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M Strzelecki

Publications and source records attributed to M Strzelecki.

5 recordsLinked to original sources

Influence of MRI acquisition protocols and image intensity normalization methods on texture classification.

Texture analysis methods quantify the spatial variations in gray level values within an image and thus can provide useful information on the structures observed. However, they are sensitive to acquisition conditions due to the use of different protocols and to intra- and interscanner variations in the case of MRI. The influence was studied of two protocols and four different conditions of normalization of gray levels on the discrimination power of texture analysis methods applied to soft cheeses. Thirty-two samples of soft cheese were chosen at two different ripening periods (16 young and 16 old samples) in order to obtain two different microscopic structures of the protein gel. Proton density and T(2)-weighted MR images were acquired using a spin echo sequence on a 0.2 T scanner. Gray levels were normalized according to four methods: original gray levels, same maximum for all images, same mean for all images, and dynamics limited to micro +/- 3sigma. Regions of interest were automatically defined, and texture descriptors were then computed for the co-occurrence matrix, run length matrix, gradient matrix, autoregressive model, and wavelet transform. The features with the lowest probability of error and average correlation coefficient were selected and used for classification with 1-nearest neighbor (1-NN) classifier. The best results were obtained when using the limitation of dynamics to micro +/- 3sigma, which enhanced the differences between the two classes. The results demonstrated the influence of the normalization method and of the acquisition protocol on the effectiveness of the classification and also on the parameters selected for classification. These results indicate the need to evaluate sensitivity to MR acquisition protocols and to gray level normalization methods when texture analysis is required.

Cheese↗

Usefulness of percutaneous transluminal coronary angioplasty after new device coronary interventions.

Percutaneous transluminal coronary angioplasty (PTCA) is often required immediately after laser and atherectomy devices to enlarge lumen dimensions and to salvage device failures. Between January 1989 and June 1992, adjunctive PTCA was applied to 83% of narrowings treated with new interventional devices, including 85% of transluminal extraction atherectomy (n = 290), 72% of high-speed mechanical rotational atherectomy (n = 79), and 89% of excimer laser angioplasty (n = 118) lesions (p = NS). Device success was defined as a decrease in diameter stenosis > or = 20%; procedural success was defined as a final diameter stenosis < or = 50% after PTCA; and salvage PTCA was defined as use of PTCA to manage device-induced vessel occlusion. Although adjunctive PTCA was applied to 487 lesions, it was used to further enlarge the lumen after initial device success in 139 lesions (28.5%). In contrast, adjunctive PTCA was used after initial device failure in 348 lesions (71.5%), including after minimal or no change (decrease in diameter stenosis by 0 to 19%) in diameter stenosis in 244 lesions (50%) and after worsening of diameter stenosis in 104 lesions (21.5%). Salvage PTCA after device-induced vessel occlusion was performed in 61 lesions (12.6%). However, final procedural success after PTCA was achieved in 412 lesions (85%), with a low incidence of Q-wave myocardial infarction (3.5%), emergency bypass surgery (1.8%) and death (2.3%).

Aged↗

Detailed angiographic analysis of high-speed mechanical rotational atherectomy in human coronary arteries.

BACKGROUND: Several types of atherectomy devices have been developed recently for treatment of patients with ischemic heart disease. METHODS AND RESULTS: Mechanical rotational atherectomy (MRA) using a high-speed rotational burr (Rotablator) was performed on 116 lesions in 104 patients. MRA alone was performed in 27 lesions (23%), and conventional balloon angioplasty (PTCA) was performed after MRA in 89 lesions (77%). Diameter stenosis decreased from 70 +/- 13% before MRA to 54 +/- 23% after MRA, and the final diameter stenosis (after MRA alone or with adjunctive PTCA) was 30 +/- 20% (P < .001). Minimal lumen diameter increased from 1.0 +/- 0.5 mm before MRA to 1.4 +/- 0.7 mm after MRA, and the final minimal lumen diameter was 2.3 +/- 0.7 mm (P < .001). MRA resulted in a decrease in diameter stenosis of 20% or more in 44% of lesions, and the final diameter stenosis (after MRA alone or after PTCA) was less than 50% in 75% of lesions. Considering the small diameter of available burrs, the magnitude of lumen enlargement was equal to 91% of the burr diameter, and only 9% of the burr diameter was "lost" due to elastic recoil or spasm. These angiographic results were obtained despite the presence of complex lesion morphology, including the presence of calcification in 17% of lesions and ostial location in 26% of lesions. Significant angiographic complications included abrupt closure (13 lesions, 11.2%), no reflow (8 lesions, 7%), severe coronary vasospasm (16 lesions, 13.8%), and guide wire fracture (3 lesions, 2.7%). There were no coronary artery perforations. Adjunctive therapy, including salvage PTCA, thrombolytic agents, and vasodilators, was successful in treating angiographic complications in 42 of 49 lesions (86%). Clinical complications included Q-wave myocardial infarction (5 patients, 4.8%), non-Q-wave myocardial infarction (3 patients, 2.9%), femoral vascular injury requiring surgery (3 patients, 2.9%) or blood transfusion (8 patients, 7.7%), abrupt closure requiring emergency bypass graft surgery (2 patients, 1.9%), and in-hospital death (1 patient, 1.0%). Angiographic follow-up (mean follow-up interval, 5.0 +/- 2.0 months) was available in 84% of successfully treated patients and revealed a restenosis rate of 51%, defined as a residual diameter stenosis of more than 50%. There was no significant difference in restenosis rates between de novo lesions (50%) and restenosis (54%) lesions. CONCLUSIONS: These data suggest that for the treatment of most coronary stenoses, PTCA is required after MRA to achieve satisfactory lumen enlargement or to salvage complications. Angiographic complications appear to be more common after MRA, and salvage PTCA often is required to manage these device-induced complications. The combination of MRA and PTCA does not prevent restenosis.

Angioplasty, Balloon, Coronary↗

Computer analysis of normal and basal cell carcinoma mast cells.

BACKGROUND: Basal cell carcinoma (BCC) is the most frequently observed neoplasm of the human skin. Mast cells are regarded as important cellular elements of all organs and tissues of the human body. They are involved in many physiological and pathological processes, including inflammation and fibrotic changes observed in BCC. The aim of our study was to characterise in detail mast cells observed in BCC and normal skin on the basis of computer analysis techniques. MATERIAL AND METHODS: Series of photographs obtained from histopathological biopsies of basal cell carcinomas from 18 patients, stained specifically for mast cells with Astra blue and nuclear red, were employed for the study. Control group consisted of series of photographs from normal skin obtained from 18 persons who underwent plastic surgery operations. All the photographs underwent digital computer analysis by means of a number of subroutines written in Delphi developed at the Technical University of Łódź. RESULTS: Specific staining allowed for thresholding the image and subsequently mast cells were visualised as black objects on a white background. Those objects were then analysed in detail i.e. their geometrical features (area, perimeter, maximal diameter) were calculated. The employed image analysis techniques allowed for the differentiation and detailed characteristics of mast cells stained with Astra blue and nuclear red. CONCLUSIONS: We observed that mast cells in BCC gathered mainly in fibrous stroma and were more numerous, had considerably larger area, longer perimeter and maximal diameter than normal skin mast cells.

Basal Cell Carcinoma↗