BIM SYSTEM FOR THE CONSERVATION AND PRESERVATION OF THE MOSAICS OF SAN MARCO IN VENICE

The Basilica of San Marco in Venice is a well-known masterpiece of World Heritage. It is a real multi-faceted architecture. The management of the church and its construction site is very complicated, and requires an efficient system to collect and manage different kinds of data. The BIM approach appeared to be the most suitable to collect multi-source data, to monitor activities and guarantee the well-timed operations inside the church. The purpose of this research was to build a BIM of the Basilica, considering all aspects that characterize it and that require particular care.Many problems affected the phase of the acquisition of data, and forced the team to establish a clear working pipeline that allowed the survey simultaneously, hand in hand, with all the usual activities of the church. The fundamental principle for the organization of the whole work was the subdivision of the entire complex in smaller parts, which could be managed independently, both in the acquisition and the modelling stage. This subdivision also reflects the method used for the photogrammetric acquisition. The complexity of some elements, as capitals and statues, was acquired with different Level of Detail (LoD) using various photogrammetric acquisitions: from the most general ones to describe the space, to the most detailed one 1:1 scale renderings. In this way, different LoD point clouds correspond to different areas or details.As evident, this pipeline allows to work in a more efficient way during the survey stage, but it involves more difficulties in the modelling stage. Because of the complexity of the church and the presence of sculptural elements represented by a mesh, from the beginning the problem of the amount of data was evident: it is nonsense to manage all models in a single file.The challenging aspect of the research job was the precise requirement of the Procuratoria di San Marco: to obtain the 1:1 representation of all the mosaics of the Basilica. This requirement significantly increased the effort in the acquisition stage, because it was necessary to reach a submillimetre resolution in the photographic images sufficient to distinguish perfectly each single tessera, also in the highest domes (28 meters). Furthermore, it introduced a new problem about the management of the gigapixel - orthophotos.The BIM approach presented in this paper tries to offer a solution to all these problems. The BIM application is based not on commercial software, but on a self-implemented system, which was previously tested on the Main Spire of Milano Cathedral. The multi-scale and multi-area approach have also been maintained in the BIM construction phase.In the case of Basilica di San Marco, the most important requirement was the management of the orthophotos of each single element. It was necessary to give the user the possibility to recover, for each item, not only the geometric model, but also the raster representation -orthophoto- of its surface: in order to do it, the BIM model acts as a three-dimensional catalogue

Ectropion and Conjunctival Mass in a Patient with Primary Bilateral Conjunctival Amyloidosis

Background. Amyloidosis is a group of disorders characterized by deposition of an extracellular protein, known as amyloid, in an abnormal fibrillar form with highly characteristic histopathologic staining properties. The clinical presentation can vary from a focal, localized lesion where amyloidosis has minor clinical consequences to extensive systemic disease that can involve any organ system of the body. Ocular amyloidosis can occur as a localized lesion or as a part of a systemic disorder. Conjunctival amyloidosis is an uncommon condition that is rarely associated with systemic disease. It may be a manifestation of an immunologic disorder. Case Report. We report the case of a patient with bilateral conjunctival amyloidosis who was referred to us with the suspicion of a malignant conjunctival lesion. Examination of both eyes showed a yellow-pinkmass with prominent intrinsic vessels, subconjunctival hemorrhage, and ectropion of the left lower eyelid. Diagnosis of primary localized conjunctival amyloidosis was made based on histopathologic evaluation of incisional biopsy and negative systemic work-up. Conclusion. Ocular amyloidosis is a rare disease that is slowly progressive and has a wide variety of clinical presentations. Consequently, the clinical diagnosis is often overlooked or delayed. Definitive diagnosis is achieved through histopathologic evaluation of biopsy specimen

Integration of historical GIS data in a HBIM system

The integration between BIM (Building Information Modeling) and GIS (Geographic Information System) is currently a highly debated research topic. However, the effective integration of the two workflows in a unique information system is still an open research field, especially when dealing with Cultural Heritage (CH). The paper describes an ongoing research on the development of a web information system able to integrate BIM and GIS data, with particular focus on the analysis of the historicized city and its main buildings over time. Three main aspects, in particular, are considered more relevant: (i) conceptual data organization to integrate GIS and BIM in a single environment; (ii) integration of data belonging to different historical periods for analyses over time (4D); (iii) integration into the system of datasets already structured in pre-existing HGIS and HBIM. Most (if not all) of the attributes must be linked with both 2D and 3D entities. The system should be queryable and with the possibility to edit the information regardless of the actual focus of the current user, either if he is more BIM or GIS oriented. This is one of the main requirement for the system not to be just a simple viewer of BIM and GIS data in a unique software environment. The system can manage, from a spatial point of view, different scales of detail, allowing the connection between data from the architectural scale to the territorial one and, from a temporal point of view, data belonging to different periods. All these features have been designed to meet, in particular, the requirements of CH and realize a Historical BIM-GIS system. Besides, the web architecture allows sharing information even between actors with different digital skills, without the need for specific software installed, and ensures portability and access from mobile devices

Impaired immunogenicity to COVID-19 vaccines in autoimmune systemic diseases. High prevalence of non-response in different patients’ subgroups

