Abstract

Abstract
Assessment of retinal vessels is fundamental for the diagnosis of many disorders such as heart diseases, diabetes and hypertension. The imaging of retina using advanced fundus camera has become a standard in computer-assisted diagnosis of opthalmic disorders. Modern cameras produce high quality color digital images, but during the acquisition process the light reflected by the retinal surface generates a luminosity and contrast variation. Irregular illumination can introduce severe distortions in the resulting images, decreasing the visibility of anatomical structures and consequently demoting the performance of the automated segmentation of these structures. In this paper, a novel approach for illumination correction of color fundus images is proposed and applied as preprocessing step for retinal vessel segmentation. Our method builds on the connection between two different phenomena, shadows and haze, and works by removing the haze from the image in the inverted intensity domain. This is shown to be equivalent to correct the nonuniform illumination in the original intensity domain. We tested the proposed method as preprocessing stage of two vessel segmentation methods, one unsupervised based on mathematical morphology, and one supervised based on deep learning Convolutional Neural Networks (CNN). Experiments were performed on the publicly available retinal image database DRIVE. Statistically significantly better vessel segmentation performance was achieved in both test cases when illumination correction was applied.

Abstract
Retinal vessel caliber changes are associated with several major diseases, such as diabetes and hypertension. These caliber changes can be evaluated using eye fundus images. However, the clinical assessment is tiresome and prone to errors, motivating the development of automatic methods. An automatic method based on vessel crosssection intensity profile model fitting for the estimation of vessel caliber in retinal images is herein proposed. First, vessels are segmented from the image, vessel centerlines are detected and individual segments are extracted and smoothed. Intensity profiles are extracted perpendicularly to the vessel, and the profile lengths are determined. Then, model fitting is applied to the smoothed profiles. A novel parametric model (DoG-L7) is used, consisting on a Difference-of-Gaussians multiplied by a line which is able to describe profile asymmetry. Finally, the parameters of the best-fit model are used for determining the vessel width through regression using ensembles of bagged regression trees with random sampling of the predictors (random forests). The method is evaluated on the REVIEW public dataset. A precision close to the observers is achieved, outperforming other state-of-the-art methods. The method is robust and reliable for width estimation in images with pathologies and artifacts, with performance independent of the range of diameters.

Abstract
This work presents a screening and evaluation platform for depression and suicidality that has been tested in the scope of primary healthcare. The main objective is to improve the efficiency and effectiveness of screening processes. A web-based, decision support platform was provided for qualified healthcare professionals. The platform provides several assessment tools for patient evaluation and monitoring of their treatment, along with follow up appointment management. A preliminary evaluation process was carried out to understand the health professional's satisfaction. This revealed there was general satisfaction with its integrated functions and all the provided methods of assessment. In conclusion, the project sustains the goal of improving the treatment outcomes for clinical depression by refining the screening methods and consequently increase the screening effectiveness and efficiency.

Abstract
Background: Hemiballism may arise as a rare consequence of focal basal ganglia lesions. Pathophysiologically, there is a controversy between the role of the STN as the exclusive lesion localization as opposed to several brain regions in which lesions may induce hemiballism. This is most likely due to a motor circuit affection. Objectives: To study the affection of neural networks in the pathogenesis of hemiballism. Methods: We analysed focal vascular lesions inducing hemiballism (n = 8), their localizations and connectivity profiles. Probabilistic tractography (FSL: http://fsl.fmrib.ox.ac.uk/fsl/) was used to study connectivity. Results: Lesions inducing hemiballism were distributed across several anatomic regions (basal ganglia, thalamus, caudate, internal capsule) without a clear predilection. However, we detected increased connectivity for these lesions toward the STN and mesial cortical motor regions (pre-SMA/SMA). These regions are interconnected via subthalamo-pallido-thalamo-cortical networks. Conclusions: We provide evidence for the involvement of the subthalamo-pallido-thalamic pathways in the pathogenesis of hemiballism, which is consistent with data on experimental hemiballism in animals. Electrophysiological basal ganglia recordings and functional MRI would complement our findings to assess the activation patters within these circuits.

Abstract
The recent advent of three-dimensional echocardiography has led to an increased interest from the scientific community in left ventricle segmentation frameworks for cardiac volume and function assessment. An automatic orientation of the segmented left ventricular mesh is an important step to obtain a point-To-point correspondence between the mesh and the cardiac anatomy. Furthermore, this would allow for an automatic division of the left ventricle into the standard 17 segments and, thus, fully automatic per-segment analysis, e.g. regional strain assessment. In this work, a method for fully automatic short axis orientation of the segmented left ventricle is presented. The proposed framework aims at detecting the inferior right ventricular insertion point. 211 three-dimensional echocardiographic images were used to validate this framework by comparison to manual annotation of the inferior right ventricular insertion point. A mean unsigned error of 8, 05° ± 18, 50° was found, whereas the mean signed error was 1, 09°. Large deviations between the manual and automatic annotations (> 30°) only occurred in 3, 79% of cases. The average computation time was 666ms in a non-optimized MATLAB environment, which potentiates real-Time application. In conclusion, a successful automatic real-Time method for orientation of the segmented left ventricle is proposed. © 2016 SPIE.