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1.
BMC Health Serv Res ; 23(1): 1342, 2023 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-38042800

RESUMO

BACKGROUND: There is a need for better adoption of technology to meet the needs of home care professionals, older people, and informal caregivers. METHODS: Mixed methods were used to describe and analyse quantitative and qualitative data in a Finnish governmental programme called KATI. The study was three-fold: it 1) listed what kinds of technologies were piloted and deployed in a national study, 2) provided information from the perspectives of home care professionals about requirements to use technology by using focus-group interviews, and 3) assessed experiences of how the adoption of technology changes work and work processes over time by using repeated surveys. Informants in interviews (n = 25) and surveys (n = 90) were home care professionals, who also described the perspectives of older people and informal caregivers. The conceptual models framing the study were adapted from the Technology Acceptance Model and DirVA PROVE-IT. RESULTS: There were 80 technology pilots, in which variety of technologies were followed in home care. Familiarity with, commitment to and understanding of technology benefits were considered to be requirements for the technology to be used. The adoption of technology provided new skills and information about older people's wellbeing, realisation of treatment and new possibilities in home care. It developed new procedures to focus on older people's needs and motivated professionals by gained concrete aid. It enabled them to leave out some concrete procedures as unnecessary. On the other hand, there were also pessimistic and negative experiences when technology use provided nothing new or did not change anything. CONCLUSIONS: The adoption of technology is dependent on the technology and its integration into the prevailing service practice. When they both work, it is possible to leave out unnecessary procedures in care, allocate resources and save time. It is possible to be aware of older people's safety and how they cope at home, find new ways to get involved in older people's lives, gain insight, and make changes at work. Continuous on-site training, modifications in service practices and communication throughout organisations is needed.


Assuntos
Serviços de Assistência Domiciliar , Humanos , Idoso , Finlândia , Cuidadores , Grupos Focais , Comunicação
2.
BMC Health Serv Res ; 23(1): 714, 2023 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-37386423

RESUMO

BACKGROUND: Today, digitalisation is strongly present in health and social care, and it increasingly affects the organisation of work, work requirements, tasks and tools. Due to the constant change in work, up-to-date knowledge is needed about these micro-level effects of digitalisation and how professionals experience the effects in their work. Furthermore, even though managers play a key role in implementing new digital services, their perceptions of the effects of digitalisation and whether they match the views of professionals remain unknown. This study examined how health and social care professionals and managers perceive the effects of digitalisation on the work of professionals. METHODS: We used a qualitative approach and conducted eight semi-structured focus group interviews with health and social care professionals (n = 30) and 21 individual interviews with managers in 2020 in four health centres in Finland. The qualitative content analysis included both an inductive and a deductive approach. RESULTS: Digitalisation was perceived to have changed professionals' 1) workload and pace, 2) the field and nature of work, 3) work community communication and interaction, and 4) information flow and security. Both professionals and managers identified effects such as accelerated work, reduction in workload, constant learning of technical skills, complicated work due to vulnerable information systems, and reduction in face-to-face encounters. However, managers did not bring up all the effects that professionals considered important, such as the creation of new work tasks, increased and duplicated work, or insufficient time to get acquainted with the systems. CONCLUSIONS: The findings suggest that some of the effects of digitalisation on professionals' work and changes in the workplace may receive too little or no recognition from managers. This increases the risk that the potential negative effects may be overlooked and that managers will adopt systems that do not support the work of professionals. To reach a common understanding of the effects of digitalisation, continuous discussions between employees and different management levels are required. This contributes to professionals' well-being and adaptation to changes, as well as the provision of quality health and social services.


Assuntos
Apoio Social , Serviço Social , Humanos , Pesquisa Qualitativa , Grupos Focais , Comunicação
3.
Hear Res ; 434: 108790, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-37196460

