3D Specimen Scanning and Mapping in Musculoskeletal Oncology: A Feasibility Study.

BACKGROUND: Surgical resection is the primary treatment for bone and soft tissue tumors. Negative margin status is a key factor in prognosis. Given the three-dimensional (3D) anatomic complexity of musculoskeletal tumor specimens, communication of margin results between surgeons and pathologists is challenging. We sought to perform ex vivo 3D scanning of musculoskeletal oncology specimens to enhance communication between surgeons and pathologists. METHODS: Immediately after surgical resection, 3D scanning of the fresh specimen is performed prior to frozen section analysis. During pathologic grossing, whether frozen or permanent, margin sampling sites are annotated on the virtual 3D model using computer-aided design (CAD) software. RESULTS: 3D scanning was performed in seven cases (six soft tissue, one bone), with specimen mapping on six cases. Intraoperative 3D scanning and mapping was performed in one case in which the location of margin sampling was shown virtually in real-time to the operating surgeon to help achieve a negative margin. In six cases, the 3D model was used to communicate final permanent section analysis. Soft tissue, cartilage, and bone (including lytic lesions within bone) showed acceptable resolution. CONCLUSIONS: Virtual 3D scanning and specimen mapping is feasible and may allow for enhanced documentation and communication. This protocol provides useful information for anatomically complex musculoskeletal tumor specimens. Future studies will evaluate the effect of the protocol on positive margin rates, likelihood that a re-resection contains additional malignancy, and exploration of targeted adjuvant radiation protocols using a patient-specific 3D specimen map.

Evaluating the Effectiveness of Transtibial Prosthetic Socket Shape Design using Artificial Intelligence: A Clinical Comparison with Traditional Plaster Cast Socket Designs.

OBJECTIVE: This study investigates the feasibility of creating an AI algorithm to enhance prosthetic socket shapes for transtibial prostheses, aiming for a less operator-dependent, standardized approach. DESIGN: The study comprised two phases: first, developing an AI algorithm in a cross-sectional study to predict prosthetic socket shapes. Second, testing the AI-predicted Digitally Measured and Standardized Designed (DMSD-)prosthetic socket against a Manually Measured and Designed (MMD-)prosthetic socket in a two-week within-subject cross-sectional study. SETTING: The study was done at the rehabilitation department of the Radboud University Medical Center in Nijmegen, the Netherlands. PARTICIPANTS: The AI algorithm was developed using retrospective data from 116 patients from a Dutch orthopedic company: OIM Orthopedie, and tested on ten randomly selected participants from Papenburg Orthopedie. INTERVENTIONS: Utilization of an AI algorithm to enhance the shape of a transtibial prosthetic socket. MAIN OUTCOME MEASURES: The algorithm was optimized to minimize the error in the test set. Participants' Socket Comfort Score (SCS) and fitting ratings from an independent physiotherapist and prosthetist were collected. RESULTS: Predicted prosthetic shapes deviated by 2.51 mm from the actual designs. 8/10 DMSD and all 10 MMD-prosthetic sockets were satisfactory for home testing. Participants rated DMSD prosthetic sockets at 7.1 ± 2.2 (n=8) and MMD prosthetic sockets at 6.6 ± 1.2 (n=10) on average. CONCLUSION: The study demonstrates promising results for using an AI algorithm in prosthetic socket design, but long-term effectiveness and refinement for improved comfort and fit in more deviant cases are necessary.

Impact of occlusal stabilization splints on global body posture: a prospective clinical trial.

