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1.
Skin Res Technol ; 30(7): e13824, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38978223

RESUMEN

BACKGROUND: Methods available at home for capturing facial images to track changes in skin quality and evaluate skincare treatments are limited. In this study, we developed a smartphone camera application (app) for personalized facial aesthetic monitoring. MATERIALS AND METHODS: A face alignment indicators (FAIN) system utilizing facial landmark detection, an artificial intelligence technique, to estimate key facial parts, was implemented into the app to maintain a consistent facial appearance during image capture. The FAIN system is composed of a fixed target indicator and an alignment indicator that dynamically changes its shape according to the user's face position, size, and orientation. Users align their faces to match the alignment indicator with the fixed target indicator, and the image is automatically captured when alignment is achieved. RESULTS: We investigated the app's effectiveness in ensuring a consistent facial appearance by analyzing both geometric and colorimetric data. Geometric information from captured faces and colorimetric data from stickers applied to the faces were utilized. The coefficients of variation (CVs) for the L*, a*, and b* values of the stickers were higher compared to those measured by a colorimeter, with CVs of 14.9 times, 8.14 times, and 4.41 times for L*, a*, and b*, respectively. To assess the feasibility of the app for facial aesthetic monitoring, we tracked changes in pseudo-skin color on the cheek of a participant using skin-colored stickers. As a result, we observed the smallest color difference ∆Eab of 1.901, which can be considered as the experimentally validated detection limit using images acquired by the app. CONCLUSION: While the current monitoring method is a relative quantification approach, it contributes to evidence-based evaluations of skincare treatments.


Asunto(s)
Estética , Cara , Aplicaciones Móviles , Teléfono Inteligente , Humanos , Cara/anatomía & histología , Cara/diagnóstico por imagen , Femenino , Colorimetría/instrumentación , Colorimetría/métodos , Fotograbar , Adulto , Masculino , Inteligencia Artificial
2.
BMJ Health Care Inform ; 31(1)2024 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-38830766

RESUMEN

BACKGROUND: Current approaches for initial coronary artery disease (CAD) assessment rely on pretest probability (PTP) based on risk factors and presentations, with limited performance. Infrared thermography (IRT), a non-contact technology that detects surface temperature, has shown potential in assessing atherosclerosis-related conditions, particularly when measured from body regions such as faces. We aim to assess the feasibility of using facial IRT temperature information with machine learning for the prediction of CAD. METHODS: Individuals referred for invasive coronary angiography or coronary CT angiography (CCTA) were enrolled. Facial IRT images captured before confirmatory CAD examinations were used to develop and validate a deep-learning IRT image model for detecting CAD. We compared the performance of the IRT image model with the guideline-recommended PTP model on the area under the curve (AUC). In addition, interpretable IRT tabular features were extracted from IRT images to further validate the predictive value of IRT information. RESULTS: A total of 460 eligible participants (mean (SD) age, 58.4 (10.4) years; 126 (27.4%) female) were included. The IRT image model demonstrated outstanding performance (AUC 0.804, 95% CI 0.785 to 0.823) compared with the PTP models (AUC 0.713, 95% CI 0.691 to 0.734). A consistent level of superior performance (AUC 0.796, 95% CI 0.782 to 0.811), achieved with comprehensive interpretable IRT features, further validated the predictive value of IRT information. Notably, even with only traditional temperature features, a satisfactory performance (AUC 0.786, 95% CI 0.769 to 0.803) was still upheld. CONCLUSION: In this prospective study, we demonstrated the feasibility of using non-contact facial IRT information for CAD prediction.


Asunto(s)
Enfermedad de la Arteria Coronaria , Cara , Termografía , Humanos , Termografía/métodos , Enfermedad de la Arteria Coronaria/diagnóstico por imagen , Masculino , Femenino , Persona de Mediana Edad , Cara/diagnóstico por imagen , Anciano , Valor Predictivo de las Pruebas , Estudios de Factibilidad , Temperatura Corporal , Aprendizaje Automático , Angiografía Coronaria , Angiografía por Tomografía Computarizada , Estudios Prospectivos , Rayos Infrarrojos
3.
Sci Rep ; 14(1): 14673, 2024 06 25.
Artículo en Inglés | MEDLINE | ID: mdl-38918427

