RESUMO
This paper presents a method designed to register preoperative computed tomography (CT) images to vertebral surface points acquired intraoperatively from ultrasound (US) images or via a tracked probe. It also presents a comparison of the registration accuracy achievable with surface points acquired from the entire posterior surface of the vertebra to the accuracy achievable with points acquired only from the spinous process and central laminar regions. Using a marker-based method as a reference, this work shows that submillimetric registration accuracy can be obtained even when a small portion of the posterior vertebral surface is used for registration. It also shows that when selected surface patches are used, CT slice thickness is not a critical parameter in the registration process. Furthermore, the paper includes qualitative results of registering vertebral surface points in US images to multiple CT slices. The method has been tested with US points and physical points on a plastic spine phantom and with simulated data on a patient CT scan.
Assuntos
Coluna Vertebral/diagnóstico por imagem , Coluna Vertebral/cirurgia , Terapia Assistida por Computador , Tomografia Computadorizada por Raios X , Humanos , Processamento de Imagem Assistida por Computador , Imagens de Fantasmas , Sensibilidade e Especificidade , UltrassonografiaRESUMO
We tested the hypothesis that enhanced resting metabolic rate (RMR) in highly trained endurance athletes is an acute effect of prior exercise induced by catecholamines and not serum thyroxine. RMR and energy-regulating hormones were studied in nine highly trained women runners during habitual training (period I), and suspension of training (period II). Data were collected during the follicular phase of two consecutive menstrual cycles, confirmed by serum progesterone and estradiol. Subjects maintained training between the two periods. Total energy intake and diet composition, body weight, and oral temperature did not change from period I to period II (P greater than 0.05). With suspension of training, urinary epinephrine and nonrepinephrine excretion dropped (P less than 0.022) while serum TSH rose (P = 0.011) and free T4 did not change (P = 0.182). RMR (mean +/- SEM) was 274 +/- 6.2 and 252 +/- 7.8 kJ.h-1 for periods I and II, respectively, with repeated measures ANOVA indicating a drop in RMR occurred with cessation of exercise (P = 0.048). The augmentation of RMR by exercise lasted more than 15 h but less than 39 h post-exercise. The results suggest that the drop in catecholamines may partly explain the lower RMR following suspension of training.
Assuntos
Metabolismo Basal , Exercício Físico/fisiologia , Catecolaminas/metabolismo , Metabolismo Energético , Teste de Esforço , Feminino , Frequência Cardíaca , Humanos , Ciclo Menstrual/fisiologia , Norepinefrina/metabolismo , Consumo de Oxigênio , Educação Física e Treinamento , Corrida , Hormônios Tireóideos/sangueRESUMO
OBJECTIVE: Liver surgery is difficult because of limited external landmarks, significant vascularity, and inexact definition of intra-hepatic anatomy. Intra-operative ultrasound (IOUS) has been widely used in an attempt to overcome these difficulties, but is limited by its two-dimensional nature, inter-user variability, and image obliteration with ablative or resectional techniques. Because the anatomy of the liver and intra-operative removal of hepatic ligaments make intrinsic or extrinsic point-based registration impractical, we have implemented a surface registration technique to map physical space into CT image space, and have tested the accuracy of this method on an anatomical liver phantom with embedded tumor targets. MATERIALS AND METHODS: Liver phantoms were created from anatomically correct molds with "tumors" embedded within the substance of the liver. Helical CT scans were performed with 3-mm slices. Using an optically active position sensor, the surface of the liver was digitized according to anatomical segments. A surface registration was performed and RMS errors of the locations of internal tumors are presented as verification. An initial point-based marker registration was performed and considered the "gold standard" for error measurement. RESULTS: Errors for surface registration were 2.9 mm for the entire surface and 2.8 mm for embedded targets. CONCLUSION: This is an initial study considering the use of surface registration for the purpose of physical-to-image registration in the area of liver surgery.
