and objective image qualities of both reconstruction techniques were assessed by 3 radiologists, and compared using statistical analysis. We also evaluated radiation dose of ultra-low-dose chest CT as well as degree of dose reduction in comparison to the prior CT (either standard dose or reduced dose protocol) available in 36 patients. The image quality of MBIR was superior to ASIR both subjectively and objectively. While MBIR showed preserved diagnostic acceptability in 100%, ASIR showed 92% at mean 0.31 mSv (range, 0.13-0.57 mSv) ultra-low-dose CT. In the 36 patients who underwent the prior CT, mean decrease in size-specific dose estimate (SSDE) and dose length product (DLP) at ultra-low-dose CT was 88% (range, 34% - 98%) and 86% (range,42% - 99%), respectively. MBIR significantly improves image quality, as compared to ASIR. Furthermore, MBIR facilitates diagnostically acceptable ultra-low-dose chest CT with nearly 90% less radiation. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Ultraluminous X-ray Sources.

    NASA Astrophysics Data System (ADS)

    Fabrika, S.; Sholukhova, O.; Abolmasov, P.

    2008-12-01

    We discuss a new type of X-ray sources discovered in galaxies -- ultraluminous X-ray sources (ULXs). They are of two order of magnitude brighter in X-rays than the brightest Galactic black holes. Two mod- els of ULXs are discussed: "intermediate mass" black holes, 100 - 10000 solar masses, with standard accretion disks, and "stellar mass" black holes with su- percritical accretion disks like that in the Galactic object SS 433. A study of gas nebulae surrounding these objects gives us a new important information on the central sources. The observed X-ray radiation of ULXs is not enough to power their nebulae. To understand both spectra and power of the nebulae one needs a powerful UV source. The ULXs must be such bright in UV range as they are in X-rays. Spectroscopy of gas filaments surrounding SS 433 proves that the intrinsic face-on luminosity of the supercritical accretion disk in the far UV region to be "sim; 10^40 erg/s. We expect that observations of ULXs with the WSO-UV Observatory, measurements their UV fluxes and spectral slopes solve the problem of ULXs between the two known models of these sources.

  6. X-rays surgical revolution.

    PubMed

    Toledo-Pereyra, Luis H

    2009-01-01

    Wilhelm Roentgen (1845-1923) created a surgical revolution with the discovery of the X-rays in late 1895 and the subsequent introduction of this technique for the management of surgical patients. No other physician or scientist had ever imagined such a powerful and worthwhile discovery. Other scientists paved the way for Roentgen to approach the use of these new X-rays for medical purposes. In this way, initially, and prior to Roentgen, Thompson, Hertz, and Lenard applied themselves to the early developments of this technology. They made good advances but never reached the clearly defined understanding brought about by Roentgen. The use of a Crookes tube, a barium platinocyanide screen, with fluorescent light and the generation of energy to propagate the cathode rays were the necessary elements for the conception of an X-ray picture. On November 8, 1895, Roentgen began his experiments on X-ray technology when he found that some kind of rays were being produced by the glass of the tube opposite to the cathode. The development of a photograph successfully completed this early imaging process. After six intense weeks of research, on December 22, he obtained a photograph of the hand of his wife, the first X-ray ever made. This would be a major contribution to the world of medicine and surgery.

  7. X-ray Echo Spectroscopy

    NASA Astrophysics Data System (ADS)

    Shvyd'ko, Yuri

    2016-02-01

    X-ray echo spectroscopy, a counterpart of neutron spin echo, is being introduced here to overcome limitations in spectral resolution and weak signals of the traditional inelastic x-ray scattering (IXS) probes. An image of a pointlike x-ray source is defocused by a dispersing system comprised of asymmetrically cut specially arranged Bragg diffracting crystals. The defocused image is refocused into a point (echo) in a time-reversal dispersing system. If the defocused beam is inelastically scattered from a sample, the echo signal acquires a spatial distribution, which is a map of the inelastic scattering spectrum. The spectral resolution of the echo spectroscopy does not rely on the monochromaticity of the x rays, ensuring strong signals along with a very high spectral resolution. Particular schemes of x-ray echo spectrometers for 0.1-0.02 meV ultrahigh-resolution IXS applications (resolving power >108 ) with broadband ≃5 - 13 meV dispersing systems are introduced featuring more than 103 signal enhancement. The technique is general, applicable in different photon frequency domains.

  8. Clocking Femtosecond X-Rays

    SciTech Connect

    Cavalieri, A L; Fritz, D M; Lee, S H; Bucksbaum, P H; Reis, D A; Mills, D M; Pahl, R; Rudati, J; Fuoss, P H; Stephenson, G B; Lowney, D P; MacPhee, A G; Weinstein, D; Falcone, R W; Als-Nielsen, J; Blome, C; Ischebeck, R; Schlarb, H; Tschentscher, T; Schneider, J; Sokolowski-Tinten, K; Chapman, H N; Lee, R W; Hansen, T N; Synnergren, O; Larsson, J; Techert, S; Sheppard, J; Wark, J S; Bergh, M; Calleman, C; Huldt, G; der Spoel, D v; Timneanu, N; Hajdu, J; Bong, E; Emma, P; Krejcik, P; Arthur, J; Brennan, S; Gaffney, K J; Lindenberg, A M; Hastings, J B

    2004-10-08

    The Sub-Picosecond Pulse Source (SPPS) at the Stanford Linear Accelerator Center (SLAC) produces the brightest ultrafast x-ray pulses in the world, and is the first to employ compressed femtosecond electron bunches for the x-ray source. Both SPPS and future X-ray Free Electron Lasers (XFEL's) will use precise measurements of individual electron bunches to time the arrival of x-ray pulses for time-resolved experiments. At SPPS we use electro-optic sampling (EOS) to perform these measurements. Here we present the first results using this method. An ultrafast laser pulse (135 fs) passes through an electro-optic crystal adjacent to the electron beam. The refractive index of the crystal is distorted by the strong electromagnetic fields of the ultra-relativistic electrons, and this transient birefringence is imprinted on the laser polarization. A polarizer decodes this signal, producing a time-dependent image of the compressed electron bunch. Our measurements yield the relative timing between an ultrafast optical laser and an ultrafast x-ray pulse to within 60 fs, making it possible to use the SPPS to observe atomic-scale ultrafast dynamics initiated by laser-matter interaction.

  9. AN X-RAY STUDY OF THE ETHYLENE GLYCOLMONTMORILLONITE COMPLEX.

    DTIC Science & Technology

    SOILS, * MONTMORILLONITE , *GLYCOLS, *X RAY SPECTROSCOPY, X RAY SPECTRA, X RAY SPECTRA, X RAY SPECTRA, CLAY MINERALS, COMPLEX COMPOUNDS, FOURIER ANALYSIS, CRYSTAL STRUCTURE, THERMAL PROPERTIES, MATHEMATICAL MODELS.

  10. X-ray fluorescence holography.

    PubMed

    Hayashi, Kouichi; Happo, Naohisa; Hosokawa, Shinya; Hu, Wen; Matsushita, Tomohiro

    2012-03-07

    X-ray fluorescence holography (XFH) is a method of atomic resolution holography which utilizes fluorescing atoms as a wave source or a monitor of the interference field within a crystal sample. It provides three-dimensional atomic images around a specified element and has a range of up to a few nm in real space. Because of this feature, XFH is expected to be used for medium-range local structural analysis, which cannot be performed by x-ray diffraction or x-ray absorption fine structure analysis. In this article, we explain the theory of XFH including solutions to the twin-image problem, an advanced measuring system, and data processing for the reconstruction of atomic images. Then, we briefly introduce our recent applications of this technique to the analysis of local lattice distortions in mixed crystals and nanometer-size clusters appearing in the low-temperature phase of a shape-memory alloy.

  11. Ultraluminous X-Ray Sources

    NASA Astrophysics Data System (ADS)

    Kaaret, Philip; Feng, Hua; Roberts, Timothy P.

    2017-08-01

    We review observations of ultraluminous X-ray sources (ULXs). X-ray spectroscopic and timing studies of ULXs suggest a new accretion state distinct from those seen in Galactic stellar-mass black hole binaries. The detection of coherent pulsations indicates the presence of neutron-star accretors in three ULXs and therefore apparently super-Eddington luminosities. Optical and X-ray line profiles of ULXs and the properties of associated radio and optical nebulae suggest that ULXs produce powerful outflows, also indicative of super-Eddington accretion. We discuss models of super-Eddington accretion and their relation to the observed behaviors of ULXs. We review the evidence for intermediate mass black holes in ULXs. We consider the implications of ULXs for super-Eddington accretion in active galactic nuclei, heating of the early universe, and the origin of the black hole binary recently detected via gravitational waves.

  12. X-ray Timing Measurements

    NASA Technical Reports Server (NTRS)

    Strohmayer, T.

    2008-01-01

    We present new, extended X-ray timing measurements of the ultra-compact binary candidates V407 Vul and RX J0806.3+1527 (J0806), as well as a summary of the first high resolution X-ray spectra of 50806 obtained with the Chandra/LETG. The temporal baseline for both objects is approximately 12 years, and our measurements confirm the secular spin-up in their X-ray periods. The spin-up rate in 50806 is remarkably uniform at 3.55x10(exp -16)Hz/s, with a measurement precision of 0.2%. We place a limit (90% confidence) on 1 d dot nu < 4x10(exp -26)Hz/sq s. Interestingly, for V407 Vul we find the first evidence that the spin-up rate is slowing, with d dot\

  13. X-ray tensor tomography

    NASA Astrophysics Data System (ADS)

    Malecki, A.; Potdevin, G.; Biernath, T.; Eggl, E.; Willer, K.; Lasser, T.; Maisenbacher, J.; Gibmeier, J.; Wanner, A.; Pfeiffer, F.

    2014-02-01

    Here we introduce a new concept for x-ray computed tomography that yields information about the local micro-morphology and its orientation in each voxel of the reconstructed 3D tomogram. Contrary to conventional x-ray CT, which only reconstructs a single scalar value for each point in the 3D image, our approach provides a full scattering tensor with multiple independent structural parameters in each volume element. In the application example shown in this study, we highlight that our method can visualize sub-pixel fiber orientations in a carbon composite sample, hence demonstrating its value for non-destructive testing applications. Moreover, as the method is based on the use of a conventional x-ray tube, we believe that it will also have a great impact in the wider range of material science investigations and in future medical diagnostics. The authors declare no competing financial interests.

  14. Portable X-Ray Device

    NASA Technical Reports Server (NTRS)

    1983-01-01

    Portable x-ray instrument developed by NASA now being produced commercially as an industrial tool may soon find further utility as a medical system. The instrument is Lixiscope - Low Intensity X-Ray Imaging Scope -- a self-contained, battery-powered fluoroscope that produces an instant image through use of a small amount of radioactive isotope. Originally developed by Goddard Space Flight Center, Lixiscope is now being produced by Lixi, Inc. which has an exclusive NASA license for one version of the device.

  15. Coherent x-ray diffraction

    NASA Astrophysics Data System (ADS)

    Pitney, John Allen

    Conventional x-ray diffraction has historically been done under conditions such that the measured signal consists of an incoherent addition of scattering which is coherent only on a length scale determined by the properties of the beam. The result of the incoherent summation is a statistical averaging over the whole illuminated volume of the sample, which yields certain kinds of information with a high degree of precision and has been key to the success of x-ray diffraction in a variety of applications. Coherent x-ray scattering techniques, such as coherent x-ray diffraction (CXD) and x-ray intensity fluctuation spectroscopy (XIFS), attempt to reduce or eliminate any incoherent averaging so that specific, local structures couple to the measurement without being averaged out. In the case of XIFS, the result is analogous to dynamical light scattering, but with sensitivity to length scales less than 200 nm and time scales from 10-3 s to 103 s. When combined with phase retrieval, CXD represents an imaging technique with the penetration, in situ capabilities, and contrast mechanisms associated with x-rays and with a spatial resolution ultimately limited by the x-ray wavelength. In practice, however, the spatial resolution of CXD imaging is limited by exposure to about 100 A. This thesis describes CXD measurements of the binary alloy Cu3Au and the adaptation of phase retrieval methods for the reconstruction of real-space images of Cu3Au antiphase domains. The theoretical foundations of CXD are described in Chapter 1 as derived from the kinematical formulation for x-ray diffraction and from the temporal and spatial coherence of radiation. The antiphase domain structure of Cu 3Au is described, along with the associated reciprocal-space structure which is measured by CXD. CXD measurements place relatively stringent requirements on the coherence properties of the beam and on the detection mechanism of the experiment; these requirements and the means by which they have been

  16. Cosmic X-ray physics

    NASA Technical Reports Server (NTRS)

    Mccammon, D.; Cox, D. P.; Kraushaar, W. L.; Sanders, W. T.

    1986-01-01

    The analysis of the beryllium-filtered data from Flight 17.020 was completed. The data base provided by the Wisconsin diffuse X-ray sky survey is being analyzed by correlating the B and C band emission with individual velocity components of neutral hydrogen. Work on a solid state detector to be used in high resolution spectroscopy of diffuse or extend X-ray sources is continuing. A series of 21 cm observations was completed. A paper on the effects of process parameter variation on the reflectivity of sputter-deposited tungsten-carvon multilayers was published.

  17. X-ray emission spectroscopy.

    PubMed

    Bergmann, Uwe; Glatzel, Pieter

    2009-01-01

    We describe the chemical information that can be obtained by means of hard X-ray emission spectroscopy (XES). XES is presented as a technique that is complementary to X-ray absorption spectroscopy (XAS) and that provides valuable information with respect to the electronic structure (local charge- and spin-density) as well as the ligand environment of a 3d transition metal. We address non-resonant and resonant XES and present results that were recorded on Mn model systems and the Mn(4)Ca-cluster in the oxygen evolving complex of photosystem II. A brief description of the instrumentation is given with an outlook toward future developments.

  18. X-rays from stars.

    PubMed

    Güdel, Manuel

    2002-09-15

    More than two years of observation with Chandra and XMM-Newton has provided a rich harvest of new results on the physics of stellar coronae and winds. High-resolution X-ray spectroscopy in particular has opened new windows to the structure, the dynamics and the composition of stellar atmospheres. The present paper presents selected results from the areas of hot and cool stars and star formation, summarizing new views of the thermal structure and energy release in stellar coronae, observations of magnetically active brown dwarfs, the structure of winds in hot stars, the physics in colliding-wind binary systems, and X-rays from protostars and stellar jets.

  19. Compact Flash X-Ray Units

    DTIC Science & Technology

    1995-07-01

    Flash x-ray units are used to diagnose pulsed power driven experiments on the Pegasus machine at Los Alamos. Several unique designs of Marx powered...employing an x-ray tube configuration which allows closely spaced x-ray emitting anodes. These units all emit a 10 ns FWHM x-ray pulse. Their Marx banks

  20. Improved chest recoil using an adhesive glove device for active compression-decompression CPR in a pediatric manikin model.

    PubMed

    Udassi, Jai P; Udassi, Sharda; Lamb, Melissa A; Lamb, Kenneth E; Theriaque, Douglas W; Shuster, Jonathan J; Zaritsky, Arno L; Haque, Ikram U

    2009-10-01

    We developed an adhesive glove device (AGD) to perform ACD-CPR in pediatric manikins, hypothesizing that AGD-ACD-CPR provides better chest decompression compared to standard (S)-CPR. Split-plot design randomizing 16 subjects to test four manikin-technique models in a crossover fashion to AGD-ACD-CPR vs. S-CPR. Healthcare providers performed 5min of CPR with 30:2 compression:ventilation ratio in the four manikin models: (1) adolescent; (2) child two-hand; (3) child one-hand; and (4) infant two-thumb. Modified manikins recorded compression pressure (CP), compression depth (CD) and decompression depth (DD). The AGD consisted of a modified oven mitt with an adjustable strap; a Velcro patch was sewn to the palmer aspect. The counter Velcro patch was bonded to the anterior chest wall. For infant CPR, the thumbs of two oven mitts were stitched together with Velcro. Subjects were asked to actively pull up during decompression. Subjects' heart rate (HR), respiratory rate (RR) and recovery time (RT) for HR/RR to return to baseline were recorded. Subjects were blinded to data recordings. Data (mean+/-SEM) were analyzed using a two-tailed paired t-test. Significance was defined qualitatively as P< or =0.05. Mean decompression depth difference was significantly greater with AGD-ACD-CPR compared to S-CPR; 38-75% of subjects achieved chest decompression to or beyond baseline. AGD-ACD-CPR provided 6-12% fewer chest compressions/minute than S-CPR group. There was no significant difference in CD, CP, HR, RR and RT within each group comparing both techniques. A simple, inexpensive glove device for ACD-CPR improved chest decompression with emphasis on active pull in manikins without excessive rescuer fatigue. The clinical implication of fewer compressions/minute in the AGD group needs to be evaluated.

  1. X-ray exposure sensor and controller

    NASA Technical Reports Server (NTRS)

    Berdahl, C. Martin (Inventor)

    1977-01-01

    An exposure controller for x-ray equipment is provided, which comprises a portable and accurate sensor which can be placed adjacent to and directly beneath the area of interest of an x-ray plate, and which measures the amount of exposure received by that area, and turns off the x-ray equipment when the exposure for the particular area of interest on the x-ray plate reaches the value which provides an optimal x-ray plate.

  2. X-ray backscatter imaging

    NASA Astrophysics Data System (ADS)

    Dinca, Dan-Cristian; Schubert, Jeffrey R.; Callerame, J.

    2008-04-01

    In contrast to transmission X-ray imaging systems where inspected objects must pass between source and detector, Compton backscatter imaging allows both the illuminating source as well as the X-ray detector to be on the same side of the target object, enabling the inspection to occur rapidly and in a wide variety of space-constrained situations. A Compton backscatter image is similar to a photograph of the contents of a closed container, taken through the container walls, and highlights low atomic number materials such as explosives, drugs, and alcohol, which appear as especially bright objects by virtue of their scattering characteristics. Techniques for producing X-ray images based on Compton scattering will be discussed, along with examples of how these systems are used for both novel security applications and for the detection of contraband materials at ports and borders. Differences between transmission and backscatter images will also be highlighted. In addition, tradeoffs between Compton backscatter image quality and scan speed, effective penetration, and X-ray source specifications will be discussed.

  3. Rontgen's Discovery of X Rays

    ERIC Educational Resources Information Center

    Thumm, Walter

    1975-01-01

    Relates the story of Wilhelm Conrad Rontgen and presents one view of the extent to which the discovery of the x-ray was an accident. Reconstructs the sequence of events that led to the discovery and includes photographs of the lab where he worked and replicas of apparatus used. (GS)

  4. Focused X-ray source

    DOEpatents

    Piestrup, M.A.; Boyers, D.G.; Pincus, C.I.; Maccagno, P.

    1990-08-21

    Disclosed is an intense, relatively inexpensive X-ray source (as compared to a synchrotron emitter) for technological, scientific, and spectroscopic purposes. A conical radiation pattern produced by a single foil or stack of foils is focused by optics to increase the intensity of the radiation at a distance from the conical radiator. 8 figs.

  5. Stellar X-Ray Polarimetry

    NASA Technical Reports Server (NTRS)

    Swank, J.

