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Proceedings of the 22nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (Cat. No.00CH37143)最新文献

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A Model for Optimizing Normal Tissue Complication Probability in the Spinal Cord Using a Generalized Incomplete Repair Scheme 利用广义不完全修复方案优化脊髓正常组织并发症概率的模型
D. Levin-Plotnik, R. Hamilton, A. Niemierko, S. Akselrod
Abstract Levin-Plotnik, D., Hamilton, R. J., Niemierko, A. and Akselrod, S. A Model for Optimizing Normal Tissue Complication Probability in the Spinal Cord Using a Generalized Incomplete Repair Scheme. The purpose of this study was to determine the treatment protocol, in terms of dose fractions and interfraction intervals, which minimizes normal tissue complication probability in the spinal cord for a given total treatment dose and treatment time. We generalize the concept of incomplete repair in the linear-quadratic model, allowing for arbitrary dose fractions and interfraction intervals. This is incorporated into a previously presented model of normal tissue complication probability for the spinal cord. Equations are derived for both mono-exponential and bi-exponential repair schemes, regarding each dose fraction and interfraction interval as an independent parameter, subject to the constraints of fixed total treatment dose and treatment time. When the interfraction intervals are fixed and equal, an exact analytical solution is found. The general problem is nonlinear and is solved numerically using simulated annealing. For constant interfraction intervals and varying dose fractions, we find that optimal normal tissue complication probability is obtained by two large and equal doses at the start and conclusion of the treatment, with the rest of the doses equal to one another and smaller than the two dose spikes. A similar result is obtained for bi-exponential repair. For the general case where the interfraction intervals are discrete and also vary, the pattern of two large dose spikes is maintained, while the interfraction intervals oscillate between the smallest two values. As the minimum interfraction interval is reduced, the normal tissue complication probability decreases, indicating that the global minimum is achieved in the continuum limit, where the dose delivered by the “middle” fractions is given continuously at a low dose rate. Furthermore, for bi-exponential repair, it is seen that as the slow component of repair becomes increasingly dominant as the magnitude of the dose spikes decreases. Continuous low-dose-rate irradiation with dose spikes at the start and end of treatment yields the lowest normal tissue complication probability in the spinal cord, given a fixed total dose and total treatment time, for both mono-exponential and bi-exponential repair. The magnitudes of the dose spikes can be calculated analytically, and are in close agreement with the numerical results.
Levin-Plotnik, D, Hamilton, R. J, Niemierko, A.和Akselrod, S.使用广义不完全修复方案优化脊髓正常组织并发症概率的模型。本研究的目的是确定治疗方案,在给定的总治疗剂量和治疗时间内,根据剂量分数和干预间隔,最大限度地减少脊髓正常组织并发症的可能性。我们在线性二次模型中推广了不完全修复的概念,允许任意剂量分数和干涉间隔。这被纳入先前提出的脊髓正常组织并发症概率模型。推导了单指数修复方案和双指数修复方案的方程,在固定的总治疗剂量和治疗时间约束下,将每个剂量分数和插入间隔作为一个独立的参数。当干涉间隔固定且相等时,得到了精确的解析解。一般问题是非线性的,采用模拟退火方法进行数值求解。对于一定的干涉间隔和不同的剂量分数,我们发现在治疗开始和结束时两个大而相等的剂量获得最佳的正常组织并发症概率,其余剂量彼此相等且小于两个剂量峰值。双指数修复也得到了类似的结果。对于一般情况下,当干涉间隔是离散的并且也变化时,两个大剂量尖峰的模式被保持,而干涉间隔在最小的两个值之间振荡。随着最小干涉间隔的减小,正常组织并发症的概率降低,表明在连续极限中达到了全局最小值,其中“中间”部分以低剂量率连续给予剂量。此外,对于双指数修复,可以看出,随着剂量峰值的减小,修复的缓慢成分变得越来越占主导地位。在固定的总剂量和总治疗时间下,对于单指数和双指数修复,在治疗开始和结束时具有剂量峰值的连续低剂量率照射产生脊髓正常组织并发症的概率最低。剂量峰的大小可以用解析方法计算,与数值结果非常吻合。
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引用次数: 6
Effects of design parameters of osseointegrated implant on stress distribution in law bone 骨整合种植体设计参数对法骨应力分布的影响
Hyo-Jung Chun, Sin-Young Cheong, J.-H. Han, S. Heo, J.-P. Chung, Y.-C. Choi, I. Rhyu, M.H. Kim
Finite element analyses were performed to study effects on stress distribution generated in jaw bone for various shapes of dental implants: plateau type, plateau with small radius of curvature, triangular thread screw type in accordance with ISO regulations, square thread screw type in accordance with ISO regulations and square thread screw filleted with small radius partially. It was found that square thread screw filleted with small radius was more effective on stress distribution than other dental implants used in analyses. Additional analyses were performed on the implant with square thread screw filleted with small radius for varying design parameters, such as the width of thread end, the height of the thread of the implant and load direction, to determine the optimum dimensions of the implant. The highest stress concentration occurred at the region in jaw bone adjacent to the first thread of the implant. The maximum effective stress induced by a 15 degree oblique load of 100 N was twice as high as the maximum effective stress caused by an equal amount of vertical load. Stress distribution was more effective in the case when the width of thread end and the height of thread were p/2 and 0.46p, respectively, where p is the pitch of thread. At last, using tensile force calculated from the possible insert torque without breaking bone thread, finite element analysis was performed on the implant to calculate pre-stress when the primary fixation of the implant was operated in jaw bone. The maximum effective stress was 136.8 MPa which was proven to be safe.
