Rapid and Accurate INS Transfer Alignment for Air Launched Tactical Missile Using Kalman Filter

An Inertial Navigation System (INS) independently measures the Position, Velocity, and Attitude (PVA) of thevehicle to navigate it towards the target. Since INS is a dead-reckoning system, it requires accurate initialization toprovide the navigation (PVA) solution. In the case of an air-launched tactical missile, the aircraft navigation system(Master INS) information is used to initialize accurately the missile INS (Slave INS). Rapid transfer alignment isneeded in today’s combat operation to converge slave INS initialization in the shortest possible time using aircraftnavigation information. The transfer alignment consists of first initializing the missile INS and establishing anavigation solution (PVA) using the missile IMU rates and accelerations, then a Kalman filter is used to, estimatethe errors between the Slave INS and Master INS. The proposed method’s simulation results show that a tacticalmissile INS can be aligned to an acceptable accuracy in a very short time based on the aircraft’s attitude information and with natural maneuvers experienced during aircraft take-off

Optical coherence tomography angiography in retinal diseases

Optical coherence tomography angiography (OCTA) is a new, non-invasive imaging system that generates volumetric data of retinal and choroidal layers. It has the ability to show both structural and blood flow information. Split-spectrum amplitude-decorrelation angiography (SSADA) algorithm (a vital component of OCTA software) helps to decrease the signal to noise ratio of flow detection thus enhancing visualization of retinal vasculature using motion contrast. Published studies describe potential efficacy for OCTA in the evaluation of common ophthalmologic diseases such as diabetic retinopathy, age related macular degeneration (AMD), retinal vascular occlusions and sickle cell disease. OCTA provides a detailed view of the retinal vasculature, which allows accurate delineation of microvascular abnormalities in diabetic eyes and vascular occlusions. It helps quantify vascular compromise depending upon the severity of diabetic retinopathy. OCTA can also elucidate the presence of choroidal neovascularization (CNV) in wet AMD. In this paper, we review the knowledge, available in English language publications regarding OCTA, and compare it with the conventional angiographic standard, fluorescein angiography (FA). Finally, we summarize its potential applications to retinal vascular diseases. Its current limitations include a relatively small field of view, inability to show leakage, and tendency for image artifacts. Further larger studies will define OCTA's utility in clinical settings and establish if the technology may offer a non-invasive option of visualizing the retinal vasculature, enabling us to decrease morbidity through early detection and intervention in retinal diseases

Bilateral isolated concurrent superior ophthalmic vein thrombosis in systemic lupus erythematosus

Kumar Sambhav, Omar Shakir, Kakarla V Chalam Department of Ophthalmology, College of Medicine – Jacksonville, University of Florida, Jacksonville, FL, USA Abstract: We describe a case of bilateral consecutive superior ophthalmic vein thrombosis as a presenting feature in a patient previously not known to have systemic lupus erythematosus (SLE). A 68-year-old African–American female presented with decreased vision in right eye, mild right orbital tenderness, and frontotemporal headache of 3 days duration. MRI of the orbits confirmed thrombosis of the right superior ophthalmic vein without extension into the cavernous sinus. Sequential MRI at 1 month showed interval improvement of the right superior ophthalmic vein thrombosis and a new thrombosis in the left superior ophthalmic vein. Renal biopsy revealed granular membranous and mesangial deposits of IgG, IgA, IgM, C3, and C1q and confirmed the diagnosis of SLE. Keywords: superior ophthalmic vein thrombosis, systemic lupus erythematosus, MRI in SOV

Evaluation of the iPad as a low vision aid for improving reading ability

Shamim A Haji, Kumar Sambhav, Sandeep Grover, Kakarla V Chalam Department of Ophthalmology, University of Florida College of Medicine, Jacksonville, FL, USA Purpose: To evaluate the effect of the iPad as a low vision aid in improving the reading ability of low vision patients (LVPs). Methods: In this study, 228 consecutive patients that came for their routine eye care examination at the University of Florida, Jacksonville eye clinic, were enrolled. Patients met inclusion criteria if they had best-corrected visual acuity (BCVA) of 20/100 or worse in the best corrected eye and were willing to participate in the study. The patient’s reading ability was assessed both with the patient’s own spectacles and an iPad. Patients were encouraged to enlarge the reading material as well as change the contrast until they could read comfortably. The number of patients able to read the text comfortably was recorded. Results: Out of the total 228 participants who qualified, 103 (45%) were male and 125 (55%) were female. Only 22% could read standard newsprint-sized text (N8) without the help of an iPad. With the help of an iPad, 94% participants with impaired vision were able to read standard newsprint-sized text (N8) or smaller text (P<0.01). Conclusion: The iPad, a new portable electronic media device, can be adapted by LVPs to improve their reading ability. Keywords: low vision devices, low vision patient, LVP, iPa

