In vivo time-resolved DOT measurement and image reconstruction of human forearm under exercises.

In vivo measurement of time-resolved diffuse optical tomography (TR-DOT) were performed for human forearms under the exercises. The DOT images of oxygenation state were reconstructed, and the activities of the inner muscles were assessed.

Feasibility study on a perceived fatigue prediction dependent power control for an electrically assisted bicycle.

Several types of electric motor assists have been developed, as a result, it is important to control muscular fatigue on-site in terms of health promotion and motor rehabilitation. Predicting the perceived fatigue by several biosignal-related variables with the multiple regression model and polynomial approximation, we try to propose a self control design for the electrically assisted bicycle (EAB). We also determine the meaningful muscles during pedaling by muscle synergies in relation to the motion maturity. In field experiments, prediction of ongoing perceived physical fatigue could have the potential of suitable control of EAB.

Magnetic resonance imaging-guided navigation with a thermoplastic shell for breast-conserving surgery.

BACKGROUND: The aim of this study was to evaluate the accuracy of a magnetic resonance imaging (MRI) marking technique with a drape-type thermoplastic shell for planning breast-conserving surgery (BCS). METHODS: A prospective review was performed on 35 consecutive patients who underwent MRI in the supine position and used the specified MRI marking technique. Eleven cases underwent pre-operative chemotherapy and 24 cases did not. After immobilizing the breast mound with a drape-type thermoplastic shell, patients underwent MRI, and the location of the lesion was marked on the shell. Resection lines were dyed blue by indigo carmine, which was pushed through the pores of the shell. Specimens obtained during BCS were sliced into 5-mm contiguous sections, and the margin was assessed for each specimen. Cancer foci less than 5 mm from the margin were classified as positive. RESULTS: Of 35 patients, 33 were included in the analysis; 2 were excluded due to a lack of effect of pre-operative chemotherapy. Of these 33 patients, 25 (75.8%) had negative margins and 7 (21.2%) had positive margins. CONCLUSIONS: Our MRI marking technique may be useful for evaluating the extent of tumors that were determined by MRI alone. Long-term outcomes of this technique should be evaluated further.

Involvement of Acetobacter orientalis in the production of lactobionic acid in Caucasian yogurt ("Caspian Sea yogurt") in Japan.

Lactobionic acid was first found in a Caucasian fermented milk product popularly known as "Caspian Sea yogurt" in Japan. The presence of lactobionic acid in the fermented milk was indicated by the results of both high-performance anion-exchange chromatographic analysis with pulsed amperometric detection and mass spectrometric analysis. Thereafter, the acid was purified from the yogurt and analyzed by nuclear magnetic resonance. A substantial amount of lactobionic acid was found to be accumulated in the upper layer of the yogurt, especially within 10 mm from the surface. A total of 45 mg of lactobionic acid per 100 g of the upper yogurt layer was collected after 4 d of fermentation. The annual intake of lactobionic acid in individuals consuming 100 g of the yogurt every day would be 0.5 to 1.0 g. A lactose-oxidizing bacterium was isolated from the fermented milk and was identified as Acetobacter orientalis. Washed A. orientalis cells oxidized monosaccharides such as d-glucose at considerable rates, although their activities for substrates such as lactose, maltose, and cellobiose were much lower. When A. orientalis cells were cultivated in cow's milk, they exhibited lactose-oxidizing activity, suggesting that this bacterium was the main organism involved in the production of lactobionic acid in the yogurt.

Nodule detection in 3D chest CT images using 2nd order autocorrelation features.

We have developed a new recognition approach using 2nd order autocorrelation and multi-regression analysis to detect a small (<7mm in diameter) lung nodules in chest 3D CT images. By combining our previous detection method of the template matching based on genetic algorithm, the detection performance was 94% true-positive rate at 2.05 false-positive marks per case using leave-one- out study.

Preliminary Study for Automated Recognition of Anatomical Structure from Torso CT images.

The anatomical human structure recognition is very important and necessary during the development of computer-aided diagnosis (CAD) system. In this paper, we propose an image processing scheme that can recognize the general structure of human torso by identifying the human torso region from CT images automatically and separating it into 7 parts: skin, subcutaneous fat, muscle, bone, diaphragm, thoracic cavity and abdominal cavity based on CT number distribution and spatial relations between different organ and tissue regions. We applied this scheme to 313 patient cases of torso CT images and confirmed its usefulness from the preliminary experiment.

Design of a web-based health promotion system and its practical implementation for cycle ergometer exercise.

