Utility of optical facial feature and arm movement tracking systems to enable text communication in critically ill patients who cannot otherwise communicate.

PURPOSE: Patients recovering from critical illness especially those with critical illness related neuropathy, myopathy, or burns to face, arms and hands are often unable to communicate by writing, speech (due to tracheostomy) or lip reading. This may frustrate both patient and staff. Two low cost movement tracking systems based around a laptop webcam and a laser/optical gaming system sensor were utilised as control inputs for on-screen text creation software and both were evaluated as communication tools in volunteers. METHODS: Two methods were used to control an on-screen cursor to create short sentences via an on-screen keyboard: (i) webcam-based facial feature tracking, (ii) arm movement tracking by laser/camera gaming sensor and modified software. 16 volunteers with simulated tracheostomy and bandaged arms to simulate communication via gross movements of a burned limb, communicated 3 standard messages using each system (total 48 per system) in random sequence. RESULTS: Ten and 13 minor typographical errors occurred with each system respectively, however all messages were comprehensible. Speed of sentence formation ranged from 58 to 120s with the facial feature tracking system, and 60-160s with the arm movement tracking system. The average speed of sentence formation was 81s (range 58-120) and 104s (range 60-160) for facial feature and arm tracking systems respectively, (P<0.001, 2-tailed independent sample t-test). CONCLUSION: Both devices may be potentially useful communication aids in patients in general and burns critical care units who cannot communicate by conventional means, due to the nature of their injuries.

Screening selected genotypes of cowpea [Vigna unguiculata (L.) Walp.] for salt tolerance during seedling growth stage.

The environmental stress such as, salinity (soil or water) are serious obstacles for field crops especially in the arid and semi-arid parts of the world. This study was conducted to assess the potential for salt tolerance of cowpea genotypes during the seedling stage. The experimental treatments were 9 cowpea genotypes and 4 NaCl concentrations (0, 50, 100 and 200 mM) and they were tested in greenhouse. The experimental design was completely randomized design in factorial combination with three replications. Data analysis was carried out using SAS (version 9.1) statistical software. Seedling shoots and root traits, seedling shoots and root weight, number of leaves and total biological yield were evaluated. The analyzed data revealed highly significant (p < 0.001) variation among cowpea genotypes, treatments and their interactions. It is found that salt stress significantly decreased root length, shoot length, seedling shoot and root weight of cowpea genotypes. The extent of decrease varied with genotypes and salt concentrations. Most genotypes were highly susceptible to 200 mM NaCl concentration. The correlation analysis revealed positive and significant association among most of the parameters. Genotypes 210856, 211557 and Asebot were better salt tolerant. The study revealed the presence of broad intra specific genetic variation in cowpea varieties for salt stress with respect to their early biomass production.

Characterization of force chains in granular material.

It has been observed that the majority of particles in a granular material carries less than the average load and that the number of particles carrying larger than the average load decreases exponentially with increasing contact force. The particles carrying above average load appear to form a strong network of forces while the majority of particles belong to a weak network. The strong network of forces appear to have a spatial characteristic whereby the stronger forces are carried though chainlike particle groups referred to as force chains. There is a strong case for a connection between force chains of the discrete medium and the trajectory of the most compressive principal stress in its continuous idealization. While such properties seem obvious from descriptive analysis of physical and numerical experiments in granular media, progress in quantification of the force chain statistics requires an objective description of what constitutes a force chain. A procedure to quantify the occurrence of force chains is built on a proposed definition having two parts: first, the chain is a quasilinear arrangement of three or more particles, and second, along the chain, stress concentration within each grain is characterized by the vector delineating the most compressive principal stress. The procedure is incorporated into an algorithm that can be applied to large particle assemblies to compile force chain statistics. The procedure is demonstrated on a discrete element simulation of a rigid punch into a half space. It was found that only approximately half of the particles within the group of so-called strong network particles are part of force chains. Throughout deformation, the average length of force chains varied slightly but the number of force chains decreased as the punch advanced. The force chain lengths follow an exponential distribution. The procedure provides a tool for objective analysis of force chains, although future work is required to incorporate branching of force chains into the analysis.

A method of beam-couch intersection detection.

At the time of treatment planning it would be useful to know whether part of the treatment beam passes through the patient/couch support assembly before it passes through the patient. In the previous work of Yorke, the range of gantry angles leading to beam-couch intersection was found as a function of couch translation for symmetric field sizes and for zero couch rotation. Yorke's method has been extended to include couch rotation, dual independent jaws, and multi-leaf collimator (MLC) field shapes. In addition, the new method is also applicable in the situation of the couch top located above the isocenter. For a clinically treatable, 20 x 20 cm field configuration in a linac, the range of gantry angles leading to beam-couch intersection are different by 6.7 degrees for a couch rotation angle of 25 degrees when compared to no couch rotation. The new method agrees with data within the setup and measurement uncertainties for a variety of field sizes including an oval shaped MLC field, and various couch locations, couch, and collimator rotation angles.

