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Critical study of hair growth analysis with computer-assisted methods.

BACKGROUND: Computer-assisted image analysis has been proposed for human hair growth studies. METHODS: The performances of Trichoscan, a commercially available automated system combining epiluminiscence microscopy with digital image analysis, developed for office-based hair growth measurements, have been evaluated comparatively on the same skin sites using standardized photographic equipment and calibrated processing for contrast-enhanced phototrichogram (CE-PTG) analysis. This reference method has been validated with scalp biopsies and histological examination of serial sectioning. RESULTS: Besides edge effects, hair fibres escaped the Trichoscan analysis for various reasons including, but not limited to, thickness, pigmentation, closeness and crossing. CONCLUSION: Most of these problems have been identified in the late 1980s and remain largely unsolved by the processing software that was evaluated in 2004. Therefore claims promoting the Trichoscan method for accurate hair measurements in clinical trials on scalp and body hair are not supported by the present investigation. The speed at which the analysis is performed is outweighed by the errors in signal detection. Therefore we suggest that improvements must be clearly documented before Trichoscan is established for quantified diagnostic purposes and detailed hair cycle monitoring during hair trials.

Hair↗

Comparison of equivalent photon energy calibration methods in computed tomography.

A method of specifying the equivalent photon energy as the energy that gives the maximum correlation between linear attenuation coefficient and CT value of six standard materials, including water, was compared with standard method that specified equivalent photon energy as the energy at which water's linear attenuation coefficient is equal to the detected energy fluence averaged coefficient of water. Comparisons were made for various tube potentials, thicknesses of aluminum filtration, and water phantom thicknesses. Using the experimental data, the first method predicted changes in equivalent photon energy equal to 0.3 kvV kVp-1, 2.8 keV g-1 cm2 and 0.75 keV g-1 cm2, respectively, for the specified conditions; the precision was +/- 2.2 keV. Both methods estimated the same equivalent photon energies within 3 keV. This similarity was shown to be a result of the characteristics of water's attenuation coefficient. The effect of uncertainty in measured CT values and material density on the equivalent photon energy was estimated. The equivalent photon energy was used to predict CT values for high atomic number water solutions, 5 mg/ml. The difference between the measured CT values and the predicted was less than 10 CT number of elements of less than 60.

Models, Theoretical↗

Computational modeling of multicellular constructs with the material point method.

Computational modeling of the mechanics of cells and multicellular constructs with standard numerical discretization techniques such as the finite element (FE) method is complicated by the complex geometry, material properties and boundary conditions that are associated with such systems. The objectives of this research were to apply the material point method (MPM), a meshless method, to the modeling of vascularized constructs by adapting the algorithm to accurately handle quasi-static, large deformation mechanics, and to apply the modified MPM algorithm to large-scale simulations using a discretization that was obtained directly from volumetric confocal image data. The standard implicit time integration algorithm for MPM was modified to allow the background computational grid to remain fixed with respect to the spatial distribution of material points during the analysis. This algorithm was used to simulate the 3D mechanics of a vascularized scaffold under tension, consisting of growing microvascular fragments embedded in a collagen gel, by discretizing the construct with over 13.6 million material points. Baseline 3D simulations demonstrated that the modified MPM algorithm was both more accurate and more robust than the standard MPM algorithm. Scaling studies demonstrated the ability of the parallel code to scale to 200 processors. Optimal discretization was established for the simulations of the mechanics of vascularized scaffolds by examining stress distributions and reaction forces. Sensitivity studies demonstrated that the reaction force during simulated extension was highly sensitive to the modulus of the microvessels, despite the fact that they comprised only 10.4% of the volume of the total sample. In contrast, the reaction force was relatively insensitive to the effective Poisson's ratio of the entire sample. These results suggest that the MPM simulations could form the basis for estimating the modulus of the embedded microvessels through a parameter estimation scheme. Because of the generality and robustness of the modified MPM algorithm, the relative ease of generating spatial discretizations from volumetric image data, and the ability of the parallel computational implementation to scale to large processor counts, it is anticipated that this modeling approach may be extended to many other applications, including the analysis of other multicellular constructs and investigations of cell mechanics.

