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1.
Front Surg ; 11: 1356409, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38633884

RESUMO

Introduction: Gastric antral vascular ectasia (GAVE) is a rare cause of chronic or acute gastrointestinal bleeding. This condition accounts for ∼4% of upper gastrointestinal bleeding cases. This disease is often associated with systemic diseases, such as liver cirrhosis, chronic kidney failure, autoimmune conditions, diabetes mellitus, hypothyroidism, and cardiovascular diseases. However, its etiopathogenesis remains controversial. Materials and method: We retrospectively reviewed the cases of GAVE treated at our digestive surgery unit. A total of nine patients were identified with a male/female ratio of 1.25:1 and an average age of 75.51 years (SD ± 9.85). All patients underwent endoscopic argon plasma coagulation (APC) treatment. At the time of the review, data on eight patients were available after 36 months of follow-up. Results: APC appears to be safe and effective for hemostasis of bleeding vascular ectasia. Only one (11.1%) patient required surgical intervention due to hemodynamic instability after multiple unsuccessful endoscopic treatments. No intraoperative and postoperative complication or bleeding relapse was experienced. Discussion: Based on our findings, we concluded that endoscopic APC is technically simple, but requires multiple re-interventions due to the incidence of relapses. Furthermore, larger randomized studies should be conducted to assess the role of elective surgery as the first intervention in stable patients with severe pathology and the timing of surgery after failed endoscopic treatment.

2.
J Clin Med ; 12(5)2023 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-36902740

RESUMO

BACKGROUND: Hypoparathyroidism is one of the most common complications after thyroidectomy. This study evaluated the incidence and potential risk factors for postoperative hypoparathyroidism after thyroid surgical procedures in a single high-volume center. METHODS: In this retrospective study, in all patients undergoing thyroid surgery from 2018 to 2021, a 6 h postoperative parathyroid hormone level (PTH) was evaluated. Patients were divided into two groups based on 6 h postoperative PTH levels (≤12 and >12 pg/mL). RESULTS: A total of 734 patients were enrolled in this study. Most patients (702, 95.6%) underwent a total thyroidectomy, while 32 patients underwent a lobectomy (4.4%). A total of 230 patients (31.3%) had a postoperative PTH level of <12 pg/mL. Postoperative temporary hypoparathyroidism was more frequently associated with female sex, age < 40 y, neck dissection, the yield of lymph node dissection, and incidental parathyroidectomy. Incidental parathyroidectomy was reported in 122 patients (16.6%) and was correlated with thyroid cancer and neck dissection. CONCLUSIONS: Young patients undergoing neck dissection and with incidental parathyroidectomy have the highest risk of postoperative hypoparathyroidism after thyroid surgery. However, incidental parathyroidectomy did not necessarily correlate with postoperative hypocalcemia, suggesting that the pathogenesis of this complication is multifactorial and may include an impaired blood supply to parathyroid glands during thyroid surgery.

