ABSTRACT

I. Introduction 136

II. Technical Principals and Overview of Micro-CT 137

A. Micro-CT Introduction 138

B. Micro-Focal Sources of X-ray Production 140

C. Filters 140

D. Some Detector Characteristics 143

E. Comments on Dose Exposure 145

F. Resolution of the Systems 146

G. Tomographic Reconstruction 147

H. Ring Artifact Reduction 148

I. Beam Hardening 149

J. Hounsfield Unit Calibration 151

K. Commercially Available Systems 151

III. Small Animal Lung Imaging 152

A. Optimized In Situ and In Vivo Mouse Lung Protocol 154

In Situ Scanning Protocols 154

In Vivo Scanning Protocols 156

B. Examination of Lung Tissue Samples from Larger Animals 156

C. Dynamic Imaging: Microfluoroscopy Coupled to Micro-CT 158

D. Conclusions 163

References 166

I. Introduction

Computed tomography (CT) of the lung has made major advances in hardware and

software over the last decade. The human lung can now be imaged rapidly and

volumetrically, with digital information easily transported, stored, reviewed, and

then both subjectively and objectively analyzed (1,2). Figure 6.1 depicts examples

that span anatomic segmentation (3-8), automatic labeling (9), image based lung

modeling (10,11), ventilation (12,13) and perfusion imaging (14,15), a morpho-

metric correlation to in vivo imaging (16), and a large animal model of evolving

lung inflammation. In large animal models, functional imaging demonstrates

early changes in pathology (17). Our methods demonstrate that measures of both

structure and function provide early signs of pathologic processes (2). Still, there

remains a need to correlate pathologic phenotypes with genotypes and to pheno-

type diversity at the alveolar/bronchiolar and arteriolar levels in vivo and in situ. It is our view that micro-CT will have a profound influence on the docu-

mentation of anatomical and physiological phenotypic changes in many

genetic mouse models. The mapping of the human genome, together with that

of other animals and plants, is providing an enormous amount of new infor-

mation, the full extent of which will still emerge over the next several

decades. The mouse has become the prototypic animal model for the study of

genetic based diseases. Frequently, however, abnormalities are noted within

the animals, beyond the specifically induced biological defect or outside the tar-

geted organ. Thus, the full phenotype of these animals may include a variety of

unexpected anatomical and physiological abnormalities, in addition to biochemi-

cal and genetic changes. Describing these abnormalities fully is critical to under-

standing the complex interaction of different genetic influences. Although

individual animals are relatively inexpensive, the cost of developing a model

can be very significant. This expense is amplified when animals must be sacri-

ficed and studied at multiple time points during growth or during the development

of a disease. Determining such time points is somewhat arbitrary, and important

information may not be recorded if complete observations are not made. Micro-

CT scanning will allow numerous experiments in mouse models to be planned

with greater precision. The cost of exploring the complex phenotypic expression

of genetic changes will be reduced, and longitudinal studies will be greatly facili-

tated by allowing a more complete and accurate description of events. As shown

in Fig. 6.2, mouse imaging using conventional CT scanners lacks the spatial

resolution needed. To maximize the potential of micro-CT to quantitatively

evaluate the mouse lung, imaging protocols, reconstruction algorithms, and

image analysis methods all must be established and specifically tailored to

in vivo, in situ, and ex vivo imaging of lung tissue.