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Biomedical subjects

Nikhil Balakrishnan

Publications and source records attributed to Nikhil Balakrishnan.

3 recordsLinked to original sources

Biocompatibility of nitinol and stainless steel in the bladder: an experimental study.

PURPOSE: We tested the biocompatibility of nitinol, a nickel titanium alloy, and stainless steel (SS) as bladder implant materials. MATERIALS AND METHODS: Rats received a nitinol implant, an SS implant or were sham controls. Two, 3, 6 and 8 weeks following implantation 24-hour voiding behavior studies were performed to investigate bladder irritation. All animals were sacrificed 8 weeks after implantation and a sample of urine was aspirated for culture. The bladders were examined by light microscopy and scanning electron microscopy (SEM). RESULTS: No visible encrustations or infections were noted in urine. Voiding frequency in the light period 6 weeks after implantation was significantly decreased in the 2 implant groups compared with sham controls. There were no other significant differences in frequency or mean volume per void in the light or dark periods at any time point. Light microscopy demonstrated similar implant tissue effects in all groups with little or no inflammation or fibrosis. Under SEM all implants showed a brittle, amorphous coating devoid of cells. The transition between the urothelium mucosa and the rod was smoother for SS than for nitinol, suggesting an affinity of SS for mucosa. In all nitinol rods discontinuity was present between the mucosa and rod. CONCLUSIONS: Nitinol and SS do not cause more irritation than the effects of surgery alone and the 2 materials seem to be biocompatible in the bladder. Nitinol may be more inert than SS based on SEM results.

Alloys↗

A new image representation algorithm inspired by image submodality models, redundancy reduction, and learning in biological vision.

We develop a new biologically motivated algorithm for representing natural images using successive projections into complementary subspaces. An image is first projected into an edge subspace spanned using an ICA basis adapted to natural images which captures the sharp features of an image like edges and curves. The residual image obtained after extraction of the sharp image features is approximated using a mixture of probabilistic principal component analyzers (MPPCA) model. The model is consistent with cellular, functional, information theoretic, and learning paradigms in visual pathway modeling. We demonstrate the efficiency of our model for representing different attributes of natural images like color and luminance. We compare the performance of our model in terms of quality of representation against commonly used basis, like the discrete cosine transform (DCT), independent component analysis (ICA), and principal components analysis (PCA), based on their entropies. Chrominance and luminance components of images are represented using codes having lower entropy than DCT, ICA, or PCA for similar visual quality. The model attains considerable simplification for learning from images by using a sparse independent code for representing edges and explicitly evaluating probabilities in the residual subspace.

Algorithms↗

Living related small bowel transplantation in children: 3-dimensional computed tomography donor evaluation.

The evaluation of the small bowel vascular anatomy of living small bowel donors (LSBD) is usually performed with conventional angiography (CA). Recently, angio computed tomography (CT) has become a valid study of the vascular anatomy for kidney and liver living donors. We studied the applicability of angio CT with 3-D reconstruction (3-D-ACT) in the evaluation of LSBD. Potential LSBDs for pediatric transplant underwent both CA and 3-D-ACT to evaluate the anatomy of the distal branches of the superior mesenteric artery and vein. Angio-CT was performed with General Electric Lightspeed Scanner. The 3-D reconstruction was performed on the TeraRecon workstation. Adverse reactions, contrast dosage, test duration, invasiveness, hospital-stay, patient discomforts and accuracy were evaluated. Four potential donors (four female; mean age: 30.5 yr; mean BMI: 28.4) underwent both tests. Adverse reactions correlated to contrast agent used (90 mL CA, 150 mL 3-D-ACT) were not reported. CA required a hospitalization of 6 h as opposed to immediate discharge after the 3-D-ACT. The CA required the placement of transfemoral catheter and therefore greater patient discomfort than with 3-D-ACT. The 3-D-ACT arterial images were rated as equivalent to CA, however, 3-D-ACT venous images were rated better than the CA in all cases. CT-angiography with 3-D reconstruction is an acceptable method for vascular evaluation. When compared with routine angiography, it is less invasive, better tolerated and faster, but does require a significantly greater volume of venous contrast. 3-D-ACT also offers a better evaluation of the venous phase, and thus may become the test of choice to evaluate the vascular anatomies of LSBD candidates.

Adolescent↗