RESUMO

The electrode-generated intracochlear electrical field (EF) spreads widely along the scala tympani surrounded by poorly-conducting tissue and it can be measured with monopolar transimpedance matrix (TIMmp). Bipolar TIM (TIMbp) allows estimations of local potential differences. With TIMmp, the correct alignment of the electrode array can be assessed, and TIMbp may be useful in more subtle evaluations of the electrode array's intracochlear location. In this temporal bone study, we investigated the effect of the cross-sectional scala area (SA) and the electrode-medial-wall distance (EMWD) on both TIMmp and TIMbp using three types of electrode arrays. Also, multiple linear regressions based on the TIMmp and TIMbp measurements were used to estimate the SA and EMWD. Six cadaver temporal bones were consecutively implanted with a lateral-wall electrode array (Slim Straight) and with two different precurved perimodiolar electrode arrays (Contour Advance and Slim Modiolar) for variation in EMWD. The bones were imaged with cone-beam computed tomography with simultaneous TIMmp and TIMbp measurements. The results from imaging and EF measurements were compared. SA increased from apical to basal direction (r = 0.96, p < 0.001). Intracochlear EF peak negatively correlated with SA (r = -0.55, p < 0.001) irrespective of the EMWD. The rate of the EF decay did not correlate with SA but it was faster in the proximity of the medial wall than in more lateral positions (r = 0.35, p < 0.001). For a linear comparison between the EF decaying proportionally to squared distance and anatomic dimensions, a square root of inverse TIMbp was applied and found to be affected by both SA and EMWD (r = 0.44 and r = 0.49, p < 0.001 for both). A regression model confirmed that together TIMmp and TIMbp can be used to estimate both SA and EMWD (R2 = 0.47 and R2 = 0.44, respectively, p < 0.001 for both). In TIMmp, EF peaks grow from basal to apical direction and EF decay is steeper in the proximity of the medial wall than in more lateral positions. Local potentials measured via TIMbp correlate with both SA and EMWD. Altogether, TIMmp and TIMbp can be used to assess the intracochlear and intrascalar position of the electrode array, and they may reduce the need for intra- and postoperative imaging in the future.


Assuntos
Implante Coclear , Implantes Cocleares , Humanos , Implante Coclear/métodos , Estudos Transversais , Cóclea/diagnóstico por imagem , Cóclea/cirurgia , Rampa do Tímpano/cirurgia , Osso Temporal/diagnóstico por imagem , Osso Temporal/cirurgia , Eletrodos Implantados
4.
BMC Med Imaging ; 23(1): 51, 2023 04 10.
Artigo em Inglês | MEDLINE | ID: mdl-37038130

RESUMO

BACKGROUND: Multi slice computed tomography (MSCT) is the most common used method in middle ear imaging. However, MSCT lacks the ability to distinguish the ossicular chain microstructures in detail resulting in poorer diagnostic outcomes. Novel cone beam computed tomography (CBCT) devices' image resolution is, on the other hand, better than MSCT resolution. The aim of this study was to optimize imaging parameters of a novel full body CBCT device to obtain optimal contrast to noise ratio (CNR) with low effective dose, and to optimize its clinical usability. METHODS: Imaging of five anonymous excised human cadaver temporal bones, the acquisition of the effective doses and the CNR measurements were performed for images acquired on using Planmed XFI® full body CBCT device (Planmed Oy, Helsinki, Finland) with a voxel size of 75 µm. All images acquired from the specimens using 10 different imaging protocols varying from their tube current exposure time product (mAs) and tube voltage (kVp) were analyzed for eight anatomical landmarks and evaluated by three evaluators. RESULTS: With the exception of protocol with 90 kVp 100 mAs, all other protocols used are competent to image the finest structures. With a moderate effective dose (86.5 µSv), protocol with 90 kV 450 mAs was chosen the best protocol used in this study. A significant correlation between CNR and clinical image quality of the protocols was observed in linear regression model. Using the optimized imaging parameters, we were able to distinguish even the most delicate middle ear structures in 2D images and produce accurate 3D reconstructions. CONCLUSIONS: In this ex vivo experiment, the new Planmed XFI® full body CBCT device produced excellent 2D resolution and easily created 3D reconstructions in middle ear imaging with moderate effective doses. This device would be suitable for middle ear diagnostics and for e.g., preoperative planning. Furthermore, the results of this study can be used to optimize the effective dose by selecting appropriate exposure parameters depending on the diagnostic task.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Tomografia Computadorizada por Raios X , Humanos , Doses de Radiação , Imagens de Fantasmas , Tomografia Computadorizada de Feixe Cônico/métodos , Tomografia Computadorizada por Raios X/métodos , Orelha Média/diagnóstico por imagem
5.
Radiat Prot Dosimetry ; 199(5): 462-470, 2023 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-36789742

