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First-Ever Color X-ray on a Human (home.cern)

What if, instead of a black and white X-ray picture, a doctor of a cancer patient had access to color images identifying the tissues being scanned? From a post: This is now a reality, thanks to a New-Zealand company that scanned, for the first time, a human body using a breakthrough color medical scanner based on the Medipix3 technology developed at CERN. Father and son scientists Professors Phil and Anthony Butler from Canterbury and Otago Universities spent a decade building and refining their product. Medipix is a family of read-out chips for particle imaging and detection. The original concept of Medipix is that it works like a camera, detecting and counting each individual particle hitting the pixels when its electronic shutter is open. This enables high-resolution, high-contrast, very reliable images, making it unique for imaging applications in particular in the medical field. Hybrid pixel-detector technology was initially developed to address the needs of particle tracking at the Large Hadron Collider, and successive generations of Medipix chips have demonstrated over 20 years the great potential of the technology outside of high-energy physics.

33 of 59 comments (clear)

  1. Software by Oswald+McWeany · · Score: 1

    Looks like they would need software to focus on different depths/cross sections - but the picture does look pretty cool. I doubt this will completely replace the tradition x-ray though where you can see everything in one picture in one go.

    --
    "That's the way to do it" - Punch
    1. Re:Software by harperska · · Score: 1

      Let me blow your mind about the use of software to enhance x-rays to make a 3d image: https://en.wikipedia.org/wiki/...

    2. Re:Software by CanadianMacFan · · Score: 1

      I loved the caption for the picture that said it was a wrist with a watch around the outside and showing finger bones in white. If that person has finger bones in their wrist it's a good thing they got an x-ray. I hope they also have a really good reconstructive surgeon to put them back where they belong.

      The tendons run back from the fingers through the wrist and there are many bones in the in the wrist itself. They are called the wrist bones, strangely enough.

  2. You can make it 3D by Anonymous Coward · · Score: 1

    They should be able to make this a 3D color X-ray by using two or more exposures at different power settings. There are applications that such a thing would be superior to MRI.

    1. Re:You can make it 3D by bobbied · · Score: 5, Informative

      They should be able to make this a 3D color X-ray by using two or more exposures at different power settings. There are applications that such a thing would be superior to MRI.

      Except that MRI's do not relay in dangerous radiation like the X-Ray to produce their images and are much safer when used repeatedly as a result.

      I'm all for new imaging technologies (CAT scans, X-Rays, MRI, Ultrasound, PET scans and more), each has it's proper use and place in medical diagnostic use, the more tool choices we have the better. However, I'm not looking to completely replace current MRI with something that depends on X-Ray's for imaging due to safety concerns..

      --
      "File to fit, pound to insert, paint to match" - Aircraft Maintenance 101
    2. Re:You can make it 3D by Anonymous Coward · · Score: 1

      Of the 26 words and 2 numbers in your post, zero are informative to the topic at hand. Thus you would have been less uninformative if you did not use any words or numbers at all.

      On the other hand, his reply was informative, and in no way did his improper use of apostrophes hinder the understanding of his message.

    3. Re:You can make it 3D by sexconker · · Score: 4, Funny

      Of the 5 apostrophes in your post, 3 are grammatically incorrect. Thus you would have less errors if you did not use apostrophes at all. Nice post, BTW.

      Fewer.

    4. Re: You can make it 3D by Anonymous Coward · · Score: 1

      I could care fewer

    5. Re: You can make it 3D by Phics · · Score: 3, Funny

      I could care fewer

      You couldn't care fewer.

      --
      There are two types of people in the world; those who believe there are two types of people, and those who don't.
    6. Re: You can make it 3D by Oswald+McWeany · · Score: 1

      I couldn't give less fuchs

      --
      "That's the way to do it" - Punch
  3. much better article and picture by ole_timer · · Score: 4, Informative
    --
    nothing to see here - move along
    1. Re:much better article and picture by JaredOfEuropa · · Score: 1

      Don't you know?! "The man" adds fluoride to the oxygen to make you a docile citizen. Better seal off all vents and gaps in your home. Hold your breath when going outside.