A mouse bone marrow dosimetry model.

UNLABELLED: Bone marrow is the primary dose-limiting organ in radioimmunotherapy. Athymic nude mouse models are used to guide radioimmunotherapy in humans. In the mouse, the dimensions of the marrow are comparable to the mean range of the beta particles for a wide variety of beta-emitting radionuclides, so local beta energy deposition cannot be assumed. METHODS: We have developed a computer simulation model in which slab, spherical and cylindrical geometries of the bone marrow of the mouse were incorporated. The energy deposition within the marrow was estimated using beta dose point kernels for several beta-emitting radionuclides. RESULTS: The calculated percentages of energy deposited in the mouse marrow using the full geometry were 46%, 24% and 10% for 131I-, 186Re- and 90Y-radiolabeled antibodies, respectively. Assuming a concentration of activity in the marrow of 0.36 times the blood activity concentration, the percentages of energy deposition in the marrow from marrow and whole-body sources were 61%, 40% and 29% for 131I, 186Re and 90Y, respectively. CONCLUSION: This work shows that, even for the lower mean beta energy-emitting radionuclide, such as 131I, accurate computation of the mouse bone marrow dose involves including both the energy loss from beta decays within the marrow and dose contributions from tissue surrounding the marrow.

Measurement of backscatter to the monitor chamber of medical accelerators using target charge.

A simple noninvasive method is described for determining the backscatter to a monitor chamber of a medical accelerator based on the measurement of charge deposited in the target. This method is compared quantitatively to the more elaborate telescopic method for photon beams of 6 MV and 15 MV on linear accelerators having mica and Kapton monitor chambers. The new target charge method gives results consistent with the telescopic method to within 0.3%.

A quantitative study of radionuclide characteristics for radioimmunotherapy from 3D reconstructions using serial autoradiography.

PURPOSE: Using 131I-labeled monoclonal antibody (MoAb) data, assess the dosimetrical impact of labeling the same MoAb with 186Re or 90Y, under the assumption that the biodistribution of the radiolabeled MoAb in tumor relative to blood is independent of the radionuclide. METHODS AND MATERIALS: Radial radioactivity and dose-rate distributions at 1, 4, and 7 days postinjection were derived from three dimensional (3D) reconstructions of serial autoradiographs of LS174T human colon cancer xenografts in athymic nude mice treated with a single intraperitoneal administration of 300 microCi 131I-labeled MoAb 17-1A. Bone marrow dose was calculated taking into account energy deposited external to the bone marrow cavity due to the range of the beta particles. RESULTS: For 1 cm diameter tumors, uptake was mostly at the tumor surface for earlier postinjection times, but exhibited comparable activity levels from the surface to the core of the 7-day sample. The computed dose-rate distributions for 186Re and 90Y were more uniform than for 131I, but smaller fractions of the dose were deposited within the tumor volume due to the larger mean energies of 90Y and 186Re beta particles relative to those for 131I. However, when the tumor doses were normalized to the production of equivalent bone marrow doses, in the case of athymic nude mice, the tumor doses were calculated to be 15.3 Gy (131I), 14.1 Gy (186Re), and 12.0 Gy (90Y). For comparison, these calculations were extended to the case of human therapy, yielding tumor doses of 16.7 Gy (131I), 18.2 Gy (186Re), and 13.4 Gy (90Y). CONCLUSION: In the case of colon cancer xenografts where the MoAb uptake is initially concentrated at the tumor surface, we find a decreasing tumor dose per constant bone marrow dose for radionuclides of increasing mean beta energies and decreasing half-lives. However, a radionuclide with larger mean beta energy such as 90Y generates a significantly more uniform dose deposition within the tumor, especially concerning the core of the tumor, compared to 131I. For human therapy, a gamma component adds little to the tumor dose but increases dose to the marrow.

Flattening-filter-based empirical methods to parametrize the head scatter factor.

Parametrizing the collimator scatter factor, Sc (or head scatter factor), of a linear accelerator by the side of the equivalent square of the collimator setting at the isocenter does not accurately predict the change in Sc when the width and length of a rectangular field are exchanged. We have studied two methods based on measurements of square fields to predict Sc's of rectangular fields more accurately. The first method parametrizes Sc by the side of the equivalent square of the flattening filter region visible from the point of calculation. The Sc's of rectangular fields were predicted to an accuracy of 1% from measurements with square fields. The second method computes Sc of rectangular configurations by integrating radiation that can reach the point of calculation from a point source at the target and a second extended source at the flattering filter. The radial distribution of the extended source at the level of the flattering filter is computed from Sc of square fields measured at the isocenter. Effects of extended distance are modeled by separately performing inverse square law corrections for the two sources. This method also predicted the measured values to within 1% accuracy.