Quantifying adipose tissue (fat) in a mouse or rat by in-vivo microCT Method note Page 1 of 26 2 Method note: Adipose tissue quantification in vivo 1. Introduction 1.1. X-ray interaction with biological soft tissues Fat or adipose tissue is exceptional among animal soft tissues in having a different x-ray attenuation to other soft tissues, and thus having a distinct density in microCT images (figure 1). In microCT scanners employing x-ray accelerating voltages in the range 20-100 kV, with corresponding x-ray photon energies mostly in the range 15-75 keV (after aluminium filtration to reduce beam hardening and radiation dose), the principal modes of x-ray attenuation are photoelectric absorption and Compton scattering. Which mode predominates depends on the photon energy and the atomic number (Z) of the absorbing element according to the relationship shown in figure 2 [1]. Photoelectric absorption predominates at low photon energies and in heavier elements, while higher photon energies and lower Z nuclei favour Compton scattering. Photoelectric absorption in material is proportional to Z4 where Z is the atomic number of the element – this represents an acute sensitivity of photoelectric absorption to elemental composition. However unlike photoelectric absorption, Compton scattering has unitary proportionality to Z. Figure 1. A reconstructed crossection of a microCT scan of a mouse thorax. The four tissues which are most readily distinguished in microCT images on the basis of differing x-ray attenuation, are bone, lung, fat and other “lean” non-fat soft tissue. All four are clearly visible in this image, the adipose tissue is shown as the darker grey regions near the periphery of the thorax. Note that in this image lighter color means higher x-ray attenuation and “density” while darker color means low x-ray attenuation. (Bone is saturated to white by narrowing of the reconstruction contrast limits to enhance soft tissue visual contrast.) Page 2 of 26 3 Method note: Adipose tissue quantification in vivo This difference is important; it means that photoelectric absorption gives much stronger absorption image contrast, based on material element composition, than Compton scattering. The elemental composition of soft tissue is predominantly hydrogen, carbon, nitrogen and oxygen. Elemental ratios in some biological tissues are shown below in table 1. The content of the two major constituent elements C and O in fat is 57% and 30% while in muscle (typical of soft tissues) the ratio is C 12% and O 73% [2]. The large difference in the ratio of carbon to oxygen between fat and lean tissues accounts for the difference in x-ray absorption at x-ray energies where photoelectric absorption is the predominant interaction mechanism, that is, at photon energies less than about 30 keV. Note from figure 2 that C, N and O are close to the boundary between predominance of photoelectric absorption and Compton scattering, at photon energies less than 50 keV. They can be attenuated by both modalities, lower photon energies will favour photoelectric while higher energies will favour Compton interaction. (Hydrogen (Z=1) is attenuated only by Compton scattering.) This is the physical basis for the increase in tissue contrast achieved by decreasing x-ray photon energy: where photoelectric absorption is favoured, Z-based contrast will increase. How do we know what x-ray photon energy is being used during a scan? And is photon energy the same as the applied voltage in the x-ray source? No. It is important to note that there is a big difference between applied voltage, and the resultant x-ray photon energy. Sharp energy peaks from characteristic x-rays combine with the broad spectra of bremsstrahlung (braking radiation) to give a wide and complex energy spectrum. The applied voltage marks the maximum of the spectral range, so that the mean photon energy is a lot less than the applied voltage. Figure 3 below shows the spectra of x-ray photon energy obtained with different combinations of filter and applied voltage (“filter” is simply a sheet of metal placed in the x-ray beam path, to remove the lowest energy xrays.) Table 2 shows the mean x-ray photon energy obtained with several settings of filter and voltage relevant to in vivo microCT scanning in the SkyScan 1076, 1176 and 1178 in vivo scanners. Table 1. Biological tissue elemental