3.
World J Emerg Surg ; 17(1): 61, 2022 12 16.
Artigo em Inglês | MEDLINE | ID: mdl-36527038

RESUMO

BACKGROUND: The incidence of the highly morbid and potentially lethal gangrenous cholecystitis was reportedly increased during the COVID-19 pandemic. The aim of the ChoCO-W study was to compare the clinical findings and outcomes of acute cholecystitis in patients who had COVID-19 disease with those who did not. METHODS: Data were prospectively collected over 6 months (October 1, 2020, to April 30, 2021) with 1-month follow-up. In October 2020, Delta variant of SARS CoV-2 was isolated for the first time. Demographic and clinical data were analyzed and reported according to the STROBE guidelines. Baseline characteristics and clinical outcomes of patients who had COVID-19 were compared with those who did not. RESULTS: A total of 2893 patients, from 42 countries, 218 centers, involved, with a median age of 61.3 (SD: 17.39) years were prospectively enrolled in this study; 1481 (51%) patients were males. One hundred and eighty (6.9%) patients were COVID-19 positive, while 2412 (93.1%) were negative. Concomitant preexisting diseases including cardiovascular diseases (p < 0.0001), diabetes (p < 0.0001), and severe chronic obstructive airway disease (p = 0.005) were significantly more frequent in the COVID-19 group. Markers of sepsis severity including ARDS (p < 0.0001), PIPAS score (p < 0.0001), WSES sepsis score (p < 0.0001), qSOFA (p < 0.0001), and Tokyo classification of severity of acute cholecystitis (p < 0.0001) were significantly higher in the COVID-19 group. The COVID-19 group had significantly higher postoperative complications (32.2% compared with 11.7%, p < 0.0001), longer mean hospital stay (13.21 compared with 6.51 days, p < 0.0001), and mortality rate (13.4% compared with 1.7%, p < 0.0001). The incidence of gangrenous cholecystitis was doubled in the COVID-19 group (40.7% compared with 22.3%). The mean wall thickness of the gallbladder was significantly higher in the COVID-19 group [6.32 (SD: 2.44) mm compared with 5.4 (SD: 3.45) mm; p < 0.0001]. CONCLUSIONS: The incidence of gangrenous cholecystitis is higher in COVID patients compared with non-COVID patients admitted to the emergency department with acute cholecystitis. Gangrenous cholecystitis in COVID patients is associated with high-grade Clavien-Dindo postoperative complications, longer hospital stay and higher mortality rate. The open cholecystectomy rate is higher in COVID compared with non -COVID patients. It is recommended to delay the surgical treatment in COVID patients, when it is possible, to decrease morbidity and mortality rates. COVID-19 infection and gangrenous cholecystistis are not absolute contraindications to perform laparoscopic cholecystectomy, in a case by case evaluation, in expert hands.


Assuntos
COVID-19 , Colecistite Aguda , Colecistite , Sepse , Masculino , Humanos , Pessoa de Meia-Idade , Feminino , Pandemias , SARS-CoV-2 , COVID-19/epidemiologia , Colecistite/epidemiologia , Colecistite/cirurgia , Colecistite Aguda/epidemiologia , Colecistite Aguda/cirurgia , Complicações Pós-Operatórias/epidemiologia
4.
World J Clin Cases ; 10(27): 9734-9742, 2022 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-36186197

RESUMO

BACKGROUND: Gallbladder hemorrhage is a life-threatening disorder. Trauma (accidental or iatrogenic such as a percutaneous biopsy or cholecystectomy surgery), cholelithiasis, biliary tract parasitosis, vasculitis, vascular malformations, autoimmune and neoplastic diseases and coagulopathies have been described as causes of hemorrhage within the lumen of the gallbladder. The use of non-steroidal anti-inflammatory drugs and anticoagulants may represent a risk factor. CASE SUMMARY: We report the case of a 76-year-old male patient. An urgent contrast computed tomography scan demonstrated relevant distension of the gallbladder filled with hyperdense non-homogeneous content. The gallbladder walls were of regular thickness. Near the anterior wall a focus of suspected active bleeding was observed. Due to the progressive decrease in hemoglobin despite three blood transfusions, this was an indication for urgent surgery. CONCLUSION: Early diagnosis of this potentially fatal pathology is essential in order to plan a strategy and eventually proceed with urgent surgical treatment.

5.
ACS Appl Mater Interfaces ; 14(16): 18486-18497, 2022 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-35412787

RESUMO

Ion intercalation of perovskite oxides in liquid electrolytes is a very promising method for controlling their functional properties while storing charge, which opens up its potential application in different energy and information technologies. Although the role of defect chemistry in oxygen intercalation in a gaseous environment is well established, the mechanism of ion intercalation in liquid electrolytes at room temperature is poorly understood. In this study, the defect chemistry during ion intercalation of La0.5Sr0.5FeO3-δ thin films in alkaline electrolytes is studied. Oxygen and proton intercalation into the La1-xSrxFeO3-δ perovskite structure is observed at moderate electrochemical potentials (0.5 to -0.4 V), giving rise to a change in the oxidation state of Fe (as a charge compensation mechanism). The variation of the concentration of holes as a function of the intercalation potential is characterized by in situ ellipsometry, and the concentration of electron holes is indirectly quantified for different electrochemical potentials. Finally, a dilute defect chemistry model that describes the variation of defect species during ionic intercalation is developed.

