Comparação entre cinco sistemas de digitalização 3D por fotogrametria aplicados à antropologia forense e odontologia legal / Comparison of five photogrammetry 3D digitizing systems of applied to Forensic Anthropology and Forensic Dentistry

A análise forense de restos mortais e outros vestígios pode ser complementada pela digitalização tridimensional (3D). A fotogrametria de curta distância, consiste na extração de informações geométricas 3D a partir de imagens fotográficas. O objetivo deste estudo foi comparar cinco sistemas de digitalização (Photoscan®, 123dCatch®, ReCap360®, PPT-GUI® e OpenMVG®+MVS®) quanto à operabilidade e qualidade das malhas 3D geradas a partir de 42 fotografias de um crânio seco, tomadas com um smartphone. Duas escalas métricas ABFO nº2 foram posicionadas rente ao crânio. Após o processamento, as nuvens de pontos 3D resultantes foram convertidas em malhas 3D e/ou texturizadas quando necessário, e redimensionadas em escala 1:1. O número de vértices, faces, fator de escala e uma medida conhecida foram registrados. Recortou-se as regiões que não faziam parte do crânio e novamente o número de faces e vértices foi registrado. Para operabilidade, avaliou-se tempo de processamento, necessidade de conexão à Internet, funcionalidade limitada por versão não paga, texturização automática, entre outros parâmetros. Para qualidade, as malhas também foram avaliadas em seu aspecto visual, em seu aspecto quantitativo de vértices e faces, e diferença estatística das médias das medidas. Embora o uso de duas escalas idênticas tenha gerado artefatos, todos os programas geraram malhas tridimensionais adequadas, com algumas diferenças no resultado final e na operação. Cada ferramenta obteve resultados satisfatórios dentro de suas particularidades. Photoscan® teve operabilidade e resultados bons, porém seu custo pode ser um obstáculo. ReCap360® e 123dCatch® são fáceis de operar, mas dependem de Internet e possuem funcionalidade limitada.

Forensic analysis of skeletal remains and other evidence can be complemented by three-dimensional (3D) scanning. Among the available methods, close-range photogrammetry consists of extracting 3D geometric information from photographic images. The objective of this study was to compare five systems (Photoscan®, 123dCatch®, ReCap360®, PPT-GUI® and OpenMVG®+MVS®) regarding the operability and quality of 3D meshes generated from 42 photographs of a dry skull, taken with a smartphone. Two ABFO n.2 metric scales were placed next to the skull. After processing, the resulting 3D point clouds were converted into 3D meshes and textured when necessary, and resized in 1:1 scale. The number of vertices and faces was recorded. Then, all regions that were not part of the skull itself were cut out and again the number of faces and vertices was recorded. For operability, it was evaluated the processing time, need for Internet connection, functionality limited by unpaid version, automatic texturing, among other parameters. For quality, the meshes were also evaluated in their visual aspect and in their quantitative aspect of vertices and faces, and statistical difference of the mean of the measurements. Although the use of two identical scales has produced artifacts, all programs have generated adequate 3D meshes, with some differences in the result and operation. Each tool reached satisfactory results within its particularities. Photoscan® had good operability and results, but its cost may represent an obstacle. ReCap360® and 123dCatch® are easy to operate, but depend on internet connection and have limited functionality.

A digital approach for design and fabrication by rapid prototyping of orthosis for developmental dysplasia of the hip

Abstract Introduction Immobilization in a hip spica cast is required in surgical and nonsurgical treatments for children aged three months to four years diagnosed with developmental dysplasia of the hip. Skin complications are associated with the use of the spica cast in 30% of the cases. This research explores the use of photogrammetry and rapid prototyping for the production of a lighter, shower friendly and hygienic hip orthosis that could replace the hip spica cast. Methods Digitalized data of a plastic dool was used for design and fabrication of a customised hip orthosis following four steps: 1) Digitalization of the external anatomical structure by photogrammetry using a smartphone and open source software; 2) Idealization and 3D modeling of the hip orthosis; 3) Rapid prototyping of a low cost orthosis in polymer polylact acid; 4) Evaluation tests. Results Photogrammetry provided a good 3D reconstruction of the dool's hip and legs. The manufacture method to produce the hip orthosis was accurate in fitting the hip orthosis to the contours of the doll. The orthosis could be easily placed on the doll ensuring mechanical strength to immobilize the region of the hip. Conclusion A new approach and the feasibility of both techniques for hip orthosis fabrication were described. It represents an exciting advance for the development of hip orthosis that could be used in orthopedics. To test the effectiveness of this orthosis for developmental dysplasia of the hip treatment in newborns, material and mechanical tests, design optimization and physical tests with patients should be carried.

