16,086 research outputs found
Postmortem tissue distribution of morphine and its metabolites in a series of heroin related deaths
The abuse of heroin (diamorphine) and heroin deaths are growing around the world. The interpretation of the toxicological results from suspected heroin deaths is notoriously difficult especially in cases where there may be limited samples. In order to help forensic practitioners with heroin interpretation we determined the concentration of morphine (M), morphine‐3‐glucuronide (M3G) and morphine‐6‐glucuronide (M6G) in blood (femoral and cardiac), brain (thalamus), liver (deep right lobe), bone marrow (sternum), skeletal muscle (psoas) and vitreous humor in 44 heroin related deaths. The presence of 6‐monoacetylmorphine (6‐MAM) in any of the postmortem samples was used as confirmation of heroin use. Quantitation was carried out using a validated LC‐MS/MS method with solid phase extraction. We also determined the presence of papaverine, noscapine and codeine in the samples, substances often found in illicit heroin and that may help determine illicit heroin use. The results of this study show that vitreous is the best sample to detect 6‐MAM (100% of cases), and thus heroin use. The results of the M, M3G and M6G quantitation in this study allow a degree of interpretation when samples are limited. However in some cases it may not be possible to determine heroin/morphine use as in 4 cases in muscle (3 cases in bone marrow) no morphine, morphine‐3‐glucuronide or morphine‐6‐glucuronide was detected, even though they were detected in other case samples. As always postmortem cases of suspected morphine/heroin intoxication should be interpreted with care and with as much case knowledge as possible
Random forest prediction of Alzheimer's disease using pairwise selection from time series data
Time-dependent data collected in studies of Alzheimer's disease usually has
missing and irregularly sampled data points. For this reason time series
methods which assume regular sampling cannot be applied directly to the data
without a pre-processing step. In this paper we use a machine learning method
to learn the relationship between pairs of data points at different time
separations. The input vector comprises a summary of the time series history
and includes both demographic and non-time varying variables such as genetic
data. The dataset used is from the 2017 TADPOLE grand challenge which aims to
predict the onset of Alzheimer's disease using including demographic, physical
and cognitive data. The challenge is a three-fold diagnosis classification into
AD, MCI and control groups, the prediction of ADAS-13 score and the normalised
ventricle volume. While the competition proceeds, forecasting methods may be
compared using a leaderboard dataset selected from the Alzheimer's Disease
Neuroimaging Initiative (ADNI) and with standard metrics for measuring
accuracy. For diagnosis, we find an mAUC of 0.82, and a classification accuracy
of 0.73. The results show that the method is effective and comparable with
other methods.Comment: 6 pages, 1 figure, 6 table
Area and Length Minimizing Flows for Shape Segmentation
©1997 IEEE. Personal use of this material is permitted. However, permission to reprint/republish this material for advertising or promotional purposes or for creating new collective works for resale or distribution to servers or lists, or to reuse any copyrighted component of this work in other works must be obtained from the IEEE. This material is presented to ensure timely dissemination of scholarly and technical work. Copyright and all rights therein are retained by authors or by other copyright holders. All persons copying this information are expected to adhere to the terms and constraints invoked by each author's copyright. In most cases, these works may not be reposted without the explicit permission of the copyright holder.Presented at the 1997 IEEE Computer Society Conference on Computer Vision and Pattern Recognition, June 17-19, 1997, San Juan, Puerto Rico.DOI: 10.1109/CVPR.1997.609390Several active contour models have been proposed to unify the curve evolution framework with classical energy minimization techniques for segmentation, such as snakes. The essential idea is to evolve a curve (in 20) or a surface (in 30) under constraints from image forces so that it clings to features of interest in an intensity image. Recently the evolution equation has. been derived from first principles as the gradient flow that minimizes a modified length functional, tailored io features such as edges. However, because the flow may be slow to converge in practice, a constant (hyperbolic) term is added to keep the curve/surface moving in the desired direction. In this paper, we provide a justification for this term based on the gradient flow derived from a weighted area functional, with image dependent weighting factor. When combined with the earlier modified length gradient flow we obtain a pde which offers a number of advantages, as illustrated by several examples of shape segmentation on medical images. In many cases the weighted area flow may be used on its own, with significant computational savings
