3D Teeth Reconstruction from Panoramic Radiographs using Neural Implicit Functions

Panoramic radiography is a widely used imaging modality in dental practice and research. However, it only provides flattened 2D images, which limits the detailed assessment of dental structures. In this paper, we propose Occudent, a framework for 3D teeth reconstruction from panoramic radiographs using neural implicit functions, which, to the best of our knowledge, is the first work to do so. For a given point in 3D space, the implicit function estimates whether the point is occupied by a tooth, and thus implicitly determines the boundaries of 3D tooth shapes. Firstly, Occudent applies multi-label segmentation to the input panoramic radiograph. Next, tooth shape embeddings as well as tooth class embeddings are generated from the segmentation outputs, which are fed to the reconstruction network. A novel module called Conditional eXcitation (CX) is proposed in order to effectively incorporate the combined shape and class embeddings into the implicit function. The performance of Occudent is evaluated using both quantitative and qualitative measures. Importantly, Occudent is trained and validated with actual panoramic radiographs as input, distinct from recent works which used synthesized images. Experiments demonstrate the superiority of Occudent over state-of-the-art methods.Comment: 12 pages, 2 figures, accepted to International Conference on Medical Image Computing and Computer-Assisted Intervention MICCAI 202

MOMENT RESISTANCE PERFORMANCE OF LARCH LAMINATED TIMBER BEAM-COLUMN JOINTS REINFORCED WITH CFRP

This study evaluates the moment resisting capacity of the drift pin larch beam-column joint with slotted-in steel plates of larch laminated timber. It is reinforced with carbon fiber reinforced plastic (CFRP) to suppress the brittle fracture of the beam-column joint and improve the joint capacity using larch laminated timber, a wood material manufactured by multi-layering of timber as a structural member of heavy timber.The average maximum moment capacity of the control specimen was 16.9 kN·m and the average maximum moments of the Type-A (volume ratio of joint reinforced with CFRP: 3.6%) and Type-B (volume ratio of joint reinforced with CFRP: 5.4%) were increased by 46% and 62%, respectively, compared to that of the control specimen. The capacity of the joint, such as the average yield capacity, ultimate moment capacity, and ductility ratio, of the control, Type-A, and Type-B specimens increased as the reinforcement ratio of the CFRP increased. For the failure mode of the control specimen, splitting failure occurred in both the column and beam members in the end distance direction. However, the splitting failure did not occur in the beam member due to the improvement of the joint and ductility of the specimens reinforced with the CFRP. The Type-A specimen had improved joint capacity and ductility compared to the control specimen; however, brittle failure occurred owing to the external force exceeding the joint capacity. However, in some of the Type-B specimens, the splitting failure did not occur in the column and beam members due to the CFRP reinforcement. Particularly, the Type-B3 specimen exhibited ductility

Morphology-Aware Interactive Keypoint Estimation

Diagnosis based on medical images, such as X-ray images, often involves manual annotation of anatomical keypoints. However, this process involves significant human efforts and can thus be a bottleneck in the diagnostic process. To fully automate this procedure, deep-learning-based methods have been widely proposed and have achieved high performance in detecting keypoints in medical images. However, these methods still have clinical limitations: accuracy cannot be guaranteed for all cases, and it is necessary for doctors to double-check all predictions of models. In response, we propose a novel deep neural network that, given an X-ray image, automatically detects and refines the anatomical keypoints through a user-interactive system in which doctors can fix mispredicted keypoints with fewer clicks than needed during manual revision. Using our own collected data and the publicly available AASCE dataset, we demonstrate the effectiveness of the proposed method in reducing the annotation costs via extensive quantitative and qualitative results. A demo video of our approach is available on our project webpage.Comment: MICCAI 2022. The first two authors contributed equally. The last two authors are the co-corresponding author

Occupational Factors Associated with Changes in the Body Mass Index of Korean Male Manual Workers

OBJECTIVES: This study was carried out to analyze and compare the occupational factors that could influence changes in body mass index (BMI) in male manual workers stratified into short-term and long-term work experience groups. METHODS: The subjects were 299 male manual workers (sampled systematically) from 27 workplaces, who had undergone travelling medical examinations at a university hospital between March 28 and May 10, 2013, and had also undergone medical examinations at the same hospital in 2012. Their general and occupational characteristics were investigated through a structured, self-administered questionnaire. The BMI at each point in time was calculated based on the anthropometric results of the medical examinations. Multiple regression analyses were conducted on outcomes of the BMI change and predictors composed of the general and occupational characteristics, with the subjects stratified into groups with 5 years or less (short-term) versus more than 5 years (long-term) of work experience at the present post. RESULTS: In the short-term work experience group, the BMI increases of 3-shift workers and groups reporting disagreement with feeling “insufficient job control” and “lack of reward” at work, two of the subscales of job stress, were significantly higher than those of daytime workers and high-stress groups, respectively. In the long-term work experience group, However, although the BMI increase for 3-shift workers was also significantly higher than that of daytime workers, none of the job stress factors were significantly associated with a BMI increase, whereas the social factors of education and marital status were significant, and some lifestyle factors (such as smoking and regular exercise) were also significant. CONCLUSION: This study showed that, except for 3-shift work, the factors associated with BMI increase could differ depending on the length of job experience. Consequently, different strategies may be needed for workers with short-term versus long-term job experience when designing interventions for preventing their obesity

