Curvelet based contrast enhancement in fluoroscopic sequences.

Image guided interventions have seen growing interest in recent years. The use of X-rays for the procedure impels limiting the dose over time. Image sequences obtained thereby exhibit high levels of noise and very low contrasts. Hence, the development of efficient methods to enable optimal visualization of these sequences is crucial. We propose an original denoising method based on the curvelet transform. First, we apply a recursive temporal filter to the curvelet coefficients. As some residual noise remains, a spatial filtering is performed in the second step, which uses a magnitude-based classification and a contextual comparison of curvelet coefficients. This procedure allows to denoise the sequence while preserving low-contrasted structures, but does not improve their contrast. Finally, a third step is carried out to enhance the features of interest. For this, we propose a line enhancement technique in the curvelet domain. Indeed, thin structures are sparsely represented in that domain, allowing a fast and efficient detection. Quantitative and qualitative evaluations performed on synthetic and real low-dose sequences demonstrate that the proposed method enables a 50% dose reduction.

A multiresolution framework to MEG/EEG source imaging.

A new method based on a multiresolution approach for solving the ill-posed problem of brain electrical activity reconstruction from electroencephaloram (EEG)/magnetoencephalogram (MEG) signals is proposed in a distributed source model. At each step of the algorithm, a regularized solution to the inverse problem is used to constrain the source space on the cortical surface to be scanned at higher spatial resolution. We present the iterative procedure together with an extension of the ST-maximum a posteriori method [1] that integrates spatial and temporal a priori information in an estimator of the brain electrical activity. Results from EEG in a phantom head experiment with a real human skull and from real MEG data on a healthy human subject are presented. The performances of the multiresolution method combined with a nonquadratic estimator are compared with commonly used dipolar methods, and to minimum-norm method with and without multiresolution. In all cases, the proposed approach proved to be more efficient both in terms of computational load and result quality, for the identification of sparse focal patterns of cortical current density, than the fixed scale imaging approach.

Model of a vascular C-arm for 3D augmented fluoroscopy in interventional radiology.

This paper deals with the modeling of a vascular C-arm to generate 3D augmented fluoroscopic images in an interventional radiology context. A methodology based on the use of a multi-image calibration is proposed to assess the physical behavior of the C-arm. From the knowledge of the main characteristics of the C-arm, realistic models of the acquisition geometry are proposed. Their accuracy was evaluated and experiments showed that the C-arm geometry can be predicted with a mean 2D reprojection error of 0.5 mm. The interest of 3D augmented fluoroscopy is also assessed on a clinical case.

Mandating unit dose drug distribution and i.v. admixture services in New Jersey hospitals.

Efforts by New Jersey hospital pharmacists that led to a state mandate for unit dose drug distribution and i.v. admixture services are described. The New Jersey Society of Hospital Pharmacists' proposal for revision of state board of pharmacy regulations for institutional practice had been rejected in 1977. In 1979, NJSHP began to work through the state health department to upgrade standards for institutional pharmacy practice. In 1981, NJSHP submitted to the health department a position paper to justify revised standards on the basis of patient safety and cost-effectiveness, and in 1982 NJSHP conducted a seminar for pharmacists, nurses, and hospital administrators on the cost-effectiveness of unit dose distribution and i.v. admixture programs. The standards were revised and were adopted in June 1984, and hospitals had two years to implement the mandated programs.

Asbestos disease risk communication conducted by the New Jersey Department of Health.

Since October 1985, the New Jersey Department of Health (NJDOH) has required hospitals to report all patients with a discharge diagnosis of asbestosis. As follow-up to a needs assessment survey of these patients, the NJDOH developed an educational packet including an information bulletin titled "Asbestos Disease: Medical and Legal Facts for Employees" and a pre-stamped postcard evaluation survey. The packet was sent to 1,418 patients reported by hospitals; 433 patients returned the evaluation questionnaire. The survey assessed attitudinal responses (were the materials helpful and easy to understand?) and behavioral responses (did the respondent plan on discussing the materials with a doctor or lawyer?) to the information in the packet. Of the postcard respondents, 85% found the materials helpful, and approximately half indicated that they would discuss the materials with a doctor or lawyer. Of the 33% who were proxy respondents, half appeared not to have understood that the materials had relevance to them as family members. Modifications to the protocol for the asbestos disease educational packet were made based on the evaluation data. Limitations of the evaluation survey and the value of process evaluations in risk communication projects are discussed.