Invited plenary talks
            
               
                | Elsa Angelini  | 
                Compressed Biological Imaging | 
              
               
                | Guillaume Bal | 
                 Hybrid Inverse Problems and Internal Functionals | 
              
               
                | Charles L. Epstein | 
                New approaches to the numerical solution of Maxwell's 
                  Equations | 
              
               
                | Aaron Fenster | 
                Use of 3D Ultrasound Imaging in Diagnosis, Treatment 
                  and Research | 
              
               
                | Mathias Fink | 
                Multiwave Imaging and Elastography | 
              
               
                | Polina Golland  | 
                Non-parametric Atlas-Based Segmentation of Highly 
                  Variable Anatomy | 
              
               
                | David Isaacson | 
                Problems in Electrical Impedance Imaging (talk 
                  cancelled)  | 
              
               
                | Ender Konukoglu | 
                Personalizing Mathematical Models with Sparse 
                  Medical Data: Applications to Tumor Growth and Electrocardiophysiology | 
              
               
                | Jeremy Magland | 
                Processing strategies for real-time neurofeedback 
                  using fMRI | 
              
               
                | Anne Martel | 
                Assessing response of cancer to therapy using 
                  MRI | 
              
               
                | Dr Michael Miller  | 
                Diffeomorpic Shape Momentum in Computational Anatomy 
                  and Neuroinformatics | 
              
               
                | Xavier Pennec | 
                Statistical Analysis on Manifolds in Medical Image 
                  Analysis | 
              
               
                | Justin Romberg | 
                A Survey of Compressed Sensing and Applications 
                  to Medical Imaging | 
              
               
                | Yoram Rudy  | 
                Noninvasive Electrocardiographic Imaging (ECGI) 
                  of Cardiac Electrophysiology and Arrhythmia | 
              
               
                | John Schotland | 
                Physical Aspects of Hybrid Inverse Problems | 
              
               
                | Emil Sidky  | 
                What does compressive sensing mean for X-ray CT 
                  and comparisons with its MRI application | 
              
               
                | Samuli Siltanen | 
                Low-dose three-dimensional X-ray imaging | 
              
               
                | Gunther Uhlmann | 
                Thermoacoustic tomography with a variable sound 
                  speed | 
              
               
                | Lihong V. Wang | 
                Photoacoustic Tomography: Ultrasonically Breaking 
                  through the Optical Diffusion Limit | 
              
               
                | Graham Wright | 
                MRI for Management of Ventricular Arrhythmias | 
              