RESUMO

With computed tomography (CT), the delicate structures of the inner ear may be hard to visualise, which a cochlear implant (CI) electrode array can further complicate. The usefulness of a novel cone-beam CT device in CI recipient's inner ear imaging was evaluated and the exposure parameters were optimised to attain adequate clinical image quality at the lowest effective dose (ED). Six temporal bones were implanted with a Cochlear Slim Straight electrode array and imaged with six different imaging protocols. Contrast-to-noise ratio was calculated for each imaging protocol, and three observers evaluated independently the image quality of each imaging protocol and temporal bone. The overall image quality of the inner ear structures did not differ between the imaging protocols and the most relevant inner ear structures of CI recipient's inner ear can be visualised with a low ED. To visualise the most delicate structures in the inner ear, imaging protocols with higher radiation exposure may be required.


Assuntos
Implante Coclear , Implantes Cocleares , Implante Coclear/métodos , Cóclea/cirurgia , Tomografia Computadorizada de Feixe Cônico/métodos , Tomografia Computadorizada por Raios X/métodos
6.
Dentomaxillofac Radiol ; 52(2): 20220176, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36168973

RESUMO

OBJECTIVES: To compare the cone-beam computed tomography (CBCT) image quality and effective dose between low-dose scanning and standard manufacturer-recommended protocols among different CBCT units. METHODS: Three human-equivalent phantoms were scanned using the ultra-low-dose (ULD), low dose (LD), and standard dose (STD) modes of ProMax 3D Mid (Planmeca Oy, Helsinki, Finland) and Orthophos SL (Sirona, Bensheim, German) for the CBCT images. The quality of the dental anatomical images was assessed by four experienced oral and maxillofacial radiologists using a 5-point Likert scale. OnDemand3D (Cybermed Co., Seoul, Korea) was used as the third-party software for viewing. The percentage of absolute agreement was calculated to determine intra- and interrater agreements among the observers. The effective doses for all CBCT scanning protocols were also calculated. RESULTS: The STD protocol yielded a higher image quality than did the ULD and LD protocols in both ProMax 3D Mid and Orthophos SL. The ULD and LD protocols demonstrated an "acceptable-to-good" sense of visual perception of the CBCT images. The visibility scores significantly differed between the ULD and LD and the STD protocols in ProMax 3D Mid and Orthophos SL, except for the 120-kVp setting in ProMax 3D Mid. The average intra- and interrater agreement scores ranged from 0.63 to 0.89 and from 0.44 to 0.76, respectively. The ULD and LD protocols reduced the radiation dose sixfold compared with the STD protocol. CONCLUSIONS: High-tube-voltage protocols could remarkably reduce the imaging dose without degrading the image quality. Specifically, ULD and LD CBCT protocols may be adopted as routine practice for diagnosis and treatment planning.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Humanos , Tomografia Computadorizada de Feixe Cônico/instrumentação , Tomografia Computadorizada de Feixe Cônico/métodos , Processamento de Imagem Assistida por Computador , Imageamento Tridimensional , Imagens de Fantasmas , Doses de Radiação
7.
Carbohydr Polym ; 298: 119921, 2022 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-36241255

RESUMO

Understanding of the viscoelastic behavior of a polymer is a prerequisite for its thermomechanical processing beyond laboratory scale. Utilizing rheological characterization is a powerful tool to comprehend the complex nature and time-dependent properties of macromolecular materials. Nevertheless, it consumes time as rheometry involves iterating experiments under several conditions to visualize the non-linear behavior of materials under varying conditions. The work hereunder examines the rheology of cellulosic aqueous suspensions prepared using cellulose fibers as the dispersed phase (Refcell and Storacell) and methylcellulose (MC) as the polymeric matrix. Interfacial phenomena between MC and cellulose fibers arise in particle laden systems with supramolecular structures formed by non-covalent interactions. Therefore, this study elucidates the rheological evolution of these interactions as a function of temperature and fiber concentration. This study displays how researchers may reduce the number of rheological experiments and save time utilizing a novel method based on a Bayesian optimization with Gaussian processes.


