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Detection of degradation of magnetic resonance (MR) images: comparison of an automated MR image-quality analysis system with trained human observers.

RATIONALE AND OBJECTIVES: The perceived need for magnetic resonance (MR) imaging quality control (QC) is occasionally minimized on the assumption that significant errors will be detected by the users. To evaluate the validity of this assumption, we compared the sensitivity of a test object and automated image analysis system for MR imaging QC with the sensitivity of trained human observers by evaluating images that were intentionally degraded. METHODS: Parameters for imaging the test object and normal human volunteers were set to values that decreased the signal-to-noise ratio (SNR), caused distortion, and increased the slice thickness and separation. RESULTS: The human observers were able to detect a 6-13% reduction in the SNR and distortions of more than 15% in human images. They were unable to identify 40% increases in the slice thickness. Automated analysis of test object images was able to detect all image degradations at the minimum levels applied. CONCLUSION: The poor sensitivity of the human observers indicated that degradation, especially spatial measurements, could be significantly in error before being detected through visual analysis of clinical images. These errors would be detected by automated analysis of the test object used. Further investigation is needed to better define the accuracy with which quantitative image-quality analysis predicts the effects of degraded image quality on the ability of human observers to detect subtle abnormalities in clinical images.

Contrast Sensitivity↗

Evaluation of the clinical performance of automated proton magnetic resonance spectroscopy in children.

RATIONALE AND OBJECTIVES: Because expeditious neuroimaging is imperative in pediatric patients, we evaluated automated procedures for proton magnetic resonance spectroscopy (1H MRS) of the brain of children. METHODS: 1H MRS was performed on a 1.5-T GE Signa. The protocol included stimulated echo-acquisition mode and spin-echo point resolved spectroscopy. The automated routine included adjustment of first-order gradient shims (x, y, z1) to optimize magnetic field homogeneity, transmit power, center frequency, receiver gain, and water suppression. All spectra were processed with the use of spectroscopy analysis software from General Electric on a Sun workstation. RESULTS: The use of the automated procedures reduced the length of our 1H MRS protocol by 50%. Magnetic field homogeneity was within our accepted standards (7 +/- 2 Hz). Water suppression was within range of our accepted factors (1000-10,000). However, on certain occasions, baseline distortions affected resonances in the 3.22-4.04 ppm range. CONCLUSIONS: Shortening of the time required for clinical 1H MRS will increase its application in evaluating children.

Brain↗

The effect of automated nonroller processing on the sensitometric characteristics of 3 intraoral film types.

OBJECTIVES: We sought to compare the sensitometric characteristics of 3 intraoral film types processed in an automated roller solution with the characteristics of the films processed in 4 automated nonroller solutions. STUDY DESIGN: Eastman Kodak Ultra-Speed, Flow X-ray EV-57, and Eastman Kodak InSight films were exposed to varying levels of radiation and processed in 1 automated roller solution and in 4 nonroller solutions. Speed and contrast were measured at various density levels and ranges. RESULTS: With the exception of 1 nonroller solution, there was little difference in speed between roller and nonroller processing chemicals at various density levels. Some nonroller solutions were faster than the roller chemicals for all films. Nonroller processing mostly increased contrast compared with roller processing over various ranges. CONCLUSIONS: Sensitometric properties of films processed in automatic nonroller solutions are comparable in many cases to those in roller solutions, sometimes resulting in greater speed and contrast. Different adjustments in exposure factors are required for specific film/processing combinations.

Analysis of Variance↗

Automated lumen definition from 30 MHz intravascular ultrasound images.

One prerequisite for standard clinical use of intravascular ultrasound imaging is rapid evaluation of the data. The main quantities to be extracted from the data are the size and the shape of the lumen. Until now, no accurate, robust and reproducible method to obtain the lumen boundaries from intravascular ultrasound images has been described. In this study, 21 different (semi-)automated binary-segmentation methods for determining the lumen are compared with manual segmentation to find an alternative for the laborious and subjective procedure of manual editing. After a preprocessing step in which the catheter area is filled with lumen-like grey values, all approaches consist of two steps: (i) smoothing the images with different filtering methods and (ii) extracting the lumen by an object definition method. The combination of different filtering methods and object definition methods results in a total of 21 methods and 80 experiments. The results are compared with a reference image, obtained from manual editing, by use of four different quality parameters--two based on squared distances and two based on Mahalanobis distances. The evaluation has been carried out on 15 images, of which seven are obtained before balloon dilation and eight after balloon dilation. While for the post-dilation images no definite conclusions can be drawn, an automated contour model applied to images smoothed with a large kernel appears to be a good alternative to manual contouring. For pre-dilation images a fully automated active contour model, initialized by thresholding, preceded by filtering with a small-scale median filter is the best alternative for manual delineation. The results of this method are even better than manual segmentation, i.e. they are consistently closer to the reference image than the average distance of all individual manual segmentations.

