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Sample records for complex midface reconstruction

  1. Reoperative midface reconstruction.

    Science.gov (United States)

    Acero, Julio; García, Eloy

    2011-02-01

    Reoperative reconstruction of the midface is a challenging issue because of the complexity of this region and the severity of the aesthetic and functional sequela related to the absence or failure of a primary reconstruction. The different situations that can lead to the indication of a reoperative reconstructive procedure after previous oncologic ablative procedures in the midface are reviewed. Surgical techniques, anatomic problems, and limitations affecting the reoperative reconstruction in this region of the head and neck are discussed.

  2. Zygomatic-maxillary buttress reconstruction of midface defects with the osteocutaneous radial forearm free flap.

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    Andrades, Patricio; Rosenthal, Eben L; Carroll, William R; Baranano, Christopher F; Peters, Glenn E

    2008-10-01

    The purpose of this study was to evaluate morbidity, functional, and aesthetic outcomes in midface zygomatic-maxillary buttress reconstruction using the osteocutaneous radial forearm free flap (OCRFFF). A retrospective review of 24 consecutive patients that underwent midface reconstruction using the OCRFFF was performed. All patients had variable extension of maxillectomy defects that requires restoration of the zygomatic-maxillary buttress. After harvest, the OCRFFF was fixed transversely with miniplates connecting the remaining zygoma to the anterior maxilla. The orbital support was given by titanium mesh when needed that was fixed to the radial forearm bone anteriorly and placed on the remaining orbital floor posteriorly. The skin paddle was used for intraoral lining, external skin coverage, or both. The main outcome measures were flap success, donor-site morbidity, orbital, and oral complications. Facial contour, speech understandability, swallowing, oronasal separation, and socialization were also analyzed. There were 6 women and 18 men, with an average age of 66 years old (range, 34-87). The resulting defects after maxillectomy were (according to the Cordeiro classification; Disa et al, Ann Plast Surg 2001;47:612-619; Santamaria and Cordeiro, J Surg Oncol 2006;94:522-531): type I (8.3%), type II (33.3%), type III (45.8%), and type IV (12.5%). There were no flap losses. Donor-site complications included partial loss of the split thickness skin graft (25%) and 1 radial bone fracture. The most significant recipient-site complications were severe ectropion (24%), dystopia (8%), and oronasal fistula (12%). All the complications occurred in patients with defects that required orbital floor reconstruction and/or cheek skin coverage. The average follow-up was 11.5 months, and over 80% of the patients had adequate swallowing, speech, and reincorporation to normal daily activities. The OCRFFF is an excellent alternative for midface reconstruction of the zygomatic

  3. Emergency Management of High-Energy Shell Fragment Midface Complex Injuries.

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    Shuker, Sabri T

    2016-07-01

    Distinctive mechanisms of heavy artillery and improvised explosive device detonation result in a blast and "spray" of high-energy fragments of diverse shapes, sizes, and characteristics. Associated midface complex injuries differ in both severity and complexity of the anatomical structures involved. Management challenges begin with lifesaving, which is complicated by airway compromise, severe hemorrhage, and unique injuries of the maxillae, nose, and naso-orbitoethmoid.The patients presented fragment impact on the face lateral side directed to other side leads to tissues blown away at the point of high-energy exits, while no survival seen of enface shrapnel hit directed antroposterior toward "cervical spine, intracranial, internal and external carotid arteries and internal jugular vein."Twenty-two patients were selected from unquantified patients who had sustained massive midface shell fragment injuries. To preserve midface architecture, healing, and function, iodoform paste on ribbon gauze packs were utilized successfully. An iodoform paste on ribbon gauze pack serves the dual purpose of preserving the shape and scaffolding of the crushed maxillary sinus wall and buttresses fragments in position for healing. It also acts as a wet pack dressing for denuded bone fragments, stopping bleeding and having antimicrobial properties for severely lacerated wounds. For total or partial nasal tissue loss, a successful procedure consists of definitive early scaffolding stabilization using an intranasal, modified portex tracheostomy tube stent to preserve the internal shape of the nasal pyramid.

  4. Trauma of the midface

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    Kühnel, Thomas S.

    2015-12-01

    Full Text Available Fractures of the midface pose a serious medical problem as for their complexity, frequency and their socio-economic impact. Interdisciplinary approaches and up-to-date diagnostic and surgical techniques provide favorable results in the majority of cases though. Traffic accidents are the leading cause and male adults in their thirties are affected most often. Treatment algorithms for nasal bone fractures, maxillary and zygomatic fractures are widely agreed upon whereas trauma to the frontal sinus and the orbital apex are matter of current debate. Advances in endoscopic surgery and limitations of evidence based gain of knowledge are matters that are focused on in the corresponding chapter. As for the fractures of the frontal sinus a strong tendency towards minimized approaches can be seen. Obliteration and cranialization seem to decrease in numbers. Some critical remarks in terms of high dose methylprednisolone therapy for traumatic optic nerve injury seem to be appropriate. Intraoperative cone beam radiographs and preshaped titanium mesh implants for orbital reconstruction are new techniques and essential aspects in midface traumatology. Fractures of the anterior skull base with cerebrospinal fluid leaks show very promising results in endonasal endoscopic repair.

  5. Trauma of the midface

    Science.gov (United States)

    Kühnel, Thomas S.; Reichert, Torsten E.

    2015-01-01

    Fractures of the midface pose a serious medical problem as for their complexity, frequency and their socio-economic impact. Interdisciplinary approaches and up-to-date diagnostic and surgical techniques provide favorable results in the majority of cases though. Traffic accidents are the leading cause and male adults in their thirties are affected most often. Treatment algorithms for nasal bone fractures, maxillary and zygomatic fractures are widely agreed upon whereas trauma to the frontal sinus and the orbital apex are matter of current debate. Advances in endoscopic surgery and limitations of evidence based gain of knowledge are matters that are focused on in the corresponding chapter. As for the fractures of the frontal sinus a strong tendency towards minimized approaches can be seen. Obliteration and cranialization seem to decrease in numbers. Some critical remarks in terms of high dose methylprednisolone therapy for traumatic optic nerve injury seem to be appropriate. Intraoperative cone beam radiographs and preshaped titanium mesh implants for orbital reconstruction are new techniques and essential aspects in midface traumatology. Fractures of the anterior skull base with cerebrospinal fluid leaks show very promising results in endonasal endoscopic repair. PMID:26770280

  6. A 15-year review of midface reconstruction after total and subtotal maxillectomy: part I. Algorithm and outcomes.

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    Cordeiro, Peter G; Chen, Constance M

    2012-01-01

    Reconstruction of complex midfacial defects is best approached with a clear algorithm. The goals of reconstruction are functional and aesthetic. Over a 15-year period (1992 to 2006), a single surgeon (P.G.C.) performed 100 flaps to reconstruct the following midfacial defects: type I, limited maxillectomy (n = 20); type IIA, subtotal maxillectomy with resection of less than 50 percent of the palate (n = 8); type IIB, subtotal maxillectomy with resection of greater than 50 percent of the palate (n = 8); type IIIA, total maxillectomy with preservation of the orbital contents (n = 22); type IIIB, total maxillectomy with orbital exenteration (n = 23); and type IV, orbitomaxillectomy (n = 19). Free flaps were used in 94 cases (94 percent), and pedicled flaps were used in six (6 percent). One hundred flaps were performed in 96 patients (69 males, 72 percent; 27 females, 28 percent); four patients underwent a second flap reconstruction due to recurrent disease (n = 4, 4 percent). Average patient age was 49.2 years (range, 13 to 81 years). Free-flap survival was 100 percent, with one partial flap loss (1 percent). Five patients suffered systemic complications (5.2 percent), and four died within 30 days of hospitalization (4.2 percent). Over 50 percent of patients returned to normal diet and speech. Almost 60 percent were judged to have an excellent aesthetic result. Free-tissue transfer offers the most effective and reliable form of reconstruction for complex maxillectomy defects. Rectus abdominis and radial forearm free flaps in combination with immediate bone grafting or as osteocutaneous flaps consistently provide the best functional and aesthetic results. Therapeutic, IV.

  7. Craniofacial neurofibromatosis: treatment of the midface deformity.

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    Singhal, Dhruv; Chen, Yi-Chieh; Tsai, Yueh-Ju; Yu, Chung-Chih; Chen, Hung Chang; Chen, Yu-Ray; Chen, Philip Kuo-Ting

    2014-07-01

    Craniofacial Neurofibromatosis is a benign but devastating disease. While the most common location of facial involvement is the orbito-temporal region, patients often present with significant mid-face deformities. We reviewed our experience with Craniofacial Neurofibromatosis from June 1981 to June 2011 and included patients with midface soft tissue deformities defined as gross alteration of nasal or upper lip symmetry. Data reviewed included the medical records and photobank. Over 30 years, 52 patients presented to and underwent surgical management for Craniofacial Neurofibromatosis at the Chang Gung Craniofacial Center. 23 patients (43%) demonstrated gross mid-facial deformities at initial evaluation. 55% of patients with lip deformities and 28% of patients with nasal deformities demonstrated no direct tumour involvement. The respective deformity was solely due to secondary gravitational effects from neurofibromas of the cheek subunit. Primary tumour infiltration of the nasal and/or labial subunits was treated with excision followed by various methods of reconstruction including lower lateral cartilage repositioning, forehead flaps, free flaps, and/or oral commissure suspension. Soft tissue deformities of the midface are very common in patients with Craniofacial Neurofibromatosis and profoundly affect overall aesthetic outcomes. Distinguishing primary from secondary involvement of the midface assists in surgical decision making. Copyright © 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  8. Complications of lower blepharoplasty and midface lifting.

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    Schwarcz, Robert M; Kotlus, Brett

    2015-01-01

    Lower eyelid blepharoplasty and midface lifting share a complex anatomy, which should be mastered before attempting these types of surgeries. In recent years, there have been significant contributions to rejuvenating this area. A thorough understanding of the rejuvenative approaches and their outcomes is imperative. Thus, the problem must be preoperatively evaluated to offer the appropriate technique and minimize complications.

  9. Reconstruction of a complex midfacial defect with the folded fibular free flap and osseointegrated implants.

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    Anthony, J P; Foster, R D; Sharma, A B; Kearns, G J; Hoffman, W Y; Pogrel, M A

    1996-08-01

    Refinements in microsurgical techniques, plate fixation, and osseointegration have changed the conceptual approach to midface reconstruction. Free tissue transfer has emerged as the ideal method of reconstructing complex midfacial defects. Single-stage bony restoration of the palate and orbital rim using the folded fibular osteocutaneous free flap is described. The fibular free flap is our first choice for reconstructing complex midfacial defects. The thin, soft, pliable tissue is ideal for intraoral and palatal reconstructions. The bone can be tailored precisely to fit any desired shape, and forms a sturdy support for both orbital and dental prostheses. With a single flap, rapid and reliable restoration of midfacial appearance, orbital support, and palatal function can be achieved.

  10. The Relationship between Mid-face Fractures and Brain Injuries

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    Khalighi Sigaroudi A.

    2012-03-01

    Full Text Available Statement of Problem: Although advances in technology have led to improvements in man’s life in different aspects, statistics show that the incidence of fractures is increasing in different regions of the body. Recent studies show that midface fractures are strongly associated with patient's death. The exact relationship between different types of facial fractures and brain injuries is still controversial. Purpose: To evaluate individuals with midface fractures from different causes and determine if there is any relationship between various midface fractures and brain injuries. Materials and Methods: In this descriptive cross-sectional retrospective study, we assessed the hospital charts of all the patients with midface fractures at the trauma center of Poursina hospital. The complete medical record of each patient was reviewed. The etiologic and demographic data, the type of midface fracture and brain injury, and Glasgow coma scale (GCS were assessed. The data were analyzed by, the Chi-square, and the Fisher’s exact tests. The statistical package SPSS was used for all the analyses.Results: Of all the patients 47% had brain injury. The Important significant correlations were as follows: Le Fort III with Brain Contusion ( p =0.0001, nasal orbital ethmoid fractures with subdural hematoma ( p =0.0001, frontal fracture with subdural hematoma ( p =0.0001. Zygomatic complex fracture with Brain Contusion ( p =0.009. Nasal fracture correlated with Brain Contusion ( p =0.0001. The zygomatic complex fracture was the most prevalent fracture.Conclusion: Different midface fracture patterns have the risk of brain injury simultaneously. So midface fractures need more attention. According to the results, more attention is needed to be paid to driving rules specially the use of helmet and seat belt.

  11. Combined soft and skeletal tissue modelling of normal and dysmorphic midface postnatal development.

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    Ibrahim, Amel; Suttie, Michael; Bulstrode, Neil W; Britto, Jonathan A; Dunaway, David; Hammond, Peter; Ferretti, Patrizia

    2016-11-01

    Midface hypoplasia as exemplified by Treacher Collins Syndrome (TCS) can impair appearance and function. Reconstruction involves multiple invasive surgeries with variable long-term outcomes. This study aims to describe normal and dysmorphic midface postnatal development through combined modelling of skeletal and soft tissues and to develop a surgical evaluation tool. Midface skeletal and soft tissue surfaces were extracted from computed tomography scans of 52 control and 14 TCS children, then analysed using dense surface modelling. The model was used to describe midface growth, morphology, and asymmetry, then evaluate postoperative outcomes. Parameters responsible for the greatest variation in midface size and shape showed differences between TCS and controls with close alignment between skeletal and soft tissue models. TCS children exhibited midface dysmorphology and hypoplasia when compared with controls. Asymmetry was also significantly higher in TCS midfaces. Combined modelling was used to evaluate the impact of surgery in one TCS individual who showed normalisation immediately after surgery but reversion towards TCS dysmorphology after 1 year. This is the first quantitative analysis of postnatal midface development using combined modelling of skeletal and soft tissues. We also provide an approach for evaluation of surgical outcomes, laying the foundations for future development of a preoperative planning tool. Copyright © 2016 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  12. Avoiding Facial Incisions with Midface Free Tissue Transfer

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    Stalder, Mark W.; Sosin, Michael; Urbinelli, Leo J.; Mayo, James L.; Dorafshar, Amir H.; Hilaire, Hugo St.; Borsuk, Daniel E.

    2017-01-01

    Background: We have adopted an intraoral microsurgical anastomosis to the facial vessels to eliminate the need for any visible facial incisions. Methods: Cadaveric dissection was used to demonstrate accessibility of the facial artery and vein through an intraoral approach. Additionally, 5 patients underwent free tissue transfer for reconstruction of major defects of the midface through an intraoral, transmucosal approach, obviating the need for visible skin incisions. Results: The pathology included palatal defects due to mucoepidermoid carcinoma and ischemic necrosis from cocaine abuse, maxillary defects secondary to fibrous dysplasia and avascular necrosis from traumatic blast injury, and a residual posttraumatic bony deformity of the zygoma. Reconstructions were performed with a free ulnar forearm flap, a free vastus lateralis muscle flap, a deep circumflex iliac artery myoosseous flap, a free fibula flap, and a deep circumflex iliac artery osseous flap, respectively. The facial artery and vein were used as recipient vessels for microvascular anastomosis for all cases. Mean follow-up was 12.2 months. All free tissue transfers were successful, and each patient had a satisfactory aesthetic outcome with no associated facial scars. Conclusion: This technique can be employed during reconstruction of an array of bony or soft-tissue midface deficits with minimal morbidity. This small series effectively demonstrates the varied pathologies and tissue deficiencies that can be successfully reconstructed with free tissue transfer using an entirely intraoral approach to the recipient facial vessels, resulting in no visible scars on the face and an improvement in the overall aesthetic outcome. PMID:28280662

  13. Centro-lateral subperiosteal vertical midface lift

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    Hönig, Johannes Franz

    2014-03-01

    Full Text Available The use of fiberendoscopic video-assisted technique in facial rejuvenation is one of the most advances in aesthetic plastic surgery of the face. It substitutes the coronal incision without the necessity of skin resection and allows a vertical reposition of the mobile soft tissue of the midface in indicated cases. It can easily be done through a small incision of the scalp just behind the coronal incision and in the temporal area.

