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Publications

Publications by BIO

2019

Towards Automatic and Robust Particle Tracking in Microrheology Studies

Authors
Castro, M; Araújo, RJ; Deaño, LC; Oliveira, HP;

Publication
Pattern Recognition and Image Analysis - 9th Iberian Conference, IbPRIA 2019, Madrid, Spain, July 1-4, 2019, Proceedings, Part II

Abstract
Particle tracking applied to video passive microrheology is conventionally done through methods that are far from being automatic. Creating mechanisms that decode the image set properties and correctly detect the tracer beads, to find their trajectories, is fundamental to facilitate microrheology studies. In this work, the adequacy of two particle detection methods - a Radial Symmetry-based approach and Gaussian fitting - for microrheology setups is tested, both on a synthetic database and on real data. Results show that it is possible to automate the particle tracking process in this scope, while ensuring high detection accuracy and sub-pixel precision, crucial for an adequate characterization of microrheology studies. © 2019, Springer Nature Switzerland AG.

2019

Automated and objective measures of gait dynamics in camptocormia Parkinson's Disease subthalamic deep brain stimulation

Authors
Soares, C; Vilas Boas, MD; Lopes, EM; Choupina, H; Soares dos Reis, R; Fitas, D; Silva Cunha, JPS; Monteiro, P; Linhares, P; Rosas, MJ;

Publication
CLINICAL NEUROLOGY AND NEUROSURGERY

Abstract
Objective: Axial motor features are common in Parkinson's disease (PD). These include gait impairment and postural abnormalities, such as camptocormia. The response of these symptoms to deep brain stimulation (DBS) is variable and difficult to assess objectively. For the first time, this study analyzes the treatment outcomes of two PD patients with camptocormia that underwent bilateral subthalamic nucleus (STN)-DBS evaluated with disruptive technologies. Patients and methods: Two patients with PD and camptocormia who underwent STN-DBS were included. Gait parameters were quantitatively assessed before and after surgery by using the NeuroKinect system and the camptocormia angle was measured using the camptoapp. Results: After surgery, patient 1 improved 29 points in the UPDRS-III. His camptocormia angle was 68 degrees before and 38 degrees after surgery. Arm and knee angular amplitudes (117.32 +/- 7.47 vs 134.77 +/- 2.70; 144.51 +/- 7.47 vs 169.08 +/- 3.27) and arm swing (3.59 +/- 2.66 vs 5.40 +/- 1.76 cm) improved when compared with his pre-operative measurements. Patient 2 improved 22 points in the UPDRS-III after surgery. Her camptocormia mostly resolved (47 degrees before to 9 degrees after surgery). Gait analysis revealed improvement of stride length (0.29 +/- 0.03 vs 0.35 +/- 0.03 m), stride width (18.25 +/- 1.16 vs 17.9 +/- 0.84 cm), step velocity (0.91 +/- 0.57 vs 1.33 +/- 0.48 m/s), arm swing (4.51 +/- 1.01 vs 7.38 +/- 2.71 cm) and arm and hip angular amplitudes (131.57 +/- 2.45 degrees vs 137.75 +/- 3.18; 100.51 +/- 1.56 vs 102.18 +/- 1.77 degrees) compared with her preoperative results. Conclusion: The gait parameters and camptocormia of both patients objectively improved after surgery, as assessed by the two quantitative measurement systems. STN-DBS might have a beneficial effect on controlling axial posturing and gait, being a potential surgical treatment for camptocormia in patients with PD. However, further studies are needed to derive adequate selection criteria for this patient population.

2019

Natural Shear Wave Imaging in the Human Heart: Normal Values, Feasibility, and Reproducibility

Authors
Santos, P; Petrescu, AM; Pedrosa, JP; Orlowska, M; Komini, V; Voigt, JU; D'Hooge, J;

Publication
IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control

Abstract
Left ventricular myocardial stiffness could offer superior quantification of cardiac systolic and diastolic function when compared to the current diagnostic tools. Shear wave elastography in combination with acoustic radiation force has been widely proposed to noninvasively assess tissue stiffness. Interestingly, shear waves can also result from intrinsic cardiac mechanical events (e.g., closure of valves) without the need for external excitation. However, it remains unknown whether these natural shear waves always occur, how reproducible they can be detected and what the normal range of shear wave propagation speed is. The present study, therefore, aimed at establishing the feasibility of detecting shear waves created after mitral valve closure (MVC) and aortic valve closure (AVC), the variability of the measurements, and at reporting the normal values of propagation velocity. Hereto, a group of 30 healthy volunteers was scanned with high-frame rate imaging (>1000 Hz) using an experimental ultrasound system transmitting a diverging wave sequence. Tissue Doppler velocity and acceleration were used to create septal color M-modes, on which the shear waves were tracked and their velocities measured. Overall, the methodology was capable of detecting the transient vibrations that spread throughout the intraventricular septum in response to the closure of the cardiac valves in 92% of the recordings. Reference velocities of 3.2±0.6 m/s at MVC and 3.5±0.6 m/s at AVC were obtained. Moreover, in order to show the diagnostic potential of this approach, two patients (one with cardiac amyloidosis and one undergoing a dobutamine stress echocardiography) were scanned with the same protocol and showed markedly higher propagation speeds: the former presented velocities of 6.6 and 5.6 m/s; the latter revealed normal propagation velocities at baseline, and largely increased during the dobutamine infusion (>15 m/s). Both cases showed values consistent with the expected changes in stiffness and cardiac loading conditions. © 1986-2012 IEEE.