    2011-01-01

    Most of the stellar end-state black holes, pulsars, and white dwarfs that are X-ray sources should have polarized X-ray fluxes. The degree will depend on the relative contributions of the unresolved structures. Fluxes from accretion disks and accretion disk corona may be polarized by scattering. Beams and jets may have contributions of polarized emission in strong magnetic fields. The Gravity and Extreme Magnetism Small Explorer (GEMS) will study the effects on polarization of strong gravity of black holes and strong magnetism of neutron stars. Some part of the flux from compact stars accreting from companion stars has been reflected from the companion, its wind, or accretion streams. Polarization of this component is a potential tool for studying the structure of the gas in these binary systems. Polarization due to scattering can also be present in X-ray emission from white dwarf binaries and binary normal stars such as RS CVn stars and colliding wind sources like Eta Car. Normal late type stars may have polarized flux from coronal flares. But X-ray polarization sensitivity is not at the level needed for single early type stars.

  6. X-rays and magnetism.

    PubMed

    Fischer, Peter; Ohldag, Hendrik

    2015-09-01

    Magnetism is among the most active and attractive areas in modern solid state physics because of intriguing phenomena interesting to fundamental research and a manifold of technological applications. State-of-the-art synthesis of advanced magnetic materials, e.g. in hybrid structures paves the way to new functionalities. To characterize modern magnetic materials and the associated magnetic phenomena, polarized x-rays have emerged as unique probes due to their specific interaction with magnetic materials. A large variety of spectroscopic and microscopic techniques have been developed to quantify in an element, valence and site-sensitive way properties of ferro-, ferri-, and antiferromagnetic systems, such as spin and orbital moments, and to image nanoscale spin textures and their dynamics with sub-ns time and almost 10 nm spatial resolution. The enormous intensity of x-rays and their degree of coherence at next generation x-ray facilities will open the fsec time window to magnetic studies addressing fundamental time scales in magnetism with nanometer spatial resolution. This review will give an introduction into contemporary topics of nanoscale magnetic materials and provide an overview of analytical spectroscopy and microscopy tools based on x-ray dichroism effects. Selected examples of current research will demonstrate the potential and future directions of these techniques.

  7. Alpha proton x ray spectrometer

    NASA Technical Reports Server (NTRS)

    Rieder, Rudi; Waeke, H.; Economou, T.

    1994-01-01

    Mars Pathfinder will carry an alpha-proton x ray spectrometer (APX) for the determination of the elemental chemical composition of Martian rocks and soils. The instrument will measure the concentration of all major and some minor elements, including C, N, and O at levels above typically 1 percent.

  8. Stellar x-ray flares

    NASA Astrophysics Data System (ADS)

    Haisch, B.; Uchida, Y.; Kosugi, T.; Hudson, H. S.

    1995-01-01

    What is the importance of stellar X-ray flares to astrophysics, or even more, to the world at large? In the case of the Sun, changes in solar activity at the two temporal extremes can have quite significant consequences. Longterm changes in solar activity, such as the Maunder Minimum, can apparently lead to non-negligible alterations of the earth's climate. The extreme short term changes are solar flares, the most energetic of which can cause communications disruptions, power outages and ionizing radiation levels amounting to medical X-ray dosages on long commercial flights and even potentially lethal exposures for unshielded astronauts. Why does the Sun exhibit such behaviour? Even if we had a detailed knowledge of the relevant physical processes on the Sun - which we may be on the way to having in hand as evidenced by these Proceedings- our understanding would remain incomplete in regard to fundamental causation so long as we could not say whether the Sun is, in this respect, unique among the stars. This current paper discusses the stellar x-ray flare detections and astronomical models (quasi-static cooling model and two-ribbon model) that are used to observe the x-ray emission.

  9. Focused X-ray source

    DOEpatents

    Piestrup, Melvin A.; Boyers, David G.; Pincus, Cary I.; Maccagno, Pierre

    1990-01-01

    An intense, relatively inexpensive X-ray source (as compared to a synchrotron emitter) for technological, scientific, and spectroscopic purposes. A conical radiation pattern produced by a single foil or stack of foils is focused by optics to increase the intensity of the radiation at a distance from the conical radiator.

  10. X-Rays from Pluto

    NASA Image and Video Library

    2016-09-14

    The first detection of Pluto in X-rays has been made using NASA's Chandra X-ray Observatory in conjunction with observations from NASA's New Horizons spacecraft. As New Horizons approached Pluto in late 2014 and then flew by the planet during the summer of 2015, Chandra obtained data during four separate observations. During each observation, Chandra detected low-energy X-rays from the small planet. The main panel in this graphic is an optical image taken from New Horizons on its approach to Pluto, while the inset shows an image of Pluto in X-rays from Chandra. There is a significant difference in scale between the optical and X-ray images. New Horizons made a close flyby of Pluto but Chandra is located near the Earth, so the level of detail visible in the two images is very different. The Chandra image is 180,000 miles across at the distance of Pluto, but the planet is only 1,500 miles across. Pluto is detected in the X-ray image as a point source, showing the sharpest level of detail available for Chandra or any other X-ray observatory. This means that details over scales that are smaller than the X-ray source cannot be seen here. Detecting X-rays from Pluto is a somewhat surprising result given that Pluto - a cold, rocky world without a magnetic field - has no natural mechanism for emitting X-rays. However, scientists knew from previous observations of comets that the interaction between the gases surrounding such planetary bodies and the solar wind - the constant streams of charged particles from the sun that speed throughout the solar system -- can create X-rays. The researchers were particularly interested in learning more about the interaction between the gases in Pluto's atmosphere and the solar wind. The New Horizon spacecraft carries an instrument designed to measure that activity up-close -- Solar Wind Around Pluto (SWAP) -- and scientists examined that data and proposed that Pluto contains a very mild, close-in bowshock, where the solar wind first

  11. X-Ray Diffractive Optics

    NASA Technical Reports Server (NTRS)

    Dennis, Brian; Li, Mary; Skinner, Gerald

    2013-01-01

    X-ray optics were fabricated with the capability of imaging solar x-ray sources with better than 0.1 arcsecond angular resolution, over an order of magnitude finer than is currently possible. Such images would provide a new window into the little-understood energy release and particle acceleration regions in solar flares. They constitute one of the most promising ways to probe these regions in the solar atmosphere with the sensitivity and angular resolution needed to better understand the physical processes involved. A circular slit structure with widths as fine as 0.85 micron etched in a silicon wafer 8 microns thick forms a phase zone plate version of a Fresnel lens capable of focusing approx. =.6 keV x-rays. The focal length of the 3-cm diameter lenses is 100 microns, and the angular resolution capability is better than 0.1 arcsecond. Such phase zone plates were fabricated in Goddard fs Detector Development Lab. (DDL) and tested at the Goddard 600-microns x-ray test facility. The test data verified that the desired angular resolution and throughput efficiency were achieved.

  12. Compact x-ray source and panel

    SciTech Connect

    Sampayon, Stephen E.

    2008-02-12

    A compact, self-contained x-ray source, and a compact x-ray source panel having a plurality of such x-ray sources arranged in a preferably broad-area pixelized array. Each x-ray source includes an electron source for producing an electron beam, an x-ray conversion target, and a multilayer insulator separating the electron source and the x-ray conversion target from each other. The multi-layer insulator preferably has a cylindrical configuration with a plurality of alternating insulator and conductor layers surrounding an acceleration channel leading from the electron source to the x-ray conversion target. A power source is connected to each x-ray source of the array to produce an accelerating gradient between the electron source and x-ray conversion target in any one or more of the x-ray sources independent of other x-ray sources in the array, so as to accelerate an electron beam towards the x-ray conversion target. The multilayer insulator enables relatively short separation distances between the electron source and the x-ray conversion target so that a thin panel is possible for compactness. This is due to the ability of the plurality of alternating insulator and conductor layers of the multilayer insulators to resist surface flashover when sufficiently high acceleration energies necessary for x-ray generation are supplied by the power source to the x-ray sources.

  13. X-Ray Streak Camera.

    NASA Astrophysics Data System (ADS)

    Jaanimagi, Paul Ants

    Streak cameras are acknowledged as the only instruments capable of unambiguously diagnosing optical phenomena with a time resolution of the order of a picosecond on a single shot basis. As streak cameras become more extensively used for diagnostics in such fields as picosecond laser pulse generation, photo-chemistry, laser produced plasma studies, the instrument's capabilities are also being examined and limitations are becoming noticeable. One of the aims of this dissertation is to investigate the question of streak camera fidelity, especially with regard to linearity and dynamic range as a function of the time resolution. It is shown that the dynamic range is proportional to the product of the instrumental time resolution and the pulse width. The implications for femtosecond diagnostic capability are self-evident but a study of the sources of the limitations suggest distinct avenues for improving the systems. Since a streak camera employs an electron analog of the optical signal, clearly space charge will cause significant distortion at large current densities and consequently limit the dynamic range. Problems also result from nonlinear photocathode response, electron lens distortions, time of flight dispersion, phosphor reciprocity failure and nonlinear intensifier gain. The solution for some of these problems requires modifications to the basic tube designs. The National Research Council of Canada x-ray streak camera (based on a RCA C73435 image tube) was used as the starting point for testing electron optic designs and implementing the desired modifications. The objective of this work was to improve our x-ray diagnostic in sensitivity and in time resolution capability to < 10 ps. Ultimately this streak camera was to be used to time resolve the x -ray emission from plasmas produced by the COCO II and high pressure CO(,2) laser facilities at NRC. Features of the redesigned x-ray streak camera include: a large photocathode area (1.3 x 25 mm), a photoelectron

  14. X-ray reprocessing in binaries

    NASA Astrophysics Data System (ADS)

    Paul, Biswajit

    2016-07-01

    We will discuss several aspects of X-ray reprocessing into X-rays or longer wavelength radiation in different kinds of binary systems. In high mass X-ray binaries, reprocessing of hard X-rays into emission lines or lower temperature black body emission is a useful tool to investigate the reprocessing media like the stellar wind, clumpy structures in the wind, accretion disk or accretion stream. In low mass X-ray binaries, reprocessing from the surface of the companion star, the accretion disk, warps and other structures in the accretion disk produce signatures in longer wavelength radiation. X-ray sources with temporal structures like the X-ray pulsars and thermonuclear burst sources are key in such studies. We will discuss results from several new investigations of X-ray reprocessing phenomena in X-ray binaries.

  15. Center for X-Ray Optics, 1986

    SciTech Connect

    Not Available

    1987-07-01

    The Center for X-Ray Optics has made substantial progress during the past year on the development of very high resolution x-ray technologies, the generation of coherent radiation at x-ray wavelengths, and, based on these new developments, had embarked on several scientific investigations that would not otherwise have been possible. The investigations covered in this report are topics on x-ray sources, x-ray imaging and applications, soft x-ray spectroscopy, synchrotron radiation, advanced light source and magnet structures for undulators and wigglers. (LSP)

  16. Effective X-ray beam size measurements of an X-ray tube and polycapillary X-ray lens system using a scanning X-ray fluorescence method

    NASA Astrophysics Data System (ADS)

    Gherase, Mihai R.; Vargas, Andres Felipe

    2017-03-01

    Size measurements of an X-ray beam produced by an integrated polycapillary X-ray lens (PXL) and X-ray tube system were performed by means of a scanning X-ray fluorescence (SXRF) method using three different metallic wires. The beam size was obtained by fitting the SXRF data with the analytical convolution between a Gaussian and a constant functions. For each chemical element in the wire an effective energy was calculated based on the incident X-ray spectrum and its photoelectric cross section. The proposed method can be used to measure the effective X-ray beam size in XRF microscopy studies.

  17. Ultraluminous X-ray Sources

    NASA Astrophysics Data System (ADS)

    Fabrika, S.

    2017-06-01

    The origin of Ultraluminous X-ray sources (ULXs) in external galaxies whose X-ray luminosities exceed those of the brightest black holes in our Galaxy by hundreds and thousands of times is mysterious. Here we report that all nearby persistent ULXs ever spectroscopically observed have the same optical spectra similar to that of SS 433, the only known supercritical accretor in our Galaxy. The spectra are apparently of WNL type (late nitrogen Wolf-Rayet stars) or LBV (luminous blue variables) in their hot state, which are very scarce stellar objects. We find that the spectra do not originate from WNL/LBV type donors and not in heated accretion disks, but from very hot winds from the accretion disks, which have similar physical conditions as the stellar winds from these stars. Our results suggest that bona-fide ULXs must constitute a homogeneous class of objects, which most likely have supercritical accretion disks.

  18. Microgap x-ray detector

    DOEpatents

    Wuest, Craig R.; Bionta, Richard M.; Ables, Elden

    1994-01-01

    An x-ray detector which provides for the conversion of x-ray photons into photoelectrons and subsequent amplification of these photoelectrons through the generation of electron avalanches in a thin gas-filled region subject to a high electric potential. The detector comprises a cathode (photocathode) and an anode separated by the thin, gas-filled region. The cathode may comprise a substrate, such a beryllium, coated with a layer of high atomic number material, such as gold, while the anode can be a single conducting plane of material, such as gold, or a plane of resistive material, such as chromium/silicon monoxide, or multiple areas of conductive or resistive material, mounted on a substrate composed of glass, plastic or ceramic. The charge collected from each electron avalanche by the anode is passed through processing electronics to a point of use, such as an oscilloscope.

  19. Microgap x-ray detector

    DOEpatents

    Wuest, C.R.; Bionta, R.M.; Ables, E.

    1994-05-03

    An x-ray detector is disclosed which provides for the conversion of x-ray photons into photoelectrons and subsequent amplification of these photoelectrons through the generation of electron avalanches in a thin gas-filled region subject to a high electric potential. The detector comprises a cathode (photocathode) and an anode separated by the thin, gas-filled region. The cathode may comprise a substrate, such a beryllium, coated with a layer of high atomic number material, such as gold, while the anode can be a single conducting plane of material, such as gold, or a plane of resistive material, such as chromium/silicon monoxide, or multiple areas of conductive or resistive material, mounted on a substrate composed of glass, plastic or ceramic. The charge collected from each electron avalanche by the anode is passed through processing electronics to a point of use, such as an oscilloscope. 3 figures.

  20. Tunable Coherent X-rays.

    PubMed

    Attwood, D; Halbach, K; Kim, K J

    1985-06-14

    A modern 1- to 2-billion-electron-volt synchrotron radiation facility (based on high-brightness electron beams and magnetic undulators) would generate coherent (laser-like) soft x-rays of wavelengths as short as 10 angstroms. The radiation would also be broadly tunable and subject to full polarization control. Radiation with these properties could be used for phase- and element-sensitive microprobing of biological assemblies and material interfaces as well as reserch on the production of electronic microstructures with features smaller than 1000 angstroms. These short wavelength capabilities, which extend to the K-absorption edges of carbon, nitrogen, and oxygen, are neither available nor projected for laboratory XUV lasers. Higher energy storage rings (5 to 6 billion electron volts) would generate significantly less coherent radiation and would be further compromised by additional x-ray thermal loading of optical components.

  1. Hard X-ray astrophysics

    NASA Technical Reports Server (NTRS)

    Rothschild, R. E.

    1981-01-01

    Past hard X-ray and lower energy satellite instruments are reviewed and it is shown that observation above 20 keV and up to hundreds of keV can provide much valuable information on the astrophysics of cosmic sources. To calculate possible sensitivities of future arrays, the efficiencies of a one-atmosphere inch gas counter (the HEAO-1 A-2 xenon filled HED3) and a 3 mm phoswich scintillator (the HEAO-1 A-4 Na1 LED1) were compared. Above 15 keV, the scintillator was more efficient. In a similar comparison, the sensitivity of germanium detectors did not differ much from that of the scintillators, except at high energies where the sensitivity would remain flat and not rise with loss of efficiency. Questions to be addressed concerning the physics of active galaxies and the diffuse radiation background, black holes, radio pulsars, X-ray pulsars, and galactic clusters are examined.

  2. X-Ray Crystallography Reagent

    NASA Technical Reports Server (NTRS)

    Morrison, Dennis R. (Inventor); Mosier, Benjamin (Inventor)

    2003-01-01

    Microcapsules prepared by encapsulating an aqueous solution of a protein, drug or other bioactive substance inside a semi-permeable membrane by are disclosed. The microcapsules are formed by interfacial coacervation under conditions where the shear forces are limited to 0-100 dynes per square centimeter at the interface. By placing the microcapsules in a high osmotic dewatering solution. the protein solution is gradually made saturated and then supersaturated. and the controlled nucleation and crystallization of the protein is achieved. The crystal-filled microcapsules prepared by this method can be conveniently harvested and stored while keeping the encapsulated crystals in essentially pristine condition due to the rugged. protective membrane. Because the membrane components themselves are x-ray transparent, large crystal-containing microcapsules can be individually selected, mounted in x-ray capillary tubes and subjected to high energy x-ray diffraction studies to determine the 3-D smucture of the protein molecules. Certain embodiments of the microcapsules of the invention have composite polymeric outer membranes which are somewhat elastic, water insoluble, permeable only to water, salts, and low molecular weight molecules and are structurally stable in fluid shear forces typically encountered in the human vascular system.

  3. X-Ray-powered Macronovae

    NASA Astrophysics Data System (ADS)

    Kisaka, Shota; Ioka, Kunihito; Nakar, Ehud

    2016-02-01

    A macronova (or kilonova) was observed as an infrared excess several days after the short gamma-ray burst GRB 130603B. Although the r-process radioactivity is widely discussed as an energy source, it requires a huge mass of ejecta from a neutron star (NS) binary merger. We propose a new model in which the X-ray excess gives rise to the simultaneously observed infrared excess via thermal re-emission, and explore what constraints this would place on the mass and velocity of the ejecta. This X-ray-powered model explains both the X-ray and infrared excesses with a single energy source such as the central engine like a black hole, and allows for a broader parameter region than the previous models, in particular a smaller ejecta mass ˜ {10}-3{--}{10}-2{M}⊙ and higher iron abundance mixed as suggested by general relativistic simulations for typical NS-NS mergers. We also discuss the other macronova candidates in GRB 060614 and GRB 080503, and the implications for the search of electromagnetic counterparts to gravitational waves.

  4. X-ray imaging and x-ray source development at Lawrence Livermore National Laboratory

    SciTech Connect

    Trebes, J.; Balhorn, R.; Anderson, E.

    1993-12-01

    The Laser Program at Lawrence Livermore National Laboratory has a continuing effort to develop both x-ray sources and x-ray sources and x-ray microscopy. This effort includes the ongoing development of: (1) a wide range of x-ray lasers at the Nova Laser Facility, (2) a zone plate lens--multilayer mirror based x-ray microscope (3) three dimensional, high resolution x-ray microscopy (4) short wavelength, normal incidence multilayer x-ray mirrors, (5) compact, high average power lasers for producing x-ray lasers and laser plasma x-ray sources. We have constructed and operated an x-ray laser based transmission x-ray microscope. The advantage offered by the x-ray laser source is the extreme high brightness allows high resolution images to be made on a timescale faster than that for x-ray damage effects to appear. The microscope, consists of: the x-ray laser, a multilayer coated, near normal incidence spherical mirror used as a condenser, a silicon nitride specimen holder, an x-ray zone plate used as an objective lens, and a microchannel plate x-ray detector. The x-ray laser used is the Ni-like Ta x-ray laser operating with a wavelength of 4.48 nm, a pulselength of 200 spec, a divergence of 10 mrad, and an output energy of 10 microjoules.

