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21 – 30 of over 1000Oscar Y. Moreno Rocha, Paula Pinto, Maria C. Consuegra, Sebastian Cifuentes and Jorge H. Ulloa
This study aims to facilitate access to vascular disease screening for low-income individuals living in remote and conflict areas based on the results of a pilot trial in…
Abstract
Purpose
This study aims to facilitate access to vascular disease screening for low-income individuals living in remote and conflict areas based on the results of a pilot trial in Colombia. Also, to increase the amount of diagnosis training of vascular surgery (VS) in civilians.
Design/methodology/approach
The operation method includes five stages: strategy development and adjustment; translation of the strategy into a real-world setting; operation logistics planning; strategy analysis and adoption. The operation plan worked efficiently in this study’s sample. It demonstrated high sensibility, efficiency and safety in a real-world setting.
Findings
The authors developed and implemented a flow model operating plan for screening vascular pathologies in low-income patients pro bono without proper access to vascular health care. A total of 140 patients from rural areas in Colombia were recruited to a controlled screening session where they underwent serial noninvasive ultrasound assessments conducted by health professionals of different training stages in VS.
Research limitations/implications
The plan was designed to be implemented in remote, conflict areas with limited access to VS care. Vascular injuries are critically important and common among civilians and military forces in regions with active armed conflicts. As this strategy can be modified and adapted to different medical specialties and geographic areas, the authors recommend checking the related legislation and legal aspects of the intended areas where we will implement this tool.
Practical implications
Different sub-specialties can implement the described method to be translated into significant areas of medicine, as the authors can adjust the deployment and execution for the assessment in peripheral areas, conflict zones and other public health crises that require a faster response. This is necessary, as the amount of training to which VS trainees are exposed is low. A simulated exercise offers a novel opportunity to enhance their current diagnostic skills using ultrasound in a controlled environment.
Social implications
Evaluating and assessing patients with limited access to vascular medicine and other specialties can decrease the burden of vascular disease and related complications and increase the number of treatments available for remote communities.
Originality/value
It is essential to assess the most significant number of patients and treat them according to their triage designation. This management is similar to assessment in remote areas without access to a proper VS consult. The authors were able to determine, classify and redirect to therapeutic interventions the patients with positive findings in remote areas with a fast deployment methodology in VS.
Plain language summary
Access to health care is limited due to multiple barriers and the assessment and response, especially in peripheral areas that require a highly skilled team of medical professionals and related equipment. The authors tested a novel mobile assessment tool for remote and conflict areas in a rural zone of Colombia.
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Andrew Manning, Anna Fricker and Robert Thompson
The purpose of this paper is to explore the previously unreported phenomenon in which changes occur to the particle size distributions of calcium carbonate fillers, used in…
Abstract
Purpose
The purpose of this paper is to explore the previously unreported phenomenon in which changes occur to the particle size distributions of calcium carbonate fillers, used in papermaking, when exposed to high intensity ultrasound.
Design/methodology/approach
Commercial paper pulps sonicated at a frequency of 20 kHz are found to produce aggregates of their mineral filler constituents. The effects of sonication on isolated long and short fibre, and ground and precipitated calcium carbonate filler systems are also investigated both with and without the presence of dispersants. The findings are supported by particle size analysis and scanning electron microscopy of the sonicated systems.
Findings
It is clearly shown that exposure to high intensity ultrasound induces filler aggregation. However, the effect only occurs when paper fibres and fillers coexist and is not apparent for suspensions of filler only or fibre only slurries. Furthermore, the treatment overrides the effect of dispersants used to keep filler in suspension during the manufacturing process. An accompanying fall in pH with increasing sonication times is also noted and is linked to these changes. It is proposed that radical species produced in the slurries during sonication may explain the observed phenomenon.
Research limitations/implications
The role of pH is not clearly understood and needs further study.
Practical implications
The findings may be of interest in paper manufacture where uniform dispersal of fillers throughout the pulp is of significant importance.
Originality/value
The phenomenon described in this paper has not previously been reported or explored. Further studies may add to knowledge of filler dispersions and their behaviour in papermaking.
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Seth Dillard, James Buchholz, Sarah Vigmostad, Hyunggun Kim and H.S. Udaykumar
The performance of three frequently used level set-based segmentation methods is examined for the purpose of defining features and boundary conditions for image-based Eulerian…
Abstract
Purpose
The performance of three frequently used level set-based segmentation methods is examined for the purpose of defining features and boundary conditions for image-based Eulerian fluid and solid mechanics models. The focus of the evaluation is to identify an approach that produces the best geometric representation from a computational fluid/solid modeling point of view. In particular, extraction of geometries from a wide variety of imaging modalities and noise intensities, to supply to an immersed boundary approach, is targeted.
