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https://www.readbyqxmd.com/read/28226689/patient-movement-compensation-for-3d-echocardiography-fusion
#1
Abhilash R Hareendranathan, Michelle Hanbidge, Allen He, Michelle Noga, Pierre Boulanger, Harald Becher, Kumaradevan Punithakumar, Abhilash R Hareendranathan, Michelle Hanbidge, Allen He, Michelle Noga, Pierre Boulanger, Harald Becher, Kumaradevan Punithakumar, Allen He, Pierre Boulanger, Harald Becher, Michelle Noga, Kumaradevan Punithakumar, Michelle Hanbidge, Abhilash R Hareendranathan
Limited field of view (FOV) is a major problem for 3D real-time echocardiography (3DRTE), which results in an incomplete representation of cardiac anatomy. Various image registration techniques have been proposed to improve the field of view in 3DRTE by fusing multiple image volumes. However, these techniques require significant overlap between the individual volumes and rely on high image resolution and high signal-to-noise ratio. Changes in the heart position due to patient movement during image acquisition can also reduce the quality of image fusion...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28204937/a-new-approach-to-upper-eyelid-reconstruction
#2
A Bulla, C VielĂ , L Fiorot, A Bolletta, E Pancrazi, G V Campus
BACKGROUND: Reconstruction of large defects of the upper eyelid is challenging because of its complex anatomy and specialized function. The aim of this work is to develop a single-stage reconstruction procedure based on a new approach. The technique consists of the advancement of an orbicularis oculi myocutaneous flap designed within the blepharoplasty skin excision pattern. METHODS: After the tumor's excision is completed with clear margins, the borders of the flap are incised down to the submuscular plane inside the classical pattern of upper eyelid blepharoplasty...
February 15, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28195833/a-generalized-framework-unifying-image-registration-and-respiratory-motion-models-and-incorporating-image-reconstruction-for-partial-image-data-or-full-images
#3
Jamie R McClelland, Marc Modat, Simon Arridge, Helen Grimes, Derek D'Souza, David Thomas, Dylan O'Connell, Daniel Low, Evangelia Kaza, David Collins, Martin Leach, David Hawkes
Surrogate-driven respiratory motion models relate the motion of the internal anatomy to easily acquired respiratory surrogate signals, such as the motion of the skin surface. They are usually built by first using image registration to determine the motion from a number of dynamic images, and then fitting a correspondence model relating the motion to the surrogate signals. In this paper we present a generalized framework that unifies the image registration and correspondence model fitting into a single optimization...
February 14, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28188018/surgical-treatment-of-disabling-conditions-caused-by-anogenital-lichen-sclerosus-in-women-an-account-of-surgical-procedures-and-results-including-patient-satisfaction-benefits-and-improvements-in-health-related-quality-of-life
#4
Filip Rangatchew, Jens Knudsen, Michael V Thomsen, Krzysztof T Drzewiecki
BACKGROUND: Anogenital lichen sclerosus (LS), a chronic dermatitis that causes scarring and introital stenosis, may prevent sexual intercourse and reduce health-related quality of life (QoL). Surgery can restore the anatomy, allowing patients to resume their sexual lives. This study investigates outcomes in women treated with local skin flaps. METHODS: Thirty-eight consecutive LS-verified patients, surgically treated for debilitating conditions between 1990 and 2013, were retrospectively evaluated...
January 9, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28182639/assessing-the-suitability-of-medial-sural-artery-perforator-flaps-in-tongue-reconstruction-an-outcome-study
#5
Shao-Yu Hung, Charles Yuen Yung Loh, Soo-Ha Kwon, Chia-Hsuan Tsai, Kai-Ping Chang, Huang-Kai Kao
INTRODUCTION: Oncological resection of the tongue can be reconstructed using a multitude of free flaps. The medial sural artery perforator (MSAP) flap has been well described in the literature in terms of its anatomy and harvest. However, functional outcome studies of post-reconstruction tongue defects using the MSAP flap have not been reported. This study represents the largest outcome study of patients with tongue reconstructions using MSAP flaps and a comprehensive review of its use...
