Design and validation of Segment - freely available software for cardiovascular image analysis

<p>Abstract</p> <p>Background</p> <p>Commercially available software for cardiovascular image analysis often has limited functionality and frequently lacks the careful validation that is required for clinical studies. We have already implemented a cardiovascular image analysis software package and released it as freeware for the research community. However, it was distributed as a stand-alone application and other researchers could not extend it by writing their own custom image analysis algorithms. We believe that the work required to make a clinically applicable prototype can be reduced by making the software extensible, so that researchers can develop their own modules or improvements. Such an initiative might then serve as a bridge between image analysis research and cardiovascular research. The aim of this article is therefore to present the design and validation of a cardiovascular image analysis software package (Segment) and to announce its release in a source code format.</p> <p>Results</p> <p>Segment can be used for image analysis in magnetic resonance imaging (MRI), computed tomography (CT), single photon emission computed tomography (SPECT) and positron emission tomography (PET). Some of its main features include loading of DICOM images from all major scanner vendors, simultaneous display of multiple image stacks and plane intersections, automated segmentation of the left ventricle, quantification of MRI flow, tools for manual and general object segmentation, quantitative regional wall motion analysis, myocardial viability analysis and image fusion tools. Here we present an overview of the validation results and validation procedures for the functionality of the software. We describe a technique to ensure continued accuracy and validity of the software by implementing and using a test script that tests the functionality of the software and validates the output. The software has been made freely available for research purposes in a source code format on the project home page <url>http://segment.heiberg.se</url>.</p> <p>Conclusions</p> <p>Segment is a well-validated comprehensive software package for cardiovascular image analysis. It is freely available for research purposes provided that relevant original research publications related to the software are cited.</p

Outcomes to Objectives: Learning About Quality Assessment

Recently assessment has become an important component of student affairs and higher education to assist in determining the effect and impact of programs and educational initiatives. To embrace this trend, the Office of Housing and Residence Life at Ball State University (IN) created learning outcomes for students living in residence halls. Through reflective questioning, discussion, and assessment, the Residence Life program strives to further the development and learning experience of students

Outcomes to Objectives: Learning About Quality Assessment

Recently assessment has become an important component of student affairs and higher education to assist in determining the effect and impact of programs and educational initiatives. To embrace this trend, the Office of Housing and Residence Life at Ball State University (IN) created learning outcomes for students living in residence halls. Through reflective questioning, discussion, and assessment, the Residence Life program strives to further the development and learning experience of students

Dry skin management: practical approach in light of latest research on skin structure and function

Dry skin is a common condition that is attributed to a lack of water in the stratum corneum. With the availability of new technologies, light has been shed on the pathophysiology of dry skin at the molecular level. With the aim to discuss implications of this latest research for the optimal formulation of emollients designed to treat dry skin, five specialists met in November 2017. Research on three topics thereby provided particularly detailed new insights on how to manage dry skin: research on the lipid composition and organization of the stratum corneum, research on natural moisturizing factors, and research on the peripheral nervous system. There was consensus that latest research expands the rationale to include physiological lipids in an emollient used for dry skin, as they were found to be essential for an adequate composition and organization in the stratum corneum but are reduced in dry skin. Latest findings also confirmed the incorporation of carefully selected humectants into a topical emollient for dry skin, given the reduced activity of enzymes involved in the synthesis of moisturizing factors when skin is dry. Overall, the group of specialists concluded that the previous concept of the five components for an ideal emollient for dry skin is well in accordance with latest research.Drug Delivery Technolog

Experimental search for evidence of the three-nucleon force and a new analysis method

A research program with the aim of investigating the spin dependence of the three-nucleon continuum in pd collisions at intermediate energies was carried out at IUCF using the Polarized INternal Target EXperiments (PINTEX) facility. In the elastic scattering experiment at 135 and 200 MeV proton beam energies a total of 15 independent spin observables were obtained. The breakup experiment was done with a vector and tensor polarized deuteron beam of 270 MeV and an internal polarized hydrogen gas target. We developed a novel technique for the analysis of the breakup observables, the sampling method. The new approach takes into account acceptance and non-uniformities of detection efficiencies and is suitable for any kinematically complete experiment with three particles in the final state.Comment: Contribution to the 19th European Few-Body Conference, Groningen Aug. 23-27, 200

On-the-fly Uniformization of Time-Inhomogeneous Infinite Markov Population Models

