Publications by authors named "Norbert Strobel"

A virtual anatomical model of a patient can be a valuable tool for enhancing clinical tasks such as workflow automation, patient-specific X-ray dose optimization, markerless tracking, positioning, and navigation assistance in image-guided interventions. For these tasks, it is highly desirable that the patient's surface and internal organs are of high quality for any pose and shape estimate. At present, the majority of statistical shape models (SSMs) are restricted to a small number of organs or bones or do not adequately represent the general population.

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The vitamin D content of many Australian game products is unknown. These foods are potential sources of vitamin D for remote-dwelling Aboriginal and Torres Strait Islander people, of whom 39% are vitamin D deficient (serum 25-hydroxyvitamin D (25(OH)D) concentrations < 50 nmol/L). Vitamin D, 25(OH)D, vitamin D and 25(OH)D were measured by liquid chromatography-triple quadrupole mass spectrometry (LC-QQQ) in raw meat (camel, crocodile, emu, kangaroo), emu eggs and emu oil.

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During x-ray-guided interventional procedures, the medical staff is exposed to scattered ionizing radiation caused by the patient. To increase the staff's awareness of the invisible radiation and monitor dose online, computational scatter estimation methods are convenient. However, such methods are usually based on Monte Carlo (MC) simulations, which are inherently computationally expensive.

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Since guidance based on x-ray imaging is an integral part of interventional procedures, continuous efforts are taken towards reducing the exposure of patients and clinical staff to ionizing radiation. Even though a reduction in the x-ray dose may lower associated radiation risks, it is likely to impair the quality of the acquired images, potentially making it more difficult for physicians to carry out their procedures.We present a robust learning-based denoising strategy involving model-based simulations of low-dose x-ray images during the training phase.

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Australia needs accurate vitamin D food composition data to support public health initiatives. Previously, limitations in analytical methodology have precluded development of a comprehensive database. We used liquid chromatography with triple quadrupole mass spectrometry (LC-QQQ) to analyse 149 composite samples representing 98 foods (primary samples n = 896) in duplicate for vitamin D, 25-hydroxyvitamin D (25(OH)D), vitamin D, 25(OH)D.

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X-ray scatter compensation is a very desirable technique in flat-panel X-ray imaging and cone-beam computed tomography. State-of-the-art U-net based scatter removal approaches yielded promising results. However, as there are no physics' constraints applied to the output of the U-Net, it cannot be ruled out that it yields spurious results.

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In this study, we propose a novel point cloud based 3D registration and segmentation framework using reinforcement learning. An artificial agent, implemented as a distinct actor based on value networks, is trained to predict the optimal piece-wise linear transformation of a point cloud for the joint tasks of registration and segmentation. The actor network estimates a set of plausible actions and the value network aims to select the optimal action for the current observation.

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Purpose: As the spectrum of X-ray procedures has increased both for diagnostic and for interventional cases, more attention is paid to X-ray dose management. While the medical benefit to the patient outweighs the risk of radiation injuries in almost all cases, reproducible studies on organ dose values help to plan preventive measures helping both patient as well as staff. Dose studies are either carried out retrospectively, experimentally using anthropomorphic phantoms, or computationally.

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Purpose: Denoising x-ray images corrupted by signal-dependent mixed noise is usually approached either by considering noise statistics directly or by using noise variance stabilization (NVS) techniques. An advantage of the latter is that the noise variance can be stabilized to a known constant throughout the image, facilitating the application of denoising algorithms designed for the removal of additive Gaussian noise. A well-performing NVS is the generalized Anscombe transform (GAT).

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Purpose: Radiation doses accumulated during very complicated image-guided x-ray procedures have the potential to cause stochastic, but also deterministic effects, such as skin rashes or even hair loss. To monitor and reduce radiation-related risks to patients' skin, x-ray imaging devices are equipped with online air kerma monitoring components. Traditionally, such measurements have been used to estimate skin entrance dose by (a) estimating air kerma at the interventional reference point (IRP), (b) forward projecting the dose distribution, and (c) considering a backscatter factor among other correction factors.

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Purpose: 2D digital subtraction angiography (DSA) has become an important technique for interventional neuroradiology tasks, such as detection and subsequent treatment of aneurysms. In order to provide high-quality DSA images, usually undiluted contrast agent and a high X-ray dose are used. The iodinated contrast agent puts a burden on the patients' kidneys while the use of high-dose X-rays expose both patients and medical staff to a considerable amount of radiation.

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Purpose: The quality of X-ray images plays an important role in computer-assisted interventions. Although learning-based denoising techniques have been shown to be successful in improving the image quality, they often rely on pairs of associated low- and high-dose X-ray images that are usually not possible to acquire at different dose levels in a clinical scenario. Moreover, since data variation is an important requirement for learning-based methods, the use of phantom data alone may not be sufficient.