      --
      If construction was anything like programming, an incorrectly fitted lock would bring down the entire building...
  4. Pics, or it didn't happen! by Qbertino · · Score: 1

    Oh, wait, ... yeah, got it.

    --
    We suffer more in our imagination than in reality. - Seneca
  5. Not really color, maybe not novel? by jamescford · · Score: 5, Informative

    OK, these are cool images. However, I do think this is a bit biased toward the marketing-friendly description on the product page (marsbioimaging.com).

    First, calling this a "color" image is not correct. Just as with radar, sonar, MRI, or anything else that captures non-visible light, what we are seeing is "false color". The distinction is that someone mapped signal values to colors, and that implies that those nice pics probably had some human input to make appropriate color choices (and not blue flesh, red bones, or whatever).

    Second, this is not the first spectral CT, as the article seems to imply. Check out for example https://www.itnonline.com/article/spectral-imaging-brings-new-light-ct for a summary of what commercial offerings were available 3 years ago.

    Don't get me wrong, it sounds like great stuff -- but there seems to be significant hype here, too.

    1. Re:Not really color, maybe not novel? by religionofpeas · · Score: 1

      First, calling this a "color" image is not correct.

      If they are using different energy levels of X-rays, then it's equivalent to color.

  6. Re: Butler ? by GoTeam · · Score: 1

    Wait, the LHC? Isn't that where Mr. Higgs Boson invented the black hole? I don't want to go in for an x-ray and end up destroying the world with a black hole!!! Bad invention. way too dangerous!!

  7. Re:Butler ? by mrbester · · Score: 1

    Many machines at CERN. New machines...

    --
    "Wait. Something's happening. It's opening up! My God, it's full of apricots!"
  8. I don't get it. by mark_reh · · Score: 1

    How is this different from false color generation based on tissue density? Do different tissues fluoresce (different wavelength out than the one coming in) and this thing detects the spectrum of the fluorescence and assigns colors on the display accordingly?

  9. Technically it's colorization, or false color by Solandri · · Score: 3, Informative

    The device doesn't actually measure the color of light the tissue reflects (can't due to no light reaching some of these tissues). It determines what type of tissue it is, then colors it in the images based on what we know the color of that type of tissue to be. Like adding color to old black and white movies based on our best estimate of skin tones, grass, roads, etc.

    1. Re:Technically it's colorization, or false color by ve3oat · · Score: 1

      Absolutely! False color is a very powerful presentation technique used widely in other scientific fields. I am surprised that it took so long to be used for medical imaging.

    2. Re:Technically it's colorization, or false color by PPH · · Score: 1

      Sort of like how the TSA scanners highlight my Glock every time I try to sneak it through the security line.

      --
      Have gnu, will travel.
    3. Re:Technically it's colorization, or false color by smooth+wombat · · Score: 1

      Sort of like how the TSA scanners highlight my Glock every time I try to sneak it through the security line.

      So you're part of the 5% the TSA does find when they do their tests.

      --
      We will bankrupt ourselves in the vain search for absolute security. -- Dwight D. Eisenhower
  10. What does color mean when there's no visible light by mark-t · · Score: 1

    Serious question.... Last time I checked, absent any visible light source, nothing has any visible color. Or are they going to shine a *really* bright light on a person and exploit any translucency their skin and organs might have to image them in color?

  11. What color are x-rays? by jfdavis668 · · Score: 1

    Aren't x-rays x-ray colored?

  12. x-ray glasses by AceDawg · · Score: 1

    Hopefully it won't be too long before we see an upgrade to the old x-ray specs that were available at the back of Boys' Life magazine.

  13. Re:What does color mean when there's no visible li by Oswald+McWeany · · Score: 1

    It is false-colour not real colour imaging. The colours are based on density, not the true colour.

