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Effectiveness of comparison overlays generated with DentalPrint software in bite mark analysis.

Validation studies of the new DentalPrint software were carried out with experimental bite marks in pigskin. The bite marks were digitally photographed according to the ABFO guidelines for evidence collection. Dental casts used in the experiment were scanned in 3D and 2D, and comparison overlays were generated using DentalPrint and Adobe Photoshop software, respectively. Digitized photographs of the experimental bite marks and the biting edges obtained in the overlays were compared by two different examiners to analyze the impact of training and experience with the two methods. Receiver operating characteristic (ROC) analysis, sensitivity, specificity, and 95% confidence intervals for each cutoff point were calculated. The expert examiner using DentalPrint obtained the best results, with an area under the ROC curve of 0.76 (SE=0.057; CI at 95%=0.652-0.876). Fairly high specificity values were found for DentalPrint, and the best results were obtained for the cutoff value that discriminated between the examiner's response "biter" and the rest of the possible (specificity 97.9%, CI at 95%=93.2%-99.6%). Therefore, the results presented here indicate that DentalPrint is a useful, accurate tool for forensic purposes, although further research on the comparison process is needed to enhance the validity of bite mark analysis.

Animals↗

Microcomputers in health education: characteristics of quality instructional software.

The potential effectiveness of microcomputer-assisted instruction is based on the availability of quality instructional programs. The following article outlines important characteristics of high quality instructional software. If health educators are discriminating consumers of instructional software they will serve as a significant market force promoting the development of high quality educational programs.

Computers↗

Using an independent quality control software program, EZ Runs, to monitor quality control procedures for a bench-top coagulation analyzer.

BACKGROUND: Comprehensive quality control (QC) procedures are necessary to ensure accurate analytic method performance. Highly automated systems typically have inherent QC programs that facilitate performance and maintenance of QC procedures; however, for bench-top analyzers that lack internal systems, independent QC programs must be used. OBJECTIVE: The goal of this study was to evaluate the adaptability of an independent QC program, EZ Runs (Westgard QC Inc, Madison, WI, USA), to the maintenance of QC procedures for a mechanical, bench-top coagulation unit and to compare the results with our current, manual, QC method in a qualitative way. METHODS: A QC application file for activated partial thromboplastin time (aPTT) performed on a STart4 (Diagnostica Stago, Parsippany, NJ) was created in EZ Runs. Results were recorded and interpreted using this software package as well as the current, manual, QC method. RESULTS: EZ Runs was adaptable to QC monitoring for the bench-top analyzer, and the program permitted identification of both random and systematic errors not detected by the manual QC system. CONCLUSIONS: EZ Runs improved the performance and maintenance of QC procedures for this bench-top coagulation analyzer. The results indicated the need to improve staff training in assay performance and QC interpretation. In addition, use of the software program indicated that a multirule QC design was needed to monitor assay performance.

Animals↗

A rural hospital's use of software to determine accurate Medicare reimbursement levels.

This article details how a software program has helped a hospital collect more Medicare payments for which it was eligible than it previously had collected. The software simplifies the process of selecting complications by reminding the user when no complications have yet been entered, by determining whether each item entered qualifies as a complication, and by suggesting other possibilities. In many instances, these complications are possibilities that a person performing manual coding might not consider.

Concurrent Review↗

Internal radionuclide therapy: the ULMDOS software for treatment planning.

Before therapy with unsealed radionuclides, a dosimetry assessment must be performed for each patient. We present the interactive software tool ULMDOS, which facilitates dosimetric calculations, enhances traceability, and adequate documentation. ULMDOS is developed in IDL 6.1 (Interactive Data Language) under Windows XP/2000. First the patient data, the radiotracer data, and optionally urine and serum data are entered. After loading planar gamma camera images and drawing regions of interest, the residence times can be calculated using fits of the time activity data to exponential functions. Data can be saved in ASCII format for retrospective examination and further processing. ULMDOS allows one to process the dosimetric calculations within a standardized environment, spares the time-consuming transfer of data between different software tools, enables the documentation of ROI and raw data, and reduces intraindividual variability. ULMDOS satisfies the required conditions for traceability and documentation as a prerequisite to routine use in clinical settings.

Algorithms↗

Effect of software manipulation (Photoshop) of digitised retinal images on the grading of diabetic retinopathy.

AIMS: To determine whether software processing of digitised retinal images using a "sharpen" filter improves the ability to grade diabetic retinopathy. METHODS: 150 macula centred retinal images were taken as 35 mm colour transparencies representing a spectrum of diabetic retinopathy, digitised, and graded in random order before and after the application of a sharpen filter (Adobe Photoshop). Digital enhancement of contrast and brightness was performed and a X2 digital zoom was utilised. The grades from the unenhanced and enhanced digitised images were compared with the same retinal fields viewed as slides. RESULTS: Overall agreement in retinopathy grade from the digitised images improved from 83.3% (125/150) to 94.0% (141/150) with sight threatening diabetic retinopathy (STDR) correctly identified in 95.5% (84/88) and 98.9% (87/88) of cases when using unenhanced and enhanced images respectively. In total, five images were overgraded and four undergraded from the enhanced images compared with 17 and eight images respectively when using unenhanced images. CONCLUSION: This study demonstrates that the already good agreement in grading performance can be further improved by software manipulation or processing of digitised retinal images.

