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Confidential Healthcare New Imaging Technologies KONICA MINOLTA, INC. HEALTHCARE COMPANY July, 2014 Confidential Talbot-Lau Interferometry Images (Super X-Ray) JST(独立行政法人 科学技術振興機構)プロジェクト Talbot-Lau Interferometry Confidential Imaging Apparatus X-ray source Imaging object G0 G1 Self-Image Deformation due to imaging object G1 G2 Transmittance X-ray detector G2 Moiré Pattern detected with X-ray detector + Signals due to imaging object 3 Features of Images Attenuation Contrast Image(ATT) Conventional radiography image Differential Phase Contrast Image (DPC) Refractive index gradient Confidential Small-Angle Scattering Contrast Image(SAS) X-ray small-angle scattering due to microstructures comparable to grating pitch 4 Talbot-Lau Imaging System X-ray tube ・Anode size:400μm ・Anode:tungsten ・Tube voltage:40kV Object table Confidential Source grating(G0) ・22.8μm cycle Absorption grating(G2) ・5.3μm cycle Phase grating(G1) ・4.3μm cycle X-ray detector ・FPD ・Pixel size 85μm 5 DPC Image of A Patient Finger - Comparison with MRI - SAITAMA MEDICAL UNIVERSITY HOSPITAL Confidential Stage: Ⅱ 6 DPC Image of A Patient Finger - Comparison with MRI - SAITAMA MEDICAL UNIVERSITY HOSPITAL Confidential Stage: Ⅲ 7 DPC Image of A Patient Finger - Comparison with Normal Volunteer - <normal volunteer> <patient Stage Ⅱ> Confidential <patient Stage Ⅲ> SAITAMA MEDICAL UNIVERSITY HOSPITAL 8 DPC Image of A Volunteer Knee joints Confidential Interface between a cartilage and a meniscus Surface of a cartilage Interface between a cartilage and a meniscus Surface of a cartilage SAITAMA MEDICAL UNIVERSITY HOSPITAL 9 DPC Image of A patient Knee joints - Comparison with MRI - Confidential SAITAMA MEDICAL UNIVERSITY HOSPITAL 10 3 images of Mastectomy Specimen Confidential IDC NAGOYA MEDICAL CENTER papilloma FEA ATT DPC ALH SAS 11 Confidential Dynamic Chest X-Ray Imaging JST(独立行政法人 科学技術振興機構)プロジェクト System Configuration Confidential 【Inside x-ray room】 FPD for dynamic image ■ Exposure condition SID=2m Upright Radiographic stand Pulsed X-ray generator 【Outside x-ray room】 Exposure switch ON •X-ray photography is now in operation using this X-ray equipment at a collaborating research hospital . Console PC X-ray generator console X-ray image acquisition(7.5fps) Tube voltage:100kV Filter:0.5mmAl+0.1mmCu Tube current-time product: 0.1mAs/frame Grid:80line/cm Frame rate:7.5frame/second Pixel size:194μm Matrix size:1536x2048pixel Examination time:10second Entrance surface dose is three to five times more than a simple chest X-ray 13 Extraction of Ventilation and Perfusion Information Confidential Ventilation Dynamic Image ☆Advantage of Dynamic Chest X-ray Examination It is possible to extract both ventilation and perfusion information using one original dynamic chest image. Extraction of low-frequency changes Original Dynamic Chest Image (Normal) Extraction of ventilation information Decrease (White) Transit dose Increase (Black) Perfusion Dynamic Image Extraction of perfusion information Extraction of high-frequency changes Decrease (White) Transit dose 14 Ventilation Analysis Result low high flow rate Healthy Volunteer Age 36 %VC FEV1.0% %FEV1 Confidential large small Log(TFPI/TFPE) Average Male -0.0589 S.D. 0.1603 Average 0.0755 S.D. 0.1679 Average 0.1485 S.D. 0.2057 Average 0.2110 S.D. 0.2122 Average 0.3488 S.D. 0.3146 130.8% 82.9% 104.8% GOLD Ⅰ Age 57 Female %VC 114.5% FEV1.0% 69.8% %FEV1 84.4% GOLD Ⅱ Age 75 Male %VC 86.3% FEV1.0% 67.9% %FEV1 62.2% GOLD Ⅲ Age 77 Male %VC 98.3% FEV1.0% 34.7% %FEV1 40.8% GOLD Ⅳ Age 73 Male %VC 55.5% FEV1.0% 20.9% %FEV1 11.8% Result of spirometry Original dynamic image TPFI TPFE MFRR Histogram of MFRR 15 Perfusion Analysis Result Confidential Pulmonary artery phase image Original Dynamic Image • Gender : Female • Age : 77-year-old • Disease : Pulmonary embolism • Field of blood flow decrease: Right low lung field Tc-99m MMA Perfusion scintigraphpy image Blood flow decrease small correlation value large Contrast enhanced CT image Pulmonary artery phase image Original Dynamic Image • Gender : Female • Age : 75-year-old • Disease : MAC disease Interstitial pneumonia • Field of blood flow decrease: Right lung field Blood flow decrease small correlation value large 16 Confidential Ultrasound TTHI (Triad Tissue Harmonic Imaging) JST(独立行政法人 科学技術振興機構)プロジェクト Triad Tissue Harmonic Imaging (TTHI) Konica Minolta provides the high-definition image with combination of wideband send/receive transmission image engine and image processing for full image characteristics. Confidential Probe Technology ・Multi-Layer Acoustic Integration Technology ・Minute Machining Technology ・Material Technology HW Technology ・Frequency Range Expansion ・Lateral resolution improvement ・Range Resolution Improvement Realization of high-definition image SW Technology ・Triad Tissue Harmonic Imaging (Image build with different tone/all chord including the 3rd harmonic band) 18 High Quality Image #1 Confidential MP Joint Flexor Tendon Shoulder rotator cuff Mammary gland Lymph node Carotid artery 19 High Quality Image #2 Confidential Liver Hepatic vein Liver Kidney Abdominal Artery Carotid Artery PWD/Color 20 Visualization Confidential The super Needle visualization function is to project needle tips clearly The Function is to capture the needle tip visually with an emphasis by Konica Minolta’s image processing technology which is not dependent on the reflection intensity of the ultrasonic signal. Needle tip signal serial tracking technology Probe Position of Needle tip Needle tip signal alternative extraction technique Emphansis of needle tip 21