RESUMEN

Visual assessment, while the primary method for pigmentation and erythema evaluation in clinical practice, is subjective, time-consuming, and may lead to variability in observations among clinicians. Objective and quantitative techniques are required for a precise evaluation of the disease's severity and the treatment's efficacy. This research examines the precision and utility of a newly developed skin imaging system in assessing pigmentation and erythema. Sixty participants were recruited, and their facial images were analyzed with the new OBSERV 520 x skin imaging system, compared to DERMACATCH for regional analysis and VISIA for full-face examination. The degree of skin pigmentation was clinically graded using the MASI scores evaluated by dermatologists. The data revealed positive correlations between the novel skin imaging system and the two conventional instruments in quantifying pigmentation and erythema, whether in regional or full-face analysis. Furthermore, the new skin imaging system positively correlated with the clinical MASI scores (r = 0.4314, P < 0.01). In contrast, our study found no significant correlation between the traditional system and clinical assessment, indicating a more substantial capacity for hyperpigmentation assessment in the new system. Our study validates the innovative skin imaging system's accuracy in evaluating pigmentation and erythema, demonstrating its feasibility for quantitative evaluation in both clinical and research purposes.


Asunto(s)
Eritema , Cara , Pigmentación de la Piel , Humanos , Femenino , Masculino , Adulto , Eritema/diagnóstico por imagen , Cara/diagnóstico por imagen , Persona de Mediana Edad , Piel/diagnóstico por imagen , Piel/patología , Adulto Joven , Inflamación/diagnóstico por imagen , Anciano , Trastornos de la Pigmentación/diagnóstico por imagen , Trastornos de la Pigmentación/diagnóstico , Hiperpigmentación/diagnóstico por imagen
4.
Arch Dermatol Res ; 316(7): 391, 2024 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-38878217

RESUMEN

Clinical grading of actinic keratosis (AK) is based on skin surface features, while subclinical alterations are not taken into consideration. Dynamic optical coherence tomography (D-OCT) enables quantification of the skin´s vasculature, potentially helpful to improve the link between clinical and subclinical features. We aimed to compare microvascular characteristics across AK grades using D-OCT with automated vascular analysis. This explorative study examined AK and photodamaged skin (PD) on the face or scalp. AKs were clinically graded according to the Olsen Classification scheme before D-OCT assessment. Using an open-source software tool, the OCT angiographic analyzer (OCTAVA), we quantified vascular network features, including total and mean vessel length, mean vessel diameter, vessel area density (VAD), branchpoint density (BD), and mean tortuosity from enface maximum intensity projection images. Additionally, we performed subregional analyses on selected scans to overcome challenges associated with imaging through hyperkeratosis (each lesion group; n = 18). Our study included 45 patients with a total of 205 AKs; 93 grade I lesions, 65 grade II, 47 grade III and 89 areas with PD skin. We found that all AK grades were more extensively vascularized relative to PD, as shown by greater total vessel length and VAD (p ≤ 0.009). Moreover, AKs displayed a disorganized vascular network, with higher BD in AK I-II (p < 0.001), and mean tortuosity in AK II-III (p ≤ 0.001) than in PD. Vascularization also increased with AK grade, showing significantly greater total vessel length in AK III than AK I (p = 0.029). Microvascular quantification of AK unveiled subclinical, quantitative differences among AK grades I-III and PD skin. D-OCT-based microvascular assessment may serve as a supplement to clinical AK grading, potentially raising perspectives to improve management strategies.


Asunto(s)
Queratosis Actínica , Piel , Tomografía de Coherencia Óptica , Humanos , Tomografía de Coherencia Óptica/métodos , Queratosis Actínica/diagnóstico por imagen , Queratosis Actínica/patología , Queratosis Actínica/diagnóstico , Masculino , Femenino , Anciano , Persona de Mediana Edad , Piel/diagnóstico por imagen , Piel/patología , Piel/irrigación sanguínea , Índice de Severidad de la Enfermedad , Anciano de 80 o más Años , Cuero Cabelludo/patología , Cuero Cabelludo/diagnóstico por imagen , Envejecimiento de la Piel/patología , Cara/diagnóstico por imagen
5.
BMC Pregnancy Childbirth ; 24(1): 420, 2024 Jun 10.
Artículo en Inglés | MEDLINE | ID: mdl-38858685

RESUMEN

BACKGROUND: Frontonasal dysplasia (FND) is a rare congenital anomaly resulting from the underdevelopment of the frontonasal process, and it can be syndromic or nonsyndromic. The typical features of FND include a deformed nose and ocular hypertelorism, which are sometimes associated with cleft lip and/or palate. Only approximately 10 cases of prenatally diagnosed nonsyndromic FND have been reported in the past 30 years. CASE PRESENTATION: A 33-year-old woman (G2P1) was referred to our center at 20 gestational weeks for bilateral hydrocephaly. We detected typical features of FND, including severe hypertelorism, median nasal bifidity, a minor cleft lip, and multiple limb anomalies using three-dimensional (3D) ultrasound. A hypoplastic corpus callosum, unilateral microtia, and a ventricular septal defect were also detected. Genetic testing, including karyotype analysis, copy number variation (CNV) analysis, trio-whole exome sequencing (trio-WES), and trio-whole-gene sequencing (trio-WGS), was performed; however, we did not find any de novo gene variants in the fetus as compared to the parents. Postmortem examination confirmed the prenatal diagnosis of FND. CONCLUSION: The present case expands the wide phenotypic spectrum of prenatal FND patients. 3D ultrasound is a useful tool for detecting facial and limb deformities.