            
            Abstracts Invited plenary talks
            Compressed Biological Imaging
              by
              Elsa Angelini
              Institut Telecom, Telecom ParisTech
              Coauthors: Jean-Christophe Olivo-Marin, Marcio Marim de Moraes, 
              Michael Atlan, Yoann Le Montagner
            Compressed sensing (CS) is a new sampling theory that was recently 
              introduced for efficient acquisition of compressible signals. In 
              the presented work, we have studied practical applications of the 
              Fourier-based CS sampling theory for biological microscopy imaging, 
              with two main contributions:
            (i) Image denoising: microscopic images suffer from complex artifacts 
              associated with noise and non-perfect illumination conditions. In 
              fluorescence microscopy, noise and photobleaching degrade the quality 
              of the image. In this work, we have exploited the CS theory as an 
              image denoising tool, using multiple random undersampling in the 
              Fourier domain and the Total Variation as a spatial sparsity prior. 
              Compounding of images reconstructed from multiple sets of random 
              measurements enforce spatial coherence of meaningful signal components 
              and decorrelate noisy components. We have studied the relation between 
              signal sparsity and noise reduction performance under different 
              noise conditions. We have demonstrated on simulated and practical 
              experiments on fluorescence microscopy that the proposed denoising 
              framework provide images with similar or increased signal-to-noise 
              ratio (SNR) compared to state of the art denoising methods while 
              relying on a limited number of samples.
            If Fourier-domain image point acquisitions were feasible, the proposed 
              denoising could be used as a fast acquisition scheme which would 
              enable to reduce exposition times, and reduce the photobleaching 
              effects.
            (ii) Compressed digital holographic microscopy: high data throughput 
              is becoming increasingly important in microscopy, with high-resolution 
              cameras (i.e. large numbers of samples per acquisition) and long 
              observation times. The compressed sensing theory provides a framework 
              to reconstruct images from fewer samples than traditional acquisition 
              approaches. However, the very few measurements must be spread over 
              a large field of view, which is difficult to achieve in conventional 
              microscopy.
            In a first experiment, we have proposed a computational scheme 
              to perform fast temporal acquisitions of sequences of Fourier amplitude 
              measures in optical Fourier imaging and estimate the missing phase 
              information from spectra interpolation between few in-between complete 
              keyframes. This approach was evaluated for high-frame rate imaging 
              of moving cells.
            In a second experiment, we have implemented a real CS acquisition 
              scheme for digital holographic microscopy, acquiring a diffraction 
              map of the optical field and recovering high quality images from 
              as little as 7% of random measurements. The CS acquisition setup 
              was successfully extended to high speed low-light single-shot off-axis 
              holography.
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            Hybrid Inverse Problems and Internal Functionals
              by
              Guillaume Bal
              Columbia University
            Hybrid inverse problems aim at combining the high contrast of one 
              imaging modality (such as e.g. Electrical Impedance Tomography or 
              Optical Tomography in medical imaging) with the high resolution 
              of another modality (such as e.g. based on ultrasound or magnetic 
              resonance). Mathematically, these problems often take the form of 
              inverse problems with internal information. This talk will review 
              several results of uniqueness and stability obtained recently in 
              the field of hybrid inverse problems.
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            New approaches to the numerical solution 
              of Maxwell's Equations
              by
              Charles L. Epstein
              University of Pennsylvania
              Coauthors: Leslie Greengard (NYU) Michael O'Neil (NYU)
            We develop a new integral representation for the solution of the 
              time harmonic Maxwell equations in media with piecewise constant 
              dielectric permittivity and magnetic permeability in R^3. This representation 
              leads to a coupled system of Fredholm integral equations of the 
              second kind for four scalar densities supported on the material 
              interface. Like the classical Muller equation, it has no spurious 
              resonances. Unlike the classical approach, however, the representation 
              does not suffer from low frequency breakdown. We earlier presented 
              a similar method for the perfect conductor problem.
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            Use of 3D Ultrasound Imaging in Diagnosis, 
              Treatment and Research
              by
              Aaron Fenster
              Robarts Research Institute
            The last two decades have witnessed unprecedented developments 
              of new imaging systems making use of 3D visualization. These new 
              technologies have revolutionized diagnostic radiology, as they provide 
              the clinician with information about the interior of the human body 
              never before available. Ultrasound imaging is an important cost-effective 
              technique used routinely in the management of a number of diseases. 
              However, 2D viewing of 3D anatomy, using conventional ultrasound, 
              limits our ability to quantify and visualize the anatomy and guide 
              therapy, because multiple 2D images must be integrated mentally. 
              This practice is inefficient, and leads to variability and incorrect 
              diagnoses. Also, since the 2D ultrasound image represents a thin 
              plane at an arbitrary angle in the body, reproduction of this plane 
              at a later time is difficult.