  14. Vector control in internal midface distraction using temporary anchorage devices.

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    Francis, Cameron; Rommer, Elizabeth; Mancho, Salim; Carey, Joseph; Hammoudeh, Jeffrey A; Urata, Mark M

    2012-11-01

    Le Fort III and monobloc distraction osteogenesis serve as the primary surgical treatment for children with severe midface hypoplasia. The orbital retrusion and class III malocclusion of patients with midface hypoplasia is best addressed with bodily advancement of the midface segment parallel to the cephalometric Frankfort horizontal plane. Use of internal distraction devices allows for advancement of the midface without extensive external hardware but comes at the cost of less vectorial control, resulting in a distraction vector that can cause a clockwise rotation of the entire midface or frontofacial component creating hollow appearing orbits. To counteract this clockwise rotation, we have developed a technique using orthodontic microimplants to anchor interarch class III relationship elastics. We report our experiences with this technique on a cadaveric model and as a case series of 17 patients who underwent midface distraction. A Le Fort III distraction procedure was carried out on a cadaver, and the orbital height was measured at 0-, 10-, and 20-mm distraction advancement with and without elastics in a class III relationship. Improvement of both subjective hollow appearance of the orbits and objective measurement of the orbital height with class III relationship elastics demonstrated the efficacy of class III relationship elastics in counteracting the clockwise rotation of the midface segment. A review of 17 patients with midface or frontofacial hypoplasia treated with Le Fort III or monobloc distraction with simultaneous microimplant anchored class III relationship elastics revealed correction of malocclusion and improved midface projection without significant increase in vertical height of the orbits.

  15. Coralline hydroxyapatite in complex acetabular reconstruction.

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    Wasielewski, Ray C; Sheridan, Kate C; Lubbers, Melissa A

    2008-04-01

    This retrospective study examined whether a coralline hydroxyapatite bone graft substitute adequately repaired bone defects during complex acetabular reconstructions. Seventeen patients who underwent acetabular revision using Pro Osteon 500 were assessed to determine whether any cups required re-revision, whether bone had incorporated into the coralline hydroxyapatite grafts, and whether the coralline hydroxyapatite grafts resorbed with time. At latest follow-up, no cups required re-revision, but 1 had failed. Radiographic evidence of bone incorporation was observed in every coralline hydroxyapatite graft. Graft resorption was not observed.

  16. Soft tissue assessment in midface advancement: the use of regional flaps to enhance facial projection.

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    Chavanne, Juan Martin; Steinberg, Diego; Houssay, Alfredo; Margaride, Luis A

    2009-09-01

    Classically, soft tissue repair when indicated is done before or after the skeletal mobilization especially in those cases that present midface deficiency with severe midline soft tissue restriction by scars or congenital affectation. The distraction osteogenesis method has contributed to improve substantially this problem elongating bones, muscles, and ligaments, but some situations need specific and more precise reconstruction of the subunits to gain in aesthetics. The labial-columella junction, the tip of the nose, and the more projecting point of the cheeks are one of these exigent anatomic areas, where only sophisticated reconstruction by flaps can improve facial proportions and projections.

  17. Reconstructing complex networks with binary-state dynamics

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    Li, Jingwen; Lai, Ying-Cheng; Grebogi, Celso

    2015-01-01

    The prerequisite for our understanding of many complex networked systems lies in the reconstruction of network structure from measurable data. Although binary-state dynamics occurring in a broad class of complex networked systems in nature and society and has been intensively investigated, a general framework for reconstructing complex networks from binary states, the inverse problem, is lacking. Here we offer a general solution to the reconstruction problem by developing a data-based linearization approach for binary-state dynamics with linear, nonlinear, discrete and stochastic switching functions. The linearization allows us to convert the network reconstruction problem into a sparse signal reconstruction problem that can be resolved efficiently and credibly by convex optimization based on compressed sensing. The completely data-based linearization method and the sparse signal reconstruction constitutes a general framework for reconstructing complex networks without any knowledge of the binary-state dynami...

  18. SUBSTANTIATION OF SOLUTIONS PERTAINING TO COMPLEX PRODUCTION RECONSTRUCTION

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    V. Y. Gurinovich

    2011-01-01

    Full Text Available While taking an example of reconstruction and modernization of OJSC «Construction and Mounting Trust No.16, Novopolotsk» the paper substantiates solutions for complex production reconstruction. The production reconstruction is divided in three start-up facilities ensuring continuous finished-product output.

  19. Robust Reconstruction of Complex Networks from Sparse Data

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    Han, Xiao; Shen, Zhesi; Wang, Wen-Xu; Di, Zengru

    2015-01-01

    Reconstructing complex networks from measurable data is a fundamental problem for understanding and controlling collective dynamics of complex networked systems. However, a significant challenge arises when we attempt to decode structural information hidden in limited amounts of data accompanied by noise and in the presence of inaccessible nodes. Here, we develop a general framework for robust reconstruction of complex networks from sparse and noisy data. Specifically, we decompose the task of reconstructing the whole network into recovering local structures centered at each node. Thus, the natural sparsity of complex networks ensures a conversion from the local structure reconstruction into a sparse signal reconstruction problem that can be addressed by using the lasso, a convex optimization method. We apply our method to evolutionary games, transportation, and communication processes taking place in a variety of model and real complex networks, finding that universal high reconstruction accuracy can be achieved from sparse data in spite of noise in time series and missing data of partial nodes. Our approach opens new routes to the network reconstruction problem and has potential applications in a wide range of fields.

  20. The temporal endoscopic midface lift -centrofacial rejuvenation without facial scars

    Institute of Scientific and Technical Information of China (English)

    Thomas Haffner

    2016-01-01

    Aim: The author describes a new endoscopic midface lifting technique using solely temporal access and evaluates its advantages and perspectives.Methods: This is a single-surgeon case study. Through a short temporal incision, dissection is performed along a single plane connecting the superifcial surfaces of both the facial and temporal superifcial musculoaponeurotic system (SMAS) layers. Subsequent midface dissection divides the malar fat pad into the deeper and superifcial parts. A new concept of a combination high malar SMAS lift and internal skin lfap anchorage that provides long-term stability is described.Results: The temporal endoscopic midface (TEM) lift technique resulted in good objective results with high patient satisfaction. The temporal access allowed proper vertical vector correction of the sagging centro-facial structures. The resulting scar was inconspicuous and hidden in the hair bearing skin, and its length was measured between 5-6 cm. A conversion to the conventional long facial scar approach was completely avoided.Conclusion:The TEM lift is a new and effective procedure for facial rejuvenation, especially the midface and cheek. The results illustrate the importance of internal anchorage of both the midface SMAS and skin lfap. These are the keys to long-lasting and pleasing results. The procedure is best suited for younger men and women with little or no neck skin laxity.

  1. Upper airway outcomes following midface distraction osteogenesis: a systematic review.

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    Taylor, B A; Brace, M; Hong, P

    2014-07-01

    The objective of this paper is to systematically review the airway outcomes following distraction osteogenesis of midface with the goal of (1) deriving clinically oriented insights and (2) identifying gaps in knowledge to stimulate future research. Medline, EMBASE and Cochrane databases were searched and studies were included if subjects of any age had midface retrusion/hypoplasia and underwent midface distraction osteogenesis. Outcome measures of interest were any respiratory or airway associated measures, and reports of adverse events. A total of 368 abstracts were generated from the literature searches; 16 studies met the criteria for data extraction and analysis. All 16 studies were observational. Generally, midface distraction osteogenesis was reported to improve respiratory status and was well tolerated. Specifically, favorable outcomes in cephalometry (9 studies), polysomnography (9 studies), and decannulation rates (8 studies) were reported. In conclusion, upper airway status was improved in most patients who underwent midface distraction osteogenesis, yet long-term results and consistent objective measures are lacking. Studies reviewed were retrospective case series and details regarding patients who did not improve were deficient. A standardized prospective multicenter cohort trial with long-term patient follow up is required.

  2. Global and partitioned reconstructions of undirected complex networks

    CERN Document Server

    Xu, Ming; Wang, Huan; Li, Yong-Kui; Hu, Jing-Bo; Cao, Ke-Fei

    2015-01-01

    It is a significant challenge to predict the network topology from a small amount of dynamical observations. Different from the usual framework of the node-based reconstruction, two optimization approaches (i.e., the global and partitioned reconstructions) are proposed to reveal the structure of undirected networks from dynamics. These approaches are applied to evolutionary games occurring on both homogeneous and heterogeneous networks via compressed sensing, which can more efficiently achieve higher reconstruction accuracy with relatively small amounts of data. Our approaches provide different perspectives on effectively reconstructing complex networks.

  3. Mid-Face Degloving: An Alternate Approach to Extended Osteotomies of the Midface.

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    Parameswaran, Anantanarayanan; Jayakumar, Naveen Kumar; Ramanathan, Manikandhan; Sailer, Hermann F

    2017-01-01

    Extended osteotomies for mid-face advancement require generous exposure of the anterior maxilla, nasal bones, infraorbital rims, orbital floor, zygoma, and the anterior third of the zygomatic arches. This cannot be obtained with an exclusive transoral approach. Hence, the surgeon is usually compelled to utilize supplemental cutaneous incisions that are a compromise on the purpose behind a cosmetic surgery. In order to alleviate the need for such compromise, the authors advocate the mid face degloving approach for extended osteotomies at Lefort II and Lefort III levels. Mid face degloving involves a combination of circumvestibular incision, with inter cartilaginous and transfixation components from a nasal incision. The authors have utilized this technique for 9 patients and documented favorable results. The purpose of this paper is to focus the utility of this approach in orthognathic surgery and promote this as a viable alternative to traditional approaches in surgery of the mid face because of the absence of external scars.

  4. Reconstructive challenges of complex battlefield injury.

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    Bremner, Luke F; Mazurek, Michael

    2010-01-01

    Throughout our current conflicts in both Iraq and Afghanistan, the likelihood of surviving a battlefield injury has been near 90% according to reports provided by the US Army Medical Research and Materiel Command. This is the highest survival rate recorded in modern combat. Advancements in protective equipment, rapid evacuation of casualties from point of injury to both stabilization and definitive care, improved medic and corpsmen personnel, more readily available resuscitation, and forward positioned surgical units have all significantly decreased troop mortality. Along with this phenomenon of increased survival, however, has come a surge in the number and significance of injuries seen by the medical community. As a result, orthopaedists have been forced to confront reconstructive challenges and difficult decisions in an often highly motivated patient population with high functional expectations. The objective of this article is to outline a few examples of difficult challenges encountered in battlefield trauma care and discuss the treatments utilized.

  5. Resolution extension and exit wave reconstruction in complex HREM.

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    Hsieh, Wen-Kuo; Chen, Fu-Rong; Kai, Ji-Jung; Kirkland, A I

    2004-01-01

    Direct methods in real and reciprocal space are developed for structural reversion. The direct method in real space involves the use of a novel method to retrieve the phase in the image plane using transport of intensity equation/maximum entropy method (TIE/MEM) and exit wave reconstruction by self-consistent propagation. Since the exit wave is restored from the complex signal in the image planes, no image model between the exit wave and image is assumed. The structural information in the reconstructed exit wave is then further extended by a "complex" maximum entropy method as a direct method in reciprocal space to extrapolate the phase to higher frequencies.

  6. Functional reconstruction of structurally complex epitopes using CLIPS™ technology

    NARCIS (Netherlands)

    Timmerman, P.; Puijk, W.C.; Boshuizen, R.S.; van Dijken, P.; Slootstra, J.W.; Beurskens, F.J.; Parren, P.W.H.I.; Huber, A.; Bachmann, M.F.; Meloen, R.H.

    2009-01-01

    This review summarizes an illustrative set of data from our research on the reconstruction of structurally complex protein surfaces, i.e. those that fail to be mimicked properly by linear peptides. In the past 5 years, our newly developed CLIPS™ technology has proven an extremely valuable tool for 1

  7. Triple-layer midface lifting : long-term follow-up of an effective approach to aesthetic surgery of the lower eyelid and the midface

    NARCIS (Netherlands)

    Stevens, Hieronymus P. Jerome D.; Willemsen, Joep C. N.; Durani, Piyush; Rasteiro, David; Omoruyi, Ogbe J.

    2014-01-01

    BACKGROUND: It is becoming more and more accepted that better aesthetic results can be obtained when the lower eyelid is considered as part of the midface when contemplating surgical rejuvenation. Descent of the orbicularis muscle and midface tissue causes malar bags, loss of volume over the tear-tr

  8. Triple-layer midface lifting : long-term follow-up of an effective approach to aesthetic surgery of the lower eyelid and the midface

    NARCIS (Netherlands)

    Stevens, Hieronymus P. Jerome D.; Willemsen, Joep C. N.; Durani, Piyush; Rasteiro, David; Omoruyi, Ogbe J.

    BACKGROUND: It is becoming more and more accepted that better aesthetic results can be obtained when the lower eyelid is considered as part of the midface when contemplating surgical rejuvenation. Descent of the orbicularis muscle and midface tissue causes malar bags, loss of volume over the

  9. A midface swelling in a child - A possible diagnostic dilemma.

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    Patel, Kuntal; Oudit, Deemesh; Ross, G; Nicolson, Caroline; Howcroft, Aj

    2005-01-01

    A lump on the midface of a child can pose as a diagnostic dilemma. There is a wide variety of possible differential diagnoses, ranging from simple benign conditions such as a sebaceous cyst, dermoid cyst, lipoma, neuroma and neurofibroma, to potentially devastating conditions such as odontogenic myxoma. A case of a child in which the formulation of a definite diagnosis was clinically and histologically challenging is presented.

  10. Midface fractures surgically treated in Instituto Traumatológico of Santiago (Chile: A 10 years review.

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    Cristóbal Pacheco

    2012-12-01

    Full Text Available Introduction. Maxillofacial fractures are associated with high morbidity, loss of function, aesthetics and psychological sequelae and substancial economical costs for surgical treatment. The incidence and the prevalence of maxillofacial trauma have been reported in many countries, with differences being found between studies due to sociocultural factors. Our aim is to describe the frequency of surgically treated midface fractures in Instituto Traumatologico of Santiago, Chile.Materials and Methods. We performed a cross sectional study at Maxillofacial Surgery Department of Instituto Traumatológico (Chile, by reviewing medical records of subjects with midfacial fractures treated surgically from January 2001 to December 2010. Information was collected according to patient age and gender, aetiology, type of fracture, health insurance and date of the intervention. The sample consisted of 549 patients.Results. There was a total of 549 patients with a total of 709 fractures. The male:female ratio with midface fractures was 5,3:1. The most affected age group was from 20 and 29 years. Most fractures were caused by aggression. The most common fracture was nasal, followed by zygomatic complex fractures.Conclusion. The findings of the study allow us to know the distribution patterns of surgically treated midface fractures. Our study showed similar characteristics to other studies in terms of affected population and the distribution of the location of fractures.

  11. Functional reconstruction of complex tendo Achilles defect by free latissimus dorsi muscle flap

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    Divya N Upadhyaya

    2012-01-01

    Full Text Available Managing the complex tendo Achilles defect involves reconstructing the Achilles tendon as well as providing soft tissue cover to the heel area. The advent of microsurgery has revolutionised the reconstruction of this difficult defect providing a number of options to the reconstructive surgeon. We present a case of complex tendo Achilles defect reconstructed by the latissimus dorsi free flap.

  12. Oblique Photogrammetry Supporting 3d Urban Reconstruction of Complex Scenarios

    Science.gov (United States)

    Toschi, I.; Ramos, M. M.; Nocerino, E.; Menna, F.; Remondino, F.; Moe, K.; Poli, D.; Legat, K.; Fassi, F.

    2017-05-01

    Accurate 3D city models represent an important source of geospatial information to support various "smart city" applications, such as space management, energy assessment, 3D cartography, noise and pollution mapping as well as disaster management. Even though remarkable progress has been made in recent years, there are still many open issues, especially when it comes to the 3D modelling of complex urban scenarios like historical and densely-built city centres featuring narrow streets and non-conventional building shapes. Most approaches introduce strong building priors/constraints on symmetry and roof typology that penalize urban environments having high variations of roof shapes. Furthermore, although oblique photogrammetry is rapidly maturing, the use of slanted views for façade reconstruction is not completely included in the reconstruction pipeline of state-of-the-art software. This paper aims to investigate state-of-the-art methods for 3D building modelling in complex urban scenarios with the support of oblique airborne images. A reconstruction approach based on roof primitives fitting is tested. Oblique imagery is then exploited to support the manual editing of the generated building models. At the same time, mobile mapping data are collected at cm resolution and then integrated with the aerial ones. All approaches are tested on the historical city centre of Bergamo (Italy).

