Signal processing algorithms for enhanced image fusion performance and assessment

The dissertation presents several signal processing algorithms for image fusion in noisy multimodal conditions. It introduces a novel image fusion method which performs well for image sets heavily corrupted by noise. As opposed to current image fusion schemes, the method has no requirements for a priori knowledge of the noise component. The image is decomposed with Chebyshev polynomials (CP) being used as basis functions to perform fusion at feature level. The properties of CP, namely fast convergence and smooth approximation, renders it ideal for heuristic and indiscriminate denoising fusion tasks. Quantitative evaluation using objective fusion assessment methods show favourable performance of the proposed scheme compared to previous efforts on image fusion, notably in heavily corrupted images. The approach is further improved by incorporating the advantages of CP with a state-of-the-art fusion technique named independent component analysis (ICA), for joint-fusion processing based on region saliency. Whilst CP fusion is robust under severe noise conditions, it is prone to eliminating high frequency information of the images involved, thereby limiting image sharpness. Fusion using ICA, on the other hand, performs well in transferring edges and other salient features of the input images into the composite output. The combination of both methods, coupled with several mathematical morphological operations in an algorithm fusion framework, is considered a viable solution. Again, according to the quantitative metrics the results of our proposed approach are very encouraging as far as joint fusion and denoising are concerned. Another focus of this dissertation is on a novel metric for image fusion evaluation that is based on texture. The conservation of background textural details is considered important in many fusion applications as they help define the image depth and structure, which may prove crucial in many surveillance and remote sensing applications. Our work aims to evaluate the performance of image fusion algorithms based on their ability to retain textural details from the fusion process. This is done by utilising the gray-level co-occurrence matrix (GLCM) model to extract second-order statistical features for the derivation of an image textural measure, which is then used to replace the edge-based calculations in an objective-based fusion metric. Performance evaluation on established fusion methods verifies that the proposed metric is viable, especially for multimodal scenarios

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Signal processing algorithms for enhanced image fusion performance and assessment

The dissertation presents several signal processing algorithms for image fusion in noisy multimodal conditions. It introduces a novel image fusion method which performs well for image sets heavily corrupted by noise. As opposed to current image fusion schemes, the method has no requirements for a priori knowledge of the noise component. The image is decomposed with Chebyshev polynomials (CP) being used as basis functions to perform fusion at feature level. The properties of CP, namely fast convergence and smooth approximation, renders it ideal for heuristic and indiscriminate denoising fusion tasks. Quantitative evaluation using objective fusion assessment methods show favourable performance of the proposed scheme compared to previous efforts on image fusion, notably in heavily corrupted images. The approach is further improved by incorporating the advantages of CP with a state-of-the-art fusion technique named independent component analysis (ICA), for joint-fusion processing based on region saliency. Whilst CP fusion is robust under severe noise conditions, it is prone to eliminating high frequency information of the images involved, thereby limiting image sharpness. Fusion using ICA, on the other hand, performs well in transferring edges and other salient features of the input images into the composite output. The combination of both methods, coupled with several mathematical morphological operations in an algorithm fusion framework, is considered a viable solution. Again, according to the quantitative metrics the results of our proposed approach are very encouraging as far as joint fusion and denoising are concerned. Another focus of this dissertation is on a novel metric for image fusion evaluation that is based on texture. The conservation of background textural details is considered important in many fusion applications as they help define the image depth and structure, which may prove crucial in many surveillance and remote sensing applications. Our work aims to evaluate the performance of image fusion algorithms based on their ability to retain textural details from the fusion process. This is done by utilising the gray-level co-occurrence matrix (GLCM) model to extract second-order statistical features for the derivation of an image textural measure, which is then used to replace the edge-based calculations in an objective-based fusion metric. Performance evaluation on established fusion methods verifies that the proposed metric is viable, especially for multimodal scenarios.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Transmission of Tuberculosis and Reproduction Number Using Lyapunov Function of SIR Model

This paper studies the mechanism of transmission of Tuberculosis (TB) caused by the mycobacterium tuberculosis bacteria. TB is an airborne disease that endangering human population globally. Mathematical modelling of tuberculosis was developed using the Susceptible-Infected-Recovered (SIR) model in this analysis. The model generated by the four-dimensional, nonlinear dynamic system is reduced to three dimensions, with some assumptions. Then, the model will be analyzed by creating a mathematical theorem that will prove the existence of a TB event, the disease-free equilibrium phase, and the TB endemic disease stage. By using the Lyapunov function method, the three theorems can be proved. The basic reproduction number R0 also can be obtained from the model. If the basic reproduction number R0 ≤ 1, then the disease-free equilibrium is global asymptotically stable and if R0 &gt; 1, then the endemic equilibrium is asymptotically stable globally. Carrying out a simulation using data in a selected region, the result of the model successfully describes and forecast the number of TB cases and it may also be used for assessing the TB disease status

