Root avulsion in brachial plexus injury: a case report.

Root avulsions in brachial plexus injuries are classified as pre- or infraganglionic or post- or supraganglionic. Motor and sensory function is lost in both lesions, but the dorsal root ganglion is intact in preganglionic injuries and, therefore, sensory nerve conduction is spared. Although classified as root avulsion lesions, they are not only anatomically but physiologically and in being amenable to surgical treatment, quite different. We describe a patient with preganglionic injury who had a normal sensory nerve conduction. Surgical option was not available to this patient because of the proximity of the avulsed roots to the spinal cord.

A microcomputer based system for three-dimensional reconstructions from tomographic or histologic sections.

The reconstructions of three-dimensional (3-D) objects from serial two-dimensional (2-D) images can contribute to the understanding of many biologic structures, from organelles to organs and tissues. The 3-D reconstruction of sections can be divided into several major tasks: image acquisition, alignment of slices, internal object definition, object reconstruction and rotation of the completed image. A fast, versatile, interactive system was devised for the reconstruction of 3-D objects from serial 2-D images using a low-cost microcomputer, original programs and commercial software. The system allows reconstruction from any serial images, e.g., electron micrographs, histologic sections or computed tomograms. A photographic image or a microscopic field is acquired into the computer memory using a video digitizer. Slices are superimposed and aligned to each other using an operator-interactive program. A contour-(edge-) finding algorithm isolates an object of interest from the background image by "subtraction" of the image from an overlaid, slightly shifted identical image. Contours for each slice are input to a reconstruction procedure, which calculates the x, y and z coordinates of every point in a slice and the thickness and number of slices. It then calculates the illumination for every point using a given point source of light and an intensity-fading coefficient. Finally, the points are represented by cubes to provide dimension and reflective surfaces. A cube of appropriate shade and color represents in 2-D the equivalent of a 3-D object; this results in a very effective 3-D image. The reconstruction is rotated by recalculating the positions of every point defining the object and rebuilding the image.(ABSTRACT TRUNCATED AT 250 WORDS)

A microcomputer-based algorithm for digitized image simplification and information extraction.

Spatial analysis of objects often requires significant image simplification prior to information extraction and application of a decision-making algorithm. Much decision making based on images (e.g., histologic diagnoses) requires identifying patterns in complex backgrounds (image simplification) and comparison of those patterns to other patterns (decision making). Automated extraction of information from images commonly requires the extraction system to recognize edges (contours) of structures and their internal discontinuities (such as gradations in density) and to selectively suppress irrelevant data in order to conserve memory and speed computation; data from homogeneous image areas occupy memory, but are noncontributory or redundant. This paper describes the development of a microcomputer-based algorithm that deletes all homogeneous information from overlaid digitized images, generating contours in the place of nonhomogeneities. Contours corresponding to different areas or objects depend on color differences between an object and its surroundings. Any set of contours can be deleted almost instantaneously, leaving only those of interest. Contours can be highlighted by an operator-driven interactive process if desired and can be deleted and retrieved until an appropriate image is obtained. This contour-generating and image-simplification algorithm facilitates three-dimensional reconstruction of an object from serial images by reducing the number of calculations required and yielding a cleaner final image.