  13. Phylogenomic and biogeographic reconstruction of the Trichinella complex.

    Science.gov (United States)

    Korhonen, Pasi K; Pozio, Edoardo; La Rosa, Giuseppe; Chang, Bill C H; Koehler, Anson V; Hoberg, Eric P; Boag, Peter R; Tan, Patrick; Jex, Aaron R; Hofmann, Andreas; Sternberg, Paul W; Young, Neil D; Gasser, Robin B

    2016-02-01

    Trichinellosis is a globally important food-borne parasitic disease of humans caused by roundworms of the Trichinella complex. Extensive biological diversity is reflected in substantial ecological and genetic variability within and among Trichinella taxa, and major controversy surrounds the systematics of this complex. Here we report the sequencing and assembly of 16 draft genomes representing all 12 recognized Trichinella species and genotypes, define protein-coding gene sets and assess genetic differences among these taxa. Using thousands of shared single-copy orthologous gene sequences, we fully reconstruct, for the first time, a phylogeny and biogeography for the Trichinella complex, and show that encapsulated and non-encapsulated Trichinella taxa diverged from their most recent common ancestor ∼21 million years ago (mya), with taxon diversifications commencing ∼10-7 mya.

  14. AFM reconstruction of complex-shaped chiral plasmonic nanostructures

    CERN Document Server

    Kondratov, Alexey V; Gainutdinov, Radmir V

    2016-01-01

    A significant part of the optical metamaterial phenomena has the plasmonic nature and their investigation requires very accurate knowledge of the fabricated structures shape with a focus on the periodical features. We describe a consistent approach to the shape reconstruction of the plasmonic nanostructures. This includes vertical and tilted spike AFM probes fabrication, AFM imaging and specific post-processing. We studied a complex-shaped chiral metamaterial and conclude that the described post-processing routine extends possibilities of the existing deconvolution algorithms in the case of periodical structures with known rotational symmetry, by providing valuable information about periodical features.

  15. Missing and spurious interactions and the reconstruction of complex networks

    CERN Document Server

    Guimera, R; 10.1073/pnas.0908366106

    2010-01-01

    Network analysis is currently used in a myriad of contexts: from identifying potential drug targets to predicting the spread of epidemics and designing vaccination strategies, and from finding friends to uncovering criminal activity. Despite the promise of the network approach, the reliability of network data is a source of great concern in all fields where complex networks are studied. Here, we present a general mathematical and computational framework to deal with the problem of data reliability in complex networks. In particular, we are able to reliably identify both missing and spurious interactions in noisy network observations. Remarkably, our approach also enables us to obtain, from those noisy observations, network reconstructions that yield estimates of the true network properties that are more accurate than those provided by the observations themselves. Our approach has the potential to guide experiments, to better characterize network data sets, and to drive new discoveries.

  16. Optimal Reconstruction of Material Properties in Complex Multiphysics Phenomena

    CERN Document Server

    Bukshtynov, Vladislav

    2013-01-01

    We develop an optimization-based approach to the problem of reconstructing temperature-dependent material properties in complex thermo-fluid systems described by the equations for the conservation of mass, momentum and energy. Our goal is to estimate the temperature dependence of the viscosity coefficient in the momentum equation based on some noisy temperature measurements, where the temperature is governed by a separate energy equation. We show that an elegant and computationally efficient solution of this inverse problem is obtained by formulating it as a PDE-constrained optimization problem which can be solved with a gradient-based descent method. A key element of the proposed approach, the cost functional gradients are characterized by mathematical structure quite different than in typical problems of PDE-constrained optimization and are expressed in terms of integrals defined over the level sets of the temperature field. Advanced techniques of integration on manifolds are required to evaluate numericall...

  17. Prediction of missing links and reconstruction of complex networks

    Science.gov (United States)

    Zhang, Cheng-Jun; Zeng, An

    2016-04-01

    Predicting missing links in complex networks is of great significance from both theoretical and practical point of view, which not only helps us understand the evolution of real systems but also relates to many applications in social, biological and online systems. In this paper, we study the features of different simple link prediction methods, revealing that they may lead to the distortion of networks’ structural and dynamical properties. Moreover, we find that high prediction accuracy is not definitely corresponding to a high performance in preserving the network properties when using link prediction methods to reconstruct networks. Our work highlights the importance of considering the feedback effect of the link prediction methods on network properties when designing the algorithms.

  18. Endovascular reconstruction of aneurysms with a complex geometry

    Directory of Open Access Journals (Sweden)

    Vipul Gupta

    2016-01-01

    Full Text Available Conventional endovascular coiling remains the mainstay of treatment for most aneurysms; however, it may not be suitable for aneurysms with a complex geometry and there remains the risk of recanalization. Aneurysms with an unfavorable morphology are difficult to treat through both endovascular and surgical means. Progress in endovascular technology has allowed for the emergence of newer strategies to treat aneurysms with a complex geometry. Better packing density in wide-necked and large aneurysms can be achieved through the balloon remodeling technique. Similarly, a self-expanding stent cannot only act as a scaffold that helps to retain coils but also aids in diverting the blood flow away from the aneurysm sac. Lately, focus has shifted from endosaccular occlusion to endoluminal reconstruction; flow diverters are being increasingly used to treat aneurysms with an unfavorable geometry. However, there is no clear consensus on the best endovascular management strategy in certain subset of aneurysms - large and giant internal carotid aneurysms, blister aneurysms, and fusiform/dissecting aneurysms of the vertebrobasilar artery. We present a review of literature and discuss the current evidence for the various endovascular strategies to treat complex aneurysms.

  19. Multivectorial, external halo-assisted midface distraction in patients with severe hypoplasia.

    Science.gov (United States)

    Malagon, Hector Hidalgo; Romo, Gabriela Wong; Quintero Mosqueda, Francisco Rafael; Magaña, Fernando Gonzalez

    2008-11-01

    Osteogenesis distraction is an increasingly used technique for the correction of facial deformities because it offers a faster and more controlled growth of the hypoplasic bone along with the elongation of the soft tissues. In this article, we describe the technique and our experience in midface distraction using an external multivectoral distraction device (BLUE Device; W. Lorenz, Jacksonville, FL) and custom-made midface osteotomies for the correction of severe hypoplasia.

  20. Promising results after single-stage reconstruction of the nipple and areola complex

    DEFF Research Database (Denmark)

    Børsen-Koch, Mikkel; Bille, Camilla; Thomsen, Jørn B

    2013-01-01

    Introduction: Reconstruction of the nipple-areola complex (NAC) traditionally marks the end of breast reconstruction. Several different surgical techniques have been described, but most are staged procedures. This paper describes a simple single-stage approach. Material and Methods: We used...... a technique based on a local flap for reconstruction of the nipple in combination with immediate intradermal tattooing for reconstruction of the areola. Results: We reviewed the outcome of 22 cases of women who had simple single-stage reconstruction over a period of one year. We found no major and only two...... reconstruction was 43 min. (30-50 min.). Conclusion: This simple single-stage NAC reconstruction seems beneficial for both patient and surgeon as it seems to be associated with faster reconstruction and reduced procedure-related time without compromising the aesthetic outcome or the morbidity associated...

  1. A comparative study of the diagnostic accuracy on Waters view with CT scan in detecting midface fractures

    OpenAIRE

    Panjnoush M.; Shirani Gh.; Jozghanbari P.

    2006-01-01

    Background and Aim: In recent years, CT scan has become available as an alternative to conventional radiography. To date, the utility of Waters view in detecting midface fractures has been rarely evaluated. The aim of this study was to compare the diagnostic accuracy and reliability of Waters radiography with CT scan in detecting midface fractures. Materials and Methods: In this tests evaluation study, waters view and CT scan were performed for 42 patients with midface fracture admitted to ma...

  2. Application of Hydrogel in Reconstruction Surgery: Hydrogel/Fat Graft Complex Filler for Volume Reconstruction in Critical Sized Muscle Defects

    Directory of Open Access Journals (Sweden)

    Y. F. Lui

    2016-01-01

    Full Text Available Autogenic fat graft usually suffers from degeneration and volume shrinkage in volume reconstruction applications. How to maintain graft viability and graft volume is an essential consideration in reconstruction therapies. In this presented investigation, a new fat graft transplantation method was developed aiming to improve long term graft viability and volume reconstruction effect by incorporation of hydrogel. The harvested fat graft is dissociated into small fragments and incorporated into a collagen based hydrogel to form a hydrogel/fat graft complex for volume reconstruction purpose. In vitro results indicate that the collagen based hydrogel can significantly improve the survivability of cells inside isolated graft. In a 6-month investigation on artificial created defect model, this hydrogel/fat graft complex filler has demonstrated the ability of promoting fat pad formation inside the targeted defect area. The newly generated fat pad can cover the whole defect and restore its original dimension in 6-month time point. Compared to simple fat transplantation, this hydrogel/fat graft complex system provides much improvement on long term volume restoration effect against degeneration and volume shrinkage. One notable effect is that there is continuous proliferation of adipose tissue throughout the 6-month period. In summary, the hydrogel/fat graft system presented in this investigation demonstrated a better and more significant effect on volume reconstruction in large sized volume defect than simple fat transplantation.

  3. Fat Grafting to the Breast, a Simple Procedure for a Very Complex Reconstruction.

    Science.gov (United States)

    Claro, Francisco; Pereira, Fernando Linhares; Pinto-Neto, Aarão M

    2016-01-01

    Usually, complicated reconstructions demand complex procedures. However, we report an unpublished situation where lipofilling was the only effective procedure for breast reconstruction, once 4 previous procedures, including 2 microvascular free flaps, had failed. The reported case describes a woman without subcutaneous tissue in the left breast topography, with radiation sequelae resulting in a fibrotic, hyperchromic, unexpandable skin that was tethered to her costal bone and pleura. The 4 previous attempts of breast reconstruction resulted in unavailable nearby recipient vessels, and this situation appointed breast lipofilling as the most feasible procedure. This report shows the power of breast lipofilling, a simple procedure that can be used even for the more complex reconstructions.

  4. Nipple-areolar Complex Reconstruction following Postmastectomy Breast Reconstruction: A Comparative Utility Assessment Study

    Directory of Open Access Journals (Sweden)

    Ahmed M. S. Ibrahim, MD

    2015-04-01

    Conclusions: The absence of NAC in a reconstructed breast can be objectively assessed using utility scores (VAS, 0.84 ± 0.18; TTO, 0.92 ± 0.11; SG, 0.92 ± 0.11. In comparison to prior reported conditions, the quality of life in patients choosing to undergo NAC reconstruction is similar to that of persons living with a nasal deformity or an aging neck requiring rejuvenation.

  5. On the Complexity of Reconstructing Chemical Reaction Networks

    DEFF Research Database (Denmark)

    Fagerberg, Rolf; Flamm, Christoph; Merkle, Daniel

    2013-01-01

    The analysis of the structure of chemical reaction networks is crucial for a better understanding of chemical processes. Such networks are well described as hypergraphs. However, due to the available methods, analyses regarding network properties are typically made on standard graphs derived from...... the full hypergraph description, e.g. on the so-called species and reaction graphs. However, a reconstruction of the underlying hypergraph from these graphs is not necessarily unique. In this paper, we address the problem of reconstructing a hypergraph from its species and reaction graph and show NP...

  6. Nose and Midface Augmentation by Rib Cartilage Grafts: Methods and Outcome in 32 Cases

    Directory of Open Access Journals (Sweden)

    Adham Farouk

    2015-01-01

    Full Text Available Recession of the midface is a relatively common condition that can have a negative impact on facial and nasal aesthetic appearance, and it poses a challenge to plastic surgeons. In cases with generalized maxillary retrusion and/or malocclusion, bone advancement surgery is required, but in localized cases, mostly seen in cleft lip patients, the quest is for an ideal material and a proper technique that would be used to augment the receding area. Throughout a period of seven years, thirty-two patients with nose and midface retrusion were managed by a construct of rib cartilage grafts designed to compensate the deficiency at the maxillary, piriform, and premaxillary areas. Results were satisfactory for most patients in terms of improved fullness of malar area, improved nasal tip projection and rotation, and improvement of upper lip. The presented technique of rib cartilage grafting is a safe and effective method for nose and midface augmentation.

  7. Utilization of intraoperative 3D navigation for delayed reconstruction of orbitozygomatic complex fractures.

    Science.gov (United States)

    Morrison, Clinton S; Taylor, Helena O; Sullivan, Stephen R

    2013-05-01

    Reconstructive goals for orbitozygomaticomaxillary complex fractures include restoration of orbital volume, facial projection, and facial width. Delayed reconstruction is made more difficult by malunion, nonunion, bony absorption, loss of the soft tissue envelope, and scar. Three-dimensional intraoperative navigation, widely used in neurosurgery and sinus surgery, can improve the accuracy with which bony reduction is performed. This is particularly useful in the setting of bony absorption and comminution. We report a case of delayed reconstruction of an orbitozygomaticomaxillary complex fracture using intraoperative navigation and review this technology's utility in this setting.

  8. Universal data-based method for reconstructing complex networks with binary-state dynamics

    Science.gov (United States)

    Li, Jingwen; Shen, Zhesi; Wang, Wen-Xu; Grebogi, Celso; Lai, Ying-Cheng

    2017-03-01

    To understand, predict, and control complex networked systems, a prerequisite is to reconstruct the network structure from observable data. Despite recent progress in network reconstruction, binary-state dynamics that are ubiquitous in nature, technology, and society still present an outstanding challenge in this field. Here we offer a framework for reconstructing complex networks with binary-state dynamics by developing a universal data-based linearization approach that is applicable to systems with linear, nonlinear, discontinuous, or stochastic dynamics governed by monotonic functions. The linearization procedure enables us to convert the network reconstruction into a sparse signal reconstruction problem that can be resolved through convex optimization. We demonstrate generally high reconstruction accuracy for a number of complex networks associated with distinct binary-state dynamics from using binary data contaminated by noise and missing data. Our framework is completely data driven, efficient, and robust, and does not require any a priori knowledge about the detailed dynamical process on the network. The framework represents a general paradigm for reconstructing, understanding, and exploiting complex networked systems with binary-state dynamics.

  9. LZ Complexity Distance of DNA Sequences and Its Application in Phylogenetic Tree Reconstruction

    Institute of Scientific and Technical Information of China (English)

    Bin Li; Yi-Bing Li; Hong-Bo He

    2005-01-01

    DNA sequences can be treated as finite-length symbol strings over a four-letter alphabet (A, C, T, G). As a universal and computable complexity measure, LZ complexity is valid to describe the complexity of DNA sequences. In this study, a concept of conditional LZ complexity between two sequences is proposed according to the principle of LZ complexity measure. An LZ complexity distance metric between two nonnull sequences is defined by utilizing conditional LZ complexity.Based on LZ complexity distance, a phylogenetic tree of 26 species of placental mammals (Eutheria) with three outgroup species was reconstructed from their complete mitochondrial genomes. On the debate that which two of the three main groups of placental mammals, namely Primates, Ferungulates, and Rodents, are more closely related, the phylogenetic tree reconstructed based on LZ complexity distance supports the suggestion that Primates and Ferungulates are more closely related.

  10. Complex nasal reconstruction after paracoccidioidomycosis infection--Case report.

    Science.gov (United States)

    Ribeiro, Emilie Barreto; Pochat, Victor Diniz de; Magaldi, Eduarda Nilo de; Figueiredo, Bruno Suffredini; Alonso, Nivaldo; Meneses, José Valber de Lima

    2015-01-01

    Paracoccidioidomycosis is an infectious disease whose etiological agent belongs to the Paracoccidioides genus. Although it affects primarily the lungs, it can spread to other tissues, including the skin and mucous membranes. Despite the clinical treatment for this disease, scarring can produce sequelae, manifesting as anatomical and functional deformities of the face. We present a case of extensive, nasal unaesthetic and functional sequelae resulting from paracoccidioidomycosis, reconstructed using the paramedian forehead flap in three stages, through the regional unit principles.

  11. Robustness and Optimization of Complex Networks: Reconstructability, Algorithms and Modeling

    NARCIS (Netherlands)

    Liu, D.

