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Notes: The aim of this study is to visualize the coronary artery with the intravenus injection of contrast media. We propose a method of rapid and successive acquisition of two-dimensional images in a digital processing system which uses a pair of video cameras, a shutter operation, and a beam-splitting apparatus. A prototype of the high-speed acquisition system was constructed. The two-monochromatic video-camera method was very suitable for quick acquisition. Electro-optical shutters (PLZT) were found practical with respect to the dynamic range and response time. The field blanking method was essential for the data acquisition.

Notes: To assess the ability of the high-speed K-edge energy subtraction system which was made at beamline 8C of Photon Factory, Tsukuba, we performed an animal experiment. Rabbits were used for the intravenous K-edge subtraction angiography. In this paper, the actual images of the artery obtained by this system, are demonstrated. The high-speed K-edge subtraction system consisted of movable silicon (111) monocrystals, II–ITV, and digital memory system. Image processing was performed by 68000-IP computer. The monochromatic x-ray beam size was 50×60 mm. Photon energy above and below iodine K edge was changed within 16 ms and 32 frames of images were obtained sequentially. The rabbits were anaesthetized by phenobarbital and a 5F catheter was inserted into inferior vena cava via the femoral vein. 1.5 ml/kg of contrast material (Conlaxin H) was injected at the rate of 0.5 ml/kg/s. TV images were obtained 3 s after the starting point of injection. By using this system, the clear K-edge subtracted images were obtained sequentially as a conventional DSA system. The quality of the images were better than that obtained by DSA. The dynamical blood flow was analyzed, and the best arterial image could be selected from the sequential images. The structures of aortic arch, common carotid arteries, right subclavian artery, and internal thoracic artery were obtained at the chest. Both common carotid arteries and vertebral arteries were recorded at the neck. The diameter of about 0.3–0.4 mm artery could be clearly revealed. The high-speed K-edge subtraction system demonstrates the very sharp arterial images clearly and dynamically.

Notes: Ischemic heart disease is one of the most popular and lethal diseases for aged peoples in the world, and is usually diagnosed by transarterial selective coronary arteriography. However, it is rather invasive and somewhat dangerous, so that the selective coronary arteriography is not feasible for prospective screening of coronary occlusive heart disease. Conventional digital subtraction angiography (DSA) is widely known as a relatively noninvasive and useful technique is making a diagnosis of arterial occlusive disease, especially in making the diagnosis of ischemic heart disease. Conventional intravenous subtraction angiography by temporal subtraction, however, has several problems when applying to the moving objects. Digital subtraction method using high-speed switching above and below the K edge could be the ideal approach to this solution. We intend to make a synchrotron radiation digital K-edge subtraction angiography in the above policy, and to apply it to the human coronary ischemic disease on an outpatient basis. The principles and experimental systems have already been described in detail by our coworkers.Our prototype experimental system is situated at the AR (accumulation ring) for TRISTAN project of high energy physics. The available beam size is 70 mm by 120 mm. The electron energy of AR is 6.5 GeV and average beam current is approximately 10 mA. This paper will show the animal experiments of our K-edge subtraction system, and discuss some problems and technical difficulties. Three dogs, weighing approximately 15 kg, were examined to evaluate the ability of our prototype synchrotron radiation DSA unit, that we are now constructing. The dogs were anaesthetized with pentobarbital sodium, intravenously (30 mg/kg). Six french-sized (1.52 mm i.d.) pigtail catheter with multiple side holes were introduced via the right femoral vein into the right atrium by the cutdown technique under conventional x-ray fluoroscopic control. Respiration of the dogs was controlled by a mechanical ventilator. The respirations were held for several seconds when taking the images. Approximately 10 to 15 ml of 76% water soluble iodinated contrast medium (Urografin 76, Schering) was injected by an automatic electronic injector at the rate of approximately 10 ml/s. Three or four times injections were done so as not to exceed the normal renal excretion threshold.Intravenous drip infusion of saline (500 ml/2 h) was used to accelerate the washout of contrast medium via renal system. One hundred micrograms of nitroglycerin were administered, intravenously to dilate the coronary arteries, approximately 3 min prior to contrast injection. Sometimes we used 0.1 mg/kg of beta blockage agent (Propranorol) to decrease the heart rate. Subsequently, the heart rate of the dogs was decreased from approximately 200/s to 100/s. These techniques are commonly used in human examinations. Materials are positioned at left anterior oblique view. The sequential images are now detected above the iodine K edge by an image intensifier (RTP 9240F, Toshiba) and recorded at high signal-to-noise ratio analog video recording system (C1900, Hamamatsu Photonics, S/N 45 dB). Proximal coronary arteries are well visualized, however the distal portions are unsatisfactory, because of the overlapping of the contrast-filled dense heart chambers and pulmonary vessels. Bolus injection of contrast medium is also necessary, unless overlapping is inevitable, so are the same in conventional intravenous DSA. The energy above and below the K edge is now changed by tilting the angle of crystal, mechanically, so it has not sufficient speed to subtract the moving material. Real time A/D converter and frame buffering memories have not been available, until now. Even though there are many limitations in the hardware and many problems to overcome, our preliminary animal experiments allow us to have high expectations.

Notes: A high-sensitivity HARPICON camera was developed for medical X-ray imaging using a fluorescent screen. It is an avalanche-multiplication-type image pick-up tube and is 32 times more sensitive than conventional tubes. The camera also has a wider dynamic range than conventional medical-imaging cameras because a maximum output signal current of 2.3 μA is obtained and, in high-illumination-intensity regions, photocurrent is not proportional to illumination intensity. The fluorescent screen is an intensifying screen of the type used for radiographic screen-film combinations in medical examination. An X-ray image on the screen is focused on the photoconductive layer of the pick-up tube using a coupling lens with f/0.65. Experiments were performed using monochromated X-rays at the Photon Factory. An image of a spatial resolution test chart was taken in a 525 scanning-line mode of the camera. The chart pattern of 5 line-pairs mm−1 (spatial resolution of 100 μm) was observed at an X-ray input field of 50 × 50 mm. Real-time digital images of the heart of a 12 kg dog were obtained at a frame rate of 60 images s−1 after injection of a contrast medium into an artery. The images were stored in digital format at 512 × 480 pixels with 12 bits pixel−1. High-spatial-resolution and high-contrast images of coronary arteries were obtained in aortography using X-rays with energy above that of the iodine K edge; the image quality was comparable with that of conventional selective coronary angiography.

Notes: Abstract Venous vascular masses in the neck are rare entities in the pediatric population. Aneurysmal dilatation or ectasia of the superficial cervical vein, the so-called “venous angioma” is a very uncommon condition. A 12-year old female with venous angioma involving the right neck is described. The preoperative diagnosis was confirmed by angiography.