Autoimmune systemic diseases (ASD) may show impaired immunogenicity to COVID-19 vaccines. Our prospective observational multicenter study aimed to evaluate the seroconversion after the vaccination cycle and at 6-12-month follow-up, as well the safety and efficacy of vaccines in preventing COVID-19. The study included 478 unselected ASD patients (mean age 59 ± 15 years), namely 101 rheumatoid arthritis (RA), 38 systemic lupus erythematosus (SLE), 265 systemic sclerosis (SSc), 61 cryoglobulinemic vasculitis (CV), and a miscellanea of 13 systemic vasculitis. The control group included 502 individuals from the general population (mean age 59 ± 14SD years). The immunogenicity of mRNA COVID-19 vaccines (BNT162b2 and mRNA-1273) was evaluated by measuring serum IgG-neutralizing antibody (NAb) (SARS-CoV-2 IgG II Quant antibody test kit; Abbott Laboratories, Chicago, IL) on samples obtained within 3 weeks after vaccination cycle. The short-term results of our prospective study revealed significantly lower NAb levels in ASD series compared to controls [286 (53–1203) vs 825 (451–1542) BAU/mL, p < 0.0001], as well as between single ASD subgroups and controls. More interestingly, higher percentage of non-responders to vaccine was recorded in ASD patients compared to controls [13.2% (63/478), vs 2.8% (14/502); p < 0.0001]. Increased prevalence of non-response to vaccine was also observed in different ASD subgroups, in patients with ASD-related interstitial lung disease (p = 0.009), and in those treated with glucocorticoids (p = 0.002), mycophenolate-mofetil (p < 0.0001), or rituximab (p < 0.0001). Comparable percentages of vaccine-related adverse effects were recorded among responder and non-responder ASD patients. Patients with weak/absent seroconversion, believed to be immune to SARS-CoV-2 infection, are at high risk to develop COVID-19. Early determination of serum NAb after vaccination cycle may allow to identify three main groups of ASD patients: responders, subjects with suboptimal response, non-responders. Patients with suboptimal response should be prioritized for a booster-dose of vaccine, while a different type of vaccine could be administered to non-responder individuals

Endometrial cancer

Endometrial cancer is the most common gynecological malignancy in well-developed countries. Biologically and clinicopathologically, endometrial carcinomas are divided into two types: type 1 or estrogen-dependent carcinomas and type 2 or estrogen-independent carcinomas. Type 1 cancers correspond mainly to endometrioid carcinomas and account for approximately 90 % of endometrial cancers, whereas type 2 cancers correspond to the majority of the other histopathological subtypes. The vast majority of endometrial cancers present as abnormal vaginal bleedings in postmenopausal women. Therefore, 75 % of cancers are diagnosed at an early stage, which makes the overall prognosis favorable. The first diagnostic step to evaluate women with an abnormal vaginal bleeding is the measurement of the endometrial thickness with transvaginal ultrasound. If endometrial thickening or heterogeneity is confirmed, a biopsy should be performed to establish a definite histopathological diagnosis. Magnetic resonance imaging is not considered in the International Federation of Gynaecology and Obstetrics staging system. Nonetheless it plays a relevant role in the preoperative staging of endometrial carcinoma, helping to define the best therapeutic management. Moreover, it is important in the diagnosis of treatment complications, in the surveillance of therapy response, and in the assessment of recurrent disease.info:eu-repo/semantics/publishedVersio

Role of MRI in staging and follow-up of endometrial and cervical cancer:pitfalls and mimickers

Abstract MRI plays important roles in endometrial and cervical cancer assessment, from detection to recurrent disease evaluation. Endometrial cancer (EC) is the most common malignant tumor of the female genital tract in Western countries. EC patients are divided into risk categories based on histopathological tumor type, grade, and myometrial invasion depth. EC is surgically staged using the International Federation of Gynecology and Obstetrics (FIGO) system. Since FIGO (2009) stage correlates with prognosis, preoperative staging is essential for tailored treatment. MRI reveals myometrial invasion depth, which correlates with tumor grade and lymph node metastases, and thus correlates with prognosis. Cervical cancer (CC) is the second most common cancer, and the third leading cause of cancer-related death among females in developing countries. The FIGO Gynecologic Oncology Committee recently revised its CC staging guidelines, allowing staging based on imaging and pathological findings when available. The revised FIGO (2018) staging includes node involvement and thus enables both therapy selection and evaluation, prognosis estimation, and calculation of end results. MRI can accurately assess prognostic indicators, e.g., tumor size, parametrial invasion, pelvic sidewall, and lymph node invasion. Despite these important roles of MRI, radiologists still face challenges due to the technical and interpretation pitfalls of MRI during all phases of endometrial and cervical cancer evaluation. Awareness of mimics that can simulate both cancers is critical. With careful application, functional MRI with DWI and DCE sequences can help establish a correct diagnosis, although it is sometimes necessary to perform biopsy and histopathological analysis

Cataract surgery on post radial keratotomy patients

This study aims to evaluate and to compare three different approaches of cataract surgery to patients with previous radial keratotomy (RK), and to analyze the mechanical properties of the cornea after cataract surgery. Three groups of patients, each one including 8 eyes of patients with 16 RK incisions. The first group includes eyes with the first cataract incision superiorly, the second group in the temporal area, the third group in temporal area and a precautionary stabilizing suture across the RK incision adjacent to the main tunnel. In the first group intraoperative dehiscence occurred in three eyes (37.5%): it required immediate application of a suture. In the second group dehiscence occurred intraoperatively in two radial scars (20%): it required immediate application of a suture. In the third group, no intraoperative dehiscences were observed. The stabilizing suture of the RK incision works safer, with a lower risk of dehiscences and less postoperative astigmatism. © 2017, International Journal of Ophthalmology (c/o Editorial Office). All rights reserved