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At least 289 records · Page 16Linked to original sources
PubMed2005

Three-dimensional visualization and quantitative analysis of cervical cell nuclei with confocal laser scanning microscopy.

OBJECTIVE: To develop a method for the acquisition and processing of 3-dimensional images based on confocal laser scanning microscopy for the purpose of 3-dimensional visualization and quantitative analysis of cell nuclei. STUDY DESIGN: A contour-based surface rendering method was used, and volume rendering was implemented according to the basic volume rendering pipeline. To extract quantitative features, a 3-dimensional labeling method based on slice information was used. After applying the labeling algorithm, the measurements for 3-dimensional quantitative analysis of nuclei were extracted: nuclear volume, surface area and spherical shape factor. We compared the 3-dimensional features of normal and abnormal cervical cell nuclei. RESULTS: Comparison of the size of 3-dimensional cervical cell nuclei between normal and abnormal revealed a statistically significant difference. The proposed method could overcome the limitation inherent in 2-dimensional analysis and could become a way of improving the accuracy and reproducibility of quantification of cell nuclei. CONCLUSION: Three-dimensional visualization and quantification of cell nuclei provide valuable medical information that can lead to a more objective diagnosis.

Algorithms↗
PubMed2004

Detection of speech landmarks: use of temporal information.

Studies by Shannon et al. [Science, 270, 303-304 (1995)], Van Tasell et al. [J. Acoust. Soc. Am. 82, 1152-1161 (1987)], and others show that human listeners can understand important aspects of the speech signal when spectral shape has been significantly degraded. These experiments suggest that temporal information is particularly important in human speech perception when the speech signal is heavily degraded. In this study, a system is developed that extracts linguistically relevant temporal information that can be used in the front end of an automatic speech recognition system. The parameters targeted include energy onset and offsets (computed using an adaptive algorithm) and measures of periodic and aperiodic content; together these are used to find abrupt acoustic events which signify landmarks. Overall detection rates for strongly robust events, robust events, and weak events in a portion of the TIMIT test database are 98.9%, 94.7%, and 52.1%, respectively. Error rates increase by less than 5% when the speech signals are spectrally impoverished. Use of the four temporal parameters as the front end of a hidden Markov model (HMM)-based system for the automatic recognition of the manner classes "sonorant," "fricative," "stop," and "silence" results in the same recognition accuracy achieved when the standard 39 cepstral-based parameters are used, 70.1%. The combination of the temporal parameters and cepstral parameters results in an accuracy of 74.8%.

Algorithms↗
PubMed2003

An adaptive algorithm for the detection of microcalcifications in simulated low-dose mammography.

This paper uses the task of microcalcification detection as a benchmark problem to assess the potential for dose reduction in x-ray mammography. We present the results of a newly developed algorithm for detection of microcalcifications as a case study for a typical commercial film-screen system (Kodak Min-R 2000/2190). The first part of the paper deals with the simulation of dose reduction for film-screen mammography based on a physical model of the imaging process. Use of a more sensitive film-screen system is expected to result in additional smoothing of the image. We introduce two different models of that behaviour, called moderate and strong smoothing. We then present an adaptive, model-based microcalcification detection algorithm. Comparing detection results with ground-truth images obtained under the supervision of an expert radiologist allows us to establish the soundness of the detection algorithm. We measure the performance on the dose-reduced images in order to assess the loss of information due to dose reduction. It turns out that the smoothing behaviour has a strong influence on detection rates. For moderate smoothing. a dose reduction by 25% has no serious influence on the detection results. whereas a dose reduction by 50% already entails a marked deterioration of the performance. Strong smoothing generally leads to an unacceptable loss of image quality. The test results emphasize the impact of the more sensitive film-screen system and its characteristics on the problem of assessing the potential for dose reduction in film-screen mammography. The general approach presented in the paper can be adapted to fully digital mammography.

Algorithms↗
PubMed2006

An algorithm for 3-D refractive index measurement in holographic confocal microscopy.

The principle of holographic confocal microscopy is introduced in this paper. An algorithm is presented to retrieve the phase information from the holograms and calculate the refractive index of the specimen from the phase. It is shown that this algorithm can be applied to a refractive index distribution in which the variation in x and z directions can be separated. The two examples used for the simulations are a linear gradient distribution and a circular distribution, which can be found in practical situations.

Journal Article↗
PubMed2002

Validation of diffusion tensor MRI-based muscle fiber tracking.

