2,652 research outputs found
A 3D discrete model of the diaphragm and human trunk
In this paper, a 3D discrete model is presented to model the movements of the
trunk during breathing. In this model, objects are represented by physical
particles on their contours. A simple notion of force generated by a linear
actuator allows the model to create forces on each particle by way of a
geometrical attractor. Tissue elasticity and contractility are modeled by local
shape memory and muscular fibers attractors. A specific dynamic MRI study was
used to build a simple trunk model comprised of by three compartments: lungs,
diaphragm and abdomen. This model was registered on the real geometry.
Simulation results were compared qualitatively as well as quantitatively to the
experimental data, in terms of volume and geometry. A good correlation was
obtained between the model and the real data. Thanks to this model, pathology
such as hemidiaphragm paralysis can also be simulated.Comment: published in: "Lung Modelling", France (2006
Informative sample generation using class aware generative adversarial networks for classification of chest Xrays
Training robust deep learning (DL) systems for disease detection from medical
images is challenging due to limited images covering different disease types
and severity. The problem is especially acute, where there is a severe class
imbalance. We propose an active learning (AL) framework to select most
informative samples for training our model using a Bayesian neural network.
Informative samples are then used within a novel class aware generative
adversarial network (CAGAN) to generate realistic chest xray images for data
augmentation by transferring characteristics from one class label to another.
Experiments show our proposed AL framework is able to achieve state-of-the-art
performance by using about of the full dataset, thus saving significant
time and effort over conventional methods
Impact of Soft Tissue Heterogeneity on Augmented Reality for Liver Surgery
International audienceThis paper presents a method for real-time augmented reality of internal liver structures during minimally invasive hepatic surgery. Vessels and tumors computed from pre-operative CT scans can be overlaid onto the laparoscopic view for surgery guidance. Compared to current methods, our method is able to locate the in-depth positions of the tumors based on partial three-dimensional liver tissue motion using a real-time biomechanical model. This model permits to properly handle the motion of internal structures even in the case of anisotropic or heterogeneous tissues, as it is the case for the liver and many anatomical structures. Experimentations conducted on phantom liver permits to measure the accuracy of the augmentation while real-time augmentation on in vivo human liver during real surgery shows the benefits of such an approach for minimally invasive surgery
Image-guided Simulation of Heterogeneous Tissue Deformation For Augmented Reality during Hepatic Surgery
International audienceThis paper presents a method for real-time augmentation of vas- cular network and tumors during minimally invasive liver surgery. Internal structures computed from pre-operative CT scans can be overlaid onto the laparoscopic view for surgery guidance. Com- pared to state-of-the-art methods, our method uses a real-time biomechanical model to compute a volumetric displacement field from partial three-dimensional liver surface motion. This permits to properly handle the motion of internal structures even in the case of anisotropic or heterogeneous tissues, as it is the case for the liver and many anatomical structures. Real-time augmentation results are presented on in vivo and ex vivo data and illustrate the benefits of such an approach for minimally invasive surgery
Ball-Scale Based Hierarchical Multi-Object Recognition in 3D Medical Images
This paper investigates, using prior shape models and the concept of ball
scale (b-scale), ways of automatically recognizing objects in 3D images without
performing elaborate searches or optimization. That is, the goal is to place
the model in a single shot close to the right pose (position, orientation, and
scale) in a given image so that the model boundaries fall in the close vicinity
of object boundaries in the image. This is achieved via the following set of
key ideas: (a) A semi-automatic way of constructing a multi-object shape model
assembly. (b) A novel strategy of encoding, via b-scale, the pose relationship
between objects in the training images and their intensity patterns captured in
b-scale images. (c) A hierarchical mechanism of positioning the model, in a
one-shot way, in a given image from a knowledge of the learnt pose relationship
and the b-scale image of the given image to be segmented. The evaluation
results on a set of 20 routine clinical abdominal female and male CT data sets
indicate the following: (1) Incorporating a large number of objects improves
the recognition accuracy dramatically. (2) The recognition algorithm can be
thought as a hierarchical framework such that quick replacement of the model
assembly is defined as coarse recognition and delineation itself is known as
finest recognition. (3) Scale yields useful information about the relationship
between the model assembly and any given image such that the recognition
results in a placement of the model close to the actual pose without doing any
elaborate searches or optimization. (4) Effective object recognition can make
delineation most accurate.Comment: This paper was published and presented in SPIE Medical Imaging 201
Optical techniques for 3D surface reconstruction in computer-assisted laparoscopic surgery