    2013-01-01

    The infrastructure networks, including the Internet, telecommunication networks, electrical power grids, transportation networks (road, railway, waterway, and airway networks), gas networks and water networks, are becoming more and more complex. The complex infrastructure networks are crucial to our

  12. Reconstruction of Complex Materials by Integral Geometric Measures

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    The goal of much research in computational materials science is to quantify necessary morphological information and then to develop stochastic models which both accurately reflect the material morphology and allow one to estimate macroscopic physical properties. A novel method of characterizing the morphology of disordered systems is presented based on the evolution of a family of integral geometric measures during erosion and dilation operations.The method is used to determine the accuracy of model reconstructions of random systems. It is shown that the use of erosion/dilation operations on the original image leads to a more accurate discrimination of morphology than previous methods.

  13. Mid-face location of primary basal cell carcinoma related to cancer aggressivity

    Directory of Open Access Journals (Sweden)

    Prasetyadi Mawardi

    2016-08-01

    Full Text Available Objective: To study the aggressiveness of basal cell carcinoma (BCC on the mid-face location. Methods: A total of 30 patients were diagnosed using specimen biopsy with hematoxylineosin stain at Moewardi Public Hospital in Surakarta, Central Java, Indonesia. The age, gender distribution, site of the lesion, as well as clinic-pathological appearance were analyzed. Results: There were 30 patients consisting of 46.7% males and 53.3% females with ages ranging from 33 to 91 years old and with the most common occupation, such as farmers (53.6% and housewives (26.7%. Morpheaform subtypes BCC were more frequent than other types. Based on the predilection, most of the BCC were found to be in the mid-face (76.7% and using determined criteria of histopathological examination, the aggressive appearance was 77% and non-aggressive BCC was 23%. The BCC on the mid-face location was more aggressive than the other sites (P < 0.05. Conclusions: BCC is the most common skin tumor in humans with rare metastases, which might cause significant damage due to its local recurrences and aggressiveness. BCC on the mid-face is significantly more aggressive than that on the other predilection sites.

  14. Reconstruction of a complex anterior abdominal wall defect with ...

    African Journals Online (AJOL)

    Prof. Oluwatosin

    2011-09-13

    Sep 13, 2011 ... defect with autologous tissues – a case report ... The anterior abdominal wall is a complex fascio-muscular structure, defects of which may ... The histology of the excised specimen, surprisingly, came back as a malignant ...

  15. Three dimensional reconstructions of Nummulites tests reveal complex chamber shapes

    Directory of Open Access Journals (Sweden)

    Willem Renema

    2015-07-01

    Full Text Available Larger benthic foraminifera (LBF are important and prolific carbonate producers both in modern and ancient shallow tropical seas. During the Paleogene the genus Nummulites was particularly abundant with a global distribution, leading it to be frequently used in biostratigraphy. However, their evolution is poorly understood as classification is Europe-centered and mostly based on external characters and equatorial thin sections. New occurrences from regions outside the northern Tethys which poorly fit in thus reference frame, show that a more rigid framework for the classification of Nummulites is needed. Here we apply micro computed-tomographical scanning, a tool that recently has become available, to visualise 3D chamber shape of Nummulites djokdjokartae and compare these to traditional morphometrical characters. We find that despite the regular shape in equatorial and axial thin section the irregular 3D chamber shape is not predicted by these sections. We argue that 3D reconstructions of Nummulites tests will be a great aid in improving our understanding of lineages within the genus Nummulites, and to elucidate its evolutionary and biogeographical history.

  16. Perioperative care following complex laryngotracheal reconstruction in infants and children

    Directory of Open Access Journals (Sweden)

    Gupta Punkaj

    2010-01-01

    Full Text Available Laryngotracheal reconstruction (LTR involves surgical correction of a stenotic airway with cartilage interpositional grafting, followed by either placement of a tracheostomy and an intraluminal stent (two-stage LTR or placement of an endotracheal tube with postoperative sedation and mechanical ventilation for an extended period of time (single-stage LTR. With single-stage repair, there may be several perioperative challenges including the provision of adequate sedation, avoidance of the development of tolerance to sedative and analgesia agents, the need to use neuromuscular blocking agents, the maintenance of adequate pulmonary toilet to avoid perioperative nosocomial infections, and optimization of postoperative respiratory function to facilitate successful tracheal extubation. We review the perioperative management of these patients, discuss the challenges during the postoperative period, and propose recommendations for the prevention of reversible causes of extubation failure in this article. Optimization to ensure a timely tracheal extubation and successful weaning of mechanical ventilator, remains the primary key to success in these surgeries as extubation failure or the need for prolonged postoperative mechanical ventilation can lead to failure of the graft site, the need for prolonged Pediatric Intensive Care Unit care, and in some cases, the need for a tracheostomy to maintain an adequate airway.

  17. Transapical Mitral Valve-in-Valve Replacement in Patient With Previous Complex Sternal Reconstruction.

    Science.gov (United States)

    Hynes, Conor F; Fatemi, Omid; Sharma, Aditya C; Nagy, Christian D; Trachiotis, Gregory D

    2016-01-01

    We present a complex case of a transapical redo mitral valve-in-valve replacement. Repeat mitral valve replacement was indicated for severe symptomatic bioprosthetic stenosis. In addition to the patient's numerous comorbidities that included diabetes, hepatic cirrhosis, ischemic cardiomyopathy, and atrial flutter, he had undergone a previous open mitral valve replacement that was complicated by sternal dehiscence requiring extensive chest wall reconstruction. Transapical approach was performed through left minithoracotomy incision with balloon-expandable valve. Transapical valve-in-valve replacement of a stenotic mitral bioprosthesis is a viable solution in a patient with previous complex chest wall reconstruction and multiple comorbidities.

  18. Importance of patient-specific intraoperative guides in complex maxillofacial reconstruction.

    Science.gov (United States)

    Rohner, Dennis; Guijarro-Martínez, Raquel; Bucher, Peter; Hammer, Beat

    2013-07-01

    Conventional maxillofacial reconstruction often leads to suboptimal results due to inaccurate planning or surgical difficulties in adjusting a free flap and osteosynthesis plates into a three-dimensional defect. To justify the importance of patient-specific intraoperative guides in complex maxillofacial reconstruction. CLINICAL EXAMPLE: A 40-year old patient underwent a left hemimaxillectomy for an adenoid cystic carcinoma of the palate. Six years later, massive recurrence required radical resection of the left orbit and reconstruction with cranial bone grafts and a free latissimus dorsi flap. Postoperative radiotherapy resulted in local osteoradionecrosis. Surgical revision and restoration of the maxillary defect with a prefabricated fibula flap was performed. The authors provide ample information on the application of computer-aided design and manufacturing (CAD-CAM) and rapid prototyping at each reconstructive step. Stereolithographic models enable simulation of the resective and reconstructive phases, prebending of reconstruction plates and fabrication of surgical guides. Optimal restitution of complex maxillofacial defects requires meticulous planning of the surgical and prosthetic phases and effective transfer of the plan to the operating room through patient specific guides. CAD-CAM technology and stereolithographic models represent an effective strategy to achieve this. Improved patient outcomes and intraoperative efficiency certainly offset the inherent increase in costs. Copyright © 2012 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  19. Alignment-Free Phylogenetic Reconstruction: Sample Complexity via a Branching Process Analysis

    CERN Document Server

    Daskalakis, Constantinos

    2011-01-01

    We present an efficient phylogenetic reconstruction algorithm, allowing insertions and deletions, which provably achieves a sequence-length requirement (or sample complexity) growing polynomially in the number of taxa. Our algorithm is distance-based, that is, it relies on pairwise sequence comparisons. More importantly, our approach largely bypasses the difficult problem of multiple sequence alignment.

  20. Reducing the Computational Complexity of Reconstruction in Compressed Sensing Nonuniform Sampling

    DEFF Research Database (Denmark)

    Grigoryan, Ruben; Jensen, Tobias Lindstrøm; Arildsen, Thomas

    2013-01-01

    This paper proposes a method that reduces the computational complexity of signal reconstruction in single-channel nonuniform sampling while acquiring frequency sparse multi-band signals. Generally, this compressed sensing based signal acquisition allows a decrease in the sampling rate of frequency...

  1. Direct observation of surface reconstruction and termination on a complex metal oxide catalyst by electron microscopy

    KAUST Repository

    Zhu, Yihan

    2012-03-19

    On the surface: The surface reconstruction of an MoVTeO complex metal oxide catalyst was observed directly by various electron microscopic techniques and the results explain the puzzling catalytic behavior. Copyright © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  2. Reconstruction

    Directory of Open Access Journals (Sweden)

    Stefano Zurrida

    2011-01-01

    Full Text Available Breast cancer is the most common cancer in women. Primary treatment is surgery, with mastectomy as the main treatment for most of the twentieth century. However, over that time, the extent of the procedure varied, and less extensive mastectomies are employed today compared to those used in the past, as excessively mutilating procedures did not improve survival. Today, many women receive breast-conserving surgery, usually with radiotherapy to the residual breast, instead of mastectomy, as it has been shown to be as effective as mastectomy in early disease. The relatively new skin-sparing mastectomy, often with immediate breast reconstruction, improves aesthetic outcomes and is oncologically safe. Nipple-sparing mastectomy is newer and used increasingly, with better acceptance by patients, and again appears to be oncologically safe. Breast reconstruction is an important adjunct to mastectomy, as it has a positive psychological impact on the patient, contributing to improved quality of life.

  3. [Tattooing of the nipple-areola complex in breast reconstruction: Technical note].

    Science.gov (United States)

    Riot, S; Devinck, F; Aljudaibi, N; Duquennoy-Martinot, V; Guerreschi, P

    2016-04-01

    The reconstruction of the nipple-areola complex is an essential step in breast reconstruction. It announces the end of the reconstruction process, which is often long and sometimes difficult to live for the patient and will significantly improve the perception of body image. Concerning the reconstruction of the areola, tattooing is one of the preferred techniques. It's a simple, quick and safe procedure with a high satisfaction rate. This technique is still perfectible in our opinion, because the random lifetime of pigmentation is a recognized disadvantage of this procedure. We propose a modification of the conventional technique for improving the quality of dermopigmentation while reducing its completion time. Our method is to perform a dermabrasion before starting the tattoo. Indeed, dermabrasion allows better penetration of the pigments inside the dermis and thus offers two advantages: a more durable result over time and reduced operation time by reducing the number of passing of the machine tattoo. Finally, our tattooing technique seems relevant and totally appropriate: its realization is simple, reproducible, does not increase the overall cost of reconstruction, provides timesavings and gives a better long-term result.

  4. 3D reconstruction of complex geological bodies: Examples from the Alps

    Science.gov (United States)

    Zanchi, Andrea; Francesca, Salvi; Stefano, Zanchetta; Simone, Sterlacchini; Graziano, Guerra

    2009-01-01

    Cartographic geological and structural data collected in the field and managed by Geographic Information Systems (GIS) technology can be used for 3D reconstruction of complex geological bodies. Using a link between GIS tools and gOcad, stratigraphic and tectonic surfaces can be reconstructed taking into account any geometrical constraint derived from field observations. Complex surfaces can be reconstructed using large data sets analysed by suitable geometrical techniques. Three main typologies of geometric features and related attributes are exported from a GIS-geodatabase: (1) topographic data as points from a digital elevation model; (2) stratigraphic and tectonic boundaries, and linear features as 2D polylines; (3) structural data as points. After having imported the available information into gOcad, the following steps should be performed: (1) construction of the topographic surface by interpolation of points; (2) 3D mapping of the linear geological boundaries and linear features by vertical projection on the reconstructed topographic surface; (3) definition of geometrical constraints from planar and linear outcrop data; (4) construction of a network of cross-sections based on field observations and geometrical constraints; (5) creation of 3D surfaces, closed volumes and grids from the constructed objects. Three examples of the reconstruction of complex geological bodies from the Italian Alps are presented here. The methodology demonstrates that although only outcrop data were available, 3D modelling has allows the checking of the geometrical consistency of the interpretative 2D sections and of the field geology, through a 3D visualisation of geometrical models. Application of a 3D geometrical model to the case studies can be very useful in geomechanical modelling for slope-stability or resource evaluation.

  5. Ab-initio reconstruction of complex Euclidean networks in two dimensions.

    Science.gov (United States)

    Gujarathi, S R; Farrow, C L; Glosser, C; Granlund, L; Duxbury, P M

    2014-05-01

    Reconstruction of complex structures is an inverse problem arising in virtually all areas of science and technology, from protein structure determination to bulk heterostructure solar cells and the structure of nanoparticles. We cast this problem as a complex network problem where the edges in a network have weights equal to the Euclidean distance between their endpoints. We present a method for reconstruction of the locations of the nodes of the network given only the edge weights of the Euclidean network. The theoretical foundations of the method are based on rigidity theory, which enables derivation of a polynomial bound on its efficiency. An efficient implementation of the method is discussed and timing results indicate that the run time of the algorithm is polynomial in the number of nodes in the network. We have reconstructed Euclidean networks of about 1000 nodes in approximately 24 h on a desktop computer using this implementation. We also reconstruct Euclidean networks corresponding to polymer chains in two dimensions and planar graphene nanoparticles. We have also modified our base algorithm so that it can successfully solve random point sets when the input data are less precise.

  6. COMPLEX SURFACE RECONSTRUCTION BASED ON OBJECT-ORIENTED DEVELOPING TOOL VBA

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Taking AutoCAD2000 as platform, an algorithm for the reconstruction of surface from scattered data points based on VBA is presented. With this core technology customers can be free from traditional AutoCAD as an electronic board and begin to create actual presentation of real-world objects. VBA is not only a very powerful tool of development, but with very simple syntax. Associating with those solids, objects and commands of AutoCAD 2000, VBA notably simplifies previous complex algorithms, graphical presentations and processing, etc. Meanwhile, it can avoid appearance of complex data structure and data format in reverse design with other modeling software. Applying VBA to reverse engineering can greatly improve modeling efficiency and facilitate surface reconstruction.

  7. Approximate reconstruction of continuous spatially complex domain motions by multialignment NMR residual dipolar couplings.

    Science.gov (United States)

    Fisher, Charles K; Al-Hashimi, Hashim M

    2009-05-07

    NMR spectroscopy is one of the most powerful techniques for studying the internal dynamics of biomolecules. Current formalisms approximate the dynamics using simple continuous motional models or models involving discrete jumps between a small number of states. However, no approach currently exists for interpreting NMR data in terms of continuous spatially complex motional paths that may feature more than one distinct maneuver. Here, we present an approach for approximately reconstructing spatially complex continuous motions of chiral domains using NMR anisotropic interactions. The key is to express Wigner matrix elements, which can be determined experimentally using residual dipolar couplings, as a line integral over a curve in configuration space containing an ensemble of conformations and to approximate the curve using a series of geodesic segments. Using this approach and five sets of synthetic residual dipolar couplings computed for five linearly independent alignment conditions, we show that it is theoretically possible to reconstruct salient features of a multisegment interhelical motional trajectory obtained from a 65 ns molecular dynamics simulation of a stem-loop RNA. Our study shows that the 3-D atomic reconstruction of complex motions in biomolecules is within experimental reach.

  8. GHOST Protocol: Greatest Healing Opportunity for Soft Tissue, a Treatment Paradigm for Complex Sarcoma Reconstruction.

    Science.gov (United States)

    Kobraei, Edward M; Eberlin, Kyle R; Ricci, Joseph A; Reish, Richard G; Winograd, Jonathan M; Cetrulo, Curtis L

    2015-06-01

    Modern sarcoma treatment has created new challenges for plastic surgeons. This study was designed to review the recent experience and practice patterns following complex sarcoma resection at a large sarcoma center. All cases from October 2013 to October 2014 involving rare nonepithelial tumors, a multidisciplinary surgical team, radiation and/or chemotherapy treatments, and plastic surgical reconstruction were included in the analysis. In addition to evaluating clinical outcomes, cases were reviewed to identify factors associated with excellent or poor patient care. Review of these cases formed the basis of the greatest healing opportunity for soft tissue (GHOST) protocol. Our patient population included seven males (64%) and four females (36%). All except one patient was exposed to radiotherapy, chemotherapy, or some combination. Diverse procedures were used for reconstruction. Early complications occurred in two patients (18%), and late complications in four patients (36%). Sarcoma resection was found to be highly morbid in our series. Patients with poor preoperative nutritional status were more likely to experience complications postoperatively. The decision to stage a reconstruction was complex and influenced by several factors. Multimodal sarcoma treatments may involve highly morbid procedures and create complex wounds. The GHOST protocol is a useful reference for plastic surgeons.