Diffusion-tensor (DT) MRI fiber tracking may potentially be used for in vivo structural analysis. The purpose of this study was to assess quantitatively the ability of a DT-MRI fiber-tracking algorithm to measure the fiber orientation (pennation) in skeletal muscle in vivo. In five adult Sprague-Dawley rats, the pennation angle (theta) was measured in the rat lateral gastrocnemius with DT-MRI (theta(DT-MRI)) and by direct anatomical inspection (DAI) (theta(DAI)). The mean theta(DT-MRI) was not significantly different from the mean theta(DAI). In addition, the two methods were highly correlated (r = 0.89) and the regression of theta(DT-MRI) on theta(DAI) resulted in a slope not significantly different from 1 and an intercept not significantly different from zero. These data indicate that DT-MRI-based fiber tracking as implemented here is a valid tool for in vivo structural analysis of small-animal skeletal muscle.

Animals↗
PubMedDate not supplied

Scanning electron microscope charging effect model for chromium/quartz photolithography masks.

We propose a new method for fitting a model of specimen charging to scanning electron microscope (SEM) images. Charging effects cause errors when one attempts to infer the size or shape of a specimen from an image. The goal of our method is to enable image analysis algorithms for measurement, segmentation, and three-dimensional (3-D) reconstruction that would otherwise fail on images containing charging effects. Our model is applied to images of chromium/quartz photolithography masks and may also work in the more general case of isolated metal islands on a flat insulating substrate. Unlike methods based on Monte Carlo simulation, our simulation method does not handle more general topographies or specimens composed entirely of an insulator; it is a crude approximation to the physical charging process described in more detail in Cazaux (1986) and Melchinger and Hofmann (1985), but can be fit with quantitative accuracy to real SEM images. We only consider changes in intensity and do not model charging-induced distortion of image coordinates. Our approach has the advantage over existing methods of enabling fast prediction of charging effects so it may be more practical for image analysis applications.

Journal Article↗
PubMed1998

In vivo lactate editing with simultaneous detection of choline, creatine, NAA, and lipid singlets at 1.5 T using PRESS excitation with applications to the study of brain and head and neck tumors.

Two T2-independent J-difference lactate editing schemes for the PRESS magnetic resonance spectroscopy localization sequence are introduced. The techniques, which allow for simultaneous acquisition of the lactate doublet (1.3 ppm) and edited singlets upfield of and including choline (3.2 ppm), exploit the dependence of the in-phase intensity of the methyl doublet upon the time interval separating two inversion (BASING) pulses applied to its coupling partner after initial excitation. Editing method 1, which allows for echo times TE = n/J (n = 1, 2, 3, . . . . ), alters the BASING carrier frequency for each of two cycles so that, for one cycle, the quartet is inverted, whereas, for the other cycle, the quartet is unaffected. Method 2, which also provides water suppression, allows for editing for TE > 1/J by alternating, between cycles, the time interval separating the inversion pulses. Experimental results were obtained at 1.5 T using a Shinnar Le-Roux-designed maximum phase inversion pulse with a filter transition bandwidth of 55 Hz. Spectra were acquired from phantoms and in vivo from the human brain and neck. In a neck muscle study, the lipid suppression factor, achieved partly through the use of a novel phase regularization algorithm, was measured to be over 10(3). Spectra acquired from a primary brain and a metastatic neck tumor demonstrated the presence of lactate and choline signals consistent with abnormal spectral patterns. The advantages and limitations of the methods are analyzed theoretically and experimentally, and significance of the results is discussed.

Aspartic Acid↗
PubMed1998

The physical basis for radiotherapy with neutrons.

Radiotherapy with neutrons requires a large quantity of physical information about neutrons and their interaction with matter. Primarily the absorbed dose at a reference point needs to be determined. For treatment planning the dose distribution in a phantom must be measured and algorithms for the simulation of the dose distribution in a patient must be available. As neutrons interact with matter in a more complicated way as high-energy photons and electrons commonly used in radiotherapy, biological effects based on microdosimetric data are used for treatment planning. This paper presents a brief summary of the neutron sources used in radiotherapy. The dosimetry of the clinical neutron beams is described. Special aspects of the treatment planning with fast neutrons are discussed. For further radiobiological interpretation the fundamentals of microdosimetry are described. Finally recent and future developments in the field of physics for neutron therapy are mentioned.

Humans↗
PubMed2000

Relevant priors prefetching algorithm performance for a picture archiving and communication system.

