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1.
Radiologia (Engl Ed) ; 64 Suppl 1: 1, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-36052938
2.
Radiologia (Engl Ed) ; 64 Suppl 1: 2-3, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-36052939
3.
Rofo ; 194(1): 93, 2022 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-36057855
4.
Clin Orthop Surg ; 14(3): 370-376, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36061834

RESUMO

Background: Accurate measurement of the lower limb alignment is one of the most crucial factors in advanced knee osteoarthritis patients scheduled for surgery. Recently, EOS biplanar stereoradiography with three-dimensional reconstruction was developed. The purpose of this study was to compare radiographic parameters between conventional scanography and EOS in patients with advanced knee osteoarthritis who need surgical treatment. Methods: A total of 52 consecutive patients (104 knees) with bilateral knee osteoarthritis of advanced stage (Kellgren-Lawrence [KL] grade 3 or 4) were retrospectively reviewed. We measured the hip-knee-ankle angle (HKA) on conventional scanograms. In EOS, we measured HKA, hip-knee-shaft angle, mechanical lateral distal femoral angle, and mechanical medial proximal tibial angle. To evaluate sagittal and axial plane alignment, knee flexion angle (KFA), and knee joint rotation (KJR) were also measured. Results: Ninety knees were KL grade 4, and 14 knees were grade 3. The average HKA was 10.14° ± 6.16° on conventional scanograms and 11.26° ± 6.21° in EOS. HKA was greater in EOS than on conventional scanograms, and the difference (1.12°; range, -1.07° to 3.22°) was statistically significant (p < 0.001). Significant correlations were observed on the difference in HKA and mechanical medial proximal tibial angle (r = -0.198, p = 0.044), KFA (r = 0.193, p = 0.049), and KJR (r = 0.290, p = 0.003). In multivariable linear regression analysis, the difference in HKA had significant relationship with KFA (ß = 0.286, p = 0.003) and KJR (ß = 0.363, p < 0.001). Conclusions: HKA measured on conventional scanograms and in EOS differed significantly and the difference had a significant correlations with KFA, KJR, and medial proximal tibial angle. Surgeons can consider these results before orthopedic surgery in patients who have advanced knee osteoarthritis.


Assuntos
Osteoartrite do Joelho , Humanos , Articulação do Joelho/diagnóstico por imagem , Articulação do Joelho/cirurgia , Extremidade Inferior , Osteoartrite do Joelho/diagnóstico por imagem , Osteoartrite do Joelho/cirurgia , Radiografia , Estudos Retrospectivos
5.
Clin Orthop Surg ; 14(3): 450-457, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36061838

RESUMO

Background: Previous literatures suggest that the prognosis of Kienböck's disease might be favorable despite no surgery if it is diagnosed in late age, but the evidence is not clear. The aim of this study was to determine the radiographic and clinical progression of Kienböck's disease diagnosed at more than 50 years of age. Methods: Data of 27 patients diagnosed with Kienböck's disease at more than 50 years of age between 2000 and 2016 were investigated. During the study period, no treatment, either surgical or nonsurgical, was applied. We explained to the patients that the affected lunate was not expected to collapse further if found late in age. Annual visits were recommended, through which radiographic and clinical observation was made. We assessed changes in Stahl index and radioscaphoid angle between the initial assessment and the final follow-up, and clinical assessment was made using pain in visual analog scale (VAS) and Dornan's criteria. Results: Initially, 2 patients were in Lichtman stage 1, 6 in stage 2, 5 in stage 3A, 11 in stage 3B, and 3 in stage 4. Radiographic follow-up of at least 5 years (mean, 7.8 years) was made in 14 patients, whose Stahl index and radioscaphoid angle did not differ significantly from their initial measurements. Arthritic appearance was not found, and progression in the Lichtman stage was detected in 1 lunate, from 3A to 3B. Despite no surgical treatment for an average of 7.5 years (range, 5.0-15.7 years) of observation period in the 27 patients, average pain in VAS improved from 3.5 (range, 1-7) to 0.8 (range, 0-2), with excellent or good clinical status by Dornan's criteria. Conclusions: Our study suggests that Kienböck's disease diagnosed at more than 50 years of age can follow a benign natural course in radiographic and clinical aspects. Therefore, surgical interventions should be considered carefully in this age group.