ratios, by mass percentage [2]. A massweighted average Z is also given. H C N O Na Mg P S K Ca Z 1 6 7 8 11 12 15 16 19 20 Water 11.2 Muscle 10.2 12.3 3.5 72.9 Fat 11.2 57.3 1.1 30.3 6.4 27.8 2.7 41 Bone Average Z, mass-weighted 7.2 88.8 0.08 0.02 0.2 0.5 0.3 .007 6.1 .006 0.2 Page 3 of 26 7 0.2 7.1 14.7 9.1 4 Method note: Adipose tissue quantification in vivo Figure 2. The interaction modes of x-rays with matter depending on elemental atomic number Z and the x-ray photon energy hv. Biological soft tissue elements C, N and O (Z=6,7,8) are near the boundary of photoelectric absorption and Compton scattering, at photon energies less than 50 keV used in microCT. Since the sensitivity of absorption to Z is much higher in photoelectric absorption, in practice contrast between fat and lean tissue is improved by decreasing x-ray photon energy. (From The Atomic Nucleus, Evans 1955.) 2. Method 2.1. What does this mean for in vivo microCT imaging of adipose tissue in small animals? What settings to use? This means that fat can be imaged well by microCT imaging of rats and mice, providing appropriate x-ray energy is used. But, importantly, x-ray settings should not cause excessive radiation dose to the animal. These considerations work in opposite directions. Generally lowering the mean photon energy will increase contrast between fat and lean tissue (more photoelectric absorption, less Compton scattering). However decreasing photon energy will also increase radiation dose from a scan. Therefore a balance or compromise is required. Scan settings are recommended which both optimise tissue contrast and reduce radiation dose. For the mouse we recommend 1mm Al filter and applied voltage of 40-50 kV. From table 1, this setting corresponds to an average x-ray photon energy of 25 keV, taking account of camera detection efficiency with x-ray energy. Page 4 of 26 5 Method note: Adipose tissue quantification in vivo Note that a superior contrast between fat and lean tissue would be obtained using the 0.5mm Al filter with the same 40-50 kV applied voltage. However the x-ray dose would be almost double that of the corresponding scan with 1mm Al filter. Thus if an in vivo scan is done just before sacrificing an animal, where radiation dose is not such an issue, then the 0.5mm Al filter setting could be used. However if serial in vivo scans are done in a longitudinal in vivo study design, then the 1mm Al filter should be used. If exceptionally low dose is required for mouse scanning for soft tissue analysis, then the Cu+Al filter (equivalent of 2mm Al) can be used with an applied voltage of 40 kV. The low applied voltage helps to prevent too much loss of lean-fat contrast due to the increased x-ray energy due to the higher filtration. Table 2. The mean x-ray photon energy from a microCT x-ray source, depending on filter and applied voltage, with and without a correction for the decreasing x-ray camera detection efficiency with increasing x-ray photon energy. Applied voltage 50kV Filter from "effective" spectrum compensated for X-ray camera efficiency Not compensated - as emitted from source+filter 15.71 19.27 Al 0.5mm 22.53 26.52 Al 1mm 25.03 28.82 27.47 31.14 No filter 18.02 24.12 Al 0.5mm 26.91 32.64 Al 1mm 30.31 35.32 33.95 38.04 No filter 20.77 29.39 Al 0.5mm 31.26 38.42 Al 1mm 35.23 41.24 39.41 44.05 Al 2mm 90 kV Mean keV No filter Al 2mm 70kV Mean keV Al 2mm 1 1 1 1 In the SkyScan 1076 or 1176 in vivo scanners, the “Cu+Al” filter is equivalent to about 2mm Al filtration (40 microns of Cu with 0.5mm Al). Page 5 of 26 Method note: Adipose tissue quantification in vivo Different filters with 50 kV applied voltage 1.E+17 No filter Ti 25µm Count (LOG scale) Al 0.125mm Al 0.25mm 1.E+16 Al 0.5mm Al 1mm Cu 38µm+Al 0.5mm Cu 0.125mm 1.E+15 1.E+14 0 10 20 30 40 50 60 photon energy keV Different filters with 100 kV applied voltage 1.E+17 No filter Ti 25µm Al 0.125mm Count (LOG scale) 6 Al 0.25mm 1.E+16 Al 0.5mm Al 1mm Cu 38µm+Al 0.5mm Cu 0.125mm Cu 0.4mm 1.E+15 1.E+14 0 20 40 60 photon energy, keV 80 100 Figure 3. The spectrum of x-ray photon energy for different combinations of xray filter and applied voltage. The large peak of low energy x-rays at about 10 keV is characteristic of the tungsten x-ray source target, however this peak is effectively removed with filtration with 0.5mm Al or more. Page 6 of 26 7 Method note: Adipose tissue