2017: PloS One
https://www.readbyqxmd.com/read/28176265/deformation-of-facial-model-for-complete-denture-prosthesis-using-arap-group-method-and-elastic-properties
#6
Cheng Cheng, Xiaosheng Cheng, Ning Dai, Yuchun Sun, Xiaotong Jiang, Weiwei Li
With the development of 3D printing and computer graphics technology, mouth rehabilitation has increasingly adopted digital methods. This research proposes a new method to transform the appearance of facial model after complete denture prosthesis. A feature template with few feature points is first constructed according to the facial muscle anatomy and facial deformation after complete denture prosthesis. Next, the traditional as-rigid-as-possible (ARAP) method is optimised by clustering based on facial muscles...
February 7, 2017: Medical & Biological Engineering & Computing
https://www.readbyqxmd.com/read/28170119/lateral-arm-free-tissue-transfer-for-parotid-reconstruction-a-pictorial-essay
#7
Stephen Y Kang, Matthew O Old, Theodoros N Teknos
BACKGROUND: The goals of parotid reconstruction are to provide accurate volume reconstruction of the defect while minimizing ptosis, optimize color match to surrounding facial skin, maintain anatomic position of the auricle, and to perform facial nerve rehabilitation in cases in which the facial nerve is removed. METHODS AND RESULTS: For many complex parotid defects, the lateral arm free tissue transfer achieves these reconstructive goals and is the ideal donor site for microvascular reconstruction...
February 7, 2017: Head & Neck
https://www.readbyqxmd.com/read/28160906/thumb-reconstruction-with-thin-proximal-ulnar-perforator-free-flap
#8
REVIEW
Mario Cherubino, Martina Corno, Luigi Valdatta, Roberto Adani
Soft tissue defects of the thumb with exposure of tendons, periosteum, or neurovascular bundles require a complex reconstruction aimed at restoring both skin coverage and the essential function of pinching and manipulation. When large defects are involved, a free tissue transfer is indicated. The proximal ulnar perforator flap represents an interesting solution without the drawbacks of other more widespread free flaps. This report describes the case of a patient with a squamous cell carcinoma of the thumb that required circumferential resection of the soft tissue of the distal phalanx and the interphalangeal joint...
February 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28138188/skin-of-colour-characteristics-and-disease
#9
Zohra Zaidi
Skin colour varies from pale white to very dark. Fitzpatrick's skin phototypes are based on the person's skin colour and its response to sun exposure in terms of burning and tanning of the skin. Fitzpatrick's type 1V-V1 is known as the skin of colour and type 1-111 is the fair or white skin. The colour of the skin and texture of the hair are the most apparent phenotype to differentiate the different races; this correlates closely with the geography and ultraviolet radiation of the sun. There are notable differences in skin disease incidence, presentation, and treatment based on skin type...
February 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28125537/the-lymphatic-response-to-injury-with-soft-tissue-reconstruction-in-high-energy-open-tibial-fractures-of-the-lower-extremity
#10
Malou C van Zanten, Raakhi M Mistry, Hiroo Suami, Andrew Campbell-Lloyd, James P Finkemeyer, Neil B Piller, Yugesh Caplash
BACKGROUND: Severe compound tibial fractures are associated with extensive soft-tissue damage, resulting in disruption of lymphatic pathways that leave the patient at risk of developing chronic lymphedema. There are limited data on lymphatic response following lower limb trauma. Indocyanine green fluorescence lymphography is a novel, real-time imaging technique for superficial lymphatic mapping. The authors used this technique to image the superficial lymphatic vessels of the lower limbs in patients with severe compound tibial fracture...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28095914/vascular-mapping-of-the-retroauricular-skin-proposal-for-a-posterior-superior-surgical-incision-for-transcutaneous-bone-conduction-hearing-implants
#11
Adam Perenyi, Zsofia Bere, Janos Jarabin, Balazs Sztano, Edit Kukla, Ziad Bikhazi, Laszlo Tiszlavicz, Ferenc Toth, Jozsef Geza Kiss, Laszlo Rovo
BACKGROUND: Passive transcutaneous osseointegrated hearing implant systems have become increasingly popular more recently. The area over the implant is vulnerable due to vibration and pressure from the externally worn sound processor. Good perfusion and neural integrity has the potential to reduce complications. The authors' objective was to determine the ideal surgical exposure to maintain perfusion and neural integrity and decrease surgical time as a result of reduced bleeding. METHODS: The vascular anatomy of the temporal-parietal soft tissue was examined in a total of 50 subjects...