Catheterization↗

Improvement in the performance of automated spike detection using dipole source features for artefact rejection.

OBJECTIVE: We evaluated the use of an efficient dipole source algorithm to improve performance of automated spike detection by identifying false detections caused by artefacts. METHODS: Automated spike detections were acquired from 26 patients undergoing prolonged electroencephalograph (EEG) monitoring. Data from 6 patients were used to develop the method and data from 20 patients were used to test the method. To provide a standard against which to evaluate the results, an electroencephalographer (EEGer) visually categorized all automated detections before the dipole models were calculated for all events. The event categories (as defined by the EEGer) were then combined with properties of the dipole model and features were identified that differentiated spike and artefact detections. The resulting method was then applied to the testing data set. RESULTS: Residual variance and eccentricity of the dipole models differentiated artefact and spike detections. A separate set of rules defining eye blink artefact was also developed. The combined criteria removed a mean of 53.2% of artefact from the testing data set. Some spike detections (4.3%) were also lost. CONCLUSIONS: The features of the dipole source of a detected event can be used to differentiate artefacts from spikes. This algorithm is computationally light and could be implemented on-line.

Electroencephalography↗

Calvitron automated hair transplant system in alopecia treatment: a case report.

The surgical treatment of alopecia is essentially based on minigraft and micrograft techniques in which grafts are inserted into a slit or punch recipient site. To facilitate the transplantation of large numbers of these small grafts, the Calvitron automated hair transplant system has been developed. We report a case of Norwood type V alopecia who received three sessions of hair transplantation (400-500 grafts per session) over 18 months with satisfactory results. During surgery, with one technician operating the machine, one surgeon and an assistant took 3.5 to 4 hours per session to accomplish the whole procedure from harvesting the grafts to implantation and closure of the donor scalp wound. This new automated minigraft and micrograft transplant technique is significantly timesaving for large numbers of grafts per session without altering the aesthetic results. It offers a good choice for hair replacement surgery to save manpower and cost. The use of the Calvitron automated hair transplant system proved to be a practical and effective approach to hair transplantation in this case.

Adult↗

Automated flow injection analyzer with on-line solid-phase extraction and chemiluminescence detection for the determination of dodecylamine in diesel fuels.

This paper describes the development of a portable, automated flow injection-chemiluminescence (FI-CL) analyzer incorporating on-line solid-phase extraction (SPE) for the determination of dodecylamine (detergent) in diesel fuels. The method is based on the peroxyoxalate/sulforhodamine 101 chemiluminescence reaction, with SPE required to remove indigenous compounds within the diesel fuel matrix that interfere with the CL response. The automated analyzer achieved a detection limit of 2.9 mg L(-1) and a linear range of 2.9-50 mg L(-1), which was suitable for determinations of dodecylamine at levels typically present in fully formulated diesel fuels (40 mg L(-1)). Analyses of base fuels from five different sources demonstrated that an automated FI-CL-SPE system could provide a portable instrument for monitoring the presence/absence of dodecylamine in diesel fuels.

Journal Article↗

Kinetic calibration for automated headspace liquid-phase microextraction.

The kinetics of the absorption and desorption of analytes for headspace liquid-phase microextraction (HS-LPME) were studied. It was found that the desorption of analytes from the extraction phase into the sample matrix is isotropic to the absorption of the analytes from the sample matrix into the extraction phase under the same conditions. This therefore allows for the calibration of absorption using desorption. Calibration was accomplished by exposing the extraction phase, which contained a standard, to the sample matrix. The information from the desorption of the standard, such as time constant a, could be directly used to estimate the concentration of the target analyte in the sample matrix. This new kinetic calibration method for headspace LPME was successfully used to correct the matrix effects in the BTEX analysis of an orange juice sample. In this study, the headspace LPME techniques were successfully fully automated, for both static and dynamic methods, with the CTC CombiPal autosampler. All operations of headspace LPME, including sample transfer and agitation, filling of extraction solvent, exposing the solvent in the headspace, withdrawing the solvent to syringe and introducing the extraction phase into injector, were autoperformed by the CTC autosampler. The fully automated headspace LPME technique is more convenient and improved the precision and sensitivity of the method. This automated dynamic headspace LPME technique can be also used to obtain the distribution coefficient between the sample matrix (aqueous or another solution) and the extraction phase (1-octanol or another solvent). The distribution coefficient between 1-octanol and orange juice, at 25 degrees C, was obtained with this technique.

