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Andreas Maier · Stefan Steidl Vincent Christlein Joachim Hornegger (Eds.) l a i r o t u T 1 Medical 1 1 1 1 S Imaging Systems C N L An Introductory Guide Lecture Notes in Computer Science 11111 Commenced Publication in 1973 Founding and Former Series Editors: Gerhard Goos, Juris Hartmanis, and Jan van Leeuwen Editorial Board David Hutchison Lancaster University, Lancaster, UK Takeo Kanade Carnegie Mellon University, Pittsburgh, PA, USA Josef Kittler University of Surrey, Guildford, UK Jon M. Kleinberg Cornell University, Ithaca, NY, USA Friedemann Mattern ETH Zurich, Zurich, Switzerland John C. Mitchell Stanford University, Stanford, CA, USA Moni Naor Weizmann Institute of Science, Rehovot, Israel C. Pandu Rangan Indian Institute of Technology Madras, Chennai, India Bernhard Steffen TU Dortmund University, Dortmund, Germany Demetri Terzopoulos University of California, Los Angeles, CA, USA Doug Tygar University of California, Berkeley, CA, USA Gerhard Weikum Max Planck Institute for Informatics, Saarbrücken, Germany More information about this series at http://www.springer.com/series/7412 Andreas Maier Stefan Steidl (cid:129) Vincent Christlein Joachim Hornegger (Eds.) Medical Imaging Systems An Introductory Guide Editors Andreas Maier Vincent Christlein Lehrstuhl für Mustererkennung Lehrstuhl für Mustererkennung Friedrich-Alexander-Universität Friedrich-Alexander-Universität Erlangen-Nürnberg Erlangen-Nürnberg Erlangen Erlangen Germany Germany StefanSteidl Joachim Hornegger Lehrstuhl für Mustererkennung Lehrstuhl für Mustererkennung Friedrich-Alexander-Universität Friedrich-Alexander-Universität Erlangen-Nürnbergät Erlangen-Nürnbergät Erlangen Erlangen Germany Germany ISSN 0302-9743 ISSN 1611-3349 (electronic) Lecture Notesin Computer Science ISBN 978-3-319-96519-2 ISBN978-3-319-96520-8 (eBook) https://doi.org/10.1007/978-3-319-96520-8 LibraryofCongressControlNumber:2018948380 LNCSSublibrary:SL6–ImageProcessing,ComputerVision,PatternRecognition,andGraphics ©TheEditor(s)(ifapplicable)andTheAuthor(s)2018.Thisbookisanopenaccesspublication. OpenAccessThisbookislicensedunderthetermsoftheCreativeCommonsAttribution4.0International License (http://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution andreproductioninanymediumorformat,aslongasyougiveappropriatecredittotheoriginalauthor(s)and thesource,providealinktotheCreativeCommonslicenseandindicateifchangesweremade. Theimagesorotherthirdpartymaterialinthisbookareincludedinthebook'sCreativeCommonslicense, unlessindicatedotherwiseinacreditlinetothematerial.Ifmaterialisnotincludedinthebook'sCreative Commonslicenseandyourintendeduseisnotpermittedbystatutoryregulationorexceedsthepermitteduse, youwillneedtoobtainpermissiondirectlyfromthecopyrightholder. Theuseofgeneraldescriptivenames,registerednames,trademarks,servicemarks,etc.inthispublication doesnotimply,evenintheabsenceofaspecificstatement,thatsuchnamesareexemptfromtherelevant protectivelawsandregulationsandthereforefreeforgeneraluse. Thepublisher,theauthorsandtheeditorsaresafetoassumethattheadviceandinformationinthisbookare believedtobetrueandaccurateatthedateofpublication.Neitherthepublishernortheauthorsortheeditors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissionsthatmayhavebeenmade.Thepublisherremainsneutralwithregardtojurisdictionalclaimsin publishedmapsandinstitutionalaffiliations. Cover illustration: Graphical visualization of the Fourier slice theorem. LNCS 11111, p. 154. Used with permission. ThisSpringerimprintispublishedbytheregisteredcompanySpringerNatureSwitzerlandAG Theregisteredcompanyaddressis:Gewerbestrasse11,6330Cham,Switzerland Preface ThepresentbookistheresultoffouryearsofworkthatstartedinWinter2014/15and was finally concluded in Summer 2018. As such, numerous hours of work went into thismanuscriptbyseveralauthors,whowereallaffiliatedwiththePatternRecognition Lab of the Friedrich-Alexander-University Erlangen-Nuremberg. I truly appreciate the dedication and the hard work of my colleagues that led to this final manuscript and, althoughmanyalreadyleftthelabtotakepositionsinacademiaandindustry,theystill supported the finalization of this book. WhilemajorpartsofthebookwerealreadycompletedinWinter2016/17,Springer gaveustheopportunitytoreworkthebookwithnewconceptslikethegeekboxesand newfiguresinordertoadaptthebooktoabroaderaudience.Withthepresentconcepts, we hope that the book is suited to early-stage undergraduate students as well as stu- dents who already completed fundamental math classes and want to deepen their knowledge on medical imaging. We believe, the time to improve the manuscript was well spent and the final polish gave rise to a textbook with a coherent story line. In particular, we break with the historical development of the described imaging devices andpresent,e.g.,magneticresonanceimagingbeforecomputedtomography,although theyweredevelopedinoppositeorder.Acloserlookrevealsthatthischangeoforderis reasonable for didactical purposes: magnetic resonance imaging relies mainly on the Fourier transform, while computed tomography requires understanding of the Fourier slice theorem discovered by Johann Radon. These observations then also mend the apparent historical disorder, as we celebrate Joseph Fourier’s 250th birthday this year and celebrated the 100th birthday of the Radon