            Over the past 2 decades, investigators have addressed these limitations 
              by developing 3D ultrasound techniques. In this paper we describe 
              developments of 3D ultrasound imaging instrumentation and techniques 
              for use in diagnosis and image-guided interventions. As ultrasound 
              imaging is an interactive imaging modality, providing the physician 
              with real-time visualization of anatomy and function, the development 
              of image analysis and guidance tools is challenging. Typically, 
              these tools require segmentation, classification, tracking and visualization 
              of pathology and instruments to be executed in real-time, accurately, 
              reproducibly and robustly. As an illustration of these needs, we 
              will present some diagnostic and image-guided intervention applications 
              that would benefit from these developments. Examples will be given 
              for imaging various organs, such as the prostate, carotid arteries, 
              and breast, and for the use in 3D ultrasound-guided prostate therapy. 
              In addition, we describe analysis methods to be used for quantitative 
              analysis of disease progression and regression.
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            Multiwave Imaging and Elastography
              by
              Mathias Fink
              Institut Langevin, ESPCI ParisTech, France
            Interactions between different kinds of waves can yield images 
              that beat the single-wave diffraction limit. Multiwave Imaging consists 
              of combining two different waves-- one to provide contrast, another 
              to provide spatial resolution - in order to build a new kind of 
              image. Contrary to single-wave imaging that is always limited by 
              the contrast and resolution properties of the wave that generated 
              it, multiwave imaging provides a unique image of the most interesting 
              contrast with the most interesting resolution. Multiwave imaging 
              opens new avenues in medical imaging and a large interest for this 
              approach is now emerging in geophysics and non-destructive testing.
            We will describe the different potential interactions between waves 
              that can give rise to multiwave imaging and we will emphasize the 
              various multiwave approaches developed in the domain of medical 
              imaging. Common to all these approaches, ultrasonic waves are almost 
              always used as one of the wave to provide spatial resolution, while 
              optical, electromagnetic or sonic shear waves provide the contrast. 
              Among various multiwave techniques, we will mainly focus on photo-acoustic 
              and shear wave imaging. Through various medical applications going 
              from cancer diagnosis to cardiovascular imaging, we will emphasize 
              the recent clinical successes of multiwave imaging.
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            Non-parametric Atlas-Based Segmentation 
              of Highly Variable Anatomy
              by
              Polina Golland, MIT
              Coauthors: Michal Depa, Mert Sabuncu
            We propose a non-parametric probabilistic model for automatic segmentation 
              of medical images. The resulting inference algorithms register individual 
              training images to the new image, transfer the segmentation labels 
              and fuse them to obtain the final segmentation of the test subject. 
              Our generative model yields previously proposed label fusion algorithms 
              as special cases, but also leads to a new variant that aggregates 
              evidence locally in determining the segmentation labels. We demonstrate 
              the advantages of our approach in two clinical application: segmentation 
              of neuroanatomical structures and segmentation of the left heart 
              atrium whose shape varies significantly across the population.
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            Problems in Electrical Impedance Imaging 
              (Talk Canceled)
              by
              David Isaacson, Mathematical Sciences Department, Rensselaer Polytechnic 
              Institute
              Coauthors: J.C. Newell, and G. Saulnier
            Electrical impedance imaging systems apply currents to the surface 
              of a body and measure the resulting voltages. From this electromagnetic 
              data an approximate reconstruction and display of the internal electrical 
              properties of the body are made. We explain how this process leads 
              to inverse boundary value problems for Maxwell's equations. Since 
              the conductivity of hearts, and lungs change as blood enters and 
              leaves these organs , impedance images can be used to monitor heart 
              and lung function. Since the electrical properties of some cancers 
              are different from surrounding normal tissues, electrical impedance 
              spectroscopy may be used to help diagnose some cancers.
            Images and movies of heart and lung function, as well as breast 
              cancers, made with the RPI Adaptive current tomography systems will 
              be shown. It will be explained how the analysis of spectral properties 
              of the Dirichlet to Neumann map lead to the design of these adaptive 
              current tomography systems.
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            Personalizing Mathematical Models with 
              Sparse Medical Data: Applications to Tumor Growth and Electrocardiophysiology
              by
              Ender Konukoglu
              Microsoft Research Cambridge
              Coauthors: Nicholas Ayache, Maxime Sermesant, Olivier Clatz, Bjoern 
              H. Menze
            Mathematical models for biophysical systems are crucial in understanding 
              the underlying physiological dynamics as well as tailoring patient-specific 
              treatment.One of the biggest challenges for biophysical models is 
              the identification of patient-specific parameters and the personalized 
              model. This talk will focus on the problem of parameter identification 
              using sparse medical data. Challenges associated with the medical 
              data will be demonstrated with two model problems, tumor growth 
