199 research outputs found
Locally Adaptive Frames in the Roto-Translation Group and their Applications in Medical Imaging
Locally adaptive differential frames (gauge frames) are a well-known
effective tool in image analysis, used in differential invariants and
PDE-flows. However, at complex structures such as crossings or junctions, these
frames are not well-defined. Therefore, we generalize the notion of gauge
frames on images to gauge frames on data representations defined on the extended space of positions and
orientations, which we relate to data on the roto-translation group ,
. This allows to define multiple frames per position, one per
orientation. We compute these frames via exponential curve fits in the extended
data representations in . These curve fits minimize first or second
order variational problems which are solved by spectral decomposition of,
respectively, a structure tensor or Hessian of data on . We include
these gauge frames in differential invariants and crossing preserving PDE-flows
acting on extended data representation and we show their advantage compared
to the standard left-invariant frame on . Applications include
crossing-preserving filtering and improved segmentations of the vascular tree
in retinal images, and new 3D extensions of coherence-enhancing diffusion via
invertible orientation scores
Improving Fiber Alignment in HARDI by Combining Contextual PDE Flow with Constrained Spherical Deconvolution
We propose two strategies to improve the quality of tractography results
computed from diffusion weighted magnetic resonance imaging (DW-MRI) data. Both
methods are based on the same PDE framework, defined in the coupled space of
positions and orientations, associated with a stochastic process describing the
enhancement of elongated structures while preserving crossing structures. In
the first method we use the enhancement PDE for contextual regularization of a
fiber orientation distribution (FOD) that is obtained on individual voxels from
high angular resolution diffusion imaging (HARDI) data via constrained
spherical deconvolution (CSD). Thereby we improve the FOD as input for
subsequent tractography. Secondly, we introduce the fiber to bundle coherence
(FBC), a measure for quantification of fiber alignment. The FBC is computed
from a tractography result using the same PDE framework and provides a
criterion for removing the spurious fibers. We validate the proposed
combination of CSD and enhancement on phantom data and on human data, acquired
with different scanning protocols. On the phantom data we find that PDE
enhancements improve both local metrics and global metrics of tractography
results, compared to CSD without enhancements. On the human data we show that
the enhancements allow for a better reconstruction of crossing fiber bundles
and they reduce the variability of the tractography output with respect to the
acquisition parameters. Finally, we show that both the enhancement of the FODs
and the use of the FBC measure on the tractography improve the stability with
respect to different stochastic realizations of probabilistic tractography.
This is shown in a clinical application: the reconstruction of the optic
radiation for epilepsy surgery planning
Sub-Riemannian Fast Marching in SE(2)
We propose a Fast Marching based implementation for computing sub-Riemanninan
(SR) geodesics in the roto-translation group SE(2), with a metric depending on
a cost induced by the image data. The key ingredient is a Riemannian
approximation of the SR-metric. Then, a state of the art Fast Marching solver
that is able to deal with extreme anisotropies is used to compute a SR-distance
map as the solution of a corresponding eikonal equation. Subsequent
backtracking on the distance map gives the geodesics. To validate the method,
we consider the uniform cost case in which exact formulas for SR-geodesics are
known and we show remarkable accuracy of the numerically computed SR-spheres.
We also show a dramatic decrease in computational time with respect to a
previous PDE-based iterative approach. Regarding image analysis applications,
we show the potential of considering these data adaptive geodesics for a fully
automated retinal vessel tree segmentation.Comment: CIARP 201
Microfluidic Technology in Vascular Research
Vascular cell biology is an area of research with great biomedical relevance. Vascular dysfunction is involved in major diseases such as atherosclerosis, diabetes, and cancer. However, when studying vascular cell biology in the laboratory, it is difficult to mimic the dynamic, three-dimensional microenvironment that is found in vivo. Microfluidic technology offers unique possibilities to overcome this difficulty. In this review, an overview of the recent applications of microfluidic technology in the field of vascular biological research will be given. Examples of how microfluidics can be used to generate shear stresses, growth factor gradients, cocultures, and migration assays will be provided. The use of microfluidic devices in studying three-dimensional models of vascular tissue will be discussed. It is concluded that microfluidic technology offers great possibilities to systematically study vascular cell biology with setups that more closely mimic the in vivo situation than those that are generated with conventional methods
Surgical and Hardware-Related Adverse Events of Deep Brain Stimulation:A Ten-Year Single-Center Experience
