262 research outputs found
The automatic detection of lumber anatomy in epidural injections for ultrasound guidance
The purpose of this paper is to help the anesthesiologist to find the
epidural depth automatically to make the first attempt to enter the path of the
needle into the patient's body while it is clogged with bone and avoid causing
a puncture in the surrounding areas of the patient`s back. In this regard, a
morphology-based bone enhancement and detection followed by a
Ramer-Douglas-Peucker algorithm and Hough transform is proposed. The proposed
algorithm is tested on synthetic and real ultrasound images of laminar bone,
and the results are compared with the template matching based Ligamentum Flavum
(LF) detection method. Results indicate that the proposed method can faster
detect the diagonal shape of the laminar bone and its corresponding epidural
depth. Furthermore, the proposed method is reliable enough providing
anesthesiologists with real-time information while an epidural needle insertion
is performed. It has to be noted that using the ultrasound images is to help
anesthesiologists to perform the blind injection, and due to quite a lot of
errors occurred in ultrasound-imaging-based methods, these methods can not
completely replace the tissue pressure-based method. And in the end, when the
needle is injected into the area (dura space) measurements can only be trusted
to the extent of tissue resistance. Despite the fairly limited amount of
training data available in this study, a significant improvement of the
segmentation speed of lumbar bones and epidural depth in ultrasound scans with
a rational accuracy compared to the LF-based detection method was found.Comment: 34 pages, To be published in Medical Hypothese
Advances in Bioengineering
The technological approach and the high level of innovation make bioengineering extremely dynamic and this forces researchers to continuous updating. It involves the publication of the results of the latest scientific research. This book covers a wide range of aspects and issues related to advances in bioengineering research with a particular focus on innovative technologies and applications. The book consists of 13 scientific contributions divided in four sections: Materials Science; Biosensors. Electronics and Telemetry; Light Therapy; Computing and Analysis Techniques
Post formation processing of cardiac ultrasound data for enhancing image quality and diagnostic value
Cardiovascular diseases (CVDs) constitute a leading cause of death, including premature
death, in the developed world. The early diagnosis and treatment of CVDs is therefore of
great importance. Modern imaging modalities enable the quantification and analysis of the
cardiovascular system and provide researchers and clinicians with valuable tools for the
diagnosis and treatment of CVDs. In particular, echocardiography offers a number of
advantages, compared to other imaging modalities, making it a prevalent tool for assessing
cardiac morphology and function. However, cardiac ultrasound images can suffer from a
range of artifacts reducing their image quality and diagnostic value. As a result, there is great
interest in the development of processing techniques that address such limitations.
This thesis introduces and quantitatively evaluates four methods that enhance clinical cardiac
ultrasound data by utilising information which until now has been predominantly
disregarded. All methods introduced in this thesis utilise multiple partially uncorrelated
instances of a cardiac cycle in order to acquire the information required to suppress or
enhance certain image features. No filtering out of information is performed at any stage
throughout the processing. This constitutes the main differentiation to previous data
enhancement approaches which tend to filter out information based on some static or
adaptive selection criteria.
The first two image enhancement methods utilise spatial averaging of partially uncorrelated
data acquired through a single acoustic window. More precisely, Temporal Compounding
enhances cardiac ultrasound data by averaging partially uncorrelated instances of the imaged
structure acquired over a number of consecutive cardiac cycles. An extension to the notion of
spatial compounding of cardiac ultrasound data is 3D-to-2D Compounding, which presents a
novel image enhancement method by acquiring and compounding spatially adjacent (along
the elevation plane), partially uncorrelated, 2D slices of the heart extracted as a thin angular
sub-sector of a volumetric pyramid scan. Data enhancement introduced by both approaches
includes the substantial suppression of tissue speckle and cavity noise. Furthermore, by
averaging decorrelated instances of the same cardiac structure, both compounding methods
can enhance tissue structures, which are masked out by high levels of noise and shadowing,
increasing their corresponding tissue/cavity detectability.
The third novel data enhancement approach, referred as Dynamic Histogram Based Intensity
Mapping (DHBIM), investigates the temporal variations within image histograms of
consecutive frames in order to (i) identify any unutilised/underutilised intensity levels and
(ii) derive the tissue/cavity intensity threshold within the processed frame sequence.
Piecewise intensity mapping is then used to enhance cardiac ultrasound data. DHBIM
introduces cavity noise suppression, enhancement of tissue speckle information as well as
considerable increase in tissue/cavity contrast and detectability.
A data acquisition and analysis protocol for integrating the dynamic intensity mapping along
with spatial compounding methods is also investigated. The linear integration of DHBIM and
Temporal Compounding forms the fourth and final implemented method, which is also
quantitatively assessed. By taking advantage of the benefits and compensating for the
limitations of each individual method, the integrated method suppresses cavity noise and
tissue speckle while enhancing tissue/cavity contrast as well as the delineation of cardiac
tissue boundaries even when heavily corrupted by cardiac ultrasound artifacts.
Finally, a novel protocol for the quantitative assessment of the effect of each data
enhancement method on image quality and diagnostic value is employed. This enables the
quantitative evaluation of each method as well as the comparison between individual
methods using clinical data from 32 patients. Image quality is assessed using a range of
quantitative measures such as signal-to-noise ratio, tissue/cavity contrast and detectability
index. Diagnostic value is assessed through variations in the repeatability level of routine
clinical measurements performed on patient cardiac ultrasound scans by two experienced
echocardiographers. Commonly used clinical measures such as the wall thickness of the
Interventricular Septum (IVS) and the Left Ventricle Posterior Wall (LVPW) as well as the
cavity diameter of the Left Ventricle (LVID) and Left Atrium (LAD) are employed for
assessing diagnostic value
SOLID-SHELL FINITE ELEMENT MODELS FOR EXPLICIT SIMULATIONS OF CRACK PROPAGATION IN THIN STRUCTURES
Crack propagation in thin shell structures due to cutting is conveniently simulated
using explicit finite element approaches, in view of the high nonlinearity of the problem. Solidshell
elements are usually preferred for the discretization in the presence of complex material
behavior and degradation phenomena such as delamination, since they allow for a correct
representation of the thickness geometry. However, in solid-shell elements the small thickness
leads to a very high maximum eigenfrequency, which imply very small stable time-steps. A new
selective mass scaling technique is proposed to increase the time-step size without affecting
accuracy. New ”directional” cohesive interface elements are used in conjunction with selective
mass scaling to account for the interaction with a sharp blade in cutting processes of thin ductile
shells
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