Assuntos
Osso Semilunar , Osteonecrose , Humanos , Osso Semilunar/diagnóstico por imagem , Osso Semilunar/cirurgia , Osteonecrose/diagnóstico por imagem , Osteonecrose/cirurgia , Dor , Prognóstico , Radiografia
6.
Clin Orthop Surg ; 14(3): 441-449, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36061841

RESUMO

Background: The value of radiological measurements of subcoracoid impingement such as the coracohumeral interval in predicting subscapularis tendon injuries is controversial. We aimed to assess the relationship between radiological measurements of subcoracoid impingement and subscapularis tendon lesions in young and middle-aged adults. Methods: This study was designed as a retrospective cohort study. Patients between the ages of 18-55 years without a history of shoulder surgery or major trauma were included and patients with arthritis, instability, or retracted rotator cuff tears were excluded from the study. Magnetic resonance images were evaluated and patients were grouped into two according to the subscapularis tendon condition: normal or pathologic. Glenoid version, axial coracohumeral distance, coracoglenoid angle, coracoid index, sagittal coracoid-glenoid tubercule distance, and axial coracoacromial inclination-glenoid version difference were measured for all patients. Measurement findings were compared between the groups. Correlation analysis was performed for age and radiologic measurements. A p < 0.05 was considered statistically significant for all tests. Results: A total of 298 patients, 107 women (35.1%) and 191 men (64.9%), with a mean age of 34.46 ± 10.10 years (range, 18-55 years) were examined in the study. Subscapularis tendon pathology was noted in 85 patients (28.5%). The diagnosed pathologies were tendinosis in 48 patients (56.5%), partial tears in 28 (32.9%), and full thickness tears in 9 (10.6%). A significant relationship was observed between increasing age and subscapularis tendon lesions (p = 0.001). There was no statistically significant relationship between subscapularis pathology and calculated measurements. Axial coracohumeral distance and coracoglenoid angle measurements showed a statistically significantly negative correlation with age. A positive correlation was found between axial coracohumeral distance and coracoglenoid angle measurements (p < 0.001) and also between glenoid version and coracoid index measurements (p = 0.004). Axial coracohumeral distance and coracoglenoid angle measurements showed a negative correlation with glenoid version and coracoid index measurements (p < 0.05). Conclusions: In this study, the coracohumeral distance and coracoglenoid angle decreased and the incidence of subscapularis tendon lesions increased as the age progressed. However, no relationship was found between radiological measurements and subscapularis tendon lesions.


Assuntos
Lesões do Manguito Rotador , Articulação do Ombro , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Estudos Retrospectivos , Manguito Rotador/diagnóstico por imagem , Manguito Rotador/cirurgia , Lesões do Manguito Rotador/cirurgia , Articulação do Ombro/cirurgia , Adulto Jovem
7.
Clin Orthop Surg ; 14(3): 328-334, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36061846

