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Biomedical subjects

Orjan Smedby

Publications and source records attributed to Orjan Smedby.

3 recordsLinked to original sources

Compact and efficient 3D shape description through radial function approximation.

A fast and simple method for three-dimensional shape description is described. The method views a 3D object as a radial distance function on the unit sphere, and thus reduces the dimensionality of the description problem by one. The radial distance function is approximated by Fourier methods in the basis of the spherical harmonic polynomials. The necessary integration is carried out on the object boundary, rather than on the unit sphere. Consequently, there is no need of a parameterisation of the object surface. The description makes it possible to compare shapes in a computationally very simple way. Solutions on how to cope with translated and rotated objects are discussed. The method is developed for star-shaped objects, but is stable even if the input image is non-star-shaped. The method is tested in a data set from magnetic resonance imaging (MRI) of the brain. Potential medical applications are discussed.

Brain↗

Segmentation with gray-scale connectedness can separate arteries and veins in MRA.

PURPOSE: To describe and present some preliminary results for a novel algorithm for segmentation with gray-scale connectedness as a means to separate arteries and veins in magnetic resonance angiography (MRA). MATERIALS AND METHODS: The proposed algorithm, SeparaSeed, uses the gray-scale degree of connectedness as a tool to find the zone surrounding each vessel, in order to split the original volume into its different vessel components. In contrast to traditional segmentation methods, no gray-scale information is lost in the process. The segmentation is performed in one step, resulting in a partition of the initial volume into a chosen number of regions of interest (ROIs). Finally, visualization is achieved by projecting the 3D vessel trees to 2D using the common maximum intensity projection (MIP). The algorithm was tested in two MRA data sets of the vessels of the pelvis acquired after injection of an intravascular contrast agent and in one data set of the vessels of the neck with gadolinium. RESULTS: In all data sets, a large proportion of the venous signal was removed while preserving that of the arteries, thus improving visualization of the relevant vessels. CONCLUSION: Separation of arteries and veins is feasible with the proposed algorithm with a moderate amount of interaction.

Algorithms↗

Distribution of local anesthetic in axillary brachial plexus block: a clinical and magnetic resonance imaging study.

BACKGROUND: There is an unsettled discussion about whether the distribution of local anesthetic is free or inhibited when performing brachial plexus blocks. This is the first study to use magnetic resonance imaging (MRI) to help answer this question. METHODS: Thirteen patients received axillary block by a catheter-nerve stimulator technique. After locating the median nerve, a total dose of 50 ml local anesthetic was injected via the catheter in four divided doses of 1, 4, 15, and 30 ml. Results of sensory and motor testing were compared with the spread of local anesthetic as seen by MRI scans taken after each dose. The distribution of local anesthetic was described with reference to a 20-mm diameter circle around the artery. RESULTS: Thirty minutes after the last dose, only two patients demonstrated analgesia or anesthesia in the areas of the radial, median, and ulnar nerve. At that time, eight of the patients had incomplete spread of local anesthetic around the artery, as seen by MRI. Their blocks were significantly poorer than those of the five patients with complete filling of the circle, although incomplete blocks were also present in the latter group. CONCLUSION: This study demonstrated that MRI is useful in examining local anesthetic distribution in axillary blocks because it can show the correlation between MRI distribution pattern and clinical effect. The cross-sectional spread of fluid around the brachial-axillary artery was often incomplete-inhibited, and the clinical effect often inadequate.

Adult↗