quantification in vivo For small rats up to about 300g, 1mm Al filter can also be used, with 6080 kV applied voltage. For larger rats over 300g, the Cu+Al filter in the SkyScan1176 (which is equivalent to about 2mm Al filter) should be used with applied voltage of 70-90 kV. Recommended scan and reconstruction settings for mice and rats, for in vivo quantitative assessment of adipose tissue, are shown in table 2 for the SkyScan 1176 in vivo scanner. For the SkyScan1178 in vivo scanner, there is a fixed 0.5mm Al filter. For assessment of adipose tissue in the mouse, 40-50 kV should be used, and the maximum 65 kV for the rat. Table 3. Recommended scan and reconstruction settings for mouse and rat microCT in vivo scans to quantify adipose (fat) tissue. This is for the SkyScan 1176 in vivo scanner. Mouse Offset scan (double width) X-ray filter X-ray applied voltage2 Pixel size, microns Scan rotation 180 / 360 degrees Rotation step Frame averaging Rat ≤300g Scan parameters No Yes 1mm Al 1mm Al Rat >300g 40-50 kV 35 360 60-80 kV 35 360 Yes “Cu+Al” (=2mm Al) 70-90 kV 35 360 0.6-0.9 1-2 0.4-0.7 1-2 0.4-0.7 1-2 Reconstruction parameters 3-5 3-5 3-5 Yes if large bed No (unless part Yes is used of animal goes outside FOV at any part of scan rotation) Ring artefact reduction 2-4 3-5 3-5 Beam hardening correction 30 30 30 % Defect pixel mask (advanced 5% 5% 5% tab) Contrast limits (attenuation Minimum: 0 values for grey 0 and 255) Maximum: adjust for soft tissue contrast, allow bone to saturate (max line at about half way point on spectrum) ROI Apply ROI to include all animal but minimise outer ambient space. Smoothing kernel radius Object > field of view 2 The source current setting is variable; if synchronisation is not done (not required for adipose assessment) then current can be reduced with a reciprocal increase in exposure time, to lower radiation dose – see the corresponding method note. Page 7 of 26 8 Method note: Adipose tissue quantification in vivo The parameters for scanning and reconstruction for mice and rats (smaller and larger) are shown in table 3. In general there is not much variation in scan parameters for mice or rats in vivo, whether one is imaging the animal to study bones or soft tissue (the animal remains the same in either case). The same filter and voltage parameters are appropriate for bone scanning, however higher resolution is needed, of 18 or 9 micron pixel. 2.2. Mounting animals for scanning Mice and rats should be placed supine (back down) on the animal bed. Mice can either be scanned in the 3 cm diameter carbon bed, or alternatively in the 6 cm diameter carbon bed with the appropriate polystyrene foam insert (outer diameter 6cm inner diameter 3cm). This latter arrangement has the advantage that the reconstructed crossections in the mouse are surrounded by very low density polystyrene foam so that the animal body is easier to automatically segment. By contrast the carbon fiber bed has x-ray density closer to animal soft tissue so if the animal lies directly against the carbon bed, it can require extra time and effort during analysis to separate the animal body from the bed. Figure 4. Upper: the 6 cm carbon bed mounted in the SkyScan 1176 in vivo scanner can be used to mount either a mouse, using the appropriate polystyrene foam insert (lower left) or a rat (lower right). Page 8 of 26 9 Method note: Adipose tissue quantification in vivo The reason that we recommend supine placement of the animal is that this reduces the transmission of breathing movement to the spine and ribs, which is greater if the animal is placed prone (back uppermost). 2.3. Quantitative analysis of the rodent body for fat (adipose) tissue: steps in CT-Analyser The first step in fat analysis (as with any analysis) is how to define, standardise and select your volume of interest. A methodology will be presented here for selecting and analysing fat from the thorax of the mouse, where the fat needs to be separated from lung tissue. Depending on the scan method used, particularly whether breathing synchronisation has been applied – and what type of synchronisation – there is a varying amount of overlap in density between the two tissues lung and adipose. Delineation of fat from abdominal regions follows the same essential methodology, but is simpler in one respect, in that no separation from lung tissue is needed. (However other challenges can occur with abdominal fat delineation, such as air bubbles in the gut, dense calcified dietary particles in the gut and movement artefacts from the gut.) An overview of a methodology for adipose delineation in the abdominal region is also given. 