When the automatic segmentation method is extended to more organs and faster Monte Carlo calculation technique is employed, our method should be useful for patient-specific dose monitoring at the organ level and for epidemiological investigations of health risks in CT patients.
An investigation was conducted of an elastomeric material, VisiJet M2 (3D systems, USA) for use as 3D bolus within high energy photon beams for radiotherapy. Personalized conformal bolus material on complex structures like the nose can be challenging. This material was evaluated for its clinical feasibility due to its pliability and comfort compared to alternatives.
Regular slabs of bolus were created of various thicknesses for dosimetric and non-dosimetric characterization. Verification culminated with the creation of a custom nose bolus for an end to end verification using an anthropomorphic head phantom. In vivo dosimetry using Gafchromic EBT3 (Ashland, USA) film validated delivered doses from a 6 MV conformal field and a pair of 6 MV volumetric modulated arc therapy (VMAT) beams.
Non-dosimetric and dosimetric tests were conducted to assess clinical suitability. The bolus was precisely created using stereolithographic (SLA) methods and presented a compliant and uniform water equivalent material with amic treatment. Based on the investigation conducted, and the benefits presented for patient comfort while being uniform and water equivalent, and correctly represented within the treatment planning system (TPS), this material has the potential for clinical use for patient specific custom bolus.We propose a method for segmentation of the left ventricle in magnetic resonance cardiac images. The framework consists of an initial Bayesian segmentation of the central slice of the volume. This segmentation is used to locate a shape prior for the LV myocardial tissue. This shape prior is determined using the fact that the myocardium is approximately annular as seen in the short-axis. Then a second Bayesian segmentation is performed to obtain the final result. This procedure is repeated for the rest of the slices. An extrapolation of the area of the LV is used to determine a stopping criterion. The method was evaluated on the databases of the Cardiac Atlas project. Our results demonstrate a suitable accuracy for myocardial segmentation (≈0.8 Dice's coefficient). For the endocardium and the epicardium the Dice's coefficients are 0.94 and 0.9 respectively. The accuracy was also evaluated in terms of the Hausdorff distance and the average distance. For the myocardium we obtain 8 mm and 2 mm respectively. Our results demonstrate the capability and merits of the proposed method to estimate the structure of the LV. The method requires minimal user input and generates results with quality comparable to more complex approaches. This paper suggests a new efficient approach for automatic LV quantification based on a Bayesian technique with shape priors with errors comparable to state-of-the-art techniques.The H-scan approach ('H' denoting hue, or Hermite) is a recent matched filter methodology that aims to add information to the traditional ultrasound B-scan. The theory is based on the differences in the echoes produced by different classes of reflectors or scatterers. Matched filters can be created for different types of scatterers, whereby the maximum output indicates a match, and color schemes can be used to indicate the class of scatterer responsible for echoes, providing a visual interpretation of the results. However, within the theory of weak scattering from a variety of shapes, small changes in the size of the inhomogeneous objects will create shifts in the scattering transfer function. In this paper, we argue for a general power law transfer function as the canonical model for transfer functions from most normal soft vascularized tissues, at least over some bandpass spectrum illuminated by the incident pulse. In cases where scatterer size and distributions change, this produces a corresponding shift in center frequency, along with time and frequency domain characteristics of echoes, and these are captured by matched filters to distinguish and visualize in color the major characteristics of scattering types. With this general approach, the H-scan matched filters can be set to elicit more fine grain shifts in scattering types, commensurate with more subtle changes in tissue morphology. Compensation for frequency-dependent attenuation is helpful for avoiding beam softening effects with increasing depths. Examples from phantoms and normal and pathological tissues are provided to demonstrate that the H-scan analysis and displays are sensitive to scatterer size and morphology, and can be adapted to conventional imaging systems.A detailed theoretical analysis of low-power, high-frequency and temporally precise optogenetic inhibition of neuronal spiking, with red-shifted opsins namely, NpHR, eNpHR3.0 and Jaws, has been presented. An accurate model for inhibition of spiking in these opsins expressed hippocampal neurons that includes the important rebound activity of chloride ions across the membrane has been formulated. The effect of various parameters including irradiance, pulse width, frequency, opsin-expression density and chloride concentration has been studied in detail. Theoretical simulations are in very good agreement with reported experimental results. The chloride concentration gradient directly affects the photocurrent and inhibition capacity in all three variants. eNpHR3.0 shows smallest inhibitory post-synaptic potential plateau at higher frequencies. The time delay between light stimulus and target spike is crucial to minimize irradiance and expression density thresholds for suppressing individual spike. Good practical values of photostimulation parameters have been obtained