OBJECTIVES: Body posture of patients with temporomandibular disorders (TMD) has been investigated using different methods, whereas outcome and conclusions were controversial. The present clinical trial aimed to investigate the effects of splint therapy on global body posture. MATERIALS AND METHODS: 24 subjects (20 females, 4 males; age 24.2 ± 4.0 years) with TMD symptoms were examined clinically (RDC/TMD) and subsequently, splint fabrication was initiated. Along with routine therapy, all subjects underwent three-dimensional pre- and post-treatment full body scans in standing and upright sitting posture using a Vitus Smart XXL 3D scanner. Each scan was acquired in triplicate and evaluated in duplicate, measuring twelve standing and nine sitting postural parameters. Influencing factors were analyzed using analysis of variance (ANOVA), and additional Bland-Altman analyses verified the significance of the ANOVA results. RESULTS: The increase of Forward Head angles and the decrease of Round Shoulders angles were consistent for both positions and sides. Forward Head angles were significantly influenced by limited mandibular mobility and myofascial pain. Round Shoulders angles showed a significant correlation with myofascial pain, joint noises and the absence of limited mandibular mobility. CONCLUSION: The influence of occlusal splints on global posture is limited and only small effects on cervicocranial parameters were found. In the present study, the average head position of post treatment measurements was more centered on the body's core, whereas the shoulders were tilted more anteriorly. CLINICAL RELEVANCE: Understanding the limited influence of occlusal splints on cervicocranial parameters underscores the need for multimodal treatment strategies for TMD patients.

An Adaptive 3D Neighbor Discovery and Tracking Algorithm in Battlefield Flying Ad Hoc Networks with Directional Antennas.

Neighbor discovery and tracking with directional antennas in flying ad hoc networks (FANETs) is a challenging issue because of dispersed node distribution and irregular maneuvers in three-dimensional (3D) space. In this paper, we propose an adaptive 3D neighbor discovery and tracking algorithm in battlefield FANETs with directional antennas. With time synchronization, a flying node transmits/receives the neighbor discovery packets sequentially in each beam around it to execute a two-way handshake for neighbor discovery. The transmitting or receiving status of each discovery slot depends on the binary code corresponding to the identification of the node. Discovered neighbor nodes exchange their 3D positions in tracking slots periodically for node tracking, and the maximum tracking period is determined by node velocity, beamwidth, and the minimum distance between nodes. By configuring the relevant parameters, the proposed algorithm can also apply to two-dimensional planar ad hoc networks. The simulation results suggest that the proposed algorithm can achieve shorter neighbor discovery time and longer link survival time in comparison with the random scanning algorithm in scenarios with narrow beamwidth and wide moving area. When the frame length increases, the protocol overhead decreases but the average neighbor discovery time increases. The suitable frame length should be determined based on the network range, node count, beamwidth, and node mobility characteristics.

Extrinsic Calibration for a Modular 3D Scanning Quality Validation Platform with a 3D Checkerboard.

Optical 3D scanning applications are increasingly used in various medical fields. Setups involving multiple adjustable systems require repeated extrinsic calibration between patients. Existing calibration solutions are either not applicable to the medical field or require a time-consuming process with multiple captures and target poses. Here, we present an application with a 3D checkerboard (3Dcb) for extrinsic calibration with a single capture. The 3Dcb application can register captures with a reference to validate measurement quality. Furthermore, it can register captures from camera pairs for point-cloud stitching of static and dynamic scenes. Registering static captures from TIDA-00254 to its reference from a Photoneo MotionCam-3D resulted in an error (root mean square error ± standard deviation) of 0.02 mm ± 2.9 mm. Registering a pair of Photoneo MotionCam-3D cameras for dynamic captures resulted in an error of 2.2 mm ± 1.4 mm. These results show that our 3Dcb implementation provides registration for static and dynamic captures that is sufficiently accurate for clinical use. The implementation is also robust and can be used with cameras with comparatively low accuracy. In addition, we provide an extended overview of extrinsic calibration approaches and the application's code for completeness and service to fellow researchers.

3D Analysis of Breast Morphological Changes after Vertical-Scar Reduction Mammoplasty: A Prospective Study.