6.
Adv Mater ; 33(48): e2105622, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34611954

RESUMO

Tuning oxygen mass transport properties at the nanoscale offers a promising approach for developing high performing energy materials. A number of strategies for engineering interfaces with enhanced oxygen diffusivity and surface exchange have been proposed. However, the origin and the magnitude of such local effects remain largely undisclosed to date due to the lack of direct measurement tools with sufficient resolution. In this work, atom probe tomography with sub-nanometer resolution is used to study oxygen mass transport on oxygen-isotope exchanged thin films of lanthanum chromite. A direct 3D visualization of nanoscaled highly conducting oxygen incorporation pathways along grain boundaries, with reliable quantification of the oxygen kinetic parameters and correlative link to local chemistries, is presented. Combined with finite element simulations of the exact nanostructure, isotope exchange-atom probe tomography allowed quantifying an enhancement in the grain boundary oxygen diffusivity and in the surface exchange coefficient of lanthanum chromite of about 4 and 3 orders of magnitude, respectively, compared to the bulk. This remarkable increase of the oxygen kinetics in an interface-dominated material is unambiguously attributed to grain boundary conduction highways thanks to the use of a powerful technique that can be straightforwardly extended to the study of currently inaccessible multiple nanoscale mass transport phenomena.

7.
IEEE Trans Image Process ; 30: 8075-8087, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34543196

RESUMO

We present an adversarial framework to craft perturbations that mislead classifiers by accounting for the image content and the semantics of the labels. The proposed framework combines a structure loss and a semantic adversarial loss in a multi-task objective function to train a fully convolutional neural network. The structure loss helps generate perturbations whose type and magnitude are defined by a target image processing filter. The semantic adversarial loss considers groups of (semantic) labels to craft perturbations that prevent the filtered image from being classified with a label in the same group. We validate our framework with three different target filters, namely detail enhancement, log transformation and gamma correction filters; and evaluate the adversarially filtered images against three classifiers, ResNet50, ResNet18 and AlexNet, pre-trained on ImageNet. We show that the proposed framework generates filtered images with a high success rate, robustness, and transferability to unseen classifiers. We also discuss objective and subjective evaluations of the adversarial perturbations.

8.
Gastroenterol Rep (Oxf) ; 9(3): 234-240, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34316373

RESUMO

BACKGROUND: The prognosis of colorectal cancer depends on the number of positive lymph nodes (LN+) and the total number of lymph nodes resected (rLN). This represents the lymph-node ratio (LNR). The aim of our study is to assess how the length of the resected specimen (RL) influences the prognostic values of the LNR. METHODS: We conducted a retrospective study of all the patients operated on for colorectal cancer from 2000 to 2015 at our institution. Pathology details were analysed. The total number of rLN, the number of LN+, and the LNR were calculated and measured against the RL. The receiver-operating characteristic (ROC) curve of patients with LN+ was calculated. RESULTS: Of the 670 patients included in our study, 337 were men (50.3%) and the mean age was 69.2 years. The correlation with prognosis of the LNR is greater than that of the LNR adjusted to RL (LNR/RL), both in subjects with positive nodes (n = 312) and in all cases (n = 670). The LNR presents a higher prognostic value than LNR/RL and RL in patients with LN+ except for metastatic recurrence, for which the predictive value appears slightly higher for LNR/RL. The statistical significance of the maximal divergence in Kaplan-Meier survival plots was demonstrated for the LNR (P = 0.043), not for LNR/RL (P = 0.373) and RL alone (P = 0.314). CONCLUSION: An increase in RL causes an increase in the number of harvested lymph nodes without affecting the number of LN+, thus representing a confounding factor that could alter the prognostic value of the LNR. Prospective larger-scale studies are needed to confirm these findings.

