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Publications

Publications by Nuno Feixa Rodrigues

2012

A region-based algorithm for automatic bone segmentation in volumetric CT

Authors
Rodrigues, PL; Moreira, AHJ; Fonseca, JC; Pinho, AC; Rodrigues, NF; Vilaca, JL;

Publication
Image Processing: Methods, Applications and Challenges

Abstract
In Computed Tomography (CT), bone segmentation is considered an important step to extract bone parameters, which are frequently useful for computer-aided diagnosis, surgery and treatment of many diseases such as osteoporosis. Consequently, the development of accurate and reliable segmentation techniques is essential, since it often provides a great impact on quantitative image analysis and diagnosis outcome. This chapter presents an automated multistep approach for bone segmentation in volumetric CT datasets. It starts with a three-dimensional (3D) watershed operation on an image gradient magnitude. The outcome of the watershed algorithm is an over-partioning image of many 3D regions that can be merged, yielding a meaningful image partitioning. In order to reduce the number of regions, a merging procedure was performed that merges neighbouring regions presenting a mean intensity distribution difference of ±15%. Finally, once all bones have been distinguished in high contrast, the final 3D bone segmentation was achieved by selecting all regions with bone fragments, using the information retrieved by a threshold mask. The bones contours were accurately defined according to the watershed regions outlines instead of considering the thresholding segmentation result. This new method was tested to segment the rib cage on 185 CT images, acquired at the São João Hospital of Porto (Portugal) and evaluated using the dice similarity coefficient as a statistical validation metric, leading to a coefficient mean score of 0.89. This could represent a step forward towards accurate and automatic quantitative analysis in clinical environments and decreasing time-consumption, user dependence and subjectivity.

2012

Thoracic wall reconstruction using ultrasound images to model/bend the thoracic prosthesis for correction of pectus excavatum

Authors
Fonseca, JG; Moreira, AHJ; Rodrigues, PL; Fonseca, JC; Pinho, ACM; Correia Pinto, J; Rodrigues, NF; Vilaca, JL;

Publication
MEDICAL IMAGING 2012: ULTRASONIC IMAGING, TOMOGRAPHY, AND THERAPY

Abstract
Pectus excavatum is the most common congenital deformity of the anterior thoracic wall. The surgical correction of such deformity, using Nuss procedure, consists in the placement of a personalized convex prosthesis into sub-sternal position to correct the deformity. The aim of this work is the CT-scan substitution by ultrasound imaging for the pre-operative diagnosis and pre-modeling of the prosthesis, in order to avoid patient radiation exposure. To accomplish this, ultrasound images are acquired along an axial plane, followed by a rigid registration method to obtain the spatial transformation between subsequent images. These images are overlapped to reconstruct an axial plane equivalent to a CT-slice. A phantom was used to conduct preliminary experiments and the achieved results were compared with the corresponding CT-data, showing that the proposed methodology can be capable to create a valid approximation of the anterior thoracic wall, which can be used to model/bend the prosthesis.

2012

Pectus Excavatum postsurgical outcome based on preoperative soft body dynamics simulation

Authors
Moreira, AHJ; Rodrigues, PL; Fonseca, J; Pinho, ACM; Rodrigues, NF; Correia Pinto, J; Vilaca, JL;

Publication
MEDICAL IMAGING 2012: IMAGE-GUIDED PROCEDURES, ROBOTIC INTERVENTIONS, AND MODELING

Abstract
Pectus excavatum is the most common congenital deformity of the anterior chest wall, in which an abnormal formation of the rib cage gives the chest a caved-in or sunken appearance. Today, the surgical correction of this deformity is carried out in children and adults through Nuss technic, which consists in the placement of a prosthetic bar under the sternum and over the ribs. Although this technique has been shown to be safe and reliable, not all patients have achieved adequate cosmetic outcome. This often leads to psychological problems and social stress, before and after the surgical correction. This paper targets this particular problem by presenting a method to predict the patient surgical outcome based on pre-surgical imagiologic information and chest skin dynamic modulation. The proposed approach uses the patient pre-surgical thoracic CT scan and anatomical-surgical references to perform a 3D segmentation of the left ribs, right ribs, sternum and skin. The technique encompasses three steps: a) approximation of the cartilages, between the ribs and the sternum, trough b-spline interpolation; b) a volumetric mass spring model that connects two layers - inner skin layer based on the outer pleura contour and the outer surface skin; and c) displacement of the sternum according to the prosthetic bar position. A dynamic model of the skin around the chest wall region was generated, capable of simulating the effect of the movement of the prosthetic bar along the sternum. The results were compared and validated with patient postsurgical skin surface acquired with Polhemus FastSCAN system.

2010

A digital game development education project

Authors
Rodrigues, NF; Simoes, R; Vilaca, JL;

Publication
2nd International Conference on Games and Virtual Worlds for Serious Applications, VS-GAMES 2010

Abstract
The success of the digital game industry is spawning several undergraduate degrees aiming at the training of digital game developers. Building adequate new courses curricula is not a trivial task and demands a profound analysis of the scientific areas to introduce as well as the dependencies throughout the entire degree. Another important aspect of every academic educational plan are the satellite projects that promote entrepreneurship and provide practical professional experiences to students. This paper presents the main guidelines adopted in the creation of the first digital game development undergraduate degree created in Portugal. © 2010 IEEE.

2011

A laparoscopic surgery training interface

Authors
Queiros, SF; Vilaca, JL; Rodrigues, NF; Neves, SC; Teixeira, PM; Correia Pinto, J;

Publication
2011 IEEE 1st International Conference on Serious Games and Applications for Health, SeGAH 2011

Abstract
Laparoscopy is a surgical procedure on which operations in the abdomen are performed through small incisions using several specialized instruments. The laparoscopic surgery success greatly depends on surgeon skills and training. To achieve these technical high-standards, different apprenticeship methods have been developed, many based on in vivo training, an approach that involves high costs and complex setup procedures. This paper explores Virtual Reality (VR) simulation as an alternative for novice surgeons training. Even though several simulators are available on the market claiming successful training experiences, their use is extremely limited due to the economic costs involved. In this work, we present a low-cost laparoscopy simulator able to monitor and assist the trainee's surgical movements. The developed prototype consists of a set of inexpensive sensors, namely an accelerometer, a gyroscope, a magnetometer and a flex sensor, attached to specific laparoscopic instruments. Our approach allows repeated assisted training of an exercise, without time constraints or additional costs, since no human artificial model is needed. A case study of our simulator applied to instrument manipulation practice (hand-eye coordination) is also presented. © 2011 IEEE.

2010

Discovering Coordination Patterns

Authors
Rodrigues, NF;

Publication
Electronic Notes in Theoretical Computer Science

Abstract
A large and growing amount of software systems rely on non-trivial coordination logic for making use of third party services or components. Therefore, it is of outmost importance to understand and capture rigorously this continuously growing layer of coordination as this will make easier not only the verification of such systems with respect to their original specifications, but also maintenance, further development, testing, deployment and integration. This paper introduces a method based on several program analysis techniques (namely, dependence graphs, program slicing, and graph pattern analysis) to extract coordination logic from legacy systems source code. This process is driven by a series of pre-defined coordination patterns and captured by a special purpose graph structure from which coordination specifications can be generated in a number of different formalisms.

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