2.3.1. Set a standardised and referenced range of crossection slices The first part of the definition of the volume of interest (VOI) is setting the range of crossectional slices. The anterior border of the VOI can be defined relative to a landmark, such as the first appearance of the lungs, or the first division of the two bronchi (see figure 5 i and ii respectively). Since there is not much fat at the anterior lung, an “offset” should be applied, so that your volume of interest begins something like 100-200 slices posterior-wards of the anterior landmark reference as defined in Figure 5 (i) and (ii). The resulting offset crossection is shown in figure 5 (iii). Then extend the VOI a fixed number of crossectional slices in the posterior direction, something like 150-250 slices (figure 5 iv). The point chosen in this way for the posterior end of the VOI range should be close to the posterior margin of the lungs (the diaphragm). In the CTAn screenshot the clear band in the shadow projection is the selected region and the green regions are out-of-range. The selected VOI is shown in figure 6 as a 3D model (CTVol, Marching cubes type surface rendering). Page 9 of 26 10 Method note: Adipose tissue quantification in vivo (i) (ii) (iii) Figure 5. The start of the lungs (i) or the branching of the trachea into bronchi (ii) can be used as landmarks for referencing the VOI. Adding an offset in the posterior direction (iii) commences the VOI in a region with more subcutaneous fat. (iv) the VOI should end after a fixed number of crossections, at a point close to the posterior margin of the lungs. (iv) Figure 6. The appearance of the VOI segment of the mouse thorax selected for fat analysis relative to a lung landmark (branching of trachea), in CTVol as a set of 3D tissue models. The adipose tissue is shown in green, lungs blue, bone gold. Page 10 of 26 11 Method note: Adipose tissue quantification in vivo 2.3.2. Select and note tissue binary thresholds. In CTAn, go to the binary page. (The ROI page can be skipped since the VOI will be set using tools in the custom processing page.) Observe the density histogram corresponding to the different tissue components. Note the histogram is easier to interpret if set to log scale with this button . At this stage in the fat analysis, choose the threshold ranges corresponding to different tissue. Density ranges for (a) fat and (b) all tissues should be chosen. Optionally, thresholds for bone lung can also be identified. 2.3.2.1 Fat threshold Set an upper and lower threshold limit similar to the ones shown in figure 7 to delineate fat. Depending on how the lung was imaged, i.e. if synchronisation was used, the lungs will overlap with the adipose tissue in density either partially or fully. Figure 7. A threshold density range selection (above) will segment the fat tissue and either part or all of the lung tissue also (below) – segmented image area is shown in red, non-segmented in green. Note that here adipose tissue density broadly overlaps with that of the lung. In the example shown in figure 7, the threshold limits chosen were 32-84 greyscale. Important note: do not try to copy exactly the numerical threshold values in this document for your analysis. With different scans and Page 11 of 26 12 Method note: Adipose tissue quantification in vivo reconstructions these numbers will be different, you need to find these values yourself. Optimal lung images without movement make lung-fat separation easier Please note: figure 7 shows the grey level obtained for lung in vivo when the scan is done either without breathing synchronisation or with synchronisation [3] on a free-breathing mouse (either prospective or retrospective) where movement suppression will be only partial. However in the case of scanning with lung ventilation, using the Scireq FlexiventTM for example, or else in the case of scanning a freshly sacrificed mouse with lungs kept inflated and static [3], the scan quality will be superior so that the reconstructed density of the lungs will be realistically closer to its true, low value. In this case there