Health promotion is a very active topic in recent years. Most people want to exercise regularly, but there are various obstacles to keep staying motivated in their busy life today. In this paper, we propose a system design on a proven enterprise architecture that aims to support in constituting a comprehensive infrastructure for a wellness exercise environment. The design extends normal health promotion model to address cost-efficient and forward-looking for future health industry. Moreover, web-based technology has been widely adopted to implement a platform-nature solution in a heterogeneous computing environment based on the Internet. In particular, a Self-describing strategy for effectively developing and deploying exercise programs has been originally proposed and contrived. By applying the design to cycle ergometer exercise, we presented a practical exercise system realizing easy-to-use operation interfaces on a web browser. The web-based cycle ergometer exercise system was proved to be workable in our feasibility experiments.

Development of muscle fatigue assessed by using superposition of evoked and volitional myoelectric potentials.

We studied muscle fatigue development using evoked myoelectrical potentials superimposed on volitional ones. The instantaneous frequency of superim posed M-waves and mean power frequencies of volitional electromyography (EMG) declined during sustained contraction, indicating that fatigue progressed. We divided fatigue into 3 phases, with 20 frames in each fatigue phase, corresponding to one-third of the total sample. The instantaneous frequency of superimposed M-waves and mean power frequencies of volitional EMG were correlated during early intensive isometric voluntary contractions and became increasingly uncorrelated as contraction proceeded. The coefficient between the mean power frequency and instantaneous frequency correlation was also greater at the first peak than at the second peak of the superimposed M-wave, indicating that the motor unit action potential was distorted. Distortion in the motor unit action potential shape depends on elongation of the depolarization zone of muscle fiber, because the superimposed M-wave is a peripheral indicator elicited by electrical stimulation. These results suggest that muscle fatigue develops based on the reduction of the conduction velocity of muscle fiber and on the elongation of the depolarization zone of muscle fiber.

Endotracheal/endobronchial metastases : clinicopathologic study with special reference to developmental modes.

BACKGROUND: Endotracheal/endobronchial metastases (EEMs) from nonpulmonary neoplasms are rare. However, their definition and developmental modes have not yet been fully elucidated. METHODS: EEMs were defined as documented nonpulmonary neoplasms metastatic to the subsegmental or more proximal central bronchus, in a bronchoscopically visible range. The clinical and pathologic features of 16 cases were reviewed, with special emphasis on the developmental modes based on five criteria: location in the tracheobronchial tree, number of lesions, laterality of lesions, depth of lesions, and relationship with the associated bronchus. RESULTS: The developmental modes were proposed on the basis of the above five criteria as follows: type I, direct metastasis to the bronchus; type II, bronchial invasion by a parenchymal lesion; type III, bronchial invasion by mediastinal or hilar lymph node metastasis; and type IV, peripheral lesions extended along the proximal bronchus. Primary tumors included colorectal in six patients, breast in three patients, uterus in two patients, osteosarcoma of the bone in two patients, and maxillary, larynx, and parotid carcinoma in one patient each, respectively. The mean recurrence interval was 65.3 months. The developmental modes were as follows: type I, five patients; type II, one patient; type III, four patients; and type IV, nine patients. Three patients underwent surgical resection. One patient has remained well for 5 years after operation. Median and mean survival times were 9 months and 15.5 months, respectively. CONCLUSION: The mean recurrence interval was long at 65.3 months, but the mean survival time was short at 15.5 months. Type I accounted for only 5 of 16 patients. Type II was found in only one patient. It is thought that this type is a rare form. Type IV affected nine patients. Treatment plans must be individualized, because in some cases, long-term survival can be expected.

Band-suppressed restoration of X-ray images blurred by body movement.

The restoration of X-ray images that have been blurred due to body movement are discussed. The observation system for these images is described using a mathematical model, and several restoration filters composed of a series of such models are proposed. These filters restore band-suppressed approximations of the original images. In addition, redundancy is introduced into these restoration filters in order to suppress additive noise. These filters are expanded to be applicable not only to parallel translations, but also to rotations by coordinate transformation. The proposed methods are applied to blurred X-ray images of a bone model of the elbow joint. The parameters of the restoration filter are estimated using a marker attached to the subject as a reference signal.

[Usefulness of dynamic MR mammography for diagnosis of axillary lymph node status in breast cancer patient].

A retrospective study was performed to evaluate whether dynamic MR imaging is useful for the diagnosis of axillary lymph node metastases from breast cancer. Thirty-five patients with breast cancer were scanned and 147 lymph nodes were detected and compared with pathological nodal status. The parameters were the long axis dimension, the short axis dimension, the long-to-short axis (L/S) ratio, the shape, the contrast enhancement ratio (CER), the CER of lymph node-to-primary tumor (L/P) ratio. All parameters had significant differences between metastatic and normal nodes and there was a positive correlation between the CER of primary breast tumors and metastatic nodes. Multivariate analysis identified three parameters: the shape, the CER (1st phase), the L/P ratio (1st phase). ROC analysis revealed the shape and CER are superior in diagnostic performance to L/P ratio. If the shape and CER (1st phase) 60% and above are employed as criteria, the sensitivity, the specificity, the accuracy and the positive and negative predictive value were 86.0%, 78.4%, 81.0%, 67.2% and 91.6%, respectively. This method gives us useful information about the evaluation of axillary lymph node status preoperatively.

