Recent Advances in Medical Applications of Synchrotron Radiation
Stanford Synchrotron Radiation Laboratory
March 4-5, 2002
Program Director: Edward Rubenstein
Keith Hodgson
James Rubenstein
Katsuhito Yamasaki
Helene Elleaume
Giuliana Tromba
Wolf-Rainer Dix
Kazuki Hyodo
Barton Lane
William Thomlinson
Hiroshi Sugiyama
< font face="Verdana, Arial, Helvetica, sans-serif" size="2">Joseph Roberson
Masami Ando
John Kinney
Avraham Dilmanian
Dean Chapman
Zhong Zhong< /font>
Brenda Laster
Roman Tatchyn
Pau l Csonka
Medical Application of Synchrotron Radiation at Elettra:
the SYRMEP Beamline

Giuliana Tromba

SYRMEP Collaboration - Sincrotrone Trieste
In conventional radiology the image formation is related to the absorption properties of the sample. Image contrast is o riginated by a variation of density, composition or thickness of the sample and is based exclusively on the detection of amplitude variation of the transmitted X-rays. The main limitation of this technique is the poor enhancement of weakly absorbing details in soft tissue.

The high intensity and high transverse coherence of radiation delivered from third generation synchrotron light sources like Elettra represent unique opportunity to investigate novel X-ray imaging approaches that can be extended out also to medical radiology. These techniques are based on the observation of the phase shifts produced by the object on the incoming wave. In the energy range of 15÷25 keV, the phase shift is up to 1000 times more sensitive to variation of the structure and composition of soft biological tissues when compared to absorptio n. Therefore it is possible to reveal phase effects even if the absorption is negligible. In the diagnostic radiology energy range three different approaches for phase effect-based techniques can be considered: the PHase Contrast (PHC) radiography, the Diffraction Enhanced Imaging (DEI) and the X-ray interferometry.


At Elettra a dedicate d research program is carried out at the SYRMEP beamline where the use of PHC and DEI techniques in different contexts of diagnostic radiology is studied. Recent results obtained with test objects and specimens of medical relevance are shown.

Particular interest is devoted to the application of the PHC technique to breast imaging. Several samples of full mammary gland have been studied and the obtained images have been compared to conventional radiographs.


PHC and DEI techniques bring significant improvements to the quality of images and do not require an increase in the delivered dose. For instance, with the PHC technique a reduction of 30-40% on the mean glandular dose has been obtained with respect to conventional images.

In the near future the beamline will be upgraded and a medical facility will be built to perform in vivo clinical studies in mammography. The sketch of the new beamline and the proposed protocol of examinations will be presented.

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