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PubMed1982

The computerized diagnostic radiology department: update 1982.

The small digital computer is becoming ever more powerful, reliable, and inexpensive. Diagnostic radiology and the computer are becoming more intertwined. During the past decade, computed tomography (CT) has achieved outstanding success. CT and other digital image systems that are capable of computer manipulation, storage, and viewing are becoming more numerous. Of increasing importance are the new and maturing reporting and operations/management systems. The many facets of newer computer and diagnostic radiology developments are discussed, and a model is presented here that integrates all applications into a single system. Many benefits in improved patient care and general operations of the department would result from its implementation. Some elements of this model exist now and can be installed with relatively little effort. Development of the entire model is within the state of current technology. A number of trends suggest that diagnostic radiology is becoming more ready to use such a model.

Computers↗
PubMed1982

Computer analysis of slow vital capacity spirograms.

We have developed a digital computer program which evaluates the vital capacity and its subdivisions, expiratory reserve volume and inspiratory capacity. The algorithm examines the multibreath spirogram, a continuous record of quiet breathing interspersed among repeated slow, large volume maneuvers. Quiet breaths are recognized by comparing features of each breath to the respective average and variation of these features for all breaths. A self-scaling, iterative procedure is used to identify those end-tidal points that most likely represent the subject's functional residual capacity. A least-squared error baseline is then fit through these points to partition the vital capacity. Twenty-three spirograms from patients with documented pulmonary disease were independently analyzed by the computer, a pulmonary function technician, and the laboratory supervisor. No practical differences were found among the results. However, the computer's values, in contrast to those of the technician, were reproducible on repeated trials and free of computational and transcriptional errors.

Computers↗
PubMed1993

Computer simulation of normal and pathological copper metabolism in man.

A digital computer simulation of copper metabolism was used to simulate human copper metabolism. The simulation agrees well with the normal data extant. Wilson's disease (hepatolenticular degeneration) and Menkes' disease (steely-hair syndrome) were simulated. Simulation of the unavailability of accumulated liver copper simulated Wilson's disease if it was assumed that the increased urinary excretion was due to induction of an enzymic mechanism for enhanced excretion. This would be consistent with the genetic defect causing only the sequestering of unavailable copper in the liver. Other genetic defects need not be present. Menkes' disease is also a genetic disease affecting the newborn. It was simulated successfully as a defect in absorption of copper from the gastrointestinal tract.

Adult↗
PubMed2001

Value of lipiodol computed tomography and digital subtraction angiography in the era of helical biphasic computed tomography as preoperative assessment of hepatocellular carcinoma.

OBJECTIVE: To compare the diagnostic accuracies of Lipiodol computed tomography (CT) and helical biphasic CT as preoperative imaging modalities for hepatocellular carcinoma (HCC). SUMMARY BACKGROUND DATA: Lipiodol CT after digital subtraction angiography has long been used as a highly sensitive imaging modality for HCC. The recent advent of helical CT has allowed scanning the entire liver during both the arterial and portal venous phase of contrast enhancement. METHODS: The authors analyzed data from 164 patients who underwent hepatic resection for HCC to calculate the sensitivity and specificity of these modalities. Findings of intraoperative ultrasonography followed by histologic confirmation were set as the gold standard. RESULTS: Although sensitivity decreased with both modalities as tumors became small and well differentiated, helical CT showed a higher sensitivity than Lipiodol CT in detecting well-differentiated HCC nodules smaller than 2 cm. In contrast, Lipiodol CT was superior to helical CT for the detection of small but moderately to poorly differentiated nodules. The overall sensitivity of helical CT was higher than that of Lipiodol CT. These findings suggest that helical CT is superior in delineating early HCC, whereas Lipiodol CT is specific to the detection of intrahepatic metastases. In terms of specificity, helical CT was superior to Lipiodol CT. CONCLUSIONS: Helical CT and Lipiodol CT are complementary modalities. At present, helical biphasic CT does not obviate the need for invasive techniques such as angiography and Lipiodol CT as preoperative examinations for HCC.