RESUMO

Background: Incomplete fractures are assumed to occur in the intertrochanteric area as fractures at other sites, but reports of incomplete intertrochanteric fractures (IIFs) are rare. In 1999, Schultz et al. defined isolated greater trochanter fractures (GTFs) as IIFs when intertrochanteric extension is observed on magnetic resonance (MR) images. On multiplanar reformation computed tomography (MPR CT) images acquired for further study of apparently isolated GTFs, we noted incomplete cortical breakage in the intertrochanteric area. We then found that the fracture line was incomplete on plain radiographs in some intertrochanteric fractures. We evaluated IIFs and apparently isolated GTFs using MPR CT and analyzed the fracture patterns of IIFs that were confirmed using MPR CT. Methods: Between February 2006 and June 2019, 36 cases of IIF were detected using MPR CT in 36 patients. They were 17 women and 19 men with a mean age of 74.7 years (range, 26-94 years). Plain radiographs and MPR CT images were evaluated by two experienced orthopedic surgeons. In addition, MR imaging was performed in 5 cases. Results: Plain radiographs showed no evidence of fracture in 2 cases, isolated GTF in 7 cases, and IIF in 27 cases. In all cases, incomplete cortical breakage in the intertrochanteric area was confirmed on MPR CT images. Cortical breakage was located in the anterior portion of the intertrochanteric area, whereas the posterior portion remained intact in all cases. The detection rate of cortical breakage was higher on coronal or sagittal images than that on axial images. On MR images of 5 cases, intertrochanteric extensions were found in the medullary space. All extensions originated in the greater trochanter area and extended anteriorly in the axial plane and inferomedially in the coronal plane. On the T1-weighted mid-coronal image, the extension reached or passed the midline in 3 cases, and cortical breakage was detected in only 2 cases. Conclusions: In all cases of IIF, cortical breakage was detected in the anterior portion of the proximal femur, leaving the posterior cortex intact. This finding is notably different from that of intertrochanteric extension (from posterior to anterior) detected on MR images of isolated GTFs.


Assuntos
Fraturas do Quadril , Idoso , Feminino , Fêmur , Fraturas do Quadril/diagnóstico por imagem , Fraturas do Quadril/cirurgia , Humanos , Imageamento por Ressonância Magnética , Masculino , Radiografia , Tomografia Computadorizada por Raios X/métodos
8.
Curr Med Imaging ; 18(11): 1160-1179, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36062867

RESUMO

Radiology plays a key role in the diagnosis of arthritis. We herein suggest an algorithmic approach to diagnosing arthritis. First, the number of joint involvements is reviewed. Monoarticular arthritis includes septic arthritis, pigmented villonodular synovitis, and synovial chondromatosis. Second, polyarticular arthritis can be categorized by its characteristics: erosive, productive, and mixed. Erosive disease includes rheumatoid arthritis, hemophilia, and amyloidosis, while productive disease includes osteoarthritis and hemochromatosis. Third, mixed diseases are subcategorized by symmetricity. Ankylosing spondylitis and inflammatory bowel disease related arthritis affect joints symmetrically, while psoriatic arthritis, reactive arthritis, and crystalline arthropathy are asymmetric. Adjacent soft tissue density, periostitis, and bone density are ancillary findings that can be used as additional differential diagnostic clues. The final step in identifying the type of arthritis is to check whether the location is a site frequently affected by one particular disease over another. This systematic approach would be helpful for radiologists in diagnosing arthritis.


Assuntos
Artrite , Condromatose Sinovial , Sinovite Pigmentada Vilonodular , Artrite/diagnóstico por imagem , Condromatose Sinovial/diagnóstico , Humanos , Radiografia , Sinovite Pigmentada Vilonodular/diagnóstico por imagem
9.
Eur Rev Med Pharmacol Sci ; 26(16): 5946-5955, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36066171

RESUMO

OBJECTIVE: To investigate acute cerebrovascular diseases (stroke and intracranial hemorrhage) by cranial radiologic examinations of patients infected with coronavirus disease 2019 (COVID-19) and with neurological signs. PATIENTS AND METHODS: Between March 2020 and May 2021, patients who were admitted to the Emergency Department and had a positive reverse transcription-polymerase chain reaction (RT-PCR) test and underwent Multidetector Computed Tomography (MDCT) and/or Magnetic Resonance Images (MRI), and/or diffusion MRI due to neurological findings were included in the study. RESULTS: The study reviewed a total of 925 patients, including 404 (43.67%) female and 521 (56.32%) male patients. The distribution of imaging methods was as follows: 805 (71%) patients had cranial MDCT, 71 (6.35%) patients had MRI, and 241 (21.57%) patients had diffusion MRI. Of the total 925 patients, 128 (13.8%) patients were detected with cerebrovascular diseases, 92 (9.9%) patients were detected with ischemic or hemorrhagic stroke, 37 (4%) patients were detected with intraparenchymal hemorrhage, 10 (1.1%) patients were detected with subarachnoid hemorrhage, and four (0.43%) patients were detected with subdural hemorrhage. There was no statistically significant difference in the incidence of subdural, subarachnoid, parenchymal hemorrhage, and stroke in terms of gender. While there was a significant difference in stroke according to age, there was no statistically significant difference in subdural, subarachnoid, and parenchymal hemorrhagic. Three (0.32%) patients were diagnosed with acute disseminated encephalomyelitis (ADEM)'s-like demyelinating lesions. CONCLUSIONS: Cerebrovascular diseases, which may cause severe disability and even threaten the patient's life, should be kept in mind, especially in COVID-19 patients who present with neurological symptoms.