Adsorption↗

Fully integrated miniature device for automated gene expression DNA microarray processing.

A DNA microarray with 12,000 features was integrated with a microfluidic cartridge to automate the fluidic handling steps required to carry out a gene expression study of the human leukemia cell line (K562). The fully integrated microfluidic device consists of microfluidic pumps/mixers, fluid channels, reagent chambers, and a DNA microarray silicon chip. Microarray hybridization and subsequent fluidic handling and reactions (including a number of washing and labeling steps) were performed in this fully automated and miniature device before fluorescent image scanning of the microarray chip. Electrochemical micropumps were integrated into the cartridge to provide pumping of liquid solutions. The device was completely self-contained: no external pressure sources, fluid storage, mechanical pumps, mixers, or valves were necessary for fluid manipulation, thus eliminating possible sample contamination and simplifying device operation. Fluidic experiments were performed to study the on-chip washing efficiency and uniformity. A single-color transcriptional analysis of K562 cells with a series of calibration controls (spiked-in controls) to characterize this new platform with regard to sensitivity, specificity, and dynamic range was performed. The device detected sample RNAs with a concentration as low as 0.375 pM. Experiment also showed that the performance of the integrated microfluidic device is comparable with the conventional hybridization chambers with manual operations, indicating that the on-chip fluidic handling (washing and reaction) is highly efficient and can be automated with no loss of performance. The device provides a cost-effective solution to eliminate labor-intensive and time-consuming fluidic handling steps in genomic analysis.

Bacteriophage lambda↗

Fully automated DNA reaction and analysis in a fluidic capillary instrument.

A simple, reliable, automated genetic analysis instrument has been designed and prototyped. The system uses novel fluidic technology, coupling thermal cycling, reaction purification, in-line loading, and capillary electrophoresis in a single instrument. Samples in the loop of an injection valve are amplified inside a rapid air thermal cycler. A liquid chromatographic separation eliminates contaminants and excess salt. The sample is loaded in an efficient, continuous, flow-through manner onto a polymer-filled separation capillary. Detection by laser-induced fluorescence produces signal-to-noise ratios of 1000:1 or greater. Refilling of the polymer-filled capillary is automatic; during the run, the system is reconditioned for injection of another sample. Since all components and connections are fluidic, automation is natural and simple. The instrument is reliable and fast, performing PCR reaction cycling, purification and analysis, all in 20 min. Reproducibility (CV) of retention times is 2% (n = 129) and of peak areas 9% (n = 34). Bubbles and particulates are eliminated by the chromatography column. Adaptation of the instrument prototype for separation of DNA-sequencing reactions is described; cycle sequencing and electrophoresis of a single lane are complete in 90 min. Implications and challenges for development of fully automated fluidic instruments for genomic sequencing are discussed.

Chromatography, High Pressure Liquid↗

Automated frit inlet/frit outlet flow field-flow fractionation for protein characterization with emphasis on polymeric wheat proteins.

A flow field-flow fractionation (FFF) unit fitted with a 254-nm spacer, frit inlet (FI), and frit outlet (FO) was automated for protein analysis by addition of a system controller, autosampler, and computer software to control pumps, sample loading, and data capture. Standard molecular size marker proteins and polymeric wheat storage protein extracts were used to assess the performance of the automated unit. Optimum resolution for these proteins was obtained with a sample inlet flow of 0.2 mL/min, a frit inlet flow (recirculating) of 1.4 mL/min, and a cross-flow (recirculating) of 5 mL/min using 0.05 M acetic acid containing 0.002% FL-70 as a carrier. Use of the FIFO FFF eliminates the requirement for stop-flow relaxation and pressure balancing, results in better reproducibility, and generates a 7-10-fold increase in sensitivity at the detector by concentrating fractions eluting from the channel. These improvements resulted in superior resolution of polymeric wheat protein fractions compared to those obtained previously using a standard channel with manual load and stop-flow relaxation, allowing accurate integration of peak or size range areas. Automation of this system allows unattended sample fractionation and hence markedly increases potential for sample throughput.