Multiple chondromatous hamartomas of the lung: a case report and review of the literature with special reference to Carney syndrome.

BACKGROUND: Multiple chondromatous hamartomas of the lung, which are very rare, are a feature of Carney syndrome. The relation between the two entities is not clear. METHODS: A patient with multiple chondromatous hamartomas of the lung is described in this article. The literature was reviewed with special reference to the relation between multiple chondromatous hamartomas of the lung and Carney syndrome as well as the triad of gastric epithelioid leiomyosarcoma, functioning extra-adrenal paraganglioma, and pulmonary chondroma. RESULTS: A total of 15 cases of multiple chondromatous hamartomas of the lung have been published worldwide. Two cases exhibited two other features of Carney syndrome, namely, gastric leiomyogenic neoplasms and extra-adrenal paragangliomas, and three other cases demonstrated only gastric leiomyomatous neoplasms. These five patients were all young females. CONCLUSIONS: Some patients with multiple chondromatous hamartomas of the lung have a history of Carney syndrome. Patients with multiple chondromatous hamartomas require further examination of other sites, particularly the stomach and nervous system.

A muscular fatigue index based on the relationships between superimposed M wave and preceding background activity.

A practical muscle fatigue index is studied in this paper using the correlation between the instantaneous frequencies (IF's) of the superimposed M wave and the mean power frequency (MPF) of the preceding background activity. A superimposed M wave is an M wave elicited during a sustained contraction and was recently introduced for studying muscle fatigue. We investigated the details of the distribution of a feature vector (mpf, if) in two-dimensional space. Our experimental results showed that MPF and IF's were closely correlated during the first phase of a short-term high-level sustained voluntary contraction and then became uncorrelated or sometimes showed negative correlation as muscular fatigue progressed. Combining the correlation coefficients and conventional myoelectric (ME) parameters, such as the MPF and the average rectified value of ME signals, we propose a fuzzy rule based muscular fatigue index that can be used for managing the inevitable variability among individual subjects collected as a group. Introducing fuzzy inference seemed effective, but further studies including detailed investigation of the level of voluntary effort, the muscle fiber type composition, and metabolic by-products will be needed to customize the membership functions and fuzzy rules more appropriately in each practical field.

Pleomorphic adenoma of the trachea: a case report.

Pleomorphic adenoma is the most common form of major salivary gland tumors,but it is exceedingly rare in the trachea. We present a case of pleomorphic adenoma of the trachea in an 80-years-old man. Chest three-dimensional CT demonstrated a bosselated mass with a lobulated surface arising from the membranous portion of the upper trachea. Transbronchoscopic biopsy from the mass showed a biphasic histologic appearance produced by a mixture of glandular structure and hyaline-like stroma. The pathological diagnosis was pleomorphic adenoma.

Multivariate analysis of muscular fatigue during bicycle ergometer exercise.

The purpose of this study is to estimate the endurance threshold in terms of muscular fatigue during bicycle ergometer exercise. The problems to be solved are induced by dynamic movement and the physiological variation of muscle activity: that is, the progression and impairment of muscle activity occur simultaneously. First of all, we used multichannel recordings of myoelectric (ME) signals to reduce the effect by the movement of a bipolar surface electrode relative to the innervation zones. Second, since even the different types of ME parameters contain redundant information on muscular fatigue, we used the principal component analysis (PCA) to represent the meaningful information by small dimensions. Moreover, we proposed a total evaluation pattern to discriminate muscular fatigue from progression of muscle force at a glance. The total evaluation pattern shows the proportion of first principal component, the components of the first eigenvector, and the correlation coefficients as a function of the work load. The assessment using the total evaluation pattern divided eight subjects into three groups, whereas these subjects were not identified by a specific ME parameter.

Multivariate analysis of multichannel surface myoelectric signals to determine muscular fatigue.

Multivariate analysis would be effective in finding the functional change from several variables obtained from multivariate biological signals. We applied this idea to the discrimination of sustained fatiguing contraction from negative ramp contraction. The time-series of eigenvalues were obtained from multidimensional biological variables by the Karhunen-Loève expansion. The results showed that, the first and second eigenvalues came close to each other during fatiguing contraction, whereas only the first eigenvalue was dominant during negative ramp contraction. Moreover, the factor loadings showed considerable difference between fatiguing contraction and negative ramp contraction. As a result, the muscular-fatigue-related functional change could be represented clearly by the time-series of proportions and factor loadings.