Algorithms↗

Intra and inter-observer reliability of determining degree of pelvic incidence in high-grade spondylolisthesis using a computer assisted method.

Pelvic incidence was described as a fundamental parameter to describe spino-pelvic balance. In high-grade spondylolisthesis, severe dystrophic changes of the upper sacral endplate may be responsible for technical difficulties in pelvic incidence measurement. We propose to evaluate the reliability of PI measurement in high-grade spondylolisthesis patients and to compare the manual method with a computer-assisted method. In 30 high-grade spondylolisthesis patients, pelvic incidence was measured by manual and computer-assisted technique by the Spineview software package. We statistically assessed agreement between the manual and the computer-assisted technique, the intra-observer and the inter-observer reliability of the computer-assisted technique. Significant correlation was found (Spearman's rank R = 0.921 with P<0.001) between manual and computer-assisted results. The paired t test (t = 0.979 with P<0.001) and the intraclass correlation coefficient (ICC) were also significant. Intra- and inter-observer reliability of the computer-assisted technique were excellent with Spearman's rank correlation from 0.964 to 0.985 with P<0.001, a paired t test from 0.978 to 0.983 with P<0.001) and an ICC from 0.986 to 0.992. Intra- and inter-observer repeatability were better with the computer-assisted method than with the manual technique. We proved the reliability and repetability of a computer-assisted angular measurement method in high-grade spondylolisthesis patients. This validated measurement technique could be now used to measure the main parameters of the sagittal balance of the spine in further studies on spondylolisthesis patients.

Humans↗

Quantitation of skin-flap survival: a computer-based method.

We have proposed a standard scheme for presenting data on experimental skin flap survival in pharmacologic studies that will aid in comparing results. In addition, we have presented a method using desktop computer accessories for accurately measuring the area of any flap.

Animals↗

Comparison of two methods for reconstruction of the posterior cruciate ligament using a computer based method: quantitative evaluation of laxity, three-dimensional kinematics and ligament deformation measurement in cadaver knees.

The aim of this paper is to present a biomechanical comparison of two different methods for reconstruction of the posterior cruciate ligament in cadaver knees. We used an original computer-based method allowing precise calculation of three-dimensional (3D) knee kinematic parameters as well as the estimation of combined graft deformation (elongation-flexion-torsion). After isolated posterior cruciate ligament (PCL) dissection, double bundle and 'over-the-bottom' methods were performed successively on each knee using synthetic polyester ligaments. The effect of pre-tensioning was tested with the 'over-the-bottom' method. antero-posterior (A-P) and rotational laxity as well as 3D kinematics were recorded and analysed. Our computer based method allowed us to show that both reconstruction methods were equivalent in restoring A-P and rotational laxity as well as kinematic curves. Combined deformation of the prostheses was equivalent for both ligaments.

Aged↗

Functional genomics and proteomics in the clinical neurosciences: data mining and bioinformatics.