January 17, 2017: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28095534/an-anatomical-approach-to-evaluating-and-treating-cellulite
#12
Mitalee P Christman, Daniel Belkin, Roy G Geronemus, Jeremy A Brauer
Cellulite is the common rippling or dimpling of skin of the thighs and buttocks of women, formed from a confluence of skin laxity, tethering fibrous septa, and fat herniation. We describe an anatomical approach to evaluating the cellulite patient and selecting the best treatment from among available non-invasive, minimally invasive, and invasive therapies. It is crucial to consider the anatomy of the patient and the morphology of cellulite while choosing a treatment. Diffuse rippling represents increased adiposity and/or increased skin laxity which may stand to benefit from lipolytic and skin tightening modalities...
January 1, 2017: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/28065407/venous-drainage-of-the-face
#13
S Onishi, N Imanishi, Y Yoshimura, Y Inoue, Y Sakamoto, H Chang, T Okumoto
The venous anatomy of the face was examined in 12 fresh cadavers. Venograms and arteriovenograms were obtained after the injection of contrast medium. In 8 of the 12 cadavers, a large loop was formed by the facial vein, the supratrochlear vein, and the superficial temporal vein, which became the main trunk vein of the face. In 4 of the 12 cadavers, the superior lateral limb of the loop vein was less well developed. The loop vein generally did not accompany the arteries of the face. Cutaneous branches of the loop vein formed a polygonal venous network in the skin, while communicating branches ran toward deep veins...
December 14, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28058777/platysma-sparing-vascularized-submental-lymph-node-flap-transfer-for-extremity-lymphedema
#14
Igor Poccia, Chia-Yu Lin, Ming-Huei Cheng
BACKGROUND AND OBJECTIVES: Due to its consistent vascular and lymphatic anatomy, the vascularized submental lymph node flap is a reliable option for lymphedema treatment. Despite these advantages, flap harvest requires resection of platysma, which may cause a marginal mandibular nerve pseudo-paralysis. The aim of this study was to investigate the donor site morbidity of an innovative platysma-sparing vascularized submental lymph node flap transfer for treating extremity lymphedema. METHODS: Ten patients undergoing platysma sparing submental lymph-node flap harvest were prospectively enrolled in the study and compared with a control group of 10 patients who underwent standard submental lymph-node flap harvest...
January 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28052582/magnetically-driven-nanoparticles-18-fdg-radiolabelling-and-positron-emission-tomography-biodistribution-study
#15
Mariarosaria De Simone, Daniele Panetta, Emilia Bramanti, Cristiana Giordano, Maria C Salvatici, Lisa Gherardini, Arianna Menciassi, Silvia Burchielli, Caterina Cinti, Piero A Salvadori
Superparamagnetic iron oxide nanoparticles (SPIONs) have received increasing interest as contrast media in biomedical imaging and innovative therapeutic tools, in particular for loco-regional ablative treatments and drug delivery. The future of therapeutic applications would strongly benefit from improving the capability of the nanostructured constructs to reach the selected target, in particular beyond the intravascular space. Besides the decoration of SPIONs surface with ad hoc bioactive molecules, external magnetic fields are in principle able to remotely influence SPIONs' physiological biodistribution and concentrate them to a specific anatomical region or portion of a tissue...