通过有限元分析,研究了平台型、小曲率半径平台型、符合ISO标准的三角形螺纹螺钉型、符合ISO标准的方螺纹螺钉型和部分小半径圆角的方螺纹螺钉对颌骨应力分布的影响。结果表明,半径小的方螺纹螺钉比其他种植体更有效地改善了种植体的应力分布。此外,还对小半径方螺纹螺钉进行了分析,以确定不同的设计参数,如螺纹端宽度、种植体螺纹高度和负载方向,以确定种植体的最佳尺寸。应力集中最高的区域发生在颌骨邻近种植体第一螺纹的区域。100牛15度斜荷载所产生的最大有效应力是等量垂直荷载所产生的最大有效应力的两倍。螺纹端面宽度为p/2,螺纹高度为0.46p (p为螺纹节距)时,应力分布更为有效。最后,利用在不折断骨线的情况下可能的插入扭矩计算出的拉力,对种植体进行有限元分析,计算种植体在颌骨内进行初次固定时的预应力。最大有效应力为136.8 MPa,是安全的。
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引用次数: 2
An investigation comparing optical CT with MR scanning for polymer gel dosimetry 光学CT与磁共振扫描在聚合物凝胶剂量测定中的比较研究
M. Oldham, J. Siewerdsen, A. Shetty, D. Jaffray
Radiation sensitive gels, including BANG and Fricke-gels, are at the forefront of research into improved dosimetry techniques. Despite being the only dosimeter that offers true 3D information about the dose-distribution, radiation sensitive gels have to-date made little impact in most clinics. This is due to the fact that the field is still new and rapidly developing, but also due to the high cost and high noise characteristics of the standard way of reading these gels-MR scanning. To circumvent these difficulties several groups are looking at an alternative low-cost approach to reading the gels, using laser based optical-CT scanning. In this paper we report on an optical CT scanning system recently developed in our lab, and a preliminary study which compares, for the same gel samples, MR with optical scanning. The comparison has two parts: (a) calibration methods and accuracy, and (b) noise and resolution in dosimetric images. We also outline a novel optical calibration method with primary advantages in terms of speed and robustness. The important feature of the study is that each scanning method was applied to the same gel samples.
辐射敏感凝胶,包括BANG和fricke凝胶,是研究改进剂量测定技术的前沿。尽管是唯一一种能够提供真实的三维剂量分布信息的剂量计,但辐射敏感凝胶迄今为止在大多数诊所中几乎没有什么影响。这是由于该领域仍然是新的和快速发展的,但也是由于读取这些凝胶的标准方法- mr扫描的高成本和高噪声特性。为了克服这些困难,一些研究小组正在寻找一种低成本的方法来读取凝胶,使用激光光学ct扫描。在本文中,我们报告了我们实验室最近开发的光学CT扫描系统,以及对相同凝胶样品进行MR与光学扫描比较的初步研究。比较包括两个部分:(a)校准方法和精度;(b)剂量学图像中的噪声和分辨率。我们还概述了一种新的光学校准方法,在速度和鲁棒性方面具有主要优势。该研究的重要特点是每种扫描方法都应用于相同的凝胶样品。
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引用次数: 1
Free energy periodicity in E. coli coding 大肠杆菌编码中的自由能周期性
D. Rosnick, D. Bitzer, M. Vouk, E. May
Sequences upstream from coding regions in E. coli commonly possess significant complementarity to the exposed part of the 16S rRNA. This region is known as the Shine-Dalgarno sequence. Free energy calculations for binding between homologous sequences suggest that this region is used as a landing site for construction of the ribosome around the mRNA. While strong upstream binding appears to be a condition for translation, it may not be sufficient. The authors' research suggests that the 16S has a continuing role throughout translation, particularly in ribosomal synchronization with the reading frame. The authors consider the entire E. coli genome of over 2000 forward coding sequences. Presence of strong upstream binding is confirmed, and a definite three-base periodic signal is observed. The distribution of bases parallels that needed to produce a signal of the type observed.