BACKGROUND: In addition to symptom relief, the crucial objective of reduction mammoplasty is to achieve a stable and esthetically pleasing postoperative breast shape. However, the morphological changes in breasts following reduction mammoplasty have not been comprehensively understood. In this study, we applied three-dimensional (3D) scanning technology for long-term follow-up monitoring of breast morphological changes to discern their changing trends. Our goal was to provide a reliable basis for assessing postoperative effects and determining follow-up time points. METHODS: This prospective study included patients undergoing vertical-scar reduction mammoplasty. We utilized a combination of linear measurements and 3D scanning to measure various parameters, including breast volume, breast volume distribution, nipple position, and scar length at various time points: pre-surgery, immediately post-surgery, 3-month postoperative, 6-month postoperative, and 1-year postoperative. RESULTS: A total of 115 patients were enrolled in this study. Throughout the initial 3 months of postoperative follow-up, there was a gradual reduction in breast volume, which tended to stabilize from 3 to 12 months. The nipple position showed a gradual shift both laterally, inferiorly, and posteriorly. The volume of the lower and lateral part of the breast increased gradually. Notably, at 1 year after surgery, the scar length was approximately 6.3% shorter compared to the immediate postoperative measurement. CONCLUSIONS: Our 3D analysis unveiled comprehensive changes in breast morphology: The overall breast volume shifted laterally and inferiorly, the nipple position moved laterally, inferiorly, and posteriorly, and there was a significant reduction in scar length. Concurrently, breast volume exhibited a gradual decrease and stabilization after 3 months, establishing it as a suitable follow-up point for assessing postoperative results. Additionally, surgical plans can be formulated based on the overall trend of changes in breast volume and distribution, combined with methods such as three-dimensional scanning, to enhance surgical outcomes and patient satisfaction. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to authors www.springer.com/00266 .

Quantitative evaluation of the proximal contact area gap change characterization under intercuspal occlusion by intraoral 3D scanning: Food impaction with tight proximal contact.

OBJECTIVE: This study aimed to present three indicators that represent the proximal contact area gap change under intercuspal occlusion and to see if and how these indicators influence food impaction with tight proximal contact. MATERIALS AND METHODS: Ninety volunteers were recruited for bite force measurement and intraoral scanning. Three-dimensional surface data and buccal bite data were obtained for 60 impacted and 60 non-impacted teeth. The scanning data were imported into the Geomagic Studio 2013 to measure three indicators, which included the gap change maximum (Δdm, µm), the buccolingual position of Δdm (P), and the gap expanded buccolingual range (S, mm). The difference between two groups of three indicators and their relationship with food impaction with tight proximal contact were analyzed by the t test, the Pearson chi-squared test, the nonparametric Mann-Whitney U test, and the binary logistic regression analysis (a = 0.05). RESULTS: All indicators (Δdm, P, and S) were statistically different (p < 0.001, p = 0.002, and p < 0.001) in the impacted and non-impacted groups. Food impaction with tight proximal contact was affected by Δdm and S (p < 0.001, p = 0.039), but not by P (p = 0.409). CONCLUSION: The excessive increase of the gap change maximum and the gap expanded buccolingual range under bite force promoted the occurrence of food impaction with tight proximal contact. CLINICAL SIGNIFICANCE: The use of intraoral scanning to measure the characteristics of the proximal contact area gap change under bite force may help to deepen our understanding of the pathogenesis of food impaction with tight proximal contact. Importantly it can provide a reference basis for individualizing and quantifying occlusal adjustment treatment.

[Innovations in forensic medicine: accuracy, evidence and effectiveness of expertises in emergencies in case of mass fatality]. / Innovatsii v sudebnoi meditsine: dostovernost', dokazatel'nost' i effektivnost' provodimykh ekspertiz v usloviyakh chrezvychainoi situatsii pri massovoi gibeli lyudei.

The article presents the main innovative methods used in forensic expert practice at the current stage, reveals the principle and algorithms of the developed software complex for registration and identification of the deceased. The proposed program automatically generates four documents, which reduces the time required for forensic expertise in the conditions of mass admission of deceased. The article's authors substantiate prospects of further application of computer technologies in forensic practice to improve organizational and methodological activities in emergencies with a large number of deceased.

Evaluation of Electron Tomography Capabilities for Shale Imaging.