The goal of this chapter is to introduce some of the available computational methods for expression analysis. Genomic and proteomic experimental techniques are briefly discussed to help the reader understand these methods and results better in context with the biological significance. Furthermore, a case study is presented that will illustrate the use of these analytical methods to extract significant biomarkers from high-throughput microarray data. Genomic and proteomic data analysis is essential for understanding the underlying factors that are involved in human disease. Currently, such experimental data are generally obtained by high-throughput microarray or mass spectrometry technologies among others. The sheer amount of raw data obtained using these methods warrants specialized computational methods for data analysis. Biomarker discovery for neurological diagnosis and prognosis is one such example. By extracting significant genomic and proteomic biomarkers in controlled experiments, we come closer to understanding how biological mechanisms contribute to neural degenerative diseases such as Alzheimers' and how drug treatments interact with the nervous system. In the biomarker discovery process, there are several computational methods that must be carefully considered to accurately analyze genomic or proteomic data. These methods include quality control, clustering, classification, feature ranking, and validation. Data quality control and normalization methods reduce technical variability and ensure that discovered biomarkers are statistically significant. Preprocessing steps must be carefully selected since they may adversely affect the results of the following expression analysis steps, which generally fall into two categories: unsupervised and supervised. Unsupervised or clustering methods can be used to group similar genomic or proteomic profiles and therefore can elucidate relationships within sample groups. These methods can also assign biomarkers to sub-groups based on their expression profiles across patient samples. Although clustering is useful for exploratory analysis, it is limited due to its inability to incorporate expert knowledge. On the other hand, classification and feature ranking are supervised, knowledge-based machine learning methods that estimate the distribution of biological expression data and, in doing so, can extract important information about these experiments. Classification is closely coupled with feature ranking, which is essentially a data reduction method that uses classification error estimation or other statistical tests to score features. Biomarkers can subsequently be extracted by eliminating insignificantly ranked features. These analytical methods may be equally applied to genetic and proteomic data. However, because of both biological differences between the data sources and technical differences between the experimental methods used to obtain these data, it is important to have a firm understanding of the data sources and experimental methods. At the same time, regardless of the data quality, it is inevitable that some discovered biomarkers are false positives. Thus, it is important to validate discovered biomarkers. The validation process may be slow; yet, the overall biomarker discovery process is significantly accelerated due to initial feature ranking and data reduction steps. Information obtained from the validation process may also be used to refine data analysis procedures for future iteration. Biomarker validation may be performed in a number of ways - bench-side in traditional labs, web-based electronic resources such as gene ontology and literature databases, and clinical trials.

Animals↗

Computer-aided head film analysis: the University of California San Francisco method.

Computer technology is already assuming an important role in the management of orthodontic practices. The next 10 years are likely to see expansion in computer usage into the areas of diagnosis, treatment planning, and treatment-record keeping. In the areas of diagnosis and treatment planning, one of the first problems to be attacked will be the automation of head film analysis. The problems of constructing computer-aided systems for this purpose are considered herein in the light of the authors' 10 years of experience in developing a similar system for research purposes. The need for building in methods for automatic detection and correction of gross errors is discussed and the authors' method for doing so is presented. The construction of a rudimentary machine-readable data base for research and clinical purposes is described.

Cephalometry↗

Diagnostic value of computed tomography in pancreatic carcinoma: a comparison with other radiologic methods.

Computed tomography (CT) performed on 54 patients with pancreatic carcinoma showed evidence of pancreatic disease in 44, but a definite diagnosis of an inoperable pancreatic carcinoma could be made in only 16 by revealing liver metastases. Differentiation between neoplastic and inflammatory disease was impossible in most patients, particularly in patients with resectable tumors. CT was found to be inferior to angiography, PTC and ERCP in diagnosing pancreatic carcinoma. CT was also significantly less sensitive than angiography in assessing operability. However, in patients where CT demonstrated liver metastases, angiography and ERCP may be avoided.

Adult↗

Benchmark test cases for evaluation of computer-based methods for detection of setup errors: realistic digitally reconstructed electronic portal images with known setup errors.

PURPOSE: The purpose of this investigation was to develop methods and software for computing realistic digitally reconstructed electronic portal images with known setup errors for use as benchmark test cases for evaluation and intercomparison of computer-based methods for image matching and detecting setup errors in electronic portal images. METHODS AND MATERIALS: An existing software tool for computing digitally reconstructed radiographs was modified to compute simulated megavoltage images. An interface was added to allow the user to specify which setup parameter(s) will contain computer-induced random and systematic errors in a reference beam created during virtual simulation. Other software features include options for adding random and structured noise, Gaussian blurring to simulate geometric unsharpness, histogram matching with a "typical" electronic portal image, specifying individual preferences for the appearance of the "gold standard" image, and specifying the number of images generated. The visible male computed tomography data set from the National Library of Medicine was used as the planning image. RESULTS: Digitally reconstructed electronic portal images with known setup errors have been generated and used to evaluate our methods for automatic image matching and error detection. Any number of different sets of test cases can be generated to investigate setup errors involving selected setup parameters and anatomic volumes. This approach has proved to be invaluable for determination of error detection sensitivity under ideal (rigid body) conditions and for guiding further development of image matching and error detection methods. Example images have been successfully exported for similar use at other sites. CONCLUSIONS: Because absolute truth is known, digitally reconstructed electronic portal images with known setup errors are well suited for evaluation of computer-aided image matching and error detection methods. High-quality planning images, such as the visible human CT scans from the National Library of Medicine, are essential for producing realistic images. Sets of test cases with systematic and random errors in selected setup parameters and anatomic volumes are suitable for use as standard benchmarks by the radiotherapy community. In addition to serving as an aid to research and development, benchmark images may also be useful for evaluation of commercial systems and as part of a quality assurance program for clinical systems. Test cases and software are available upon request.