大肠杆菌编码区的上游序列通常与16S rRNA的暴露部分具有显著的互补性。这个区域被称为Shine-Dalgarno序列。同源序列之间结合的自由能计算表明,该区域被用作mRNA周围核糖体构建的着陆点。虽然强上游绑定似乎是翻译的一个条件,但它可能还不够。作者的研究表明,16S在整个翻译过程中具有持续的作用,特别是在与阅读框的核糖体同步中。作者考虑了整个大肠杆菌基因组的2000多个正向编码序列。证实了强上游结合的存在,并观测到一个明确的三碱基周期信号。产生所观察到的那种信号所需的碱基平行分布。
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引用次数: 7
A method for the determination of the 3D orientations and positions of catheters from single-plane X-ray images 一种从单平面x射线图像确定导管三维方向和位置的方法
J. Esthappan, M. Kupinski, L. Lan, Kenneth R. Hoffmann
The 3D orientation and position of an object, i.e., a configuration of points, can be determined by use of the single projection technique (SPT) from a single projection image, given the relative 3D positions of the points and initial estimates of the orientation and position. The accuracy of the SPT for the case of L-shaped catheters was evaluated in simulation studies. Catheter models were generated, oriented and positioned, and then projected onto an image plane to generate projection images. Gaussian-distributed noise was added to the image positions. The 3D orientations and positions of the catheters were determined using the SPT, which iteratively aligns the model points with their respective image positions. Studies indicate that the orientation and position of a catheter of diameter 0.18 cm can be determined to within 1.6/spl deg/ and 0.8 cm, respectively. These results are comparable to those obtained with a J-shaped catheter indicating that the technique is generally applicable independent of catheter shape. Studies indicate that the SPT may provide the basis for the automated determination of the orientations of catheters in vivo from single-plane projection images. This automated method may facilitate interventional procedures by eliminating the need for imaging the vasculature at various angulations of the gantry, and may, thereby, reduce procedure times, complications, and radiation dose. In the future, the information provided by the SPT may be employed by 3D vessel reconstruction techniques to extend conventional roadmapping techniques from 2D to 3D.
物体的三维方向和位置,即点的配置,可以通过使用单投影技术(SPT)从单个投影图像中确定,给定点的相对三维位置和方向和位置的初始估计。在模拟研究中对l型导管的SPT的准确性进行了评估。生成导管模型,进行定向定位,投影到成像平面上生成投影图像。在图像位置中加入高斯分布噪声。使用SPT确定导管的三维方向和位置,迭代地将模型点与其各自的图像位置对齐。研究表明,直径为0.18 cm的导管的定位和位置分别可以确定在1.6/声压度/和0.8 cm以内。这些结果与使用j型导管获得的结果相当,表明该技术通常适用于导管形状。研究表明,SPT可以为从单平面投影图像中自动确定体内导管的方向提供基础。这种自动化方法可以通过消除在门静脉不同角度成像血管系统的需要来促进介入手术,并且可以因此减少手术时间、并发症和辐射剂量。在未来,SPT提供的信息可能会被用于3D船舶重建技术,将传统的道路测绘技术从2D扩展到3D。
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引用次数: 3
Classification of sarcomas using textural features 基于肌理特征的肉瘤分类
T. Tanaka, Y. Murase
Deals with classification of sarcomas using textural features. The authors assume that sarcomas have a single texture and that the same scale is used for photographing the sarcoma images. 80 sorts of sarcomas are selected under those assumptions. First, the authors make database of templates of sarcomas using textural features. The intensity histogram, Fourier power spectrum, runlength matrix, fractal dimension and co-occurrence matrix are used as textural features. Second, sarcomas are collated by using template matching between unknown samples and the templates in the database. The success rate reached 92%. The result of this experiment shows the adequateness of proposed system.