Despite the advantageous resolution of electron tomography (ET), reconstruction of three-dimensional (3D) images from multiple two-dimensional (2D) projections presents several challenges, including small signal-to-noise ratios, and a limited projection range. This study evaluates the capabilities of ET for thin sections of shale, a complex nanoporous medium. A numerical phantom with 1.24 nm pixel size is constructed based on the tomographic reconstruction of a Barnett shale. A dataset of 2D projection images is numerically generated from the 3D phantom and studied over a range of conditions. First, common reconstruction techniques are used to reconstruct the shale structure. The reconstruction uncertainty is quantified by comparing overall values of storage and transport metrics, as well as the misclassification of pore voxels compared to the phantom. We then select the most robust reconstruction technique and we vary the acquisition conditions to quantify the effect of artifacts. We find a strong agreement for large pores over the different acquisition workflows, while a wider variability exists for nanometer-scale features. The limited projection range and reconstruction are identified as the main experimental bottlenecks, thereby suggesting that sample thinning, advanced holders, and advanced reconstruction algorithms offer opportunities for improvement.

Dimensioning Cuboid and Cylindrical Objects Using Only Noisy and Partially Observed Time-of-Flight Data.

One of the challenges of using Time-of-Flight (ToF) sensors for dimensioning objects is that the depth information suffers from issues such as low resolution, self-occlusions, noise, and multipath interference, which distort the shape and size of objects. In this work, we successfully apply a superquadric fitting framework for dimensioning cuboid and cylindrical objects from point cloud data generated using a ToF sensor. Our work demonstrates that an average error of less than 1 cm is possible for a box with the largest dimension of about 30 cm and a cylinder with the largest dimension of about 20 cm that are each placed 1.5 m from a ToF sensor. We also quantify the performance of dimensioning objects using various object orientations, ground plane surfaces, and model fitting methods. For cuboid objects, our results show that the proposed superquadric fitting framework is able to achieve absolute dimensioning errors between 4% and 9% using the bounding technique and between 8% and 15% using the mirroring technique across all tested surfaces. For cylindrical objects, our results show that the proposed superquadric fitting framework is able to achieve absolute dimensioning errors between 2.97% and 6.61% when the object is in a horizontal orientation and between 8.01% and 13.13% when the object is in a vertical orientation using the bounding technique across all tested surfaces.

Smartphone Photogrammetric Assessment for Head Measurements.

The assessment of cranial deformation is relevant in the field of medicine dealing with infants, especially in paediatric neurosurgery and paediatrics. To address this demand, the smartphone-based solution PhotoMeDAS has been developed, harnessing mobile devices to create three-dimensional (3D) models of infants' heads and, from them, automatic cranial deformation reports. Therefore, it is crucial to examine the accuracy achievable with different mobile devices under similar conditions so prospective users can consider this aspect when using the smartphone-based solution. This study compares the linear accuracy obtained from three smartphone models (Samsung Galaxy S22 Ultra, S22, and S22+). Twelve measurements are taken with each mobile device using a coded cap on a head mannequin. For processing, three different bundle adjustment implementations are tested with and without self-calibration. After photogrammetric processing, the 3D coordinates are obtained. A comparison is made among spatially distributed distances across the head with PhotoMeDAS vs. ground truth established with a Creaform ACADEMIA 50 while-light 3D scanner. With a homogeneous scale factor for all the smartphones, the results showed that the average accuracy for the S22 smartphone is -1.15 ± 0.53 mm, for the S22+, 0.95 ± 0.40 mm, and for the S22 Ultra, -1.8 ± 0.45 mm. Worth noticing is that a substantial improvement is achieved regardless of whether the scale factor is introduced per device.

The Reliability and Validity of a Portable Three-Dimensional Scanning System to Measure Leg Volume.

(1) Background: The study examined the reliability (test-retest, intra- and inter-day) and validity of a portable 3D scanning method when quantifying human leg volume. (2) Methods: Fifteen males volunteered to participate (age, 24.6 ± 2.0 years; stature, 178.9 ± 4.5 cm; body mass, 77.4 ± 6.5 kg; mean ± standard deviation). The volume of the lower and upper legs was examined using a water displacement method (the criterion) and two consecutive 3D scans. Measurements were taken at baseline, 1 h post-baseline (intra-day) and 24 h post-baseline (inter-day). Reliability and validity of the 3D scanning method was assessed using Bland-Altman limits of agreement and Pearson's product moment correlations. (3) Results: With respect to the test-retest reliability, the 3D scanning method had smaller systematic bias and narrower limits of agreement (±1%, and 3-5%, respectively) compared to the water displacement method (1-2% and 4-7%, respectively), when measuring lower and upper leg volume in humans. The correlation coefficients for all reliability comparisons (test-retest, intra-day, inter-day) would all be regarded as 'very strong' (all 0.94 or greater). (4) Conclusions: The study's results suggest that a 3D scanning method is a reliable and valid method to quantify leg volume.