9.
Artigo em Inglês | MEDLINE | ID: mdl-33769931

RESUMO

An effective person re-identification (re-ID) model should learn feature representations that are both discriminative, for distinguishing similar-looking people, and generalisable, for deployment across datasets without any adaptation. In this paper, we develop novel CNN architectures to address both challenges. First, we present a re-ID CNN termed omni-scale network (OSNet) to learn features that not only capture different spatial scales but also encapsulate a synergistic combination of multiple scales, namely omni-scale features. The basic building block consists of multiple convolutional streams, each detecting features at a certain scale. For omni-scale feature learning, a unified aggregation gate is introduced to dynamically fuse multi-scale features with channel-wise weights. OSNet is lightweight as its building blocks comprise factorised convolutions. Second, to improve generalisable feature learning, we introduce instance normalisation (IN) layers into OSNet to cope with cross-dataset discrepancies. Further, to determine the optimal placements of these IN layers in the architecture, we formulate an efficient differentiable architecture search algorithm. Extensive experiments show that, in the conventional same-dataset setting, OSNet achieves state-of-the-art performance, despite being much smaller than existing re-ID models. In the more challenging yet practical cross-dataset setting, OSNet beats most recent unsupervised domain adaptation methods without using any target data.

10.
ACS Appl Mater Interfaces ; 12(30): 34388-34401, 2020 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-32627535

RESUMO

Electrodes in solid-state energy devices are subjected to a variety of thermal treatments, from film processing to device operation at high temperatures. All these treatments influence the chemical activity and stability of the films, as the thermally induced chemical restructuring shapes the microstructure and the morphology. Here, we investigate the correlation between the oxygen reduction reaction (ORR) activity and thermal history in complex transition metal oxides, in particular, La0.6Sr0.4CoO3-δ (LSC64) thin films deposited by pulsed laser deposition. To this end, three ∼200 nm thick LSC64 films with different processing and thermal histories were studied. A variety of surface-sensitive elemental characterization techniques (i.e., low-energy ion scattering, X-ray photoelectron spectroscopy, and secondary ion mass spectrometry) were employed to thoroughly investigate the cationic distribution from the outermost surface to the film/substrate interface. Moreover, electrochemical impedance spectroscopy was used to study the activity and the stability of the films. Our investigations revealed that, despite the initial comparable ORR activity at 600 °C, the degradation rates of the films differed by twofold in the long-term stability tests at 500 °C. Here, we emphasize the importance of processing and thermal history in the elemental surface distribution, especially for the stability of LSC64 electrodes and propose that they should be considered as among the main pillars in the design of active surfaces.

11.
PLoS One ; 15(4): e0232429, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32348353

RESUMO

The use of endoscopic techniques to cure small sized, well differentiated early gastric cancer has been adopted worldwide. In the Eastern world, endoscopic resection is being increasingly utilized to treat small undifferentiated early gastric cancer according to the extended criteria proposed by the Japanese Gastric Cancer Associations. However, studies in the Western world reported in these tumors a rate of nodal metastasis ranging between 5% and 20%, that is higher of those observed in Eastern counterparts. A tool to predict the risk of nodal dissemination would be of great use to guide treatment toward endoscopic resection. In our study, we propose E-cadherin expression as a biological factor to predict lymph node involvement. We retrospectively reviewed the E-cadherin (E-cad) expression profile of all histological specimens of undifferentiated early gastric cancer from two Oncologic Departments and compared it with several tumor characteristics. A total of 39 patients with early gastric cancer met the inclusion criteria, of which 16 (41%) pT1a, and 23 (58.9%) pT1b SM1. Thirty-two patients (82%) underwent subtotal gastrectomy, whereas total gastrectomy was performed in only seven cases (17.9%). Patients were divided into two groups: low E-cad expression (E-cad 0/1+, 10 patients) and high E-cad expression (E-cad 2+/3+, 29 patients) according to the immunohistochemical assay (ICH). On univariate analysis, we found an association between low E-cad expression and low grading tumor (p = 0.019), pure undifferentiated histotype (PU-type) (p = 0.014), and lymph node involvement (N+) (p < 0.001). The association between low E-cad expression and lymph node metastasis was confirmed by multivariate analysis (OR = 14.5, 95% CI 3.46-60.76, p < 0.001). The loss of expression of E-cad may be a simple biological factor to predict lymph nodes metastasis in patients with undifferentiated early gastric cancer. Additional larger prospective studies are necessary to confirm these findings.