  9. Multipaddled anterolateral thigh chimeric flap for reconstruction of complex defects in head and neck.

    Directory of Open Access Journals (Sweden)

    Canhua Jiang

    Full Text Available The anterolateral thigh flap has been the workhouse flap for coverage of soft-tissue defects in head and neck for decades. However, the reconstruction of multiple and complex soft-tissue defects in head and neck with multipaddled anterolateral thigh chimeric flaps is still a challenge for reconstructive surgeries. Here, a clinical series of 12 cases is reported in which multipaddled anterolateral thigh chimeric flaps were used for complex soft-tissue defects with several separately anatomic locations in head and neck. Of the 12 cases, 7 patients presented with trismus were diagnosed as advanced buccal cancer with oral submucous fibrosis, 2 tongue cancer cases were found accompanied with multiple oral mucosa lesions or buccal cancer, and 3 were hypopharyngeal cancer with anterior neck skin invaded. All soft-tissue defects were reconstructed by multipaddled anterolateral thigh chimeric flaps, including 9 tripaddled anterolateral thigh flaps and 3 bipaddled flaps. The mean length of skin paddle was 19.2 (range: 14-23 cm and the mean width was 4.9 (range: 2.5-7 cm. All flaps survived and all donor sites were closed primarily. After a mean follow-up time of 9.1 months, there were no problems with the donor or recipient sites. This study supports that the multipaddled anterolateral thigh chimeric flap is a reliable and good alternative for complex and multiple soft-tissue defects of the head and neck.

  10. Nipple-areolar complex reconstruction and patient satisfaction: a systematic review and meta-analysis

    Science.gov (United States)

    2017-01-01

    Background Nipple-areola complex (NAC) reconstruction transforms a mound of soft tissue into a breast and often marks the final stage of breast reconstruction after mastectomy. Methods A systematic review and meta-analysis were conducted in accordance with the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. Articles were classified based on the nipple reconstructive technique—either composite nipple sharing or local flap with nipple-sparing mastectomy (NSM) used as a control. A standardized “Satisfaction Score” (SS) for “nipple appearance” and “nipple sensation” was calculated for each technique. A Fisher’s exact test was used to compare the SS with local flap reconstruction with NSM. Results Twenty-three studies met the systematic review inclusion criteria. Nine NSM articles were identified with patient satisfaction data from 473 patients. The weighted average SS for NSM was 80.5%. Fourteen local flap technique articles were identified with satisfaction data from 984 patients and a weighted average SS of 73.9%. This was a statistically significant difference (P=0.0079). C-V and badge local flap techniques were associated with the highest SS, 92.6% and 90.5%, respectively. C-V and modified C-V flap technique was associated with a higher SS when compared to those using one or more other flap techniques (P=0.0001). Conclusions While patient satisfaction with nipple reconstruction is high regardless of technique, it is higher with NSM. When NSM is not an option, local flap reconstruction with a C-V or modified C-V flap may be associated with higher satisfaction than alternative local flap techniques. PMID:28210547

  11. Nipple-Areola Complex Necrosis after Nipple-Sparing Mastectomy with Immediate Autologous Breast Reconstruction

    Directory of Open Access Journals (Sweden)

    Jin-Woo Cho

    2015-09-01

    Full Text Available BackgroundAutologous or implant-based breast reconstruction after nipple-sparing mastectomy is increasingly preferred worldwide as a breast cancer treatment option. However, postoperative nipple-areola complex (NAC necrosis is the most significant complication of nipple-sparing mastectomy. The purpose of our study was to identify the risk factors for NAC necrosis, and to describe the use of our skin-banking technique as a solution.MethodsWe reviewed cases of immediate autologous breast reconstruction after nipple-sparing mastectomy at our institution between June 2005 and January 2014. The patients' data were reviewed and the risk of NAC necrosis was analyzed based on correlations between patient variables and NAC necrosis. Moreover, data pertaining to five high-risk patients who underwent the donor skin-banking procedure were included in the analysis.ResultsEighty-five patients underwent immediate autologous breast reconstruction after nipple-sparing mastectomy during the study period. Partial or total NAC necrosis occurred in 36 patients (43.4%. Univariate analysis and binary regression modeling found that body mass index, smoking history, radiation therapy, and mastectomy volume were significantly associated with NAC necrosis. Of the 36 cases of NAC necrosis, 31 were resolved with dressing changes, debridement, or skin grafting. The other five high-risk patients underwent our prophylactic skin-banking technique during breast reconstruction surgery.ConclusionsNAC necrosis is common in patients with multiple risk factors. The use of the skin-banking technique in immediate autologous breast reconstruction is an attractive option for high-risk patients. Banked skin can be used in such cases without requiring additional donor tissue, with good results in terms of aesthetic and reconstructive outcomes.

  12. Cloacal reconstruction after a complex treatment of perineal haemangioma in a variant of PELVIS syndrome.

    Science.gov (United States)

    Zalimas, Algirdas; Posiunas, Gintas; Strupas, Sigitas; Raugalas, Ramunas; Raistenskis, Juozas; Verkauskas, Gilvydas

    2015-10-08

    neurological monitoring. Large perineal hemangiomas are commonly associated with extracutaneous abnormalities. Successful reconstructive surgery is possible after significant reduction of hemangioma by complex treatment.

  13. External frame distraction osteogenesis of the midface in the cleft patient

    Directory of Open Access Journals (Sweden)

    Hussain Syed

    2009-10-01

    Full Text Available Distraction osteogenesis has established itself as an accepted form of treatment in the management of midface deficiency in cleft patients. However, it is well known that some amount of relapse is inevitable in patients who undergo this procedure. Like most surgical techniques, it has its specific indications, limitations, and complications. The problems are amplified in some patients because of severe fibrosis resulting from previous palate and lip operations. This article reviews treatment planning, pre- and postoperative orthodontic management, operative technique, and mechanics of distraction. It also discusses long-term changes following distraction and protocols to optimize the results and minimize complications.

  14. Reconstruction of Holocene carbon dynamics in a large boreal peatland complex, southern Finland

    Science.gov (United States)

    Mathijssen, Paul J. H.; Väliranta, Minna; Korrensalo, Aino; Alekseychik, Pavel; Vesala, Timo; Rinne, Janne; Tuittila, Eeva-Stiina

    2016-06-01

    Holocene peatland development and associated carbon (C) dynamics were reconstructed for a southern boreal Finnish peatland complex with fen and bog areas. In order to assess the role of local factors and long-term allogenic climate forcing in peatland development patterns, we studied a total of 18 peat cores and reconstructed vertical peat growth and lateral peat area expansion rates, the C accumulation rate (CAR), past vegetation composition and past methane (CH4) fluxes. We combined fossil plant data with measured contemporary CH4 flux - vegetation relationship data to reconstruct CH4 fluxes over time. When these reconstructions were added to the CAR estimations, a more complete picture of Holocene-scale C dynamics was achieved. Basal peat ages showed that expansion of the peat area was rapid between 11,000 and 8000 cal. BP, but decreased during the dry mid-Holocene and is probably currently limited by basal topography. A similar pattern was observed for peat growth and CAR in the fen core, whereas in the bog core CAR increased after ombrotrophication, i.e. after 4400 cal. BP. The effect of fire on vegetation and CAR was more conspicuous at the bog site than at the fen site. The CH4 flux reconstructions showed that during the Holocene CH4 emissions at the fen site decreased from 19 ± 15 to 16 ± 8 g CH4 m-2 yr-1 and at the bog site from 20 ± 15 to 14 ± 8 g CH4 m-2 yr-1. Our results suggest that a combination of changing climate, fire events and local conditions have modified the autogenic peatland development and C dynamics.

  15. A comparative study of the diagnostic accuracy on Waters view with CT scan in detecting midface fractures

    Directory of Open Access Journals (Sweden)

    Panjnoush M.

    2006-08-01

    Full Text Available Background and Aim: In recent years, CT scan has become available as an alternative to conventional radiography. To date, the utility of Waters view in detecting midface fractures has been rarely evaluated. The aim of this study was to compare the diagnostic accuracy and reliability of Waters radiography with CT scan in detecting midface fractures. Materials and Methods: In this tests evaluation study, waters view and CT scan were performed for 42 patients with midface fracture admitted to maxillofacial surgery department of Shariati hospital. All images were observed and interpreted by an oral and maxillofacial radiologist and an oral and maxillofacial surgeon. Sensitivity, specificity and reliability for Waters view in detecting midface fractures were assessed by Cohen’s kappa test. Results: Sensitivity and specificity for Waters view in detection of midface fratures by the radiologist were 31.79% and 95.35% and by the surgeon were 29.59% and 93.75% respectively. The highest reliability in CT scan and Waters view (in nasal fractures by the radiologist was 66.67% and was 58.33% by the surgeon in buttress of zygoma. The highest agreement rate between the radiologist and the surgeon for CT scan was in zygomatic arch (78.95% and for Waters view was in nasal fracture (62.5%. Conclusion: Based on the results of this study, the specificity of Waters view is sufficient to diagnose fractures of lateral orbital wall, infraorbital rim, orbital floor, zygomatic arch, frontozygomatic suture, lateral wall of maxillary sinus and Lefort II fracture. The specificity is not sufficient to diagnose fractures of medial orbital wall and anterior, posterior and medial wall of maxillary sinus. Detection of these midface fractures needs other conventional radiographies or CT scan.

  16. Compressed Sensing-Based MRI Reconstruction Using Complex Double-Density Dual-Tree DWT

    Directory of Open Access Journals (Sweden)

    Zangen Zhu

    2013-01-01

    Full Text Available Undersampling k-space data is an efficient way to speed up the magnetic resonance imaging (MRI process. As a newly developed mathematical framework of signal sampling and recovery, compressed sensing (CS allows signal acquisition using fewer samples than what is specified by Nyquist-Shannon sampling theorem whenever the signal is sparse. As a result, CS has great potential in reducing data acquisition time in MRI. In traditional compressed sensing MRI methods, an image is reconstructed by enforcing its sparse representation with respect to a basis, usually wavelet transform or total variation. In this paper, we propose an improved compressed sensing-based reconstruction method using the complex double-density dual-tree discrete wavelet transform. Our experiments demonstrate that this method can reduce aliasing artifacts and achieve higher peak signal-to-noise ratio (PSNR and structural similarity (SSIM index.

  17. Reconstruction of Complex Facial Defects Using Cervical Expanded Flap Prefabricated by Temporoparietal Fascia Flap.

    Science.gov (United States)

    Zhang, Ling; Yang, Qinghua; Jiang, Haiyue; Liu, Ge; Huang, Wanlu; Dong, Weiwei

    2015-09-01

    Reconstruction of complex facial defects using cervical expanded flap prefabricated by temporoparietal fascia flap. Complex facial defects are required to restore not only function but also aesthetic appearance, so it is vital challenge for plastic surgeons. Skin grafts and traditional flap transfer cannot meet the reconstructive requirements of color and texture with recipient. The purpose of this sturdy is to create an expanded prefabricated temporoparietal fascia flap to repair complex facial defects. Two patients suffered severe burns on the face underwent complex facial resurfacing with prefabricated cervical flap. The vasculature of prefabricated flap, including the superficial temporal vessel and surrounding fascia, was used as the vascular carrier. The temporoparietal fascia flap was sutured underneath the cervical subcutaneous tissue, and expansion was begun in postoperative 1 week. After 4 to 6 months of expansion, the expander was removed, facial scars were excised, and cervical prefabricated flap was elevated and transferred to repair the complex facial defects. Two complex facial defects were repaired successfully by prefabricated temporoparietal fascia flap, and prefabricated flaps survived completely. On account of donor site's skin was thinner and expanded too fast, 1 expanded skin flap was rupture during expansion, but necrosis was not occurred after the 2nd operation. Venous congestion was observed in 1 patient, but after dressing, flap necrosis was not happened. Donor site was closed primarily. Postoperative follow-up 6 months, the color, texture of prefabricated flap was well-matched with facial skin. This method of expanded prefabricated flap may provide a reliable solution to the complex facial resurfacing.

  18. Pattern of midface trauma with associated concomitant injuries in a Nigerian Referral Centre

    Directory of Open Access Journals (Sweden)

    Samuel Udeabor

    2014-01-01

    Full Text Available Aim: The aim of this study was to determine the pattern of midface trauma with associated concomitant injuries seen in our environment. Methodology: This was a prospective analysis of trauma patients with midfacial injuries presenting at a referral center in South West Nigeria. In addition to socio-demographic data, the following information was also obtained: Mechanism of injuries, type of midfacial injuries, concomitant/associated injuries and treatment. Results: A total of 101 patients with midfacial injuries were involved. They were made up of 85 males and 16 females. The 20-29 year age group was mostly affected (44.6% and the most common cause of midface injuries was road traffic accident (91.1%. The zygoma was fractured more than any other midfacial bone (46.0%. A total of 144 associated injuries were recorded among these patients, head and ocular injuries accounted for 49 (34% and 35 (24.3% respectively. The patients were mostly treated conservatively or by closed reduction. Conclusion: The rate of head and ocular injuries among patients with midfacial injury was high. Knowledge of these associated injuries provides useful strategies for patient care and prevention of further complications. A multidisciplinary approach is important for optimum management of these patients.

  19. Genome-wide reconstruction of complex structural variants using read clouds.

    Science.gov (United States)

    Spies, Noah; Weng, Ziming; Bishara, Alex; McDaniel, Jennifer; Catoe, David; Zook, Justin M; Salit, Marc; West, Robert B; Batzoglou, Serafim; Sidow, Arend

    2017-09-01

    In read cloud approaches, microfluidic partitioning of long genomic DNA fragments and barcoding of shorter fragments derived from these fragments retains long-range information in short sequencing reads. This combination of short reads with long-range information represents a powerful alternative to single-molecule long-read sequencing. We develop Genome-wide Reconstruction of Complex Structural Variants (GROC-SVs) for SV detection and assembly from read cloud data and apply this method to Illumina-sequenced 10x Genomics sarcoma and breast cancer data sets. Compared with short-fragment sequencing, GROC-SVs substantially improves the specificity of breakpoint detection at comparable sensitivity. This approach also performs sequence assembly across multiple breakpoints simultaneously, enabling the reconstruction of events exhibiting remarkable complexity. We show that chromothriptic rearrangements occurred before copy number amplifications, and that rates of single-nucleotide variants and SVs are not correlated. Our results support the use of read cloud approaches to advance the characterization of large and complex structural variation.

  20. Lessons Learned from Delayed Versus Immediate Microsurgical Reconstruction of Complex Maxillectomy and Midfacial Defects: Experience in a Tertiary Center in Mexico.

    Science.gov (United States)

    Santamaria, Eric; de la Concha, Erika

    2016-10-01

    Microsurgical reconstruction of complex midfacial and maxillectomy defects is among the most challenging procedures in plastic surgery, and it often requires composite flaps to improve functional and aesthetic results. Various factors have been identified as having influence in the outcome of microsurgical reconstruction. In this article, the authors present their experience with immediate and delayed reconstruction of complex maxillectomy defects in a tertiary center in Mexico. The authors present a total of 37 patients with microsurgical reconstruction of a complex maxillectomy defect; 13 patients had immediate and 24 had delayed reconstructions. The authors recommend doing immediate reconstruction when feasible.

  1. Development of a Near-Field Bistatic Synthetic Aperture Radar for Complex Target Reconstruction

    Directory of Open Access Journals (Sweden)

    David G. Johnson

    2012-01-01

    Full Text Available This paper begins with a description of the design, construction, and characterization of a small electromagnetic anechoic chamber, developed specifically to house a bistatic ISAR system for the analysis of rock samples. Particular emphasis is given to the practicalities of construction, with the intention of assisting those in a similar position, wishing to build an anechoic chamber on a tight budget. The second part of the paper outlines efficient algorithms that may be applied to the tomographic and topographic reconstruction of complex targets within the viewing geometry of this ISAR system.

  2. Selective laser melted titanium implants: a new technique for the reconstruction of extensive zygomatic complex defects.