Assuntos
Fígado/cirurgia , Terapia Assistida por Computador , Tomografia Computadorizada por Raios X , Interface Usuário-Computador , Simulação por Computador , Humanos , Fígado/diagnóstico por imagem , Imagens de FantasmasRESUMO
Farm-raised catfish are important to the economy of the southeastern states in the United States, and catfish processing produces about 55% of by-products for inexpensive sale. Therefore, the utilization of catfish by-products is of great interest to the catfish industry. The objectives of this research were to determine the optimum pretreatment method to extract catfish gelatin for edible film application, and to characterize physical, mechanical, and barrier properties of edible films fabricated with catfish skin gelatin. Catfish skins obtained from a local plant were treated with 6 selected pretreatment methods. The main extraction was performed with deionized water at 50 degrees C after pretreatment. The gelatin yield was calculated and sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) was performed to characterize molecular weight (MW) profile. Color, tensile strength (TS), elongation, and water barrier property were determined to characterize the fabricated catfish gelatin films. From the results of gelatin yield, color, SDS-PAGE, as well as mechanical and barrier properties of the film, the pretreatment method with 0.25 M NaOH and 0.09 M acetic acid, followed by extraction at 50 degrees C for 3 h, was determined as the optimum extraction method. The catfish gelatin exhibited higher MW fractions than commercial mammalian gelatin. The catfish gelatin extracts possessed film-forming properties determined by TS, elongation, and water vapor permeability (WVP) comparable to those of commercial mammalian gelatin. The selected formula for catfish gelatin film was determined as 1% gelatin and 20% glycerol, resulting in greatest TS and lowest WVP.
Assuntos
Produtos Pesqueiros , Embalagem de Alimentos/instrumentação , Gelatina/química , Ictaluridae , Membranas Artificiais , Ácido Acético/metabolismo , Análise de Variância , Animais , Cor , Eletroforese em Gel de Poliacrilamida , Gelatina/metabolismo , Glicerol , Permeabilidade , Pigmentos Biológicos , Hidróxido de Sódio/metabolismo , Resistência à Tração , Fatores de Tempo , ÁguaRESUMO
This work proposes the use of surface-based registration to automatically select a particular vertebra of interest during surgery. Manual selection of the correct vertebra can be a challenging task, especially for closed-back, minimally invasive procedures. Our method uses shape variations that exist among lumbar vertebrae to automatically determine the portion of the spinal column surface that correctly matches a set of physical vertebral points. In our experiments, we register vertebral points representing posterior elements of a single vertebra in physical space to spinal column surfaces extracted from computed tomography images of multiple vertebrae. After registering the set of physical points to each vertebral surface that is a potential match, we then compute the standard deviation of the surface error for each registration trial. The registration that corresponds to the lowest standard deviation designates the correct match. We have performed our current experiments on two plastic spine phantoms and two patients.
Assuntos
Vértebras Lombares/anatomia & histologia , Modelos Anatômicos , Biologia Computacional , Humanos , Processamento de Imagem Assistida por Computador/estatística & dados numéricos , Imagens de Fantasmas , Cirurgia Assistida por ComputadorRESUMO
A group of marathon runners (290 males, 54 females, mean age 39.7 +/- 0.7 years) who participated in the Los Angeles Marathon recorded their food and fluid intake throughout a 3-day period, with the time of day denoted for each entry. Investigators coded each subject's food intake according to six time periods: 5:00-8:59 a.m., 9:00-10:59 a.m., 11:00 a.m.-1:59 p.m., 2:00-3:59 p.m., 4:00-7:59 p.m., and 8:00 p.m.-4:59 a.m. The average intake of the runners consisted of 314 +/- 6 g (52.3%) carbohydrates, 83.2 +/- 2.0 g (30.7%) fat, and 99.7 +/- 2.3 g (16.5%) protein. Time periods for breakfast (13.7%), lunch (23.8%), and supper (34.0%) accounted for 71.5% of total caloric intake, with snack time periods contributing 28.5%. Breakfast calories were 68.9 +/- 0.9% carbohydrate and 20.4 +/- 0.7% fat in contrast to supper calories, which were 47.7 +/- 0.8% and 31.8 +/- 0.6%, respectively. A sizable proportion of the daily caloric intake of recreational marathon runners is contributed by snacks and food intake after 4:00 p.m.