              and electrocardiophysiology, incorporating different types of data, 
              i.e. MR images and cardiac mappings. Different techniques for dealing 
              with sparse data will be presented including deterministic and probabilistic 
              methods.
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            Processing strategies for real-time neurofeedback 
              using fMRI
              by
              Jeremy Magland
              University of Pennsylvania
              Coauthors: Anna Rose Childress
            Functional magnetic resonance imaging (fMRI) is traditionally used 
              as a probe for patterns of brain activity in response to instructed 
              cognitive tasks and stimuli by averaging of the blood oxygenation 
              level-dependent (BOLD) response over an entire scan session (usual 
              10-60 minutes). Recently, real-time feedback approaches have expanded 
              fMRI from a brain probe to include potential brain interventions. 
              However, real-time measurements and analyses require entirely different 
              data processing techniques, because measurements must be made prospectively 
              (on the fly) throughout the scan using only a subset of the acquired 
              data. In this talk, we outline the challenges associated with performing 
              real-time fMRI experiments, and describe the specific techniques 
              we have found to be successful for providing meaningful and robust 
              neurofeedback in real time.
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            Assessing response of cancer to therapy using 
              MRI
              by
              Anne Martel
              Sunnybrook Health Sciences Centre, University of Toronto
            Personalized medicine, the practice of tailoring medical therapies 
              to the specific genetic and disease profiles of patients, represents 
              a major shift from the epidemiologically based model of traditional 
              medicine. This has lead to the development of novel new therapies 
              for cancer, for example Herceptin for breast cancer and Gleevec 
              for chronic myelogenous leukemia. Although this is an exciting development 
              it poses several challenges to the clinician. These therapies are 
              extremely expensive and are only designed to work on a subset of 
              patients hence there is a pressing need for tools that can determine 
              whether a therapy is effective early in the treatment regime.
            Dynamic contrast-enhanced MRI (DCE-MRI) can provide valuable information 
              about the efficacy of drug therapy. In addition to traditional measures 
              of lesion size, it has been shown that DCE-MRI can provide important 
              information about tumour function, for example by providing information 
              about blood flow and permeability. In this talk I will give an overview 
              of the role DCE-MRI has to play in monitoring response to therapy 
              and outline some of the challenges involved in bringing this technology 
              into routine clinical use. I will also describe some of the work 
              done in my lab in the areas of quantitative analysis and image registration 
              to address some of these challenges.
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            Diffeomorpic Shape Momentum in Computational 
              Anatomy and Neuroinformatics
              by
              Dr Michael Miller
              Johns Hopkins University Center for Imaging Science
            Over the past decade Computational Anatomy has been the study of 
              structure and function in registered atlas coordinates.
            Unlike Google Maps which has been based on the rigid motions with 
              scale for aligning coordinate systems, the underlying "alignment" 
              groups in CA are the infinite dimensional diffeomorphisms. For rigid 
              motion angular momentum plays a parsimonious roll; in diffeomorphic 
              motion the analogous roll is played by diffeomorphic shape momentum.
            We present results from computational codes for generating diffeomorphic 
              correspondences between anatomical coordinate systems and their 
              encoding via diffeomorphic shape momentum. Statistics will be examined 
              for quantifying probabilistic shape momentum representations of 
              neuroanatomy at 1mm scale. As well we will present results on functional 
              and structural neuroinformatics in populations of normals and diseased 
              populations in registered atlas coordinates.
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            Statistical Analysis on Manifolds in Medical 
              Image Analysis
              by
              Xavier Pennec
              INRIA, Asclepios team, Sophia-Antipolis, France
            To analyze and model the biological variability of the human anatomy, 
              the general method is to identify anatomically representative geometric 
              features (points, tensors, curves, surfaces, volume transformations), 
              and to describe and compare their statistical distribution in different 
              populations. As these geometric features most often belong to manifolds 
              that have no canonical Euclidean structure, we have to rely on more 
              elaborated algorithmical bases.
            I will first describe the Riemannian structure, which proves to 
              be powerfull to develop a consistent framework for simple statistics 
              on manifolds. It can be further extend to a complete computing framework 
              on manifold-valued images. For instance, the choice of a convenient 
              Riemannian metric on symmetric positive define matrices (SPD) allows 
              to generalize consistently to fields of SPD matrices (e.g. DTI images) 
              many important geometric data processing algorithms. This allows 
              for instance to introduce anisotropic spatial priors in DTI estimation 
              or to realize statistical models of the cardiac muscle fibers.
            Then I will focus on statistics on deformations. The natural extension 
              of the Riemannian framework is the use of right-invariant metrics 
              on diffeomorphisms (often called LDDMM). When used on curves and 
              surfaces modeled with geometric currents, the registration problem 