Proper prefetching of relevant prior examinations from a picture archiving and communication system (PACS) archive, when a patient is scheduled for a new imaging study, and sending the historic images to the display station where the new examination is expected to be routed and subsequently read out, can greatly facilitate interpretation and review, as well as enhance radiology departmental workflow and PACS performance. In practice, it has proven extremely difficult to implement an automatic prefetch as successful as the experienced fileroom clerk. An algorithm based on defined metagroup categories for examination type mnemonics has been designed and implemented as one possible solution to the prefetch problem. The metagroups such as gastrointestinal (GI) tract, abdomen, chest, etc, can represent, in a small number of categories, the several hundreds of examination types performed by a typical radiology department. These metagroups can be defined in a table of examination mnemonics that maps a particular mnemonic to a metagroup or groups, and vice versa. This table is used to effect the prefetch rules of relevance. A given examination may relate to several prefetch categories, and preferences are easily configurable for a particular site. The prefetch algorithm metatable was implemented in database structured query language (SQL) using a many-to-many fetch category strategy. Algorithm performance was measured by analyzing the appropriateness of the priors fetched based on the examination type of the current study. Fetched relevant priors, missed relevant priors, fetched priors that were not relevant to the current examination, and priors not fetched that were not relevant were used to calculate sensitivity and specificity for the prefetch method. The time required for real-time requesting of priors not previously prefetched was also measured. The sensitivity of the prefetch algorithm was determined to be 98.3% and the specificity 100%. Time required for on-demand requesting of priors was 9.5 minutes on average, although this time varied based on age of the prior examination and on the time of day and database traffic. A prefetch algorithm based on metatable examination mnemonic categories can pull the most appropriate relevant priors, reduce the number of missed relevant priors, and therefore reduce the time involved for the manual task of on-demand requests of priors. Network and database traffic can be reduced as well by decreasing the number of priors selected from the archive and subsequently transmitted to the display stations, through elimination of transactions on examinations not relevant to the current study.

Algorithms↗
PubMed1987

Structural analysis of a reconstituted DNA containing three histone octamers and histone H5.

Previous work has shown that DNA and the histone proteins will combine to form structures of a complex, yet definite nature. Here, we describe three experiments aimed at a better understanding of the interactions of DNA with the histone octamer and with histone H5. First, there has been some question as to whether the methylation of DNA could influence its folding about the histone octamer. To address this point, we reconstituted the histone octamer onto a 440 base-pair DNA of defined sequence at various levels of cytosine methylation, and also onto the unmethylated DNA. The reconstituted structures were probed by digestion with two different enzymes, micrococcal nuclease and DNase I. All samples were found to contain what appear to be three histone octamers, bound in close proximity on the 440 base-pair DNA. The cutting patterns of micrococcal nuclease and DNase I remain the same in all cases, even if the DNA has been extensively methylated. The results show, therefore, that methylation has little, or no, influence on the folding of this particular DNA about the histone octamer. Second, there has been concern as to whether the base sequence of DNA could determine its folding in a long molecule containing several nucleosomes, just as it does within any single, isolated nucleosome core. In order to deal with this problem, we cut the 440 base-pair DNA into three short fragments, each of nucleosomal length; we reconstituted each separately with the histone octamer; and then we digested the reconstituted complexes with DNase I for comparison with similar data from the intact 440 base-pair molecule. The results show that the folding of this DNA is influenced strongly by its base sequence, both in the three short fragments and in the long molecule. The rotational setting of the DNA within each of the three short fragments is as predicted from a computer algorithm, which measures its homology to 177 known examples of nucleosome core DNA. The rotational setting of the DNA in the 440 base-pair molecule remains the same as in two of the three short fragments, but changes slightly in a third case, apparently because of steric requirements when the nucleosomes pack closely against one another. Finally, there has been little direct evidence of where histone H5 binds within a DNA-octamer complex.(ABSTRACT TRUNCATED AT 400 WORDS)

Base Sequence↗
PubMed1995

Self-reinforced composite poly(methyl methacrylate): static and fatigue properties.