    Science.gov (United States)

    Rotaru, Horatiu; Schumacher, Ralf; Kim, Seong-Gon; Dinu, Cristian

    2015-12-01

    The restoration of extensive zygomatic complex defects is a surgical challenge owing to the difficulty of accurately restoring the normal anatomy, symmetry, proper facial projection and facial width. In the present study, an extensive post-traumatic zygomatic bone defect was reconstructed using a custom-made implant that was made with a selective laser melting (SLM) technique. The computer-designed implant had the proper geometry and fit perfectly into the defect without requiring any intraoperative adjustments. A one-year follow-up revealed a stable outcome with no complications.

  3. Optical correlation algorithm for reconstructing phase skeleton of complex optical fields for solving the phase problem

    DEFF Research Database (Denmark)

    Angelsky, O. V.; Gorsky, M. P.; Hanson, Steen Grüner;

    2014-01-01

    We propose an optical correlation algorithm illustrating a new general method for reconstructing the phase skeleton of complex optical fields from the measured two-dimensional intensity distribution. The core of the algorithm consists in locating the saddle points of the intensity distribution an...... and connecting such points into nets by the lines of intensity gradient that are closely associated with the equi-phase lines of the field. This algorithm provides a new partial solution to the inverse problem in optics commonly referred to as the phase problem....

  4. Signal Delay Reconstruction Metho d Based on Dynamic Index and Complex-Co efficient Lagrange Interp olation

    Institute of Scientific and Technical Information of China (English)

    ZHOU Yang,ZHENG Zhe; WU Siliang

    2015-01-01

    This paper presents a large-range, high-precision and continuously variable delay reconstruction method for wideband and arbitrary bandlimited signal, which combines dynamic index technique with complex-coefficient Lagrange interpolation technique. The method samples time-continuous bandlimited signal and stores samples in sequence. It manages to obtain the high-precision delay parameters of every sampling period from desired delay to compute the so-called index position variable and interpolator parameters. It dynamically in-dexes and chooses a set of samples to implement piecewise complex-coefficient Lagrange interpolation for reconstruct-ing the delayed sequences. The time-continuous delay re-construction signal can be simply accomplished through digital-to-analog conversion. The mathematical model of the method and its transformed form is given, and the arithmetic of dynamic index and complex-coefficient La-grange interpolation is derived. Simulation and test results show the validity and performance of the method.

  5. Vertical Midface Lifting with Periorbital Anchoring in the Management of Lower Eyelid Retraction: A 10-Year Clinical Retrospective Study.

    Science.gov (United States)

    Pascali, Michele; Botti, Chiara; Cervelli, Valerio; Botti, Giovanni

    2017-07-01

    Lower eyelid retraction can be the unfortunate result of aesthetic surgery, trauma, disease, or the aging processes. The purpose of this article is to assess whether midface lifting based on purely vertical repositioning constitutes an effective procedure for its correction. A retrospective study was carried out on 199 patients (311 eyelids) operated on between January of 2004 and January of 2014. The various causes of eyelid retraction in this population included cosmetic blepharoplasty (56.8 percent), involutional ectropion (23.1 percent), tumor resection (9.5 percent), facial nerve paralysis (8.5 percent), and trauma and related surgery (2 percent). The study was restricted exclusively to cases of moderate and severe lower eyelid retraction addressed by means of midface lifting. The mean follow-up time was 16.8 months. All of the patients were subjected to midface lifting with strengthening of the lateral canthus. A spacer graft was also used in 37.7 percent of the cases. One hundred ninety-five patients (97.9 percent) displayed objective improvement of the eyelid retraction and a marked degree of improvement both in aesthetic terms and as regards the functional disorders reported. Only four patients (2 percent) presented complications such as needing another operation. Midface lifting based on purely vertical repositioning makes it possible to recruit a considerable amount of "new" skin at the lower eyelid, thus ensuring a decrease in vertical distraction and correct recovery of the height of the external lamellar plane. Therapeutic, IV.

  6. Reconstructing Equation of State for Dark Energy in Double Complex Symmetric Gravitational Theory

    Institute of Scientific and Technical Information of China (English)

    SHAO Ying; GUI Yuan-Xing; WANG Wei

    2007-01-01

    We propose to study the accelerating expansion of the universe in the double complex symmetric gravitational theory (DCSGT). The universe we live in is taken as the real part of the whole spacetime M4C(J), which is double complex. By introducing the spatially flat FRW metric, not only the double Friedmann equations but also the two constraint conditions pJ = 0 and J2 = 1 are obtained. Furthermore, using parametric DL(z) ansatz, we reconstruct the ω′(z) and V(φ) for dark energy from real observational data. We find that in the two cases of J = i, pJ = 0, and J = ε, pJ ≠ 0, the corresponding equations of state ω′(z) remain close to -1 at present (z = 0) and change from below -1 to above -1. The results illustrate that the whole spacetime, i.e. the double complex spacetime M4C(J), may be either ordinary complex (J = i, pJ = 0) or hyperbolic complex (J = ε, pJ ≠ 0). And the fate of the universe would be Big Rip in the future.

  7. 2D and 3D reconstruction and geomechanical characterization of kilometre-scale complex folded structures

    Science.gov (United States)

    Zanchi, Andrea; Agliardi, Federico; Crosta, Giovanni B.; Villa, Alberto; Bistacchi, Andrea; Iudica, Gaetano

    2015-04-01

    points based on their normal vector orientations to identify and map bedding and fractures. Combined stereographic analysis of bedding orientations and use of filters allowed the quantification of fold hinge and limb geometries and their 3D reconstruction in GOCAD. Fracture patterns derived from points clouds and field data allowed identifying different geomechanical domains associated to the folded structure. Our results encourage the integrated analysis of high-resolution point clouds and detailed structural and geomechanical field data as inputs to the 3D geometrical reconstruction and modelling of folded rock masses. Validation of virtual outcrop reconstructions through a comparison with field structural measurements suggests that very precise geometrical constraints can be obtained by TLS on geological bodies with complex geometrical features. However, additional constraints on TLS survey layout design are required to optimise the reconstruction and distinction of specific structural elements associated to folding as bedding and fold-related fracture systems.

  8. Robust affine-invariant feature points matching for 3D surface reconstruction of complex landslide scenes

    Science.gov (United States)

    Stumpf, André; Malet, Jean-Philippe; Allemand, Pascal; Skupinski, Grzegorz; Deseilligny, Marc-Pierrot

    2013-04-01

    Multi-view stereo surface reconstruction from dense terrestrial photographs is being increasingly applied for geoscience applications such as quantitative geomorphology, and a number of different software solution and processing streamlines have been suggested. For image matching, camera self-calibration and bundle block adjustment, most approaches make use of scale-invariant feature transform (SIFT) to identify homologous points in multiple images. SIFT-like point matching is robust to apparent translation, rotation, and scaling of objects in multiple viewing geometries but the number of correctly identified matching points typically declines drastically with increasing angles between the viewpoints. For the application of multi-view stereo of complex landslide scenes, the viewing geometry is often constrained by the local topography and barriers such as rocks and vegetation occluding the target. Under such conditions it is not uncommon to encounter view angle differences of > 30% that hinder the image matching and eventually prohibit the joint estimation of the camera parameters from all views. Recently an affine invariant extension of the SIFT detector (ASIFT) has been demonstrated to provide more robust matches when large view-angle differences become an issue. In this study the ASIFT detector was adopted to detect homologous points in terrestrial photographs preceding 3D reconstruction of different parts (main scarp, toe) of the Super-Sauze landslide (Southern French Alps). 3D surface models for different time periods and different parts of the landslide were derived using the multi-view stereo framework implemented in MicMac (©IGN). The obtained 3D models were compared with reconstructions using the traditional SIFT detectors as well as alternative structure-from-motion implementations. An estimate of the absolute accuracy of the photogrammetric models was obtained through co-registration and comparison with high-resolution terrestrial LiDAR scans.

  9. Role of Russell - Taylor delta reconstruction nail in the management of complex proximal femoral fractures

    Directory of Open Access Journals (Sweden)

    Raj D

    2005-01-01

    Full Text Available Background: Complex proximal femoral fractures are challenging problem. Methods: Forty-one patients had Russell- Taylor Delta reconstruction nailing done during the period from March 1992 to December 1996. 38 patients could be followed both clinically and radiologically either up to the fracture union or death. Clinical outcome was assessed by Kyle′s criteria. Out of 13 patients with high-energy comminuted fractures, 12 were rated excellent or good. There was one death due to poly trauma. Results: Out of six elderly subtrochanteric fractures, 4 had excellent or good results. There was one poor result and one death. Out of 11 elderly interochanteric fractures with subtrochanteric extension, 8 had excellent or good results. There was 1 fair, 1 poor result and 1 death. In the elderly groups, the poor results were due to poor pre- existing medical conditions of the patients. In all the seven cases of pathological lesions, excellent or good results were achieved either till fracture union or death because of their malignant pathology. Conclusion: Russell- Taylor Delta reconstruction nail is a very useful device in high-energy comminuted proximal femoral fractures, in elderly low energy proximal femoral fractures and also in pathological lesions. The implant provides bio-mechanically stable fixation. The relatively high complication rate in elderly patients is because of their poor medical condition. In cases of pathological lesions, it is always preferable to fix the bone at the stage of impending fracture.

  10. A Structured-Light Approach for the Reconstruction of Complex Objects

    Directory of Open Access Journals (Sweden)

    Ilias Kalisperakis

    2011-12-01

    Full Text Available Recently, one of the central issues in the fields of Photogrammetry, Computer Vision, Computer Graphics and Image Processing is the development of tools for the automatic reconstruction of complex 3D objects. Among various approaches, one of the most promising is Structured Light 3D scanning (SL which combines automation and high accuracy with low cost, given the steady decrease in price of cameras and projectors. SL relies on the projection of different light patterns, by means of a video projector, on 3D object sur faces, which are recorded by one or more digital cameras. Automatic pattern identification on images allows reconstructing the shape of recorded 3D objects via triangulation of the optical rays corresponding to projector and camera pixels. Models draped with realistic phototexture may be thus also generated, reproducing both geometry and appearance of the 3D world. In this context, subject of our research is a synthesis of state-of-the-art as well as the development of novel algorithms, in order to implement a 3D scanning system consisting, at this stage, of one consumer digital camera (DSLR and a video projector. In the following, the main principles of structured light scanning and the algorithms implemented in our system are presented, and results are given to demonstrate the potential of such a system. Since this work is part of an ongoing research project, future tasks are also discussed.

  11. Laparoscopic Harvest of Omental Flaps for Reconstruction of Complex Mediastinal Wounds

    Science.gov (United States)

    Salameh, Jihad R.; Chock, Deborah A.; Gonzalez, John J.; Koneru, Suresh; Glass, Jeffrey L.

    2003-01-01

    Background: Omental harvest for complex poststernotomy mediastinal wounds has traditionally required a formal laparotomy in often high-risk patients, thus making it the procedure of last resort. Methods: The charts of all patients who underwent a laparoscopic omental harvest at the Texas Endosurgery Institute were retrospectively reviewed. Results: Seven patients, 4 males and 3 females with an average age of 65.1±6.3 years, with complex mediastinal wounds following coronary artery bypass grafting were studied. All patients underwent laparoscopic harvest of omental flaps based on the right gastroepiploic artery (3), the left gastroepiploic artery (1) or both (3), along with pectoralis major myocutaneous advancement flaps in 5 patients and partial-thickness skin graft and a vacuum-assisted closure device in 2 patients. The average operative time for the entire procedure was 196±54 minutes. Enteric feedings could be tolerated early postoperatively with a mean of 3.8 days. One death (14.2%) occurred. All surviving patients had excellent wound healing results at a mean follow-up of 19.1 months. Conclusion: Laparoscopic harvest of omental flaps for the reconstruction of complex mediastinal wounds is a valid and potentially less morbid alternative for the treatment of this infrequent but disastrous complication of open heart surgery. PMID:14626397

  12. Complex-Difference Constrained Compressed Sensing Reconstruction for Accelerated PRF Thermometry with Application to MRI Induced RF Heating

    Science.gov (United States)

    Cao, Zhipeng; Oh, Sukhoon; Otazo, Ricardo; Sica, Christopher T.; Griswold, Mark A.; Collins, Christopher M.

    2014-01-01

    Purpose Introduce a novel compressed sensing reconstruction method to accelerate proton resonance frequency (PRF) shift temperature imaging for MRI induced radiofrequency (RF) heating evaluation. Methods A compressed sensing approach that exploits sparsity of the complex difference between post-heating and baseline images is proposed to accelerate PRF temperature mapping. The method exploits the intra- and inter-image correlations to promote sparsity and remove shared aliasing artifacts. Validations were performed on simulations and retrospectively undersampled data acquired in ex-vivo and in-vivo studies by comparing performance with previously proposed techniques. Results The proposed complex difference constrained compressed sensing reconstruction method improved the reconstruction of smooth and local PRF temperature change images compared to various available reconstruction methods in a simulation study, a retrospective study with heating of a human forearm in vivo, and a retrospective study with heating of a sample of beef ex vivo . Conclusion Complex difference based compressed sensing with utilization of a fully-sampled baseline image improves the reconstruction accuracy for accelerated PRF thermometry. It can be used to improve the volumetric coverage and temporal resolution in evaluation of RF heating due to MRI, and may help facilitate and validate temperature-based methods for safety assurance. PMID:24753099

  13. Fast and Robust STEM Reconstruction in Complex Environments Using Terrestrial Laser Scanning

    Science.gov (United States)

    Wang, D.; Hollaus, M.; Puttonen, E.; Pfeifer, N.

    2016-06-01

    Terrestrial Laser Scanning (TLS) is an effective tool in forest research and management. However, accurate estimation of tree parameters still remains challenging in complex forests. In this paper, we present a novel algorithm for stem modeling in complex environments. This method does not require accurate delineation of stem points from the original point cloud. The stem reconstruction features a self-adaptive cylinder growing scheme. This algorithm is tested for a landslide region in the federal state of Vorarlberg, Austria. The algorithm results are compared with field reference data, which show that our algorithm is able to accurately retrieve the diameter at breast height (DBH) with a root mean square error (RMSE) of ~1.9 cm. This algorithm is further facilitated by applying an advanced sampling technique. Different sampling rates are applied and tested. It is found that a sampling rate of 7.5% is already able to retain the stem fitting quality and simultaneously reduce the computation time significantly by ~88%.

  14. The effect of model scale in reconstructing snow water equivalent over complex terrain

    Science.gov (United States)

    Molotch, N. P.; Durand, M.; Margulis, S. A.

    2007-05-01

    Improving estimates of water and energy fluxes in the rugged landscapes of the American Cordillera is particularly challenging given the considerable topographic heterogeneity and paucity of observations within the region. In these complex systems, parameterizations of sub-grid variability in energy and mass transformations are highly sensitive to relationships between model spatial resolution and the correlation-length scale of the variable of interest - which is usually unknown. In the mountainous regions of the Western United States, the processes controlling the distribution of snow water equivalent are likely better known than any other hydrologic state. The observation record is relatively long (dating back to the early part of the 20th century) and snow cover is relatively easy to detect using remotely sensed observations in the visible and near infrared. Hence, distributed snowpack simulations provide an ideal case study for exploring relationships between process, model, and observation scales; potentially guiding efforts regarding other hydrologic states (e.g. soil moisture). To that end, this research uses a time series of fractional snow covered area (SCA) estimates from Landsat Enhanced Thematic Mapper (ETM+), Moderate Resolution Imaging Spectoradiometer (MODIS), and Advanced Very High Resolution Radiometer (AVHRR) data, in combination with a spatially distributed snowmelt model, to reconstruct snow water equivalent (SWE) in the Rio Grande headwaters (3,419 km2) of Colorado, USA. In this reconstruction approach, modeled snowmelt over each pixel is integrated over the time of satellite observed snow cover to estimate SWE. Despite the considerable differences in the magnitude of SWE in 2001 versus 2002, model performance - using ETM+ data aggregated to 100-m resolution - was robust with a mean absolute error (MAE) of 23% relative to observed SWE from intensive field campaigns. Model performance deteriorated when MODIS (MAE = 57%) and AVHRR (MAE = 90

  15. Computational Complexity Reduction of Synthetic-aperture Focus in Ultrasound Imaging Using Frequency-domain Reconstruction.

