Thoracic duct drainage (TDD) is gaining renewed interest, largely due to accumulation of evidence supporting the gut-lymph model, where toxic mesenteric lymph from the intestine contributes to development of multi-organ failure in acute and critical illness (ACI). Advances in minimally invasive TDD have added to this growing interest. The English TDD literature has been previously reviewed, but the more extensive Eastern European literature has not been available to English readers.
View Article and Find Full Text PDFObjective: Early diagnosis of acute renal transplant rejection (ARTR) is critical for accurate treatment. Although the current gold standard, diagnostic technique is renal biopsy, it is not preferred due to its invasiveness, long recovery time (1-2 weeks), and potential for complications, e.g.
View Article and Find Full Text PDFThis paper introduces a new framework for the segmentation of different brain structures (white matter, gray matter, and cerebrospinal fluid) from 3D MR brain images at different life stages. The proposed segmentation framework is based on a shape prior built using a subset of co-aligned training images that is adapted during the segmentation process based on first- and second-order visual appearance characteristics of MR images. These characteristics are described using voxel-wise image intensities and their spatial interaction features.
View Article and Find Full Text PDFFront Biosci (Landmark Ed)
January 2018
Early diagnosis is playing an important role in preventing progress of the Alzheimer's disease (AD). This paper proposes to improve the prediction of AD with a deep 3D Convolutional Neural Network (3D-CNN), which can show generic features capturing AD biomarkers extracted from brain images, adapt to different domain datasets, and accurately classify subjects with improved fine-tuning method. The 3D-CNN is built upon a convolutional autoencoder, which is pre-trained to capture anatomical shape variations in structural brain MRI scans for source domain.
View Article and Find Full Text PDFComput Math Methods Med
April 2017
Kidney segmentation is an essential step in developing any noninvasive computer-assisted diagnostic system for renal function assessment. This paper introduces an automated framework for 3D kidney segmentation from dynamic computed tomography (CT) images that integrates discriminative features from the current and prior CT appearances into a random forest classification approach. To account for CT images' inhomogeneities, we employ discriminate features that are extracted from a higher-order spatial model and an adaptive shape model in addition to the first-order CT appearance.
View Article and Find Full Text PDFEarly detection of prostate cancer increases chances of patients' survival. Our automated non-invasive system for computer-aided diagnosis (CAD) of prostate cancer segments the prostate on diffusion-weighted magnetic resonance images (DW-MRI) acquired at different b-values, estimates its apparent diffusion coefficients (ADC), and classifies their descriptors - empirical cumulative distribution functions (CDF) - with a trained deep learning network. To segment the prostate, an evolving geometric (level-set-based) deformable model is guided by a speed function depending on intensity attributes extracted from the DW-MRI with nonnegative matrix factorization (NMF).
View Article and Find Full Text PDFPurpose: Detection (diagnosis) of diabetic retinopathy (DR) in optical coherence tomography (OCT) images for patients with type 2 diabetes, but almost clinically normal retina appearances.
Methods: The proposed computer-aided diagnostic (CAD) system detects the DR in three steps: (a) localizing and segmenting 12 distinct retinal layers on the OCT image; (b) deriving features of the segmented layers, and (c) learning most discriminative features and classifying each subject as normal or diabetic. To localise and segment the retinal layers, signals (intensities) of the OCT image are described with a joint Markov-Gibbs random field (MGRF) model of intensities and shape descriptors.
To accurately segment pathological and healthy lungs for reliable computer-aided disease diagnostics, a stack of chest CT scans is modeled as a sample of a spatially inhomogeneous joint 3D Markov-Gibbs random field (MGRF) of voxel-wise lung and chest CT image signals (intensities). The proposed learnable MGRF integrates two visual appearance sub-models with an adaptive lung shape submodel. The first-order appearance submodel accounts for both the original CT image and its Gaussian scale space (GSS) filtered version to specify local and global signal properties, respectively.
View Article and Find Full Text PDFMagnetic resonance imaging (MRI) modalities have emerged as powerful means that facilitate non-invasive clinical diagnostics of various diseases and abnormalities since their inception in the 1980s. Multiple MRI modalities, such as different types of the sMRI and DTI, have been employed to investigate facets of ASD in order to better understand this complex syndrome. This paper reviews recent applications of structural magnetic resonance imaging (sMRI) and diffusion tensor imaging (DTI), to study autism spectrum disorder (ASD).
View Article and Find Full Text PDFScientificWorldJournal
January 2016
Intelligent computer applications need to adapt their behaviour to contexts and users, but conventional classifier adaptation methods require long data collection and/or training times. Therefore classifier adaptation is often performed as follows: at design time application developers define typical usage contexts and provide reasoning models for each of these contexts, and then at runtime an appropriate model is selected from available ones. Typically, definition of usage contexts and reasoning models heavily relies on domain knowledge.
View Article and Find Full Text PDFDevelopmental dyslexia is a brain disorder that is associated with a disability to read, which affects both the behavior and the learning abilities of children. Recent advances in MRI techniques have enabled imaging of different brain structures and correlating the results to clinical findings. The goal of this paper is to cover these imaging studies in order to provide a better understanding of dyslexia and its associated brain abnormalities.