Assuntos
COVID-19 , Transtornos Cerebrovasculares , Acidente Vascular Cerebral , COVID-19/diagnóstico por imagem , Transtornos Cerebrovasculares/diagnóstico por imagem , Transtornos Cerebrovasculares/epidemiologia , Feminino , Humanos , Hemorragias Intracranianas , Imageamento por Ressonância Magnética , Masculino , Radiografia , Acidente Vascular Cerebral/diagnóstico por imagem , Acidente Vascular Cerebral/epidemiologia
10.
Med Eng Phys ; 107: 103848, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36068030

RESUMO

Adolescent idiopathic scoliosis is a 3D lateral spinal curvature coupled with axial vertebral rotation (AVR). Measuring AVR during clinic is important because it affects treatment options and predicts the risk of scoliosis progression. However, manual measurements are time consuming and have high inter-rater and intra-rater errors. This study aimed to develop a machine learning algorithm based on convolutional neural networks (CNNs) to automatically calculate AVR on posteroanterior radiographs using three different segmentations including spinal column, individual vertebra, and pedicles. Separate labeling and training processes were performed on each of the developed segmentation algorithms. The final machine learning software was tested on 221 vertebrae from 17 spinal radiographs. An experienced rater with over 25 years of experience measured the 221 vertebral rotations manually. By comparing the manual and the fully automatic measurements, 81% (178/221) of the automatic measurements were within the clinical acceptance error (±5°). The mean absolute difference and the standard deviation between the manual and automatic measurements was 4.3° ± 5.7°. Based on the Bland-Altman plot, the manual and automatic measurements had a strong correlation and no bias. The error did not relate to the severity of the rotation. This method is fully automatic, and the result is comparable to others.


Assuntos
Escoliose , Adolescente , Algoritmos , Humanos , Aprendizado de Máquina , Radiografia , Escoliose/diagnóstico por imagem , Coluna Vertebral/diagnóstico por imagem , Vértebras Torácicas
11.
Bone Joint J ; 104-B(9): 1067-1072, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36047026

RESUMO

AIMS: The aim of this study was to evaluate whether, after correction of an adolescent idiopathic scoliosis (AIS), leaving out the subfascial drain gives results that are no worse than using a drain in terms of total blood loss, drop in haemoglobin level, and opioid consumption. METHODS: Adolescents (aged between 10 and 21 years) with an idiopathic scoliosis (major curve ≥ 45°) were eligible for inclusion in this randomized controlled noninferiority trial (n = 125). A total of 90 adolescents who had undergone segmental pedicle screw instrumentation were randomized into no-drain or drain groups at the time of wound closure using the sealed envelope technique (1:1). The primary outcome was a drop in the haemoglobin level during first three postoperative days. Secondary outcomes were 48-hour postoperative oxycodone consumption and surgical complications. RESULTS: All 90 patients were included in the primary outcome analysis (no drain = 43; drain = 47). The mean total postoperative blood loss (intraoperative and drain output) was significantly higher in the group with a subfascial drain than in the no-drain group (1,008 ml (SD 520) vs 631 ml (SD 518); p < 0.001). The drop in haemoglobin level did not differ between the study groups over the postoperative timepoints (p = 0.290). The 48-hour opioid consumption was significantly higher in the no-drain group (2.0 mg/kg (SD 0.9) vs 1.4 (SD 0.6); p = 0.005). Two patients in the no-drain and one patient in the drain group developed a surgical site infection. CONCLUSION: Leaving the subfascial drain out after pedicle screw instrumentation for AIS is not associated with higher postoperative haemoglobin levels. Patients treated without a subfascial drain needed 30% more opioids during the first 48 hours than those who had a drain.Cite this article: Bone Joint J 2022;104-B(9):1067-1072.