Adult↗
PubMed1985

A digital sound editor.

A series of digital computer programs which facilitate the production and control of acoustic stimuli for hearing assessment and research are described. The package, which is available for PDP 11 computers under RT-11, allows sounds to be digitized, adjusted for amplitude and/or dc offset, edited while in digital form, and output to file or tape. The waveform editor package includes facilities to edit sounds in time--with some sections removed or added with temporal precision of 0.1 msec or better. Two or more sounds may also be combined for stereo or monaural (sound-on-sound) output, or two may be concatenated. Together, the programs permit a wide range of manipulations useful in preparing sound stimuli for use in hearing experiments or in clinical audiometry.

Computers↗
PubMed1996

Interactive three dimensional inspection of patient setup in radiation therapy using digital portal images and computed tomography data.

PURPOSE: Presently, the majority of clinical tools to quantify deviations in patient setup during external beam radiotherapy is based on two-dimensional (2D) analysis of portal images. The purpose of this study is to develop a tool for the inspection of the patient setup in three dimensions (3D) and to validate its clinical advantage over methods based on 2D analysis in the presence of out-of-plane rotations. METHODS AND MATERIALS: We developed an interactive procedure to quantify the setup deviation of the patient in 3D. The procedure is based on fast computation of digitally reconstructed radiographs (DRRs) in two beam directions and comparison of these DRRs with corresponding portal images. The potential of the tool is demonstrated on three selected cases of prostate and parotid gland treatment where conventional 2D analysis produced inconsistent results. The measurements from 3D analysis are compared with those obtained from the 2D analysis. RESULTS: Despite application of an immobilization cast, two investigated parotid gland setups showed rotational deviations in 3D up to 3 degrees. Two-dimensional analysis of these deviations produced inconsistent results. Analysis of the selected prostate setup in 3D showed a rotational deviation of 7 degrees around the left-right axis, possibly causing displacement of the seminal vesicles toward the borders of the conformal boost fields. Using 2D analysis, this out-of-plane rotation was misinterpreted as a translation resulting in the failure to trigger the decision protocol to correct the setup after the first fraction. Using the 3D patient setup analysis procedure, an accuracy of the order of 1 mm and 1 degree (SD) could be obtained. The computation time of the interactive DRRs is of the order of 1 s on a 60 MHz PC. The complete interactive 3D analysis requires about 10 min. CONCLUSIONS: Quantification of the patient setup in 3D provides essential additional information in cases where conventional 2D analysis is inconsistent, e.g., in the presence of out-of-plane rotations or geometrical degeneracies. The speed and accuracy of the interactive 3D patient setup inspection are acceptable for use in offline clinical studies and analysis of problem cases.

Humans↗
PubMed1976

Computer detection of premature ventricular complexes: a modified approach.

The accuracy of a data reduction system for arrhythmia detection in identifying premature ventricular complexes was evaluated in continuous tape records of 30 patients in a coronary care unit. Computer analysis was performed with a Honeywell 316 digital computer. Threshold values for dominant complexes were automatically determined and recognition of premature ventricular complexes was based on differences in QRS configuration, timing and T wave configuration from the dominant complexes. Verification of the computer accuracy in detecting premature ventricular complexes was made with visual beat by beat inspection using a two channel strip chart recorder with simultaneous recording of the electrocardiogram and computer signal. This procedure allowed for exact beat to beat correlation and, thus, absolute determination of false positive and false negative identification. From 0.5 to 6 continuous hours of monitoring per patient (average 3.5 hours) were analyzed for a total of 105 monitoring hours. The basic cardiac rhythms noted were normal sinus rhythm, sinue arrhythmia, sinus tachycardia, demand pacemaker rhythm, atrial fibrillation and atrioventricular (A-V) dissociation with junctional rhythm. Premature ventricular complexes were evident in 28 tapes (93 percent) including 12 (43% with multifocal premature ventricular complexes and 3 (11 percent) with ventricular tachycardia. The visual count of premature ventricular complexes totaled 7,921. Of these, 7,542 (95 percent) were properly classified by the computer. The total computer count was 8.717, representing a 13 percent false positive and 5 percent false negative identification rate. The false positive identifications of premature ventricular complexes occurred during periods of 10 seconds or more of continuous noise artifact and in the presence of atrial premature complexes conducted aberrantly. When these sections of tape were excluded, the computer had a less than 2 percent false negative and 3 percent false positive rate of identification of premature ventricular complexes.