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Purpose: With the recent introduction of fully assisting scanner technologies by Siemens Healthineers (Erlangen, Germany), a patient surface model was introduced to the diagnostic imaging device market. Such a patient representation can be used to automate and accelerate the clinical imaging workflow, manage patient dose, and provide navigation assistance for computed tomography diagnostic imaging. In addition to diagnostic imaging, a patient surface model has also tremendous potential to simplify interventional imaging.

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The fortification of processed foods including dairy products is increasingly commonplace with phytosterols among many compounds used to improve the nutritional value of food products. It is also increasingly common practice for some dairy cattle feeds to be fortified for their potential to increase phytosterol levels in milk. In this study, a combined, streamlined protocol using acid hydrolysis, saponification and sample clean-up was developed to enable the rapid and reliable measurement of phytosterols.

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Vitamin D has previously been quantified in some plants and algae, particularly in leaves of the Solanaceae family. We measured the vitamin D content of Australian native food plants and Australian-grown edible seaweed. Using liquid chromatography with triple quadrupole mass spectrometry, 13 samples (including leaf, fruit, and seed) were analyzed in duplicate for vitamin D₂, vitamin D₃, 25-hydroxyvitamin D₂, and 25-hydroxyvitamin D₃.

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Purpose: Clinical procedures that make use of fluoroscopy may expose patients as well as the clinical staff (throughout their career) to non-negligible doses of radiation. The potential consequences of such exposures fall under two categories, namely stochastic (mostly cancer) and deterministic risks (skin injury). According to the "as low as reasonably achievable" principle, the radiation dose can be lowered only if the necessary image quality can be maintained.

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Dietary vitamin D may compensate for inadequate sun exposure; however, there have been few investigations into the vitamin D content of Australian foods. We measured vitamin D₃ and 25-hydroxyvitamin D₃ (25(OH)D₃) in four species of white fish (barramundi, basa, hoki and king dory), and chicken eggs (cage and free-range), purchased from five Australian cities. Samples included local, imported and wild-caught fish, and eggs of varying size from producers with a range of hen stocking densities.

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A novel method for the measurement of total phytosterols in fortified food was developed and tested using gas chromatography with flame ionization detection. Unlike existing methods, this technique is capable of simultaneously extracting sterols during saponification thus significantly reducing extraction time and cost. The rapid method is suitable for sterol determination in a range of complex fortified foods including milk, cheese, fat spreads, oils and meat.

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For augmented fluoroscopy during cardiac ablation, a preoperatively acquired 3D model of a patient's left atrium (LA) can be registered to X-ray images recorded during a contrast agent (CA) injection. An automatic registration method that works also for small amounts of CA is desired. We propose two similarity measures: The first focuses on edges of the patient anatomy.

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Cryo-balloon catheters have attracted an increasing amount of interest in the medical community as they can reduce patient risk during left atrial pulmonary vein ablation procedures. As cryo-balloon catheters are not equipped with electrodes, they cannot be localized automatically by electro-anatomical mapping systems. As a consequence, X-ray fluoroscopy has remained an important means for guidance during the procedure.

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Electrophysiology (EP) studies and catheter ablation have become important treatment options for several types of cardiac arrhythmias. We present a novel image-based approach for automatic detection and 3-D reconstruction of EP catheters where the physician marks the catheter to be reconstructed by a single click in each image. The result can be used to provide 3-D information for enhanced navigation throughout EP procedures.

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Objectives: To assess the potential dietary supply of vitamin D to Australian adults by application of new data for Australian primary foods of animal origin.

Methods: New published analytical data on the vitamin D contents of Australian primary foods from animal products were obtained and assessed for reliability. Using food consumption data from Australian population dietary surveys for 1995 and 2011-2013, estimates were made of the likely average daily intakes of vitamin D equivalents from these sources by Australian adults.

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Purpose: Catheter ablation is a common treatment option for atrial fibrillation (AF). Interventional C-arm X-ray systems are used for guiding AF procedures, employing standard view positions. Since the projection angles are not adapted to the individual patient anatomy, standard projections do not necessarily offer the best views of important anatomical structures.

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Catheter ablation is a common treatment option for drug-refractory atrial fibrillation. In many cases, pulmonary vein isolation is the treatment of choice. With current fluoro overlay methods or electroanatomic mapping systems, it is possible to visualize three-dimensional (3-D) anatomy as well as target ablation lines to provide additional context information.

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Background: With increasing complexity in electrophysiology (EP) procedures, the use of electroanatomic mapping systems (EAMS) as a supplement to fluoroscopy has become common practice. This is the first study that evaluates spatial and point localization accuracy for 2 current EAMS, CARTO3(®) (Biosense Webster, Diamond Bar, CA, USA) and EnSite Velocity(®) (St. Jude Medical Inc.

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