Osmolarity and spectrophotometric property of brilliant blue green define the degree of toxicity on retinal pigment epithelial cells exposed to surgical endoilluminator

Sankarathi Balaiya, Kumar Sambhav, William B Cook, Kakarla V Chalam Department of Ophthalmology, University of Florida College of Medicine, Jacksonville, FL, USA Objective: To evaluate the effect of varying concentrations of brilliant blue green (BBG) and their different biochemical characteristics on retinal pigment epithelial (RPE) cells under xenon light source illumination at varying distances to identify safe parameters for intraoperative use. Methods: Human retinal RPE cells (ARPE-19) were exposed to two concentrations (0.25 and 0.50 mg/mL) of BBG and illuminated with a xenon surgical illuminator at varying distances (10 and 25 mm), intensity levels, and time intervals (1, 5, and 15 minutes). Additionally, the effect of osmolarity was examined by diluting BBG in different concentrations of glucose. Cytotoxicity of BBG and osmolarity effects on cell viability were evaluated using a WST-1 assay. Light absorption and emission characteristic of BBG in different solvents were measured using a plate reader at different wavelengths. Lastly, the activity of caspase-3 was also studied. Results: Cell viability of ARPE-19 cells was 77.4%±12.7%, 78.7%±17.0%, and 65.0%±19.7% at 1, 5, and 15 minutes to exposure of high illumination xenon light at 10 mm (P<0.05) compared to controls. At both distances of illumination (10 and 25 mm), similar cell viabilities were seen between 1 and 5 minutes of exposure. However, there was a decline in viability when the illumination was carried out to 15 minutes in all groups (P<0.05). There was no significant reduction in cell viability in presence or absence of xenon light in different osmolar solutions concentrations of glucose (P>0.05). Maximal light absorption of BBG was noted between 540 and 680 nm. Activated caspase-3 level was not significant in both the concentrations of BBG (P>0.05). Conclusion: Our findings suggest that BBG at 0.25 mg/mL during vitreoretinal surgery is safe and not toxic to RPE cells up to 5 minutes under focal high illumination (10 mm) and up to 15 minutes under medium diffuse illumination (25 mm). BBG was safe to be mixed with isotonic glucose solution at the concentration range of 2.5%–10%, regardless of the illumination status. Keywords: brilliant blue green dye, endoilluminator, vitrectomy, human retinal RPE cells, internal limiting membrane pee

Clinical Study Aqueous Interleukin-6 Levels Are Superior to Vascular Endothelial Growth Factor in Predicting Therapeutic Response to Bevacizumab in Age-Related Macular Degeneration

Objective. To prospectively evaluate the effect of intravitreal bevacizumab on aqueous levels of interleukin-6 (IL-6) and vascular endothelial growth factor (VEGF) in patients with exudative age-related macular degeneration (AMD) and correlate clinical outcomes with cytokine levels. Methods. 30 eyes of 30 patients with exudative AMD underwent intravitreal injection of bevacizumab three times at monthly intervals. The aqueous samples prior to the 1st injection (baseline) and 3rd injection were analyzed for VEGF and IL-6 levels. Subjects were subgrouped based upon change in the central subfield (CSF) macular thickness on SD-OCT at 8 weeks. Group 1 included patients ( = 14) with a decrease in CSF thickness greater than 10% from the baseline (improved group). Group 2 included patients ( = 16) who had a decrease in CSF thickness 10% or less (treatment-resistant). Results. In subgroup analysis, in both groups 1 and 2 patients, compared to aqueous VEGF, aqueous IL-6 levels showed a better correlation with CSF thickness on SD-OCT ( = 0.72 and 0.71, resp.). Conclusions. Aqueous IL-6 may be an important marker of treatment response or resistance in wet macular degeneration. Future therapeutic strategies may include targeted treatment against both VEGF and IL-6, in patients who do not respond to anti-VEGF treatment alone

Comparison of central corneal thickness: ultrasound pachymetry versus slit-lamp optical coherence tomography, specular microscopy, and Orbscan