Arrhythmias, Cardiac↗
PubMed1998

The dynamical hypothesis in cognitive science.

According to the dominant computational approach in cognitive science, cognitive agents are digital computers; according to the alternative approach, they are dynamical systems. This target article attempts to articulate and support the dynamical hypothesis. The dynamical hypothesis has two major components: the nature hypothesis (cognitive agents are dynamical systems) and the knowledge hypothesis (cognitive agents can be understood dynamically). A wide range of objections to this hypothesis can be rebutted. The conclusion is that cognitive systems may well be dynamical systems, and only sustained empirical research in cognitive science will determine the extent to which that is true.

Cognition↗
PubMed1982

Digital on-line computation of a predictor of cardiac oxygen consumption. Left ventricular systolic pressure volume area.

Left ventricular systolic pressure volume area (PVA) has been proposed as a reliable predictor of cardiac oxygen consumption per beat (VO2). PVA is the area in the pressure-volume (P-V) diagram that is circumscribed by the end-systolic and end-diastolic P-V relation curves and the systolic segment of the P-V loop trajectory. It represents the total mechanical energy required for the ventricle to contract, to change its wall's elastic state from end diastole to end systole, and to eject blood against afterload. PVA has so far been measured manually with a planimeter applied to the P-V diagram. To measure PVA more accurately and on line during experiments, we devised a new method of computing PVA with a digital computer. The method consists of integrating during systole the infinitesimally narrow triangular pressure volume area swept by the straight line segment connecting Vd (ventricular volume at which peak isovolumic pressure is zero) and the instantaneously counterclockwise moving P-V data point in the P-V plane, and adding a small area between the end-diastolic P-V relation curve and the line connecting Vd and the end-diastolic P-V point. This method has proved useful in our study of the relation between VO2 and PVA to evaluate the PVA's ability to predict VO2.

Blood Pressure↗
PubMed1977

The hematofluorometer.

A portable filter fluorometer, the hematofluorometer--which utilizes "front face" optics, internal standards, and digital computation capabilities--has been specifically designed for the rapid (approximately 5 s) assay of erythrocyte zinc protoporphyrin in unprocessed blood. A small (unmeasured) drop of blood, such as is obtained from a finger puncture, is placed on disposable cover slip and inserted in the sample holder of the instrument. The operator pushes the holder of the instrument. The operator pushes the holder, which also holds the permanent blank and standard, into the instrument. Zinc protoporphyrin concentration is automatically and instantaneously computed and the value is displayed on a digital readout as micrograms of zinc protoporphyrin per deciliter of blood for some standard hematocrit. No calibration adjustment need be performed by the operator. The hematofluorometer is designed for "field" use as well as for laboratory assays.

Erythrocytes↗
PubMed1986

Localization of foreign bodies in the spinal canal by computer-assisted biplanar digitizer.

This study is a report of the use of a computer-assisted biplane digitizer to locate shotgun pellets within the spinal canal in an incompletely paralyzed patient. It was necessary to determine if one or more shotgun pellets were located within the spinal cord of the patient. Because of the profusion of pellets it was not possible to determine which, if any, of the pellets were in the spinal canal by routine roentgenograms. The problem of determining the location of each pellet with respect to the spinal cord was resolved by the use of biplane radiography in conjunction with an x-ray digitizer and a computer program. This report presents the method for localizing foreign bodies and discusses the results of the procedure. It was concluded that the described method successfully located the position of pellets with respect to the spinal column and cord. This method may be useful for locating metallic fragments that have to be surgically removed in other patients sustaining spinal cord injury secondary to single missile wounds.