Assuntos
Caderinas/análise , Metástase Linfática/patologia , Neoplasias Gástricas/patologia , Idoso , Feminino , Humanos , Metástase Linfática/diagnóstico , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Neoplasias Gástricas/diagnóstico
12.
Artigo em Inglês | MEDLINE | ID: mdl-31944973

RESUMO

Binary descriptors are widely used for multi-view matching and robotic navigation. However, their matching performance decreases considerably under severe scale and viewpoint changes in non-planar scenes. To overcome this problem, we propose to encode the varying appearance of selected 3D scene points tracked by a moving camera with compact spatio-temporal descriptors. To this end, we first track interest points and capture their temporal variations at multiple scales. Then, we validate feature tracks through 3D reconstruction and compress the temporal sequence of descriptors by encoding the most frequent and stable binary values. Finally, we determine multiscale correspondences across views with a matching strategy that handles severe scale differences. The proposed spatio-temporal multi-scale approach is generic and can be used with a variety of binary descriptors. We show the effectiveness of the joint multiscale extraction and temporal reduction through comparisons of different temporal reduction strategies and the application to several binary descriptors.

13.
Nutrients ; 11(10)2019 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-31658697

RESUMO

Curcumin is a polyphenol compound extracted from the rhizome of Curcuma longa Linn (family Zingiberaceae) commonly used as a spice to color and flavor food. Several preclinical studies have suggested beneficial roles for curcumin as an adjuvant therapy in free radical-based diseases, mainly neurodegenerative disorders. Indeed, curcumin belongs to the family of hormetins and the enhancement of the cell stress response, mainly the heme oxygenase-1 system, is actually considered the common denominator for this dual response. However, evidence-based medicine has clearly demonstrated the lack of any therapeutic effect of curcumin to contrast the onset or progression of neurodegeneration and related diseases. Finally, the curcumin safety profile imposes a careful analysis of the risk/benefit balance prior to proposing chronic supplementation with curcumin.


Assuntos
Curcumina , Hormese , Doenças Neurodegenerativas/tratamento farmacológico , Animais , Antioxidantes , Humanos , Camundongos , Sistema Nervoso/efeitos dos fármacos , Ratos
14.
Ann Ital Chir ; 90: 31-40, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30942768

RESUMO

BACKGROUND: Gastrointestinal Stromal Tumours (GIST) are the most frequent mesenchymal tumour of the alimentary tract. Their prognosis is largely variable as are their size, mitotic rate and site, the stomach being mostly affected. Several risk classifications have been proposed: two developed by the NIH, one proposed by the AFIP and one presented by the AJCC in 2010. The objective of this study is to compare the accuracy of the three prognostic models (AJCC, NIH and AFIP) with regard to survival after surgery, also based on the different surgical approaches. METHODS: A retrospective review of all cases of gastric GIST's performed at the General and Breast Surgery Unit of the Department of General Surgery the University of Catania and at the "Gemelli" General Surgery Unit of Taormina Hospital, Italy between 2001 and 2016 was conducted. The cases were reviewed and re- classified according to the three prognostic models. Analysis of data, including Kaplan-Meyer survival curves, was performed using SPSS version 21.0. RESULTS: Among a total of 1,625 gastrectomies and gastric resections were found 25 primary GIST's patients, 13 females, and 12 males, with a mean age 63 years. Cancer size varied between 1.5 cm and 37 cm and number of mitosis between 2 and 50/50 HPF. A total of 12 (48%) underwent sub-total gastrectomy (STG), seven (28%) underwent a wedge resection (WR), and 6 (12%) total Gastrectomy (TG). Twenty-three patients (92%) are currently alive at a follow up of 18 months to 17 years, and only two patients died during the long term follow-up. Both patients were AFIP high risk (6b), AJCC stage IV, already metastatic at the time of surgery. Both patients underwent total extended gastrectomy and therapy with imatinib, but died 8 and 9 years after surgery. Recurrences have been observed in 2 patients (8%), with high risk according to AFIP (6a) with AJCC stage IIIa disease. CONCLUSIONS: In localized GISTs R0 surgical resection is the standard therapy as it leads to excellent outcomes. Our findings suggest that all the three classifications considered are adequate to achieve a correct prognostic evaluation. KEY WORDS: GIST, Prognostic factors, Prognostic models.