Asunto(s)
Agenesia del Cuerpo Calloso , Anomalías Craneofaciales , Cara , Hidrocefalia , Imagenología Tridimensional , Deformidades Congénitas de las Extremidades , Ultrasonografía Prenatal , Humanos , Femenino , Adulto , Embarazo , Anomalías Craneofaciales/diagnóstico por imagen , Agenesia del Cuerpo Calloso/diagnóstico por imagen , Agenesia del Cuerpo Calloso/genética , Deformidades Congénitas de las Extremidades/diagnóstico por imagen , Deformidades Congénitas de las Extremidades/genética , Cara/anomalías , Cara/diagnóstico por imagen , Hidrocefalia/diagnóstico por imagen , Defectos del Tabique Interventricular/diagnóstico por imagen , Defectos del Tabique Interventricular/genética , Anomalías Múltiples/diagnóstico por imagen , Anomalías Múltiples/genética
6.
Int J Med Robot ; 20(3): e2651, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38872448

RESUMEN

BACKGROUND: Quantitative evaluation of facial aesthetics is an important but also time-consuming procedure in orthognathic surgery, while existing 2D beauty-scoring models are mainly used for entertainment with less clinical impact. METHODS: A deep-learning-based 3D evaluation model DeepBeauty3D was designed and trained using 133 patients' CT images. The customised image preprocessing module extracted the skeleton, soft tissue, and personal physical information from raw DICOM data, and the predicting network module employed 3-input-2-output convolution neural networks (CNN) to receive the aforementioned data and output aesthetic scores automatically. RESULTS: Experiment results showed that this model predicted the skeleton and soft tissue score with 0.231 ± 0.218 (4.62%) and 0.100 ± 0.344 (2.00%) accuracy in 11.203 ± 2.824 s from raw CT images. CONCLUSION: This study provided an end-to-end solution using real clinical data based on 3D CNN to quantitatively evaluate facial aesthetics by considering three anatomical factors simultaneously, showing promising potential in reducing workload and bridging the surgeon-patient aesthetics perspective gap.


Asunto(s)
Estética , Cara , Imagenología Tridimensional , Redes Neurales de la Computación , Procedimientos Quirúrgicos Ortognáticos , Tomografía Computarizada por Rayos X , Humanos , Imagenología Tridimensional/métodos , Cara/cirugía , Cara/anatomía & histología , Cara/diagnóstico por imagen , Procedimientos Quirúrgicos Ortognáticos/métodos , Tomografía Computarizada por Rayos X/métodos , Femenino , Masculino , Aprendizaje Profundo , Adulto , Cirugía Ortognática/métodos , Procesamiento de Imagen Asistido por Computador/métodos , Adulto Joven , Algoritmos
7.
BMC Oral Health ; 24(1): 711, 2024 Jun 20.
Artículo en Inglés | MEDLINE | ID: mdl-38902685

RESUMEN

BACKGROUND: The aim of the study was to assess the thickness of the soft tissue facial profile (STFP) in relation to the skeletal malocclusion, age and gender. METHODS: All patients, aged 7-35 years, who were seeking orthodontic treatment at the Department of Orthodontics, Medical University of Warsaw between 2019 and 22 were included in the study. All patients had lateral head radiographs taken before the treatment. The cephalometric analysis was performed including the STFP analysis. The patients were allocated to one of six groups based on age and skeletal relations (ANB angle). The minimum number of patients in each group was 60 with equal gender distribution. The STFP analysis included ten linear measurements. RESULTS: A total of 300 patients were included in the study and allocated to five groups. Group 6 (growing patients with skeletal Class III malocclusion) was not included in the study as it failed to achieve the assumed group size. There were significant differences in the thickness of the STFP in relation to the skeletal malocclusions. Adults with skeletal Class III malocclusion had significantly thicker subnasal soft tissues compared to patients with skeletal Class I and Class II malocclusions. The thickness of the lower lip in patients with Class II skeletal malocclusion was significantly bigger compared to the other groups. Children and adolescents with Class II malocclusions had thicker lower lip in comparison to the group with Class I malocclusion. The majority of the STFP measurements were significantly smaller in children and adolescents compared to adults. The thickness of the STFP in males was significantly bigger in all age groups compared to females. CONCLUSIONS: The thickness of facial soft tissues depends on the patient's age and gender. The degree of compensation of the skeletal malocclusion in the STFP may be a decisive factor during orthodontic treatment planning regarding a surgical approach or a camouflage treatment of skeletal defects.


