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Biomedical subjects

D Hawkes

Publications and source records attributed to D Hawkes.

13 recordsLinked to original sources

Helical cardiac cone beam CT reconstruction with large area detectors: a simulation study.

Retrospectively gated cardiac volume CT imaging has become feasible with the introduction of heart rate adaptive cardiac CT reconstruction algorithms. The development in detector technology and the rapid introduction of multi-row detectors has demanded reconstruction schemes which account for the cone geometry. With the extended cardiac reconstruction (ECR) framework, the idea of approximate helical cone beam CT has been extended to be used with retrospective gating, enabling heart rate adaptive cardiac cone beam reconstruction. In this contribution, the ECR technique is evaluated for systems with an increased number of detector rows, which leads to larger cone angles. A simulation study has been carried out based on a 4D cardiac phantom consisting of a thorax model and a dynamic heart insert. Images have been reconstructed for different detector set-ups. Reconstruction assessment functions have been calculated for the detector set-ups employing different rotation times, relative pitches and heart rates. With the increased volume coverage of large area detector systems, low-pitch scans become feasible without resulting in extensive scan times, inhibiting single breath hold acquisitions. ECR delivers promising image results when being applied to systems with larger cone angles.

Algorithms↗

Image-guided navigation in oral and maxillofacial surgery.

Image-guided surgery is the logical extension of imaging as it integrates previously acquired radiological or nuclear medicine images with the operative field. In conventional image-guided surgery, a surgeon uses a surgical instrument or a pointer to establish correspondence between features in the preoperative images and the surgical scene. This is not ideal because the surgeon has to look away from the operative field to view the data. Augmented reality guidance systems offer a solution to this problem but are limited by deformation of soft tissues. Real-time intraoperative imaging offers a potential solution but is currently only experimental. The additional precision and confidence that this technology provides make it a useful tool, and recent advances in image-guided surgery offer new opportunities in the field of oral and maxillofacial surgery. Here, we review the development, current technologies, and applications of image-guided surgery and illustrate them with two case reports.

Adult↗

Automatic phase determination for retrospectively gated cardiac CT.

The recent improvements in CT detector and gantry technology in combination with new heart rate adaptive cone beam reconstruction algorithms enable the visualization of the heart in three dimensions at high spatial resolution. However, the finite temporal resolution still impedes the artifact-free reconstruction of the heart at any arbitrary phase of the cardiac cycle. Cardiac phases must be found during which the heart is quasistationary to obtain outmost image quality. It is challenging to find these phases due to intercycle and patient-to-patient variability. Electrocardiogram (ECG) information does not always represent the heart motion with an adequate accuracy. In this publication, a simple and efficient image-based technique is introduced which is able to deliver stable cardiac phases in an automatic and patient-specific way. From low-resolution four-dimensional data sets, the most stable phases are derived by calculating the object similarity between subsequent phases in the cardiac cycle. Patient-specific information about the object motion can be determined and resolved spatially. This information is used to perform optimized high-resolution reconstructions at phases of little motion. Results based on a simulation study and three real patient data sets are presented. The projection data were generated using a 16-slice cone beam CT system in low-pitch helical mode with parallel ECG recording.

Algorithms↗

Adaptive temporal resolution optimization in helical cardiac cone beam CT reconstruction.

Cone beam computed tomography scanners in combination with heart rate adaptive reconstruction schemes have the potential to enable cardiac volumetric computed tomography (CT) imaging for a larger number of patients and applications. In this publication, an adaptive scheme for the automatic and patient-specific reconstruction optimization is introduced to improve the temporal resolution and image quality. The optimization method permits the automatic determination of the required amount of gated helical cone beam projection data for the reconstruction volume. It furthermore allows one to optimize subvolume reconstruction yielding an increased temporal resolution. In addition, methods for the assessment of the temporal resolution are given which enable a quantitative documentation of the reconstruction improvements. Results are presented for patient data sets acquired in low pitch helical mode using a 16-slice cone beam CT system with parallel ECG recording.

Algorithms↗

Interactive image-guided neuroendoscopy: development and early clinical experience.

Technical advances and pioneering surgeons have established neuroendoscopy as an accepted diagnostic and therapeutic tool. The clinical indications for endoscopy, variety of operative techniques and number of endoscopic surgeons continue to increase steadily. However, there are fundamental limits to the scope of freehand endoscopy principally governed by the need for direct vision of anatomical and pathological structures. In addition, whilst the expert neuroendoscopist is only occasionally disorientated by complex distorted anatomy, the rising number of novices are likely to be mislead relatively often. We report the integration of neuroendoscopy with an optical neuronavigation system to provide interactive image-guided neuroendoscopy. This combination both removes the constraining requirement for direct vision and provides accurate localisation to guide the surgeon during surgery. We describe the clinical application of this method to two cases where image-guided endoscopy was essential to the safe completion of the procedure.