  5. Producing X-rays at the APS

    ScienceCinema

    None

    2016-07-12

    An introduction and overview of the Advanced Photon Source at Argonne National Laboratory, the technology that produces the brightest X-ray beams in the Western Hemisphere, and the research carried out by scientists using those X-rays.

  6. Advances in transmission x-ray optics

    SciTech Connect

    Ceglio, N.M.

    1983-01-01

    Recent developments in x-ray optics are reviewed. Specific advances in coded aperture imaging, zone plate lens fabrication, time and space resolved spectroscopy, and CCD x-ray detection are discussed.

  7. Phase-sensitive X-ray imager

    DOEpatents

    Baker, Kevin Louis

    2013-01-08

    X-ray phase sensitive wave-front sensor techniques are detailed that are capable of measuring the entire two-dimensional x-ray electric field, both the amplitude and phase, with a single measurement. These Hartmann sensing and 2-D Shear interferometry wave-front sensors do not require a temporally coherent source and are therefore compatible with x-ray tubes and also with laser-produced or x-pinch x-ray sources.

  8. Advanced x-ray imaging spectrometer

    NASA Technical Reports Server (NTRS)

    Callas, John L. (Inventor); Soli, George A. (Inventor)

    1998-01-01

    An x-ray spectrometer that also provides images of an x-ray source. Coded aperture imaging techniques are used to provide high resolution images. Imaging position-sensitive x-ray sensors with good energy resolution are utilized to provide excellent spectroscopic performance. The system produces high resolution spectral images of the x-ray source which can be viewed in any one of a number of specific energy bands.

  9. X-ray optics: Diamond brilliance

    NASA Astrophysics Data System (ADS)

    Durbin, Stephen M.; Colella, Roberto

    2010-03-01

    Most materials either absorb or transmit X-rays. This is useful for imaging but makes it notoriously difficult to build mirrors for reflective X-ray optics. A demonstration of the high X-ray reflectivity of diamond could provide a timely solution to make the most of the next generation of free-electron lasers.

  10. Student X-Ray Fluorescence Experiments

    ERIC Educational Resources Information Center

    Fetzer, Homer D.; And Others

    1975-01-01

    Describes the experimental arrangement for x-ray analysis of samples which involves the following: the radioisotopic x-ray disk source; a student-built fluorescence chamber; the energy dispersive x-ray detector, linear amplifier and bias supply; and a multichannel pulse height analyzer. (GS)

  11. Electron beam parallel X-ray generator

    NASA Technical Reports Server (NTRS)

    Payne, P.

    1967-01-01

    Broad X ray source produces a highly collimated beam of low energy X rays - a beam with 2 to 5 arc minutes of divergence at energies between 1 and 6 keV in less than 5 feet. The X ray beam is generated by electron bombardment of a target from a large area electron gun.

  12. Cryotomography x-ray microscopy state

    SciTech Connect

    Le Gros, Mark; Larabell, Carolyn A.

    2010-10-26

    An x-ray microscope stage enables alignment of a sample about a rotation axis to enable three dimensional tomographic imaging of the sample using an x-ray microscope. A heat exchanger assembly provides cooled gas to a sample during x-ray microscopic imaging.

  13. X-Ray Exam: Neck (For Parents)

    MedlinePlus

    ... Habits for TV, Video Games, and the Internet X-Ray Exam: Neck KidsHealth > For Parents > X-Ray Exam: Neck Print A A A What's in ... español Radiografía: cuello What It Is A neck X-ray is a safe and painless test that uses ...

  14. Why Do I Need X-Rays?

    MedlinePlus

    ... to your desktop! more... Why Do I Need X-Rays? Article Chapters Why Do I Need X-Rays? print full article print this chapter email this article Radiographic, or X-ray, examinations provide your dentist with an important tool ...

  15. X-Ray Exam: Femur (Upper Leg)

    MedlinePlus

    ... Habits for TV, Video Games, and the Internet X-Ray Exam: Femur (Upper Leg) KidsHealth > For Parents > X-Ray Exam: Femur (Upper Leg) Print A A A ... You Have Questions What It Is A femur X-ray is a safe and painless test that uses ...

  16. X-Ray Exam: Scoliosis (For Parents)

    MedlinePlus

    ... Habits for TV, Video Games, and the Internet X-Ray Exam: Scoliosis KidsHealth > For Parents > X-Ray Exam: Scoliosis Print A A A What's in ... You Have Questions What It Is A scoliosis X-ray is a relatively safe and painless test that ...

  17. X-Ray Exam: Cervical Spine

    MedlinePlus

    ... to 2-Year-Old X-Ray Exam: Cervical Spine KidsHealth > For Parents > X-Ray Exam: Cervical Spine Print A A A What's in this article? ... Radiografía: columna cervical What It Is A cervical spine X-ray is a safe and painless test ...

  18. Supernova SN 2014C X-ray

    NASA Image and Video Library

    2017-01-24

    This image from NASA's Chandra X-ray Observatory shows spiral galaxy NGC 7331, center, in a three-color X-ray image. Red, green and blue colors are used for low, medium and high-energy X-rays, respectively. An unusual supernova called SN 2014C has been spotted in this galaxy. http://photojournal.jpl.nasa.gov/catalog/PIA21089

  19. Student X-Ray Fluorescence Experiments

    ERIC Educational Resources Information Center

    Fetzer, Homer D.; And Others

    1975-01-01

    Describes the experimental arrangement for x-ray analysis of samples which involves the following: the radioisotopic x-ray disk source; a student-built fluorescence chamber; the energy dispersive x-ray detector, linear amplifier and bias supply; and a multichannel pulse height analyzer. (GS)

  20. X-Ray Exam: Cervical Spine

    MedlinePlus

    ... to 2-Year-Old X-Ray Exam: Cervical Spine KidsHealth > For Parents > X-Ray Exam: Cervical Spine A A A What's in this article? What ... Radiografía: columna cervical What It Is A cervical spine X-ray is a safe and painless test ...

  1. Center for X-ray Optics, 1988

    SciTech Connect

    Not Available

    1989-04-01

    This report briefly reviews the following topics: soft-x-ray imaging; reflective optics for hard x-rays; coherent XUV sources; spectroscopy with x-rays; detectors for coronary artery imaging; synchrotron-radiation optics; and support for the advanced light source.

  2. Colon volvulus displaced into the chest – right-sided posttraumatic hernia or congenital malformation?

    PubMed Central

    Dębek, Wojciech; Matuszczak, Ewa

    2016-01-01

    We present the case of a 13.5-year-old girl who was admitted to the Pediatric Surgery Department from the Pediatric Department of a district hospital, where she stayed because of stomachache and vomiting. Interview revealed blunt injury of the epigastrium a week ago. Chest X-ray revealed a loss of the right diaphragmatic outline, irregular radiolucency on the right side of the chest, collapsed right lung and mediastinal displacement to the left. The patient was operated on, and the surgery revealed herniation of the intestines and half of the stomach into the defect of the right dome of the diaphragm. The patient made an uneventful postoperative recovery. A small innate defect of the diaphragm can remain asymptomatic and undiagnosed as long as there is no herniation of the abdominal organs into the chest. PMID:27516794

  3. Mobile X-Ray Unit.

    DTIC Science & Technology

    1996-10-28

    anode 8 surrounded by a coaxial annulus of stainless steel mesh which 9 serves as the cathode, control electronics, and a plurality of 10 spark gap...34Siemens-tube" configuration. More 7 particularly, the X-ray tube 16 has a conical copper/tungsten 8 anode 28, and a stainless steel mesh punched to...160 and 162 each having a typical diameter of 14 2.75 inches. The conflat flanges 160 and 162 are mated to a 15 stainless steel tube 164 having a

  4. X-ray Spectroscopy of Cooling Cluster

    SciTech Connect

    Peterson, J.R.; Fabian, A.C.; /Cambridge U., Inst. of Astron.

    2006-01-17

    We review the X-ray spectra of the cores of clusters of galaxies. Recent high resolution X-ray spectroscopic observations have demonstrated a severe deficit of emission at the lowest X-ray temperatures as compared to that expected from simple radiative cooling models. The same observations have provided compelling evidence that the gas in the cores is cooling below half the maximum temperature. We review these results, discuss physical models of cooling clusters, and describe the X-ray instrumentation and analysis techniques used to make these observations. We discuss several viable mechanisms designed to cancel or distort the expected process of X-ray cluster cooling.

  5. Atmospheric electron x-ray spectrometer

    NASA Technical Reports Server (NTRS)

    Feldman, Jason E. (Inventor); George, Thomas (Inventor); Wilcox, Jaroslava Z. (Inventor)

    2002-01-01

    The present invention comprises an apparatus for performing in-situ elemental analyses of surfaces. The invention comprises an atmospheric electron x-ray spectrometer with an electron column which generates, accelerates, and focuses electrons in a column which is isolated from ambient pressure by a:thin, electron transparent membrane. After passing through the membrane, the electrons impinge on the sample in atmosphere to generate characteristic x-rays. An x-ray detector, shaping amplifier, and multi-channel analyzer are used for x-ray detection and signal analysis. By comparing the resultant data to known x-ray spectral signatures, the elemental composition of the surface can be determined.

  6. X-ray imaging for palaeontology.

    PubMed

    Hohenstein, P

    2004-05-01

    Few may be aware that X-ray imaging is used in palaeontology and has been used since as early as 1896. The X-raying, preparation and exposure of Hunsrück slate fossils are described. Hospital X-ray machines are used by the author in his work. An X-ray is vital to provide evidence that preparation of a slate is worthwhile as well as to facilitate preparation even if there is little external sign of what lies within. The beauty of the X-ray exposure is an added bonus.

  7. X-ray transmissive debris shield

    DOEpatents

    Spielman, Rick B.

    1996-01-01

    An X-ray debris shield for use in X-ray lithography that is comprised of an X-ray window having a layer of low density foam exhibits increased longevity without a substantial increase in exposure time. The low density foam layer serves to absorb the debris emitted from the X-ray source and attenuate the shock to the window so as to reduce the chance of breakage. Because the foam is low density, the X-rays are hardly attenuated by the foam and thus the exposure time is not substantially increased.

  8. X-ray transmissive debris shield

    DOEpatents

    Spielman, R.B.

    1996-05-21

    An X-ray debris shield for use in X-ray lithography that is comprised of an X-ray window having a layer of low density foam exhibits increased longevity without a substantial increase in exposure time. The low density foam layer serves to absorb the debris emitted from the X-ray source and attenuate the shock to the window so as to reduce the chance of breakage. Because the foam is low density, the X-rays are hardly attenuated by the foam and thus the exposure time is not substantially increased.

  9. Method for spatially modulating X-ray pulses using MEMS-based X-ray optics

    DOEpatents

    Lopez, Daniel; Shenoy, Gopal; Wang, Jin; Walko, Donald A.; Jung, Il-Woong; Mukhopadhyay, Deepkishore

    2015-03-10

    A method and apparatus are provided for spatially modulating X-rays or X-ray pulses using microelectromechanical systems (MEMS) based X-ray optics. A torsionally-oscillating MEMS micromirror and a method of leveraging the grazing-angle reflection property are provided to modulate X-ray pulses with a high-degree of controllability.

  10. X-ray lithography using holographic images

    DOEpatents

    Howells, Malcolm R.; Jacobsen, Chris

    1995-01-01

    A non-contact X-ray projection lithography method for producing a desired X-ray image on a selected surface of an X-ray-sensitive material, such as photoresist material on a wafer, the desired X-ray image having image minimum linewidths as small as 0.063 .mu.m, or even smaller. A hologram and its position are determined that will produce the desired image on the selected surface when the hologram is irradiated with X-rays from a suitably monochromatic X-ray source of a selected wavelength .lambda.. On-axis X-ray transmission through, or off-axis X-ray reflection from, a hologram may be used here, with very different requirements for monochromaticity, flux and brightness of the X-ray source. For reasonable penetration of photoresist materials by X-rays produced by the X-ray source, the wavelength X, is preferably chosen to be no more than 13.5 nm in one embodiment and more preferably is chosen in the range 1-5 nm in the other embodiment. A lower limit on linewidth is set by the linewidth of available microstructure writing devices, such as an electron beam.

  11. X ray imaging microscope for cancer research

    NASA Technical Reports Server (NTRS)

    Hoover, Richard B.; Shealy, David L.; Brinkley, B. R.; Baker, Phillip C.; Barbee, Troy W., Jr.; Walker, Arthur B. C., Jr.

    1991-01-01

    The NASA technology employed during the Stanford MSFC LLNL Rocket X Ray Spectroheliograph flight established that doubly reflecting, normal incidence multilayer optics can be designed, fabricated, and used for high resolution x ray imaging of the Sun. Technology developed as part of the MSFC X Ray Microscope program, showed that high quality, high resolution multilayer x ray imaging microscopes are feasible. Using technology developed at Stanford University and at the DOE Lawrence Livermore National Laboratory (LLNL), Troy W. Barbee, Jr. has fabricated multilayer coatings with near theoretical reflectivities and perfect bandpass matching for a new rocket borne solar observatory, the Multi-Spectral Solar Telescope Array (MSSTA). Advanced Flow Polishing has provided multilayer mirror substrates with sub-angstrom (rms) smoothnesss for the astronomical x ray telescopes and x ray microscopes. The combination of these important technological advancements has paved the way for the development of a Water Window Imaging X Ray Microscope for cancer research.

  12. Evolution of X-ray astronomy

    NASA Technical Reports Server (NTRS)

    Rossj, B.

    1981-01-01

    The evolution of X-ray astronomy up to the launching of the Einstein observatory is presented. The evaluation proceeded through the following major steps: (1) discovery of an extrasolar X-ray source, Sco X-1, orders of magnitude stronger than astronomers believed might exist; (2) identification of a strong X-ray source with the Crab Nebula; (3) identification of Sco X-1 with a faint, peculiar optical object; (4) demonstration that X-ray stars are binary systems, each consisting of a collapsed object accreting matter from an ordinary star; (5) discovery of X-ray bursts; (6) discovery of exceedingly strong X-ray emission from active galaxies, quasars and clusters of galaxies; (7) demonstration that the principal X-ray source is a hot gas filling the space between galaxies.

  13. The Rosat x-ray sky

    NASA Astrophysics Data System (ADS)

    Voges, Wolfgang

    1995-01-01

    The ROSAT (Röntgensatellit) X-ray astronomy satellite has completed the first all-sky x-ray and XUV survey with imaging telescopes. About 60 000 new x-ray and 400 new XUV (1) sources were detected. This contribution will deal with preliminary results from the ROSAT ALL-SKY X-RAY SURVEY. The ROSAT diffuse and point-source x-ray skymaps, the positional accuracy obtained for the x-ray sources, and a few results from correlations performed with available catalogues in various energy bands like the Radio, Infrared, Visible, UV, and hard x-rays as well as identifications from optical follow-up observations will be presented.

  14. Spectral slicing X-ray telescope

    NASA Technical Reports Server (NTRS)

    Hoover, R. B.; Shealy, D.; Chao, S.-H.

    1986-01-01

    Layered synthetic microstructure (LSM) X-ray optics is investigated as a system for coupling a conventional glancing incidence X-ray mirror to a high sensitivity X-ray detector. It is shown that, by the use of figured LSM optics, it is possible to magnify the X-ray image produced by the primary mirrors so as to maintain their high inherent spatial resolution. The results of theoretical and design analyses of several spectral slicing X-ray telescope systems that utilize LSM mirrors of hyperboloidal, spherical, ellipsoidal, and constant optical path aspheric configurations are presented. It is shown that the spherical LSM optics are the preferred configuration, yielding subarcsecond performance over the entire field. The Stanford/Marshall Space Flight Center Rocket X-ray Telescope, which will utilize normal incidence LSM optics to couple a Wolter-Schwarzschild primary mirror to high resolution detectors for solar X-ray/EUV studies, is discussed. Design diagrams are included.

  15. X-ray deconvolution microscopy.

    PubMed

    Ehn, Sebastian; Epple, Franz Michael; Fehringer, Andreas; Pennicard, David; Graafsma, Heinz; Noël, Peter; Pfeiffer, Franz

    2016-04-01

    Recent advances in single-photon-counting detectors are enabling the development of novel approaches to reach micrometer-scale resolution in x-ray imaging. One example of such a technology are the MEDIPIX3RX-based detectors, such as the LAMBDA which can be operated with a small pixel size in combination with real-time on-chip charge-sharing correction. This characteristic results in a close to ideal, box-like point spread function which we made use of in this study. The proposed method is based on raster-scanning the sample with sub-pixel sized steps in front of the detector. Subsequently, a deconvolution algorithm is employed to compensate for blurring introduced by the overlap of pixels with a well defined point spread function during the raster-scanning. The presented approach utilizes standard laboratory x-ray equipment while we report resolutions close to 10 μm. The achieved resolution is shown to follow the relationship [Formula: see text] with the pixel-size p of the detector and the number of raster-scanning steps n.

  16. Submicron X-ray diffraction

    SciTech Connect

    MacDowell, Alastair; Celestre, Richard; Tamura, Nobumichi; Spolenak, Ralph; Valek, Bryan; Brown, Walter; Bravman, John; Padmore, Howard; Batterman, Boris; Patel, Jamshed

    2000-08-17

    At the Advanced Light Source in Berkeley the authors have instrumented a beam line that is devoted exclusively to x-ray micro diffraction problems. By micro diffraction they mean those classes of problems in Physics and Materials Science that require x-ray beam sizes in the sub-micron range. The instrument is for instance, capable of probing a sub-micron size volume inside micron sized aluminum metal grains buried under a silicon dioxide insulating layer. The resulting Laue pattern is collected on a large area CCD detector and automatically indexed to yield the grain orientation and deviatoric (distortional) strain tensor of this sub-micron volume. A four-crystal monochromator is then inserted into the beam, which allows monochromatic light to illuminate the same part of the sample. Measurement of diffracted photon energy allows for the determination of d spacings. The combination of white and monochromatic beam measurements allow for the determination of the total strain/stress tensor (6 components) inside each sub-micron sized illuminated volume of the sample.