    --
    "That's the way to do it" - Punch
  14. Re:What does color mean when there's no visible li by Dragonslicer · · Score: 1

    Serious question.... Last time I checked, absent any visible light source, nothing has any visible color. Or are they going to shine a *really* bright light on a person and exploit any translucency their skin and organs might have to image them in color?

    To answer the general question, you could easily shift (and, if necessary, compress) the wavelengths of the X-rays back to the visible spectrum. That probably isn't the best strategy for creating a useful image, so it wouldn't be what this specific device is doing. I would imagine you would get a more useful image if you map specific X-ray wavelengths to specific colors, so that you get the desired color contrast (e.g. between muscle tissue and other organ tissues).

  15. Re:What does color mean when there's no visible li by mark-t · · Score: 1

    Which means that it's not a color x-ray, it's an x ray that has been artificially colored. You can do the same thing with a regular x ray and a box of crayola crayons. The only difference is that it's being done automatically by software.

  16. I predict ... by nospam007 · · Score: 1

    Lots of color-blind x-ray specialists will get fired soon.

  17. My first thought by Only+Time+Will+Tell · · Score: 1

    My first thought when reading TFS was an image colored in various shades of red. Joking aside, I'm excited about breakthroughs in medical imaging that allow more nuanced learning about what's going on inside a living person.

  18. Na... by XMadtowner · · Score: 1

    Simpsons did it.

  19. Hopefully an color x-ray movie soon. by Jerry · · Score: 2

    Nice to see the announcement of a color x-ray.

    But, knowing how much normal x-rays, 3D mammograms, CAT, NMRs and other 30+ year old technologies still cost, I doubt that many folks in the sub $250K/yr category will be able to afford a color x-ray, much less a color x-ray movie in 3D, if the technology advances in a timely manner. Many hospitals and clinics are still charging up to $7000 for an ultrasound without insurance, but around $300-$600 with insurance. This is pitiful since a new top-tier ultrasound machine is priced at less than $50K, refurbished.
    So, after 100 readings via insurance the machine is paid off. That will take a month at 4 readings a day. For the next several years, minus maintenance, the income from ultrasounds, a 30+ year old technology, is pure profit.
    If they charged just $50 per reading they could pay off the machine in 10 months and still be reaping lots of profit, just not enough to allow the CEO and upper management to retire when they are 50.

    --

    Running with Linux for over 20 years!

  20. Re:What does color mean when there's no visible li by ChumpusRex2003 · · Score: 1

    I think in this case, the colours are not just based on density, but on absorption spectrum i.e. atomic composition, as well as simply attenuation.

    The use of multiple energy x-ray beams to determine atomic composition has been around for a long time. It's been a common feature of commercial CT scanners for 10 years. The idea would be that by making crude two-point measurements of the absorption spectrum, you could measure the quantity of an atom of interest - for example, if the patient had been given an iodine dye, the dual-energy technique could precisely quantify the iodine concentration in one acquisition more robustly than taking one scan before the dye, and one after and subtracting. Or, in the case of certain diseases like kidney stones, by measuring the calcium concentration in the stone, you could confidently start a particular treatment, without actually needing to wait to collect a stone for lab analysis.

    About 2-3 years ago, more sophisticated CT detectors have been commercialised, offering a spectroscopic measurement - i.e. they can measure multiple energy bands simultaneously - so by using multiple polychromatic x-ray beams and spectral detectors, you can get a multi-point spectrum for each voxel, and also improve image quality by being able to measure scattered photons and correct the reconstruction process for them. The idea with this is that you might be better able to quantify multiple different atoms - like iron and calcium - so, by biasing the image contrast towards iron, you might improve detection of blood clots.

    The novelty of this technique is that it appears to be a photon counting system with continuous energy measurement - so instead of measuring a spectrum with 4 or 5 broad energy bins, this is a high resolution spectrograph with single photon sensitivity. Essentially, it takes the current spectral CT technology one step further, by delivering a higher spectral resolution.

    As this type of spectral imaging has only been commercialised for a few years, the actual medical applications are not yet clear. It is an active area for clinical research, with medical teams trying out the enhanced capability of spectral imaging to determine where it may be of value.