Craniofacial 3D Morphometric Analysis with Smartphone-Based Photogrammetry.

Obtaining 3D craniofacial morphometric data is essential in a variety of medical and educational disciplines. In this study, we explore smartphone-based photogrammetry with photos and video recordings as an effective tool to create accurate and accessible metrics from head 3D models. The research involves the acquisition of craniofacial 3D models on both volunteers and head mannequins using a Samsung Galaxy S22 smartphone. For the photogrammetric processing, Agisoft Metashape v 1.7 and PhotoMeDAS software v 1.7 were used. The Academia 50 white-light scanner was used as reference data (ground truth). A comparison of the obtained 3D meshes was conducted, yielding the following results: 0.22 ± 1.29 mm for photogrammetry with camera photos, 0.47 ± 1.43 mm for videogrammetry with video frames, and 0.39 ± 1.02 mm for PhotoMeDAS. Similarly, anatomical points were measured and linear measurements extracted, yielding the following results: 0.75 mm for photogrammetry, 1 mm for videogrammetry, and 1.25 mm for PhotoMeDAS, despite large differences found in data acquisition and processing time among the four approaches. This study suggests the possibility of integrating photogrammetry either with photos or with video frames and the use of PhotoMeDAS to obtain overall craniofacial 3D models with significant applications in the medical fields of neurosurgery and maxillofacial surgery.

Three-Dimensional Immersion Scanning Technique: A Scalable Low-Cost Solution for 3D Scanning Using Water-Based Fluid.

Three-dimensional scanning technology has been traditionally used in the medical and engineering industries, but these scanners can be expensive or limited in their capabilities. This research aimed to develop low-cost 3D scanning using rotation and immersion in a water-based fluid. This technique uses a reconstruction approach similar to CT scanners but with significantly less instrumentation and cost than traditional CT scanners or other optical scanning techniques. The setup consisted of a container filled with a mixture of water and Xanthan gum. The object to be scanned was submerged at various rotation angles. A stepper motor slide with a needle was used to measure the fluid level increment as the object being scanned was submerged into the container. The results showed that the 3D scanning using immersion in a water-based fluid was feasible and could be adapted to a wide range of object sizes. The technique produced reconstructed images of objects with gaps or irregularly shaped openings in a low-cost fashion. A 3D printed model with a width of 30.7200 ± 0.2388 mm and height of 31.6800 ± 0.3445 mm was compared to its scan to evaluate the precision of the technique. Its width/height ratio (0.9697 ± 0.0084) overlaps the margin of error of the width/height ratio of the reconstructed image (0.9649 ± 0.0191), showing statistical similarities. The signal-to-noise ratio was calculated at around 6 dB. Suggestions for future work are made to improve the parameters of this promising, low-cost technique.

Comparing Direct Measurements and Three-Dimensional (3D) Scans for Evaluating Facial Soft Tissue.

The inspection of patients' soft tissues and the effects of various dental procedures on their facial physiognomy are quite challenging. To minimise discomfort and simplify the process of manual measuring, we performed facial scanning and computer measurement of experimentally determined demarcation lines. Images were acquired using a low-cost 3D scanner. Two consecutive scans were obtained from 39 participants, to test the scanner repeatability. An additional ten persons were scanned before and after forward movement of the mandible (predicted treatment outcome). Sensor technology that combines red, green, and blue (RGB) data with depth information (RGBD) integration was used for merging frames into a 3D object. For proper comparison, the resulting images were registered together, which was performed with ICP (Iterative Closest Point)-based techniques. Measurements on 3D images were performed using the exact distance algorithm. One operator measured the same demarcation lines directly on participants; repeatability was tested (intra-class correlations). The results showed that the 3D face scans were reproducible with high accuracy (mean difference between repeated scans <1%); the actual measurements were repeatable to some extent (excellent only for the tragus-pogonion demarcation line); computational measurements were accurate, repeatable, and comparable to the actual measurements. Three dimensional (3D) facial scans can be used as a faster, more comfortable for patients, and more accurate technique to detect and quantify changes in facial soft tissue resulting from various dental procedures.