transform last year. We also tried to find many graphical explanations for many of the mathematical operations such that the book does not require complete understanding of all mathe- matical details. Yet, we also offer details and references to further literature in the previously mentioned geek boxes as students in the later semesters also need to be familiarwiththeseconcepts.Inconclusion,wehopethatwecreatedausefultextbook thatwillbeaccessibletomanyreaders.Inordertoimprovethiseaseofaccessfurther, we chose to publish the entire manuscript as open access book under Creative Com- mons Attribution 4.0 International License. Thus, any information in this book can shared, copied, adapted, or remixed even for commercial purposes as long as the original source is appropriately referenced and a link to the license is provided. June 2018 Andreas Maier Contents 1 Introduction.............................................. 7 2 System Theory ........................................... 13 2.1 Signals and Systems .................................... 14 2.1.1 Signals.......................................... 14 2.1.2 Systems......................................... 15 2.2 Convolution and Correlation ............................. 17 2.2.1 Complex Numbers................................ 17 2.2.2 Convolution ..................................... 19 2.2.3 Correlation ...................................... 22 2.3 Fourier Transform ...................................... 22 2.3.1 Types of Fourier Transforms ....................... 22 2.3.2 Convolution Theorem & Properties ................. 25 2.4 Discrete System Theory ................................. 31 2.4.1 Motivation ...................................... 31 2.4.2 Sampling Theorem ............................... 32 2.4.3 Noise ........................................... 33 2.5 Examples.............................................. 34 3 Image Processing ......................................... 37 3.1 Images and Histograms.................................. 37 3.1.1 Images as Functions .............................. 37 3.1.2 Histograms of Images ............................. 38 3.2 Image Enhancement .................................... 38 3.2.1 Window and Level................................ 39 3.2.2 Gamma Correction ............................... 40 3.2.3 Histogram Equalization ........................... 40 3.3 Edge Detection......................................... 40 3.4 Image Filtering......................................... 43 3.4.1 Filtering – Basics................................. 43 3.4.2 Linear Shift-invariant Filters in Image Processing..... 44 3.4.3 Nonlinear Filters – the Median Filter ............... 47 3.5 Morphological Operators ................................ 48 3.6 Image Segmentation .................................... 52 4 Contents 4 Endoscopy................................................ 57 4.1 Minimally Invasive Surgery and Open Surgery ............. 57 4.2 Minimally Invasive Abdominal Surgery.................... 58 4.3 Assistance Systems ..................................... 61 4.4 Range Imaging in Abdominal Surgery..................... 63 4.4.1 Stereo Vision .................................... 64 4.4.2 Structured Light ................................. 65 4.4.3 Time-of-Flight (TOF)............................. 66 5 Microscopy ............................................... 69 5.1 Image Formation in a Thin Lens ......................... 70 5.2 Compound Microscope .................................. 73 5.3 Bright Field Microscopy................................. 75 5.4 Fluorescence Microscopy ................................ 78 5.5 Phase Contrast Microscopy .............................. 78 5.6 Quantitative Phase Microscopy........................... 80 5.7 Limitation of Light Microscopy........................... 83 5.8 Beyond Light Microscopy................................ 86 5.9 Light Microscopy Beyond the Diffraction Limit............. 88 6 Magnetic Resonance Imaging ............................. 91 6.1 Nuclear Magnetic Resonance (NMR)...................... 91 6.1.1 Genesis of the Resonance Effect .................... 91 6.1.2 Relaxation and Contrasts.......................... 95 6.2 Principles of Magnetic Resonance Imaging................. 100 6.2.1 Slice Selection ................................... 100 6.2.2 Spatial Encoding ................................. 101 6.2.3 k-space ......................................... 105 6.2.4 Slice-selective vs. Volume-selective 3-D Imaging ...... 105 6.3 Pulse Sequences ........................................ 106 6.3.1 Spin Echo ....................................... 107 6.3.2 Gradient Echo ................................... 107 6.4 Advanced Topics ....................................... 109 6.4.1 Parallel Imaging.................................. 109 6.4.2 Spectrally Selective Excitation ..................... 114 6.4.3 Non-contrast Angiography......................... 115 6.4.4 The BOLD Effect ................................ 117 7 X-ray Imaging ............................................ 119 7.1 Introduction ........................................... 119 7.1.1 Definition of X-rays............................... 119 7.1.2 History and Present .............................. 121 7.2 X-ray Generation....................................... 