Assuntos
Gastrectomia , Tumores do Estroma Gastrointestinal/mortalidade , Tumores do Estroma Gastrointestinal/cirurgia , Modelos Estatísticos , Neoplasias Gástricas/mortalidade , Neoplasias Gástricas/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Taxa de Sobrevida
15.
Ann Ital Chir ; 89: 242-246, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30007062

RESUMO

INTRODUCTION: Some factors may affect the conversion to open of the laparoscopic treatment of incisional hernia. Their presence can help to choose the most appropriate technique identifying patients at high risk conversion. METHODS: A retrospective study has been performed on a cohort of 306 patients, selected among those undergone to elective laparoscopic surgery for post incisional hernia between 2005 and 2015. Only symptomatic patients with single site wall defect, diameter between 5 and 10 cm, ASA ≤3, have been included. Patients were divided in 2 groups, Laparoscopic (L) and Converted (C) and preoperatory data were evaluated and statistically analyzed. RESULTS: The L group accounted for 228 patients and C group for 78 patients. The univariate analysis showed that risk factor for conversion included BMI ≥ 30, Smoking, Diabetes mellitus, Prior emergency surgery. Age > 60 years was associate with lower risk of conversion. CONCLUSIONS: The result of this retrospective study allows us to say that the choice of the technique, in the presence of multiple risk factors, should be carefully assessed and discussed with the patient. A prospective study with a larger number of patients would allow a better definition of the risk determined by individual factors and the development of a score that could be used in practice to simplify the risk assessment KEY WORDS: Conversion to open surgery, Incisional hernia, Laparoscopy, Risk factors.


Assuntos
Hérnia Incisional/cirurgia , Laparoscopia/métodos , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Conversão para Cirurgia Aberta , Diabetes Mellitus/epidemiologia , Emergências , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/epidemiologia , Recidiva , Estudos Retrospectivos , Fatores de Risco , Fumar/epidemiologia , Adulto Jovem
16.
Ann Ital Chir ; 72018 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-30004034

RESUMO

INTRODUCTION: Dermatofibrosarcoma protuberans (DFSP) is a rare neoplasm that exceptionally can affect the breast, always originating from skin and dermis, so imposing large sacrifice of skin. Only few cases have been reported of intraparenchymal DFS. We describe a unique case of giant intraparenchymal DFS that required removal of all the gland and reconstructive surgery. CASE REPORT: A 34 years old woman presents with a quickly growing breast mass, about 12 cm, with radiological features suggestive for giant fibroadenoma or mesenchymal neoplasm. The histology showed a Dermatofibrosarcoma protuberans infiltrating the surrounding parenchyma. The need for radicalization imposed, due to the size of the tumour, a nipple sparing mastectomy. The reconstruction has been performed using a new type of Acellular Dermal Matrix (ADM) mesh to wrap the prosthesis that has been placed and fixed over the great pectoral muscle. RESULTS: The final histologic report showed that the residual parenchyma and the skin removed were free from neoplastic infiltration. The patient is free from recurrence at 24 months from the surgery and the cosmetic result is excellent. DISCUSSION AND CONCLUSIONS: The treatment of DFSP should be aimed to prevent local recurrence, that are usually located in the scar or very close to it. Large size DFS can impose even mastectomy. If skin is not compromised like in this case, a nipple sparing mastectomy is suitable and the one time reconstruction with ADM wrapping of the prosthesis and fixation over the muscle can help to spare time, avoid complications and pain medication and reach excellent cosmetic resu. KEY WORDS: Acellular Dermal Matrix (ADM) mesh, Protuberans, Breast neoplasms, Dermatofibrosarcoma, Mastectomy, Nipple sparing, reconstructive surgery.


