Recently in Medical physics Category

Whether rosy or rich, the color of human skin comes from a pigment called melanin, which occurs in two forms: Pheomelanin acts as a photosensitizer for UV radiation, while eumelanin has a protective role against light and seems to be overabundant in melanoma, a dangerous form of skin cancer. Melanoma is typically diagnosed by removing a lesion and examining it microscopically, layer by layer. Several noninvasive imaging techniques have been explored to detect the cancer, but they lack the molecular specificity needed to distinguish the two melanins. Enter researchers from Duke University who address that shortcoming with a nonlinear optical pump–probe technique. They excite the molecules with an ultrafast laser pulse and, after a varying time delay, measure the absorption of a second pulse—the probe. The contrast between the two melanins arises from their different time-delay absorption profiles. The white-light image on the left shows a melanoma lesion on human skin grafted onto a live mouse. The false-color image on the right, taken at a depth of 45 µm with the new technique, shows eumelanin in red, pheomelanin in green, and multiphoton fluorescence in blue. Previously the group used this method to image the tiny blood vessels in a mouse's ear. Such architectural views of skin coupled with the new functional mapping could provide the basis for a useful noninvasive diagnostic and screening method, particularly when removing tissue is problematic—as with melanoma in the eye. (T. E. Matthews et al., Biomed. Opt. Exp. 2, 1576, 2011.)—Stephen G. Benka

When a person’s head strikes, or is struck by, another object, it accelerates. As it begins to decelerate, the brain slams into the skull, then bounces off and oscillates until the impact energy dissipates. The resulting shear and compressive strains can lead to brain damage. But in battlefield explosions, just the acoustic waves alone can cause soldiers traumatic brain injuries. To better understand that process, Lawrence Livermore National Laboratory's William Moss and Michael King and the University of Rochester’s Eric Blackman compared numerical simulations of a head colliding with a wall to one being struck by an explosion’s blast waves. Despite accelerating the head at less than half the rate of the wall collision, the simulated blast produced on the brain surprisingly comparable pressure spikes—ranging up to 3 bars—and even larger pressure gradients. Apparently, those mechanical loads are delivered by the skull, which ripples under the pressure of blast waves—the rippling motion is indicated in the image by velocity vectors. The researchers confirmed the role of the skull’s elasticity by making it 1000 times stiffer in their simulations and observing a fivefold drop in the pressure spikes. The simulations also revealed that helmets in contact with the head can impart an additional mechanical load to the skull and helmets that allow for an air cushion geometrically focus and increase the magnitude of blast waves. (W. C. Moss et al., Phys. Rev. Lett., in press.)—Jermey N. A. Matthews

The unusual stiffness or sponginess of dead and decaying biological tissue is readily apparent to the human touch. However, early detection of such mechanical property changes in a tissue's extracellular matrix could signal the onset of disease. To measure the elasticity of tissue in living patients, needle-based indentation methods are more direct and less expensive alternatives to MRI, ultrasound, and electrical impedance. Such a probe has recently been developed by University of California, Santa Barbara, physicist Paul Hansma, an atomic force microscopy expert, and his collaborators. The handheld tissue diagnostic instrument (TDI) consists of a stainless steel probe, 175 µm to 1 mm in diameter depending on the tissue sample, which longitudinally oscillates at 4 Hz in a needle-thin stationary sheath. The force from the magnetically controlled oscillation of the probe produces a corresponding displacement in the tissue. The tissue's elastic modulus, or stiffness, is proportional to the slope of the force-displacement curve, and energy dissipation in the tissue is proportional to the area under that curve. The researchers measured, with millimeter spatial resolution, healthy and diseased tissue samples ranging in elastic moduli from around 1 kPa to 12 GPa. Among them were mouse breast tissue, which hardens when it becomes tumorous, and human tooth dentin (see schematic), which softens and decays when infection sets in. The researchers say the instrument could be used in the future to simultaneously test and biopsy a tumor or, if the probe is coated with antibodies, to measure single-molecule interaction forces. (P. Hansma et al., Rev. Sci. Instrum., in press.) — Jermey N. A. Matthews

MRI excels at revealing subtle features in soft tissue. Hydrogen nuclei are detected through the electromotive force induced in a nearby coil when their spins flip from an RF pulse. Typically, one coil transmits the pulse and another detects the induced signal. That configuration has been used in clinical settings for decades with imagers built from 1.5 T magnets. In recent years, imagers have been developed with greater field strength to boost sensitivity. But as the field increases, so does the resonance frequency required to excite nuclei. The corresponding wavelength in tissue in a 7-T magnet is about 12 cm, on par with the size of resonator coils that encircle a human head. The result: interference and standing-wave RF patterns. Those inhomogeneities in the RF field are disastrous because they perturb the image contrast between different types of tissue. A group led by Klaas Pruessmann at ETH Zürich has now solved the problem by removing the RF coils entirely and using the conductive lining in a 7-T MRI cavity as a waveguide with an antenna placed at one end. A patient inside the waveguide is exposed to a homogeneous traveling RF wave launched from the same antenna that subsequently detects the spin signals. The in vivo images of a human leg demonstrate that traveling-wave MRI (left) can excite spins more uniformly than can inductive MRI (right). The researchers speculate that, with the tight-fitting induction coils gone, patients may suffer less from claustrophobia and engineers may enjoy more design freedom. (D. O. Brunner, N. De Zanche, J. Frölich, J. Paska, K. P. Pruessmann, Nature 457, 994, 2009.) — R. Mark Wilson