Large Scale Optical Projection Tomography without the Use of Refractive-Index-Matching Liquid.

The practical, rapid, and accurate optical 3D reconstruction of transparent objects with contemporary non-contact optical techniques, has been an open challenge in the field of optical metrology. The combination of refraction, reflection, and transmission in transparent objects makes it very hard to use common off-the-shelf 3D reconstruction solutions to accurately reconstruct transparent objects in three dimensions without completely coating the object with an opaque material. We demonstrate in this work that a specific class of transparent objects can indeed be reconstructed without the use of opaque spray coatings, via Optical Projection Tomography (OPT). Particularly, the 3D reconstruction of large thin-walled hollow transparent objects can be achieved via OPT, without the use of refractive-index-matching liquid, accurately enough for use in both cultural heritage and beverage packaging industry applications. We compare 3D reconstructions of our proposed OPT method to those achieved by an industrial-grade 3D scanner and report average shape differences of ±0.34 mm for 'shelled' hollow objects and ±0.92 mm for 'non-shelled' hollow objects. A disadvantage of using OPT, which was noticed on the thicker 'non-shelled' hollow objects, as opposed to the 'shelled' hollow objects, was that it induced partial filling of hollow areas and the deformation of embossed features.

Tracking changes in body composition: comparison of methods and influence of pre-assessment standardisation.

The present study reports the validity of multiple assessment methods for tracking changes in body composition over time and quantifies the influence of unstandardised pre-assessment procedures. Resistance-trained males underwent 6 weeks of structured resistance training alongside a hyperenergetic diet, with four total body composition evaluations. Pre-intervention, body composition was estimated in standardised (i.e. overnight fasted and rested) and unstandardised (i.e. no control over pre-assessment activities) conditions within a single day. The same assessments were repeated post-intervention, and body composition changes were estimated from all possible combinations of pre-intervention and post-intervention data. Assessment methods included dual-energy X-ray absorptiometry (DXA), air displacement plethysmography, three-dimensional optical imaging, single- and multi-frequency bioelectrical impedance analysis, bioimpedance spectroscopy and multi-component models. Data were analysed using equivalence testing, Bland-Altman analysis, Friedman tests and validity metrics. Most methods demonstrated meaningful errors when unstandardised conditions were present pre- and/or post-intervention, resulting in blunted or exaggerated changes relative to true body composition changes. However, some methods - particularly DXA and select digital anthropometry techniques - were more robust to a lack of standardisation. In standardised conditions, methods exhibiting the highest overall agreement with the four-component model were other multi-component models, select bioimpedance technologies, DXA and select digital anthropometry techniques. Although specific methods varied, the present study broadly demonstrates the importance of controlling and documenting standardisation procedures prior to body composition assessments across distinct assessment technologies, particularly for longitudinal investigations. Additionally, there are meaningful differences in the ability of common methods to track longitudinal body composition changes.

Application of a three-dimensional scanner to the quantitative assessment of the nail plate condition after a hybrid manicure procedure-Preliminary study.

BACKGROUND: About 90% of women worldwide use nail care products, including manicure ones. A manicure procedure results in nail damage, therefore it is necessary to search for new, objective methods of assessing the impact of the procedures and products applied within the nail plate. In this study, an attempt was made to quantify the impact of manicure procedures on the nail plate condition. MATERIALS AND METHODS: Twenty thumb nail plates were examined. Before the manicure procedures, alginate casts were prepared for each of the subjects. The analysis of the three-dimensional (3D) nail surface structure included the assessment of the nail sections and the assessment of differences in the nail structure after superposition of 3D images of the nail plates before and after the manicure procedures. RESULTS: The obtained results show that the nail plate structure changed to a similar extent in each measured section after the manicure procedure. A change in the height of the nails is not a desirable phenomenon as it suggests damage to the nail caused by the substances included in the preparations applied to the nails, acetone, or filing the nail plate. This proves the great influence of the technique of removing artificial nails on the structure of the natural plate. CONCLUSION: The use of a 3D scanner allows for precise, biometric, quantitative, and repeatable measurements of changes in the nail structure after a manicure procedure. The use of the hybrid and gel manicure procedure causes significant damage to the nail plate, especially in its distal portion.