The interventions and outcomes associated with fall-related injuries at tertiary hospitals in the Kingdom of Saudi Arabia: a cross sectional study

Introduction:&nbsp;fall-related injuries are an important health concern around the globe, imposing an immense economic burden. The aim of this study is to evaluate the interventions and outcomes associated with fall-related injuries in a tertiary hospital in the Kingdom of Saudi Arabia (KSA). Methods:&nbsp;a cross-sectional study including 264 patients with fall-related injuries was conducted at the King Khalid Hospital and Prince Sultan Centre for Health Care and other hospitals in Al Kharj from March 01, 2019 to November 30, 2019. The patients were recruited, identified at the point of presentation to the emergency department and followed through the triage, admission and discharge processes. The researchers analysed the participant´s clinical notes on the electronic health record (EHR) to obtain information relevant to the study, including demographic information, the injury patterns and their management. Results:&nbsp;most patients studied were children under the age of 10 (25.7%). The vast majority (96.9%) of patients fell from a height, while the rest fell from a height onto a sharp object. Most of them (90.9%) had experienced no shock symptoms. Upper limb injuries had the highest prevalence (37.8%), followed by lower limb injuries (22.7%), head injuries (19.7%) and skull fractures (13.6%). Invasive surgery, blood transfusions, admission to intensive care (ICU) and thoracostomy (chest tube) were required by 74%, 3%, 3% and 2% of patients, respectively. Conclusion:&nbsp;fall-related injuries may result in invasive surgery, chest drain insertion, or ICU admission, increasing the burden on the healthcare system

A Review on Role of Image Processing Techniques to Enhancing Security of IoT Applications

Once an image has been processed by, for example, a robot machine, for the purpose of, for example, features extraction or meaningful information retrieval, has a secure scheme been applied to preserve security and privacy of such information before sending it to another processing party? A huge number of image-related Internet of Things (IoT) applications face such an issue. But what are applied and potentially being applied image processing techniques that have contributed to enhance the security and privacy of IoT applications? There are numerous IoT applications that utilize image processing techniques in this direction. This article aims to survey and review a number of recently published papers and research studies that encompass proposed methods in which image processing techniques are applied to enhance the security, privacy, and safety of IoT applications. It also aims to help interested researchers in related fields have insights on what the role of image processing in enhancing the security of IoT applications is and what those techniques applied to enhance the security of IoT applications are. A comprehensive framework has been graphically extracted to give readers in the field of IoT security a map with the suitable image processing techniques that serve better to enhancing IoT applications in terms of security and privacy

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures

Impact of COVID-19 on Diagnostic Cardiac Procedural Volume in Oceania: The IAEA Non-Invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Objectives: The INCAPS COVID Oceania study aimed to assess the impact caused by the COVID-19 pandemic on cardiac procedure volume provided in the Oceania region. Methods: A retrospective survey was performed comparing procedure volumes within March 2019 (pre-COVID-19) with April 2020 (during first wave of COVID-19 pandemic). Sixty-three (63) health care facilities within Oceania that perform cardiac diagnostic procedures were surveyed, including a mixture of metropolitan and regional, hospital and outpatient, public and private sites, and 846 facilities outside of Oceania. The percentage change in procedure volume was measured between March 2019 and April 2020, compared by test type and by facility. Results: In Oceania, the total cardiac diagnostic procedure volume was reduced by 52.2% from March 2019 to April 2020, compared to a reduction of 75.9% seen in the rest of the world (p&lt;0.001). Within Oceania sites, this reduction varied significantly between procedure types, but not between types of health care facility. All procedure types (other than stress cardiac magnetic resonance [CMR] and positron emission tomography [PET]) saw significant reductions in volume over this time period (p&lt;0.001). In Oceania, transthoracic echocardiography (TTE) decreased by 51.6%, transoesophageal echocardiography (TOE) by 74.0%, and stress tests by 65% overall, which was more pronounced for stress electrocardiograph (ECG) (81.8%) and stress echocardiography (76.7%) compared to stress single-photon emission computerised tomography (SPECT) (44.3%). Invasive coronary angiography decreased by 36.7% in Oceania. Conclusion: A significant reduction in cardiac diagnostic procedure volume was seen across all facility types in Oceania and was likely a function of recommendations from cardiac societies and directives from government to minimise spread of COVID-19 amongst patients and staff. Longer term evaluation is important to assess for negative patient outcomes which may relate to deferral of usual models of care within cardiology