  17. X-ray deconvolution microscopy

    PubMed Central

    Ehn, Sebastian; Epple, Franz Michael; Fehringer, Andreas; Pennicard, David; Graafsma, Heinz; Noël, Peter; Pfeiffer, Franz

    2016-01-01

    Recent advances in single-photon-counting detectors are enabling the development of novel approaches to reach micrometer-scale resolution in x-ray imaging. One example of such a technology are the MEDIPIX3RX-based detectors, such as the LAMBDA which can be operated with a small pixel size in combination with real-time on-chip charge-sharing correction. This characteristic results in a close to ideal, box-like point spread function which we made use of in this study. The proposed method is based on raster-scanning the sample with sub-pixel sized steps in front of the detector. Subsequently, a deconvolution algorithm is employed to compensate for blurring introduced by the overlap of pixels with a well defined point spread function during the raster-scanning. The presented approach utilizes standard laboratory x-ray equipment while we report resolutions close to 10 μm. The achieved resolution is shown to follow the relationship pn with the pixel-size p of the detector and the number of raster-scanning steps n. PMID:27446649

  18. X-ray lasing - Theory

    NASA Astrophysics Data System (ADS)

    1985-11-01

    The theoretical basis of lasing at very short wavelengths is discussed, and lasing at soft-X-ray (4-50 nm) wavelengths using the electron-collisional excitation scheme is successfully demonstrated. In research at LLNL, thin foils of selenium and yttrium are irradiated with laser light to generate a roughly cylindrical plasma containing neon-like ions. Excitation of ground state 2p electrons to the 3p state in the lasant medium is followed by very fast radioactive decay out of the 3s state, creating a population inversion between the 3s and 3p states. Stimulated X-ray emission is initiated by slower spontaneous decay from a 3p to 3s state. Design goals are to produce a plasma with a flat electron density of approximately 5 x 10 to the 20th/cu cm, a flat temperature profile, a scale length of at least 100 microns, and a population inversion lasting at least the 100 ps necessary to produce a significant gain. Good correlation is seen between experimental data and LANEX and XRASER theoretical modeling predictions over large variations in intensity, pulse length, and probing times. No explanation is found for the weakness of the J = 0 to J = 1 lasing transition line at 18.3 nm.

  19. X-ray omni microscopy.

    PubMed

    Paganin, D; Gureyev, T E; Mayo, S C; Stevenson, A W; Nesterets, Ya I; Wilkins, S W

    2004-06-01

    The science of wave-field phase retrieval and phase measurement is sufficiently mature to permit the routine reconstruction, over a given plane, of the complex wave-function associated with certain coherent forward-propagating scalar wave-fields. This reconstruction gives total knowledge of the information that has been encoded in the complex wave-field by passage through a sample of interest. Such total knowledge is powerful, because it permits the emulation in software of the subsequent action of an infinite variety of coherent imaging systems. Such 'virtual optics', in which software forms a natural extension of the 'hardware optics' in an imaging system, may be useful in contexts such as quantitative atom and X-ray imaging, in which optical elements such as beam-splitters and lenses can be realized in software rather than optical hardware. Here, we develop the requisite theory to describe such hybrid virtual-physical imaging systems, which we term 'omni optics' because of their infinite flexibility. We then give an experimental demonstration of these ideas by showing that a lensless X-ray point projection microscope can, when equipped with the appropriate software, emulate an infinite variety of optical imaging systems including those which yield interferograms, Zernike phase contrast, Schlieren imaging and diffraction-enhanced imaging.

  20. Occurrence of Breast Cancer After Chest Wall Irradiation for Pediatric Cancer, as Detected by a Multimodal Screening Program

    SciTech Connect

    Terenziani, Monica; Casalini, Patrizia; Scaperrotta, Gianfranco; Gandola, Lorenza; Trecate, Giovanna; Catania, Serena; Cefalo, Graziella; Conti, Alberto; Massimino, Maura; Meazza, Cristina; Podda, Marta; Spreafico, Filippo; Suman, Laura; Gennaro, Massimiliano

    2013-01-01

    Purpose: To assess the occurrence of breast cancer (BC) after exposure to ionizing radiation for pediatric cancer, by means of a multimodal screening program. Patients and Methods: We identified 86 patients who had received chest wall radiation therapy for pediatric cancer. Clinical breast examination (CBE), ultrasound (US), and mammography (MX) were performed yearly. Magnetic resonance imaging (MRI) was added as of October 2007. We calculated the risk of developing BC by radiation therapy dose, patient age, and menarche before or after primary treatment. Results: Eleven women developed a BC from July 2002-February 2010. The sensitivity of the screening methods was 36% for CBE, 73% for MX, 55% for US, and 100% for MRI; the specificity was 91%, 99%, 95%, and 80% for CBE, MX, US, and MRI, respectively. The annual BC detection rate was 2.9%. The median age at BC diagnosis was 33 years. Although age had no influence, menarche before as opposed to after radiation therapy correlated significantly with BC (P=.027): the annual BC detection rate in the former subgroup was 5.3%. Conclusions: Mammography proved more sensitive and specific in our cohort of young women than CBE or US. Magnetic resonance imaging proved 100% sensitive (but this preliminary finding needs to be confirmed). Our cohort of patients carries a 10-fold BC risk at an age more than 20 years younger than in the general population.

  1. Cystic Fibrosis Chest X-Ray Findings: A Teaching Analog

    DTIC Science & Technology

    2008-07-01

    often be traced. The key to this phenomenon is that the pathology for each process is unique, and leads to a separate differential. Historically, the...used for exploring pulmonary processes prior to the advent of CT imaging. Currently, the commonly used term “air bronchogram” has implication that...pathologic process involving the surrounding tissue creates a significant change from the normal lung density and highlights the lucency of the air

  2. 20 CFR 718.102 - Chest roentgenograms (X-rays).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... examining physician along with the film. The report shall specify the name and qualifications of the person who took the film and the name and qualifications of the physician interpreting the film. If the physician interpreting the film is a Board-certified or Board-eligible radiologist or a certified “B”...

  3. 20 CFR 718.102 - Chest roentgenograms (X-rays).

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... examining physician along with the film. The report shall specify the name and qualifications of the person who took the film and the name and qualifications of the physician interpreting the film. If the physician interpreting the film is a Board-certified or Board-eligible radiologist or a certified “B”...

  4. X-Ray Attenuation Cell

    SciTech Connect

    Ryutov, D.; Toor, A.

    2000-03-03

    To minimize the pulse-to-pulse variation, the LCLS FEL must operate at saturation, i.e. 10 orders of magnitude brighter spectral brilliance than 3rd-generation light sources. At this intensity, ultra-high vacuums and windowless transport are required. Many of the experiments, however, will need to be conducted at a much lower intensity thereby requiring a reliable means to reduce the x-ray intensity by many orders of magnitude without increasing the pulse-to-pulse variation. In this report we consider a possible solution for controlled attenuation of the LCLS x-ray radiation. We suggest using for this purpose a windowless gas-filled cell with the differential pumping. Although this scheme is easily realizable in principle, it has to be demonstrated that the attenuator can be made short enough to be practical and that the gas loads delivered to the vacuum line of sight (LOS) are acceptable. We are not going to present a final, optimized design. Instead, we will provide a preliminary analysis showing that the whole concept is robust and is worth further study. The spatial structure of the LCLS x-ray pulse at the location of the attenuator is shown in Fig. 1. The central high-intensity component, due to the FEL, has a FWHM of {approx}100 {micro}m. A second component, due to the undulator's broad band spontaneous radiation is seen as a much lower intensity ''halo'' with a FWHM of 1 mm. We discuss two versions of the attenuation cell. The first is directed towards a controlled attenuation of the FEL up to the 4 orders of magnitude in the intensity, with the spontaneous radiation halo being eliminated by collimators. In the second version, the spontaneous radiation is not sacrificed but the FEL component (as well as the first harmonic of the spontaneous radiation) gets attenuated by a more modest factor up to 100. We will make all the estimates assuming that the gas used in the attenuator is Xenon and that the energy of the FEL is 8.25 keV. At lower FEL energies the

  5. The recent development of an X-ray grating interferometer at Shanghai Synchrotron Radiation Facility

    SciTech Connect

    Sun Haohua; Kou Bingquan; Xi Yan; Qi Juncheng; Sun Jianqi; Mohr, Juergen; Boerner, Martin; Zhao Jun; Xu, Lisa X.; Xiao Tiqiao; Wang Yujie

    2012-07-31

    An X-ray grating interferometer has been installed at Shanghai Synchrotron Radiation Facility (SSRF). Three sets of phase gratings were designed to cover the wide X-ray energy range needed for biological and soft material imaging capabilities. The performance of the grating interferometer has been evaluated by a tomography study of a PMMA particle packing and a new born mouse chest. In the mouse chest study, the carotid artery and carotid vein inside the mouse can be identified in situ without contrast agents.

  6. Compact Stellar X-ray Sources

    NASA Astrophysics Data System (ADS)

    Lewin, Walter; van der Klis, Michiel

    2010-11-01

    1. Accreting neutron stars and black holes: a decade of discoveries D. Psaltis; 2. Rapid X-ray variability M. van der Klis; 3. New views of thermonuclear bursts T. Strohmayer and L. Bildsten; 4. Black hole binaries J. McClintock and R. Remillard; 5. Optical, ultraviolet and infrared observations of X-ray binaries P. Charles and M. Coe; 6. Fast X-ray transients and X-ray flashes J. Heise and J. in 't Zand; 7. Isolated neutron stars V. Kaspi, M. Roberts and A. Harding; 8. Globular cluster X-ray sources F. Verbunt and W. Lewin; 9. Jets from X-ray binaries R. Fender; 10. X-Rays from cataclysmic variables E. Kuulkers, A. Norton, A. Schwope and B. Warner; 11. Super soft sources P. Kahabka and E. van den Heuvel; 12. Compact stellar X-ray sources in normal galaxies G. Fabbiano and N. White; 13. Accretion in compact binaries A. King; 14. Soft gamma repeaters and anomalous X-ray pulsars: magnetar candidates P. Woods and C. Thompson; 15. Cosmic gamma-ray bursts, their afterglows, and their host galaxies K. Hurley, R. Sari and S. Djorgovski; 16. Formation and evolution of compact stellar X-ray sources T. Tauris and E. van den Heuvel.

  7. Compact Stellar X-ray Sources

    NASA Astrophysics Data System (ADS)

    Lewin, Walter H. G.; van der Klis, Michiel

    2006-04-01

    1. Accreting neutron stars and black holes: a decade of discoveries D. Psaltis; 2. Rapid X-ray variability M. van der Klis; 3. New views of thermonuclear bursts T. Strohmayer and L. Bildsten; 4. Black hole binaries J. McClintock and R. Remillard; 5. Optical, ultraviolet and infrared observations of X-ray binaries P. Charles and M. Coe; 6. Fast X-ray transients and X-ray flashes J. Heise and J. in 't Zand; 7. Isolated neutron stars V. Kaspi, M. Roberts and A. Harding; 8. Globular cluster X-ray sources F. Verbunt and W. Lewin; 9. Jets from X-ray binaries R. Fender; 10. X-Rays from cataclysmic variables E. Kuulkers, A. Norton, A. Schwope and B. Warner; 11. Super soft sources P. Kahabka and E. van den Heuvel; 12. Compact stellar X-ray sources in normal galaxies G. Fabbiano and N. White; 13. Accretion in compact binaries A. King; 14. Soft gamma repeaters and anomalous X-ray pulsars: magnetar candidates P. Woods and C. Thompson; 15. Cosmic gamma-ray bursts, their afterglows, and their host galaxies K. Hurley, R. Sari and S. Djorgovski; 16. Formation and evolution of compact stellar X-ray sources T. Tauris and E. van den Heuvel.

  8. Controlling X-rays With Light

    SciTech Connect

    Glover, Ernie; Hertlein, Marcus; Southworth, Steve; Allison, Tom; van Tilborg, Jeroen; Kanter, Elliot; Krassig, B.; Varma, H.; Rude, Bruce; Santra, Robin; Belkacem, Ali; Young, Linda

    2010-08-02

    Ultrafast x-ray science is an exciting frontier that promises the visualization of electronic, atomic and molecular dynamics on atomic time and length scales. A largelyunexplored area of ultrafast x-ray science is the use of light to control how x-rays interact with matter. In order to extend control concepts established for long wavelengthprobes to the x-ray regime, the optical control field must drive a coherent electronic response on a timescale comparable to femtosecond core-hole lifetimes. An intense field is required to achieve this rapid response. Here an intense optical control pulse isobserved to efficiently modulate photoelectric absorption for x-rays and to create an ultrafast transparency window. We demonstrate an application of x-ray transparencyrelevant to ultrafast x-ray sources: an all-photonic temporal cross-correlation measurement of a femtosecond x-ray pulse. The ability to control x-ray/matterinteractions with light will create new opportunities at current and next-generation x-ray light sources.

  9. Controlling x-rays with light.

    SciTech Connect

    Glover, T. E.; Hertlein, M. P.; Southworth, S. H.; Allison, T. K.; van Tilborg, J.; Kanter, E. P.; Krassig, B.; Varma, H. R.; Rude, B.; Santra, R.; Belkacem, A.; Young, L.; Chemical Sciences and Engineering Division; LBNL; Univ. of California at Berkley; Univ. of Chicago

    2010-01-01

    Ultrafast X-ray science is an exciting frontier that promises the visualization of electronic, atomic and molecular dynamics on atomic time and length scales. A largely unexplored area of ultrafast X-ray science is the use of light to control how X-rays interact with matter. To extend control concepts established for long-wavelength probes to the X-ray regime, the optical control field must drive a coherent electronic response on a timescale comparable to femtosecond core-hole lifetimes. An intense field is required to achieve this rapid response. Here, an intense optical control pulse is observed to efficiently modulate photoelectric absorption for X-rays and to create an ultrafast transparency window. We demonstrate an application of X-ray transparency relevant to ultrafast X-ray sources: an all-photonic temporal cross-correlation measurement of a femtosecond X-ray pulse. The ability to control X-ray-matter interactions with light will create new opportunities for present and next-generation X-ray light sources.

  10. Controlling X-rays with light

    NASA Astrophysics Data System (ADS)

    Glover, T. E.; Hertlein, M. P.; Southworth, S. H.; Allison, T. K.; van Tilborg, J.; Kanter, E. P.; Krässig, B.; Varma, H. R.; Rude, B.; Santra, R.; Belkacem, A.; Young, L.

    2010-01-01

    Ultrafast X-ray science is an exciting frontier that promises the visualization of electronic, atomic and molecular dynamics on atomic time and length scales. A largely unexplored area of ultrafast X-ray science is the use of light to control how X-rays interact with matter. To extend control concepts established for long-wavelength probes to the X-ray regime, the optical control field must drive a coherent electronic response on a timescale comparable to femtosecond core-hole lifetimes. An intense field is required to achieve this rapid response. Here, an intense optical control pulse is observed to efficiently modulate photoelectric absorption for X-rays and to create an ultrafast transparency window. We demonstrate an application of X-ray transparency relevant to ultrafast X-ray sources: an all-photonic temporal cross-correlation measurement of a femtosecond X-ray pulse. The ability to control X-ray-matter interactions with light will create new opportunities for present and next-generation X-ray light sources.

  11. Industrial X-Ray Imaging

    NASA Technical Reports Server (NTRS)

    1997-01-01

    In 1990, Lewis Research Center jointly sponsored a conference with the U.S. Air Force Wright Laboratory focused on high speed imaging. This conference, and early funding by Lewis Research Center, helped to spur work by Silicon Mountain Design, Inc. to break the performance barriers of imaging speed, resolution, and sensitivity through innovative technology. Later, under a Small Business Innovation Research contract with the Jet Propulsion Laboratory, the company designed a real-time image enhancing camera that yields superb, high quality images in 1/30th of a second while limiting distortion. The result is a rapidly available, enhanced image showing significantly greater detail compared to image processing executed on digital computers. Current applications include radiographic and pathology-based medicine, industrial imaging, x-ray inspection devices, and automated semiconductor inspection equipment.

  12. Diffractive X-Ray Telescopes

    NASA Technical Reports Server (NTRS)

    Skinner, Gerald K.

    2010-01-01

    Diffractive X-ray telescopes, using zone plates, phase Fresnel lenses, or related optical elements have the potential to provide astronomers with true imaging capability with resolution many orders of magnitude better than available in any other waveband. Lenses that would be relatively easy to fabricate could have an angular resolution of the order of micro-arc-seconds or even better, that would allow, for example, imaging of the distorted spacetime in the immediate vicinity of the super-massive black holes in the center of active galaxies. What then is precluding their immediate adoption? Extremely long focal lengths, very limited bandwidth, and difficulty stabilizing the image are the main problems. The history, and status of the development of such lenses is reviewed here and the prospects for managing the challenges that they present are discussed.

  13. Soft x-ray interferometry

    SciTech Connect

    Not Available

    1993-09-01

    The purpose of the soft x-ray interferometry workshop held at Lawrence Berkeley Laboratory was to discuss with the scientific community the proposed technical design of the soft x-ray Fourier-transform spectrometer being developed at the ALS. Different design strategies for the instrument`s components were discussed, as well as detection methods, signal processing issues, and how to meet the manufacturing tolerances that are necessary for the instrument to achieve the desired levels of performance. Workshop participants were encouraged to report on their experiences in the field of Fourier transform spectroscopy. The ALS is developing a Fourier transform spectrometer that is intended to operate up to 100 eV. The motivation is solely improved resolution and not the throughput (Jaquinot) or multiplex (Fellgett) advantage, neither of which apply for the sources and detectors used in this spectral range. The proposed implementation of this is via a Mach-Zehnder geometry that has been (1) distorted from a square to a rhombus to get grazing incidence of a suitable angle for 100 eV and (2) provided with a mirror-motion system to make the path difference between the interfering beams tunable. The experiment consists of measuring the emergent light intensity (I(x)) as a function of the path difference (x). The resolving power of the system is limited by the amount of path difference obtainable that is 1 cm (one million half-waves at 200{angstrom} wavelength) in the design thus allowing a resolving power of one million. The free spectral range of the system is limited by the closeness with which the function I(x) is sampled. It is proposed to illuminate a helium absorption cell with roughly 1%-band-width light from a monochromator thus allowing one hundred aliases without spectral overlap even for sampling of I(x) at one hundredth of the Nyquist frequency.

  14. The anomalous X-ray pulsars

    NASA Astrophysics Data System (ADS)

    Chen, Rui; Li, Xiangdong

    2002-03-01

    In the last few years it has been recognized that a group of X-ray pulsars have peculiar properties which set them apart from the majority of accreting pulars in X-ray binaries. They are called the Anomalous X-ray Pulsars (AXP). These objects are characterized by very soft X-ray spectra with low and steady X-ray fluxes, narrow-distributed spin periods, steady spin-down, no optical/infrared counterparts. Some of them may associate with supernova remnants. The nature of AXP remains mysterious. It has been suggested that AXP are accreting neutron stars, or solitary "magnetars", neutron stars with super strong magnetic fields (≍1010-1011T). In this paper we review the recent progress in the studies of AXP, and discuss the possible implications from comparison of AXP with other neutron stars, such as radio pulsars, radio quiet X-ray pulsar candidates and soft γ-ray repeaters.

  15. Hard X-ray imaging from Explorer

    NASA Technical Reports Server (NTRS)

    Grindlay, J. E.; Murray, S. S.

    1981-01-01

    Coded aperture X-ray detectors were applied to obtain large increases in sensitivity as well as angular resolution. A hard X-ray coded aperture detector concept is described which enables very high sensitivity studies persistent hard X-ray sources and gamma ray bursts. Coded aperture imaging is employed so that approx. 2 min source locations can be derived within a 3 deg field of view. Gamma bursts were located initially to within approx. 2 deg and X-ray/hard X-ray spectra and timing, as well as precise locations, derived for possible burst afterglow emission. It is suggested that hard X-ray imaging should be conducted from an Explorer mission where long exposure times are possible.