will be a separation in density between fat and lung, as shown in figure 8. This means that only a narrow periphery of the lung is binarised, not the whole lung, making it easier to remove the binarised pixels from the lung from the much thicker binarised adipose regions. Figure 8. A threshold density range selection (above) above for fat tissue in a scan with movement artefacts almost fully eliminated by synchronisation with controlled ventilation, or post-mortem scanning with lungs inflated. Here the overlap between lung and fat is much less, restricted to the lung periphery only. Page 12 of 26 13 Method note: Adipose tissue quantification in vivo 2.3.2.2. Threshold for all tissues Now choose a threshold range which will binarise the whole crossection of the mouse body (figure 9). This can simply be the lower fat threshold up to the maximum 255 greyscale. The purpose of this is the create a volume of interest (VOI) corresponding to the mouse body boundary. It may not be possible to find a threshold that does not leave some white objects outside the mouse periphery and some black pores inside it. This is OK, these objects and pores can be removed later by image processing. In the case shown in figure 9, the threshold range for all soft tissues is 32-255. Figure 9. A threshold density range selection (above) above for all soft tissues. 2.3.3. Go to custom processing to set a task list to select and analyse the adipose tissue With threshold ranges chosen for fat and all tissues, we can now proceed to the custom processing page – the 5th and final page of CTAn. Here we will perform a series of thresholding and image processing steps to delineate both a volume of interest (VOI) of the whole mouse outline and a binarised 3d image of the adipose tissue. This will allow us the measure fat tissue volume and thickness, as a percent of all tissues. Furthermore, it will be shown that this method can easily and simply be adapted to binarise and analyse the lungs also. Tables 4 and 5 illustrate the workflow of the task list on image and ROI. Page 13 of 26 14 Method note: Adipose tissue quantification in vivo 1. Binarise all soft tissues. Use the threshold previously found for all soft tissue, i.e. from figure 9, 32-255. 3.2. Clean the binary mask of the animal outline. Use the despeckle plug-in, to remove both white dots in the surrounding space around the animal, and to remove black spaces within the animal outline. The two operations SWEEP and REMOVE PORES can be used in two runs of despeckle, 3D and 2D respectively and “apply to image”. Page 14 of 26 15 Method note: Adipose tissue quantification in vivo 3.3. Copy this mask of the animal shape to the ROI Run Bitwise operations, select the COPY operator and apply the expression: ROI = COPY IMAGE This will make the ROI become a copy of the binary mask of the animal shape. 3.4. Reload the image Run the RELOAD plugin, and select IMAGE: 3.5. Binarise the reloaded image with the adipose threshold range Run the threshold plugin a second time. Select global thresholding, and this time set the threshold range appropriate for adipose tissue (see figure 7 above, in this case 32-84). Page 15 of 26 16 Method note: Adipose tissue quantification in vivo A binary image will be obtained including both adipose tissue and varying amounts of lung tissue. The image will also contain noise dots. 3.6. Erode two pixels from the ROI boundary Run the plugin MORPHOLOGICAL OPERATIONS and select ERODE. Choose 2D space, a round kernel and a radius of 3 pixels (apply to ROI). 3.7. Purge the image of out-of-ROI parts. Run Bitwise operations and choose the AND operator. Run the expression IMAGE = IMAGE AND ROI: This “purges” the image by removing the part of the image outside the ROI. (It simplifies subsequent image processing.) 