Asunto(s)
Cefalometría , Cara , Maloclusión , Humanos , Adolescente , Masculino , Femenino , Niño , Cara/anatomía & histología , Cara/diagnóstico por imagen , Adulto , Factores de Edad , Adulto Joven , Maloclusión/diagnóstico por imagen , Maloclusión/patología , Factores Sexuales , Maloclusión de Angle Clase III/diagnóstico por imagen , Maloclusión de Angle Clase III/patología , Maloclusión Clase II de Angle/diagnóstico por imagen , Maloclusión Clase II de Angle/patología
8.
Phys Med Biol ; 69(11)2024 May 30.
Artículo en Inglés | MEDLINE | ID: mdl-38749469

RESUMEN

Objective. The quality of optical coherence tomography (OCT)en faceimages is crucial for clinical visualization of early disease. As a three dimensional and coherent imaging, defocus and speckle noise are inevitable, which seriously affect evaluation of microstructure of bio-samples in OCT images. The deep learning has demonstrated great potential in OCT refocusing and denoising, but it is limited by the difficulty of sufficient paired training data. This work aims to develop an unsupervised method to enhance the quality of OCTen faceimages.Approach. We proposed an unsupervised deep learning-based pipeline. The unregistered defocused conventional OCT images and focused speckle-free OCT images were collected by a home-made speckle modulating OCT system to construct the dataset. The image enhancement model was trained with the cycle training strategy. Finally, the speckle noise and defocus were both effectively improved.Main results. The experimental results on complex bio-samples indicated that the proposed method is effective and generalized in enhancing the quality of OCTen faceimages.Significance. The proposed unsupervised deep learning method helps to reduce the complexity of data construction, which is conducive to practical applications in OCT bio-sample imaging.


Asunto(s)
Aprendizaje Profundo , Procesamiento de Imagen Asistido por Computador , Tomografía de Coherencia Óptica , Aprendizaje Automático no Supervisado , Tomografía de Coherencia Óptica/métodos , Procesamiento de Imagen Asistido por Computador/métodos , Humanos , Cara/diagnóstico por imagen
9.
Head Face Med ; 20(1): 34, 2024 May 18.
Artículo en Inglés | MEDLINE | ID: mdl-38762519

RESUMEN

BACKGROUND: We aimed to establish a novel method for automatically constructing three-dimensional (3D) median sagittal plane (MSP) for mandibular deviation patients, which can increase the efficiency of aesthetic evaluating treatment progress. We developed a Euclidean weighted Procrustes analysis (EWPA) algorithm for extracting 3D facial MSP based on the Euclidean distance matrix analysis, automatically assigning weight to facial anatomical landmarks. METHODS: Forty patients with mandibular deviation were recruited, and the Procrustes analysis (PA) algorithm based on the original mirror alignment and EWPA algorithm developed in this study were used to construct the MSP of each facial model of the patient as experimental groups 1 and 2, respectively. The expert-defined regional iterative closest point algorithm was used to construct the MSP as the reference group. The angle errors of the two experimental groups were compared to those of the reference group to evaluate their clinical suitability. RESULTS: The angle errors of the MSP constructed by the two EWPA and PA algorithms for the 40 patients were 1.39 ± 0.85°, 1.39 ± 0.78°, and 1.91 ± 0.80°, respectively. The two EWPA algorithms performed best in patients with moderate facial asymmetry, and in patients with severe facial asymmetry, the angle error was below 2°, which was a significant improvement over the PA algorithm. CONCLUSIONS: The clinical application of the EWPA algorithm based on 3D facial morphological analysis for constructing a 3D facial MSP for patients with mandibular deviated facial asymmetry deformity showed a significant improvement over the conventional PA algorithm and achieved the effect of a dental clinical expert-level diagnostic strategy.