Assuntos
Cifose , Parafusos Pediculares , Escoliose , Fusão Vertebral , Adolescente , Adulto , Analgésicos Opioides , Criança , Hemoglobinas , Humanos , Radiografia , Estudos Retrospectivos , Escoliose/diagnóstico por imagem , Escoliose/cirurgia , Fusão Vertebral/métodos , Vértebras Torácicas/cirurgia , Resultado do Tratamento , Adulto Jovem
12.
Health Phys ; 123(4): 267-277, 2022 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-36049133

RESUMO

ABSTRACT: The exposure rate distribution was quantified over a site of three activated potassium bromide radiological dispersal device detonations at the Idaho National Laboratory Radiological Response Training Range with unmanned aerial vehicle (UAV) and ground-based methods. Discussions on the methods' survey characteristics, such as survey time, data spatial resolution, and area coverage, serve to inform those concerned with radiological response and cleanup efforts. Raster scans over the site at 4 m s-1 with 6 m between passes at an altitude of 4 m above ground level were executed with a 2.54 cm × 2.54 cm × 7.62 cm cesium iodide, sodium-doped [CsI(Na)] sensor mounted to a UAV. Exposure rates were calculated from the spectra obtained by the CsI(Na) using a flux unfolding method. Data obtained from the UAV raster were interpolated to produce a continuous exposure rate map across the site. The activity on the ground, inferred from collimated, ground-based sensor (Nomad) measurements in previous work, was used to calculate exposure rate distributions at the same altitude as the UAV-mounted CsI(Na) sensor. Agreement between Nomad and UAV exposure rate distributions is observed at rates up to 1.0 mR h-1 after corrections for ground effects were implemented on the Nomad data. Discrepancies in exposure rate contours are present at higher rates, directly above the detonation locations. In areas of high exposure rate gradients, it is anticipated that a faster UAV-mounted sensor and more refined scans by the UAV will improve characterization of the distribution.


Assuntos
Armas Nucleares , Tecnologia de Sensoriamento Remoto , Brometos , Idaho , Compostos de Potássio , Radiografia
13.
Artigo em Inglês | MEDLINE | ID: mdl-36074141

RESUMO

BACKGROUND: Modified Bösch osteotomy, or distal linear metatarsal osteotomy (DLMO), is one of the minimally invasive correctional operations for hallux valgus deformity. Although the clinical and radiographic results of DLMO have been previously shown, the relationship between clinical outcomes using a validated patient-reported outcome measure and radiographic corrections have yet to be evaluated. METHODS: A total of 70 patients (97 feet) treated at our hospital were included in the study. The Self-Administered Foot Evaluation Questionnaire (SAFE-Q) and radiographic data were evaluated at a minimum 1-year follow-up. RESULTS: Scores of all five SAFE-Q subscales showed a statistically significant improvement: pain and pain-related (from 63.3 to 86.6), physical functioning and daily living (from 81.3 to 92.7), social functioning (from 79.5 to 94.4), shoe-related (from 43.1 to 72.3), and general health and well-being (from 67.7 to 92.1). The mean hallux valgus angle improved from 39.1° to 9.3°, and the mean intermetatarsal angle improved from 16.6° to 7.0°. Recurrence and hallux varus at the final follow-up occurred in nine feet (9.3%) and 15 feet (15.5%), respectively. Four of the five SAFE-Q subscale scores improved significantly even in patients with hallux varus. CONCLUSIONS: Distal linear metatarsal osteotomy improves foot-related quality of life in patients with hallux valgus deformity despite of the high rate of postoperative radiographic complication, especially hallux varus. Patients might be willing to tolerate mild hallux varus after DLMO, as indicated by patient-centered clinical results.