Wassia A Khaja, Sandeep Grover, Amy T Kelmenson, Lee R Ferguson, Kumar Sambhav, Kakarla V Chalam Department of Ophthalmology, University of Florida, College of Medicine, Jacksonville, FL, USA Background: Central corneal thickness (CCT) can be measured by using contact and non-contact methods. Ultrasound pachymetry (US pachymetry) is a contact method for measuring CCT and is perhaps the most commonly used method. However, non-contact methods like scanning slit topography (Orbscan II), slit-lamp optical coherence tomography (SL-OCT), and specular microscopy are also used. Not many studies have correlated the measurement of CCT with all four modalities. The purpose of this study was to compare and correlate the CCT measurements obtained by US pachymetry with SL-OCT, specular microscopy, and Orbscan. Method: This is a prospective, comparative study done in an institutional setting. Thirty-two eyes of 32 subjects with no known ocular disease and best-corrected visual acuity of 20/20 were enrolled. CCT measurements were obtained using SL-OCT, specular microscopy, scanning slit topography (Orbscan), and US pachymetry. Three measurements were made with each instrument by the same operator. Mean, standard deviation, and coefficient of variation were calculated for CCT measurements acquired by the four measurement devices. Bland–Altman plot was constructed to determine the agreements between the CCT measurements obtained by different equipment. Results: The mean CCT was 548.16±48.68 µm by US pachymetry. In comparison, CCT averaged 546.36±44.17 µm by SL-OCT, 557.61±49.92 µm by specular microscopy, and 551.03±48.96 µm by Orbscan for all subjects. Measurements by the various modalities were strongly correlated. Correlations (r2) of CCT, as measured by US pachymetry compared with other modalities, were: SL-OCT (r2=0.98, P<0.0001), specular microscopy (r2=0.98, P<0.0001), and Orbscan (r2=0.96, P<0.0001). All modalities had a linear correlation with US pachymetry measurements. Conclusion: In subjects with healthy corneas, SL-OCT, specular microscopy, and Orbscan (with correction factor) can be used interchangeably with US pachymetry in certain clinical settings. The four modalities showed significant linear correlations with one another. Keywords: central corneal thickness, pachymetry, slit-lamp optical coherence tomography, specular microscopy, Orbsca

Aqueous Interleukin-6 Levels Are Superior to Vascular Endothelial Growth Factor in Predicting Therapeutic Response to Bevacizumab in Age-Related Macular Degeneration

Objective. To prospectively evaluate the effect of intravitreal bevacizumab on aqueous levels of interleukin-6 (IL-6) and vascular endothelial growth factor (VEGF) in patients with exudative age-related macular degeneration (AMD) and correlate clinical outcomes with cytokine levels. Methods. 30 eyes of 30 patients with exudative AMD underwent intravitreal injection of bevacizumab three times at monthly intervals. The aqueous samples prior to the 1st injection (baseline) and 3rd injection were analyzed for VEGF and IL-6 levels. Subjects were subgrouped based upon change in the central subfield (CSF) macular thickness on SD-OCT at 8 weeks. Group 1 included patients (n=14) with a decrease in CSF thickness greater than 10% from the baseline (improved group). Group 2 included patients (n=16) who had a decrease in CSF thickness 10% or less (treatment-resistant). Results. In subgroup analysis, in both groups 1 and 2 patients, compared to aqueous VEGF, aqueous IL-6 levels showed a better correlation with CSF thickness on SD-OCT (r=0.72 and 0.71, resp.). Conclusions. Aqueous IL-6 may be an important marker of treatment response or resistance in wet macular degeneration. Future therapeutic strategies may include targeted treatment against both VEGF and IL-6, in patients who do not respond to anti-VEGF treatment alone

Human Detection in Aerial Thermal Images Using Faster R-CNN and SSD Algorithms

The automatic detection of humans in aerial thermal imagery plays a significant role in various real-time applications, such as surveillance, search and rescue and border monitoring. Small target size, low resolution, occlusion, pose, and scale variations are the significant challenges in aerial thermal images that cause poor performance for various state-of-the-art object detection algorithms. Though many deep-learning-based object detection algorithms have shown impressive performance for generic object detection tasks, their ability to detect smaller objects in the aerial thermal images is analyzed through this study. This work carried out the performance evaluation of Faster R-CNN and single-shot multi-box detector (SSD) algorithms with different backbone networks to detect human targets in aerial view thermal images. For this purpose, two standard aerial thermal datasets having human objects of varying scale are considered with different backbone networks, such as ResNet50, Inception-v2, and MobileNet-v1. The evaluation results demonstrate that the Faster R-CNN model trained with the ResNet50 network architecture out-performed in terms of detection accuracy, with a mean average precision (mAP at 0.5 IoU) of 100% and 55.7% for the test data of the OSU thermal dataset and AAU PD T datasets, respectively. SSD with MobileNet-v1 achieved the highest detection speed of 44 frames per second (FPS) on the NVIDIA GeForce GTX 1080 GPU. Fine-tuning the anchor parameters of the Faster R-CNN ResNet50 and SSD Inception-v2 algorithms caused remarkable improvement in mAP by 10% and 3.5%, respectively, for the challenging AAU PD T dataset. The experimental results demonstrated the application of Faster R-CNN and SSD algorithms for human detection in aerial view thermal images, and the impact of varying backbone network and anchor parameters on the performance improvement of these algorithms