A novel material called 'self-reinforced composite poly(methyl methacrylate)' (SRC-PMMA) is described. This composite material consists of high strength, high ductility PMMA fibres embedded in a matrix of PMMA. Tensile tests, three-point flexural tests, fracture toughness tests and flexural fatigue tests were carried out on unidirectional continuous fibre SRC-PMMA materials. Commercial sheet PMMA and bone cement were also tested for comparison purposes. Two PMMA fibre sizes (40 and 120 microns diameters) with different mechanical properties were used to make the SRC-PMMA materials. The results of this study show that the tensile strength, tensile modulus and tensile strain-to-failure were significantly greater for the SRC-PMMA compared with commercial PMMA (P < 0.05). The flexural strength was not increased in the SRC-PMMA compared with PMMA alone but was greater than that in bone cement (P < 0.05). There were no differences in flexural modulus between any group. The flexural strain-to-failure (30-35% for SRC-PMMA) was about three times greater in SRC-PMMA compared with bone cement and PMMA. Fracture toughness of these SRC-PMMA materials was also significantly greater than PMMA and bone cement (P < 0.001). Fracture toughness values of 3.2 MPa m1/2 were found in the 40 microns SRC-PMMA compared with 2.3 MPa m1/2 for the 120 microns SRC-PMMA and 1.3 MPa m1/2 for PMMA and bone cement. The fatigue strength of both SRC-PMMA samples was significantly greater (P < 0.001) at 80 MPa (10(6) cycles) compared with bone cement and PMMA, both of which had fatigue strengths of about 18 MPa. Fatigue damage in the form of fibre splitting and fibre-matrix interface failure was observed in the SRC-PMMA samples while the PMMA and bone cement showed only smooth fractures. During cyclic fatigue testing, the ongoing damage processes were periodically monitored using several novel computer-based and analysis algorithms. The measured cyclic loads and displacements are used to determine the creep-fatigue displacements, the sample stiffness (or modulus) and the hysteresis damage energy as functions of the number of applied cycles associated with the fatigue loading. The hysteresis damage energy to failure was about 25 times greater in the SRC-PMMA samples (2000 J at 10(6) cycles) compared with bone cement or PMMA at the same number of cycles to failure (80 J) indicating much greater fatigue damage tolerance in these materials. This material, SRC-PMMA, may be applicable for use in several medical and/or dental applications.

Bone Cements↗
PubMed1994

Automated tritan discrimination sensitivity: a new clinical technique for the effective screening of severe diabetic retinopathy.

We have developed and extensively assessed an automated chromatic discrimination test which can be used to screen effectively a diabetic population for sight threatening diabetic eye disease. Equiluminant, sinusoidal, low spatial frequency, chromatic gratings are produced along a tritan confusion axis under computer software control on a high resolution CRT. The correct position of the tritan axis in colour space was calibrated using subjects whilst they were transiently tritanopic. The minimum amplitude about a neutral "grey point" along the tritan confusion axis at which a subject can just distinguish a grating is found using a double staircase reversal algorithm. This measure is taken as the Tritan Discrimination Sensitivity and it is this that we use to flag those diabetics with severe diabetic retinopathy. This computerised tritan discrimination test is quick, non-invasive, easy to operate, inexpensive and reliable. The test-retest reliability coefficient (rho) is 0.92. The tritan discrimination test effectively identifies those diabetics who have or are most at risk of developing severe diabetic retinopathy. The sensitivity of the test for the detection of maculopathy, ischaemic retinopathy (pre-proliferative), and proliferative retinopathy is 97%, 65%, and 93%, respectively. The corrected specificity of the test is 83%. We conclude that the tritan discrimination test has potential for use as a valuable screening tool for the early detection and treatment of severe diabetic retinopathy.

Adolescent↗
PubMed2005

Electrocardiographic damage scores and cardiovascular mortality.

BACKGROUND: A number of electrocardiogram (ECG) classification systems have been developed to estimate cardiac injury, infarct size, and left ventricular function. Although many studies have documented an association between clinical, imaging, and autopsy data, few have evaluated their prognostic value. METHODS AND RESULTS: ECGs from 46,933 patients were analyzed using computerized measurements and algorithms. The Simplified Selvester Score, the Cardiac Infarction Injury Score (CIIS), and a Q-wave score were calculated. Other ECG characteristics such as left ventricular hypertrophy and bundle-branch blocks were also evaluated. The main outcome was cardiovascular (CV) mortality. During a mean follow-up of 6 years, the CIIS outperformed all other ECG classifications in determining prognosis. Going from lowest to highest tertile of CIIS, each step had a hazard ratio of 1.39 (CI 1.32-1.45) or a 39% increase in risk per tertile. Using clinically based thresholds, the annual mortality for high-risk CIIS was 4.5% (CI 4.0-4.6) versus 0.3% (CI 0.0-1.3) for those in the low-risk group. CONCLUSIONS: A low-risk damage score was associated with a <1% annual CV mortality and a high-risk damage score with annual CV mortality of >4%. A damage score should be calculated as part of all computerized ECG interpretations.

Aged↗
PubMed2004

QT interval variability and spontaneous ventricular tachycardia or fibrillation in the Multicenter Automatic Defibrillator Implantation Trial (MADIT) II patients.