An MRI-Derived Definition of MCI-to-AD Conversion for Long-Term, Automati c Prognosis of MCI Patients
Alzheimer's disease (AD) and mild cognitive impairment (MCI), continue to be
widely studied. While there is no consensus on whether MCIs actually "convert"
to AD, the more important question is not whether MCIs convert, but what is the
best such definition. We focus on automatic prognostication, nominally using
only a baseline image brain scan, of whether an MCI individual will convert to
AD within a multi-year period following the initial clinical visit. This is in
fact not a traditional supervised learning problem since, in ADNI, there are no
definitive labeled examples of MCI conversion. Prior works have defined MCI
subclasses based on whether or not clinical/cognitive scores such as CDR
significantly change from baseline. There are concerns with these definitions,
however, since e.g. most MCIs (and ADs) do not change from a baseline CDR=0.5,
even while physiological changes may be occurring. These works ignore rich
phenotypical information in an MCI patient's brain scan and labeled AD and
Control examples, in defining conversion. We propose an innovative conversion
definition, wherein an MCI patient is declared to be a converter if any of the
patient's brain scans (at follow-up visits) are classified "AD" by an
(accurately-designed) Control-AD classifier. This novel definition bootstraps
the design of a second classifier, specifically trained to predict whether or
not MCIs will convert. This second classifier thus predicts whether an
AD-Control classifier will predict that a patient has AD. Our results
demonstrate this new definition leads not only to much higher prognostic
accuracy than by-CDR conversion, but also to subpopulations much more
consistent with known AD brain region biomarkers. We also identify key
prognostic region biomarkers, essential for accurately discriminating the
converter and nonconverter groups
AUTOMATED MIDLINE SHIFT DETECTION ON BRAIN CT IMAGES FOR COMPUTER-AIDED CLINICAL DECISION SUPPORT
Midline shift (MLS), the amount of displacement of the brain’s midline from its normal symmetric position due to illness or injury, is an important index for clinicians to assess the severity of traumatic brain injury (TBI). In this dissertation, an automated computer-aided midline shift estimation system is proposed. First, a CT slice selection algorithm (SSA) is designed to automatically select a subset of appropriate CT slices from a large number of raw images for MLS detection. Next, ideal midline detection is implemented based on skull bone anatomical features and global rotation assumptions. For the actual midline detection algorithm, a window selection algorithm (WSA) is applied first to confine the region of interest, then the variational level set method is used to segment the image and extract the ventricle contours. With a ventricle identification algorithm (VIA), the position of actual midline is detected based on the identified right and left lateral ventricle contours. Finally, the brain midline shift is calculated using the positions of detected ideal midline and actual midline. One of the important applications of midline shift in clinical medical decision making is to estimate the intracranial pressure (ICP). ICP monitoring is a standard procedure in the care of severe traumatic brain injury (TBI) patients. An automated ICP level prediction model based on machine learning method is proposed in this work. Multiple features, including midline shift, intracranial air cavities, ventricle size, texture patterns, and blood amount, are used in the ICP level prediction. Finally, the results are evaluated to assess the effectiveness of the proposed method in ICP level prediction
Patient-specific CFD simulation of intraventricular haemodynamics based on 3D ultrasound imaging
Background: The goal of this paper is to present a computational fluid dynamic (CFD) model with moving boundaries to study the intraventricular flows in a patient-specific framework. Starting from the segmentation of real-time transesophageal echocardiographic images, a CFD model including the complete left ventricle and the moving 3D mitral valve was realized. Their motion, known as a function of time from the segmented ultrasound images, was imposed as a boundary condition in an Arbitrary Lagrangian-Eulerian framework.