Diabetic Retinopathy↗

Educational software evaluation process.

The Active Digital Library at the Vanderbilt University Medical Center has created and implemented an educational software evaluation process to facilitate the timely recommendation for product acquisition. Using this process, breadth and depth of subject coverage, clarity of presentation, quality of construction, and ease of use are being assessed by content and technical experts. The process uses a team approach, employing a bi-level evaluation instrument based on existing software evaluation forms and system bug reports.

Computer-Assisted Instruction↗

Potential for expanded power in linkage studies using the ALLEGRO and MERLIN software programs.

Multipoint linkage analysis in complex diseases requires the use of fast algorithms that can handle many markers and a large number of moderately sized pedigrees with unknown mode of inheritance. This need has led to the development of several competitive software programs. We recently completed a genomic screen of neural tube defects using GENEHUNTER-PLUS and the more recent ALLEGRO. The ALLEGRO software was found to offer expanded power for linkage studies, particularly for childhood onset diseases like neural tube defects, though the results must be treated with caution.

Algorithms↗

The UNAIDS Estimation and Projection Package: a software package to estimate and project national HIV epidemics.

This paper describes the Estimation and Projection Package (EPP) for estimating and projecting HIV prevalence levels in countries with generalised epidemics. The paper gives an overall summary of the software and interface. It describes the process of defining and modelling a national epidemic in terms of locally relevant sub-epidemics and the four epidemiological parameters used to fit a curve to produce the prevalence trends in the epidemic. It also provides an example of using the EPP in a country with a generalised epidemic. The paper discusses the strengths and weaknesses of the software and its envisaged future developments.

Adolescent↗

Software reliability prediction using recurrent neural network with Bayesian regularization.

A recurrent neural network modeling approach for software reliability prediction with respect to cumulative failure time is proposed. Our proposed network structure has the capability of learning and recognizing the inherent internal temporal property of cumulative failure time sequence. Further, by adding a penalty term of sum of network connection weights, Bayesian regularization is applied to our network training scheme to improve the generalization capability and lower the susceptibility of overfitting. The performance of our proposed approach has been tested using four real-time control and flight dynamic application data sets. Numerical results show that our proposed approach is robust across different software projects, and has a better performance with respect to both goodness-of-fit and next-step-predictability compared to existing neural network models for failure time prediction.

Algorithms↗

Hardware and software artifacts in storage phosphor radiography.

Hardware and software artifacts in digital radiographs acquired with storage phosphor systems can seriously impair image quality and imitate or mask abnormalities. These artifacts are caused by image plate, image reader, and laser printer defects; faulty image readout; processing errors; and unsharp masking. The artifacts can simulate calcifications and pneumothoraces or conceal low-contrast ill-defined lesions and subtle lesions along opacity interfaces. Hardware artifacts need to be recognized and properly traced to repair the system or improve its maintenance. Artifacts due to software characteristics and image post-processing must also be identified to ensure adequate system handling and adjustment of postprocessing algorithms.

Artifacts↗

Functionality of gray-scale display workstation hardware and software in clinical radiology.

This article examines the functional factors crucial for the successful conversion from film-based radiography to radiologic gray-scale display systems, including hardware architecture and software requirements, radiologic workstation operations, and a multilayered intelligent user interface. Radiologic workstation operations are logically decomposed into case preparation, case selection, case presentation, case interpretation, and documentation and presentation of the diagnosis. A multilayered software architecture for an adaptive, intelligent user interface is proposed: a hardware interface layer, an object-oriented layer, and a knowledge-based layer. The knowledge-based layer is composed of three elements: image presentation based on context-dependent models of diagnostic requirements, knowledge-based expert systems for assistance in diagnostic decision making, and computer-assisted diagnosis to alert the radiologist to potential lesions or abnormalities.

Diagnosis, Computer-Assisted↗

RadNotes: a novel software development tool for radiology education.

RadNotes is a novel software development tool that enables physicians to develop teaching materials incorporating text and images in an intelligent, highly usable format. Projects undertaken in the RadNotes environment require neither programming expertise nor the assistance of a software engineer. The first of these projects, Thoracic Imaging, integrates image teaching files, concise disease and topic summaries, references, and flash card quizzes into a single program designed to provide an overview of chest radiology. RadNotes is intended to support the academic goals of teaching radiologists by enabling authors to create, edit, and electronically distribute image-oriented presentations. RadNotes also supports the educational goals of physicians who wish to quickly review selected imaging topics, as well as to develop a visual vocabulary of corresponding radiologic anatomy and pathologic conditions. Although Thoracic Imaging was developed with the aim of introducing chest radiology to residents, RadNotes can be used to develop tutorials and image-based tests for all levels; create corresponding World Wide Web sites; and organize notes, images, and references for individual use.

