An evaluation of multimodal 2D+3D face biometrics.

We report on the largest experimental study to date in multimodal 2D+3D face recognition, involving 198 persons in the gallery and either 198 or 670 time-lapse probe images. PCA-based methods are used separately for each modality and match scores in the separate face spaces are combined for multimodal recognition. Major conclusions are: 1) 2D and 3D have similar recognition performance when considered individually, 2) combining 2D and 3D results using a simple weighting scheme outperforms either 2D or 3D alone, 3) combining results from two or more 2D images using a similar weighting scheme also outperforms a single 2D image, and 4) combined 2D+3D outperforms the multiimage 2D result. This is the first (so far, only) work to present such an experimental control to substantiate multimodal performance improvement.

Role of plasminogen activator inhibitor-1 (PAI-1) levels in the diagnosis of BMT-associated hepatic veno-occlusive disease and monitoring of subsequent therapy with defibrotide (DF).

UNLABELLED: Hepatic veno-occlusive disease (VOD) is a common and potentially fatal complication of high dose chemotherapy with allogeneic/autologous stem cell transplant (SCT). The diagnosis and treatment of hepatic VOD is controversial. Clinical features are non-specific and may be mimicked by a number of other conditions causing hyperbilirubinaemia post-transplantation. Plasminogen activator inhibitor-1 (PAI-1) has been proposed as a specific marker of VOD [1]. Defibrotide (DF) is a polydeoxyribonucleotide, which has been found to have anti-thrombotic, anti-ischaemic and thrombolytic properties without causing significant anti-coagulation. Recent evidence [2,3] suggests that use of DF in patients with severe VOD results in a promising response rate without attributable significant toxicity. Between January 1998 and July 1999, PAI-1 levels were measured serially in 16 patients undergoing SCT who had subsequently developed hyperbilirubinaemia. Diagnosis of VOD was made by established clinical criteria [4,5]. At the time of diagnosis, PAI-1 levels (mean+/-SD) were significantly elevated in patients with VOD (90.7+/-47 ng/ml, n=7) when compared with patients with jaundice from other causes post transplantation (12.1+/-6.4 ng/ml, n=9). Five of the patients with VOD received treatment with DF. Four out of five patients showed an initial response to DF (significant fall in bilirubin and improvement in other signs/symptoms) with one of these patients having a complete response (bilirubin < 2.0 mg/dl and full resolution of signs/symptoms and end-organ toxicity). Following treatment with DF, a corresponding fall in PAI-1 levels was noted in those responding, with non-responders maintaining raised levels. CONCLUSION: Raised PAI-1 levels post stem cell transplant are specific for VOD and a subsequent decrease in levels following treatment with DF may be associated with response to treatment.

Egomotion estimation of a range camera using the space envelope.

In this paper we present a method to compute the egomotion of a range camera using the space envelope. The space envelope is a geometric model that provides more information than a simple segmentation for correspondences and motion estimation. We describe a novel variation of the maximal matching algorithm that matches surface normals to find correspondences. These correspondences are used to compute rotation and translation estimates of the egomotion. We demonstrate our methods on two image sequences containing 70 images. We also discuss the cases where our methods fail, and additional possible methods for exploiting the space envelope.

Unexplained groin pain: safety and reliability of herniography for the diagnosis of occult hernias.

A retrospective study of our initial experience of herniography in a district general hospital is presented. A total of 43 herniograms were performed in 41 patients (median age 57, range 16-77, 27 males, 14 females) over a two year period. Four herniograms were unsuccessful due to failed intraperitoneal contrast injection, of which two were repeated (success rate 90.5%). A total of 25 groin hernias were identified radiologically (two on the asymptomatic side). Twenty one patients underwent surgery and a hernia was confirmed in 19 (true positive rate 90.5%). Sixteen herniograms were considered negative and after a median follow up of 28 months (range 16-42 months), none of these patients have developed a hernia. There were no major complications. It is concluded that herniography is a safe and reliable method of determining or excluding the presence of an occult groin hernia.

Comparison of edge detection algorithms using a structure from motion task.

This paper presents an evaluation of edge detector performance. We use the task of structure from motion (SFM) as a "black box" through which to evaluate the performance of edge detection algorithms. Edge detector goodness is measured by how accurately the SFM could recover the known structure and motion from the edge detection of the image sequences. We use a variety of real image sequences with ground truth to evaluate eight different edge detectors from the literature. Our results suggest that ratings of edge detector performance based on pixel-level metrics and on the SFM are well correlated and that detectors such as the Canny detector and Heitger detector offer the best performance.

Defibrotide for the treatment of hepatic veno-occlusive disease: results of the European compassionate-use study.

Severe hepatic veno-occlusive disease (VOD) is a recognized complication of autologous and allogeneic stem cell transplantation (SCT) that is often fatal. Defibrotide (DF) is a polydeoxyribonucleotide that has been found to have anti-thrombotic, anti-ischaemic and thrombolytic properties without causing significant anticoagulation. Preliminary studies have demonstrated activity for DF in the treatment of VOD, with minimal associated toxicity. In the present study, 40 patients who fulfilled established criteria for VOD were treated with DF on compassionate grounds in 19 European centres; 28 patients met risk criteria predicting progression of VOD and fatality or had evidence of multiorgan failure (MOF), and were defined as 'poor-risk'. DF was commenced intravenously at a median of 14 d (range, -2 d to 53 d) post SCT at doses ranging from 10 to 40 mg/kg. The median duration of therapy was 18 d (range, 2--71 d). Twenty-two patients showed a complete response (CR) (bilirubin < 34.2 micromol/l and resolution of signs/symptoms of VOD and end-organ dysfunction) [CR = 55%, confidence interval (CI) 40--70%] and 17 patients (43%) are alive beyond d +100. Ten poor-risk patients showed a complete response (CR = 36%, CI 21--51%). These results demonstrate that DF is an active treatment for VOD following SCT and a randomized trial is now underway in order to further evaluate its role.