Asunto(s)
Algoritmos , Asimetría Facial , Imagenología Tridimensional , Humanos , Asimetría Facial/diagnóstico por imagen , Masculino , Femenino , Imagenología Tridimensional/métodos , Puntos Anatómicos de Referencia , Mandíbula/diagnóstico por imagen , Adolescente , Adulto , Adulto Joven , Cefalometría/métodos , Cara/diagnóstico por imagen
10.
Skin Res Technol ; 30(5): e13690, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38716749

RESUMEN

BACKGROUND: The response of AI in situations that mimic real life scenarios is poorly explored in populations of high diversity. OBJECTIVE: To assess the accuracy and validate the relevance of an automated, algorithm-based analysis geared toward facial attributes devoted to the adornment routines of women. METHODS: In a cross-sectional study, two diversified groups presenting similar distributions such as age, ancestry, skin phototype, and geographical location was created from the selfie images of 1041 female in a US population. 521 images were analyzed as part of a new training dataset aimed to improve the original algorithm and 520 were aimed to validate the performance of the AI. From a total 23 facial attributes (16 continuous and 7 categorical), all images were analyzed by 24 make-up experts and by the automated descriptor tool. RESULTS: For all facial attributes, the new and the original automated tool both surpassed the grading of the experts on a diverse population of women. For the 16 continuous attributes, the gradings obtained by the new system strongly correlated with the assessment made by make-up experts (r ≥ 0.80; p < 0.0001) and supported by a low error rate. For the seven categorical attributes, the overall accuracy of the AI-facial descriptor was improved via enrichment of the training dataset. However, some weaker performance in spotting specific facial attributes were noted. CONCLUSION: In conclusion, the AI-automatic facial descriptor tool was deemed accurate for analysis of facial attributes for diverse women although some skin complexion, eye color, and hair features required some further finetuning.


Asunto(s)
Algoritmos , Cara , Humanos , Femenino , Estudios Transversales , Adulto , Cara/anatomía & histología , Cara/diagnóstico por imagen , Estados Unidos , Persona de Mediana Edad , Adulto Joven , Fotograbar , Reproducibilidad de los Resultados , Inteligencia Artificial , Adolescente , Anciano , Pigmentación de la Piel/fisiología
11.
Early Hum Dev ; 193: 106021, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38701668

RESUMEN

OBJECTIVE: Fetal face measurements in prenatal ultrasound can aid in identifying craniofacial abnormalities in the developing fetus. However, the accuracy and reliability of ultrasound measurements can be affected by factors such as fetal position, image quality, and the sonographer's expertise. This study assesses the accuracy and reliability of fetal facial measurements in prenatal ultrasound. Additionally, the temporal evolution of measurements is studied, comparing prenatal and postnatal measurements. METHODS: Three different experts located up to 23 facial landmarks in 49 prenatal 3D ultrasound scans from normal Caucasian fetuses at weeks 20, 26, and 35 of gestation. Intra- and inter-observer variability was obtained. Postnatal facial measurements were also obtained at 15 days and 1 month postpartum. RESULTS: Most facial landmarks exhibited low errors, with overall intra- and inter-observer errors of 1.01 mm and 1.60 mm, respectively. Landmarks on the nose were found to be the most reliable, while the most challenging ones were those located on the ears and eyes. Overall, scans obtained at 26 weeks of gestation presented the best trade-off between observer variability and landmark visibility. The temporal evolution of the measurements revealed that the lower face area had the highest rate of growth throughout the latest stages of pregnancy. CONCLUSIONS: Craniofacial landmarks can be evaluated using 3D fetal ultrasound, especially those located on the nose, mouth, and chin. Despite its limitations, this study provides valuable insights into prenatal and postnatal biometric changes over time, which could aid in developing predictive models for postnatal measurements based on prenatal data.


Asunto(s)
Cara , Ultrasonografía Prenatal , Humanos , Femenino , Ultrasonografía Prenatal/métodos , Ultrasonografía Prenatal/normas , Cara/diagnóstico por imagen , Cara/embriología , Cara/anatomía & histología , Embarazo , Imagenología Tridimensional/métodos , Estudios Longitudinales , Variaciones Dependientes del Observador , Reproducibilidad de los Resultados , Adulto
12.
Sensors (Basel) ; 24(10)2024 May 18.
Artículo en Inglés | MEDLINE | ID: mdl-38794068

RESUMEN

Most facial analysis methods perform well in standardized testing but not in real-world testing. The main reason is that training models cannot easily learn various human features and background noise, especially for facial landmark detection and head pose estimation tasks with limited and noisy training datasets. To alleviate the gap between standardized and real-world testing, we propose a pseudo-labeling technique using a face recognition dataset consisting of various people and background noise. The use of our pseudo-labeled training dataset can help to overcome the lack of diversity among the people in the dataset. Our integrated framework is constructed using complementary multitask learning methods to extract robust features for each task. Furthermore, introducing pseudo-labeling and multitask learning improves the face recognition performance by enabling the learning of pose-invariant features. Our method achieves state-of-the-art (SOTA) or near-SOTA performance on the AFLW2000-3D and BIWI datasets for facial landmark detection and head pose estimation, with competitive face verification performance on the IJB-C test dataset for face recognition. We demonstrate this through a novel testing methodology that categorizes cases as soft, medium, and hard based on the pose values of IJB-C. The proposed method achieves stable performance even when the dataset lacks diverse face identifications.


