New method to find corner and tangent vertices in sketches using parametric cubic curves approximation

Some recent approaches have been presented as simple and highly accurate corner finders in the sketches including curves, which is useful to support natural human-computer interaction, but these in most cases do not consider tangent vertices (smooth points between two geometric entities, present in engineering models), what implies an important drawback in the field of design. In this article we present a robust approach based on the approximation to parametric cubic curves of the stroke for further radius function calculation in order to detect corner and tangent vertices. We have called our approach Tangent and Corner Vertices Detection (TCVD), and it works in the following way. First, corner vertices are obtained as minimum radius peaks in the discrete radius function, where radius is obtained from differences. Second, approximated piecewise parametric curves on the stroke are obtained and the analytic radius function is calculated. Then, curves are obtained from stretches of the stroke that have a small radius. Finally, the tangent vertices are found between straight lines and curves or between curves, where no corner vertices are previously located. The radius function to obtain curves is calculated from approximated piecewise curves, which is much more noise free than discrete radius calculation. Several tests have been carried out to compare our approach to that of the current best benchmarked, and the obtained results show that our approach achieves a significant accuracy even better finding corner vertices, and moreover, tangent vertices are detected with an Accuracy near to 92% and a False Positive Rate near to 2%.Spanish Ministry of Science and Education and the FEDER Funds, through CUESKETCH (Ref. DPI2007-66755-C02-01) and HYMAS projects (Ref. DPI2010-19457) partially supported this work.Albert Gil, FE.; García Fernández-Pacheco, D.; Aleixos Borrás, MN. (2013). New method to find corner and tangent vertices in sketches using parametric cubic curves approximation. Pattern Recognition. 46(5):1433-1448. https://doi.org/10.1016/j.patcog.2012.11.006S1433144846

A prospective study of shoulder pain in primary care: Prevalence of imaged pathology and response to guided diagnostic blocks

<p>Abstract</p> <p>Background</p> <p>The prevalence of imaged pathology in primary care has received little attention and the relevance of identified pathology to symptoms remains unclear. This paper reports the prevalence of imaged pathology and the association between pathology and response to diagnostic blocks into the subacromial bursa (SAB), acromioclavicular joint (ACJ) and glenohumeral joint (GHJ).</p> <p>Methods</p> <p>Consecutive patients with shoulder pain recruited from primary care underwent standardised x-ray, diagnostic ultrasound scan and diagnostic injections of local anaesthetic into the SAB and ACJ. Subjects who reported less than 80% reduction in pain following either of these injections were referred for a magnetic resonance arthrogram (MRA) and GHJ diagnostic block. Differences in proportions of positive and negative imaging findings in the anaesthetic response groups were assessed using Fishers test and odds ratios were calculated a for positive anaesthetic response (PAR) to diagnostic blocks.</p> <p>Results</p> <p>In the 208 subjects recruited, the rotator cuff and SAB displayed the highest prevalence of pathology on both ultrasound (50% and 31% respectively) and MRA (65% and 76% respectively). The prevalence of PAR following SAB injection was 34% and ACJ injection 14%. Of the 59% reporting a negative anaesthetic response (NAR) for both of these injections, 16% demonstrated a PAR to GHJ injection. A full thickness tear of supraspinatus on ultrasound was associated with PAR to SAB injection (OR 5.02; <it>p </it>< 0.05). Ultrasound evidence of a biceps tendon sheath effusion (OR 8.0; <it>p </it>< 0.01) and an intact rotator cuff (OR 1.3; <it>p </it>< 0.05) were associated with PAR to GHJ injection. No imaging findings were strongly associated with PAR to ACJ injection (<it>p </it>≤ 0.05).</p> <p>Conclusions</p> <p>Rotator cuff and SAB pathology were the most common findings on ultrasound and MRA. Evidence of a full thickness supraspinatus tear was associated with symptoms arising from the subacromial region, and a biceps tendon sheath effusion and an intact rotator cuff were associated with an intra-articular GHJ pain source. When combined with clinical information, these results may help guide diagnostic decision making in primary care.</p