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New Photon-Counting CT Technique Diagnoses Osteoarthritis Before Symptoms Develop

By MedImaging International staff writers
Posted on 29 Oct 2024

X-ray imaging has evolved significantly since its introduction in 1895. More...

This technique is known for capturing images quickly, making it ideal for emergency situations; however, it does not provide adequate soft tissue contrast and struggles to differentiate the imaging signal from the disease site from that of intrinsic structures like bones. In imaging, visualization is particularly critical for diseases such as osteoarthritis, a degenerative joint condition often referred to as wear-and-tear arthritis. Osteoarthritis can advance without noticeable symptoms until it reaches an advanced and irreversible stage. Early intervention could alleviate symptoms and enhance quality of life if tools for early diagnosis and continuous disease monitoring were available. Now, a new technological breakthrough brings back traditional black and white diagnostic images of X-rays and traditional computed tomography (CT) scans into technicolor.

Researchers at Penn State (University Park, PA, USA) have developed novel contrast agents that target two proteins associated with osteoarthritis. By marking these proteins with newly designed metal nanoprobes, the researchers can utilize advanced imaging techniques known as “K-edge” imaging or photon-counting CT to simultaneously track distinct biological processes in color, which together provide greater insight into the disease's progression than traditional imaging methods. This work, conducted in rats with potential implications for humans, enables researchers and clinicians to visualize previously hidden processes in color and detect signs of the disease long before the development of clinical symptoms.

The photon-counting CT scanner can detail the same bone, muscle, and fat structures that conventional CT scanners capture but offers a much broader capability to separate various components at a higher resolution and in specific colors. This scanner identifies materials with unique K-edge properties, which refers to how electrons in a material absorb energy. Electrons reside in a K-shell, which surrounds the nucleus of an atom. When energy is absorbed from photons—particles of light—the electrons can move to higher energy shells. If the atom reaches a specific energy absorption limit, it emits a flash of light. The researchers can program the scanner to detect that particular light emission, referred to as the K-edge. If a material with a distinct K-edge identity targets a specific protein, the scanner can then track that protein's activity.

The team designed two K-edge metal nanoprobes composed of praseodymium and hafnium. These probes are aimed at two proteins found in cartilage tissue: aggrecan and aggrecanase, respectively. Aggrecan, which contributes to the structure and weight-bearing capacity of cartilage, is abundant in healthy joints and in the early stages of osteoarthritis. In contrast, aggrecanase, which cleaves aggrecan and diminishes cartilage function, is prevalent in the later stages of osteoarthritis. As the disease progresses, the ratio of these proteins shifts, providing metrics to monitor disease status. The researchers employed the photon-counting CT scanner to observe how this ratio changed as the disease advanced in an animal model. They corroborated their findings with additional imaging and experimental validation, with their results published in Advanced Science.

“This high-resolution, K-edge-based imaging approach could potentially be used to image multiple biological targets, thus enabling disease progression tracking over time by measuring the ratio of protein expression,” said corresponding author Dipanjan Pan, the Dorothy Foehr Huck & J. Lloyd Huck Chair Professor in Nanomedicine and professor of materials science and engineering and of nuclear engineering at Penn State. “The approach can be particularly beneficial in skeletal disease diagnoses since the progression of cartilage degradation is highly variable among patients and the ratio information from the protein markers could provide crucial information about the stage of the disease.”

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75 (57.93571472168): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (44.107437133789): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

77 (113.01040649414): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

92 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

93 (80.82389831543): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294802913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

94 (137.0906829834): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

95 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

96 (705.95741271973): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294802913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

97 (898.83804321289): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

98 (639.91546630859): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

99 (221.96769714355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

100 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

101 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

102 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

103 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

104 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

105 (116.82510375977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

106 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

107 (490.18859863281): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

108 (!!!!! 69816.112518311): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

109 (964.16473388672): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802913 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802913 AND type='deeppockets_item' AND published='1' LIMIT 1

110 (!!!!! 26700.973510742): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

111 (89.168548583984): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

112 (491.14227294922): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

113 (59.127807617188): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

114 (340.93856811523): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

115 (52.928924560547): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

116 (45.061111450195): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

117 (46.014785766602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

118 (448.94218444824): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

119 (51.975250244141): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

120 (!!!!! 3179.0733337402): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

121 (365.01884460449): SELECT name FROM jos_deeppockets WHERE id=213

122 (51.021575927734): SELECT name FROM jos_deeppockets WHERE id=213

123 (!!!!! 4949.0928649902): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

124 (!!!!! 1100.7785797119): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

125 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

126 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

127 (!!!!! 21118.879318237): TRUNCATE TABLE jos_trademed_module

128 (241.99485778809): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294802913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

129 (669.00253295898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

130 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

131 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

132 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

133 (!!!!! 1814.1269683838): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

134 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

135 (!!!!! 3952.0263671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

136 (57.220458984375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802913 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802913 AND type='deeppockets_item' AND published='1' LIMIT 1

137 (45.061111450195): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

138 (42.200088500977): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

139 (42.915344238281): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

140 (196.93374633789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

141 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802913 AND published='1' LIMIT 1

142 (75.101852416992): select jos_twitters.link from jos_twitters where cat=10

143 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

144 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

145 (39.815902709961): select jos_linkedin.link from jos_linkedin where cat=10

146 (465.86990356445): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

147 (!!!!! 1601.9344329834): insert into jos_banners_delta values (14615,'2025-08-01 22:23:02','216.73.216.210','view'),(14202,'2025-08-01 22:23:02','216.73.216.210','view'),(14203,'2025-08-01 22:23:02','216.73.216.210','view')

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