Assuntos
Ingestão de Energia , Comportamento Alimentar , Corrida , Adulto , Inquéritos sobre Dietas , Feminino , Preferências Alimentares , Humanos , MasculinoRESUMO
Ten young male adults (mean age 46.9 +/- 1.2 yrs) with 9.2 +/- 1.4 years of weight training experience and the ability to parallel squat at least 1.5 times their body mass were selected as subjects. The exercise session consisted of sets of 10 repetitions at 65% 1-RM of the parallel leg squat, with a cadence of one rep every 6 sec and 3 min rest between sets, to muscular failure. The average subject lifted a total of 9711 +/- 1576 kg during 98 +/- 14 reps for a total work output of 72.5 +/- 10.5 kJ before muscular failure occurred. Mean oxygen consumption during exercise was 1.58 +/- 0.06 l/min at 42.5 +/- 2.0% peak VO2. A strong leukocytosis, lymphocytosis, and lymphocytopenia, similar to what has been reported following high-intensity cardiorespiratory exercise, were measured following leg squat exercise. Con A-stimulated lymphocyte proliferation (unadjusted) rose 50% above preexercise levels (p = 0.07), but when these data were adjusted on a per T cell (CD3+) basis, no change from rest was observed. Natural killer cell cytotoxic activity (NKCA), when adjusted on a per NK cell (CD56+) basis, was decreased about 40% below preexercise levels for at least 2 h post-exercise. No significant increase in cortisol was seen after exercise, although norepinephrine and epinephrine increased moderately (465% and 133%, respectively), immediately following exercise. The data demonstrate that leg squat exercise to muscular failure results in a very similar immune response to that associated with intense endurance exercise, despite a lower mean oxygen consumption and only a moderate hormonal response.
Assuntos
Exercício Físico/fisiologia , Sistema Imunitário/fisiologia , Levantamento de Peso/fisiologia , Adulto , Citotoxicidade Imunológica , Humanos , Leucócitos/fisiologia , Ativação Linfocitária , Linfócitos/fisiologia , MasculinoRESUMO
The effect of 45 min of high- (80% VO2max) versus moderate- (50% VO2max) intensity treadmill exercise on circulating leukocyte and lymphocyte subpopulations, catecholamine and cortisol concentrations, and the mitogen-stimulated lymphocyte proliferative response was investigated in 10 well-conditioned (mean VO2max 66.0 +/- 1.9 ml/kg/min), young males (mean age 22.1 +/- 1.3 yrs). Blood samples were taken before and immediately after exercise, with three more samples taken during 3.5 h of recovery. Treatment order on the treadmill (graded walking at 7.3 +/- 0.1 km/h, 6.5 +/- 0.6% grade, versus level running at 16.1 +/- 0.3 km/h) was counterbalanced, with subjects acting as their own controls and results analyzed using a 2 x 5 repeated measures ANOVA. The concanavalin A- (Con A) stimulated lymphocyte proliferative response was decreased at 1 h and 2 h post-exercise relative to baseline levels following both exercise-intensity conditions. However, when adjusted on a per-T cell (CD3+) basis to account for the change in number of T cells in the in vivo assay, only the high-intensity exercise condition was associated with a 1-h post-exercise decrease (21%, p = 0.05) in the proliferative response relative to baseline. Exercise at 80% versus 50% VO2max resulted in significantly greater increases in cortisol and epinephrine concentrations, providing a physiological rationale for the immediate-post-exercise lymphocytosis, 1- to 3.5-h lymphocytopenia, and the decrease in Con A-stimulated lymphocyte proliferative response (per CD3+ cell) that occurred in greater measure following high-intensity exercise.