Computer Simulation↗

A widely applicable method for computing dose distributions from external megavoltage beams.

A method of computing megavoltage dose distributions using an empirical mathematical model is described. The dose at a point in a medium is calculated as the product of a central axis percentage depth dose, a crossplot factor and a wedge factor. For a given set of conditions (i.e. type of machine, source-skin distance and wedge) 16 parameters are required to calculate the values of the three factors and hence the dose at any point. These parameters can be obtained from a relatively small number of experimental measurements. Dose distributions from a variety of different treatment machines have been computed by the method, and some comparisons of the calculated and measured doses have been made using "Goodness of Fit" score values. These show that the use of the method as a basis for computer treatment planning should be clinically acceptable.

Computers↗

Estimation of tissue volume from serial tomographic sections. A statistical random marking method.

Computer operator-interactive planimetric methods that have been employed to measure volume of a selected tissue in serial computed tomographic sections are time consuming, and the accuracy of the measurement is limited by the operator's skill in outlining the tissue. We introduce an alternate method that is 5 to 6 times faster than planimetry and is independent of the operator's outlining dexterity. This method involves the random marking of voxels in a three-dimensional array of known size and subsequent identification of the proportion of those voxels that are within the tissue of interest. Tissue of the kidney and left ventricular myocardium were imaged in situ with a high speed, volume scanning, computerized x-ray tomographic imaging system. Volumetric measurements made by the random marking method correlated highly (r = 0.99) with measurements made by planimetry and with postmortem weight. These data indicate that the random marking method provides a rapid and accurate means of estimating tissue volume in serial tomographic sections.

Animals↗

A simple method for computer quantification of stage REM eye movement potentials.

We describe a simple method for computer quantification of eye movement (EM) potentials during REM sleep. This method can be applied by investigators using either period-amplitude (PA) or Fast Fourier Transform (FFT) spectral EEG analysis without special hardware or computer programming. It provides good correlations with visual ratings of EM in baseline sleep and after administration of GABAergic hypnotics. We present baseline data for both PA and FFT measures for 16 normal subjects, studied for 5 consecutive nights. Both visually rated and computer-measured EM density (EMD) showed high night-to-night correlations across baseline and drug nights and the computer measures detected the EMD suppression that is produced by GABAergic drugs. Measurement of EM in addition to stage REM provides biologically significant information and application of this simple computer method, which does not require pattern recognition algorithms or special hardware, could provide reliable data that can be compared across laboratories.

Computers↗

Quantal release of neurotransmitter: an iterative method for the automatic computation of binomial distribution parameters.

A computational method is presented by which, when the amplitude-frequency histogram of the excitatory post-synaptic potentials shows a binomial distribution, an accurate evaluation of the statistical parameters p and n may be obtained. The entire procedure is a combination of 3 basic methods: steepest descent, parabolic interpolation and Montecarlo technique. The two statistical parameters are evaluated independently with respect to each other, which makes an effective control of the accuracy of the calculation possible by comparing the p by n product with the average number of quanta released in response to each nerve impulse, conventionally computed. Applications to quantal release studies in both rat and guinea-pig superior cervical ganglia are also presented.

Animals↗

[Comparison of methods for computer and visual assessment of stenosing lesions of the coronary arteries. 1].

