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profile New dynamic imaging modality A n innovative imaging method (patent pending: US 61/365,801) was developed at the Department of Biophysics and Radiation Biology of Semmelweis University (Budapest, Hungary). This technology alters existing 2D or 3D imaging methods to create a completely new type of image along with the traditional one. The new image shows previously inaccessible information about movements hidden inside living bodies or objects, opening countless possibilities in diagnostic and industrial imaging areas by providing functional information. The development is at the convergence of two priority fields of Semmelweis University. Building on the existing pillars of clinical and fundamental research, the university has been strongly promoting a spirit of innovation for the past few years. The active support of the technology transfer office has provided professional assistance to many scientists working in innovation. As part of the project, Krisztián Szigeti and Szabolcs Osváth, inventors of the new imaging modality, were offered training courses on patenting, finance and marketing. The recent foundation of the Nanobiotechnology and In Vivo Imaging Center and the fMRI research projects all show that functional imaging is also an important focus of Semmelweis University. The last decade witnessed a paradigm shift of medical imaging. A new point of view has emerged that emphasises the importance of functional imaging over mere visualisation of morphology. An increasing number of multimodal instruments combine the information gained by morphological (eg CT, MRI) and functional (eg SPECT, PET, fMRI) imaging methods. The physical and technical basis of the various functional methods can be very 114 Making diagnostic assessments safer… the conventional image, since it is less affected by motion artefacts. The new technology reconstructs two more images that show the pointwise errors of the static and dynamic images. The two error images are very important for computer-based noise reduction and data analysis. Such image processing is fundamental in many areas like diagnostic imaging, shape recognition or contraband detection. The new technique gives a better estimation of errors Fig. 1: X-ray image of the clockwork of an electronic alarm than present methods clock made using the new technology, (a) static image, (b) dynamic image indicating motion, (c) part of the dynamic because it is based on image magnified the measurement of physical parameters rather than a priori different, but all of them visualise assumptions. Efficient noise handling processes going on inside the body. and good image quality are especially important in the medical practice. A The new method brought forth at better estimation of the error of the Semmelweis University can provide image helps to optimise radiation several existing techniques (eg intensity and the measurement time electron microscopy, X-ray projection necessary to get the diagnostic radiography, X-ray angiography, CT) information. This, in turn, facilitates with movement-related functional avoiding unnecessary patient doses. information after a minor software Fig. 1 shows the X-ray image of the and hardware upgrade. clockwork of an alarm clock acquired The new technology provides four using the new technology. Fig. 1a images at once without increasing represents the conventional static the necessary measurement time or image of the electronic circuitry and radiation dose. The most important the mechanics of the alarm clock. of these images is a new ‘dynamic’ Fig. 1b shows the dynamic image of image that represents local motions the same part of the clock. In this inside the patient or studied object. image, the still parts disappear. We find a new contrast scheme that is Besides the dynamic image, the new based on movement. The brightest technology also reconstructs a ‘static’ green colour indicates the fastest image very similar to the existing moving little shaft and the wheel that conventional images. This static image, moves the cogged wheels of the however, is an improved version of Public Service Review: European Science & Technology: issue 12 profile medical imaging has been to decrease the risks of the examination for the patient. Such risks are related to the use of contrast materials or elevated X-ray doses where imaging is traditionally difficult due to low contrast between tissues. The new technology introduces new motionbased contrasts, and also provides better noise handling. As shown, these features allow the visualisation of organs that usually requires either the use of contrast materials, or CT examination, which results in higher X-ray exposure of the patient. The new method provides both a dynamic and a static image, as well as their respective error images using roughly the same amount of radiation as conventional images demand. Fig. 2: X-ray image of the chest of a frog acquired with the new imaging method, (a) static image, (b) dynamic image indicating internal motions clock. To show the capabilities of the new imaging method, part of the dynamic image is magnified in Fig. 1c. The colour scale indicating the extent of movement is also set to more sensitive level. In this image the wheels advancing the second, the minute and the hour fingers are clearly visible. This example clearly demonstrates the large dynamic range of the movements that can be imaged at the same time: the wheels moving the second finger move 3,600 times faster than the wheels moving the hour finger. Obtaining images with good contrast, but keeping radiation doses low is a challenging task of medical imaging. Enhancing the low contrast between soft tissues often requires the administration of contrast agents to the patient. These chemicals, however, can trigger unwanted reactions (eg an allergic response), which constitute additional risks for the patient. The dynamic image has new – motion based – contrast schemes, which can make contrast materials unnecessary in several applications. An example is given in Fig. 2, which visualises the heart and aorta of a living animal without using contrast material. Fig. 2 represents the X-ray image of the chest of an African clawed frog (Xenopus laevis). The first image (Fig. 2a) is the static image. Fig. 2b shows the dynamic image of the same part of the animal. The static image practically only shows the bones, since frogs have very low soft tissue contrast. In the second image, however, we can see the movement of the heart, the heart valves, the aorta, and the alveoli of the lung. Apparently, the throat of the frog also moves as the animal breathes. The above technique is expected to open up new possibilities in industrial, security and medical applications. The method is sensitive to nondirectional chaotic movements as well. It could be used to characterise the movement of motors, the explosion of fuel in engines, electric discharges, spark gaps, or the flow of fluids around turbine blades or wings. The main focus of the development done at Semmelweis University is medical imaging. Implementation of the new imaging method is expected to make diagnostic imaging safer. The most important goal of the past few years in X-ray-based The new imaging method is also expected to make diagnosis more efficient, by making accessible additional functional information not available up to now. The new imaging modality is in its infancy. Continued research at Semmelweis University aims to optimise the method of detecting blood flow in capillaries to advance the diagnosis of cancer, conditions of the vascular system, or autoimmune diseases. Using the new method invented at Semmelweis University, multimodal imaging that provides both anatomical and motion-based functional information could become routine in medical diagnosis. Szabolcs Osváth Assistant Professor Department of Biophysics and Radiation Biology Semmelweis University H-1094, Tűzoltó u. 37-47 Budapest Hungary Tel: +36 1 459 1500/60224 Fax: +36 1 266 6656 szabolcs.osvath@eok.sote.hu www.semmelweis-univ.hu Public Service Review: European Science & Technology: issue 12 115