November 2016: Contrast Media & Molecular Imaging
https://www.readbyqxmd.com/read/28048632/tu-d-209-03-alignment-of-the-patient-graphic-model-using-fluoroscopic-images-for-skin-dose-mapping
#16
A Oines, A Oines, J Kilian-Meneghin, B Karthikeyan, S Rudin, D Bednarek
PURPOSE: The Dose Tracking System (DTS) was developed to provide realtime feedback of skin dose and dose rate during interventional fluoroscopic procedures. A color map on a 3D graphic of the patient represents the cumulative dose distribution on the skin. Automated image correlation algorithms are described which use the fluoroscopic procedure images to align and scale the patient graphic for more accurate dose mapping. METHODS: Currently, the DTS employs manual patient graphic selection and alignment...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047009/su-f-j-181-an-alternative-patient-alignment-tool-on-tomotherapy-the-first-in-human-megavoltage-topogram-acquisition
#17
L Yang, D Low, P Lee, D Ruan, R Chin, T Kaprealian, M Kamrava, P Kupelian, P Beron, M Steinberg, A Chen, N Agazaryan, S Ray, X Qi
PURPOSE: To show the first in-human Megavoltage (MV)-Topogram acquisition for the evaluation of the potential for MV-Topogram-based alignment as an alternative to MVCT for reducing dose and imaging time. METHODS: A lung cancer patient was enrolled in an ongoing IRB-approved clinical trial at our institute. The patient was set up using the clinical protocol employing positioning lasers. 3.2mm diameter tungsten spheres were placed on the patient's skin at their alignment tattoos to check surface-based marker concordance between topograms and MVCT...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046939/su-g-tep4-11-implementation-of-a-non-measurement-based-patient-specific-imrt-qa-program
#18
S Chen, M Guerrero, B Zhang, B Yi, S Mossahebi, K Prado, W D'Souza, K Langen
PURPOSE: To implement a comprehensive non-measurement-based verification program for patient-specific IMRT QA METHODS: Based on published guidelines, a robust IMRT QA program should assess the following components: 1) accuracy of dose calculation, 2) accuracy of data transfer from the treatment planning system (TPS) to the record-and-verify (RV) system, 3) treatment plan deliverability, and 4) accuracy of plan delivery. RESULTS: We have implemented an IMRT QA program that consist of four components: 1) an independent re-calculation of the dose distribution in the patient anatomy with a commercial secondary dose calculation program: Mobius3D (Mobius Medical Systems, Houston, TX), with dose accuracy evaluation using gamma analysis, PTV mean dose, PTV coverage to 95%, and organ-at-risk mean dose; 2) an automated in-house-developed plan comparison system that compares all relevant plan parameters such as MU, MLC position, beam iso-center position, collimator, gantry, couch, field size settings, and bolus placement, etc...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046821/su-g-201-07-dosimetric-verification-of-a-3d-printed-hdr-skin-brachytherapy-applicator
#19
K Rasmussen, A Baumgarten, D Stanley, C Pelletier, M Corbett, J Jung, Y Feng, Z Huang, A Ju, T Eng, N Kirby, A Gutierrez, S Stathakis, N Papanikolaou
PURPOSE: The use of radiation as a treatment modality for skin cancer has increased significantly over the last decade with standardized applicators. Utilizing 3D printing, the ability to make applicators specifically designed for each patient's anatomy has become economically feasible. With this in mind it was the aim of this study to determine the dosimetric accuracy of a 3-D printed HDR brachytherapy applicator for the skin. METHODS: A CT reference image was used to generate a custom applicator based on an anthropomorphic head and neck phantom...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046639/su-f-t-85-energy-modulated-electron-postmastectomy-unreconstructed-pu-chest-wall-cw-irradiation-technique-to-achieve-heart-sparing
#20
L Hong, A Ballangrud, B McCormick, J Mechalakos
PURPOSE: For left-sided PU patients requiring CW and nodal irradiation, sometimes partial wide tangents (PWT) are not feasible due to abnormal chest wall contour or heart position close to the anterior chest wall or unusual wide excision scar. We developed an energy modulated electron chest wall irradiation technique that will achieve heart sparing. METHODS: Ten left-sided PU patients were selected for this dosimetry study. If PWT were used, the amount of the ipsilateral lung would be ranged 3...
June 2016: Medical Physics
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