Assuntos
Metilcelulose , Polímeros , Teorema de Bayes , Metilcelulose/química , Reologia , Temperatura
8.
Eur J Radiol ; 156: 110548, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36209537

RESUMO

PURPOSE: To evaluate fetal doses from extremity CBCT examinations at different stages of pregnancy and to investigate different methods of fetal dose optimization. METHOD: Fetal doses were measured in an anthropomorphic phantom for two CBCT examination protocols - knee and elbow. The measurements were made at three different heights representing the three trimesters during pregnancy and three different depths in the phantom. The effect of soft tissue layer, tube voltage, add-on device shield and body angulation on fetal dose were investigated. RESULTS: The fetal doses in clinical examination protocols were in the range of 3.4 to 6.0 µGy during knee examinations and 2.9 to 7.7 µGy during elbow examinations depending on the depth of the fetus and the stage of pregnancy. A soft tissue layer representing variative body composition above abdomen region decreased the fetal dose up to 19 % in knee and up to 21 % in elbow examinations. Using lower tube voltage decreased the fetal doses up to 45 % (knee) and 51 % (elbow). An add-on device shield decreased the fetal doses up to 91 % (knee) and up to 75 % (elbow). Turning the body away from the device bore reduced the fetal doses up to 62 %. The conversion factor to convert an entrance surface dose to the fetal dose ranged from 0.4 to 0.6. CONCLUSIONS: The fetal doses from CBCT examinations of extremities are low and do not produce a concern about radiation detriment to the fetus. The most efficient way found to reduce the fetal dose was to use the add-on device shielding.

9.
Int J Integr Care ; 22(3): 8, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36043026

RESUMO

Introduction: This paper analyses and discusses the models and tools in the Finnish health and social care system to identify the individuals who might benefit from integrated multidisciplinary care. Description: The analysis and discussion of the paper is based on a study which mapped and studied the models and tools in practice or under development for identification in the Finnish health and social care organizations. The study used electric survey and structured interviews as research methods. Discussion: There are several different established models of identification in Finland and the experiences of using them are mainly positive. However, only every third of health and social care organizations in Finland have defined a common model or tool. The identification practices and criteria vary by region, municipality and/or organization. The identification is in general unsystematic and insufficient in practice that may inhibit the individuals to access the integrated care they might benefit from. Conclusions: Models and tools are needed for founding and identifying individuals who are outside the service system, those whose client-ship has just begun, and those who already access services. The identification of individuals for integrated multidisciplinary care and the assimilation and understanding of different identification models and tools requires the development of basic and further competence in the different fields of health and social care. Multidisciplinary collaboration requires shared concepts and positive attitudes on the development of integrated professional environments, identification models and services. It is therefore also a question of shared working culture.

10.
Dose Response ; 20(2): 15593258221107515, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35719850

RESUMO

Objectives: To highlight the detail obtained on a Cone Beam Computed Tomography (CBCT) scan of the craniocervical junction and its usefulness to Chiropractors who specialize in the upper cervical spine. A review of the dose considerations to patients vs radiography in a chiropractic clinical setting and to review the effective radiation dose to the patient. Methods: A review of studies discussing cervical biomechanics, neurovascular structures, and abnormal radiographic findings, was discussed in relation to chiropractic clinical relevance. Further studies were evaluated demonstrating radiation dose to the patient from radiographs compared to CBCT. Results: Incidental and abnormal findings of the craniocervical junction were shown to have superior visualization with CBCT compared to radiography. The radiation dose to the patient for similar imaging protocols to the craniocervical junction and cervical spine was equal or less utilizing CBCT when compared to radiographs. Conclusions: The use of CBCT for visualization of the craniocervical junction and cervical spine in the chiropractic clinical setting allows for adjunctive visualization of the osseous structures which is germane to clinical protocol. Further with CBCT the effective dose to the patient is equal or less than similar imaging protocols utilizing radiographs to evaluate the craniocervical junction.