123 Contents 5 7.3 X-ray Matter Interaction ................................ 125 7.3.1 Absorption ...................................... 126 7.3.2 Photoelectric Effect............................... 129 7.3.3 Compton Scattering .............................. 129 7.3.4 Rayleigh scattering ............................... 129 7.4 X-ray Imaging ......................................... 130 7.4.1 Image Intensifiers ................................ 130 7.4.2 Flat Panel Detectors.............................. 134 7.4.3 Sources of Noise.................................. 136 7.5 X-ray Applications ..................................... 138 7.5.1 Radiography..................................... 138 7.5.2 Fluoroscopy ..................................... 141 7.5.3 Digital Subtraction Angiography ................... 143 8 Computed Tomography................................... 147 8.1 Introduction ........................................... 147 8.1.1 Motivation ...................................... 147 8.1.2 Brief History..................................... 148 8.2 Mathematical Principles................................. 149 8.2.1 Radon Transform................................. 150 8.2.2 Fourier Slice Theorem............................. 152 8.3 Image Reconstruction ................................... 155 8.3.1 Analytic Reconstruction........................... 155 8.3.2 Algebraic Reconstruction.......................... 161 8.3.3 Acquisition Geometries............................ 164 8.4 Practical Considerations................................. 167 8.4.1 Spatial Resolution................................ 168 8.4.2 Noise ........................................... 170 8.4.3 Image Artifacts .................................. 171 8.5 X-ray Attenuation with Polychromatic Attenuation ......... 176 8.5.1 Mono- vs. Polychromatic Attenuation............... 176 8.5.2 Single, Dual, and Spectral CT ..................... 179 8.5.3 Beam Hardening ................................. 180 8.6 Spectral CT ........................................... 182 8.6.1 Different Spectral CT Measurements................ 182 8.6.2 Basis Material Decomposition...................... 186 9 X-ray Phase Contrast: Research on a Future ImagingModality............. . .... 191 9.1 Introduction ........................................... 191 9.2 Talbot-Lau Interferometer ............................... 194 9.2.1 Talbot-Lau Interferometer Setup ................... 195 9.2.2 Phase Stepping and Reconstruction................. 197 9.3 Applications ........................................... 199 9.4 Research Challenges .................................... 203 6 Contents 10 Emission Tomography .................................... 207 10.1 Introduction ........................................... 207 10.2 Physics of Emission Tomography ......................... 208 10.2.1 Photon Emission ................................. 208 10.2.2 Photon Interactions............................... 212 10.3 Acquisition Systems .................................... 214 10.3.1 SPECT ......................................... 214 10.3.2 PET............................................ 217 10.4 Reconstruction......................................... 219 10.4.1 Filtered Back-Projection .......................... 219 10.4.2 Iterative Reconstruction........................... 220 10.4.3 Quantitative Reconstructions ...................... 222 10.4.4 Practical Considerations........................... 224 10.5 Clinical Applications.................................... 227 10.5.1 Diagnostics ...................................... 227 10.5.2 Therapy......................................... 230 10.6 Hybrid Imaging ........................................ 230 10.6.1 Clinical Need .................................... 230 10.6.2 Advent und Acceptance of Hybrid Scanners.......... 231 10.6.3 Further Benefits of Hybrid Imaging................. 232 11 Ultrasound ............................................... 237 11.1 Introduction ........................................... 237 11.2 Physics of Sound Waves ................................. 238 11.2.1 Sound Waves .................................... 238 11.2.2 Sound Wave Characteristics at Boundaries .......... 239 11.2.3 Attenuation ..................................... 242 11.3 Image Acquisition for Diagnostics ........................ 243 11.3.1 Transducers ..................................... 243 11.3.2 Piezoelectric Effect ............................... 243 11.3.3 Spatial Resolution................................ 244 11.3.4 Imaging Modes .................................. 245 11.4 Safety Aspects ......................................... 247 12 Optical Coherence Tomography........................... 251 12.1 Working Principle of OCT............................... 251 12.1.1 Michelson Interferometer .......................... 253 12.1.2 Coherence Length ................................ 253 12.2 Time Domain OCT..................................... 254 12.3 Fourier Domain OCT ................................... 256 12.4 OCT Angiography...................................... 256 12.5 Applications ........................................... 257 Acronyms .................................................... 263 Author(cid:128)Index ................................................. 265

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