Computer-Assisted Instruction↗

Free DICOM image viewing and processing software for your desktop computer: what's available and what it can do for you.

Whether or not a radiology department is "filmless," there is often a need to store images digitally for teaching or presentation purposes. Most computed tomographic and magnetic resonance images are in the Digital Imaging and Communications in Medicine (DICOM) 3 format, which has many advantages; however, these files can be very large and rapidly consume storage space. Converting DICOM files to smaller file formats such as the Joint Photographic Experts Group (JPEG) format can save space and allow insertion of images into presentations created with software such as Microsoft PowerPoint. Some picture archiving and communication systems can convert images from DICOM to other formats; however, many free options are also available. The World Wide Web was searched for free DICOM image viewing or processing software, and programs that were thought to be user-friendly and compatible with the Microsoft Windows operating systems were evaluated. There are many free programs that enable manipulation and processing of DICOM images on a desktop computer, allowing the user to easily window images and convert them to a smaller and more usable format, such as JPEG.

Humans↗

Informatics in Radiology (infoRAD): personal computer security: part 2. Software Configuration and file protection.

Proper configuration of software security settings and proper file management are necessary and important elements of safe computer use. Unfortunately, the configuration of software security options is often not user friendly. Safe file management requires the use of several utilities, most of which are already installed on the computer or available as freeware. Among these file operations are setting passwords, defragmentation, deletion, wiping, removal of personal information, and encryption. For example, Digital Imaging and Communications in Medicine medical images need to be anonymized, or "scrubbed," to remove patient identifying information in the header section prior to their use in a public educational or research environment. The choices made with respect to computer security may affect the convenience of the computing process. Ultimately, the degree of inconvenience accepted will depend on the sensitivity of the files and communications to be protected and the tolerance of the user.

Computer Security↗

Software for simulating calcium-triggered exocytotic processes.

We describe a software package for the simulation of exocytotic events from readily releasable pools of secretory vesicles in neuroendocrine cells and presynaptic terminals. The visual package Ca3D_Exolab simulates the entry of Ca(2+) through the calcium channels, the kinetic reactions of calcium with buffers, the diffusion of calcium and mobile buffers, and the kinetic reactions of calcium with the secretory vesicles. The location of both channels and secretory vesicles can be set by using a graphical interface. Calcium and buffer concentrations at different depths from the cellular membrane and capacitance time courses are obtained as outputs. The software package also provides a descriptive statistical data analysis of the different output data.

Calcium↗

RealSpot: software validating results from DNA microarray data analysis with spot images.

The spot images from DNA microarray highly affect the discovery of biological knowledge from gene expression data. However, results from quality analysis, normalization, differential expression, and cluster analysis are rarely validated with spot images in current data analysis methods or software packages. We designed RealSpot, a software package, to validate the results by directly associating spot quality and data with spot images in a spreadsheet table. RealSpot splits hybridization images into individual spots stored in a spreadsheet table. It subsequently associates microarray data with spot images and performs data validation through the standard table operation such as sorting, searching, and editing. RealSpot has several built-in functions to facilitate data validation, including spot quality analysis, data organization, one-way ANOVA, gene ontology association, verification, import, and export. We used RealSpot to evaluate 77 slides (30,000 features each) from real hybridization experiments and to validate results from each step of data analysis. It took approximately 10 min to validate results of spot quality after initial evaluation and correct approximately 0.3% of falsely assigned qualities of 10,000 spots. We validated 1,641 of 2,110 differentially expressed genes identified by SAM analysis in approximately 1/2 h by comparing each gene with its respective spot image. Furthermore, we found that 6 of 48 genes in one cluster from k-mean clustering method showed inconsistent trends of spot images. RealSpot is efficient for validating microarray results and thus helpful for improving the reliability of the whole microarray experiment for experimentalists.

Algorithms↗

Clinical experience with stereotactic digital subtraction angiography with distortion correction software.

Recently developed software for correction of the geometric distortion in digital subtraction angiography was tested clinically. Localization and subsequent radiosurgical treatment of intracranial arteriovenous malformations was undertaken in 60 patients. During each angiographic series, a series of grid images was also acquired. All images were transferred to a workstation where the grid images were compared to a previously stored ideal image of the grid. A distortion correction was then performed on the grid images. The same pixel-by-pixel correction was applied to the respective angiographic images. The target was outlined on corrected subtracted images on the monitor. The outlined regions of interest and reference points were transferred to another workstation for dose planning, and the treatment was subsequently executed in the Gamma Knife unit. The clinical applicability of the distortion correction program was tested and possible sources of error examined. The experience gained is being used for further development of the software and for smoother data management and reduction of the processing time.

Adolescent↗