Acute Symptoms after a Community Hydrogen Fluoride Spill

OBJECTIVES: This study was conducted to describe the demographic characteristics, and clinical signs and symptoms of patients who visited a general hospital because of the release of chemically hazardous hydrogen fluoride that occurred on September 27, 2012 in Gumi City, Korea. METHODS: The medical records at 1 general hospital 9 km from the accident site were reviewed using a standardized survey format. There were 1,890 non-hospitalized and 12 hospitalized patients exposed to hydrogen fluoride between September 27 and October 13 2012. RESULTS: Among the 12 hospitalized patients, 11 were discharged within 1 week and the other was hospitalized for 10 days. The chief complaints were respiratory symptoms such as hemoptysis and shortness of breath, gastrointestinal symptoms, neurologic symptoms, sore throat, and lip burn. The number of non-hospitalized patients exhibited a bimodal distribution, peaking on the first and twelfth days after the accident. Their chief complaints were sore throat (24.1%), headache (19.1%), cough (13.1%), and eye irritation (9.2%); some patients were asymptomatic (6.2%). Patients who visited the hospital within 3 days (early patients) of the spill more often had shortness of breath (27.0%) and nausea (6.3%) as the chief complaints than patients who visited after 3 days (late patients) (3.5% and 2.6%, respectively). However, cough and rhinorrhea were more common in the late patients (14.0% and 3.3%, respectively) than in the early patients (5.0% and 0.0%, respectively). Patients who were closer to the accident site more often had shortness of breath and sputum as the chief complaints than patients who were farther away. The mean serum calcium concentration was 9.37 mg/dL (range: 8.4–11.0 mg/dL); none of the patients had a decreased serum calcium level. Among 48 pulmonary function test results, 4 showed decreased lung function. None of the patients had abnormal urine fluoride levels on the eighth day after exposure. CONCLUSIONS: Patients hospitalized due to chemical hazard release of hydrogen fluoride had acute respiratory, gastrointestinal, and neurologic health problems. Non-hospitalized patients have acute symptoms mainly related to upper respiratory irritation

Effective Management of Single Dominant Follicle with Continuous Administration of Gonadotropin-Releasing Hormone Agonist

With the widespread use of gonadotropin-releasing hormone agonist (GnRH-a) for in vitro fertilization(IVF) program, the cancellation rate during controlled ovarian hyperstimulation(COH} is much lowered. However, poor responders with poor estradioI(E2} rise or single dominant follicle still persist in GnRH-a combined COH, and the decision to cancel the cycle and the counselling of further cycles remain very perplexing. Three poor responders with single dominant follicle during GnRH-a combined COH for IVF were, rather than being cancelled, managed by continuous administration of GnRH-a and restimulation with initial low dosage and subsequent high dosage of follicle-stimulating hormone until an appropriate number of follicles was obtained. While no pregnant case treated in this way, the management resulted in a higher E2 level, and more oocytes and embryos. We suggest that this approach could serve as an alternative to cancellation in GnRH-a combined COH

Optic Disc Pit with Peripapillary Retinoschisis Presenting as a Localized Retinal Nerve Fiber Layer Defect

A 59-year-old woman was referred to our clinic for a glaucoma evaluation. The visual acuity and intraocular pressure were normal in both eyes. However, red-free fundus photography in the left eye showed a superotemporal wedge-shaped retinal nerve fiber layer defect, and visual field testing showed a corresponding partial arcuate scotoma. In an optical coherence tomography examination, the macula was flat, but an arcuate-shaped peripapillary retinoschisis was found. Further, the retinoschisis seemed to be connected with a superotemporal optic pit shown in a disc photograph. After 3 months of a topical prostaglandin analogue medication, the intraocular pressure in the retinoschisis eye was lowered from 14 to 10 mmHg and the peripapillary retinoschisis was almost resolved. We report a rare case of an optic disc pit with peripapillary retinoschisis presenting as a localized retinal nerve fiber layer defect