Distinct cytokine profiles of circulating mononuclear cells stimulated with Staphylococcus aureus enterotoxin A in vitro during early and late episodes of chronic osteomyelitis

We investigated the cytokine profile of peripheral mononuclear cells from chronic osteomyelitis (OST) patients following in vitro stimulation with staphylococcal enterotoxin A (SEA). We demonstrate that stimulation with SEA induced prominent lymphocyte proliferation and high levels of tumour necrosis factor (TNF)-α, interleukin (IL)-4 and IL-10 secretion in both OST and non-infected individuals (NI). Even though stimulation with SEA had no impact on IL-6 production in either patient group, the baseline level of IL-6 production by cells from OST patients was always significantly less than that produced by cells from NI. After classifying the osteomyelitic episodes based on the time after the last reactivation event as "early" (1-4 months) or "late" osteomyelitis (5-12 months), we found that increased levels of TNF-α and IL-4 in combination with decreased levels of IL-6 were observed in the early episodes. By contrast, increased levels of IL-10, IL-2 and IL-6 were hallmarks of late episodes. Our data demonstrate that early osteomyelitic episodes are accompanied by an increased frequency of "high producers" of TNF-α and IL-4, whereas late events are characterised by increased frequencies of "high producers" of IL-10, IL-6 and IL-2. These findings demonstrate the distinct cytokine profiles in chronic osteomyelitis, with a distinct regulation of IL-6 production during early and late episodes.

Lesões nos membros inferiores de crianças provocadas pelos raios da roda de bicicleta / Injuries to children lower limbs due to bicycle wheel spokes

Realizou-se um estudo descritivo das lesões traumáticas provocadas pelos raios da roda da bicicleta nos membros inferiores de crianças, objetivando identificar os fatores predisponentes agravantes e chamando a atenção para o aspecto preventivo. Foram atendidos 125 pacientes, durante o período de setembro de 1998 a agosto de 1999, no Setor de Emergência do Hospital Regional na cidade de Governador Valadares, Minas Gerais. Todos os pacientes foram registrados em um protocolo avaliando algumas características clínicas e epidemiológicas dessas lesões, radiografados e submetidos à limpeza das feridas, sendo incluídos em uma classificação proposta pelos autores. Quase todos foram imobilizados com tala gessada suropodálica e a média de idade foi de 4,3 anos. As lesões foram classificadas, na grande maioria, em lesões de menor gravidade (103 pacientes grau IA e IIA), sendo 20 com fraturas (13 pacientes grau IB, seis grau IIB e um grau IIIB). As crianças eram conduzidas principalmente pelos pais e familiares. As crianças que estavam descalças tinham lesões de maior gravidade. A região lateral do tornozelo foi a mais acometida. Nenhuma bicicleta tinha proteção dos raios. Os autores sugerem que medidas preventivas e educativas sejam realizadas para evitar essas lesões.

A cirurgia de Smith na perda do movimento de aduçäo do polegar / Smith's surgery in the loss of the thumb adduction movement

Os autores analisam os resultados obtidos pela técnica cirúrgica descrita por Smith, que consiste na transferência do tendäo extensor radial curto do carpo para o tendäo do músculo adutor do polegar em sete pacientes com incapacidade da realizaçäo do movimento de aduçäo do polegar, devido à lesäo traumática do nervo ulnal (qatro casos) e neuropatia ulnal (três casos) causada pelo mal de Hansen.