2019

Computer aided detection of deep inferior epigastric perforators in computed tomography angiography scans

Authors
Araujo, RJ; Garrido, V; Baracas, CA; Vasconcelos, MA; Mavioso, C; Anacleto, JC; Cardoso, MJ; Oliveira, HP;

Publication
COMPUTERIZED MEDICAL IMAGING AND GRAPHICS

Abstract
The deep inferior epigastric artery perforator (DIEAP) flap is the most common free flap used for breast reconstruction after a mastectomy. It makes use of the skin and fat of the lower abdomen to build a new breast mound either at the same time of the mastectomy or in a second surgery. This operation requires preoperative imaging studies to evaluate the branches - the perforators - that irrigate the tissue that will be used to reconstruct the breast mound. These branches will support tissue viability after the microsurgical ligation of the inferior epigastric vessels to the receptor vessels in the thorax. Usually through a computed tomography angiography (CTA), each perforator is manually identified and characterized by the imaging team, who will subsequently draw a map for the identification of the best vascular support for the reconstruction. In the current work we propose a semi-automatic methodology that aims at reducing the time and subjectivity inherent to the manual annotation. In 21 CTAs from patients proposed for breast reconstruction with DIEAP flaps, the subcutaneous region of each perforator was extracted, by means of a tracking procedure, whereas the intramuscular portion was detected through a minimum cost approach. Both were subsequently compared with the radiologist manual annotation. Results showed that the semi-automatic procedure was able to correctly detect the course of the DIEAPs with a minimum error (average error of 0.64 and 0.50 mm regarding the extraction of subcutaneous and intramuscular paths, respectively), taking little time to do so. The objective methodology is a promising tool in the automatic detection of perforators in CTA and can contribute to spare human resources and reduce subjectivity in the aforementioned task.

2019

Geometry-Based Skin Colour Estimation for Bare Torso Surface Reconstruction

Authors
Monteiro, JP; Zolfagharnasab, H; Oliveira, HP;

Publication
IMAGE ANALYSIS AND PROCESSING - ICIAP 2019, PT II

Abstract
Three-dimensional imaging techniques have been endeavouring at reaching affordable ubiquity. Nevertheless, its use in clinical practice can be hampered by less than naturally looking surfaces that greatly impact its visual inspection. This work considers the task of surface reconstruction from point clouds of non-rigid scenes acquired through structured-light-based methods, wherein the reconstructed surface contains some level of imperfection to be inpainted before visualized by experts in a clinically oriented context. Appertain to the topic, the recovery of colour information for missing or damaged partial regions is considered. A local geometry-based interpolation method is proposed for the reconstruction of the bare human torso and compared against a reference differential equations based inpainting method. Widely used perceptual distance-based metrics, such as PSNR, SSIM and MS-SSIM, and the evaluation from a panel of experienced breast cancer surgeons is presented for the discussion on inpainting quality assessment.

2019

Validation of a Single RGB-D Camera for Gait Assessment of Polyneuropathy Patients

Authors
Vilas Boas, MD; Rocha, AP; Pereira Choupina, HMP; Cardoso, MN; Fernandes, JM; Coelho, T; Silva Cunha, JPS;

Publication
SENSORS

Abstract
Motion analysis systems based on a single markerless RGB-D camera are more suitable for clinical practice than multi-camera marker-based reference systems. Nevertheless, the validity of RGB-D cameras for motor function assessment in some diseases affecting gait, such as Transthyretin Familial Amyloid Polyneuropathy (TTR-FAP), is yet to be investigated. In this study, the agreement between the Kinect v2 and a reference system for obtaining spatiotemporal and kinematic gait parameters was evaluated in the context of TTR-FAP. 3-D body joint data provided by both systems were acquired from ten TTR-FAP symptomatic patients, while performing ten gait trials. For each gait cycle, we computed several spatiotemporal and kinematic gait parameters. We then determined, for each parameter, the Bland Altman's bias and 95% limits of agreement, as well as the Pearson's and concordance correlation coefficients, between systems. The obtained results show that an affordable, portable and non-invasive system based on an RGB-D camera can accurately obtain most of the studied gait parameters (excellent or good agreement for eleven spatiotemporal and one kinematic). This system can bring more objectivity to motor function assessment of polyneuropathy patients, potentially contributing to an improvement of TTR-FAP treatment and understanding, with great benefits to the patients' quality of life.

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