[A methodology for the automatic analysis, using a digital computer, of electronystagmographic tracings].
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We describe a microcomputer system for on-line analysis of eye movement recordings. Quantitative data from the patient and statistical comparison with normative data is available within seconds of test completion. Three types of eye movements are analyzed--voluntary saccades, smooth pursuit, and nystagmus. The first two are induced by a computer-controlled laser dot projected onto a screen and the third by a computer-controlled optokinetic drum, caloric infusion, and rotatory chair. The computer algorithm differentiates the eye position signal to yield an instantaneous eye velocity record. Saccades are identified based on their characteristic velocity profile. For pursuit and nystagmus. The first two are induced by a computer-controlled laser dot projected onto a screen and the third by a computer-controlled optokinetic drum, caloric infusion, and rotatory chair. The computer algorithm differentiates the eye position signal to yield an instaneous eye velocity record. Saccades are identified based on their characteristic velocity profile. For pursuit and nystagmus, the velocity record is modified by linearly interpolating across segments in which saccades occurred. The gain (output eye velocity/input eye velocity) is calculated after Fourier analysis of the data.
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Diagnostic techniques as a whole and periodic ultrasonography (US) in particular frequently allows tumors < 3 cm (small hepatocellular carcinomas) to be detected in patients suffering from liver cirrhosis. Multifocal diseases are a major limitation to surgery. Recently, MR imaging has shown its capabilities in the diagnosis of small hepatocellular carcinomas. In our study the diagnostic value of MR imaging was compared with that of US, of pre- and post-contrast CT, of digital angiography and of CT after lipiodol injection (Lipiodol CT). The morphologic and signal intensity MR features of small hepatocellular carcinomas were investigated. Fifteen cirrhotic patients with 31 nodules of hepatocellular carcinoma < 3 cm were examined. All patients were studied with US, MR imaging, angiography and Lipiodol CT; 12/15 patients underwent CT. Histologic confirmation was obtained in 12 nodules (2 at surgery and 10 by means of percutaneous biopsy); in the extant 19 cases the diagnosis was made by combining US, CT, MR, angiographic and lipiodol-CT findings; in 9 tumors < 1 cm Lipiodol retention one month after angiography was considered as diagnostic. MR imaging detected 21/31 nodules (63%), US 22/31 (66.6%), CT 12/24 (50%), angiography 24/31 (74%), lipiodol CT 29/31 (92.5%). Mc Nemar test showed no difference in sensitivity between MR imaging and CT, MR and angiography, MR and US, lipiodol CT and angiography; however, the differences between the detection rates of MR imaging and Lipiodol CT and CT and lipiodol CT and US were statistically significant (p < 0.05). The difference in sensitivity between the detection rates of lipiodol CT and US was just above the threshold value which is usually considered significant (p = 0.065). One false positive was observed on US and none with MR, CT, angiography and lipiodol CT. On Se T1-weighted images 18 nodules were hyperintense, 2 isointense and 2 hypointense; on proton-density images 14 nodules were hyperintense, 7 isointense and none hypointense. On SE T2-weighted images 18 nodules were hyperintense, 3 isointense and none hypointense. A pseudocapsule was seen in 10/17 nodules (58%), especially on T1-weighted images. Accuracy and limitations of each technique and morphologic and signal intensity MR findings of small hepatocellular carcinoma are discussed. We believe that US is still the best diagnostic technique for the screening of hepatocellular carcinomas in cirrhotic livers.(ABSTRACT TRUNCATED AT 400 WORDS)
In an attempt to quantitate the physical behavior of biological systems, Fourier analysis has been applied to the respiratory and circulatory systems by a number of investigators. The validity of this application has been questioned on the basis that these systems are nonlinear and not strictly periodic. If these objections were valid much of the more recent work in this field would have to be re-evaluated. The applicability of Fourier analysis to these two systems was therefore investigated, both theoretically and experimentally, using on-line analysis on a LINC (laboratory instrument computer) digital computer. In normal anesthetized dogs errors introduced by deviations from periodicity and linearity were found to be within the range of measurement errors. In sinusoidally perfused aortas the amount of second harmonic produced by the vessel was less than 5%. In addition, the magnitude of errors due to faulty determination of cycle length, sampling techniques, aliasing, and A-D (analogue to digital) conversion were evaluated and found to be within the noise level of the measuring equipment when appropriate techniques were employed. Utmost care has to be used in the coupling between a transducer and the system to be measured, and dynamic calibration before each experiment is a prerequisite for successful analysis. With presently available equipment the static measurement errors can be reduced to +/-0.2 cm H(2)O for pressure transducers, 0.1 cm(3)/sec for electromagnetic flowmeters, and 5 x 10(-4) cm for measurement of radius changes. The frequency response of this equipment once properly coupled to the system is flat to at least 20 cycle/sec.
Digital subtraction angiography has been accepted as an invaluable clinical tool over the past decade; however, film-screen-based angiography is still performed routinely when high-resolution or large field-of-view angiograms are needed. A technique is presented whereby two films from an angiographic sequence are digitized using a high-resolution laser digitizer, and the digitized images are aligned, subtracted, and displayed using the computer. To accommodate for some types of patient motion, an image warping algorithm is presented and discussed in detail. The warping algorithm is piecewise linear, using triangular regions for warping, resulting in a global nonlinear transform across triangle elements. An algorithm describing optimal triangle selection also is discussed. The results show that subtraction images of excellent quality can be produced by the proposed technique, and suggest that, in some settings, digitized subtraction films may be preferred over conventional film subtraction.