Asunto(s)
Reconocimiento Facial Automatizado , Cara , Cabeza , Humanos , Cara/anatomía & histología , Cara/diagnóstico por imagen , Cabeza/diagnóstico por imagen , Reconocimiento Facial Automatizado/métodos , Algoritmos , Aprendizaje Automático , Reconocimiento Facial , Bases de Datos Factuales , Procesamiento de Imagen Asistido por Computador/métodos
13.
Codas ; 36(3): e20230203, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38695438

RESUMEN

PURPOSE: This study aimed to investigate three-dimensional facial soft tissue dimensions, maximum bite force (MBF), and occlusal contact area in patients with DFD. In addition, we analyzed the relationship between MBF and the three-dimensional facial measurements. METHODS: Thirty-two patients with skeletal Class III DFD and 20 patients with Class II DFD underwent a soft tissue evaluation using surface laser scanning, as well as MBF and occlusal contact area assessments. The DFD groups were compared with each other and with 25 healthy subjects. RESULTS: Significant morphological differences were found in the transversal, vertical, and anteroposterior dimensions between Class II DFD and Class III DFD. Both DFD groups presented an increased linear distance of chin height, which was strongly related with decreased MBF magnitude. The DFD groups exhibited lower MBF and occlusal contact area, with no significant differences between Class II and Class III DFD. CONCLUSION: The presence of DFD affected 3D measurements of facial soft tissue, causing variations beyond normal limits, lower MBF, and occlusal contact area in both Class II and Class III DFD patients. The vertical dimension might have influenced the lower MBF magnitude in the studied skeletal deformities.


Asunto(s)
Fuerza de la Mordida , Cefalometría , Cara , Imagenología Tridimensional , Humanos , Femenino , Masculino , Cara/fisiopatología , Cara/diagnóstico por imagen , Adulto Joven , Adulto , Estudios de Casos y Controles , Adolescente , Maloclusión de Angle Clase III/fisiopatología , Maloclusión de Angle Clase III/diagnóstico por imagen , Maloclusión Clase II de Angle/fisiopatología , Maloclusión Clase II de Angle/diagnóstico por imagen , Estudios Transversales
14.
Forensic Sci Int ; 359: 111993, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38704925

RESUMEN

There are numerous anatomical and anthropometrical standards that can be utilised for craniofacial analysis and identification. These standards originate from a wide variety of sources, such as orthodontic, maxillofacial, surgical, anatomical, anthropological and forensic literature, and numerous media have been employed to collect data from living and deceased subjects. With the development of clinical imaging and the enhanced technology associated with this field, multiple methods of data collection have become accessible, including Computed Tomography, Cone-Beam Computed Tomography, Magnetic Resonance Imaging, Radiographs, Three-dimensional Scanning, Photogrammetry and Ultrasound, alongside the more traditional in vivo methods, such as palpation and direct measurement, and cadaveric human dissection. Practitioners often struggle to identify the most appropriate standards and research results are frequently inconsistent adding to the confusion. This paper aims to clarify how practitioners can choose optimal standards, which standards are the most reliable and when to apply these standards for craniofacial identification. This paper describes the advantages and disadvantages of each mode of data collection and collates published research to review standards across different populations for each facial feature. This paper does not aim to be a practical instruction paper; since this field encompasses a wide range of 2D and 3D approaches (e.g., clay sculpture, sketch, automated, computer-modelling), the implementation of these standards is left to the individual practitioner.


Asunto(s)
Identificación Biométrica , Antropología Forense , Humanos , Identificación Biométrica/métodos , Cefalometría/normas , Cara/diagnóstico por imagen , Cara/anatomía & histología , Antropología Forense/métodos , Imagenología Tridimensional , Reproducibilidad de los Resultados , Cráneo/diagnóstico por imagen , Cráneo/anatomía & histología
15.
Dermatol Surg ; 50(7): 636-642, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38712856

RESUMEN

BACKGROUND: The human face is a complex area formed by the combination of many different components and varies among individuals according to gender, age, and ethnicity. OBJECTIVE: The aim of this study was to evaluate age-related changes in the facial and calvarial bones in a large sample of both genders. METHODS: The retrospective study included nontraumatic brain computed tomography scans of 280 Turkish adults. Participants were divided into 7-decade groups with the age ranging from 20 to 89 years. Measurements of the face and calvaria were recorded, and calvarial volume was calculated. The relationship of these parameters with age and gender was examined. RESULTS: Statistically significant differences were observed in all the facial and calvarial measurements, except the transverse diameter of the head, with increasing age in both genders. Regardless of age, no significant differences were found in facial and calvarial measurements between genders. In addition, there was a significant decrease in the calvarial volume in both genders after the seventh decade of life. CONCLUSION: The structure of the face and calvarium continues to change and differentiate throughout life. Taking these changes into account during surgical and facial rejuvenation procedures can help predict outcomes and avoid the use of incorrect techniques.