3.8. Clean up the image with opening and despeckle To improve the quality of the binarised image of fat and lung, run first the open-close morphological operations to remove any remaining thin peripheral artefact. Then despeckle to remove small noise objects, both white and black objects less than (say) 100 voxels in size. Firstly, run morphological operations and OPENING, in 3D space, with a 1 pixel radius, round kernel (apply to image). Then repeat the same morphological operation but with CLOSING selected: Page 16 of 26 17 Method note: Adipose tissue quantification in vivo Secondly, run DESPECKLE, remove white pixels in 3D space, <100 voxels, and apply to image. Then run the same operation but to remove black voxels <100 voxels: Page 17 of 26 18 Method note: Adipose tissue quantification in vivo 3.9. Remove the lungs (and leave the fat) Finally, the lungs can be removed from the image (but leaving the adipose tissue in place). This is done with the DESPECKLE operation selecting SWEEP, in 3D space, with “remove largest object”, applied to image: Note: alternatively at this stage, the opposite operation could be performed, selecting “all except the largest object”. This would have the effect of leaving the lungs in place but removing the adipose tissue regions. Therefore this method and task list is applicable both to the study of adipose tissue and lungs. Page 18 of 26 19 Method note: Adipose tissue quantification in vivo Please note also – that, while in a “normal” mouse in which the lungs are mostly binarised together with the fat, the lungs will constitute the largest object. However there will be two exceptions to this. One is where synchronisation or scanning of post-mortem inflated lungs means that the lungs are reconstructed with true density of their air content without any movement artefact, the majority of the lung content will be of low enough density to separate from the fat, so that only a thin periphery of lung will be binarised (see figure 8). The other exception is where the mouse is obese with a very large fat tissue volume. In both these cases, the volume of binarised fat will be larger, not smaller, than the binarised lung volume. In this case, simply reverse the logic of the SWEEP operation and remove all but the largest, not the largest object. 3.10. Measure the volume and other 3D parameters of the lungs Now run 3D analysis, and choose all parameters except structure separation – also called “trabecular separation”. (To change between bone and non-bone parameter names, go to file / preferences and the “general” tab, and select under “nomenclature” either “Bone ASBMR” or “General Scientific”). Structure separation measures the separation between binarised (white) structures, within the VOI, or to put it another way, it measured the thickness of the black spaces within the VOI. In this case this measurement is unnecessary and can take some time; so it can be deselected. Note that for analysis of multiple animal scan datasets, you can select under “save results as” the “both” option so that, as well as the standard results report, a summary table will record all analysed dataset results line-by-line for easy statistical analysis in a spreadsheet program. Page 19 of 26 20 Method note: Adipose tissue quantification in vivo 3.11. Finally, save binarised image datasets of the image and VOI The plug-in “save bitmaps” is a useful way to allow checking of the outcome of the task list after the analysis. Both the image and the ROI (saved as a binary image mask) can be inspected in a “quality control” so that you can see exactly which images were analysed and what VOI applied. Run the “save bitmaps” plugin twice, once to save the image inside ROI and the second time to save the ROI. In each case the format should be BMP, and the first three tick boxes selected only, for “convert to monochrome” (for smaller image file size), “copy shadow projection” and “copy dataset log file”. Page 20 of 26 21 Method note: Adipose tissue quantification in vivo Page 21 of 26 22 Method note: Adipose tissue quantification in vivo Table 4. The fat analysis steps in custom processing, applied to the mouse thorax. In SkyScan CTAn in the custom processing page, you work with several image “channels”, that include “IMAGE” and “ROI”. At any given time the IMAGE and ROI are represented by different images, either greyscale or binary. These parallel images are shown at every stage of the fat analysis process. Operation IMAGE 1. Load dataset into custom processing. 