  16. Stimulated Electronic X-Ray Raman Scattering

    NASA Astrophysics Data System (ADS)

    Weninger, Clemens; Purvis, Michael; Ryan, Duncan; London, Richard A.; Bozek, John D.; Bostedt, Christoph; Graf, Alexander; Brown, Gregory; Rocca, Jorge J.; Rohringer, Nina

    2013-12-01

    We demonstrate strong stimulated inelastic x-ray scattering by resonantly exciting a dense gas target of neon with femtosecond, high-intensity x-ray pulses from an x-ray free-electron laser (XFEL). A small number of lower energy XFEL seed photons drive an avalanche of stimulated resonant inelastic x-ray scattering processes that amplify the Raman scattering signal by several orders of magnitude until it reaches saturation. Despite the large overall spectral width, the internal spiky structure of the XFEL spectrum determines the energy resolution of the scattering process in a statistical sense. This is demonstrated by observing a stochastic line shift of the inelastically scattered x-ray radiation. In conjunction with statistical methods, XFELs can be used for stimulated resonant inelastic x-ray scattering, with spectral resolution smaller than the natural width of the core-excited, intermediate state.

  17. X-Ray Observations of Planetary Nebulae

    NASA Astrophysics Data System (ADS)

    Guerrero, M. A.; Chu, Y.-H.; Gruendl, R. A.

    2004-07-01

    Planetary nebulae (PNe) are an exciting addition to the zoo of X-ray sources. Recent Chandra and XMM-Newton observations have detected diffuse X-ray emission from shocked fast winds in PN interiors as well as bow-shocks of fast collimated outflows impinging on the nebular envelope. Point X-ray sources associated with PN central stars are also detected, with the soft X-ray (<0.5 keV) emission originating from the photospheres of stars hotter than ˜100,000 K, and the hard X-ray (≫0.5 keV) emission from instability shocks in the fast stellar wind itself or from a low-mass companion's coronal activity. X-ray observations of PNe offer a unique opportunity to directly examine the dynamic effects of fast stellar winds and collimated outflows, and help us understand the formation and evolution of PNe.

  18. Stimulated electronic x-ray Raman scattering.

    PubMed

    Weninger, Clemens; Purvis, Michael; Ryan, Duncan; London, Richard A; Bozek, John D; Bostedt, Christoph; Graf, Alexander; Brown, Gregory; Rocca, Jorge J; Rohringer, Nina

    2013-12-06

    We demonstrate strong stimulated inelastic x-ray scattering by resonantly exciting a dense gas target of neon with femtosecond, high-intensity x-ray pulses from an x-ray free-electron laser (XFEL). A small number of lower energy XFEL seed photons drive an avalanche of stimulated resonant inelastic x-ray scattering processes that amplify the Raman scattering signal by several orders of magnitude until it reaches saturation. Despite the large overall spectral width, the internal spiky structure of the XFEL spectrum determines the energy resolution of the scattering process in a statistical sense. This is demonstrated by observing a stochastic line shift of the inelastically scattered x-ray radiation. In conjunction with statistical methods, XFELs can be used for stimulated resonant inelastic x-ray scattering, with spectral resolution smaller than the natural width of the core-excited, intermediate state.

  19. The Overutilization of X-rays

    PubMed Central

    Lyon, W. K.

    1981-01-01

    Within 20 years of Roentgen's discovery of X-rays in 1895, it became apparent that large doses of radiation damaged human tissue.1 Yet the medical profession continues to contribute to the overutilization of X-rays, occasionally spending health care dollars to subject our patients to a health risk. This paper discusses the evidence to support the claim that X-rays are overutilized, and offers recommendations to rectify the situation. PMID:21289771

  20. X-ray transmissive debris shield

    DOEpatents

    Spielman, Rick B.

    1994-01-01

    A composite window structure is described for transmitting x-ray radiation and for shielding radiation generated debris. In particular, separate layers of different x-ray transmissive materials are laminated together to form a high strength, x-ray transmissive debris shield which is particularly suited for use in high energy fluences. In one embodiment, the composite window comprises alternating layers of beryllium and a thermoset polymer.

  1. Topological X-Rays and MRIs

    ERIC Educational Resources Information Center

    Lynch, Mark

    2002-01-01

    Let K be a compact subset of the interior of the unit disk D in the plane and suppose one can't see through the boundary of D and identify K. However, assume that one can take "topological X-rays" of D which measure the "density" of K along the lines of the X-rays. By taking these X-rays from all directions, a "topological MRI" is generated for…

  2. X-ray data booklet. Revision

    SciTech Connect

    Vaughan, D.

    1986-04-01

    A compilation of data is presented. Included are properties of the elements, electron binding energies, characteristic x-ray energies, fluorescence yields for K and L shells, Auger energies, energy levels for hydrogen-, helium-, and neonlike ions, scattering factors and mass absorption coefficients, and transmission bands of selected filters. Also included are selected reprints on scattering processes, x-ray sources, optics, x-ray detectors, and synchrotron radiation facilities. (WRF)

  3. UV observations of x ray binaries

    NASA Technical Reports Server (NTRS)

    Raymond, John C.

    1990-01-01

    IUE (International Ultraviolet Explorer) has observed both high and low mass x ray binaries throughout its life. The UV spectra of high mass systems reveal the nature of the massive companion star and the effects of the x ray illumination of the stellar wind. In loss mass systems, the x ray illuminated disk or companion star dominates the UV light. System parameters and the characteristics of the accretion disk can be inferred.

  4. Topological X-Rays and MRIs

    ERIC Educational Resources Information Center

    Lynch, Mark

    2002-01-01

    Let K be a compact subset of the interior of the unit disk D in the plane and suppose one can't see through the boundary of D and identify K. However, assume that one can take "topological X-rays" of D which measure the "density" of K along the lines of the X-rays. By taking these X-rays from all directions, a "topological MRI" is generated for…

  5. Applications of soft x-ray lasers

    SciTech Connect

    Skinner, C.H.

    1993-08-01

    The high brightness and short pulse duration of soft x-ray lasers provide unique advantages for novel applications. Imaging of biological specimens using x-ray lasers has been demonstrated by several groups. Other applications to fields such as chemistry, material science, plasma diagnostics, and lithography are beginning to emerge. We review the current status of soft x-ray lasers from the perspective of applications, and present an overview of the applications currently being developed.

  6. Negative affinity X-ray photocathodes

    NASA Technical Reports Server (NTRS)

    Vanspeybroeck, L.; Kellogg, E.; Murray, S.; Duckett, S.

    1974-01-01

    A new X-ray image intensifier is described. The device should eventually have a quantum efficiency which is an order of magnitude greater than that of presently available high spatial resolution X-ray detectors, such as microchannel plates. The new intesifier is based upon a GaAs crystal photocathode which is activated to achieve negative electron affinity. Details concerning the detector concept are discussed together with the theoretical relations involved, X-ray data, and optical data.

  7. High speed x-ray beam chopper

    DOEpatents

    McPherson, Armon; Mills, Dennis M.

    2002-01-01

    A fast, economical, and compact x-ray beam chopper with a small mass and a small moment of inertia whose rotation can be synchronized and phase locked to an electronic signal from an x-ray source and be monitored by a light beam is disclosed. X-ray bursts shorter than 2.5 microseconds have been produced with a jitter time of less than 3 ns.

  8. Lobster-Eye X-Ray Astronomy

    SciTech Connect

    Hudec, R.; Pina, L.; Marsikova, V.; Inneman, A.

    2010-07-15

    We report on technical and astrophysical aspects of Lobster-Eye wide-field X-ray telescopes expected to monitor the sky with high sensitivity and angular resolution of order of 1 arcmin. They will contribute essentially to study of various astrophysical objects such as AGN, SNe, Gamma-ray bursts (GRBs), X-ray flashes (XRFs), galactic binary sources, stars, CVs, X-ray novae, various transient sources, etc.

  9. X-ray microlaminography with polycapillary optics

    SciTech Connect

    Dabrowski, K. M.; Dul, D. T.; Wrobel, A.; Korecki, P.

    2013-06-03

    We demonstrate layer-by-layer x-ray microimaging using polycapillary optics. The depth resolution is achieved without sample or source rotation and in a way similar to classical tomography or laminography. The method takes advantage from large angular apertures of polycapillary optics and from their specific microstructure, which is treated as a coded aperture. The imaging geometry is compatible with polychromatic x-ray sources and with scanning and confocal x-ray fluorescence setups.

  10. X-ray line emission from Capella

    NASA Technical Reports Server (NTRS)

    Holt, S. S.; Boldt, E. A.; Serlemitsos, P. J.; White, N. E.; Becker, R. H.; Mushotzky, R. F.; Smith, B. W.

    1979-01-01

    X-ray emission-line components from Mg, Si, S, and Fe are unambiguously detected from Capella with the solid-state spectrometer onboard the Einstein Observatory. The X-ray spectrum is inconsistent with an isothermal corona, and requires components between 6-million K and at least 24-million K for an adequate fit. An inhomogeneous corona in which the X-ray emitting plasma is confined to magnetically contained loops appears to be reconcilable with all of the experimental evidence.

  11. X ray microcalorimeters: Principles and performance

    NASA Technical Reports Server (NTRS)

    Moseley, S. H.; Juda, M.; Kelley, R. L.; Mccammon, D.; Stahle, C. K.; Szymkowiak, A. E.; Zhang, J.

    1992-01-01

    Microcalorimeters operating at cryogenic temperatures can be excellent X-ray spectrometers. They simultaneously offer very high spectral resolving power and high efficiency. These attributes are important for X-ray astronomy where most sources have low fluxes and where high spectral resolution is essential for understanding the physics of the emitting regions. The principles of operation of these detectors, limits to their sensitivity, design considerations, techniques of fabrication, and their performance as X-ray spectrometers, are reviewed.

  12. X-ray image enhancement via determinant based feature selection.

    PubMed

    Tappenden, R; Hegarty, J; Broughton, R; Butler, A; Coope, I; Renaud, P

    2013-12-01

    Previous work has investigated the feasibility of using Eigenimage-based enhancement tools to highlight abnormalities on chest X-rays (Butler et al in J Med Imaging Radiat Oncol 52:244-253, 2008). While promising, this approach has been limited by computational restrictions of standard clinical workstations, and uncertainty regarding what constitutes an adequate sample size. This paper suggests an alternative mathematical model to the above referenced singular value decomposition method, which can significantly reduce both the required sample size and the time needed to perform analysis. Using this approach images can be efficiently separated into normal and abnormal parts, with the potential for rapid highlighting of pathology.

  13. Observation of femtosecond X-ray interactions with matter using an X-ray-X-ray pump-probe scheme.

    PubMed

    Inoue, Ichiro; Inubushi, Yuichi; Sato, Takahiro; Tono, Kensuke; Katayama, Tetsuo; Kameshima, Takashi; Ogawa, Kanade; Togashi, Tadashi; Owada, Shigeki; Amemiya, Yoshiyuki; Tanaka, Takashi; Hara, Toru; Yabashi, Makina

    2016-02-09

    Resolution in the X-ray structure determination of noncrystalline samples has been limited to several tens of nanometers, because deep X-ray irradiation required for enhanced resolution causes radiation damage to samples. However, theoretical studies predict that the femtosecond (fs) durations of X-ray free-electron laser (XFEL) pulses make it possible to record scattering signals before the initiation of X-ray damage processes; thus, an ultraintense X-ray beam can be used beyond the conventional limit of radiation dose. Here, we verify this scenario by directly observing femtosecond X-ray damage processes in diamond irradiated with extraordinarily intense (∼10(19) W/cm(2)) XFEL pulses. An X-ray pump-probe diffraction scheme was developed in this study; tightly focused double-5-fs XFEL pulses with time separations ranging from sub-fs to 80 fs were used to excite (i.e., pump) the diamond and characterize (i.e., probe) the temporal changes of the crystalline structures through Bragg reflection. It was found that the pump and probe diffraction intensities remain almost constant for shorter time separations of the double pulse, whereas the probe diffraction intensities decreased after 20 fs following pump pulse irradiation due to the X-ray-induced atomic displacement. This result indicates that sub-10-fs XFEL pulses enable conductions of damageless structural determinations and supports the validity of the theoretical predictions of ultraintense X-ray-matter interactions. The X-ray pump-probe scheme demonstrated here would be effective for understanding ultraintense X-ray-matter interactions, which will greatly stimulate advanced XFEL applications, such as atomic structure determination of a single molecule and generation of exotic matters with high energy densities.

  14. Symbiotic Stars in X-rays

    NASA Technical Reports Server (NTRS)

    Luna, G. J. M.; Sokoloski, J. L.; Mukai, K.; Nelson, T.

    2014-01-01

    Until recently, symbiotic binary systems in which a white dwarf accretes from a red giant were thought to be mainly a soft X-ray population. Here we describe the detection with the X-ray Telescope (XRT) on the Swift satellite of 9 white dwarf symbiotics that were not previously known to be X-ray sources and one that was previously detected as a supersoft X-ray source. The 9 new X-ray detections were the result of a survey of 41 symbiotic stars, and they increase the number of symbiotic stars known to be X-ray sources by approximately 30%. Swift/XRT detected all of the new X-ray sources at energies greater than 2 keV. Their X-ray spectra are consistent with thermal emission and fall naturally into three distinct groups. The first group contains those sources with a single, highly absorbed hard component, which we identify as probably coming from an accretion-disk boundary layer. The second group is composed of those sources with a single, soft X-ray spectral component, which likely arises in a region where low-velocity shocks produce X-ray emission, i.e. a colliding-wind region. The third group consists of those sources with both hard and soft X-ray spectral components. We also find that unlike in the optical, where rapid, stochastic brightness variations from the accretion disk typically are not seen, detectable UV flickering is a common property of symbiotic stars. Supporting our physical interpretation of the two X-ray spectral components, simultaneous Swift UV photometry shows that symbiotic stars with harder X-ray emission tend to have stronger UV flickering, which is usually associated with accretion through a disk. To place these new observations in the context of previous work on X-ray emission from symbiotic stars, we modified and extended the alpha/beta/gamma classification scheme for symbiotic-star X-ray spectra that was introduced by Muerset et al. based upon observations with the ROSAT satellite, to include a new sigma classification for sources with

  15. Ultrafast X-Ray Crystallography and Liquidography

    NASA Astrophysics Data System (ADS)

    Ki, Hosung; Oang, Key Young; Kim, Jeongho; Ihee, Hyotcherl

    2017-05-01

    Time-resolved X-ray diffraction provides direct information on three-dimensional structures of reacting molecules and thus can be used to elucidate structural dynamics of chemical and biological reactions. In this review, we discuss time-resolved X-ray diffraction on small molecules and proteins with particular emphasis on its application to crystalline (crystallography) and liquid-solution (liquidography) samples. Time-resolved X-ray diffraction has been used to study picosecond and slower dynamics at synchrotrons and can now access even femtosecond dynamics with the recent arrival of X-ray free-electron lasers.

  16. Compound refractive X-ray lens

    DOEpatents

    Nygren, David R.; Cahn, Robert; Cederstrom, Bjorn; Danielsson, Mats; Vestlund, Jonas

    2000-01-01

    An apparatus and method for focusing X-rays. In one embodiment, his invention is a commercial-grade compound refractive X-ray lens. The commercial-grade compound refractive X-ray lens includes a volume of low-Z material. The volume of low-Z material has a first surface which is adapted to receive X-rays of commercially-applicable power emitted from a commercial-grade X-ray source. The volume of low-Z material also has a second surface from which emerge the X-rays of commercially-applicable power which were received at the first surface. Additionally, the commercial-grade compound refractive X-ray lens includes a plurality of openings which are disposed between the first surface and the second surface. The plurality of openings are oriented such that the X-rays of commercially-applicable power which are received at the first surface, pass through the volume of low-Z material and through the plurality openings. In so doing, the X-rays which emerge from the second surface are refracted to a focal point.

  17. An Imaging X-Ray Polarimetry Mission

    NASA Technical Reports Server (NTRS)

    Weisskopf, Martin C.; Bellazini, Ronaldo; Costa, Enrico; Ramsey, Brian; O'Dell, Steve; Elsner, Ronald; Pavlov, George; Matt, Giorgio; Kaspi, Victoria; Tennant, Allyn; hide

    2008-01-01

    Technical progress both in x-ray optics and in polarization-sensitive x-ray detectors, which our groups have pioneered, enables a scientifically powerful---yet inexpensive---dedicated mission for imaging x-ray polarimetry. Such a mission is sufficiently sensitive to measure x-ray (linear) polarization for a broad range of cosmic sources --particularly those involving neutron stars, stellar black holes, and supermassive black holes (active galactic nuclei). We describe the technical elements, discuss a mission concept, and synopsize the important physical and astrophysical questions such a mission would address.

  18. An Imaging X-Ray Polarimetry Mission

    NASA Technical Reports Server (NTRS)

    Weisskopf, Martin C.; Bellazini, Ronaldo; Costa, Enrico; Ramsey, Brian; O'Dell, Steve; Tennant, Allyn; Elsner, Ronald; Pavlov, George; Matt, Girogio; Kaspi, Vicky; hide

    2008-01-01

    Technical progress both in x-ray optics and in polarization-sensitive x-ray detectors, which our groups have pioneered, enables a scientifically powerful - yet inexpensive - dedicated mission for imaging x-ray polarimetry. Such a mission is sufficiently sensitive to measure x-ray (linear) polarization for a broad range of cosmic sources --- particularly those involving neutron stars, stellar black holes, and supermassive black holes (active galactic nuclei). We describe the technical elements, discuss a mission concept, and synopsiz:e the important physical and astrophysical questions such as mission would address.

  19. Colloid Coalescence with Focused X Rays

    SciTech Connect

    Weon, B. M.; Kim, J. T.; Je, J. H.; Yi, J. M.; Wang, S.; Lee, W.-K.

    2011-07-01

    We show direct evidence that focused x rays enable us to merge polymer colloidal particles at room temperature. This phenomenon is ascribed to the photochemical scission of colloids with x rays, reducing the molecular weight, glass transition temperature, surface tension, and viscosity of colloids. The observation of the neck bridge growth with time shows that the x-ray-induced colloid coalescence is analogous to viscoelastic coalescence. This finding suggests a feasible protocol of photonic nanofabrication by sintering or welding of polymers, without thermal damage, using x-ray photonics.

  20. X-rays from stellar flares

    NASA Technical Reports Server (NTRS)

    Linsky, Jeffrey L.

    1991-01-01

    A summary of X-ray observations of flares on dMe, active spectroscopic binaries and young stars is presented. Consideration is given to the energy associated with the X-ray emission and its relation to other components of the flare energy budget, the time behavior of the flaring plasma as seen by the X-ray emission, and comparisons of stellar flare parameters with solar compact and two ribbon flares. Flares are easily detected when the contrast in the emission from the flaring plasma relative to the stellar photosphere is large as in the X-ray, microwave, and UV regions of the spectrum.

  1. Bent crystal X-ray topography

    NASA Technical Reports Server (NTRS)

    Parker, D. L.

    1978-01-01

    A television X-ray topographic camera system was constructed. The system differs from the previous system in that it incorporates the X-ray TV imaging system and has a semi-automatic wafer loading system. Also the X-ray diffraction is in a vertical plane. This feature makes wafer loading easier and makes the system compatible with any commercial X-ray generating system. Topographs and results obtained from a study of the diffraction contrast variation with impurity concentration for both boron implanted and boron diffused silicon are included.