11.
Dentomaxillofac Radiol ; 51(7): 20220104, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-35766951

RESUMO

OBJECTIVE: Cone beam computed tomography (CBCT) images are being increasingly used to acquire three-dimensional (3D) models of the skull for additive manufacturing purposes. However, the accuracy of such models remains a challenge, especially in the orbital area. The aim of this study is to assess the impact of four different CBCT imaging positions on the accuracy of the resulting 3D models in the orbital area. METHODS: An anthropomorphic head phantom was manufactured by submerging a dry human skull in silicon to mimic the soft tissue attenuation and scattering properties of the human head. The phantom was scanned on a ProMax 3D MAX CBCT scanner using 90 and 120 kV for four different field of view positions: standard; elevated; backwards tilted; and forward tilted. All CBCT images were subsequently converted into 3D models and geometrically compared with a "gold-standard" optical scan of the dry skull. RESULTS: Mean absolute deviations of the 3D models ranged between 0.15 ± 0.11 mm and 0.56 ± 0.28 mm. The elevated imaging position in combination with 120 kV tube voltage resulted in an improved representation of the orbital walls in the resulting 3D model without compromising the accuracy. CONCLUSIONS: Head positioning during CBCT imaging can influence the accuracy of the resulting 3D model. The accuracy of such models may be improved by positioning the region of interest (e.g. the orbital area) in the focal plane (Figure 2a) of the CBCT X-ray beam.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Silício , Tomografia Computadorizada de Feixe Cônico/métodos , Cabeça/diagnóstico por imagem , Humanos , Imageamento Tridimensional/métodos , Imagens de Fantasmas , Crânio/diagnóstico por imagem
12.
Artigo em Inglês | MEDLINE | ID: mdl-35534405

RESUMO

OBJECTIVE: The purpose of this study was to evaluate the impact of thyroid gland shielding on radiation doses in dental cone beam computed tomography (CBCT) with small and medium fields of view (FOVs). STUDY DESIGN: Six CBCT protocols were investigated by exposing an adult anthropomorphic male phantom head without and with thyroid shielding, using 4 small (4 × 5 cm) and 2 medium (10 × 6 cm) FOVs. Twenty metal oxide semiconductor field-effect transistor dosimeters were placed in the phantom head to measure absorbed doses and calculate equivalent doses at 11 sites. Effective doses were calculated based on the tissue weighting factors in International Commission on Radiological Protection Publication 103. The data were analyzed using the independent samples t test. RESULTS: Thyroid gland shielding led to significant equivalent dose reductions in many tissues for all protocols. Equivalent dose reductions to the thyroid were significant in all 6 protocols (P ≤ .037). Significant reduction depended on the FOV and ranged between 24.5% and 42.6% for the thyroid gland and 4.9% and 34.5% for other tissues and organs. Effective doses were significantly lower in all protocols (P ≤ .016). CONCLUSIONS: Thyroid gland shielding protects the thyroid gland and other organs and should be utilized with all CBCT examinations where feasible.


Assuntos
Dosimetria Termoluminescente , Glândula Tireoide , Adulto , Tomografia Computadorizada de Feixe Cônico/métodos , Humanos , Masculino , Imagens de Fantasmas , Doses de Radiação , Dosimetria Termoluminescente/métodos , Glândula Tireoide/efeitos da radiação
13.
Sci Rep ; 11(1): 24306, 2021 12 21.
Artigo em Inglês | MEDLINE | ID: mdl-34934137

RESUMO

Mimicking natural structures allows the exploitation of proven design concepts for advanced material solutions. Here, our inspiration comes from the anisotropic closed cell structure of wood. The bubbles in our fiber reinforced foam are elongated using temperature dependent viscosity of methylcellulose and constricted drying. The oriented structures lead to high yield stress in the primary direction; 64 times larger than compared to the cross direction. The closed cells of the foam also result in excellent thermal insulation. The proposed novel foam manufacturing process is trivial to up-scale from the laboratory trial scale towards production volumes on industrial scales.