利用肌理特征对肉瘤进行分类。作者假设肉瘤具有单一的纹理,并且使用相同的比例来拍摄肉瘤图像。在这些假设下,我们选择了80种肉瘤。首先,利用纹理特征建立肉瘤模板数据库。使用强度直方图、傅里叶功率谱、游程矩阵、分形维数和共现矩阵作为纹理特征。其次,将未知样本与数据库中的模板进行模板匹配,对肉瘤进行整理。成功率达92%。实验结果表明了该系统的有效性。
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引用次数: 1
ELF electrostimulation on macrophages: possibility of immunomodulation by electric field 极低频电刺激巨噬细胞:电场免疫调节的可能性
T. Shimookal, K. Ushida, I. Nakata, K. Ohsaki, K. Shimizu
Among the biological effects of an ELF electric field, we have been interested in the effect on immune cells. If an electric field can modulate the immunoresponse, it will provide a potentially useful technique in clinical practice. The effects of ELF electrostimulation on macrophages were investigated to pursue the possibility of immunomodulation using apparatus designed for electric field therapy. First, the current induced in the human body was estimated in a computer simulation and in an actual measurement. The maximum current density in the human body was estimated to be in the order of tens mA/m/sup 2/ when 10 kV was applied beneath the feet of the subject. The effect of electrostimulation on phagocytosis of macrophages was studied in vitro. The current density of the stimulation was 0.1 or 1 A/m/sup 2/, and the stimulation duration was 10 sec, 1 min or 1 h. Significant reductions of phagocytosis were observed in stimulated macrophages. There was not a significant statistical difference between the cases of 0.1 A/m/sup 2/ and 1 Alm/sup 2/, nor among the cases with the different durations of the stimulation. Although it is too early to judge whether the apparatus for electric field therapy is applicable to the immunomodulation, the results of this study showed the possibility that ELF electrostimulation can suppress the activity of macrophages.
在极低频电场的生物效应中,我们对免疫细胞的影响一直很感兴趣。如果电场可以调节免疫反应,它将在临床实践中提供一种潜在的有用技术。研究了ELF电刺激对巨噬细胞的影响,探讨了电场治疗装置对巨噬细胞免疫调节的可能性。首先,在计算机模拟和实际测量中估计了人体感应电流。当在受试者脚下施加10kv电流时,人体的最大电流密度估计在数十mA/m/sup / /数量级。体外实验研究了电刺激对巨噬细胞吞噬能力的影响。刺激电流密度分别为0.1和1 A/m/sup 2/,刺激时间分别为10秒、1 min和1 h。刺激后巨噬细胞吞噬能力明显降低。在0.1 a /m/sup 2/和1 Alm/sup 2/的情况下,在不同刺激时间的情况下也没有显著的统计学差异。虽然目前判断电场治疗装置是否适用于免疫调节还为时过早,但本研究结果显示了ELF电刺激抑制巨噬细胞活性的可能性。
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引用次数: 1
Elastic- and viscous-like property of the upper arm estimated by the pushing method 用推法估计上臂的弹性和黏性
T. Uchiyama, R. Kimura, M. Murayama
The purpose of this study is to estimate the elastic- and viscous-like properties of the human upper arm using the pushing method. Healthy male subjects put their upper arms horizontally on a table. Their arms were fixed to the table with tapes. An indenter was placed 1-2 mm over the upper arm. When the indenter was moved vertically with a robot arm, the displacement y of the indenter and the force f was measured. The relationship between the displacement y and the force f was modeled with an elastic component, a viscous component and the friction of the indenter using the simplex method. In the authors' model, an elastic coefficient k and a viscous coefficient d are expressed with a polynomials of the indentation depth x. The elastic coefficient and the viscous coefficient were well modeled with the third and the first order polynomials of the depth, respectively. The relationship between the elastic coefficient and the depth were independent of the indentation velocity. However, the viscous coefficient decreased with increasing indentation velocity.