              becomes finite-dimensional thanks to the representer theorem. An 
              example application is the construction of a statistical model of 
              the remodeling of the heart in rToF. For continuous images, however, 
              the complexity remains very high. Dropping the metric, we propose 
              to use the geodesics of the canonical Cartan connection (translates 
              of one-parameter subgroups) for which very efficient algorithms 
              exist. This log-demons framework will be illustrated with the individual 
              and groupwise modeling of the morphological changes of the full 
              brain in Alzheimer's disease.
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            A Survey of Compressed Sensing and Applications 
              to Medical Imaging
              by
              Justin Romberg
              Georgia Tech
            We will overview the fundamental results and recent theoretical 
              trends in compressive sensing, and discuss current state-of-the-art 
              models and algorithms for image reconstruction. We will present 
              applications in medical imaging (including accelerated MRI and ultrasound), 
              and discuss sparsity-based models being used for other imaging modalities 
              and how they might apply to medical imaging.
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            Noninvasive Electrocardiographic Imaging (ECGI) 
              of Cardiac Electrophysiology and Arrhythmia
              by
              Yoram Rudy
              Washington University in St Louis
            A noninvasive imaging modality for cardiac electrophysiology and 
              arrhythmias is not yet available for clinical application.Such modality 
              could be used to identify patients at risk, provide accurate diagnosis 
              and guide therapy. Standard noninvasive diagnostic techniques, such 
              as the electrocardiogram (ECG) provide only low-resolution reflection 
              of cardiac electrical activity on the body surface. 
              In my presentation, I will describe the application in humans of 
              a new imaging modality called Electrocardiographic Imaging (ECGI) 
              that noninvasively images cardiac electrical activity on the hearts 
              epicardial surface. 
              In ECGI, a multi-electrode vest (or strips) records 250 body-surface 
              electrocardiograms; then, using geometrical information from a CT 
              scan and an inverse solution to Laplace equation, electrical potentials, 
              electrograms, activation sequences (isochrones) and repolarization 
              patterns are reconstructed on the hearts surface.
              I will show examples of imaged atrial and ventricular activation 
              and ventricular repolarization in the normal heart and during cardiac 
              arrhythmias.
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            Physical Aspects of Hybrid Inverse Problems
              by
              John Schotland
              University of Michigan
            There is considerable interest in the development of optical methods 
              for biomedical imaging. The mathematical problem consists of recovering 
              the optical properties of a highly-scattering medium. This talk 
              will review recent work on related inverse scattering problems for 
              the radiative transport equation and efficient fast image reconstruction 
              algorithms for large data sets. Numerical simulations and experimental 
              data from model systems are used to illustrate the results.
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            What does compressive sensing mean for X-ray 
              CT and comparisons with its MRI application
              by
              Emil Sidky
              University of Chicago
            This talk will trace our attempts at understanding compressive 
              sensing (CS) concepts in the context of X-ray computed tomography 
              (CT) and translating CS ideas to realize sparse-data image reconstruction 
              in CT.
            The arrival of CS could not come at a more interesting time for 
              CT. Research on iterative image reconstruction applied to actual 
              CT systems has only recently begun due to the developments in computational 
              technology that allow for data processing at the gigabyte level. 
              From the application side, more and more CT exams are being prescribed 
              and there is pressure to reduce dose to the patients as evidenced 
              by the rapid deployment of "low-dose CT" products by the 
              major CT manufacturers. The promise of sparse-data image reconstruction 
              from CS may thus play an important role in these recent technological 
              developments.
            I will show results with actual CT data that seem to indicate that 
              CS style optimization problems do indeed yield "high quality" 
              images from sparse projection data. I will then point out various 
              issues that arise in integrating iterative image reconstruction, 
              in general, and CS methods, specifically, into CT systems. I will 
              address questions such as: Which data model to use and how accurate 
              does it have to be? Given that object functions are continuous, 
              ...what is meant by object sparsity? ...what is sparse data and 
              what is fully sampled data? How should we validate the new CS algorithms? 
              These questions will be addressed for CT and comparisons made with 
              MRI where the application of CS is more familiar.
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            Low-dose three-dimensional X-ray imaging
              by
              Samuli Siltanen
              University of Helsinki, Finland
            A new kind of tomographic X-ray imaging modality is discussed, 
              where the patient is radiated as little as possible while recovering 
              enough three-dimensional information for the clinical task at hand. 
              The input can be only a dozen projection images collected from different 
              directions. Such sparse data typically represent limited-angle and 
              local tomography configurations and lead to severely ill-posed reconstruction 
              problems. This differs from traditional CT imaging, where a comprehensive 