2. Binarise the body selecting a threshold to include all soft tissue. There may be black pores in the tissue region and white objects outside it. 3. Despeckle to remove white dots: - SWEEP all except largest object, 3d Despeckle to remove black pores: - Despeckle: remove pores, 2D 4. Copy the resultant binary mask to become the ROI Bitwise: ROI = COPY IMAGE 5. Re-load the grey-scale image while keeping the ROI mask of the animal outline. Reload: IMAGE 6. Run the threshold plugin to binarise the image in the fat density range, which will also include the lung, either boundary only or the full volume of the lung. Note that an artificial white line boundary will appear around the animal. Page 22 of 26 Result ROI 23 Method note: Adipose tissue quantification in vivo 7. Clean-up operations: Erode the ROI boundary by 2 pixels, purge the image (remove image outside ROI): - Morphological operations, ERODE, 2D, round kernel, 2 pixels, apply to ROI - Bitwise operations: AND IMAGE=IMAGE AND ROI 8. Clean up the binary image of fat with: - Morphological operations, opening, 3D, round kernel, 1 voxel, to IMAGE - Morphological operations, closing, 3D, round kernel, 1 voxel, to IMAGE - Despeckle: Remove white speckles < 100 voxels, 3D 9. Now remove the lungs. In most cases except very obese mice, the lungs together will constitute a larger binarised object than the various fat bodies. - Despeckle, SWEEP, 3D, remove the largest object 10. Now run 3D analysis Also “save bitmaps”, image and ROI 3D analysis result including fat volume, fat volume as percent of all tissue volume, and fat thickness. NOTE: alternatively, one can run the last SWEEP operation in the reverse way, removing everything except the largest object. This will select the lungs and remove all adipose tissue regions. Thus the task lists for selection of both lungs and fat are very similar, differing in only this final step. 11. Run “save bitmaps” to output a copied directory of the full set of binarised image crossections and ROI crossection masks. - Save Bitmaps, image inside ROI - Save bitmaps, ROI Page 23 of 26 24 Method note: Adipose tissue quantification in vivo Table 5. The fat analysis process for the abdominal region, without the need to separate fat from lung. Operation IMAGE 1. Result ROI Start (no operation) 2. Binarise the body selecting a threshold to include all soft tissue. There may be black pores in the tissue region and white objects outside it. 3. Despeckle to remove white and black dots: - SWEEP all except largest object, 3d - Despeckle: remove pores, 2D 4. Copy the resultant binary mask to become the ROI Bitwise: ROI = COPY IMAGE 5. Re-load the grey-scale image while keeping the ROI mask of the animal outline. Reload: IMAGE 6. Binarise with thresholds to select fat, and exclude denser lean tissue and bone. Threshold plugin, global 7. Clean up the binary image of fat with: Morphological operations, opening, 3D, 1 voxel, to IMAGE Despeckle: Remove white speckles < 100 voxels 8. Now run 3D analysis Also “save bitmaps”, image and ROI 3D analysis result including fat volume, fat volume as percent of all tissue volume, and fat thickness. Page 24 of 26 25 Method note: Adipose tissue quantification in vivo 3. Conclusions This set of operations shows the high degree of flexibility that exists in SkyScan CTAn for defining both the image and the volume of interest for analysis, starting with binarised images with different thresholds, and processing these images with a set of standard image processing steps (e.g. despeckle, morphological operations etc.) and logical operations (copy, and, not, sub etc.). In this way, any material phases which are visibly resolved from each other within a microCT image dataset in terms of density, can be separated from each other for analysis. Analysis can also be done with flexible and powerful control of the volume of interest. Figure 10. Adipose tissue – shown in green in the lower surface rendered model image, can be segmented and visualised on the basis of its lower x-ray density than other “lean” soft tissues. Other tissues which are visualised on the basis of contrast agent, such as liver, spleen, blood vessels etc., can also be segmented using very similar image processing steps. Page 25 of 26 26 Method note: Adipose tissue quantification in vivo References 1. Evans RD, The Atomic Nucleus. McGraw-Hill, 1955. 2. Johns HE, Cunningham JR, The Physics of Radiology, 4th Ed. Charles C Thomas, Illinois, USA, ISBN 0-398-04669-7; 1983. 3. De Langhe E, Vande Velde G, Hostens J, Himmelreich U, Nemery B, et al. (2012) Quantification of Lung Fibrosis and Emphysema in Mice Using Automated Micro-Computed Tomography. PLoS ONE 7(8): e43123. doi:10.1371/journal.pone.0043123 Page 26 of 26
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