  2. Ultrafast X-Ray Crystallography and Liquidography.

    PubMed

    Ki, Hosung; Oang, Key Young; Kim, Jeongho; Ihee, Hyotcherl

    2017-05-05

    Time-resolved X-ray diffraction provides direct information on three-dimensional structures of reacting molecules and thus can be used to elucidate structural dynamics of chemical and biological reactions. In this review, we discuss time-resolved X-ray diffraction on small molecules and proteins with particular emphasis on its application to crystalline (crystallography) and liquid-solution (liquidography) samples. Time-resolved X-ray diffraction has been used to study picosecond and slower dynamics at synchrotrons and can now access even femtosecond dynamics with the recent arrival of X-ray free-electron lasers.

  3. History of Chandra X-Ray Observatory

    NASA Image and Video Library

    1996-12-16

    This is a photograph of the Chandra X-Ray Observatory (CXO), formerly Advanced X-Ray Astrophysics Facility (AXAF), High Resolution Mirror Assembly (HRMA) integration at the X-Ray Calibration Facility (XRCF) at the Marshall Space Flight Center (MSFC). The AXAF was renamed CXO in 1999. The CXO is the most sophisticated and the world's most powerful x-ray telescope ever built. It observes x-rays from high-energy regions of the universe, such as hot gas in the remnants of exploded stars. The HRMA, the heart of the telescope system, is contained in the cylindrical "telescope" portion of the observatory. Since high-energy x-rays would penetrate a normal mirror, special cylindrical mirrors were created. The two sets of four nested mirrors resemble tubes within tubes. Incoming x-rays graze off the highly polished mirror surface and are furneled to the instrument section for detection and study. MSFC's XRCF is the world's largest, most advanced laboratory for simulating x-ray emissions from distant celestial objects. It produces a space-like environment in which components related to x-ray telescope imaging are tested and the quality of their performances in space is predicted. TRW, Inc. was the prime contractor for the development of the CXO and NASA's MSFC was responsible for its project management. The Smithsonian Astrophysical Observatory controls science and flight operations of the CXO for NASA from Cambridge, Massachusetts. The CXO was launched July 22, 1999 aboard the Space Shuttle Columbia (STS-93).

  4. History of Chandra X-Ray Observatory

    NASA Image and Video Library

    1997-12-16

    This is a photograph of the Chandra X-Ray Observatory (CXO), formerly Advanced X-Ray Astrophysics Facility (AXAF), High Resolution Mirror Assembly (HRMA) integration at the X-Ray Calibration Facility (XRCF) at the Marshall Space Flight Center (MSFC). The AXAF was renamed CXO in 1999. The CXO is the most sophisticated and the world's most powerful x-ray telescope ever built. It observes x-rays from high-energy regions of the universe, such as hot gas in the remnants of exploded stars. The HRMA, the heart of the telescope system, is contained in the cylindrical "telescope" portion of the observatory. Since high-energy x-rays would penetrate a normal mirror, special cylindrical mirrors were created. The two sets of four nested mirrors resemble tubes within tubes. Incoming x-rays graze off the highly polished mirror surface and are furneled to the instrument section for detection and study. MSFC's XRCF is the world's largest, most advanced laboratory for simulating x-ray emissions from distant celestial objects. It produces a space-like environment in which components related to x-ray telescope imaging are tested and the quality of their performances in space is predicted. TRW, Inc. was the prime contractor for the development of the CXO and NASA's MSCF was responsible for its project management. The Smithsonian Astrophysical Observatory controls science and flight operations of the CXO for NASA from Cambridge, Massachusetts. The CXO was launched July 22, 1999 aboard the Space Shuttle Columbia (STS-93).

  5. Ultrashort X-ray pulse science

    SciTech Connect

    Chin, Alan Hap

    1998-05-01

    A variety of phenomena involves atomic motion on the femtosecond time-scale. These phenomena have been studied using ultrashort optical pulses, which indirectly probe atomic positions through changes in optical properties. Because x-rays can more directly probe atomic positions, ultrashort x-ray pulses are better suited for the study of ultrafast structural dynamics. One approach towards generating ultrashort x-ray pulses is by 90° Thomson scattering between terawatt laser pulses and relativistic electrons. Using this technique, the author generated ~ 300 fs, 30 keV (0.4 Å) x-ray pulses. These x-ray pulses are absolutely synchronized with ultrashort laser pulses, allowing femtosecond optical pump/x-ray probe experiments to be performed. Using the right-angle Thomson scattering x-ray source, the author performed time-resolved x-ray diffraction studies of laser-perturbated InSb. These experiments revealed a delayed onset of lattice expansion. This delay is due to the energy relaxation from a dense electron-hole plasma to the lattice. The dense electron-hole plasma first undergoes Auger recombination, which reduces the carrier concentration while maintaining energy content. Longitudinal-optic (LO) phonon emission then couples energy to the lattice. LO phonon decay into acoustic phonons, and acoustic phonon propagation then causes the growth of a thermally expanded layer. Source characterization is instrumental in utilizing ultrashort x-ray pulses in time-resolved x-ray spectroscopies. By measurement of the electron beam diameter at the generation point, the pulse duration of the Thomson scattered x-rays is determined. Analysis of the Thomson scattered x-ray beam properties also provides a novel means of electron bunch characterization. Although the pulse duration is inferred for the Thomson scattering x-ray source, direct measurement is required for other x-ray pulse sources. A method based on the laser-assisted photoelectric effect (LAPE) has been demonstrated as a

  6. X-rays from the youngest stars

    NASA Technical Reports Server (NTRS)

    Feigelson, Eric D.

    1994-01-01

    The X-ray properties of classical and weak-lined T Tauri stars are briefly reviewed, emphasizing recent results from the ROSAT satellite and prospects for ASCA. The interpretation of the high level of T Tauri X-rays as enhanced solar-type magnetic activity is discussed and criticized. The census of X-ray emitters is significantly increasing estimates of galactic star formation efficiency, and X-ray emission may be important for self-regulation of star formation. ASCA images will detect star formation regions out to several kiloparsecs and will study the magnetically heated plasma around T Tauri stars. However, images will often suffer from crowding effects.

  7. Separating Peaks in X-Ray Spectra

    NASA Technical Reports Server (NTRS)

    Nicolas, David; Taylor, Clayborne; Wade, Thomas

    1987-01-01

    Deconvolution algorithm assists in analysis of x-ray spectra from scanning electron microscopes, electron microprobe analyzers, x-ray fluorescence spectrometers, and like. New algorithm automatically deconvolves x-ray spectrum, identifies locations of spectral peaks, and selects chemical elements most likely producing peaks. Technique based on similarities between zero- and second-order terms of Taylor-series expansions of Gaussian distribution and of damped sinusoid. Principal advantage of algorithm: no requirement to adjust weighting factors or other parameters when analyzing general x-ray spectra.

  8. X-ray laser microscope apparatus

    DOEpatents

    Suckewer, Szymon; DiCicco, Darrell S.; Hirschberg, Joseph G.; Meixler, Lewis D.; Sathre, Robert; Skinner, Charles H.

    1990-01-01

    A microscope consisting of an x-ray contact microscope and an optical microscope. The optical, phase contrast, microscope is used to align a target with respect to a source of soft x-rays. The source of soft x-rays preferably comprises an x-ray laser but could comprise a synchrotron or other pulse source of x-rays. Transparent resist material is used to support the target. The optical microscope is located on the opposite side of the transparent resist material from the target and is employed to align the target with respect to the anticipated soft x-ray laser beam. After alignment with the use of the optical microscope, the target is exposed to the soft x-ray laser beam. The x-ray sensitive transparent resist material whose chemical bonds are altered by the x-ray beam passing through the target mater GOVERNMENT LICENSE RIGHTS This invention was made with government support under Contract No. De-FG02-86ER13609 awarded by the Department of Energy. The Government has certain rights in this invention.

  9. Imaging with x-ray lasers

    SciTech Connect

    Da Silva, L.B.; Cauble, B.; Frieders, G.; Koch, J.A.; MacGowan, B.J.; Matthews, D.L.; Mrowka, S.; Ress, D.; Trebes, J.E.; Weiland, T.L.

    1993-11-01

    Collisionally pumped soft x-ray lasers now operate over a wavelength range extending from 35--300 {Angstrom}. These sources have high peak brightness and are now being utilized for x-ray imaging and plasma interferometry. In this paper we will describe our efforts to probe long scalelength plasmas using Moire deflectrometry and soft x-ray imaging. The progress in the development of short pulse x-ray lasers using a double pulse irradiation technique which incorporates a travelling wave pump will also be presented.

  10. History of Chandra X-Ray Observatory

    NASA Image and Video Library

    2000-04-01

    This Chandra X-Ray Observatory (CXO) image is a spectrum of a black hole, which is similar to the colorful spectrum of sunlight produced by a prism. The x-rays of interest are shown here recorded in bright stripes that run rightward and leftward from the center of the image. These x-rays are sorted precisely according to their energy with the highest-energy x-rays near the center of the image and the lower-energy x-rays farther out. The spectrum was obtained by using the Low Energy Transmission Grating (LETG), which intercepts x-rays and changes their direction by the amounts that depend sensitively on the x-ray energy. The assembly holds 540 gold transmission gratings. When in place behind the mirrors, the gratings intercept the x-rays reflected from the telescope. The bright spot at the center is due to a fraction of the x-ray radiation that is not deflected by the LETG. The spokes that intersect the central spot and the faint diagonal rays that flank the spectrum itself are artifacts due to the structure that supports the LETG grating elements. (Photo credit: NASA Cfa/J. McClintock et al)

  11. An Imaging X-Ray Polarimetry Mission

    NASA Technical Reports Server (NTRS)

    Weisskopf, Martin C.; Bellazini, Ronaldo; Costa, Enrico; Ramsey, Brian; O'Dell, Steve; Tennant, Allyn; Elsner, Ronald; Pavlov, George; Matt, Girogio; Kaspi, Vicky; Coppi, Paolo; Wu, Kinwah; Siegmund, Oswald

    2008-01-01

    Technical progress both in x-ray optics and in polarization-sensitive x-ray detectors, which our groups have pioneered, enables a scientifically powerful - yet inexpensive - dedicated mission for imaging x-ray polarimetry. Such a mission is sufficiently sensitive to measure x-ray (linear) polarization for a broad range of cosmic sources --- particularly those involving neutron stars, stellar black holes, and supermassive black holes (active galactic nuclei). We describe the technical elements, discuss a mission concept, and synopsiz:e the important physical and astrophysical questions such as mission would address.

  12. An Imaging X-Ray Polarimetry Mission

    NASA Technical Reports Server (NTRS)

    Weisskopf, Martin C.; Bellazini, Ronaldo; Costa, Enrico; Ramsey, Brian; O'Dell, Steve; Elsner, Ronald; Pavlov, George; Matt, Giorgio; Kaspi, Victoria; Tennant, Allyn; Coppi, Paolo; Wu, Kinwah; Siegmund, Oswald

    2008-01-01

    Technical progress both in x-ray optics and in polarization-sensitive x-ray detectors, which our groups have pioneered, enables a scientifically powerful---yet inexpensive---dedicated mission for imaging x-ray polarimetry. Such a mission is sufficiently sensitive to measure x-ray (linear) polarization for a broad range of cosmic sources --particularly those involving neutron stars, stellar black holes, and supermassive black holes (active galactic nuclei). We describe the technical elements, discuss a mission concept, and synopsize the important physical and astrophysical questions such a mission would address.

  13. Planetary X-rays: Relationship with solar X-rays and solar wind

    NASA Astrophysics Data System (ADS)

    Bhardwaj, A.

    Recently X-ray flares are observed from the low-latitude disk of giant planets Jupiter and Saturn in the energy range of 0.2-2 keV. These flares are found to occur in tandem with the occurrence of solar X-ray flare, when light travel time delay is accounted. These studies suggest that disk of outer planets Jupiter and Saturn acts as "diffuse mirror" for solar X-rays and that X-rays from these planets can be used to study flaring on the hemisphere of the Sun that in invisible to near-Earth space weather satellites. Also by proper modeling of the observed planetary X-rays the solar soft X-ray flux can be derived. X-ray flares are also observed on the Mars. On the other hand, X-rays from comets are produced mainly in charge exchange interaction between highly ionized heavy solar wind ions and cometary neutrals. Thus cometary X-rays provide a diagnostics of the solar wind properties. X-rays from Martian exosphere is also dominantly produced via charge exchange interaction between Martian corona and solar wind, providing proxy for solar wind. This paper provides a brief overview on the X-rays from some of the planets and comets and their connection with solar X-rays and solar wind, and how planetary X-rays can be used to study the Sun.

  14. X-Ray Imaging Study

    NASA Technical Reports Server (NTRS)

    OBrien, Susan K.; Workman, Gary L.

    1996-01-01

    The space environment in which the Space Station Freedom and other space platforms will orbit is truly a hostile environment. For example, the currently estimated integral fluence for electrons above 1 Mev at 2000 nautical miles is above 2 x 1O(exp 10) electrons/sq cm/day and the proton integral fluence is above 1 x 10(exp 9) protons/sq cm/day. At the 200 - 400 nautical miles, which is more representative of the altitude which will provide the environment for the Space Station, each of these fluences will be proportionally less; however, the data indicates that the radiation environment will obviously have an effect on structural materials exposed to the environment for long durations. The effects of this combined environment is the issue which needs to be understood for the long term exposure of structures in space. At the same time, there will be substantial potential for collisions between the space platforms and space debris. The current NASA catalogue contains over 4500 objects floating in space which are not considered payloads. This debris can have significant effects on collision with orbiting spacecraft. In order to better understand the effect of these hostile phenomena on spacecraft, several types of studies are being performed to simulate at some level the effect of the environment. In particular the study of debris clouds produced by hypervelocity impact on the various surfaces anticipated on the Space Station is very important at this point in time. The need to assess the threat of such debris clouds on space structures is an on-going activity. The Space Debris Impact facility in Building 4612 provides a test facility to monitor the types of damage produced with hypervelocity impact. These facilities are used to simulate space environmental effects from energetic particles. Flash radiography or x-ray imaging has traditionally provided such information and as such has been an important tool for recording damage in situ with the event. The proper

  15. A comparison of video review and feedback device measurement of chest compressions quality during pediatric cardiopulmonary resuscitation.

    PubMed

    Hsieh, Ting-Chang; Wolfe, Heather; Sutton, Robert; Myers, Sage; Nadkarni, Vinay; Donoghue, Aaron

    2015-08-01

    To describe chest compression (CC) rate, depth, and leaning during pediatric cardiopulmonary resuscitation (CPR) as measured by two simultaneous methods, and to assess the accuracy and reliability of video review in measuring CC quality. Resuscitations in a pediatric emergency department are videorecorded for quality improvement. Patients aged 8-18 years receiving CPR under videorecording were eligible for inclusion. CPR was recorded by a pressure/accelerometer feedback device and tabulated in 30-s epochs of uninterrupted CC. Investigators reviewed videorecorded CPR and measured rate, depth, and release by observation. Raters categorized epochs as 'meeting criteria' if 80% of CCs in an epoch were done with appropriate depth (>45 mm) and/or release (<2.5 kg leaning). Comparison between device measurement and video was made by Spearman's ρ for rate and by κ statistic for depth and release. Interrater reliability for depth and release was measured by κ statistic. Five patients underwent videorecorded CPR using the feedback device. 97 30-s epochs of CCs were analyzed. CCs met criteria for rate in 74/97 (76%) of epochs; depth in 38/97 (39%); release in 82/97 (84%). Agreement between video and feedback device for rate was good (ρ = 0.77); agreement was poor for depth and release (κ 0.04-0.41). Interrater reliability for depth and release measured by video was poor (κ 0.04-0.49). Video review measured CC rate accurately; depth and release were not reliably or accurately assessed by video. Future research should focus on the optimal combination of methods for measuring CPR quality. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  16. X-rays from Saturn Pose Puzzles

    NASA Astrophysics Data System (ADS)

    2004-03-01

    The first clear detection of X-rays from the giant, gaseous planet Saturn has been made with NASA's Chandra X-ray Observatory. Chandra's image shows that the X-rays are concentrated near Saturn's equator, a surprising result since Jupiter's X-ray emission is mainly concentrated near the poles. Existing theories cannot easily explain the intensity or distribution of Saturn's X-rays. Chandra observed Saturn for about 20 hours in April of 2003. The spectrum, or distribution with energy of the X-rays, was found to be very similar to that of X-rays from the Sun. "This indicates that Saturn's X-ray emission is due to the scattering of solar X-rays by Saturn's atmosphere," said Jan-Uwe Ness, of the University of Hamburg in Germany and lead author of a paper discussing the Saturn results in an upcoming issue of Astronomy & Astrophysics. "It's a puzzle, since the intensity of Saturn's X-rays requires that Saturn reflects X-rays fifty times more efficiently than the Moon." The observed 90 megawatts of X-ray power from Saturn's equatorial region is roughly consistent with previous observations of the X-radiation from Jupiter's equatorial region. This suggests that both giant, gaseous planets reflect solar X-rays at unexpectedly high rates. Further observations of Jupiter will be needed to test this possibility. The weak X-radiation from Saturn's south-polar region presents another puzzle (the north pole was blocked by Saturn's rings during this observation). Saturn's magnetic field, like that of Jupiter, is strongest near the poles. X-radiation from Jupiter is brightest at the poles because of auroral activity due to the enhanced interaction of high-energy particles from the Sun with its magnetic field. Since spectacular ultraviolet polar auroras have been observed to occur on Saturn, Ness and colleagues expected that Saturn's south pole might be bright in X-rays. It is not clear whether the auroral mechanism does not produce X-rays on Saturn, or for some reason concentrates

  17. The reduction methods of operator's radiation dose for portable dental X-ray machines.

    PubMed

    Cho, Jeong-Yeon; Han, Won-Jeong

    2012-08-01

    This study was aimed to investigate the methods to reduce operator's radiation dose when taking intraoral radiographs with portable dental X-ray machines. Two kinds of portable dental X-ray machines (DX3000, Dexcowin and Rextar, Posdion) were used. Operator's radiation dose was measured with an 1,800 cc ionization chamber (RadCal Corp.) at the hand level of X-ray tubehead and at the operator's chest and waist levels with and without the backscatter shield. The operator's radiation dose at the hand level was measured with and without lead gloves and with long and short cones. The backscatter shield reduced operator's radiation dose at the hand level of X-ray tubehead to 23 - 32%, the lead gloves to 26 - 31%, and long cone to 48 - 52%. And the backscatter shield reduced operator's radiation dose at the operator's chest and waist levels to 0.1 - 37%. When portable dental X-ray systems are used, it is recommended to select X-ray machine attached with a backscatter shield and a long cone and to wear the lead gloves.