empirically for peak photocurrent, time delay and 100% spiking inhibition, at continuous and pulsed illumination. Under continuous illumination, complete inhibition of neural activity in Jaws-expressing neurons takes place at minimum irradiance of 0.2 mW mm-2 and expression density of 0.2 mS cm-2, whereas for pulsed stimulation, it is at minimum irradiance of 0.6 mW mm-2 and 5 ms pulse width, at 10 Hz. It is shown that Jaws and eNpHR3.0 are able to invoke single spike precise inhibition up to 160 and 200 Hz, respectively. The study is useful in designing new experiments, understanding temporal spike coding and bidirectional control, and curing neurological disorders.We present for the first time the simultaneous reconstruction of three optical parameters distributions of biological tissues namely, the absorption μ a and scattering μ s coefficients, as well as the anisotropy factor g of the Henyey-Greenstein phase function as a new optical contrast. The 2D images are obtained from the simulation experiments and multi-source quantitative photoacoustic tomography with the radiative transfer equation (RTE) as light transport model. The image reconstruction method is based on a gradient-based optimization scheme. The adjoint method applied to the RTE is used to efficiently compute the gradient of the objective function. The results show simultaneous reconstructions of the three optical properties even with noisy data. PF-00835231 research buy The crosstalk problem between the three parameters is highlighted. Superior quality images are obtained for μ a compared to those of μ s and g. Moreover, our algorithm allows reconstructing inserts-like heterogeneities with very good spatial resolution and qualitative accuracy.Cell-laden printing is the most commonly used approach in 3D bioprinting. One of the major drawbacks of cell-laden printing is that cell viability is highly affected by the extrusion pressure and shear force in the printing process. We present a new cell-deposition method by using the superabsorbent capability of 3D printed scaffolds with four ink formations 2010 nanocrystal/alginate (NCA 20/10), 2010 nanofiber/alginate (NFA 20/10), 2002 nanocrystal/alginate (NCA 20/02) and 2002 nanofiber/alginate (NFA 20/02). Limited pores were observed from the surface of inherent NCA and NFA scaffolds, which may limit the numbers of cells to enter into the scaffolds. Therefore, we designed a dual-porous (DP) structure to connect the inherent pores (IPs) to the scaffold surface. Due to these porous structures, NCA and NFA scaffolds exhibit an excellent capability to absorb cell suspension, which may be used for depositing cells to 3D-printed scaffolds, namely self-absorbent (SA) deposition. Compared to the conventional top-loading (TL) method, the SA method had more uniform cell distributions in the entire 3D-printed scaffolds and higher efficiency of cell deposition. For the TL method, DP scaffold exhibited a more uniform cell distribution, which may provide a better microenvironment for the cells in comparison to the IP scaffold. For both cell loading methods, a rapid increase of cell number was observed in the first 4 days of culture in the 3D-printed NCA and NFA structures. NFA 20/02 exhibits the best cell viability compared to the other three inks. In conclusion, the SA method may serve as a new approach for loading cells in cell-free 3D-bioprinting, and DP design could improve the efficiency of the cell deposition.Bioimpedance measurements are currently used to monitor various biological processes and are potentially useful for studies of urodynamics. Global impedance (GI) and focused impedance measurements (FIM) can be used to monitor bladder volumes, but these are subject to varying conductivity of urine. To address this, we emulated a human bladder using an agar phantom filled with saline solutions of varying conductivities and estimated volumes using a modified FIM-based approach. Using this novel strategy, electrical potentials did not change significantly with constant liquid volumes, even when the conductivity of the saline solutions was varied between 1.027 to 1.877 and 2.610 S/m. Conversely, GI and classic FIM measurements of constant liquid volumes varied with conductivity. These observations suggest that the proposed FIM approach is suitable for bladder volume estimation due to its robustness against uncertainties of conductivity. The bioimpedance hardware used in our experiments comprised 8 electrodes and a a small and low cost impedance measurement system based on an AFE4300 direct impedance measurement device.
3D printed patient-specific coronary models have the ability to enable repeatable benchtop experiments under controlled blood flow conditions. This approach can be applied to CT-derived patient geometries to emulate coronary flow and related parameters such as Fractional Flow Reserve (FFR).
This study uses 3D printing to compare such benchtop FFR results with a non-invasive CT-FFR research software algorithm and catheter based invasive FFR (I-FFR) measurements. Fifty-two patients with a clinical indication for I-FFR underwent a research Coronary CT Angiography (CCTA) prior to catheterization. CT images were used to measure CT-FFR and to generate patient-specific 3D printed models of the aortic root and three main coronary arteries. Each patient-specific model was connected to a programmable pulsatile pump and benchtop FFR (B-FFR) was derived from pressures measured proximal and distal to coronary stenosis using pressure transducers. B-FFR was measured for two coronary outflow rates ('normal', 250 ml min
; and 'hyperemic', 500 ml min
) by adjusting the model's distal coronary resistance.
Unique "driving" vs . "modulatory" influences of visual corticothalamic walkways.
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