Asunto(s)
Envejecimiento , Cara , Cráneo , Tomografía Computarizada por Rayos X , Humanos , Masculino , Femenino , Persona de Mediana Edad , Adulto , Anciano , Estudios Retrospectivos , Anciano de 80 o más Años , Cráneo/diagnóstico por imagen , Cráneo/anatomía & histología , Envejecimiento/fisiología , Adulto Joven , Cara/anatomía & histología , Cara/diagnóstico por imagen , Factores Sexuales , Factores de Edad , Huesos Faciales/diagnóstico por imagen , Huesos Faciales/anatomía & histología
16.
J Craniofac Surg ; 35(4): 1143-1145, 2024 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-38709070

RESUMEN

INTRODUCTION: It is important to generate predictable statistical models by increasing the number of variables on the human skeletal and soft tissue structures on the face to increase the accuracy of human facial reconstructions. The purpose of this study was to determine mouth width 3-dimensionally based on statistical regression model. MATERIAL AND METHODS: Cone-beam computed tomography scan data from 130 individuals were used to measure the horizontal and vertical dimensions of orbital and nasal structures and intercanine width. The correlation between these hard tissue variables and the mouth width was evaluated using the statistical regression model. RESULTS: Orbital width, nasal width, and intercanine width were found to be strong predictors of the mouth width determination and were used to generate the regression formulae to find the most approximate position of the mouth. CONCLUSION: These specific variables may contribute to improving the accuracy of mouth width determination for oral and maxillofacial reconstructions.


Asunto(s)
Cara , Reconstrucción Mandibular , Boca , Análisis de Regresión , Boca/anatomía & histología , Boca/diagnóstico por imagen , Cara/anatomía & histología , Cara/diagnóstico por imagen , Diente/anatomía & histología , Diente/diagnóstico por imagen , Ojo/anatomía & histología , Ojo/diagnóstico por imagen , Nariz/anatomía & histología , Nariz/diagnóstico por imagen , Tomografía Computarizada de Haz Cónico , Humanos
17.
J Craniofac Surg ; 35(4): e376-e380, 2024 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-38722365

RESUMEN

OBJECTIVE: Orthognathic surgery is a viable and reproducible treatment for facial deformities. Despite the precision of the skeletal planning of surgical procedures, there is little information about the relations between hard and soft tissues in three-dimensional (3D) analysis, resulting in unpredictable soft tissue outcomes. Three-dimensional photography is a viable tool for soft tissue analysis because it is easy to use, has wide availability, low cost, and is harmless. This review aims to establish parameters for acquiring consistent and reproducible 3D facial images. METHODS: A scoping review was conducted across PubMed, SCOPUS, Scientific Electronic Library Online (SciELO), and Web of Science databases, adhering to "Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews" guidelines. Articles presenting 3D facial photographs in the diagnostic phase were considered. RESULTS: A total of 79 articles were identified, of which 29 were selected for analysis. CONCLUSION: The predominant use of automated systems like 3dMD and VECTRA M3 was noted. User positioning has highest agreement among authors. Noteworthy aspects include the importance of proper lighting, facial expression, and dental positioning, with observed discrepancies and inconsistencies among authors. Finally, the authors proposed a 3D image acquisition protocol based on this research findings.


Asunto(s)
Cara , Imagenología Tridimensional , Fotograbar , Humanos , Imagenología Tridimensional/métodos , Cara/diagnóstico por imagen , Cara/anatomía & histología , Fotograbar/métodos , Procedimientos Quirúrgicos Ortognáticos/métodos , Reproducibilidad de los Resultados
18.
J Plast Reconstr Aesthet Surg ; 93: 222-231, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38705125

