[Design of visualized medical images network and web platform based on MeVisLab].

With the trend of the development of "Internet +", some further requirements for the mobility of medical images have been required in the medical field. In view of this demand, this paper presents a web-based visual medical imaging platform. First, the feasibility of medical imaging is analyzed and technical points. CT (Computed Tomography) or MRI (Magnetic Resonance Imaging) images are reconstructed three-dimensionally by MeVisLab and packaged as X3D (Extensible 3D Graphics) files shown in the present paper. Then, the B/S (Browser/Server) system specially designed for 3D image is designed by using the HTML 5 and WebGL rendering engine library, and the X3D image file is parsed and rendered by the system. The results of this study showed that the platform was suitable for multiple operating systems to realize the platform-crossing and mobilization of medical image data. The development of medical imaging platform is also pointed out in this paper. It notes that web application technology will not only promote the sharing of medical image data, but also facilitate image-based medical remote consultations and distance learning.

Objective quantification of the vocal fold vascular pattern: comparison of narrow band imaging and white light endoscopy.

No clinical standard procedure has yet been defined to quantify the vascular pattern of vocal folds. Subjective classification trials have shown a lot of promise. Narrow band imaging (NBI) as an endoscopic imaging tool is useful, because it shows the vascular structure clearer than white light endoscopy (WL) alone. Endoscopic images of 74 human vocal folds (NBI and WL) were semi-automatically evaluated after image processing with respect to pixels of vessels and mucosa by the software MeVisLab. The ratios of vessel/mucosa pixels were compared. Using NBI, more vocal fold vessels are visible compared with WL alone (p = 0.000). There may be a difference between the right and left vocal folds due to the handedness of the examiner (p = 0.033) without any interaction between the method (NBI/WL) and the side (right/left) (p = 0.467). MeVisLab is a suitable tool for the objective quantification of the vessel/mucosa ratio for NBI and WL endoscopic images. NBI is an appropriate endoscopic tool for examination of diseases of vocal folds with changes in the vascular pattern. There is evidence that the handedness of the examiner may have an influence on the quality of the examination between the right and left vocal folds.

MeVisLab-OpenVR prototyping platform for virtual reality medical applications.

PURPOSE: Virtual reality (VR) can provide an added value for diagnosis and/or intervention planning. Several VR software implementations have been proposed but they are often application dependent. Previous attempts for a more generic solution incorporating VR in medical prototyping software (MeVisLab) were still lacking functionality precluding easy and flexible development. METHODS: We propose an alternative solution that uses rendering to a graphical processing unit (GPU) texture to enable rendering arbitrary Open Inventor scenes in a VR context. It facilitates flexible development of user interaction and rendering of more complex scenes involving multiple objects. We tested the platform in planning a transcatheter cardiac stent placement procedure. RESULTS: This approach proved to enable development of a particular implementation that facilitates planning of percutaneous treatment of a sinus venosus atrial septal defect. The implementation showed it is intuitive to plan and verify the procedure using VR. CONCLUSION: An alternative implementation for linking OpenVR with MeVisLab is provided that offers more flexible development of VR prototypes which can facilitate further clinical validation of this technology in various medical disciplines.

Design and Evaluation of MeVisLab Networks for Co-Registration and Cropping of Positron Emission Tomography/Computed Tomography Scans.

Objective: The aim of the present study was to design and evaluate two MeVisLab networks, one for co-registration of positron emission tomography/computed tomography (PET/CT) images and second for cropping the co-registered PET/CT images. Materials and Methods: Two MeVisLab networks, one to co-register and export PET/CT DICOM images and second for cropping the co-registered PET/CT images were designed using different modules of registration toolkit MERIT. One hundred and twenty-five PET/CT studies were exported from Siemens and GE scanners in DICOM format. These images were co-registered and cropped with our designed networks. The images co-registered with our network were compared visually with the co-registered images of same PET/CT studies on vendor provided workstations by an experienced nuclear medicine physician (NMP). The perfection of the cropping of co-registered images was also assessed visually. Results: Visually, NMP found all 125 images co-registered using the network designed in our study similar to the co-registered images of vendor provided workstations. Furthermore, the cropping of all co-registered images was perfectly done by our network. Conclusion: Two MeVisLab networks designed and evaluated in the present study can be used for co-registration of PET/CT DICOM images and cropping the co-registered PET/CT images.

Remaining root dentin thickness in mesiobuccal canals of maxillary first molars after attempted removal of broken instrument fragments.

The aim was to measure the minimal thickness of the remaining canal wall dentine in the mesiobuccal roots of maxillary first molars using a virtual model to simulate the attempt to remove fractured instruments. Thirty-seven molars were scanned by micro-computed tomography. The application framework for the simulation of the attempt to remove a broken instrument was constructed. The staging platform was created and followed by the use of ultrasonic tips to trephine dentine around the fragment to reveal the coronal 1.5 mm. The minimum canal wall thickness in the mesiobuccal roots was then measured. The concavity groove was found on all the distal aspects of the mesiobuccal root. The minimum thickness of the remaining canal wall distally to the canal was significantly thinner than mesially to the canals when sizes 25/0.06 and 25/0.02 instruments were broken at 3 and 5 mm away from the canal orifice. When the sizes 20/0.02 and 25/0.06 instruments were broken at 5 mm away from the canal orifice, the minimum thickness of the distal dentine wall was only 300-400 µm which was significantly less than when the instrument was broken at 3 mm.

3-dimensional analysis of regenerative endodontic treatment outcome.

INTRODUCTION: A growing body of evidence supports the regeneration potential of dental tissues after regenerative endodontic treatment (RET). Nevertheless, a standard method for the evaluation of RET outcome is lacking. The aim of this study was to develop a standardized quantitative method for RET outcome analysis based on cone-beam computed tomographic (CBCT) volumetric measurements. METHODS: Five human teeth embedded in mandibular bone samples were scanned using both an Accuitomo 170 CBCT machine (Morita, Kyoto, Japan) and a SkyScan 1174 micro-computed tomographic (µCT) system (SkyScan, Antwerp, Belgium). For subsequent clinical application, clinical data and low-dose CBCT scans (preoperatively and follow-up) from 5 immature permanent teeth treated with RET were retrieved. In vitro and clinical 3-dimensional image data sets were imported into a dedicated software tool. Two segmentation steps were applied to extract the teeth of interest from the surrounding tissue (livewire) and to separate tooth hard tissue and root canal space (level set methods). In vitro and clinical volumetric measurements were assessed separately for differences using Wilcoxon matched pairs test. Pearson correlation analysis and Bland-Altman plots were used to evaluate the relation and agreement between the segmented CBCT and µCT volumes. RESULTS: The results showed no statistical differences and strong agreement between CBCT and µCT volumetric measurements. Volumetric comparison of the root hard tissue showed significant hard tissue formation. (The mean volume of newly formed hard tissue was 27.9 [±10.5] mm(3) [P < .05]). CONCLUSIONS: Analysis of 3-dimensional data for teeth treated with RET offers valuable insights into the treatment outcome and patterns of hard tissue formation.