INTRODUCTION: Although deep brain stimulation (DBS) is effective for treating a number of neurological and psychiatric indications, surgical and hardware-related adverse events (AEs) can occur that affect quality of life. This study aimed to give an overview of the nature and frequency of those AEs in our center and to describe the way they were managed. Furthermore, an attempt was made at identifying possible risk factors for AEs to inform possible future preventive measures. MATERIALS AND METHODS: Patients undergoing DBS-related procedures between January 2011 and July 2020 were retrospectively analyzed to inventory AEs. The mean follow-up time was 43 ± 31 months. Univariate logistic regression analysis was used to assess the predictive value of selected demographic and clinical variables. RESULTS: From January 2011 to July 2020, 508 DBS-related procedures were performed including 201 implantations of brain electrodes in 200 patients and 307 implantable pulse generator (IPG) replacements in 142 patients. Surgical or hardware-related AEs following initial implantation affected 40 of 200 patients (20%) and resolved without permanent sequelae in all instances. The most frequent AEs were surgical site infections (SSIs) (9.95%, 20/201) and wire tethering (2.49%, 5/201), followed by hardware failure (1.99%, 4/201), skin erosion (1.0%, 2/201), pain (0.5%, 1/201), lead migration (0.52%, 2/386 electrode sites), and hematoma (0.52%, 2/386 electrode sites). The overall rate of AEs for IPG replacement was 5.6% (17/305). No surgical, ie, staged or nonstaged, electrode fixation, or patient-related risk factors were identified for SSI or wire tethering. CONCLUSIONS: Major AEs including intracranial surgery-related AEs or AEs requiring surgical removal or revision of hardware are rare. In particular, aggressive treatment is required in SSIs involving multiple sites or when Staphylococcus aureus is identified. For future benchmarking, the development of a uniform reporting system for surgical and hardware-related AEs in DBS surgery would be useful
A deep learning system for detection of early Barrett's neoplasia:a model development and validation study
BACKGROUND: Computer-aided detection (CADe) systems could assist endoscopists in detecting early neoplasia in Barrett's oesophagus, which could be difficult to detect in endoscopic images. The aim of this study was to develop, test, and benchmark a CADe system for early neoplasia in Barrett's oesophagus.METHODS: The CADe system was first pretrained with ImageNet followed by domain-specific pretraining with GastroNet. We trained the CADe system on a dataset of 14 046 images (2506 patients) of confirmed Barrett's oesophagus neoplasia and non-dysplastic Barrett's oesophagus from 15 centres. Neoplasia was delineated by 14 Barrett's oesophagus experts for all datasets. We tested the performance of the CADe system on two independent test sets. The all-comers test set comprised 327 (73 patients) non-dysplastic Barrett's oesophagus images, 82 (46 patients) neoplastic images, 180 (66 of the same patients) non-dysplastic Barrett's oesophagus videos, and 71 (45 of the same patients) neoplastic videos. The benchmarking test set comprised 100 (50 patients) neoplastic images, 300 (125 patients) non-dysplastic images, 47 (47 of the same patients) neoplastic videos, and 141 (82 of the same patients) non-dysplastic videos, and was enriched with subtle neoplasia cases. The benchmarking test set was evaluated by 112 endoscopists from six countries (first without CADe and, after 6 weeks, with CADe) and by 28 external international Barrett's oesophagus experts. The primary outcome was the sensitivity of Barrett's neoplasia detection by general endoscopists without CADe assistance versus with CADe assistance on the benchmarking test set. We compared sensitivity using a mixed-effects logistic regression model with conditional odds ratios (ORs; likelihood profile 95% CIs).FINDINGS: Sensitivity for neoplasia detection among endoscopists increased from 74% to 88% with CADe assistance (OR 2·04; 95% CI 1·73-2·42; p<0·0001 for images and from 67% to 79% [2·35; 1·90-2·94; p<0·0001] for video) without compromising specificity (from 89% to 90% [1·07; 0·96-1·19; p=0·20] for images and from 96% to 94% [0·94; 0·79-1·11; ] for video; p=0·46). In the all-comers test set, CADe detected neoplastic lesions in 95% (88-98) of images and 97% (90-99) of videos. In the benchmarking test set, the CADe system was superior to endoscopists in detecting neoplasia (90% vs 74% [OR 3·75; 95% CI 1·93-8·05; p=0·0002] for images and 91% vs 67% [11·68; 3·85-47·53; p<0·0001] for video) and non-inferior to Barrett's oesophagus experts (90% vs 87% [OR 1·74; 95% CI 0·83-3·65] for images and 91% vs 86% [2·94; 0·99-11·40] for video).INTERPRETATION: CADe outperformed endoscopists in detecting Barrett's oesophagus neoplasia and, when used as an assistive tool, it improved their detection rate. CADe detected virtually all neoplasia in a test set of consecutive cases.FUNDING: Olympus.</p
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Culture and Subjectivity in Neoliberal and postfeminist times
My aim in this paper is to think through a number of issues concerning the relationship between culture and subjectivity. It seems to me that exploring the relationship of changing forms of political organisation, social relations and cultural practices to changing modes and experiences of subjecthood and subjectivity are among the most important and urgent tasks for critical intellectual work. These questions go to the heart of understanding power, ideology and agency and they require research that is interdisciplinary, psychosocial and intersectional. My particular focus in this short article is on the interrelations between changing representational practices in visual culture and changing subjectivity/ies. I argue that neoliberalism and postfeminism are central to understanding contemporary media culture, and I put the case for research which does not retreat from exploring how these broader social/political/economic/cultural discourses and formations may relate to subjectivity
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