Assuntos
Hallux Valgus , Hallux Varus , Ossos do Metatarso , Hallux Valgus/diagnóstico por imagem , Hallux Valgus/cirurgia , Humanos , Ossos do Metatarso/diagnóstico por imagem , Ossos do Metatarso/cirurgia , Osteotomia/métodos , Dor , Medidas de Resultados Relatados pelo Paciente , Complicações Pós-Operatórias , Qualidade de Vida , Radiografia , Estudos Retrospectivos , Resultado do Tratamento
15.
Biomed Res Int ; 2022: 8555924, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36119921

RESUMO

Background: Patients with severe posttuberculous (TB) kyphosis might suffer from late-onset neurological deficits, and surgical correction may improve neurological function. However, there is a lack of predictive factors for neurological function in these patients. Objective: This study was aimed at identifying the risk factors for late-onset neurological deficits in spinal TB patients at initial and final assessments. Methods: Seventy-eight patients with severe kyphosis caused by old thoracic tuberculosis were retrospectively analyzed. Patients with active spinal TB and other spinal diseases were excluded from the analysis. The kyphosis Cobb angle, sagittal deformity angular ratio (S-DAR), and level of apex were measured and calculated on X-ray. The spinal cord cross-sectional area ratio (CSAR), spinal cord sagittal diameter ratio (SDR), and spinal cord angle (SCA) were measured on preoperative T2-weighted magnetic resonance imaging (MRI). According to the American Spinal Injury Association (ASIA) Impairment Scale (AIS) at the time of admission, the patients were divided into the symptomatic group (N = 60 patients, AIS grades A to D) and the asymptomatic group (N = 18 patients, AIS grade E). All of the symptomatic patients underwent surgery, and the patients from both groups had at least 2 years of follow-up. Relationships among the radiological parameters and initial and final AIS grades were evaluated via univariate and multivariate analyses. Results: The mean duration of kyphotic deformity was 37.4 years in the symptomatic group. There were no significant differences between the two groups in terms of CSAR, kyphosis Cobb angle, S-DAR, level of apex, or the segments that were involved. Patients from the symptomatic group exhibited significantly greater SDR and smaller SCA than those from the asymptomatic group (p < 0.01 and p < 0.01, respectively). The multivariate logistic regression identified SDR and SCA as independent factors influencing the likelihood of spinal cord injury at the initial and final assessments. Conclusions: Severe posttuberculous kyphosis may lead to significant neurological symptoms many years following the initial treatment. The predictive factors for late-onset neurological deficits include larger SDR and smaller SCA.


Assuntos
Cifose , Traumatismos da Medula Espinal , Humanos , Cifose/diagnóstico por imagem , Cifose/cirurgia , Radiografia , Estudos Retrospectivos , Traumatismos da Medula Espinal/complicações , Coluna Vertebral
16.
Semin Musculoskelet Radiol ; 26(4): 521-524, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36103893

RESUMO

This history page in the series "Leaders in MSK radiology" is dedicated to the memory and achievements of the British radiographer Kathleen C. Clark, recognized as a pioneer of standardization of radiographic projections.


Assuntos
Radiografia , Radiologia , História do Século XX , Humanos , Radiografia/história , Padrões de Referência
17.
PLoS One ; 17(9): e0272961, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36048779