A system of computer analysis of coronary arteries stenotic lesions developed in the USSR Cardiology Research Centre, Academy of Medical Sciences of the USSR, is described. Reliability of the computer analysis data was assessed, and computer and visual methods were compared on the basis of phantom study. The study was performed in 5 models of stenotic coronary arteries, the main parameters of which were measured mechanically as well as by computer and visual analysis of their images. Both methods proved to give highly reproducible intraobserver and interobserver results. Comparison to mechanically obtained data showed that the results of computer analysis are highly significant while visual evaluation allows no accurate evaluation of the stenosis degree (it is overestimated).

Cardiac Care Facilities↗

Constructing retinal fundus photomontages. A new computer-based method.

PURPOSE: To develop computer algorithms for reconstructing 24-bit color, wide-angle composite retinal fundus images from a set of adjacent 45 degrees fundus slides. The authors present the description, technical details, and results of the image reconstruction technique. METHODS: Patients with retinal degeneration underwent fundus photography with a 45 degrees field-of-view fundus camera. Individual photographic slides were digitized for creating fundus montages. Background variations in individual 45 degrees images were modeled to first- or second-order two-dimensional polynomial functions to generate a background image. The background image was subtracted from the original image to obtain background corrected image. Background corrected images were registered and spatially transformed using a first- or second-order two-dimensional polynomial warp model to reconstruct a composite retinal fundus montage. RESULTS: The authors successfully reconstructed 24-bit color, 100 degrees field-of-view, composite retinal fundus images. The computer-reconstructed montages are an improvement over manually generated montages because computer analysis can be performed on the computer-based montages. In addition, background variations and discontinuities between individual photographs observed in manually generated montages are reduced greatly in computer-generated montages. Most important, the computer-generated montages are better aligned than the manually generated photomontages. CONCLUSIONS: This method of reconstructing a wide-angle composite retinal fundus image from a set of adjacent small- and wide-angle fundus slides is a new tool for creating montages as large as 100 degrees field of view. The computer-generated montages may be used for documenting and quantifying retinal findings. This can greatly assist studies of retinal manifestations of diseases, such as gyrate atrophy, retinitis pigmentosa, sickle cell disease, and acquired immune deficiency syndrome.

Algorithms↗

Contrast-enhanced computed tomography in carcinoma of the urinary bladder. The use of different injection methods.

Computed tomography (CT) scans of the urinary bladder were taken before and in combination with intravenous contrast medium injection in 30 patients with invasive bladder carcinoma. Three different ways of injecting the same amount of intravenous contrast material were used in three groups, each consisting of ten patients. In the first group the contrast medium was given during 90 seconds, in the second group during 40 seconds and in the third one, the first half during 20 seconds and the second half during 90 seconds. The attenuation in the tumors and in the bladder wall was measured in Hounsfield units. Independent of injection method, all tumors showed significantly higher contrast enhancement than the bladder wall when the injection was terminated. The difference in contrast enhancement was greatest in the group where the shortest injection time was used and greatest immediately after the conclusion of the injection. The difference in contrast enhancement between tumor and bladder wall was visible on the monitor in all cases.

Contrast Media↗

A method for computer simulation of ultrasound Doppler color flow images--I. Theory and numerical method.

Ultrasound imaging systems utilizing the pulsed Doppler principle are capable of providing images of blood flow in real time. We present a useful method for simulating flow images on a computer. Our method assumes that blood and surrounding tissue consist of many point-like scatters positioned randomly in three dimensions. The position-dependent acoustic response of each scatterer is calculated using the acoustic impulse response method. This method takes into account the spatial effects of the transducer geometry on both the amplitude and temporal response of point-scattering. Details of theory, assumptions made in the simulation, and numerical methods are described fully for a spherically focused transducer, as well as a discussion of signal processing for generation of the flow image. Motion of a single scatterer is investigated to test the performance of the simulation algorithm. This simulation method could potentially be beneficial for detailed study of current and future flow imaging systems.

Blood Flow Velocity↗