Chemical Fractionation↗

Automated 96-well SPE and LC-MS-MS for determination of protease inhibitors in plasma and cartilage tissues.

Bioanalytical methods based on automated solid-phase extraction (SPE) and high-performance liquid chromatography with electrospray tandem mass spectrometry (LC-MS-MS) have been developed and utilized for the determination of MMP inhibitors in plasma and cartilage tissues. The SPE methods were automated using a 96-well extraction plate and a 96-channel programmable liquid-handling workstation. The LC-MS-MS methods were developed using a rapid gradient LC separation, followed by sample introduction through an ionspray interface in the positive ion mode and tandem mass spectrometric detection with selected reaction monitoring. In the optimized SPE methods, crude plasma or ground cartilage supernatant samples were loaded onto an SPE plate to remove proteins and other interfering components in the matrixes to render relatively clean extracts for LC-MS-MS analysis. Compared to the simple plasma protein precipitation method, the automated SPE method afforded significant time-saving in sample preparation and improved sensitivity in MS detection. The methods were validated and successfully applied to the analysis of protease inhibitors in plasma and cartilage tissues.

Animals↗

Automated library generation using sequential microwave-assisted chemistry. Application toward the Biginelli multicomponent condensation.

The concept of automated sequential microwave-assisted library synthesis is introduced. For this purpose a dedicated single-mode microwave reactor with a robotics interface including a liquid handler and gripper was employed. The liquid handler allows dispensing of reagents into the Teflon sealed reaction vials, while the gripper moves each sealed vial in and out of the microwave cavity after irradiation. This technology was employed for the Biginelli three-component cyclocondensation reaction. A diverse set of 17 CH-acidic-carbonyl compounds (1A-Q), 25 aldehydes (2a-y), and 8 urea/thioureas (3alpha-varphi) was used in the preparation of a dihydropyrimidine (DHPM) library. Out of the full set of 3400 possible DHPM derivatives, a representative subset of 48 analogues was prepared using automated addition of building blocks and subsequent sequential microwave irradiation of each process vial. For most building block combinations 10 min of microwave flash heating at 120 degrees C using AcOH/EtOH (3:1) and 10 mol % Yb(OTf)(3) as solvent/catalyst system proved to be successful, leading to an average isolated yield of 52% of DHPMs with >90% purity. For some building block combinations the general conditions were modified, for example, by changing the solvent, catalyst, reaction temperature, or irradiation time. This flexibility is a distinct advantage of sequential over parallel microwave-assisted processes where all reactions are exposed to the same irradiation conditions. When the unattended automation capabilities of the microwave synthesizer are used, a library of this size can be synthesized within 12 h.

Journal Article↗

Comparing the quality and predictiveness between 3D QSAR models obtained from manual and automated alignment.

A set of 113 flexible cyclic urea inhibitors of human immunodeficiency virus protease (HIV-1 PR) was used to compare the quality and predictive power of CoMFA and CoMSIA models for manually or automatically aligned inhibitor set. Inhibitors that were aligned automatically with molecular docking were in agreement with information obtained from existing X-ray structures. Both alignment methods produced statistically significant CoMFA and CoMSIA models, with the best q(2) value being 0.649 and the best predictive r(2) being 0.754. The manual alignment gave statistically higher values, whereas the automated alignment gave more robust models for predicting the activities of an external inhibitor set. Both models utilized similar amino acids in the HIV-1 PR active site, supporting the idea that hydrogen bonds form between an inhibitor and the backbone carbonyl oxygens of Gly48 and Gly48' and also the backbone NH group of Asp30, Gly48, Asp29', and Gly48' of the enzyme. These results suggest that an automated inhibitor alignment can yield predictive 3D QSAR models that are well comparable to manual methods. Thus, an automated alignment method in creating 3D QSAR models is encouragable when a well-characterized structure of the target protein is available.

Binding Sites↗

Rapid and sensitive automated method for glucose monitoring in wine processing.