OBJECTIVES: This study aimed to determine whether increased QT interval variability is associated with an increased risk for ventricular tachycardia (VT) or ventricular fibrillation (VF), documented by interrogation of the implantable cardioverter-defibrillator (ICD), in patients enrolled in the Multicenter Automatic Defibrillator Implantation Trial (MADIT) II. BACKGROUND: Unstable repolarization has been proposed as a risk factor for re-entrant arrhythmias, but confirmatory data from clinical trials are lacking. METHODS: The QT variability was assessed in 10-min, resting high-resolution electrocardiogram recordings at study entry using a semiautomated algorithm that measured beat-to-beat QT duration in 817 MADIT II patients. The incidence of VT/VF requiring device therapy was determined by ICD interrogation. RESULTS: Median normalized QT variability (QTVN) was 0.179 and 0.125, respectively, in patients with VT/VF versus those without VT/VF (p = 0.001); QTVI (QTVN adjusted for heart rate variance) also was significantly (p < 0.05) higher in VT/VF patients than in those without VT/VF. Either QTVN or QTVI was linked with a significantly higher probability of VT/VF: two-year risk of VT/VF from Kaplan-Meier curves was 40% in highest quartile versus 21% in lower quartiles for QTVN, and 37% versus 22% for QTVI (p < 0.05 for each). In multivariate Cox regression models adjusting for clinical covariates (race, New York Heart Association functional class, time after myocardial infarction), top-quartile QTVI and QTVN were independently associated with VT/VF (hazard ratio for QTVN 2.18, 95%confidence interval [CI] 1.34 to 3.55, p = 0.002; hazard ratio for QTVI 1.80, 95% CI 1.09 to 2.95, p = 0.021). CONCLUSIONS: In postinfarction patients with severe left ventricular dysfunction, increased QT variability, a marker of repolarization lability, is associated with an increased risk for VT/VF.

Aged↗
PubMed2006

High resolution mechanical function in the intact porcine heart: mechanical effects of pacemaker location.

The necessity to quantify the mechanical function with high spatial resolution stemmed from the advancement of myocardial salvaging techniques. Since these therapies are localized interventions, a whole field technique with high spatial resolution was needed to differentiate the normal, diseased, and treated myocardium. We developed a phase correlation algorithm for measuring myocardial displacement at high spatial resolution and to determine the regional mechanical function in the intact heart. Porcine hearts were exposed and high contrast microparticles were placed on the myocardium. A pressure transducer, inserted into the left ventricle, synchronized the pressure (LVP) with image acquisition using a charge-coupled device camera. The deformation of the myocardium was measured with a resolution of 0.58+/-0.04 mm. Within the region of interest (ROI), regional stroke work (RSW), defined as the integral of LVP with respect to regional area, was determined on average at 21 locations with a resolution of 27.1+/-2.7 mm2. To alter regional mechanical function, the heart was paced at three different locations around the ROI. Independent of the pacemaker location, RSW decreased in the ROI. In addition, a gradient of increasing RSW in the outward direction radiating from the pacemaker was observed in all pacing protocols. These data demonstrated the ability to determine regional whole field mechanical function with high spatial resolution, and the significant alterations induced by electrical pacing.

Animals↗
PubMed1993

StORQS: Washington's Statewide Obstetrical Review and Quality System: overview and provider evaluation.

The Foundation for Health Care Quality (Washington) used three administrative public databases and indicators recommended by the Joint Commission and the American College of Obstetrics and Gynecology to build algorithms to measure quality of obstetric care in the state of Washington. Analyses demonstrated a high degree of variability across hospitals for major processes of care such as cesarean section, vaginal birth after cesarean section, and forceps deliveries. Eighty-five percent of the participating hospitals concluded that important aspects of care were being measured. Ninety-four percent found the information useful in describing their performance compared with other hospitals. Sixty-two percent believed the information was useful for initiating quality improvement projects. Of the 25 indicators tested in the project, indicators rated as most useful were the same 10 obstetric indicators chosen by the Joint Commission after alpha testing.

Cesarean Section↗
PubMed2000

Quantification and characterisation of arteries in retinal images.

A computerised system is presented for the automatic quantification of blood vessel topography in retinal images. This system utilises digital image processing techniques to provide more reliable and comprehensive information for the retinal vascular network. It applies strategies and algorithms for measuring vascular trees and includes methods for locating the centre of a bifurcation, detecting vessel branches, estimating vessel diameter, and calculating angular geometry at a bifurcation. The performance of the system is studied by comparison with manual measurements and by comparing measurements between red-free images and fluorescein images. In general an acceptable degree of accuracy and precision was seen for all measurements, although the system had difficulty dealing with very noisy images and small or especially tortuous blood vessels.

Diagnostic Imaging↗