This paper presents an on-the-fly uniformization technique for the analysis of time-inhomogeneous Markov population models. This technique is applicable to models with infinite state spaces and unbounded rates, which are, for instance, encountered in the realm of biochemical reaction networks. To deal with the infinite state space, we dynamically maintain a finite subset of the states where most of the probability mass is located. This approach yields an underapproximation of the original, infinite system. We present experimental results to show the applicability of our technique

Increased B-Type Natriuretic Peptide Concentration Is Associated with Reduced Coronary Vasoreactivity in Patients with Dilated Cardiomyopathy but Not in Healthy Young Subjects

Background/Aims. Natriuretic peptides are associated with the cardiovascular disease risk under a range of different circumstances. However, less is known about whether this association is found also in young healthy subjects. Methods. 9 patients with dilated cardiomyopathy and 26 healthy young subjects were studied. The myocardial blood flow measurements were performed basally and during adenosine infusion using PET. Results. S-proBNP concentrations were significantly higher (2153 ± 1964 versus 28 ± 17 ng/L, P = .000002) and adenosine-stimulated flow lower (1.6 ± 0.8 versus 3.6 ± 1.1 mL·g−1·min−1, P = .00001) in patients with dilated cardiomyopathy when compared to healthy subjects. S-proBNP concentration was inversely associated with adenosine stimulated flow in patients with dilated cardiomyopathy (r = −0.75, P = .019) but not in healthy subjects (r = −0.06, P = .84). Conclusions. Natriuretic peptides are inversely associated with coronary vasoreactivity in patients with dilated cardiomyopathy but not in healthy young subjects. Since reduced coronary vasoreactivity seems to be one of the earliest abnormalities in the development of coronary artery disease, this might indicate that natriuretic peptides are not predictor of cardiovascular disease risk in healthy young subjects

Virtual Flight Demonstration of the Stratospheric Dual-Aircraft Platform

A baseline configuration for the dual-aircraft platform (DAP) concept is described and evaluated in a physics-based flight dynamics simulations for two month-long missions as a communications relay in the lower stratosphere above central Florida, within 150-miles of downtown Orlando.The DAP configuration features two large glider-like (130 ft wing span) unmanned aerial vehicles connected via a long adjustable cable (total extendible length of 3000 ft) which effectively sail without propulsion using available wind shear. Use of onboard LiDAR wind profilers to forecast wind distributions are found to be necessary to enable the platform to efficiently adjust flight conditions to remain sailing by finding sufficient wind shear across the platform. The aircraft derive power from solar cells, like a conventional solar aircraft, but also extract wind power using the propeller as a turbine when there is an excess of wind shear available.Month-long atmospheric profiles (at 3-5 min intervals) in the vicinity of 60,000-ft are derived from archived data measured by the 50-Mhz Doppler Radar Wind Profiler at Cape Canaveral and used in the DAP flight simulations. A cursory evaluation of these datasets show that sufficient wind shear for DAP sailing is persistent, suggesting that DAP could potentially sail over 90% of the month-long durations even when limited by modest ascent/descent rates.DAP's novel guidance software uses a non-linear constrained optimization technique to define waypoints such that sailing mode of flight is maintained where possible, and minimal thrust is required where sailing is not practical. A set of constraints are identified which result in waypoints that enable efficient flight (i.e., minimal use of propulsion) over the two month-long flight simulations. Waypoint solutions may need to be tabulated for a wide range of potential atmospheric conditions and stored onboard for quick retrieval on a real DAP.DAP's flight control software uses an unconventional mixture of spacecraft and aircraft control techniques. Flight simulations confirms that this controls approach enables the platform to consistently reach successive waypoints over the month-long flight simulations.The ability of DAP to transition between the sailing mode (i.e., cable tension is high) and standard formation flight (i.e., cable tension is low) is a vital capability (e.g., to enable intermittent turns while stationkeeping). A new method to perform these transitions has been identified and characterized with flight simulation which requires special aircraft modifications.The energy-usage of the DAP configuration during two month-long stationkeeping missions over central Florida (i.e., stationkeeping over Orlando) is evaluated and compared to that of a pure solar aircraft of the same weight and aerodynamic performance. DAP is shown to consistently reduce net propulsion usage while simultaneously increasing solar energy capture.A baseline 700 GHz communications system is described and its performance evaluated for the proposed mission over central Florida. It is found that the variable roll orientation of the aircraft would increase the power required to maintain coverage over the stationkeeping radius of 150 miles (e.g., by as much as 100% when DAP is 150 miles from Orlando), compared to level flight. This effect can be mitigated via additional antenna design complexity or a more restricted stationkeeping radius