14.
J Med Internet Res ; 23(12): e31668, 2021 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-34855610

RESUMO

BACKGROUND: Although the COVID-19 pandemic has significantly boosted the implementation of digital services worldwide, it has become increasingly important to understand how these solutions are integrated into professionals' routine work. Professionals who are using the services are key influencers in the success of implementations. To ensure successful implementations, it is important to understand the multiprofessional perspective, especially because implementations are likely to increase even more. OBJECTIVE: The aim of this study is to examine health and social care professionals' experiences of digital service implementations and to identify factors that support successful implementations and should be considered in the future to ensure that the services are integrated into professionals' routine work. METHODS: A qualitative approach was used, in which 8 focus group interviews were conducted with 30 health and social care professionals from 4 different health centers in Finland. Data were analyzed using qualitative content analysis. The resulting categories were organized under the components of normalization process theory. RESULTS: Our results suggested 14 practices that should be considered when implementing new digital services into routine work. To get professionals to understand and make sense of the new service, (1) the communication related to the implementation should be comprehensive and continuous and (2) the implementation process should be consistent. (3) A justification for the service being implemented should also be given. The best way to engage the professionals with the service is (4) to give them opportunities to influence and (5) to make sure that they have a positive attitude toward the service. To enact the new service into professionals' routine work, it is important that (6) the organization take a supportive approach by providing support from several easy and efficient sources. The professionals should also have (7) enough time to become familiar with the service, and they should have (8) enough know-how about the service. The training should be (9) targeted individually according to skills and work tasks, and (10) it should be diverse. The impact of the implementation on the professionals' work should be evaluated. The service (11) should be easy to use, and (12) usage monitoring should happen. An opportunity (13) to give feedback on the service should also be offered. Moreover, (14) the service should support professionals' work tasks. CONCLUSIONS: We introduce 14 practices for organizations and service providers on how to ensure sustainable implementation of new digital services and the smooth integration into routine work. It is important to pay more attention to comprehensive and continuing communication. Organizations should conduct a competence assessment before training in order to ensure proper alignment. Follow-ups to the implementation process should be performed to guarantee sustainability of the service. Our findings from a forerunner country of digitalization can be useful for countries that are beginning their service digitalization or further developing their digital services.


Assuntos
COVID-19 , Pandemias , Humanos , Pesquisa Qualitativa , SARS-CoV-2 , Apoio Social
15.
Comput Methods Programs Biomed ; 207: 106192, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34062493

RESUMO

BACKGROUND AND OBJECTIVE: Over the past decade, convolutional neural networks (CNNs) have revolutionized the field of medical image segmentation. Prompted by the developments in computational resources and the availability of large datasets, a wide variety of different two-dimensional (2D) and three-dimensional (3D) CNN training strategies have been proposed. However, a systematic comparison of the impact of these strategies on the image segmentation performance is still lacking. Therefore, this study aimed to compare eight different CNN training strategies, namely 2D (axial, sagittal and coronal slices), 2.5D (3 and 5 adjacent slices), majority voting, randomly oriented 2D cross-sections and 3D patches. METHODS: These eight strategies were used to train a U-Net and an MS-D network for the segmentation of simulated cone-beam computed tomography (CBCT) images comprising randomly-placed non-overlapping cylinders and experimental CBCT images of anthropomorphic phantom heads. The resulting segmentation performances were quantitatively compared by calculating Dice similarity coefficients. In addition, all segmented and gold standard experimental CBCT images were converted into virtual 3D models and compared using orientation-based surface comparisons. RESULTS: The CNN training strategy that generally resulted in the best performances on both simulated and experimental CBCT images was majority voting. When employing 2D training strategies, the segmentation performance can be optimized by training on image slices that are perpendicular to the predominant orientation of the anatomical structure of interest. Such spatial features should be taken into account when choosing or developing novel CNN training strategies for medical image segmentation. CONCLUSIONS: The results of this study will help clinicians and engineers to choose the most-suited CNN training strategy for CBCT image segmentation.


Assuntos
Processamento de Imagem Assistida por Computador , Dente , Tomografia Computadorizada de Feixe Cônico , Redes Neurais de Computação
16.
Soft Matter ; 17(27): 6675, 2021 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-34180932

RESUMO

Correction for 'Chlamydomonas reinhardtii swimming in the Plateau borders of 2D foams' by Oskar Tainio et al., Soft Matter, 2021, 17, 145-152, DOI: 10.1039/D0SM01206H.

17.
Phys Med Biol ; 66(13)2021 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-34107467

RESUMO

High cone-angle artifacts (HCAAs) appear frequently in circular cone-beam computed tomography (CBCT) images and can heavily affect diagnosis and treatment planning. To reduce HCAAs in CBCT scans, we propose a novel deep learning approach that reduces the three-dimensional (3D) nature of HCAAs to two-dimensional (2D) problems in an efficient way. Specifically, we exploit the relationship between HCAAs and the rotational scanning geometry by training a convolutional neural network (CNN) using image slices that were radially sampled from CBCT scans. We evaluated this novel approach using a dataset of input CBCT scans affected by HCAAs and high-quality artifact-free target CBCT scans. Two different CNN architectures were employed, namely U-Net and a mixed-scale dense CNN (MS-D Net). The artifact reduction performance of the proposed approach was compared to that of a Cartesian slice-based artifact reduction deep learning approach in which a CNN was trained to remove the HCAAs from Cartesian slices. In addition, all processed CBCT scans were segmented to investigate the impact of HCAAs reduction on the quality of CBCT image segmentation. We demonstrate that the proposed deep learning approach with geometry-aware dimension reduction greatly reduces HCAAs in CBCT scans and outperforms the Cartesian slice-based deep learning approach. Moreover, the proposed artifact reduction approach markedly improves the accuracy of the subsequent segmentation task compared to the Cartesian slice-based workflow.