              data set is collected and the (only mildly ill-posed) reconstruction 
              problem is solved using the classical filtered back-projection (FBP) 
              algorithm. The incompleteness of sparse data violates the assumptions 
              of FBP, leading to unacceptable reconstruction quality. However, 
              statistical inversion methods can be used with sparse tomographic 
              data. They yield clinically useful reconstructions, as demonstrated 
              by real-data examples related to mammography, surgical imaging and 
              dental imaging. Some of these methods have already entered commercial 
              products: see http://www.vtcube.com.
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            Thermoacoustic tomography with a variable 
              sound speed
              by
              Gunther Uhlmann
              University of California irvine and University of Washington
              Coauthors: Plamen Stefanov
            We will discuss some recent results on termoacoustic tomography 
              with a variable sound speed including the smooth case and the non-smooth 
              one, the latter motivated by brain imaging. We will also present 
              some numerical results based on the analytic reconstruction which 
              is joint work with Jianliang Qian and Hongkai Zhao.
              Back to top 
            Photoacoustic Tomography: Ultrasonically Breaking 
              through the Optical Diffusion Limit
              by
              Lihong V. Wang
              Washington University in St. Louis
            We develop photoacoustic imaging technologies for in vivo early-cancer 
              detection and functional or molecular imaging by physically combining 
              non-ionizing electromagnetic and ultrasonic waves. Unlike ionizing 
              x-ray radiation, non-ionizing electromagnetic wavessuch as 
              optical and radio wavespose no health hazard and reveal new 
              contrast mechanisms. Unfortunately, electromagnetic waves in the 
              non-ionizing spectral region do not penetrate biological tissue 
              in straight paths as x-rays do. Consequently, high-resolution tomography 
              based on non-ionizing electromagnetic waves alonesuch as confocal 
              microscopy, two-photon microscopy, and optical coherence tomographyis 
              limited to superficial imaging within approximately one optical 
              transport mean free path (~1 mm in the skin) of the surface of scattering 
              biological tissue. Ultrasonic imaging, on the contrary, provides 
              good image resolution but has strong speckle artifacts as well as 
              poor contrast in early-stage tumors. Ultrasound-mediated imaging 
              modalities that combine electromagnetic and ultrasonic waves can 
              synergistically overcome the above limitations. The hybrid modalities 
              provide relatively deep penetration at high ultrasonic resolution 
              and yield speckle-free images with high electromagnetic contrast.
            In photoacoustic computed tomography, a pulsed broad laser beam 
              illuminates the biological tissue to generate a small but rapid 
              temperature rise, which leads to emission of ultrasonic waves due 
              to thermoelastic expansion. The short-wavelength pulsed ultrasonic 
              waves are then detected by unfocused ultrasonic transducers. High-resolution 
              tomographic images of optical contrast are then formed through image 
              reconstruction. Endogenous optical contrast can be used to quantify 
              the concentration of total hemoglobin, the oxygen saturation of 
              hemoglobin, and the concentration of melanin. Melanoma and other 
              tumors have been imaged in vivo. Exogenous optical contrast can 
              be used to provide molecular imaging and reporter gene imaging.
            In photoacoustic microscopy, a pulsed laser beam is focused into 
              the biological tissue to generate ultrasonic waves, which are then 
              detected with a focused ultrasonic transducer to form a depth resolved 
              1D image. Raster scanning yields 3D high-resolution tomographic 
              images. Super-depths beyond the optical diffusion limit have been 
              reached with high spatial resolution.
            Thermoacoustic tomography is similar to photoacoustic tomography 
              except that low-energy microwave pulses, instead of laser pulses, 
              are used. Although long-wavelength microwaves diffract rapidly, 
              the short-wavelength microwave-induced ultrasonic waves provide 
              high spatial resolution, which breaks through the microwave diffraction 
              limit. Microwave contrast measures the concentrations of water and 
              ions.
            The annual conference on this topic has been doubling in size approximately 
              every three years since 2003 and has become the largest in SPIEs 
              Photonics West as of 2009
              Back to top .
            MRI for Management of Ventricular Arrhythmias
              by
              Graham Wright
              Sunnybrook Health Sciences Centre, University of Toronto
            Ventricular Arrhythmias are a major cause of sudden cardiac death. 
              Magnetic resonance imaging (MRI) has the potential to identify those 
              at greatest risk. In this presentation, current approaches to detection 
              and treatment of ventricular arrhythmias as well as evidence of 
              MRIs potential clinical role are briefly reviewed. Emerging 
              methods to better characterize the structural substrate of ventricular 
              arrhythmia, notably scar and heterogeneous infarct, with MRI are 
              presented . This characterization has been used to customize mathematical 
              models of electrical propagation in the heart. The modeling results 
              correspond well to experimental measurements of electrical activity 
              in porcine hearts. Combining these tools with the development of 
              MRI-compatible electrophysiology systems holds the promise of guiding 
              ablation therapy to disrupt the arrhythmogenic substrate, yielding 
              more effective solutions for patients at risk of life-threatening 
              events.
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