Assuntos
Derme Acelular , Dermatofibrossarcoma/cirurgia , Mamoplastia/métodos , Adulto , Implante Mamário/métodos , Implantes de Mama , Neoplasias da Mama/cirurgia , Feminino , Humanos , Mastectomia Segmentar/métodos , Mamilos , Tratamentos com Preservação do Órgão
17.
IEEE Trans Vis Comput Graph ; 24(7): 2167-2179, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29813020

RESUMO

This paper describes the construction of a layered scene model, based on a single hazy image that has sufficient depth variation. A depth map and radiance image are estimated by standard dehazing methods. The radiance image is then segmented into a small number of clusters, and a corresponding scene plane is estimated for each. This provides the basic structure of a layered scene model, without the need for multiple views, or image correspondences. We show that problems of gap filling and depth blending can be addressed systematically, with respect to the layered depth structure. The final models, which resemble cardboard 'pop-ups', are visually convincing. An implementation is described, and subjective depth preferences are tested in a psychophysical experiment.

18.
IEEE Trans Image Process ; 27(8): 3870-3882, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29727272

RESUMO

Depth and surface normal estimation are crucial components in understanding 3D scene geometry from calibrated stereo images. In this paper, we propose visibility and disparity magnitude constraints for slanted patches in the scene. These constraints can be used to associate geometrically feasible planes with each point in the disparity space. The new constraints are validated in the PatchMatch Stereo framework. We use these new constraints not only for initialization, but also in the local plane refinement step of this iterative algorithm. The proposed constraints increase the probability of estimating correct plane parameters, and lead to an improved 3D reconstruction of the scene. Furthermore, the proposed constrained initialization reduces the number of iterations before convergence to the optimal plane parameters. In addition, as most stereo image pairs are not perfectly rectified, we modify the view propagation process by assigning the plane parameters to the neighbors of the candidate pixel. To update the plane parameters in the plane refinement step, we use a gradient free non-linear optimizer. The benefits of the new initialization, propagation, and refinement schemes are demonstrated.

19.
Front Comput Neurosci ; 12: 15, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29636674

RESUMO

Computational models that predict the spectral sensitivities of primate cone photoreceptors have focussed only on the spectral, not spatial, dimensions. On the ecologically valid task of foraging for fruit, such models predict the M-cone ("green") peak spectral sensitivity 10-20 nm further from the L-cone ("red") sensitivity peak than it is in nature and assume their separation is limited by other visual constraints, such as the requirement of high-acuity spatial vision for closer M and L peak sensitivities. We explore the possibility that a spatio-chromatic analysis can better predict cone spectral tuning without appealing to other visual constraints. We build a computational model of the primate retina and simulate chromatic gratings of varying spatial frequencies using measured spectra. We then implement the case study of foveal processing in routinely trichromatic primates for the task of discriminating fruit and leaf spectra. We perform an exhaustive search for the configurations of M and L cone spectral sensitivities that optimally distinguish the colour patterns within these spectral images. Under such conditions, the model suggests that: (1) a long-wavelength limit is required to constrain the L cone spectral sensitivity to its natural position; (2) the optimal M cone peak spectral sensitivity occurs at ~525 nm, close to the observed position in nature (~535 nm); (3) spatial frequency has a small effect upon the spectral tuning of the cones; (4) a selective pressure toward less correlated M and L spectral sensitivities is provided by the need to reduce noise caused by the luminance variation that occurs in natural scenes.

20.
IEEE Trans Cybern ; 48(1): 187-198, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27925600

RESUMO

The deployment of multiple robots for achieving a common goal helps to improve the performance, efficiency, and/or robustness in a variety of tasks. In particular, the observation of moving targets is an important multirobot application that still exhibits numerous open challenges, including the effective coordination of the robots. This paper reviews control techniques for cooperative mobile robots monitoring multiple targets. The simultaneous movement of robots and targets makes this problem particularly interesting, and our review systematically addresses this cooperative multirobot problem for the first time. We classify and critically discuss the control techniques: cooperative multirobot observation of multiple moving targets, cooperative search, acquisition, and track, cooperative tracking, and multirobot pursuit evasion. We also identify the five major elements that characterize this problem, namely, the coordination method, the environment, the target, the robot and its sensor(s). These elements are used to systematically analyze the control techniques. The majority of the studied work is based on simulation and laboratory studies, which may not accurately reflect real-world operational conditions. Importantly, while our systematic analysis is focused on multitarget observation, our proposed classification is useful also for related multirobot applications.

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