  18. History of Chandra X-Ray Observatory

    NASA Image and Video Library

    1998-01-01

    This is a computer rendering of the fully developed Chandra X-Ray Observatory (CXO), formerly Advanced X-Ray Astrophysics Facility (AXAF). In 1999, the AXAF was renamed the CXO in honor of the late Indian-American Novel Laureate Subrahmanyan Chandrasekhar. The CXO is the most sophisticated and the world's most powerful x-ray telescope ever built. It is designed to observe x-rays from high energy regions of the Universe, such as hot gas in the renmants of exploded stars. It produces picture-like images of x-ray emissions analogous to those made in visible light, as well as gathers data on the chemical composition of x-ray radiating objects. The CXO helps astronomers world-wide better understand the structure and evolution of the universe by studying powerful sources of x-ray such as exploding stars, matter falling into black holes, and other exotic celestial objects. The Observatory has three major parts: (1) the x-ray telescope, whose mirrors will focus x-rays from celestial objects; (2) the science instruments that record the x-rays so that x-ray images can be produced and analyzed; and (3) the spacecraft, which provides the environment necessary for the telescope and the instruments to work. TRW, Inc. was the prime contractor for the development of the CXO and NASA's Marshall Space Flight Center was responsible for its project management. The Smithsonian Astrophysical Observatory controls science and flight operations of the CXO for NASA from Cambridge, Massachusetts. The Observatory was launched July 22, 1999 aboard the Space Shuttle Columbia, STS-93 mission. (Image courtesy of TRW).

  19. History of Chandra X-Ray Observatory

    NASA Image and Video Library

    1997-04-15

    This photograph captures the installation of the Chandra X-Ray Observatory, formerly Advanced X-Ray Astrophysics Facility (AXAF), Advanced Charged-Coupled Device (CCD) Imaging Spectrometer (ACIS) into the Vacuum Chamber at the X-Ray Calibration Facility (XRCF) at Marshall Space Flight Center (MSFC). The AXAF was renamed Chandra X-Ray Observatory (CXO) in 1999. The CXO is the most sophisticated and the world's most powerful x-ray telescope ever built. It observes x-rays from high-energy regions of the universe, such as hot gas in the remnants of exploded stars. The ACIS is one of two focal plane instruments. As the name suggests, this instrument is an array of CCDs similar to those used in a camcorder. This instrument will be especially useful because it can make x-ray images and measure the energies of incoming x-rays. It is the instrument of choice for studying the temperature variation across x-ray sources, such as vast clouds of hot-gas intergalactic space. MSFC's XRCF is the world's largest, most advanced laboratory for simulating x-ray emissions from distant celestial objects. It produces a space-like environment in which components related to x-ray telescope imaging are tested and the quality of their performances in space is predicted. TRW, Inc. was the prime contractor for the development of the CXO and NASA's MSFC was responsible for its project management. The Smithsonian Astrophysical Observatory controls science and flight operations of the CXO for NASA from Cambridge, Massachusetts. The CXO was launched July 22, 1999 aboard the Space Shuttle Columbia (STS-93).

  20. History of Chandra X-Ray Observatory

    NASA Image and Video Library

    1999-01-01

    This is a computer rendering of the fully developed Chandra X-ray Observatory (CXO), formerly Advanced X-Ray Astrophysics Facility (AXAF), in orbit in a star field. In 1999, the AXAF was renamed the CXO in honor of the late Indian-American Novel Laureate Subrahmanyan Chandrasekhar. The CXO is the most sophisticated and the world's most powerful x-ray telescope ever built. It is designed to observe x-rays from high energy regions of the Universe, such as hot gas in the renmants of exploded stars. It produces picture-like images of x-ray emissions analogous to those made in visible light, as well as gathers data on the chemical composition of x-ray radiating objects. The CXO helps astronomers world-wide better understand the structure and evolution of the universe by studying powerful sources of x-rays such as exploding stars, matter falling into black holes, and other exotic celestial objects. The Observatory has three major parts: (1) the x-ray telescope, whose mirrors will focus x-rays from celestial objects; (2) the science instruments that record the x-rays so that x-ray images can be produced and analyzed; and (3) the spacecraft, which provides the environment necessary for the telescope and the instruments to work. TRW, Inc. was the prime contractor for the development of the CXO and NASA's Marshall Space Flight Center was responsible for its project management. The Smithsonian Astrophysical Observatory controls science and flight operations of the CXO for NASA from Cambridge, Massachusetts. The Observatory was launched July 22, 1999 aboard the Space Shuttle Columbia, STS-93 mission. (Image courtesy of TRW).

  1. History of Chandra X-Ray Observatory

    NASA Image and Video Library

    1995-01-14

    This is an artist's concept of the Chandra X-Ray Observatory (CXO), formerly Advanced X-Ray Astrophysics Facility (AXAF), fully developed in orbit in a star field with Earth. In 1999, the AXAF was renamed the CXO in honor of the late Indian-American Novel Laureate Subrahmanyan Chandrasekhar. The CXO is the most sophisticated and the world's most powerful x-ray telescope ever built. It is designed to observe x-rays from high energy regions of the Universe, such as hot gas in the renmants of exploded stars. It produces picture-like images of x-ray emissions analogous to those made in visible light, as well as gathers data on the chemical composition of x-ray radiating objects. The CXO helps astronomers world-wide better understand the structure and evolution of the universe by studying powerful sources of x-ray such as exploding stars, matter falling into black holes, and other exotic celestial objects. The Observatory has three major parts: (1) the x-ray telescope, whose mirrors will focus x-rays from celestial objects; (2) the science instruments that record the x-rays so that x-ray images can be produced and analyzed; and (3) the spacecraft, which provides the environment necessary for the telescope and the instruments to work. TRW, Inc. was the prime contractor for the development the CXO and NASA's Marshall Space Flight Center was responsible for its project management. The Smithsonian Astrophysical Observatory controls science and flight operations of the CXO for NASA from Cambridge, Massachusetts. The Observatory was launched July 22, 1999 aboard the Space Shuttle Columbia, STS-93 mission. (Image courtesy of TRW).

  2. Wide field x-ray telescopes: Detecting x-ray transients/afterglows related to GRBs

    SciTech Connect

    Hudec, Rene; Pina, Ladislav; Inneman, Adolf; Gorenstein, Paul

    1998-05-16

    The recent discovery of X-ray afterglows of GRBs opens the possibility of analyses of GRBs by their X-ray detections. However, imaging X-ray telescopes in current use mostly have limited fields of view. Alternative X-ray optics geometries achieving very large fields of view have been theoretically suggested in the 70's but not constructed and used so far. We review the geometries and basic properties of the wide-field X-ray optical systems based on one- and two-dimensional lobster-eye geometry and suggest technologies for their development and construction. First results of the development of double replicated X-ray reflecting flats for use in one-dimensional X-ray optics of lobster-eye type are presented and discussed. The optimum strategy for locating GRBs upon their X-ray counterparts is also presented and discussed.

  3. SMM X-ray polychromator

    NASA Technical Reports Server (NTRS)

    Strong, Keith T.; Haisch, Bernhard M. (Compiler); Lemen, James R. (Compiler); Acton, L. W.; Bawa, H. S.; Claflin, E. S.; Freeland, S. L.; Slater, G. L.; Kemp, D. L.; Linford, G. A.

    1988-01-01

    The range of observing and analysis programs accomplished with the X-Ray Polychromator (XRP) instruments during the decline of solar cycle 21 and the rise of the solar cycle 22 is summarized. Section 2 describes XRP operations and current status. This is meant as a guide on how the instrument is used to obtain data and what its capabilities are for potential users. The science section contains a series of representative abstracts from recently published papers on major XRP science topics. It is not meant to be a complete list but illustrates the type of science that can come from the analysis of the XRP data. There then follows a series of appendixes that summarize the major data bases that are available. Appendix A is a complete bibliography of papers and presentations produced using XRP data. Appendix B lists all the spectroscopic data accumulated by the Flat Crystal Spectrometer (FCS). Appendix C is a compilation of the XRP flare catalogue for events equivalent to a GOES C-level flare or greater. It lists the start, peak and end times as well as the peak Ca XIX flux.

  4. Foil X-ray Mirrors

    NASA Astrophysics Data System (ADS)

    Serlemitsos, Peter J.; Soong, Yang

    1996-09-01

    Nested thin foil reflectors have made possible light weight, inexpensive and fast grazing incidence X-ray mirrors for astronomical spectroscopy over a broad band. These mirrors were developed at Goddard for the US Shuttle program and were flown on NASA's shuttleborne Astro-l mission in December 1990. Presently, the Japan/US collaborative spectroscopic mission ASCA, nearing its third year of successful operation in earth orbit, carries, four such mirrors, weighing less than 40 kg and giving total effective areas of ˜ 1200 and 420 cm2 at l and 8 keV respectively. The ˜ 420 kg observatory is the best possible example of how conical foil mirrors opened areas of research that could not have been otherwise addressed with available resources. In this paper, we will briefly review the development and performance of our first generation foil mirrors. We will also describe progress toward improving their imaging capability to prime them for use in future instruments. Such a goal is highly desirable, if not necessary for this mirror technology to remain competitive for future applications.

  5. X-ray target cooling

    SciTech Connect

    Staub, F.W.

    1990-07-31

    This patent describes a rotatable anode for an X-ray tube. It comprises: a hollow rotatable anode wheel having two circular faces, one of the faces having a beveled edge for a target region; a circular baffle having first and second sides situated concentrically inside the hollow anode wheel, the circular baffle having means for imparting a tangential velocity of a liquid on either side of the baffle. The outer perimeter of the circular baffle spaced away from the interior of the anode wheel the second side of the circular baffle having means situated thereon for creating operation between a forced and a free vortex condition in liquid in the vicinity of the disc periphery; means for supplying cooling liquid to the central portion of the first side of the baffle; means for removing cooling liquid from the central portion of the second side of the baffle, the second side of the baffle adjacent to the face of the hollow rotatable anode wheel having the beveled edge; and structural means for rotating the baffle when the anode wheel is being rotated.

  6. Hard X-ray delays

    NASA Technical Reports Server (NTRS)

    Schwartz, Richard A.

    1986-01-01

    High time resolution hard X-ray rates with good counting statistics over 5 energy intervals were obtained using a large area balloon-borne scintillation detector during the 27 June 1980 solar flare. The impulsive phase of the flare was comprised of a series of major bursts of several to several tens of seconds long. Superimposed on these longer bursts are numerous smaller approximately 0.5 to 1.0 second spikes. The time profiles for different energies were cross-correlated for the major bursts. The rapid burst decay rates and the simultaneous peaks below 120 keV both indicate a rapid electron energy loss process. Thus, the flux profiles reflect the electron acceleration/injection process. The fast rate data was obtained by a burst memory in 8 and 32 msec resolution over the entire main impulsive phase. These rates will be cross-correlated to look for short time delays and to find rapid fluctuations. However, a cursory examination shows that almost all fluctuations, down to the 5% level, were resolved with 256 msec bins.

  7. Digital X-Ray Imaging

    NASA Astrophysics Data System (ADS)

    Dance, David R.

    The use of X-ray image receptors that produce a digital image is becoming increasingly important. Possible benefits include improved dynamic range and detective quantum efficiency, improved detectability for objects of low intrinsic contrast, and reduced radiation dose. The image can be available quickly. The display is separated from the image capture so that processing and contrast adjustment are possible before the image is viewed. The availability of a digital image means ready input into PACS and opens up the possibility of computer-aided detection and classification of abnormality. Possible drawbacks of digital systems include high cost, limited high contrast resolution and the fact that their clinical value is sometimes not proven in comparison with conventional, analogue techniques. The high contrast resolution attainable with such systems is discussed and the problem of sampling limitations and aliasing considered. The properties and limitations of digital systems using computed radiography, caesium iodide plus CCDs and active matrix arrays with either caesium iodide or selenium detectors are demonstrated. Examples are given of digital systems for mammography and general radiography and their performance is demonstrated in terms of clinical assessment and measurements of the modulation transfer function and detective quantum efficiency.

  8. SN X-ray Progenitor?

    NASA Technical Reports Server (NTRS)

    2008-01-01

    Identifying stars that explode, right before they explode, is a tricky proposition since the end of starlife comes swiftly: in thermonuclear deflagrations, in nuclear exhaustion, or maybe in a rapid swirling merger of two dead stellar cores. On the right in the image above is an image of the galaxy NGC 1404 taken by the UV/optical Telescope (UVOT) on the Swift observatory. The circle surrounds SN 2007on, a supernova of Type Ia produced by the explosion of a white dwarf star in a binary system. These types of supernovae are important since they are believed to be 'standard candles', events which have the same intrinsic brightness which can serve as an important yardstick to measure cosmic distances. On the left is an image of the same galaxy taken by the Chandra X-ray observatory four years before the supernova. Conspicuous in the SN source circle is a bright source in the Chandra image, believed to be emission from a compact object+normal star companion: a similar system to the supposed precursor of SN 2007on. If true this would be the first time a Type Ia supernova precursor has ever been seen. But astronomers are still debating whether the Chandra source really is the precursor or not; it seems there's a slight but significant difference in the location of the Chandra source and the supernova. Stay tuned for more developments.

  9. Hard X ray imaging telescope

    NASA Astrophysics Data System (ADS)

    Lubin, P.

    1990-03-01

    This final report covers the work carried out under the LLNL Contract Number B063682, Subcontractor Regents University of California at Santa Barbara. The research carried out under this contract involves the construction of a telemetry, target acquisition and guidance system, and of a light-weight gondola to house an x ray spectrometer. This work is part of the design and construction of the balloon experiment, GRATIS, which will perform the first arcminute imaging of cosmic sources in the 30 to 200 keV energy band. Observations conducted with GRATIS are expected to provide data relevant to several key problems in high energy astrophysics including the physical processes responsible for the high energy tail observed in the soft gamma-ray spectra of clusters of galaxies and the origin of both the diffuse and point source components of the gamma-ray emission from the Galactic Center. This report discusses the scientific motivations for this experiment, presents several aspects of the design and construction of the hardware components, gives an overview of the stabilized platform, and demonstrates the expected performance and sensitivity.

  10. SN X-ray Progenitor?

    NASA Technical Reports Server (NTRS)

    2008-01-01

    Identifying stars that explode, right before they explode, is a tricky proposition since the end of starlife comes swiftly: in thermonuclear deflagrations, in nuclear exhaustion, or maybe in a rapid swirling merger of two dead stellar cores. On the right in the image above is an image of the galaxy NGC 1404 taken by the UV/optical Telescope (UVOT) on the Swift observatory. The circle surrounds SN 2007on, a supernova of Type Ia produced by the explosion of a white dwarf star in a binary system. These types of supernovae are important since they are believed to be 'standard candles', events which have the same intrinsic brightness which can serve as an important yardstick to measure cosmic distances. On the left is an image of the same galaxy taken by the Chandra X-ray observatory four years before the supernova. Conspicuous in the SN source circle is a bright source in the Chandra image, believed to be emission from a compact object+normal star companion: a similar system to the supposed precursor of SN 2007on. If true this would be the first time a Type Ia supernova precursor has ever been seen. But astronomers are still debating whether the Chandra source really is the precursor or not; it seems there's a slight but significant difference in the location of the Chandra source and the supernova. Stay tuned for more developments.

  11. X-ray satellite (Rosat)

    NASA Technical Reports Server (NTRS)

    1986-01-01

    An overview of the current status of the ROSAT X-Ray satellite project is given. Areas discussed include an overview of problem areas, systems and mechanical subsystems, the electrical subsystem, power supply, data processing and transmission, the wide field camera, ground support equipment and the production scheduling. It is shown that the project is proceeding according to schedule, including the hardware production and costs. However, it is stated that estimated additional costs will exceed the plan. The previous schedule for production of the flight model will no longer be met. A modified milestone plan has been worked out with Dornier Systems. The current working schedule calls for a launch data of December 21, 1987; however, this does not take into account a 4-week buffer prior to transporting the flight model to the launch site. As of the date of this report, milestone M5 has been met. Previous problems with the gold vapor deposition on the flight model mirror due to contamination have been eliminated.

  12. X ray lithography in Japan

    NASA Astrophysics Data System (ADS)

    Clemens, James T.; Hill, Robert W.; Cerrina, Franco; Fuller, Gene E.; Pease, R. F.

    1991-10-01

    Integrated circuits (semiconductors) are the key components of modern computers, communication systems, consumer electronics, and the new generations of smart machines and instruments. Japan's strong position and growing influence in the manufacture of semiconductors and systems based on them is well known and well documented. Microlithography is one the most critical elements of the semiconductor manufacturing process because it determines the minimum feature size and the functional capabilities of the semiconductor. Because it is used many times in the manufacturing sequence, the quality of the microlithography process (i.e., number of defects, control for feature size, etc.) is critical in determining the yield and cost of semiconductors and hence the competitiveness of the electronics industry. At present all volume semiconductor manufacturing is done with optical UV (ultraviolet) projection lithography, twenty-year-old photographic technology which has been and is still evolving. There are many issues that limit the technical capability and cost-effectiveness of UV lithography, and thus, alternate lithographic techniques are continuously being researched and developed. X-ray lithography, which was invented in the early 1970's, holds the promise of providing higher yields in manufacturing semiconductors by virtue of enhanced process latitude, process robustness, and resolution.

  13. [Report based on Fiscal 2010 Diagnostic X-ray Equipment Questionnaire Survey (conditions of X-ray units and similar equipment)].

    PubMed

    Sato, Nobuhiko; Saito, Hiroki; Miyazono, Tadafumi; Takahashi, Masaru; Negishi, Toru; Kato, Yoh; Abe, Shinji; Imai, Yoshio; Asano, Hiroshi

    2014-12-01

    On X-ray diagnostic technology, it is important to grasp a change of the X-ray high-voltage equipment and radiographic technique factors. The 1st questionnaire was performed in 1974, and it carried out after that every five years, and conducted 8th investigation. As a result, we requested 656 institutions and got a reply from 103 institutions. The response rate was 15.7%. For X-ray high-voltage equipment, the inverter-type device shifts to 83.6% from 73.4% of last time. X-ray high-voltage equipment will be shifted to inverter-type device the near future. For X-ray tube device, the target angle becomes more smaller than usual, and maximum anode heat content is increasing tendency. The spread of digital devices is being advanced, and especially the flat panel detector (FPD) increases in the devices. The spread of soft copy diagnoses is 73.8% for chest image diagnoses, and 49.5% for breast image diagnosis. For the device management, the ratio of institutions measured at purchase time was 91.2%. But, the ratio of institutions performed an invariability examination was 58.4%. It is required to grasp the performance of an X-ray equipment and peripheral equipment, and to perform accuracy control in order to obtain proper radiographic technique factors and imaging. In order to use it for the improvement in photography technology, we would like to continue to conduct this investigation periodically.

  14. Diffraction leveraged modulation of X-ray pulses using MEMS-based X-ray optics

    DOEpatents

    Lopez, Daniel; Shenoy, Gopal; Wang, Jin; Walko, Donald A.; Jung, Il-Woong; Mukhopadhyay, Deepkishore

    2016-08-09

    A method and apparatus are provided for implementing Bragg-diffraction leveraged modulation of X-ray pulses using MicroElectroMechanical systems (MEMS) based diffractive optics. An oscillating crystalline MEMS device generates a controllable time-window for diffraction of the incident X-ray radiation. The Bragg-diffraction leveraged modulation of X-ray pulses includes isolating a particular pulse, spatially separating individual pulses, and spreading a single pulse from an X-ray pulse-train.