Adult↗

Volume flow measurement of pulsatile flow by digitised cine angiography.

The validation, by phantom experiments, of a method of measuring volumetric, pulsatile blood flow in vessels of about 4 mm calibre is described. 'Instantaneous' as well as integrated flow is obtained from cine angiograms by digitisation of the images and densitometric analysis in an advanced computer vision analysis system. From 48 frames per second cine, pulsatile flow at any moment between 0 and about 400 ml/min was calculated within about 10 per cent of the electromagnetic flow meter reading. Further improvement is expected. It is proposed to advance to 3D and have the methodology available for clinical use in due course.

Angiography, Digital Subtraction↗

An IgG, gentamicin sulfate-dependent antibody found during prenatal antibody screening.

The serum of a prenatal patient was found to contain an IgG antibody that reacted with all red cells suspended in solutions containing the antibiotic gentamicin sulfate. The antibody was nonreactive with red cells suspended in media containing chloramphenicol, neomycin, hydrocortisone or inosine. Since gentamicin sulfate is used in the suspending medium of some commercial reagent red cell products, difficulties in the interpretation of antibody detection and identification tests may arise when patient sera contain gentamicin-dependent antibodies.

Antibodies↗

Origin and immunological hyporeactivity of canine alveolar lymphocytes.

Autochthonous canine thoracic duct lymphocytes were isolated, labelled with 111indium and injected intravenously. Direct sampling showed that the label passed from blood to lymph within 25 hr. By gamma camera imaging, the initial accumulation of 111In the liver and spleen was followed by a striking increase in lymph node associated activity between 24-36 hr. Although initial lung-associated counts were low, a bicarbonate-induced non-specific inflammation of the right lung induced a rapid and selective accumulation of labelled lymphocytes (ratio right to left lung 8:1). Cell suspensions lavaged from the alveolar surface showed only a 9% response to phytohaemagglutinin (PHA) compared to peripheral blood lymphocytes (PBL). The addition of unfractionated lavage cells to PBL caused a macrophage-dependent suppression of mitogen responsiveness. However, macrophage depletion of alveolar lavage cells did not restore the lymphocyte response to PHA. Similarly, the frequency of alloreactive precursors of cytolytic lymphocytes (CTL) was almost 10-fold less in alveolar lymphocytes compared to PBL. Thus, bronchoalveolar lavage provides a technique by which viable cells may be recovered in significant numbers from the alveoli and should be invaluable for the investigation of lung allograft rejection.

Animals↗

Pentobarbital in refractory status epilepticus.

Tonic-clinic status epilepticus, which is refractory to phenobarbital, phenytoin, and diazepam, may respond readily to a continuous infusion of pentobarbital. The efficacy of pentobarbital can be monitored at the bedside by electroencephalography. We report the clinical and electroencephalographic findings of two children who developed refractory tonic-clonic status epilepticus and responded to pentobarbital.

Child↗

Assessment of progression of secondary bone lesions following cancer of the breast or prostate using serial radionuclide imaging.

A serial study on 32 patients with bone metastases following cancer of the breast or prostate was performed over three years. Up to ten sets of images (average of four) per patient were obtained during this period using 99Tcm methylene diphosphonate as the radiopharmaceutical. Ninety-three paired serial images of individual lesions were qualitatively assessed for change by three physicians in nuclear medicine and the results were compared with the quantitative results from computer analysis. The reproducibility of the quantitative approach was determined by the analysis of 20 paired lesions by three physicists. It was found that quantitative changes in uptake of less than 20% between images were generally not detected by the medical observers; a change of 41% had only a 95% probability of being identified as change by the physicians. Although much more reproducible in determining changes in individual lesions, the quantitative approach was found to be inferior to the qualitative assessment of overall change in the majority of cases which involve multiple lesions. The basic assumption that uptake varies proportionally with progression of the bone lesion is discussed an is considered in some instances to be untenable. The conclusion is drawn that the determination of progression from changes of uptake in longstanding lesions is uncertain and is subsidiary in importance to the detection of new lesions.

Bone Neoplasms↗

Explaining solution focused therapy.

Psychotherapies have tended to concentrate on clients' complaints in an attempt to overcome their problems: solution focused therapy, on the other hand, looks for their strengths, competencies and potentials, and enables them to recognise and build on them. The authors explain the basis of the therapy, then illustrate how it operates in practice with three short case studies.

Female↗

Focusing on solutions.

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Day Care, Medical↗