RESUMO

Deep convolutional networks have been developed to detect prohibited items for automated inspection of X-ray screening systems in the transport security system. To our knowledge, the existing frameworks were developed to recognize threats using only baggage security X-ray scans. Therefore, the detection accuracy in other domains of security X-ray scans, such as cargo X-ray scans, cannot be ensured. We propose an object detection method for efficiently detecting contraband items in both cargo and baggage for X-ray security scans. The proposed network, MFA-net, consists of three plug-and-play modules, including the multiscale dilated convolutional module, fusion feature pyramid network, and auxiliary point detection head. First, the multiscale dilated convolutional module converts the standard convolution of the detector backbone to a conditional convolution by aggregating the features from multiple dilated convolutions using dynamic feature selection to overcome the object-scale variant issue. Second, the fusion feature pyramid network combines the proposed attention and fusion modules to enhance multiscale object recognition and alleviate the object and occlusion problem. Third, the auxiliary point detection head adopts an auxiliary head to predict the new keypoints of the bounding box to emphasize the localizability without requiring further ground-truth information. We tested the performance of the MFA-net on two large-scale X-ray security image datasets from different domains: a Security Inspection X-ray (SIXray) dataset in the baggage domain and our dataset, named CargoX, in the cargo domain. Moreover, MFA-net outperformed state-of-the-art object detectors in both domains. Thus, adopting the proposed modules can further increase the detection capability of the current object detectors on X-ray security images.


Assuntos
Medidas de Segurança , Percepção Visual , Imagens, Psicoterapia , Radiografia , Raios X
18.
Comput Math Methods Med ; 2022: 2484435, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36092785

RESUMO

The worldwide outbreak of the new coronavirus disease (COVID-19) has been declared a pandemic by the World Health Organization (WHO). It has a devastating impact on daily life, public health, and global economy. Due to the highly infectiousness, it is urgent to early screening of suspected cases quickly and accurately. Chest X-ray medical image, as a diagnostic basis for COVID-19, arouses attention from medical engineering. However, due to small lesion difference and lack of training data, the accuracy of detection model is insufficient. In this work, a transfer learning strategy is introduced to hierarchical structure to enhance high-level features of deep convolutional neural networks. The proposed framework consisting of asymmetric pretrained DCNNs with attention networks integrates various information into a wider architecture to learn more discriminative and complementary features. Furthermore, a novel cross-entropy loss function with a penalty term weakens misclassification. Extensive experiments are implemented on the COVID-19 dataset. Compared with the state-of-the-arts, the effectiveness and high performance of the proposed method are demonstrated.


Assuntos
COVID-19 , Aprendizado Profundo , COVID-19/diagnóstico , Humanos , Redes Neurais de Computação , Radiografia
19.
J Wound Care ; 31(9): 748-754, 2022 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-36113548

RESUMO

OBJECTIVE: Osteomyelitis is a limb-threatening complication of diabetic foot ulcers. Early identification of the disease is key to ensuring successful prognosis. In this study, we describe ultrasonographic features for the identification of osteomyelitis. METHOD: Patients were screened through clinical, ultrasonographic and probe-to-bone tests. RESULTS: Ultrasonographic features in three patients that could be used to identify diabetic foot osteomyelitis included periosteal reaction, periosteal elevation, cortical erosions and presence of sequestrum, all of which were confirmed by a plain X-ray. CONCLUSION: An ultrasonographic examination could be used for the early detection of osteomyelitis, which could help clinicians devise prompt treatment strategies.


Assuntos
Diabetes Mellitus , Pé Diabético , Osteomielite , Pé Diabético/complicações , Pé Diabético/diagnóstico por imagem , Humanos , Osteomielite/diagnóstico por imagem , Radiografia , Pesquisa
20.
BMJ Case Rep ; 15(9)2022 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-36113959

RESUMO

Spinal solitary fibrous tumour (SFT) is an uncommon tumour with few cases reported in the literature. It rarely originates at the craniocervical junction. To our knowledge, only eight cases of spinal SFT located at the craniocervical junction have been reported in the literature. We presented a patient with a craniocervical junction SFT and discussed its clinical presentation, radiological features, pathology, management and outcome. This was the first patient reported in the literature with a recurrent craniocervical junction SFT treated with Gamma Knife radiosurgery. The treatment reduced the tumour volume by more than 85% within 12 months.


Assuntos
Radiocirurgia , Tumores Fibrosos Solitários , Humanos , Radiografia , Tumores Fibrosos Solitários/diagnóstico por imagem , Tumores Fibrosos Solitários/radioterapia , Tumores Fibrosos Solitários/cirurgia
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