Non-invasive airway health assessment: Synchrotron imaging reveals effects of rehydrating treatments
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The objective of this study was to visualize changes in mucociliary transit (MCT) brought about by a rehydrating treatment based on hypertonic saline (HS), a prevalent clinical treatment for cystic fibrosis (CF). They have created a novel mucociliary transit (MCT) measurement that employs synchrotron phase contrast X-ray imaging (PCXI) to non-invasively measure the transit rate of individual micron-sized particles deposited into the airways of live mice. The goal of this research is to evaluate the effectiveness of potential CF therapies.
Figure 1. Typical PCXI image showing the result from manual particle tracking at one imaging period. The mouse is supine with the lungs to the left and the mouth to the right; MCT is primarily in a left-to-right direction. The first frame (marked in green) from a sequence of 10 is shown with the location of tracked particles in the following frames marked with a red dot. Note that particle motion is not homogeneous; some particles move long distances, some short distances, and some (unmarked , primarily along the dorsal tracheal surface) remain stationary over those 10 frames (Donnelley et al., 2014) .
By utilizing X-ray refraction in addition to conventional absorption, PCXI can create better soft tissue contrast even when the absorption differences are minimal. Increased sample-to-detector distance improves tissue boundaries, provided the X-ray beam is spatially coherent, because of variations in the X-ray refractive indices of the various tissues. This investigation showed that deposited lead dust, typically 5 mm to 12 mm in diameter with a few larger particles present (see Figure 1 in Donnelley, Siu, et al.), was a good marker for tracheal MCT behavior analysis through PCXI. This method also makes it possible to evaluate therapies without using animals in long-term, repeated-measure study designs.
References
[1] Donnelley, M., Morgan, KS, Siu, KKW, Farrow, NR, Stahr, CS, Boucher, RC, Fouras, A., & Parsons, DW (2014). Non-invasive airway health assessment: Synchrotron imaging reveals effects of rehydrating treatments on mucociliary transit in-vivo. Scientific Reports , 4 , 1–7. https://doi.org/10.1038/srep03689