View Article and Find Full Text PDFInt J Comput Assist Radiol Surg
August 2015
Purpose: Functional strain is one of the important clinical indicators for the quantification of heart performance and the early detection of cardiovascular diseases, and functional strain parameters are used to aid therapeutic decisions and follow-up evaluations after cardiac surgery. A comprehensive framework for deriving functional strain parameters at the endocardium, epicardium, and mid-wall of the left ventricle (LV) from conventional cine MRI data was developed and tested.
Methods: Cine data were collected using short TR-/TE-balanced steady-state free precession acquisitions on a 1.
Purpose: To present a review of most commonly used techniques to analyze dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI), discusses their strengths and weaknesses, and outlines recent clinical applications of findings from these approaches.
Methods: DCE-MRI allows for noninvasive quantitative analysis of contrast agent (CA) transient in soft tissues. Thus, it is an important and well-established tool to reveal microvasculature and perfusion in various clinical applications.
Purpose: To develop an automated framework for accurate analysis of myocardial perfusion using first-pass magnetic resonance imaging.
Methods: The proposed framework consists of four processing stages. First, in order to account for heart deformations due to respiratory motion and heart contraction, a two-step registration methodology is proposed, which has the ability to account for the global and local motions of the heart.
Surface Electromyography (EMG) is a standard method used in clinical practice and research to assess motor function in order to help with the diagnosis of neuromuscular pathology in human and animal models. EMG recorded from trunk muscles involved in the activity of breathing can be used as a direct measure of respiratory motor function in patients with spinal cord injury (SCI) or other disorders associated with motor control deficits. However, EMG potentials recorded from these muscles are often contaminated with heart-induced electrocardiographic (ECG) signals.
View Article and Find Full Text PDFPurpose: The authors propose 3D (2D + time) novel, fast, robust, bidirectional coupled parametric deformable models that are capable of segmenting left ventricle (LV) wall borders using first- and second-order visual appearance features. The authors examine the effect of the proposed segmentation method on the estimation of global cardiac performance indexes.
Methods: First-order visual appearance of the cine cardiac magnetic resonance (CMR) signals (inside and outside the boundary of the deformable model) is modeled with an adaptive linear combination of discrete Gaussians (LCDG).
A novel framework for the classification of acute rejection versus nonrejection status of renal transplants from 2-D dynamic contrast-enhanced magnetic resonance imaging is proposed. The framework consists of four steps. First, kidney objects are segmented from adjacent structures with a level set deformable boundary guided by a stochastic speed function that accounts for a fourth-order Markov-Gibbs random field model of the kidney/background shape and appearance.
View Article and Find Full Text PDFInt J Biomed Imaging
March 2013
Automatic detection of lung nodules is an important problem in computer analysis of chest radiographs. In this paper, we propose a novel algorithm for isolating lung abnormalities (nodules) from spiral chest low-dose CT (LDCT) scans. The proposed algorithm consists of three main steps.
View Article and Find Full Text PDFInt J Biomed Imaging
February 2013
This paper overviews one of the most important, interesting, and challenging problems in oncology, the problem of lung cancer diagnosis. Developing an effective computer-aided diagnosis (CAD) system for lung cancer is of great clinical importance and can increase the patient's chance of survival. For this reason, CAD systems for lung cancer have been investigated in a huge number of research studies.
View Article and Find Full Text PDFMed Image Comput Comput Assist Interv
January 2013
A new approach to align 3D CT data of a segmented lung object with a given prototype (reference lung object) using an affine transformation is proposed. Visual appearance of the lung from CT images, after equalizing their signals, is modeled with a new 3D Markov-Gibbs random field (MGRF) with pairwise interaction model. Similarity to the prototype is measured by a Gibbs energy of signal co-occurrences in a characteristic subset of voxel pairs derived automatically from the prototype.
View Article and Find Full Text PDFAccurate automatic extraction of a 3-D cerebrovascular system from images obtained by time-of-flight (TOF) or phase contrast (PC) magnetic resonance angiography (MRA) is a challenging segmentation problem due to the small size objects of interest (blood vessels) in each 2-D MRA slice and complex surrounding anatomical structures (e.g., fat, bones, or gray and white brain matter).
View Article and Find Full Text PDFIEEE Trans Inf Technol Biomed
July 2012
Dyslexia severely impairs learning abilities; therefore, improved diagnostic methods are needed. Neuropathological studies have revealed an abnormal anatomy of the corpus callosum (CC) in dyslexic brains. We propose a new approach for the quantitative analysis of 3-D magnetic resonance images (MRI) of the brain that ensures a more accurate quantification of anatomical differences between the CC of dyslexic and control subjects.
View Article and Find Full Text PDFA novel automated framework for detecting and quantifying viability from agent enhanced cardiac magnetic resonance images is proposed. The framework identifies the pathological tissues based on a joint Markov-Gibbs random field (MGRF) model that accounts for the 1st-order visual appearance of the myocardial wall (in terms of the pixel-wise intensities) and the 2nd-order spatial interactions between pixels. The pathological tissue is quantified based on two metrics: the percentage area in each segment with respect to the total area of the segment, and the trans-wall extent of the pathological tissue.
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