Results: The model allowed for a realistic description of the displacement of the structures of interest and for an effective analysis of the intraventricular flows throughout the cardiac cycle. The model provides detailed intraventricular flow features, and highlights the importance of the 3D valve apparatus for the vortex dynamics and apical flow.
Conclusions: The proposed method could describe the haemodynamics of the left ventricle during the cardiac cycle. The methodology might therefore be of particular importance in patient treatment planning to assess the impact of mitral valve treatment on intraventricular flow dynamics
Automated Detection of Regions of Interest for Brain Perfusion MR Images
Images with abnormal brain anatomy produce problems for automatic
segmentation techniques, and as a result poor ROI detection affects both
quantitative measurements and visual assessment of perfusion data. This paper
presents a new approach for fully automated and relatively accurate ROI
detection from dynamic susceptibility contrast perfusion magnetic resonance and
can therefore be applied excellently in the perfusion analysis. In the proposed
approach the segmentation output is a binary mask of perfusion ROI that has
zero values for air pixels, pixels that represent non-brain tissues, and
cerebrospinal fluid pixels. The process of binary mask producing starts with
extracting low intensity pixels by thresholding. Optimal low-threshold value is
solved by obtaining intensity pixels information from the approximate
anatomical brain location. Holes filling algorithm and binary region growing
algorithm are used to remove falsely detected regions and produce region of
only brain tissues. Further, CSF pixels extraction is provided by thresholding
of high intensity pixels from region of only brain tissues. Each time-point
image of the perfusion sequence is used for adjustment of CSF pixels location.
The segmentation results were compared with the manual segmentation performed
by experienced radiologists, considered as the reference standard for
evaluation of proposed approach. On average of 120 images the segmentation
results have a good agreement with the reference standard. All detected
perfusion ROIs were deemed by two experienced radiologists as satisfactory
enough for clinical use. The results show that proposed approach is suitable to
be used for perfusion ROI detection from DSC head scans. Segmentation tool
based on the proposed approach can be implemented as a part of any automatic
brain image processing system for clinical use
Automated ventricular systems segmentation in brain CT images by combining low-level segmentation and high-level template matching
<p>Abstract</p> <p>Background</p> <p>Accurate analysis of CT brain scans is vital for diagnosis and treatment of Traumatic Brain Injuries (TBI). Automatic processing of these CT brain scans could speed up the decision making process, lower the cost of healthcare, and reduce the chance of human error. In this paper, we focus on automatic processing of CT brain images to segment and identify the ventricular systems. The segmentation of ventricles provides quantitative measures on the changes of ventricles in the brain that form vital diagnosis information.</p> <p>Methods</p> <p>First all CT slices are aligned by detecting the ideal midlines in all images. The initial estimation of the ideal midline of the brain is found based on skull symmetry and then the initial estimate is further refined using detected anatomical features. Then a two-step method is used for ventricle segmentation. First a low-level segmentation on each pixel is applied on the CT images. For this step, both Iterated Conditional Mode (ICM) and Maximum A Posteriori Spatial Probability (MASP) are evaluated and compared. The second step applies template matching algorithm to identify objects in the initial low-level segmentation as ventricles. Experiments for ventricle segmentation are conducted using a relatively large CT dataset containing mild and severe TBI cases.</p> <p>Results</p> <p>Experiments show that the acceptable rate of the ideal midline detection is over 95%. Two measurements are defined to evaluate ventricle recognition results. The first measure is a sensitivity-like measure and the second is a false positive-like measure. For the first measurement, the rate is 100% indicating that all ventricles are identified in all slices. The false positives-like measurement is 8.59%. We also point out the similarities and differences between ICM and MASP algorithms through both mathematically relationships and segmentation results on CT images.</p> <p>Conclusion</p> <p>The experiments show the reliability of the proposed algorithms. The novelty of the proposed method lies in its incorporation of anatomical features for ideal midline detection and the two-step ventricle segmentation method. Our method offers the following improvements over existing approaches: accurate detection of the ideal midline and accurate recognition of ventricles using both anatomical features and spatial templates derived from Magnetic Resonance Images.</p
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