Adult↗
PubMed1976

A computer program for an open two compartment system distinguishing three models.

A digital computer program is described for the estimation of parameters in an open two compartment system distinguishing 3 models. The mathematical function to be fitted to a given set of experimental data is given initial estimates for the parameters of the function. The program uses an iterative procedure to adjust the parameters until the sum of squares of residuals has converged to a minimum. Assuming that a given substance is introduced into compartment 1, the function can be fitted to the set of experiment data of that compartment. A set of experimental data from compartment 2 can also be included in the minimizing function. Two optional weighting functions are presented. From the constants of the two-exponential functions the physiological parameters of the three models are determined. Experimental observations of compartment 1 only allow for calculation of physiological parameters of two of the models.

Computers↗
PubMed1977

[Nystagmus analysis by computer (author's transl)].

Automatic quantitative nystagmus analysis by means of a digital computer primarily gives a lot of data. Analysis then means reducing this amount of numerical data to a few relevant results. Because the diagnostic importance is not known yet for all available nystagmus parameters, this implies the risk of losing essential informations. Therefore, limitations of the number of parameters as well as of the duration of the investigated intervals by the method of analysis have to be avoided. This then allows studying the diagnostic value of new parameters (e.g. of the fast components) or the time course of reaction intensity. From this point of view a method of quantitative nystagmus analysis is described.

Computers↗
PubMed2002

Computational reconstruction of images from holograms.

The equations to reconstruct an image plane from a hologram are developed. This development is carried out for planes parallel to the hologram, which allows fast computation through the use of fast Fourier transforms. Algorithms for a digital computer are developed so images can be reconstructed, both with and without the Fresnel approximation, from a digitized hologram without the need for three-dimensional optical reconstruction equipment. Examples of holographically recorded images of marine micro-organisms are shown. A computational method for counting the number of micro-organisms in the holographically recorded volume is developed, and an example is provided.

Journal Article↗
PubMed1982

Smoothing and differentiation of displacement-time data: an application of splines and digital filtering.

The advent of the digital computer has allowed workers in the field of biomechanics to perform data smoothing and time differentiation numerically. The methods which are most commonly used are spline functions and digital filtering. This paper provides raw displacement-time data for an object falling in the earth's gravitational field and demonstrates the results obtained using splines and digital filtering to calculate acceleration. It is recommended that the quintic spline is a good method to use provided one has sufficient core available, and the digital filter, with some form of augmentation and/or velocity smoothing, can yield satisfactory results for the user who has a mini- or micro-computer. Listings of the digital filter and finite difference subroutines are provided.

Biomechanical Phenomena↗
PubMed1988

Modeling the process of problem-solving by associative networks capable of improving the performance.

In this paper a model of neural network underlying arithmetic problem-solving is described. Memory models of procedural memory, semantic memory, and working memory, which are necessary to represent the process of the problem-solving, are constructed within a framework of a model of associative processor, HASP, proposed by one of the authors (Hirai 1983). Performance of the model has been simulated on a digital computer. By memorizing primitive knowledge of addition of two digits such as 6 + 8 = 14 in the semantic memory and procedural knowledge for the control of the process of adding in the procedural memory, the model can perform addition of multiple numbers with multiple digits. By making explicit serial associations between consecutive procedural steps, the performance of the model can be improved, because a current procedural step primes the next one. In addition, if a preceding procedural step is a subset of the next one, merging between the two steps occurs. The performance can be improved about 20% by these priming and merging. By memorizing incorrect procedures, the model can generate four kinds of bugs of addition which were observed in children's performance.

Computer Simulation↗
PubMed1989

Historical evolution of disease mapping in general and specifically of cancer mapping.

The presentation of areal data in epidemiology is illustrated by such mapping techniques as dots (spots), shading (choropleth, thematic) and isolines (isopleths). Examples are also given of computer-assisted cartography (computer graphics) which employs hardware and software components of digital computers, together with the use of geographical and demographic base maps.

Cluster Analysis↗