本研究的目的是利用推法估计人类上臂的弹性和粘性特性。健康男性受试者将上臂水平放在桌子上。他们的胳膊用胶带固定在桌子上。在上臂上方1- 2mm处放置压头。当用机械臂垂直移动压头时,测量压头的位移y和受力f。采用单纯形法分别用弹性分量、粘性分量和压头摩擦力对位移y与力f的关系进行了建模。在模型中,弹性系数k和粘性系数d用压痕深度x的多项式表示,弹性系数和粘性系数分别用深度的三阶和一阶多项式很好地表示。弹性系数与深度之间的关系与压痕速度无关。黏性系数随压痕速度的增大而减小。
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引用次数: 1
Transillumination imaging of physiological functions by NIR light 近红外光生理功能的透照成像
Y. Taka, Y. Kato, K. Shimizu
With a near-infrared (NIR) light, one can get a transillumination image of a living body. Further, one can quantify the physiological change in the body as the change in light attenuation. A fundamental study has been conducted to visualize the functional change inside a living biological body using the NIR light. A technique was developed to visualize the attenuation change occurred in a diffuse scattering medium. Transillumination images are obtained before and after the physiological change. By taking the ratio of the transmitted intensities of these two images, one can obtain the spatial distribution of attenuation change while suppressing the effect of scattering. This principle was derived in theoretical analysis and its effectiveness was verified in experiments. To examine the applicability of this principle to a biological body, localized physiological changes were made in the mouse abdomen and the rat brain. The hypoxia in one of the mouse kidneys was visualized selectively from another normal kidney. The local increase in the blood volume was detected in the somatosensory area of a rat brain when its forelimb was electrically stimulated. The blood increase occurred in a symmetrical position with respect to the sagittal plane, when the forelimb of the opposite side was stimulated. Through these experiments, it was found that the changes in the tissue oxygenation and the blood volume could be detected noninvasively and that they are visualized in the transillumination images using the NIR light.
使用近红外(NIR)光,可以获得活体的透照图像。此外,我们可以将身体的生理变化量化为光衰减的变化。一项利用近红外光可视化生物体内功能变化的基础研究已经开展。提出了一种将扩散散射介质中的衰减变化可视化的方法。获得生理变化前后的透照图像。通过取两幅图像透射强度的比值,可以在抑制散射影响的同时得到衰减变化的空间分布。该原理在理论分析中得到推导,并通过实验验证了其有效性。为了检验这一原理在生物体内的适用性,我们在小鼠腹部和大鼠脑中进行了局部的生理变化。从另一个正常肾脏选择性地观察小鼠一个肾脏的缺氧情况。当电刺激大鼠前肢时,在其大脑体感区检测到局部血容量的增加。当对侧前肢受到刺激时,血流量在相对于矢状面对称的位置增加。通过这些实验,发现组织氧合和血容量的变化可以无创检测,并在近红外光的透照图像中显示出来。
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引用次数: 10
Effectiveness of networked electronic portal imaging in the treatment of head and neck lesions 网络电子门静脉成像在头颈部病变治疗中的有效性
F. Van den Heuvel, H. Kim
The use of electronic portal imaging in daily routine is in effect implemented through a set of strict rules, determining when and where a physician looks at the image and how this information gets transferred to the therapists on the treatment floor. The flexibility available with the more traditional medium of film is thus lost. In the past the authors have proposed a system to alleviate this problem based on the client-server concept which has been used successfully to create the World Wide Web (WWW). The authors have tested the system for its use on pelvic fields and are now moving towards the implementation for all treatment sites. This system called Epicure allows physicians, therapists and others to access portal images anywhere within the department and if necessary outside of the department. The current study is aimed to assess the usefulness of the system for treatments in the head and neck area. The authors are mainly interested in the consistency and clinical usefulness of the image quality and in the impact of the use of EPID's on the time constraints imposed by the number of patients treated on a single machine.
在日常生活中使用电子门户成像实际上是通过一套严格的规则来实现的,这些规则决定了医生在何时何地查看图像,以及如何将这些信息传递给治疗层的治疗师。传统的胶片媒介所具有的灵活性就这样丧失了。在过去,作者提出了一个基于客户端-服务器概念的系统来缓解这个问题,并成功地用于创建万维网(WWW)。作者已经测试了该系统在骨盆部位的使用,现在正朝着在所有治疗部位实施的方向发展。这个名为Epicure的系统允许医生、治疗师和其他人在科室内的任何地方访问门户图像,必要时也可以在科室外访问。目前的研究旨在评估该系统对头颈部治疗的有效性。作者主要感兴趣的是图像质量的一致性和临床实用性,以及使用EPID对单个机器上治疗的患者数量所施加的时间限制的影响。
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引用次数: 0
期刊
Proceedings of the 22nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (Cat. No.00CH37143)
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