RESUMEN

BACKGROUND: Facial feminization surgery (FFS) is the most common form of facial gender-affirming surgery. One of the current knowledge gaps is the understanding of differences among racial groups in baseline craniofacial norms for transgender and nonbinary patients. METHODS: All patients who sought consultation for FFS and underwent craniofacial computed tomography (CT) scans at a single institution between 2018 and 2023 were included. Patients who underwent previous facial surgeries were excluded. Chart reviews were conducted for patient characteristics, including race, age, hormone therapy duration, and prior gender-affirming surgeries. Racial categorizations included White, Latinx, African American, or Asian. Patients with other or multiracial identities were excluded. Lower face measurements were derived from preoperative facial CT scans. Comparative analyses were performed on all measurements among the racial groups. RESULTS: In this study, 204 patients were included with an average age of 32.0 ± 10.2 years and a median hormone therapy duration of 2.0 years. The notable differences among the racial groups were: 1. Zygomatic width was the largest in Asian patients (13.5 ± 0.6 cm) compared to all other racial groups (p = 0.03), 2. Nasolabial angle was the smallest in African American patients (82.5 ± 13.1 degrees, p < 0.001), 3. Lower face height was the largest in African American patients (6.9 ± 0.7 cm, p < 0.001), and 4. Lateral mandibular flare was the largest in African American patients (0.4 ± 0.1 cm) and the smallest in Latinx patients (0.2 ± 0.1 cm, p < 0.001). CONCLUSIONS: Specific target areas of FFS should be carefully considered to account for possible baseline ethnic differences. Relative facial proportions may also be a more salient surgical planning tool in transgender and gender nonbinary patients rather than absolute measurements alone.


Asunto(s)
Cara , Tomografía Computarizada por Rayos X , Humanos , Femenino , Masculino , Adulto , Cara/anatomía & histología , Cara/diagnóstico por imagen , Cara/cirugía , Cirugía de Reasignación de Sexo/métodos , Etnicidad , Personas Transgénero , Antropometría/métodos , Estudios Retrospectivos
19.
Sci Rep ; 14(1): 8172, 2024 04 08.
Artículo en Inglés | MEDLINE | ID: mdl-38589391

RESUMEN

Several new systems for three-dimensional (3D) surface imaging of the face have become available to assess changes following orthognathic or facial surgery. Before they can be implemented in practice, their reliability and validity must be established. Our aim, therefore, was to study the intra- and inter-system reliability and validity of 3dMD (stereophotogrammetry), Artec Eva and Artec Space Spider (both structured light scanners). Intra- and inter-system reliability, expressed in root mean square distance, was determined by scanning a mannequin's head and the faces of healthy volunteers multiple times. Validity was determined by comparing the linear measurements of the scans with the known distances of a 3D printed model. Post-processing errors were also calculated. Intra-system reliability after scanning the mannequin's head was best with the Artec Space Spider (0.04 mm Spider; 0.07 mm 3dMD; 0.08 mm Eva). The least difference in inter-system reliability after scanning the mannequin's head was between the Artec Space Spider and Artec Eva. The best intra-system reliability after scanning human subjects was with the Artec Space Spider (0.15 mm Spider; 0.20 mm Eva; 0.23 mm 3dMD). The least difference in inter-system reliability after scanning human subjects was between the Artec Eva and Artec Space Spider. The most accurate linear measurement validity occurred with the Artec Space Spider. The post-processing error was 0.01 mm for all the systems. The Artec Space Spider is the most reliable and valid scanning system.


Asunto(s)
Cara , Imagenología Tridimensional , Humanos , Cara/diagnóstico por imagen , Imagenología Tridimensional/métodos , Reproducibilidad de los Resultados , Fotogrametría , Voluntarios Sanos
20.
Comput Biol Med ; 174: 108431, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38626507

RESUMEN

Skin wrinkles result from intrinsic aging processes and extrinsic influences, including prolonged exposure to ultraviolet radiation and tobacco smoking. Hence, the identification of wrinkles holds significant importance in skin aging and medical aesthetic investigation. Nevertheless, current methods lack the comprehensiveness to identify facial wrinkles, particularly those that may appear insignificant. Furthermore, the current assessment techniques neglect to consider the blurred boundary of wrinkles and cannot differentiate images with varying resolutions. This research introduces a novel wrinkle detection algorithm and a distance-based loss function to identify full-face wrinkles. Furthermore, we develop a wrinkle detection evaluation metric that assesses outcomes based on curve, location, and gradient similarity. We collected and annotated a dataset for wrinkle detection consisting of 1021 images of Chinese faces. The dataset will be made publicly available to further promote wrinkle detection research. The research demonstrates a substantial enhancement in detecting subtle wrinkles through implementing the proposed method. Furthermore, the suggested evaluation procedure effectively considers the indistinct boundaries of wrinkles and is applicable to images with various resolutions.


Asunto(s)
Algoritmos , Bases de Datos Factuales , Cara , Envejecimiento de la Piel , Humanos , Envejecimiento de la Piel/fisiología , Cara/diagnóstico por imagen , Femenino , Masculino , Procesamiento de Imagen Asistido por Computador/métodos , Adulto
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