One of the main challenges for computer-assisted surgery (CAS) is to determine the intra-opera- tive morphology and motion of soft-tissues. This information is prerequisite to the registration of multi-modal patient-specific data for enhancing the surgeon’s navigation capabilites by observ- ing beyond exposed tissue surfaces and for providing intelligent control of robotic-assisted in- struments. In minimally invasive surgery (MIS), optical techniques are an increasingly attractive approach for in vivo 3D reconstruction of the soft-tissue surface geometry. This paper reviews the state-of-the-art methods for optical intra-operative 3D reconstruction in laparoscopic surgery and discusses the technical challenges and future perspectives towards clinical translation. With the recent paradigm shift of surgical practice towards MIS and new developments in 3D opti- cal imaging, this is a timely discussion about technologies that could facilitate complex CAS procedures in dynamic and deformable anatomical regions
In vivo measurement of human brain elasticity using a light aspiration device
The brain deformation that occurs during neurosurgery is a serious issue
impacting the patient "safety" as well as the invasiveness of the brain
surgery. Model-driven compensation is a realistic and efficient solution to
solve this problem. However, a vital issue is the lack of reliable and easily
obtainable patient-specific mechanical characteristics of the brain which,
according to clinicians' experience, can vary considerably. We designed an
aspiration device that is able to meet the very rigorous sterilization and
handling process imposed during surgery, and especially neurosurgery. The
device, which has no electronic component, is simple, light and can be
considered as an ancillary instrument. The deformation of the aspirated tissue
is imaged via a mirror using an external camera. This paper describes the
experimental setup as well as its use during a specific neurosurgery. The
experimental data was used to calibrate a continuous model. We show that we
were able to extract an in vivo constitutive law of the brain elasticity: thus
for the first time, measurements are carried out per-operatively on the
patient, just before the resection of the brain parenchyma. This paper
discloses the results of a difficult experiment and provide for the first time
in-vivo data on human brain elasticity. The results point out the softness as
well as the highly non-linear behavior of the brain tissue.Comment: Medical Image Analysis (2009) accept\'
An End-to-end Deep Learning Approach for Landmark Detection and Matching in Medical Images
Anatomical landmark correspondences in medical images can provide additional
guidance information for the alignment of two images, which, in turn, is
crucial for many medical applications. However, manual landmark annotation is
labor-intensive. Therefore, we propose an end-to-end deep learning approach to
automatically detect landmark correspondences in pairs of two-dimensional (2D)
images. Our approach consists of a Siamese neural network, which is trained to
identify salient locations in images as landmarks and predict matching
probabilities for landmark pairs from two different images. We trained our
approach on 2D transverse slices from 168 lower abdominal Computed Tomography
(CT) scans. We tested the approach on 22,206 pairs of 2D slices with varying
levels of intensity, affine, and elastic transformations. The proposed approach
finds an average of 639, 466, and 370 landmark matches per image pair for
intensity, affine, and elastic transformations, respectively, with spatial
matching errors of at most 1 mm. Further, more than 99% of the landmark pairs
are within a spatial matching error of 2 mm, 4 mm, and 8 mm for image pairs
with intensity, affine, and elastic transformations, respectively. To
investigate the utility of our developed approach in a clinical setting, we
also tested our approach on pairs of transverse slices selected from follow-up
CT scans of three patients. Visual inspection of the results revealed landmark
matches in both bony anatomical regions as well as in soft tissues lacking
prominent intensity gradients.Comment: SPIE Medical Imaging Conference - 202
Using averaged models from 4D ultrasound strain imaging allows to signifcantly diferentiate local wall strains in calcifed regions of abdominal aortic aneurysms
Abdominal aortic aneurysms are a degenerative disease of the aorta associated with high mortality. To date, in vivo information to characterize the individual elastic properties of the aneurysm wall in terms of rupture risk is lacking. We have used time-resolved 3D ultrasound strain imaging to calculate spatially resolved in-plane strain distributions characterized by mean and local maximum strains, as well as indices of local variations in strains. Likewise, we here present a method to generate averaged models from multiple segmentations. Strains were then calculated for single segmentations and averaged models. After registration with aneurysm geometries based on CT-A imaging, local strains were divided into two groups with and without calcifications and compared. Geometry comparison from both imaging modalities showed good agreement with a root mean squared error of 1.22 ± 0.15 mm and Hausdorff Distance of 5.45 ± 1.56 mm (mean ± sd, respectively). Using averaged models, circumferential strains in areas with calcifications were 23.2 ± 11.7% (mean ± sd) smaller and significantly distinguishable at the 5% level from areas without calcifications. For single segmentations, this was possible only in 50% of cases. The areas without calcifications showed greater heterogeneity, larger maximum strains, and smaller strain ratios when computed by use of the averaged models. Using these averaged models, reliable conclusions can be made about the local elastic properties of individual aneurysm (and long-term observations of their change), rather than just group comparisons. This is an important prerequisite for clinical application and provides qualitatively new information about the change of an abdominal aortic aneurysm in the course of disease progression compared to the diameter criterion
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