Registration and difference analysis of corresponding mammogram images.

An automated technique is proposed for identifying differences between corresponding mammogram images. The technique recovers an approximate deformation between a pair of mammograms based on identifying corresponding features across the two images. The registration process is completed using an unwarping technique for transforming one image into the coordinate system of the other. A difference image is generated using intensity-weighted subtraction in order to identify regions of large difference. Evaluation of the technique is performed using 124 bilateral image pairs which contain a total of 77 abnormalities of different types. The purpose of this paper is to measure the extent to which the mammogram registration technique is able to provide useful information for identifying abnormalities in mammograms.

Generating ROC curves for artificial neural networks.

Receiver operating characteristic (ROC) analysis is an established method of measuring diagnostic performance in medical imaging studies. Traditionally, artificial neural networks (ANN's) have been applied as a classifier to find one "best" detection rate. Recently researchers have begun to report ROC curve results for ANN classifiers. The current standard method of generating ROC curves for an ANN is to vary the output node threshold for classification. In this work, we propose a different technique for generating ROC curves for a two-class ANN classifier. We show that this new technique generates better ROC curves in the sense of having greater area under the ROC curve (AUC), and in the sense of being composed of a better distribution of operating points.

Effects of age on radionuclide angiographic detection and quantitation of left-to-right shunts.

The usefulness of quantitative radionuclide angiography (RNA) in detecting left-to-right shunts and estimating shunt size in young children was assessed. The total population of 88 patients was divided into 2 groups: 23 patients 2 years of age and younger (mean 0.8 +/- 0.6 [+/- standard deviation] ) and 65 patients older than 2 years (mean 15 +/- 15 years). The accuracy of 2 different RNA shunt estimation techniques, the gamma variate and the Stewart-Hamilton approach, were compared with the estimations obtained at cardiac catheterization using Fick (88 patients) and indocyanine green dye-dilution techniques (20 patients). Automated data processing algorithms were used to determine the RNA estimations, thereby avoiding the effects of operator judgment and subjectivity on shunt estimation. Of the 88 patients, 16 had no shunt by Fick data (that is, estimation less than 20%) but had a left-to-right shunt demonstrated by cardiac catheterization cineangiocardiography. Nine of these patients had no shunt by RNA (that is, estimation less than 20%). For patients 2 years of age and younger, linear regression analysis of the Fick and gamma variate data provided a slope of 0.63 and a correlation coefficient of 0.82; analysis of the Fick and Stewart-Hamilton data provided a slope of 0.59 and a correlation coefficient of 0.79. For patients older than 2 years, analysis of the Fick and gamma variate data provided a slope of 0.63 and a correlation coefficient of 0.79; analysis of the Fick and Stewart-Hamilton data provided a slope of 0.64 and a correlation coefficient of 0.76.(ABSTRACT TRUNCATED AT 250 WORDS)

Radionuclide analysis of right and left ventricular response to exercise in patients with atrial and ventricular septal defects.

In patients with ventricular or atrial septal defect, the ventricle which is chronically volume overloaded might not appropriately respond to increased demand for an augmentation in output and thereby might limit total cardiac function. In this study we simultaneously measured right and left ventricular response to exercise in 10 normal individuals, 10 patients with ventricular septal defect (VSD), and 10 patients with atrial septal defect (ASD). The normal subjects increased both right and left ventricular ejection fraction, end-diastolic volume, and stroke volume to achieve a higher cardiac output during exercise. Patients with VSD failed to increase right ventricular ejection fraction, but increased right ventricular end-diastolic volume and stroke volume. Left ventricular end-diastolic volume did not increase in these patients but ejection fraction, stroke volume, and forward left ventricular output achieved during exercise were comparable to the response observed in healthy subjects. In the patients with ASD, no rest-to-exercise change occurred in either right ventricular ejection fraction, end-diastolic volume, or stroke volume. In addition, left ventricular end-diastolic volume failed to increase, and despite an increase in ejection fraction, left ventricular stroke volume remained unchanged from rest to exercise. Therefore, cardiac output was augmented only by the heart rate increase in these patients. Right ventricular function appeared to be the major determinant of total cardiac output during exercise in patients with cardiac septal defects and left-to-right shunt.

CT-guided stereotaxis using a modified conventional stereotaxic frame.

Computed tomographic (CT)-guided stereotaxic procedure have become established in a few major centers but a single optimal system has not yet emerged. At Duke University Medical Center, availability of a stereotaxic frame with design features that lend themselves to CT adaptation made modification of this unit, rather than construction of a new dedicated frame, cost-effective. As other centers may seek to modify available stereotaxic equipment in a similar way, this report documents the modifications ans the early clinical experience in four patients in whom CT-guided stereotaxic biopsy procedures were performed.

Chloral hydrate overdose and cardiac arrhythmias.

Two cases of chloral hydrate overdosage were associated with multiform ventricular tachycardia. Both were refractory to a number of antiarrhythmics, but responded to propranolol administration. Two of nine other cases reported in the literature also responded to beta-blocking agents. Mechanisms for the arrhythmia and its apparent response to beta blockade are discussed.