    Science.gov (United States)

    Moghimirad, Elahe; Mahloojifar, Ali; Mohammadzadeh Asl, Babak

    2016-05-01

    A new frequency-domain implementation of a synthetic aperture focusing technique is presented in the paper. The concept is based on synthetic aperture radar (SAR) and sonar that is a developed version of the convolution model in the frequency domain. Compared with conventional line-by-line imaging, synthetic aperture imaging has a better resolution and contrast at the cost of more computational load. To overcome this problem, point-by-point reconstruction methods have been replaced by block-processing algorithms in radar and sonar; however, these techniques are relatively unknown in medical imaging. In this paper, we extended one of these methods called wavenumber to medical ultrasound imaging using a simple model of synthetic aperture focus. The model, derived here for monostatic mode, can be generalized to multistatic as well. The method consists of 4 steps: a 2D fast Fourier transform of the data, frequency shift of the data to baseband, interpolation to convert polar coordinates to rectangular ones, and returning the data to the spatial-domain using a 2D inverse Fourier transform. We have also used chirp pulse excitation followed by matched filtering and spotlighting algorithm to compensate the effect of differences in parameters between radar and medical imaging. Computational complexities of the two methods, wavenumber and delay-and-sum (DAS), have been calculated. Field II simulated point data have been used to evaluate the results in terms of resolution and contrast. Evaluations with simulated data show that for typical phantoms, reconstruction by the wavenumber algorithm is almost 20 times faster than classical DAS while retaining the resolution. © The Author(s) 2015.

  16. Fistulotomy and sphincter reconstruction in the treatment of complex fistula-in-ano: long-term clinical and manometric results.

    Science.gov (United States)

    Arroyo, Antonio; Pérez-Legaz, Juan; Moya, Pedro; Armañanzas, Laura; Lacueva, Javier; Pérez-Vicente, Francisco; Candela, Fernando; Calpena, Rafael

    2012-05-01

    To evaluate the long-term clinical and manometric results of fistulotomy and sphincter reconstruction for the treatment of complex fistula-in-ano. Complex fistula-in-ano is difficult to treat due to the occurrence of postoperative anal incontinence and the high rate of recurrence. Seventy patients who were diagnosed with complex fistula-in-ano and underwent fistulotomy and sphincter reconstruction between October 2000 and October 2006 were analyzed in the present study. Preoperative assessment included physical examination, anorectal manometry, and anal endosonography. Appointments were scheduled every 6 months during the first and second year of treatment and every 2 years thereafter. Recurrence and incontinence were evaluated during each visit. Continence was assessed according to the Wexner continence grading scale. Anal manometry was performed 3 and 12 months after treatment and every 2 years thereafter. Anal endosonography was conducted 6 months after treatment. Fistulas were classified as medium-high trans-sphincteric in 64 patients (91.42%) and were recurrent in 22 patients (32%). Before surgery, 22 patients (32%) reported fecal incontinence, which improved after surgery in 15 cases (70%), from 6.75 to 1.88 (P Fistulotomy with sphincter reconstruction is an effective technique for the treatment of complex fistula-in-ano. Continence and anal manometry results were improved in incontinent patients and were not jeopardized in continent ones. Fistulotomy with sphincter reconstruction is an especially suitable technique for incontinent patients with recurrent fistulas.

  17. Use of rotational fluoroscopy and 3-D reconstruction for pre-operative imaging of complex cloacal malformations.

    Science.gov (United States)

    Patel, Manish N

    2016-04-01

    Complex cloacal malformations are associated with a wide spectrum of anatomic defects involving the gastrointestinal, urinary, and gynecologic tracts; the variety and complexity of these defects complicate surgical planning and repair. Rotational fluoroscopy with 3-D reconstruction provides precise anatomic detail, particularly regarding length of the common channel, appearance/location of the vagina(s) and bladder, which facilitates surgical planning and determination of prognosis. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Super-resolution complex amplitude reconstruction of nanostructured binary data using an interference microscope with pattern matching.

    Science.gov (United States)

    Ishikawa, Shinji; Hayasaki, Yoshio

    2013-07-29

    We propose a new method of optically reconstructing binary data formed by nanostructures with an elemental size several tens of nanometers smaller than the diffraction limit, implemented with an interference microscope and a complex-amplitude image pattern matching method. We examine the size dependency of the data reconstruction capacity using a light propagation simulation based on the finite-difference time-domain (FDTD) method and the Fourier spatial frequency filtering method. We demonstrated that the readable size of the binary nanostructure depends on the magnitude of noise.

  19. Multi-disciplinary management of complex pressure sore reconstruction: 5-year review of experience in a spinal injuries centre.

    Science.gov (United States)

    Thomson, C H; Choudry, M; White, C; Mecci, M; Siddiqui, H

    2017-02-01

    INTRODUCTION In our regional spinal injuries unit, complex pressure ulcer reconstruction is facilitated by a monthly multidisciplinary team clinic. This study reviews a series of the more complex of these patients who underwent surgery as a joint case between plastics and other surgical specialties, aiming to provide descriptive data as well as share the experience of treating these complex wounds. MATERIALS AND METHODS Patients operated on as a joint case from 2010 to 2014 were identified through a locally held database and hospital records were then retrospectively reviewed for perioperative variables. Descriptive statistics were collected. RESULTS 12 patients underwent 15 procedures as a joint collaboration between plastic surgery and other surgical specialties: one with spinal surgery, 12 with orthopaedic and two with both orthopaedic and urology involvement. Ischial and trochanteric wounds accounted for 88% of cases with five Girdlestone procedures being performed and 12 requiring soft-tissue flap reconstruction. Mean operative time was 3.8hours. Four patients required high-dependency care and 13 patients received long-term antibiotics. Only three minor complications (20%) were seen with postoperative wound dehiscence. DISCUSSION The multidisciplinary team clinic allows careful assessment and selection of patients appropriate for surgical reconstruction and to help match expectations and limitations imposed by surgery, which are likely to influence their current lifestyle in this largely independent patient group. Collaboration with other specialties gives the best surgical outcome both for the present episode as well as leaving avenues open for potential future reconstruction.

  20. Reconstructing topological properties of complex networks from partial information using the Fitness Model

    Science.gov (United States)

    Gabrielli, Andrea; Battiston, Stefano; Caldarelli, Guido; Musmeci, Nicoló; Puliga, Michelangelo

    2014-03-01

    We present a new method to reconstruct global topological properties of complex networks starting from limited information. We assume to know for all nodes a non-topological quantity that we interpret as fitness, while the degree is known only for a subset of the nodes. We then use a fitness model, calibrated on the subset of nodes for which degrees are known, to generate ensembles of networks. We focus on topological properties relevant for processes of contagion and distress propagation in networks, i.e. network density and k-core structure. We study how well these properties can be estimated as a function of the size of the subset of nodes utilized for the calibration. We perform a first test on ensembles of synthetic networks generated with the Exponential Random Graph model. We then perform a second test on empirical networks taken from economic and financial contexts (World Trade Web and e-mid interbank network). In both cases, we find that a subset as small as 10% of nodes can be enough to estimate the properties of the network with an error of 5%.

  1. Ocular reconstruction after zygomatic complex fracture with retention of a foreign body.

    Science.gov (United States)

    Faverani, Leonardo Perez; Capelari, Marcos Maurício; Ramalho-Ferreira, Gabriel; Gomes-Filho, José Carlos Oliveira; Fabris, André Luís da Silva; Marzola, Clóvis; Toledo, Gustavo Lopes; Toledo-Filho, João Lopes

    2011-07-01

    Facial injuries with the retention of foreign bodies inside the tissues, both in soft and hard ones, can cause major functional and aesthetic damage. Among the different etiological agents, cutting tools, fragments of a firearm, the splinter of wood, steel, or iron, launched by misuse, or even caused by defects in equipment, are the main cause of these injuries. The aim of this study was to discuss the peculiarity of the multidisciplinary approach in caring of a 33-year-old man, victim of an accident at work, by the rupture of an emery disc and consequent penetration of the fragments in violation of the tissues in the orbital and zygomatic region of the left side, with perforation of the eyeball and orbital-zygomatic fracture. Urgent treatment consisted of debridement of wounds, bleeding control, removal of foreign bodies, fracture reduction with rigid internal fixation, and suture, performed by the oral and maxillofacial surgical team. Reconstruction of orbital tissues by the ophthalmology team consisted of suture of the injuries. About 1 month after the trauma, phthisis bulbi was noted, and the patient underwent a new procedure under general anesthesia for eye evisceration and installation of an alloplastic prosthesis associated with the homogenous sclera. Facial harmony was restored, especially in aesthetics and function of the zygomatic-orbital complex.

  2. [Distraction osteogenesis in the midface. Indications, technique and first long-term results].

    Science.gov (United States)

    Kessler, Peter; Kloss, Frank; Hirschfelder, Ursula; Neukam, Friedrich Wilhelm; Wiltfang, Jörg

    2003-01-01

    Since the beginning of 1998, eleven patients have been treated by osteodistraction to correct hypoplasia of the maxilla and midface of various origins. Among them were six patients who were treated by high LeFort I osteotomies and insertion of subcutaneous intraoral distraction devices in the malar region. In the remaining five patients extraoral distraction devices were applied after LeFort I, II and III osteotomies. Distraction osteogenesis was successful in all cases, resulting in a mean sagittal bone gain measured parallel to the skull base of 9.5 mm (range 4.5-12.0) in the group treated with intraoral distractors and a mean of 19.4 mm in the extraoral distraction group (range 15.0-25.0). All patients were kept under orthodontic supervision before, during, and after osteodistraction. In eight patients long-term cephalometric and clinical evaluation after a mean follow-up period of 24 months in the intraoral distraction group (range 22-26) and 12 months in the extraoral distraction group (range 10-14) show stable results concerning the skeletal and dental relations. Long-term follow-up is necessary.

  3. Long-term results of distraction osteogenesis of the maxilla and midface.

    Science.gov (United States)

    Wiltfang, J; Hirschfelder, U; Neukam, F W; Kessler, P

    2002-12-01

    Since the beginning of 1998, eight patients have been treated by osteodistraction to correct hypoplasia of the maxilla and midface of various origins. Among them were five patients who were treated by high LeFort I osteotomies and insertion of subcutaneous intraoral distraction devices in the malar region. In the remaining three patients, extraoral distraction devices were applied after LeFort II and III osteotomies. Distraction osteogenesis was successful in all cases, resulting in a mean sagittal bone gain measured parallel to the skull base of 9.0 mm (range 4.5-12.0) in the group treated with intraoral distractors and a mean of 20.3 mm in the extraoral distraction group (range 15.0-25.0). All patients were kept under orthodontic supervision before, during, and after osteodistraction. Long-term cephalometric and clinical evaluation after a mean follow-up period of 24 months in the intraoral distraction group (range 22-26) and 12 months in the extraoral distraction group (range 10-14) show stable results concerning the skeletal and dental relations. Long-term follow-up is necessary.

  4. Evolution of design considerations in complex craniofacial reconstruction using patient-specific implants.

    Science.gov (United States)

    Peel, Sean; Bhatia, Satyajeet; Eggbeer, Dominic; Morris, Daniel S; Hayhurst, Caroline

    2017-06-01

    Previously published evidence has established major clinical benefits from using computer-aided design, computer-aided manufacturing, and additive manufacturing to produce patient-specific devices. These include cutting guides, drilling guides, positioning guides, and implants. However, custom devices produced using these methods are still not in routine use, particularly by the UK National Health Service. Oft-cited reasons for this slow uptake include the following: a higher up-front cost than conventionally fabricated devices, material-choice uncertainty, and a lack of long-term follow-up due to their relatively recent introduction. This article identifies a further gap in current knowledge - that of design rules, or key specification considerations for complex computer-aided design/computer-aided manufacturing/additive manufacturing devices. This research begins to address the gap by combining a detailed review of the literature with first-hand experience of interdisciplinary collaboration on five craniofacial patient case studies. In each patient case, bony lesions in the orbito-temporal region were segmented, excised, and reconstructed in the virtual environment. Three cases translated these digital plans into theatre via polymer surgical guides. Four cases utilised additive manufacturing to fabricate titanium implants. One implant was machined from polyether ether ketone. From the literature, articles with relevant abstracts were analysed to extract design considerations. In all, 19 frequently recurring design considerations were extracted from previous publications. Nine new design considerations were extracted from the case studies - on the basis of subjective clinical evaluation. These were synthesised to produce a design considerations framework to assist clinicians with prescribing and design engineers with modelling. Promising avenues for further research are proposed.

  5. 面中部除皱的小切口选择%Choice of Minimal Incision in Mid-Face Lift

    Institute of Scientific and Technical Information of China (English)

    闫飞; 王克明; 马继光

    2016-01-01

    皮肤衰老是多种机制共同参与的一种复杂的多因素过程。随着人们对面中部老化过程及解剖认识的进一步加深,各种手术方式得以改进,并出现一些新的微创外科技术,术后恢复快、瘢痕小,如小切口除皱、内窥镜除皱、埋线等。本文对近几年面中部微创除皱手术中有关切口选择的进展进行综述。%[Summary] Skin aging is a complex and multifactorial process with multiple mechanisms participating at the same time. More recently, improvements in understanding of mid-facial aging and anatomy have paralleled the development of minimally invasive surgical techniques. Those techniques provide rapid postoperative recovery and small scar, which contain small incision rhytidectomy, endoscopic rhytidectomy and thread-lift. In this paper, the choice of minimal incision in mid-face lift in recent years was reviewed.

  6. Promising results after single-stage reconstruction of the nipple and areola complex

    DEFF Research Database (Denmark)

    Børsen-Koch, Mikkel; Bille, Camilla; Thomsen, Jørn B

    2013-01-01

    a technique based on a local flap for reconstruction of the nipple in combination with immediate intradermal tattooing for reconstruction of the areola. Results: We reviewed the outcome of 22 cases of women who had simple single-stage reconstruction over a period of one year. We found no major and only two...... minor complications including one case of partial flap necrosis and one case of infection. Only three patients needed additional tattooing after a three-month period. The cosmetic outcome was satisfactory and none of the patients needed corrective procedures. The mean procedure time for unilateral...

  7. Use of customized polyetheretherketone (PEEK) implants in the reconstruction of complex maxillofacial defects.

    Science.gov (United States)

    Kim, Michael M; Boahene, Kofi D O; Byrne, Patrick J

    2009-01-01

    Extensive maxillofacial defects resulting from trauma or oncologic resection present reconstructive challenges. Various autografts and alloplastic materials in conjunction with standard soft-tissue techniques have been used in the reconstruction of these types of defects. Polyetheretherketone (PEEK) is a semicrystalline polyaromatic linear polymer exhibiting an excellent combination of strength, stiffness, durability, and environmental resistance. Recent investigations of PEEK as a biomaterial resulted in the successful treatment of cervical disk disease. We describe a series of 4 patients whose defects were reconstructed using customized PEEK implants. All had excellent postoperative aesthetic and functional results without complications such as infections or extrusions. Because PEEK implants are customizable, easily workable, inert, and nonporous, they represent an ideal alloplastic material for maxillofacial reconstruction.

  8. Long-term results of complex left ventricular reconstruction surgery: case report.

    Science.gov (United States)

    Letsou, George V; Forrester, Matthew; Frazier, O H

    2011-01-01

    Left ventricular reconstruction is advocated as a surgical option for patients with severe congestive heart failure. Despite initial enthusiasm for this procedure, reports of long-term results are sparse. Herein, we describe a particularly gratifying case of left ventricular reconstruction in a 43-year-old man, who continues to have excellent left ventricular function 10 years postoperatively. This approach may be a reasonable alternative to cardiac transplantation in patients who lack other treatment options.

  9. [Reconstruction assisted by 3D printing in maxillofacial surgery].

    Science.gov (United States)

    Ernoult, C; Bouletreau, P; Meyer, C; Aubry, S; Breton, P; Bachelet, J-T

    2015-04-01

    3-dimensional models (3D) appeared in the medical field 20 years ago. The recent development of consumer 3D printers explains the renewed interest in this technology. We describe the technical and practical modalities of this surgical tool, illustrated by concrete examples. The OsiriX(®) software (version 5.8.5, Geneva, Switzerland) was used for 3D surface reconstruction of the area of interest, the generation and export of ".stl" file. The NetFabb(®) software (Basic version 5.1.1, Lupburg, Germany) provided the preparation of ".stl" file. The 3D-printer was an Up plus 2 Easy 120(®) (PP3DP, Beijing Technology Co. TierTime Ltd., Chine). The printer used fused deposition modeling. The softwar Up!(®) allowed the 3d impression as required. The first case illustrated the value of 3D printing in the upper (frontal sinus and orbital roof). The second case concerned the preconfiguration of the osteosynthesis material for a complex fracture of the midface through the "mirroring" system. The third case showed the conformation of a prereconstruction for segmental mandibulectomy. Current 3D-printers are easy to use and represent a promising solution for medical prototyping. The 3D printing will quickly become undeniable because of its advantages: information sharing, simulation, surgical guides, pedagogy. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  10. Complex reconstructive surgery following removal of extra-intracranial meningiomas, including the use of autologous fibrin glue and a pedicled muscle flap

    Directory of Open Access Journals (Sweden)

    Antonella Giugno, M.D.