Design/methodology/approach
Two- and three-dimensional images, acquired from optical, X-ray CT, and ultrasound imaging modalities, are segmented with active contours, k-means, and adaptive clustering methods. Segmentation contours are converted to level sets and smoothed as necessary for use in fluid/solid simulations. Results produced by the three approaches are compared visually and with contrast ratio, signal-to-noise ratio, and contrast-to-noise ratio measures.
Findings
While the active contours method possesses built-in smoothing and regularization and produces continuous contours, the clustering methods (k-means and adaptive clustering) produce discrete (pixelated) contours that require smoothing using speckle-reducing anisotropic diffusion (SRAD). Thus, for images with high contrast and low to moderate noise, active contours are generally preferable. However, adaptive clustering is found to be far superior to the other two methods for images possessing high levels of noise and global intensity variations, due to its more sophisticated use of local pixel/voxel intensity statistics.
Originality/value
It is often difficult to know a priori which segmentation will perform best for a given image type, particularly when geometric modeling is the ultimate goal. This work offers insight to the algorithm selection process, as well as outlining a practical framework for generating useful geometric surfaces in an Eulerian setting.
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Yanqiang Feng, Haijiang Zhu and Ping Yang
This paper aims to characterize the acoustic field radiated by the piston transducer and measure a few parameters through the data visualization method.
Abstract
Purpose
This paper aims to characterize the acoustic field radiated by the piston transducer and measure a few parameters through the data visualization method.
Design/methodology/approach
Using the theoretical model of the ultrasonic transducer, the acoustic field data were acquired by scanning the ultrasound field of the piston transducer. And the visualized graphs of the ultrasonic data were displayed through 3D graphs including slice, iso‐surface and volume rendering, respectively. Furthermore, a few parameters of the transducer including beam width and spread angle were measured using the visualized data.
Findings
The visualized graphs of the acoustic field radiated by the piston transducer show that the data visualization method can expose obviously the space distribution of the ultrasound field and describe directly the cylindrical shape. And this method provides the basis of reliable measurement and assess for the ultrasonic transducer.
Research limitations/implications
This paper presents a kind of measured method of the acoustic parameters using the visualized data. The measurement range has limitation.
Practical implications
This method is possible used in Medical ultrasonic.
Originality/value
This paper presents the visualized description of the acoustic field of the piston transducer and a measurement of two acoustic parameters using the visualized data.
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Ultrasound is simply a name given to sound waves whose frequency (pitch) is too high to be detected by the human ear. The use of low‐intensity ultrasonic waves in level…
Abstract
Ultrasound is simply a name given to sound waves whose frequency (pitch) is too high to be detected by the human ear. The use of low‐intensity ultrasonic waves in level measurement, flow detection, and medical imaging is well known. Here, a pulse of ultrasound is used to ‘probe’ the sample under investigation; comparison of the pulse shape before and after transmission, and a measurement of the transit time in the sample can provide information on many physical parameters. For these applications, the intensity of the ultrasonic burst is not sufficient to affect the material, and no chemical or physical changes are involved.
P.I.J. Keeton and F.S. Schlindwein
Provides an introduction into wavelets and illustrates their application with two examples. The wavelet transform provides the analyst with a scaleable time‐frequency…
Abstract
Provides an introduction into wavelets and illustrates their application with two examples. The wavelet transform provides the analyst with a scaleable time‐frequency representation of the signal, which may uncover details not evidenced by conventional signal processing techniques. The signals used in this paper are Doppler ultrasound recordings of blood flow velocity taken from the internal carotid artery and the femoral artery. Shows how wavelets can be used as an alternative signal processing tool to the short time Fourier transform for the extraction of the time‐frequency distribution of Doppler ultrasound signals. Implements wavelet‐based adaptive filtering for the extraction of maximum blood velocity envelopes in the post processing of Doppler signals.
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Qinghua Huang, Yingchen Wang, Hao Luo and Jianyi Li
This paper aims to develop a new robotic ultrasound system for spine imaging with more anthropomorphic scanning manipulation in comparison with previously reported techniques.
Abstract
Purpose
This paper aims to develop a new robotic ultrasound system for spine imaging with more anthropomorphic scanning manipulation in comparison with previously reported techniques.
Design/methodology/approach
The system evaluates the imaging quality of ultrasound (US) B-scans by detecting vertebral landmarks and groups the images with relatively low quality into several sub-optimal types. By imitating the scanning skills of sonographers, the authors defined a set of adjustment strategies for certain sub-optimal types. In this way, the robot can recollect the US images with high quality by adaptively adjusting the pose of the probe like a sonographer.
Findings
The results from phantom experiments and in vivo experiments showed that the proposed method could improve the quality of B-scans during the scanning. The 3 D US volume reconstruction has also verified the feasibility of the proposed method.
Originality/value
This paper demonstrates how to adapt a robotic spinal ultrasound scanning using a preliminary anthropomorphic approach.
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