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R Poli

Publications and source records attributed to R Poli.

23 records · Page 2Linked to original sources

A computational approach to medical imaging.

Notwithstanding the progress in medical imaging by means of computer-based techniques, several problems still remain unsolved in this field. In particular, a unified approach for the treatment of biological complexity and variability is lacking. Moreover, perceptive and cognitive aspects of medical vision play an important role in a computational approach to medical imaging and must be carefully considered. The recent developments of Computer Vision and Artificial Intelligence suggest that such a computational approach is feasible. As a consequence, symbolic representations of the clinical information contained in the images as well as adequate processing techniques are necessary. In this way the treatment of uncertainty and the qualitative analysis are made possible. Moreover, due to the intrinsic homogeneity of symbolic representations, the comparison of different image sources, signals and clinical data is attainable. In the paper, the basic principles of Computer Vision are summarized and the need of a specific computational theory for medical vision is emphasized. Afterwards, the main characteristics of integrated systems for computational imaging in medicine, are described. Some examples relative to the imaging of the cardiovascular system are also given. Although the development of artificial vision systems in biomedicine is still an area of research, very promising perspectives are opened by a computational approach.

Artificial Intelligence↗

Extravasation of contrast medium from cerebral aneurysmal rupture during angiography (remarks on four cases).

The authors report four cases of contrast material extravasation during carotid angiography from cerebral aneurysmal rupture. The thesis of a coincidental event not due to an increase in the intraarterial pressure, is supported. The poor prognosis of these bleedings, detectable on angiography, is underlined and the questionable toxic effect of contrast material in the subarachnoidal space is discussed.

Adolescent↗

[Epidemics of musculotendinous pathologies of the upper limbs (cumulative trauma disorders) in a group of assembly line workers].

The study was prompted by a report concerning a group of assembly line workers in a factory producing prams who had developed various muscular and tendinous disorders of the upper limbs that can be classified under the larger category of Cumulative Trauma Disorders (CTD). The study first concentrated on the working conditions with analysis of the main factors responsible for overloading of the upper limbs during work. This analysis revealed high frequency and repetitiveness of upper limb movements together with a marked inadequacy of the length and distribution of pauses. In a significant part of the operations the workers also performed movements in positions that over loaded the wrist and hand. A parallel clinical and instrumental study carried out in collaboration with specialists in orthopedics, brain surgery and neurophysiology on all 40 workers in the shop showed that 90% of the subjects suffered from a form of CTD of the upper limbs: in particular, 40% were affected with carpal tunnel syndrome (12.5% bilateral), and there were high prevalence of tenosynovitis (32% Trigger Finger, 17% De Quervain's syndrome) and epicondylitis (20% medial or lateral). The results of the study once again emphasize the need for greater attention of occupational health practitioners in Italy for muscular and tendinous disorders of the upper limbs due to repeated strain, which Italian law defines, albeit controversially, as occupational.

Adult↗

Clinical aspects of fatigue in multiple sclerosis.

We studied 100 multiple sclerosis outpatients in order to assess the frequency of fatigue and to detect its relationships with other clinical findings. Fatigue was quantified by fatigue severity scale (FSS; range 1-7); current clinical neurological status and disability level were respectively scored by Kurtzke's functional systems and expanded disability status scale (EDSS). FSS mean score was 4.12; fatigue was totally absent in 3% of the patients. Fatigue started before onset of the disease in 7 patients, at onset in 12 and within the first year in 7. Fatigue intensity and frequency were related to each other. FSS mean scores were significantly higher in the patients with fatigue worsened by heat (p < 0.01), with chronic progressive disease (p < 0.0001), with motor symptoms (p < 0.0001) and with EDSS > or = 3.5 (p < 0.0001). Multiple regression analysis showed a significant effect of EDSS on fatigue (p < 0.0001), not attributable to differences in duration of the disease.

Adult↗