Activity, socket fit, comfort and community participation in lower limb prosthesis users: a Cambodian cohort study.

BACKGROUND: After amputation, many people become less active, feel lonely and lose independence. Understanding the factors associated with low physical activity levels and participation could contribute to defining key interventions which can support prosthesis users so they can live a more active and socially included lifestyle. This longitudinal observational study aims to assess relationships between physical activity, community participation, prosthetic fit, comfort and user satisfaction using actimetry, 3D scans and questionnaires in a Cambodian cohort of established lower limb prosthesis users. METHODS: Twenty participants (5F:15M, nine transfemoral, eleven transtibial, 24-60 years old and 3-43 years since amputation) were recruited. They completed a questionnaire which included their demographics, community participation, prosthesis satisfaction and comfort at the start of the study, and between three and six months later. Their prosthetic sockets and residual limbs were 3D scanned at the start and end of the study. Accelerometers were embedded under the cosmesis on the shank of the prosthesis, to collect ten weeks of activity data. RESULTS: Participants averaged 4470 steps/day (743-7315 steps/day), and wore their prosthesis for most waking hours, averaging 13.4 h/day (4.5-17.6 h/day). Self-reported measures of activity and hours of wear correlated with these accelerometer data (Spearman's rho rs = 0.59, and rs = 0.71, respectively). Participants who were more active wore their prosthesis for more hours/day (Pearson r = 0.73) and were more satisfied with socket fit (rs = 0.49). A longer residual limb correlated with better community participation (rs = 0.56) and comfort (rs = 0.56). Self-reported community participation did not correlate with a person's activity level (rs = 0.13), or their prosthesis comfort (rs = 0.19), and there was only weak correlation between how important the activity was to an individual, and how often they participated in it (rs = 0.37). A simple 0-10 scale of overall comfort did not provide enough detail to understand the types and severity of discomfort experienced. CONCLUSION: Associations between perceived and measured activity levels correlated with socket satisfaction in this cohort of people with established lower limb amputations. The small sample size means these correlations should be interpreted with caution, but they indicate variables worthy of further study to understand barriers to community engagement and physical activity for prosthesis users in Cambodia, and potentially in other settings.

An Edge-Fog Architecture for Distributed 3D Reconstruction and Remote Monitoring of a Power Plant Site in the Context of 5G.

It is well known that power plants worldwide present access to difficult and hazardous environments, which may cause harm to on-site employees. The remote and autonomous operations in such places are currently increasing with the aid of technology improvements in communications and processing hardware. Virtual and augmented reality provide applications for crew training and remote monitoring, which also rely on 3D environment reconstruction techniques with near real-time requirements for environment inspection. Nowadays, most techniques rely on offline data processing, heavy computation algorithms, or mobile robots, which can be dangerous in confined environments. Other solutions rely on robots, edge computing, and post-processing algorithms, constraining scalability, and near real-time requirements. This work uses an edge-fog computing architecture for data and processing offload applied to a 3D reconstruction problem, where the robots are at the edge and computer nodes at the fog. The sequential processes are parallelized and layered, leading to a highly scalable approach. The architecture is analyzed against a traditional edge computing approach. Both are implemented in our scanning robots mounted in a real power plant. The 5G network application is presented along with a brief discussion on how this technology can benefit and allow the overall distributed processing. Unlike other works, we present real data for more than one proposed robot working in parallel on site, exploring hardware processing capabilities and the local Wi-Fi network characteristics. We also conclude with the required scenario for the remote monitoring to take place with a private 5G network.