Abstract
In this manuscript, we propose to adapt the B-Spline Explicit Active Surfaces (BEAS) framework for semi-automatic kidney segmentation in computed tomography (CT) images. To study the best energy functional for kidney CT extraction, three different localized region-based energies were implemented within the BEAS framework, namely localized Chan-Vese, localized Yezzi, and signed localized Yezzi energies. Moreover, a novel gradient-based regularization term is proposed. The method was applied on 18 kidneys from 9 CT datasets, with different image properties. Several energy combinations were contrasted using surface-based comparison against ground truth meshes, assessing their accuracy and robustness against surface initialization. Overall, the hybrid energy functional combining the localized signed Yezzi energy with gradient-based regularization simultaneously showed the highest accuracy and the lowest sensitivity to the initialization. Volumetric analysis demonstrated the feasibility of the method from a clinical point of view, with similar reproducibility to manual observers.

Abstract
Introduction and Objectives. Laparoscopic surgery has undeniable advantages, such as reduced postoperative pain, smaller incisions, and faster recovery. However, to improve surgeons' performance, ergonomic adaptations of the laparoscopic instruments and introduction of robotic technology are needed. The aim of this study was to ascertain the influence of a new hand-held robotic device for laparoscopy (HHRDL) and 3D vision on laparoscopic skills performance of 2 different groups, naive and expert. Materials and Methods. Each participant performed 3 laparoscopic tasksPeg transfer, Wire chaser, Knotin 4 different ways. With random sequencing we assigned the execution order of the tasks based on the first type of visualization and laparoscopic instrument. Time to complete each laparoscopic task was recorded and analyzed with one-way analysis of variance. Results. Eleven experts and 15 naive participants were included. Three-dimensional video helps the naive group to get better performance in Peg transfer, Wire chaser 2 hands, and Knot; the new device improved the execution of all laparoscopic tasks (P < .05). For expert group, the 3D video system benefited them in Peg transfer and Wire chaser 1 hand, and the robotic device in Peg transfer, Wire chaser 1 hand, and Wire chaser 2 hands (P < .05). Conclusion. The HHRDL helps the execution of difficult laparoscopic tasks, such as Knot, in the naive group. Three-dimensional vision makes the laparoscopic performance of the participants without laparoscopic experience easier, unlike those with experience in laparoscopic procedures.

Abstract
Minimally invasive cardiovascular interventions guided by multiple imaging modalities are rapidly gaining clinical acceptance for the treatment of several cardiovascular diseases. These images are typically fused with richly detailed pre-operative scans through registration techniques, enhancing the intra-operative clinical data and easing the image-guided procedures. Nonetheless, rigid models have been used to align the different modalities, not taking into account the anatomical variations of the cardiac muscle throughout the cardiac cycle. In the current study, we present a novel strategy to compensate the beat-to-beat physiological adaptation of the myocardium. Hereto, we intend to prove that a complete myocardial motion field can be quickly recovered from the displacement field at the myocardial boundaries, therefore being an efficient strategy to locally deform the cardiac muscle. We address this hypothesis by comparing three different strategies to recover a dense myocardial motion field from a sparse one, namely, a diffusion-based approach, thin-plate splines, and multiquadric radial basis functions. Two experimental setups were used to validate the proposed strategy. First, an in silico validation was carried out on synthetic motion fields obtained from two realistic simulated ultrasound sequences. Then, 45 mid-ventricular 2D sequences of cine magnetic resonance imaging were processed to further evaluate the different approaches. The results showed that accurate boundary tracking combined with dense myocardial recovery via interpolation/diffusion is a potentially viable solution to speed up dense myocardial motion field estimation and, consequently, to deform/compensate the myocardial wall throughout the cardiac cycle. Copyright (C) 2015 John Wiley & Sons, Ltd.

Abstract
Pectus Excavatum (PE) is the most common congenital chest wall deformity, affecting 1 in 400 live births. This deformity is commonly corrected using the minimally invasive Nuss procedure, where a bar is positioned under the sternum. Although recent procedure advances based on patientspecific prosthesis were proposed, correct bar placement is still challenging. In this work, we propose a novel augmented reality system to guide the surgeon during PE bar placement. This system combines a 3D sensor with a projector to superimpose the thoracic ribs cage on the chest wall of the patient, thus indicating the optimal insertion and bar placement points. This system was validated in three different scenarios: 1) simulated chest surface models; 2) 3D printed phantom; and 3) 3D commercial thoracic phantom. An error of 3.93 ± 3.44 mm, and 3.08 ± 1.57 mm were obtained in the first and second experiments, respectively. In the final experiment, visual assessment of the result proved that a high similarity was obtained between the projected model and the real ribs cage position. Overall, the proposed system showed high feasibility with low error, proving that 3D projection of the ribs on the patient’s chest wall may facilitate PE bar insertion and ultimately provide useful information to guide Nuss procedure. © 2016 Taylor & Francis Group, London.

Abstract
Bad posture while working or playing videogames can affect our life quality and impose negative economic consequences over time. There's raising concern in companies regarding worker's wellness, many adopting preventive measures. Specialized training in posture is important to prevent occupational activities risks and to foster health promotion. In this paper, we present a study of different classifiers to detect good and bad body postures in workplaces. A set classifiers, namely artificial neural networks, support vector machine, decision trees, discriminant analysis, logistic regression, treebagger and naïve Bayes, were tested in three-dimensional acquisitions of 100 people for automatic determination of the type of body posture. The best classifier was the treebagger with a rating of True Positive and True Negative of 93.3% and 96.2%, respectively.

Abstract
According to the World Health Organization, 85% of the world population suffers from back pain, which accounts for over 50% of physical incapacity, permanent or temporary, among individuals in working-age. In most situations, this is caused by an incorrect posture, which causes changes in the spine structure. This paper proposes an instrumented vest for postural reeducation to address this issue. The vest has a set of inertial measurement unit (IMU) sensors strategically placed to provide an accurate characterization of the spine profile. The sensor readings are classified by a central processing unit. In case of an incorrect posture, users are alerted by an audio signal and through vibration. The wearable system works in stand-alone mode, but can also communicate with external systems through an API. Two applications were developed to communicate with the device through this API, one intended to run on a desktop computer and the other one for Android devices. These applications monitor spine profiles in real time and notify the user of incorrect postures, among other functionalities. The device prototype and the applications have been tested by 10 individuals in two different settings, first without any kind of feedback and then with feedback enabled. The tests demonstrate the usability, accuracy and robustness of the system, proving its high level of reliability in classifying postures and effectiveness for postural reeducation. In the future, the system is expected to be used as a platform for a serious game, to promote posture reeducation in a real world scenario.