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Biomedical subjects

M Kárný

Publications and source records attributed to M Kárný.

9 recordsLinked to original sources

Improved prediction of therapeutic absorbed doses of radioiodine in the treatment of thyroid carcinoma.

UNLABELLED: We proposed an alternative to a monoexponential model of radioiodine kinetics to obtain a more accurate estimate of absorbed doses to postsurgical thyroid remnants. We suggested that part of the difference between the predicted and the actually absorbed therapeutic doses of (131)I, usually explained by radiation damage of thyroid cells, can be attributed to errors resulting from inadequate sampling of data and oversimplified modeling. METHODS: A standard monoexponential model and alternative biphasic model (incorporating both radioiodine uptake and clearance) were used on 2 sets of patient data to fit time-activity measurements after administration of diagnostic and therapeutic activities of radioiodine. One set of data consisted of 633 records of routine measurements, and the second set consisted of 71 prospectively collected records with measurements performed more frequently and for a longer time. The time-activity curves derived from the 2 models were used to calculate residence times for diagnostic and therapeutic activities of (131)I, and the respective residence times were compared using the paired t test. Errors of fitting and prediction of therapeutic time-activity data were also calculated. RESULTS: With both models, a statistically significant difference (P < 0.01) was found between residence times after diagnostic administration of (131)I and residence times after therapeutic administration of (131)I. However, the effects of biphasic modeling and of improved sampling substantially reduced the difference (P < 0.01). Errors of fitting and prediction were smaller with the biphasic model than with the monoexponential model (P < 0.01). CONCLUSION: The biphasic model more accurately predicts (131)I kinetics when applied to measurements in the short interval after diagnostic administration of radioiodine. The minimum requirement for the biphasic model is measurement twice a day at intervals > 6 h for at least 3 d after administration.

Adenocarcinoma, Follicular↗

Experimental comparison of data transformation procedures for analysis of principal components.

Results of principal component analysis depend on data scaling. Recently, based on theoretical considerations, several data transformation procedures have been suggested in order to improve the performance of principal component analysis of image data with respect to the optimum separation of signal and noise. The aim of this study was to test some of those suggestions, and to compare several procedures for data transformation in analysis of principal components experimentally. The experiment was performed with simulated data and the performance of individual procedures was compared using the non-parametric Friedman's test. The optimum scaling found was that which unifies the variance of noise in the observed images. In data with a Poisson distribution, the optimum scaling was the norm used in correspondence analysis. Scaling mainly affected the definition of the signal space. Once the dimension of the signal space was known, the differences in error of data and signal reproduction were small. The choice of data transformation depends on the amount of available prior knowledge (level of noise in individual images, number of components, etc), on the type of noise distribution (Gaussian, uniform, Poisson, other), and on the purpose of analysis (data compression, filtration, feature extraction).

Computer Simulation↗

Biophysical inputs into the software "MIRDose".

Administered amount of activity decides on absorbed dose in thyroid gland during therapy of thyroid cancer tumors by 131I. Medical Internal Radiation Dose (MIRD) methodology estimates this dose as well as influence on other organs. MIRDose--the software implementation of MIRD--is permanently improving and has reached a substantial degree of maturity. Thus the reliability of the results depends predominantly on quality of the input data. The residence time and functional volume of the thyroid gland of a particular patient are the key inputs. Here we concentrate on the former one. We found that the traditionally used mono-exponential model, characterized by the effective half-life, introduces non-negligible modelling error. It cannot be improved by any data processing. For this reason, we proposed a novel accumulation model. Now we inspect influences of differences in the guessed residence time on the outputs of MIRDose. We briefly characterize MIRDose software, recall the improved model and present illustrative results of evaluations.

Humans↗

On the existence of an unambiguous solution in factor analysis of dynamic studies.

Achievement of an unambiguous solution in factor analysis of dynamic radionuclide studies depends on constraints reflecting the known properties of factors. The constraints should be tight enough to prevent ambiguity but sufficiently general in order to ensure the data-based derivation of factors. In dynamic scintigraphy, the non-negativity of factors is their essential property which is implied by the physical nature of measured quantities. Considering factors as the images of compartments in the distribution space of a radiopharmaceutical (i.e. performing the factor analysis in the spatial domain), a powerful additional constraint can be applied. This constraint is based on the presence of segments in the image matrix where the subtotal number of compartments is projected. Using this constraint, the existence of physiologically related unique solution in factor analysis can be proved providing the number of factors is chosen properly.

Factor Analysis, Statistical↗

Rotation to simple structure in factor analysis of dynamic radionuclide studies.

The physiological interpretation of factors in the factor analysis of dynamic radionuclide studies is dependent on the proper solution of the problem of factor rotation. A new solution suitable for scintigraphic data is suggested using a generalised concept of simple structure in data configurations. The method is described in detail, its efficiency is demonstrated on a phantom and its relationship to existing methods is discussed.

Factor Analysis, Statistical↗

Enhancement of physiological factors in factor analysis of dynamic studies.

Factor analysis of dynamic radionuclide studies provides their decomposition into the images and time-activity curves corresponding to the underlying dynamic structures. The method is based on the analysis of study variance and on the subsequent differential imaging of its principal components into a simplified factor space. By changing the amount and the composition of the variance processed in the analysis it is possible to enhance the factors that are important for diagnosis while the less important factors can be suppressed. In our report, a short theoretical review of the problem is given and illustrated by the analysis of dynamic cholescintigraphy. It is shown that a suitable choice of region and/or the temporal interval of interest enables the differential evaluation of such intrahepatic compartments, which could not be observed without enhancement.

Calculi↗