ABSTRACT
Screening tests are an effective tool for the diagnosis and prevention of several diseases. Unfortunately, in order to produce an early diagnosis, the huge number of collected samples has to be processed faster than before. In particular this issue concerns image processing procedures, as they require a high computational complexity, which is not satisfied by modern software architectures. To this end, Field Programmable Gate Arrays (FPGAs) can be used to accelerate partially or entirely the computation. In this work, we demonstrate that the use of FPGAs is suitable for biomedical application, by proposing a case of study concerning the implementation of a vessels segmentation algorithm. The experimental results, computed on DRIVE and STARE databases, show remarkable improvements in terms of both execution time and power efficiency (6X and 5.7X respectively) compared to the software implementation. On the other hand, the proposed hardware approach outperforms literature works (3X speedup) without affecting the overall accuracy and sensitivity measures.
Subject(s)
Retinal Vessels , Algorithms , Databases, Factual , Diabetic Retinopathy , Humans , SoftwareABSTRACT
The bilateral primary renal lymphoma (PRL) is a rare disease with a high mortality rate (75% within the first year). We report the case of a fifty-three years old women observed in January 2011 for renal colic. Ultrasonography showed hypoechoic lobular formations in the kidney. Blood tests showed: creatinine 1.8 mg/dl, urea 75 mg/dl , Creatinine Clerance 35 ml/m, hemoglobinemia 11 g/dl, with blood cells 8.500/mcL, Albumin 2.8 g/dl, Beta -2 micro - 27.3/mL. Proteinuria was 0.3 g/24 hours. The CT scan showed kidneys with larger dimensions and multiple hypodense areas infiltrating the renal parenchyma with contrast-enhanced low in which kidneys had lesions similar to "leopard skin". The CT scan showed no enlarged lymph nodes. Renal biopsy showed: renal parenchyma largely occupied by infiltration of lymphoid elements, small and medium-sized, densely packed with compression of the tubular structures . Immunofluorescence for immunoglobulin (Ig) G, IgA, IgM, C3, C4, C1q, fibrinogen, kappa and lambda were negative. The bone marrow biopsy excluded lymphomatous infiltration. The histological diagnosis was "non-Hodgkin's B-cell lymphoma"; the clinical diagnosis was LRBP. The patient was treated by 6 cycles of R-CHOP-21 protocol (rituximab - endoxan, adriblastina , vincristine, prendnisone), the latter of which practiced in August 2011. The pt is currently in follow-up hematology and nephrology . The first TAC control , in October 2011, showed a complete regression of the lesions infiltrating . This finding was confirmed by two other CT scan performed in February and October 2012. The last blood tests of February 2013 showed : creatinine 1.1 mg / dl , Urea 40 mg/dl, proteinuria absent. Currently, the pt is asymptomatic and is being treated by low dose of ACE inhibitor. The bilateral PRL is considered a severe disease with one-year mortality of 75% . The successful outcome of the case described can be attributed to haematological therapy and to the early diagnosis.
Subject(s)
Kidney Neoplasms/diagnosis , Lymphoma, B-Cell/diagnosis , Neoplasms, Multiple Primary/diagnosis , Female , Humans , Kidney Neoplasms/therapy , Lymphoma, B-Cell/therapy , Middle Aged , Neoplasms, Multiple Primary/therapyABSTRACT
The biofiltration with bicarbonate as dialysate buffer (BiBF) was used in 10 patients on RDT: the patients were treated for 10 months on standard BF and for 10 months on BiBF. The amount of fluid infused varied between 3 and 5 liters and Na-bicarbonate (100 mEq/h) was infused during BF. The dialytic protocol was 3 hours every other day. Cardiovascular stability, waste molecules and acid-base balance were investigated. No differences in vascular stability and no significant changes in the waste-molecules concentrations were found. Both protocols correct the metabolic acidosis; however, in standard BF 50% of patients showed acute hypocapnia at the end of dialysis.
