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Biomedical subjects

J W Stayman

Publications and source records attributed to J W Stayman.

14 recordsLinked to original sources

Regularization for uniform spatial resolution properties in penalized-likelihood image reconstruction.

Traditional space-invariant regularization methods in tomographic image reconstruction using penalized-likelihood estimators produce images with nonuniform spatial resolution properties. The local point spread functions that quantify the smoothing properties of such estimators are space-variant, asymmetric, and object-dependent even for space-invariant imaging systems. We propose a new quadratic regularization scheme for tomographic imaging systems that yields increased spatial uniformity and is motivated by the least-squares fitting of a parameterized local impulse response to a desired global response. We have developed computationally efficient methods for PET systems with shift-invariant geometric responses. We demonstrate the increased spatial uniformity of this new method versus conventional quadratic regularization schemes in simulated PET thorax scans.

Computer Simulation↗

Management of radiation necrosis of the chest wall following mastectomy: a new treatment option.

A technique for covering areas of osteoradionecrosis in the medial aspect of the chest wall has been described. Utilizing a tissue expander, the skin was stretched sufficiently to obtain a suitable length whereby the medial defect could be covered and the donor site closed primarily. Such an operative approach should be considered when the patient presents with a medially located ulcer of small to moderate size and when nonirradiated skin is regionally available. Using this technique, long myocutaneous flaps that require extensive dissection, loss of functioning muscle, and resulting donor defects are avoided.

Breast Neoplasms↗

Management of the viable soft tissue cover in degloving injuries.

A new method of management of pure degloving injuries has been presented. Return of the distally based flap to its bed without longitudinal tension, use of a temporary biological dressing to protect exposed structures, and early, delayed repair of the residual defect are suggested. The improved survival of the flap and earlier rehabilitation of the patient have been gratifying.

Debridement↗

Rhinophyma: surgical refinements.

Rhinophyma is classically a benign tumor of unknown etiology and pathogenesis. Once fully developed, it requires surgical treatment; its management has invited controversy for more than a century. We favor electrosurgical sculpturing, removal of the burned tissue by abrasion, treatment of the entire nasal cover as a unit, and the utilization of biological dressings to promote reepithelization. The cosmetic results have been gratifying.

Biological Dressings↗