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Biomedical subjects

C Carl Jaffe

Publications and source records attributed to C Carl Jaffe.

4 recordsLinked to original sources

Population-based incremental interactive concept learning for image retrieval by stochastic string segmentations.

We propose a method for concept-based medical image retrieval that is a superset of existing semantic-based image retrieval methods. We conceive of a concept as an incremental and interactive formalization of the user's conception of an object in an image. The premise is that such a concept is closely related to a user's specific preferences and subjectivity and, thus, allows to deal with the complexity and content-dependency of medical image content. We describe an object in terms of multiple continuous boundary features and represent an object concept by the stochastic characteristics of an object population. A population-based incrementally learning technique, in combination with relevance feedback, is then used for concept customization. The user determines the speed and direction of concept customization using a single parameter that defines the degree of exploration and exploitation of the search space. Images are retrieved from a database in a limited number of steps based upon the customized concept. To demonstrate our method we have performed concept-based image retrieval on a database of 292 digitized X-ray images of cervical vertebrae with a variety of abnormalities. The results show that our method produces precise and accurate results when doing a direct search. In an open-ended search our method efficiently and effectively explores the search space.

Algorithms↗

Tunnelling descent: a new algorithm for active contour segmentation of ultrasound images.

The presence of speckle in ultrasound images makes it hard to segment them using active contours. Speckle causes the energy function of the active contours to have many local minima, and the gradient descent procedure used for evolving the contour gets trapped in these minima. A new algorithm, called tunnelling descent, is proposed in this paper for evolving active contours. Tunnelling descent can jump out of many of the local minima that gradient descent gets trapped in. Experimental results with 70 short axis cardiac ultrasound images show that tunnelling descent has no trouble finding the blood-tissue boundary (the endocardium). This holds irrespective of whether tunnelling descent is initialized in blood or tissue.

Algorithms↗

Aortic intimal injuries from blunt trauma: resolution profile in nonoperative management.

OBJECTIVE: To provide preliminary data on the resolution profile of aortic intimal injuries treated nonoperatively and on the safety of nonoperative management of these injuries. METHODS: Five blunt trauma patients diagnosed by transesophageal echocardiography (TEE) with traumatic intimal injury of the aorta were assigned to nonoperative management. This included beta-blockade to maintain systolic blood pressure between 80 and 90 mm Hg and heart rate between 60 and 80 beats/min, serial TEE studies, and invasive monitoring in the intensive care unit. The evolution of injury, the effectiveness of nonoperative treatment, and the potential need for an operative intervention were monitored. RESULTS: The patients had a mean Injury Severity Score of 32 and sustained multiple associated thoracic and extrathoracic injuries. Aortic injuries were located at the level of the ligamentum arteriosum and in the descending aorta adjacent to the diaphragm in three and two patients, respectively. The mean size of injury was 12.5 mm (range, 5-20 mm) and a thrombus attached to the endothelium was present in three of the five patients. Complete resolution of injury occurred within 9.4 +/- 6.6 days (range, 3-19 days). All patients remained hemodynamically stable and adequately perfused. All demonstrated progressive resolution of their aortic intimal injuries. No complications related to the aortic injuries were identified during a mean follow-up of 16.8 months. CONCLUSION: This small series suggests that aortic intimal injuries smaller than 20 mm in hemodynamically stable patients treated with beta-blockade resolve within several days. This approach appears safe when monitored by serial TEE studies performed by experienced experts, and continuous invasive hemodynamic monitoring.

Adrenergic beta-Antagonists↗