A rapid and sensitive automated method for glucose monitoring that might be employed during wine fermentation and processing was developed. A flow injection (FI) system coupled with an automated dilutor and the "redox-versatile" modified electrode were used to directly measure glucose in wine. To avoid interferences during wine analysis, different formulations of enzymatically modified carbon paste electrodes (CPE) were used and evaluated in oxidation and reduction mode. The best selectivity and sensitivity for glucose monitoring in real samples was obtained in cathodic mode at a fixed potential of 0 V versus Ag/AgCl using a CPE modified with glucose oxidase, horseradish peroxidase, and ferrocene as redox mediator. A total linear range of 0.02-50 g/L glucose was covered using this automated system and allowed the measurement of glucose in dry, medium, and sweet white or red wines without any sample pretreatment. The results showed a good correlation with the standard method, and the proposed method is very rapid, simple, and reliable and does not need skilled operators.

Autoanalysis↗

Automated backbone assignment of labeled proteins using the threshold accepting algorithm.

The sequential assignment of backbone resonances is the first step in the structure determination of proteins by heteronuclear NMR. For larger proteins, an assignment strategy based on proton side-chain information is no longer suitable for the use in an automated procedure. Our program PASTA (Protein ASsignment by Threshold Accepting) is therefore designed to partially or fully automate the sequential assignment of proteins, based on the analysis of NMR backbone resonances plus C beta information. In order to overcome the problems caused by peak overlap and missing signals in an automated assignment process, PASTA uses threshold accepting, a combinatorial optimization strategy, which is superior to simulated annealing due to generally faster convergence and better solutions. The reliability of this algorithm is shown by reproducing the complete sequential backbone assignment of several proteins from published NMR data. The robustness of the algorithm against misassigned signals, noise, spectral overlap and missing peaks is shown by repeating the assignment with reduced sequential information and increased chemical shift tolerances. The performance of the program on real data is finally demonstrated with automatically picked peak lists of human nonpancreatic synovial phospholipase A2, a protein with 124 residues.

Algorithms↗

Use of an automated anesthesia information system to determine reference limits for vital signs during cesarean section.

INTRODUCTION: We evaluated whether automated anesthesia information systems can be used to calculate reference limits (population-based "normal values") for vital signs. We considered four populations of women undergoing cesarean section: healthy under spinal anesthesia, healthy under general anesthesia, pre-eclamptic/eclamptic under spinal anesthesia, and pre-eclamptic/eclamptic under general anesthesia. METHODS: Reference limits were calculated for each of the study populations by determination of percentiles for: minimum heart rate, maximum heart rate, minimum arterial oxyhemoglobin saturation (SaO2), minimum mean arterial pressure (MAP), maximum MAP, decrease in MAP, and increase in MAP. RESULTS: There was one adverse anesthetic outcome among the 1,300 women in the study; the woman sustained a post-dural puncture headache. The 5th percentiles of SaO2 were at least 95% saturation under spinal versus 90% under general. Under spinal anesthesia, 95th percentiles for decreases in MAP from baseline were 63 mmHg for healthy and 75 mmHg for pre-eclamptic/eclamptic women. Under general anesthesia, the 95th percentiles for maximum MAP were 161 and 177 mmHg, respectively. Two women of the 1,300 patients experienced simultaneously a minimum SaO2 < 92% and minimum MAP < 50 mmHg. DISCUSSION: Automated anesthesia information systems can be used to determine reference limits for vital signs during anesthesia. Reference limits may play a role in malpractice cases when an expert claims that care by an anesthesiologist was sub-standard as shown by vital signs that were not maintained within the normal range during the critical portions of an anesthetic. Automated anesthesia information systems may enhance expert witnesses' clinical judgment.

Adult↗

In vitro release of hydrocortisone from topical preparations and automated procedure.

The in vitro drug release profile of hydrocortisone (HC) from creams, ointments, and lotions has been determined using an automated procedure. A diffusion cell system and commercially available synthetic membranes were utilized for the studies. The use of a synthetic membrane obviates the problems associated with using skin membranes. Uniform creams and ointment samples for determining release rate profile were prepared by using the teflon mask. Automated sampling avoids operator artifacts. The automated technique developed for determining the in vitro release rate profile of the drug from creams, ointments, and lotions using a diffusion-cell system appears to be a reasonable and practical procedure for assuring batch-to-batch uniformity of topical drug products.

Administration, Topical↗