  15. A room-temperature X-ray-induced photochromic material for X-ray detection.

    PubMed

    Wang, Ming-Sheng; Yang, Chen; Wang, Guan-E; Xu, Gang; Lv, Xiang-Ying; Xu, Zhong-Ning; Lin, Rong-Guang; Cai, Li-Zhen; Guo, Guo-Cong

    2012-04-02

    A color change: X-ray-induced photochromic species are rare and can be used for detection of X-rays. A highly robust X-ray-sensitive material with the discrete structure of a metal-organic complex has been found to show both soft and hard X-ray-induced photochromism at room temperature. A new ligand-to-ligand electron-transfer mechanism was proposed to elucidate this photochromic phenomenon.

  16. Determination of regional myocardial perfusion by x-ray fluorescence

    SciTech Connect

    Palmer, B.M.; McInerney, J.J. )

    1990-05-01

    Validation studies were performed to demonstrate the effectiveness of an x-ray induced fluorescence system in quantitating regional myocardial perfusion in vivo. In a series of 13 open-chested canines, x-ray induced fluorescence was used to simultaneously monitor iodine concentration transients which arose in the left ventricular lumen and in the myocardium after the intravenous injection of an iodinated flow tracer. Deconvolution of the recorded transients produced a transfer function from which the mean transit time for the tracer to travel between the left ventricular lumen and the myocardium was calculated. Measurements of regional myocardial perfusion (Q) made by radioactive microspheres were compared with the reciprocals of the mean transit times (MTT-1) and gave a linear correlation (n = 38): MTT-1 = 0.033 + 0.069 Q, r = 0.71. Comparison of the percent change in perfusion (dQ) relative to a control study for each dog with the percent change in the respective reciprocals of the mean transit times (dMTT-1) produced a linear correlation coefficient of r = 0.88 for the regression line dMTT-1 = 0.46 dQ - 10.7. The x-ray induced fluorescence system may provide a minimally invasive means for monitoring iodine concentration transients and determining relative, if not absolute, measures of regional myocardial perfusion.

  17. Phased Contrast X-Ray Imaging

    ScienceCinema

    Erin Miller

    2016-07-12

    The Pacific Northwest National Laboratory is developing a range of technologies to broaden the field of explosives detection. Phased contrast X-ray imaging, which uses silicon gratings to detect distortions in the X-ray wave front, may be applicable to mail or luggage scanning for explosives; it can also be used in detecting other contraband, small-parts inspection, or materials characterization.

  18. Accelerator-driven X-ray Sources

    SciTech Connect

    Nguyen, Dinh Cong

    2015-11-09

    After an introduction which mentions x-ray tubes and storage rings and gives a brief review of special relativity, the subject is treated under the following topics and subtopics: synchrotron radiation (bending magnet radiation, wiggler radiation, undulator radiation, brightness and brilliance definition, synchrotron radiation facilities), x-ray free-electron lasers (linac-driven X-ray FEL, FEL interactions, self-amplified spontaneous emission (SASE), SASE self-seeding, fourth-generation light source facilities), and other X-ray sources (energy recovery linacs, Inverse Compton scattering, laser wakefield accelerator driven X-ray sources. In summary, accelerator-based light sources cover the entire electromagnetic spectrum. Synchrotron radiation (bending magnet, wiggler and undulator radiation) has unique properties that can be tailored to the users’ needs: bending magnet and wiggler radiation is broadband, undulator radiation has narrow spectral lines. X-ray FELs are the brightest coherent X-ray sources with high photon flux, femtosecond pulses, full transverse coherence, partial temporal coherence (SASE), and narrow spectral lines with seeding techniques. New developments in electron accelerators and radiation production can potentially lead to more compact sources of coherent X-rays.

  19. X-ray spectroscopy of magnetic CVs

    NASA Astrophysics Data System (ADS)

    Matt, Giorgio

    I discuss two topics in X-ray spectroscopy of magnetic CVs: reflection from the white dwarf surface, and opacity effects in the post shock plasma. I also briefly mention future observational perspectives, with particular emphasis on the Constellation X-ray mission.

  20. The future in X-ray surveys

    NASA Astrophysics Data System (ADS)

    Hasinger, Günther

    2015-08-01

    I will chair this "Way Forward" discusson about the future in X-ray Surveys at the Focus Meeting #6Cosmological X-ray Surveys: probing the Hot and Energetic Cosmos. Participants will be R. Gilli,G. Pratt, G. Fabbiano, X. Barcons, T. Ohashi, F. Harrison.

  1. X-rays from intermediate mass stars

    NASA Astrophysics Data System (ADS)

    Robrade, Jan

    I will review the X-ray properties of intermediate mass stars and discuss possible X-ray generating mechanisms. Main-sequence stars of spectral type mid B to mid A neither drive sufficiently strong winds to produce shock generated X-rays, nor possess an outer convection zone to generate dynamo driven magnetic activity and coronae. Consequently they should be virtually X-ray dark and occasionally detected X-ray emission was usually attributed to undetected low-mass companions. However, in magnetic intermediate mass stars, the Ap/Bp stars, a different X-ray production mechanism may operate. It is termed the magnetically channeled wind-shock model, where the stellar wind from both hemispheres is channelled towards the equatorial plane, collides and forms a rigidly rotating disk around the star. The strong shocks of the nearly head-on wind collision as well as the existence of magnetically confined plasma in a dynamic circumstellar disk can lead to diverse X-ray phenomena. In this sense Ap/Bp stars bridge the 'classical' X-ray regimes of cool and hot stars.

  2. High resolution X-ray scattering measurements

    NASA Technical Reports Server (NTRS)

    Zombeck, M. V.; Braeuninger, H.; Ondrusch, A.; Predehl, P.

    1982-01-01

    The results of high angular resolution grazing incidence scattering measurements of highly polished, coated optical flats in the X-ray spectral range of 1.5 to 6.4 keV are reported. The interpretation of these results in terms of surface microtopography is presented and the implications for grazing incidence X-ray imaging are discussed.

  3. Tracing the X-Ray Trail

    MedlinePlus

    What you need to know about… Tracing the X-ray Trail If you’ve just completed an x-ray, computed tomography (CT), magnetic resonance (MR) Start here! or other diagnostic imaging procedure, you probably want to know when you will ... los rayos X Si acaba de hacerse una radiografía, tomografía ¡Empezar ...

  4. X-Ray Detection Visits the Classroom

    ERIC Educational Resources Information Center

    Peralta, Luis; Farinha, Ana; Pinto, Ana

    2008-01-01

    Film has been used to detect x-rays since the early days of their discovery by Rontgen. Although nowadays superseded by other techniques, film still provides a cheap means of x-ray detection, making it attractive in high-school or undergraduate university courses. If some sort of quantitative result is required, the film's optical absorbance or…

  5. X-ray dynamical diffraction Fraunhofer holography.

    PubMed

    Balyan, Minas

    2013-09-01

    An X-ray dynamical diffraction Fraunhofer holographic scheme is proposed. Theoretically it is shown that the reconstruction of the object image by visible light is possible. The spatial and temporal coherence requirements of the incident X-ray beam are considered. As an example, the hologram recording as well as the reconstruction by visible light of an absolutely absorbing wire are discussed.

  6. X-rays from Green Pea analogues

    NASA Astrophysics Data System (ADS)

    Brorby, M.; Kaaret, P.

    2017-09-01

    X-ray observations of two metal-deficient luminous compact galaxies (LCG; SHOC 486 and SDSS J084220.94+115000.2) with properties similar to the so-called Green Pea galaxies were obtained using the Chandra X-ray Observatory. Green Pea galaxies are relatively small, compact (a few kpc across) galaxies that get their green colour from strong [O iii] λ5007 Å emission, an indicator of intense, recent star formation. These two galaxies were predicted to have the highest observed count rates, using the X-ray luminosity-star formation rate (LX-SFR) relation for X-ray binaries, from a statistically complete sample drawn from optical criteria. We determine the X-ray luminosity relative to SFR and metallicity for these two galaxies. Neither exhibits any evidence of active galactic nuclei, and we suspect that the X-ray emission originates from unresolved populations of high-mass X-ray binaries. We discuss the LX-SFR-metallicity plane for star-forming galaxies and show that the two LCGs are consistent with the prediction of this relation. This is the first detection of Green Pea analogues in X-rays.

  7. VETA-1 x ray detection system

    NASA Technical Reports Server (NTRS)

    Podgorski, W. A.; Flanagan, Kathy A.; Freeman, Mark D.; Goddard, R. G.; Kellogg, Edwin M.; Norton, T. J.; Ouellette, J. P.; Roy, A. G.; Schwartz, Daniel A.

    1992-01-01

    The alignment and X-ray imaging performance of the Advanced X-ray Astrophysics Facility (AXAF) Verification Engineering Test Article-I (VETA-I) was measured by the VETA-I X-Ray Detection System (VXDS). The VXDS was based on the X-ray detection system utilized in the AXAF Technology Mirror Assembly (TMA) program, upgraded to meet the more stringent requirements of the VETA-I test program. The VXDS includes two types of X-ray detectors: (1) a High Resolution Imager (HRI) which provides X-ray imaging capabilities, and (2) sealed and flow proportional counters which, in conjunction with apertures of various types and precision translation stages, provide the most accurate measurement of VETA-I performance. Herein we give an overview of the VXDS hardware including X-ray detectors, translation stages, apertures, proportional counters and flow counter gas supply system and associated electronics. We also describe the installation of the VXDS into the Marshall Space Flight Center (MSFC) X-Ray Calibration Facility (XRCF). We discuss in detail the design and performance of those elements of the VXDS which have not been discussed elsewhere; translation systems, flow counter gas supply system, apertures and thermal monitoring system.

  8. History of Chandra X-Ray Observatory

    NASA Image and Video Library

    2000-10-01

    This most distant x-ray cluster of galaxies yet has been found by astronomers using Chandra X-ray Observatory (CXO). Approximately 10 billion light-years from Earth, the cluster 3C294 is 40 percent farther than the next most distant x-ray galaxy cluster. The existence of such a faraway cluster is important for understanding how the universe evolved. CXO's image reveals an hourglass-shaped region of x-ray emissions centered on the previously known central radio source (seen in this image as the blue central object) that extends outward for 60,000 light- years. The vast clouds of hot gas that surround such galaxies in clusters are thought to be heated by collapse toward the center of the cluster. Until CXO, x-ray telescopes have not had the needed sensitivity to identify such distant clusters of galaxies. Galaxy clusters are the largest gravitationally bound structures in the universe. The intensity of the x-rays in this CXO image of 3C294 is shown as red for low energy x-rays, green for intermediate, and blue for the most energetic x-rays. (Photo credit: NASA/loA/A. Fabian et al)

  9. Higher Sensitivity in X-Ray Photography

    NASA Technical Reports Server (NTRS)

    Buggle, R. N.

    1986-01-01

    Hidden defects revealed if X-ray energy decreased as exposure progresses. Declining-potential X-ray photography detects fractures in thin metal sheet covered by unbroken sheet of twice thickness. Originally developed to check solder connections on multilayer circuit boards, technique has potential for other nondestructive testing.

  10. X-Ray Detection Visits the Classroom

    ERIC Educational Resources Information Center

    Peralta, Luis; Farinha, Ana; Pinto, Ana

    2008-01-01

    Film has been used to detect x-rays since the early days of their discovery by Rontgen. Although nowadays superseded by other techniques, film still provides a cheap means of x-ray detection, making it attractive in high-school or undergraduate university courses. If some sort of quantitative result is required, the film's optical absorbance or…

  11. Nearly Anastigmatic X-Ray Telescope

    NASA Technical Reports Server (NTRS)

    Korsch, D.

    1985-01-01

    Proposed X-ray telescope made of many concentric reflecting rings, each of which consists of two portions of cone. Proposed design is variation on conventional grazing incidence X-ray telescope, which has just one twosegment reflecting element but suffers from excessive astigmatism and field curvature. Using many short elements instead of single long element, new design gives nearly anastigmatic image.

  12. History of Chandra X-Ray Observatory

    NASA Image and Video Library

    1999-10-13

    Chandra X-Ray Observatory took this first x-ray picture of the Andromeda Galaxy (M31) on October 13, 1999. The blue dot in the center of the image is a "cool" million-degree x-ray source where a supermassive black hole with the mass of 30-million suns is located. The x-rays are produced by matter furneling toward the black hole. Numerous other hotter x-ray sources are also apparent. Most of these are probably due to x-ray binary systems, in which a neutron star or black hole is in close orbit around a normal star. While the gas falling into the central black hole is cool, it is only cool by comparison to the 100 other x-ray sources in the Andromeda Galaxy. To be detected by an x-ray telescope, the gas must have a temperature of more than a million degrees. The Andromeda Galaxy is our nearest neighbor spiral galaxy at a distance of two million light years. It is similar to our own Milky Way in size, shape, and also contains a supermassive black hole at the center. (Photo Credit: NASA/CXC/SAO/S. Murray, M. Garcia)

  13. Course Manual for X-Ray Applications.

    ERIC Educational Resources Information Center

    Food and Drug Administration (DHEW), Rockville, MD. Bureau of Radiological Health.

    This publication is the third of three sequential course manuals for instructors in x-ray science and engineering. This course manual has been tested by introducing it into the Oregon State University curriculum. The publication is prepared for the purpose of improving the qualifications of x-ray users and to reduce the ionizing radiation exposure…

  14. Radiation exposure of pediatric patients and physicians during cardiac catheterization and balloon pulmonary valvuloplasty.

    PubMed

    Wu, J R; Huang, T Y; Wu, D K; Hsu, P C; Weng, P S

    1991-07-15

    Thermoluminescent dosimeters were applied to various areas of 61 pediatric patients and physicians to measure radiation doses during routine cardiac catheterization and during 4 cases of balloon pulmonary valvuloplasty. Radiation doses were measured during chest roentgenography, fluoroscopy and cineangiography. Average skin dose to the chest was 121 microGy during chest x-ray, 5,182 microGy during catheterization and 641 mGy during valvuloplasty. For the eyes, thyroid and gonads of the patients, the exposure during routine catheterization was equal to 0.4, 6 and 0.2 chest x-rays, respectively. Radiation dose of the operator was 3 microGy for the eyes and 6 miCroGy in the thyroid. About 56% of the operator's dose could be reduced by thyroid shields, and 80% by lead aprons. The assistant received only 1 microGy outside the thyroid shield. Therefore, we have concluded that the patients' dose during routine catheterization is largely based on our experimental results, but the dose is acceptable based on the risk factor analysis. The skin dose to the right lateral chest of the patient during valvuloplasty is extremely high, perhaps as high as the equivalent of 1,000 chest x-rays. Besides the clinical benefits of valvuloplasty, the long-term radiation-related hazards to the patient should be carefully monitored.

  15. Diagnostic x-ray exposure and lens opacities: the Beaver Dam Eye Study.

    PubMed Central

    Klein, B E; Klein, R; Linton, K L; Franke, T

    1993-01-01

    The Beaver Dam Eye Study is a population-based study of common age-related eye diseases. During the standardized medical history, the 4926 subjects were asked whether they had ever had a chest x-ray, computerized axial tomography (CAT) scan of the head, other x-rays of the head, x-rays of the abdomen, or other diagnostic x-rays. The eye examination included photographs of the lenses of the eyes, which were subsequently graded according to protocol. Nuclear sclerosis and posterior subcapsular opacity were significantly associated with CAT scans. If these relationships are causal, it would highlight the importance of minimizing such exposure to the lens of the eye. PMID:8460743

  16. The Advanced X-Ray Astrophysics Facility. Observing the Universe in X-Rays

    NASA Technical Reports Server (NTRS)

    Neal, V.

    1984-01-01

    An overview of the Advanced X ray Astronophysics Facility (AXAF) program is presented. Beginning with a brief introduction to X ray astrophysics, the AXAF observatory is described including the onboard instrumentation and system capabilities. Possible X ray sources suitable for AXAF observation are identified and defined.

  17. Apollo 15 X-ray fluorescence experiment

    NASA Technical Reports Server (NTRS)

    Adler, I.; Trombka, J.; Gerard, J.; Schmadebeck, R.; Lowman, P.; Blodgett, H.; Yin, L.; Eller, E.; Lamothe, R.; Gorenstein, P.

    1971-01-01

    The X-ray fluorescence spectrometer, carried in the SIM bay of the command service module was employed principally for compositional mapping of the lunar surface while in lunar orbit, and secondarily, for X-ray astronomical observations during the trans-earth coast. The lunar surface measurements involved observations of the intensity and characteristics energy distribution of the secondary or fluorescent X-rays produced by the interaction of solar X-rays with the lunar surface. The astronomical observations consisted of relatively long periods of measurements of X-rays from pre-selected galactic sources such as Cyg-X-1 and Sco X-1 as well as from the galactic poles.

  18. X-ray modeling for SMILE

    NASA Astrophysics Data System (ADS)

    Sun, T.; Wang, C.; Wei, F.; Liu, Z. Q.; Zheng, J.; Yu, X. Z.; Sembay, S.; Branduardi-Raymont, G.

    2016-12-01

    SMILE (Solar wind Magnetosphere Ionosphere Link Explorer) is a novel mission to explore the coupling of the solar wind-magnetosphere-ionosphere system via providing global images of the magnetosphere and aurora. As the X-ray imaging is a brand new technique applied to study the large scale magnetopause, modeling of the solar wind charge exchange (SWCX) X-ray emissions in the magnetosheath and cusps is vital in various aspects: it helps the design of the Soft X-ray Imager (SXI) on SMILE, selection of satellite orbits, as well as the analysis of expected scientific outcomes. Based on the PPMLR-MHD code, we present the simulation results of the X-ray emissions in geospace during storm time. Both the polar orbit and the Molniya orbit are used. From the X-ray images of the magnetosheath and cusps, the magnetospheric responses to an interplanetary shock and IMF southward turning are analyzed.

  19. Solar x ray astronomy rocket program

    NASA Technical Reports Server (NTRS)

    1990-01-01

    The dynamics were studied of the solar corona through the imaging of large scale coronal structures with AS&E High Resolution Soft X ray Imaging Solar Sounding Rocket Payload. The proposal for this program outlined a plan of research based on the construction of a high sensitivity X ray telescope from the optical and electronic components of the previous flight of this payload (36.038CS). Specifically, the X ray sensitive CCD camera was to be placed in the prime focus of the grazing incidence X ray mirror. The improved quantum efficiency of the CCD detector (over the film which had previously been used) allows quantitative measurements of temperature and emission measure in regions of low x ray emission such as helmet streamers beyond 1.2 solar radii or coronal holes. Furthermore, the improved sensitivity of the CCD allows short exposures of bright objects to study unexplored temporal regimes of active region loop evolution.

  20. X-ray lasing - Future directions

    NASA Astrophysics Data System (ADS)

    1985-11-01

    The LLNL program for refining the technology of their current X-ray lasing scheme towards the primary goal of demonstrating amplification at the shortest feasible wavelength is outlined. A better understanding of the physics of the system is sought through the quantitative characterization of ionization balance and inversion kinetics in the exploding-foil X-ray laser targets. A major focus is on optimizing the gain and efficiency of present targets, and on saturating output at about 10 MW per emission line. The investigation of new techniques for producing population inversions includes the development of a multipass X-ray laser cavity. Finally, a variety of applications for the soft-X-ray laser are discussed including measurements of the coherence and divergence of the laser beam, the generation of holographic images, and X-ray microscopy.