Assuntos
Artefatos , Aprendizado Profundo , Tomografia Computadorizada de Feixe Cônico , Processamento de Imagem Assistida por Computador , Redes Neurais de Computação
18.
J Appl Clin Med Phys ; 22(5): 128-138, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33811787

RESUMO

The aim of the study was to estimate and to compare effective doses in the elbow region resulting from four different x-ray imaging modalities. Absorbed organ doses were measured using 11 metal oxide field effect transistor (MOSFET) dosimeters that were placed in a custom-made anthropomorphic elbow RANDO phantom. Examinations were performed using Shimadzu FH-21 HR radiography device, Siemens Sensation Open 24-slice MSCT-device, NewTom 5G CBCT device, and Planmed Verity CBCT device, and the effective doses were calculated according to ICRP 103 recommendations. The effective dose for the conventional radiographic device was 1.5 µSv. The effective dose for the NewTom 5G CBCT ranged between 2.0 and 6.7 µSv, for the Planmed Verity CBCT device 2.6 µSv and for the Siemens Sensation MSCT device 37.4 µSv. Compared with conventional 2D radiography, this study demonstrated a 1.4-4.6 fold increase in effective dose for CBCT and 25-fold dose for standard MSCT protocols. When compared with 3D CBCT protocols, the study showed a 6-19 fold increase in effective dose using a standard MSCT protocol. CBCT devices offer a feasible low-dose alternative for elbow 3D imaging when compared to MSCT.


Assuntos
Cotovelo , Tomografia Computadorizada de Feixe Cônico Espiral , Tomografia Computadorizada de Feixe Cônico , Humanos , Imagens de Fantasmas , Doses de Radiação , Radiografia , Dosimetria Termoluminescente
19.
Soft Matter ; 17(1): 145-152, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33155584

RESUMO

Unicellular Chlamydomonas reinhardtii micro-algae cells were inserted into a quasi-2D Hele-Shaw chamber filled with saponin foam. The movement of the algae along the bubble borders was then manipulated and tracked. These self-propelled particles generate flow and stresses in their surrounding matter. In addition, the algae possess the capability of exerting forces that alter bubble boundaries while maintaining an imminent phototactic movement. We find that by controlling the gas fraction of the foam we can change the interaction of the algae and bubbles. Specifically, our data expose three distinct swimming regimes for the algae with respect to the level of confinement due to the Plateau border cross-section: unlimited bulk, transition, and overdamped regimes. At the transition regime we find the speed of the algae to be modeled by a simple force balance equation emerging from the shear inside the Plateau border. Thus, we have shown that it is possible to create an algae-friendly foam while controlling the algae motion. This opens doors to multiple applications where the flow of nutrients, oxygen and recirculation of living organisms is essential.


Assuntos
Chlamydomonas reinhardtii , Movimento (Física) , Movimento , Natação
20.
Soft Matter ; 2020 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-32842140

RESUMO

In rheological terms, foams are time independent yield stress fluids, displaying properties of both solid and liquid materials. Here we measure the propagation of a 2D dry foam in a radially symmetric Hele-Shaw cell forcing local yielding. The yield rate is manipulated by mechanical vibration with frequencies from 0 to 150 Hz. The flow speed is then extracted from the video stream and analyzed using digital image correlation software. The data are modeled analytically by a Guzman-Arrhenius type of energy landscape where the local yielding of foam correlates with the number of oscillations, i.e. attempts to cross the energy barrier. The model is confirmed in an auxiliary experiment where the vibrated foam stays in its flowing state at the same small driving pressures, where the flow of the unvibrated foam ceases. We conclude that the yield stress behaviour of foams under an external perturbation can be summarized using a simple energy landscape model. The vibration affects the films causing the stress to occasionally and locally exceed the yield threshold. This, thus, prevents the foam from jamming as in a static configuration even when the global driving is below the yield point of the foam.

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