    2014-12-01

    Conclusions: Reparation of CSF fistulas that arise after meningioma surgery can require a complex reconstructive surgery of the superficial layers; when cranioplasty is not feasible or indicated, a meticulous reconstruction of the extracranial soft tissues is possible also by using vascularized autologous distal muscular tissue, with close interdisciplinary cooperation.

  11. Combining ancestral sequence reconstruction with protein design to identify an interface hotspot in a key metabolic enzyme complex.

    Science.gov (United States)

    Holinski, Alexandra; Heyn, Kristina; Merkl, Rainer; Sterner, Reinhard

    2017-02-01

    It is important to identify hotspot residues that determine protein-protein interactions in interfaces of macromolecular complexes. We have applied a combination of ancestral sequence reconstruction and protein design to identify hotspots within imidazole glycerol phosphate synthase (ImGPS). ImGPS is a key metabolic enzyme complex, which links histidine and de novo purine biosynthesis and consists of the cyclase subunit HisF and the glutaminase subunit HisH. Initial fluorescence titration experiments showed that HisH from Zymomonas mobilis (zmHisH) binds with high affinity to the reconstructed HisF from the last universal common ancestor (LUCA-HisF) but not to HisF from Pyrobaculum arsenaticum (paHisF), which differ by 103 residues. Subsequent titration experiments with a reconstructed evolutionary intermediate linking LUCA-HisF and paHisF and inspection of the subunit interface of a contemporary ImGPS allowed us to narrow down the differences crucial for zmHisH binding to nine amino acids of HisF. Homology modeling and in silico mutagenesis studies suggested that at most two of these nine HisF residues are crucial for zmHisH binding. These computational results were verified by experimental site-directed mutagenesis, which finally enabled us to pinpoint a single amino acid residue in HisF that is decisive for high-affinity binding of zmHisH. Our work shows that the identification of protein interface hotspots can be very efficient when reconstructed proteins with different binding properties are included in the analysis. Proteins 2017; 85:312-321. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  12. Analysis of protein-protein docking decoys using interaction fingerprints: application to the reconstruction of CaM-ligand complexes

    Directory of Open Access Journals (Sweden)

    Uchikoga Nobuyuki

    2010-05-01

    Full Text Available Abstract Background Protein-protein docking for proteins with large conformational changes was analyzed by using interaction fingerprints, one of the scales for measuring similarities among complex structures, utilized especially for searching near-native protein-ligand or protein-protein complex structures. Here, we have proposed a combined method for analyzing protein-protein docking by taking large conformational changes into consideration. This combined method consists of ensemble soft docking with multiple protein structures, refinement of complexes, and cluster analysis using interaction fingerprints and energy profiles. Results To test for the applicability of this combined method, various CaM-ligand complexes were reconstructed from the NMR structures of unbound CaM. For the purpose of reconstruction, we used three known CaM-ligands, namely, the CaM-binding peptides of cyclic nucleotide gateway (CNG, CaM kinase kinase (CaMKK and the plasma membrane Ca2+ ATPase pump (PMCA, and thirty-one structurally diverse CaM conformations. For each ligand, 62000 CaM-ligand complexes were generated in the docking step and the relationship between their energy profiles and structural similarities to the native complex were analyzed using interaction fingerprint and RMSD. Near-native clusters were obtained in the case of CNG and CaMKK. Conclusions The interaction fingerprint method discriminated near-native structures better than the RMSD method in cluster analysis. We showed that a combined method that includes the interaction fingerprint is very useful for protein-protein docking analysis of certain cases.

  13. Bayesian History Reconstruction of Complex Human Gene Clusters on a Phylogeny

    CERN Document Server

    Vinař, Tomáš; Song, Giltae; Siepel, Adam

    2009-01-01

    Clusters of genes that have evolved by repeated segmental duplication present difficult challenges throughout genomic analysis, from sequence assembly to functional analysis. Improved understanding of these clusters is of utmost importance, since they have been shown to be the source of evolutionary innovation, and have been linked to multiple diseases, including HIV and a variety of cancers. Previously, Zhang et al. (2008) developed an algorithm for reconstructing parsimonious evolutionary histories of such gene clusters, using only human genomic sequence data. In this paper, we propose a probabilistic model for the evolution of gene clusters on a phylogeny, and an MCMC algorithm for reconstruction of duplication histories from genomic sequences in multiple species. Several projects are underway to obtain high quality BAC-based assemblies of duplicated clusters in multiple species, and we anticipate that our method will be useful in analyzing these valuable new data sets.

  14. Experience With Esthetic Reconstruction of Complex Facial Soft Tissue Trauma; Application of the Pulsed Dye Laser

    Directory of Open Access Journals (Sweden)

    Ebrahimi

    2014-08-01

    Full Text Available Background Facial soft tissue injury can be one of the most challenging cases presenting to the plastic surgeon. The life quality and self-esteem of the patients with facial injury may be compromised temporarily or permanently. Immediate reconstruction of most defects leads to better restoration of form and function as well as early rehabilitation. Objectives The aim of this study was to present our experience in management of facial soft tissue injuries from different causes. Patients and Methods We prospectively studied patients treated by plastic surgeons from 2010 to 2012 suffering from different types of blunt or sharp (penetrating facial soft tissue injuries to the different areas of the face. All soft tissue injuries were treated primarily. Photography from all patients before, during, and after surgical reconstruction was performed and the results were collected. We used early pulsed dye laser (PDL post-operatively. Results In our study, 63 patients including 18 (28.5% women and 45 (71.5% men aged 8-70 years (mean 47 years underwent facial reconstruction due to soft tissue trauma in different parts of the face. Sharp wounds were seen in 15 (23% patients and blunt trauma lacerations were seen in 52 (77% patients. Overall, 65% of facial injuries were repaired primary and the remainder were reconstructed with local flaps or skin graft from adjacent tissues. Postoperative PDL therapy done two weeks following surgery for all scars yielded good results in our cases. Conclusions Analysis of the injury including location, size, and depth of penetration as well as presence of associated injuries can aid in the formulation of a proper surgical plan. We recommend PDL in the early post operation period (two weeks after suture removal for better aesthetic results.

  15. One-step reconstruction with a 3D-printed, biomechanically evaluated custom implant after complex pelvic tumor resection.

    Science.gov (United States)

    Wong, K C; Kumta, S M; Geel, N V; Demol, J

    2015-01-01

    Resection of a pelvic tumor is challenging because of its complex three-dimensional (3D) anatomy and deep-seated location with nearby vital structures. The resection is technically demanding if a custom implant is used for reconstruction of the bone defect as the surgeon needs to ensure the resection margin is sufficiently wide and the orientation of intended resection planes must match that of the custom implant. We describe a novel workflow of performing a partial acetabular resection in a patient with pelvic chondrosarcoma and reconstruction with a custom pelvic implant in a one-step operation. A multi-planar bone resection was virtually planned. A computer-aided design implant that both matched the bone defect and biomechanically evaluated was prefabricated with 3D printing technology. The 3D-printed patient-specific instruments (PSIs) were used to reproduce the same planned resection. The histology of the tumor specimen showed a clear resection margin. The errors of the achieved resection and implant position were deviating (1-4 mm) from the planned. The patient could walk unaided with a good hip function. No tumor recurrence and implant loosening were noted at 11 months after surgery. The use of this novel CT-based method for surgical planning, the engineering software for implant design and validation, together with 3D printing technology for implant and PSI fabrication makes it possible to generate a personalized, biomechanically evaluated implant for accurate reconstruction after a pelvic tumor resection in a one-step operation. Further study in a larger population is needed to assess the clinical efficacy of the workflow in complex bone tumor surgery.

  16. The Combination of Lower Lid Blepharoplasty and Mid-Face Lift%睑袋和面中部松垂联合矫正术

    Institute of Scientific and Technical Information of China (English)

    陈贵敏; 黄恒平; 陈义华

    2012-01-01

    目的:探讨应用睑袋和面中部联合手术改善面中部老化的方法与效果.方法:采用睑袋常规切口,从眼轮匝肌及面中部SMAS下分离.使颧脂肪垫复位固定,并将眶肌筋膜韧带牵拉缝合于外眦部骨膜上.结果:本组共69例,其中58例术后1-18个月获得随访,睑袋、加深的鼻唇沟基本消失,面中部松垂明显改善,效果良好.结论:本术式操作简便,年轻化效果满意,创伤轻,并发症少,是一个临床可以选用的较好手术方法.%Objective: To evaluate the combination of lower lid blepharoplasty and mid-face lift. Methods: A lower lid subciliary incision was made extending to a point just lateral to the canthus. Dissection was suborbicularis to the inferior lateral orbital rims. The malar soft tissue complex including malar fat pat was fixed to the periosteum just lateral to the lateral canthus. Results: Sixty-nine cases were treated, and 58 cases were followed for 1-18 monthes, good results were achieved. Conclusions: This technique which can be performed safely and effectively is a good choice for the correction of aging face.

  17. Design of low complexity sharp MDFT filter banks with perfect reconstruction using hybrid harmony-gravitational search algorithm

    Directory of Open Access Journals (Sweden)

    V. Sakthivel

    2015-12-01

    Full Text Available The design of low complexity sharp transition width Modified Discrete Fourier Transform (MDFT filter bank with perfect reconstruction (PR is proposed in this work. The current trends in technology require high data rates and speedy processing along with reduced power consumption, implementation complexity and chip area. Filters with sharp transition width are required for various applications in wireless communication. Frequency response masking (FRM technique is used to reduce the implementation complexity of sharp MDFT filter banks with PR. Further, to reduce the implementation complexity, the continuous coefficients of the filters in the MDFT filter banks are represented in discrete space using canonic signed digit (CSD. The multipliers in the filters are replaced by shifters and adders. The number of non-zero bits is reduced in the conversion process to minimize the number of adders and shifters required for the filter implementation. Hence the performances of the MDFT filter bank with PR may degrade. In this work, the performances of the MDFT filter banks with PR are improved using a hybrid Harmony-Gravitational search algorithm.

  18. Fermi-surface reconstruction and complex phase equilibria in CaFe2As2.

    Science.gov (United States)

    Gofryk, K; Saparov, B; Durakiewicz, T; Chikina, A; Danzenbächer, S; Vyalikh, D V; Graf, M J; Sefat, A S

    2014-05-09

    Fermi-surface topology governs the relationship between magnetism and superconductivity in iron-based materials. Using low-temperature transport, angle-resolved photoemission, and x-ray diffraction, we show unambiguous evidence of large Fermi-surface reconstruction in CaFe2As2 at magnetic spin-density-wave and nonmagnetic collapsed-tetragonal (cT) transitions. For the cT transition, the change in the Fermi-surface topology has a different character with no contribution from the hole part of the Fermi surface. In addition, the results suggest that the pressure effect in CaFe2As2 is mainly leading to a rigid-band-like change of the valence electronic structure. We discuss these results and their implications for magnetism and superconductivity in this material.

  19. A rare case of massive carpal osteoblastoma requiring complex reconstructive surgery.

    Science.gov (United States)

    Dunda, S E; Kauczok, J; Demir, E; Braunschweig, T; Pallua, N

    2013-07-01

    An osteoblastoma is a rare, commonly benign, osteoid-producing neoplasm of the bone with an incidence of 2% of all primary bone tumours. We present a case of a 54-year-old patient with persisting carpal pain and massive swelling of the hand for a period of 4 years. Incision biopsies revealed the histopathological finding of a carpal osteoblastoma. After complete tumour excision, including the carpal and, in parts, metacarpal bones, reconstructive surgery was performed with a free osteocutaneous iliac crest flap to obtain a natural hand contour and the best possible hand function. Follow-up revealed improvement of the hand function in terms of flexion, extension and strength without discomfort or further pain. Thus, ongoing carpal pain should lead to an intensive search with further diagnostic measures such as magnetic resonance imaging (MRI) scan as well as biopsies, if necessary, to obtain the correct diagnosis.

  20. Fermi-Surface Reconstruction and Complex Phase Equilibria in CaFe2As2

    Science.gov (United States)

    Gofryk, K.; Saparov, B.; Durakiewicz, T.; Chikina, A.; Danzenbächer, S.; Vyalikh, D. V.; Graf, M. J.; Sefat, A. S.

    2014-05-01

    Fermi-surface topology governs the relationship between magnetism and superconductivity in iron-based materials. Using low-temperature transport, angle-resolved photoemission, and x-ray diffraction, we show unambiguous evidence of large Fermi-surface reconstruction in CaFe2As2 at magnetic spin-density-wave and nonmagnetic collapsed-tetragonal (cT) transitions. For the cT transition, the change in the Fermi-surface topology has a different character with no contribution from the hole part of the Fermi surface. In addition, the results suggest that the pressure effect in CaFe2As2 is mainly leading to a rigid-band-like change of the valence electronic structure. We discuss these results and their implications for magnetism and superconductivity in this material.

  1. 3D reconstruction modeling of bulk heterojunction organic photovoltaic cells: Effect of the complexity of the boundary on the morphology

    Science.gov (United States)

    Kim, Sung-Jin; Jeong, Daun; Kim, SeongMin; Choi, Yeong Suk; Ihn, Soo-Ghang; Yun, Sungyoung; Lim, Younhee; Lee, Eunha; Park, Gyeong-Su

    2016-02-01

    Although the morphology of the active layer in bulk heterojunction organic photovoltaic (BHJ-OPV) cells is critical for determining the quantum efficiency (QE), predicting the real QE for a 3-dimensional (3D) morphology has long been difficult because structural information on the composition complexity of donor (D): acceptor (A) blends with small domain size is limited to 2D observations via various image-processing techniques. To overcome this, we reconstruct the 3D morphology by using an isotropic statistical approach based on 2D energy-filtered transmission electron microscopy (EF-TEM) images. This new reconstruction method is validated to obtain the internal QE by using a dynamic Monte Carlo simulation in the BHJ-OPV system with different additives such as 4 vol% 1-chloronaphthalene (CN) and 4 vol% 1,8-diiodooctane (DIO) (compared to the case of no additive); the resulting trend is compared with the experimental QE. Therefore, our developed method can be used to predict the real charge transport performance in the OPV system accurately.

  2. New approach to great-vessel reconstruction in transposition complexes with interrupted aortic arch.

    Science.gov (United States)

    Liddicoat, J R; Reddy, V M; Hanley, F L

    1994-10-01

    Interrupted aortic arch can be associated with transposition of the great arteries with ventricular septal defect and with the Taussig-Bing anomaly. This usually results in a marked disparity between the hypoplastic ascending aorta and the dilated main pulmonary artery. Currently, standard arterial switch and arch repair is a widely applied approach to the surgical management of these lesions. Though the morphology of the great vessels in these lesions does not preclude this approach, the great-vessel mismatch can result in difficulties at and beyond the proximal neo-aortic to ascending aortic suture line that cause excessive bleeding, obstruction, tension, distortion, and the need of patch augmentation of the ascending aorta or arch with nonviable material. We present an alternative surgical approach used in 2 patients, 1 with Taussig-Bing anomaly and interrupted aortic arch and the other with transposition of the great arteries, ventricular septal defect, and interrupted aortic arch, that greatly simplifies the reconstruction of the neo-aorta and repair of the interrupted arch and avoids these potential hazards.

  3. Genetic approach to reconstruct complex regional geological setting of the Baltic basin in 3D geological model

    Science.gov (United States)

    Popovs, K.; Saks, T.; Ukass, J.; Jatnieks, J.

    2012-04-01

    Interpretation of geological structures in 3D geological models is a relatively new research topic that is already standardized in many geological branches. Due to its wide practical application, these models are indispensable and become one of the dominant interpretation methods in reducing geological uncertainties in many geology fields. Traditionally, geological concepts complement quantitative as much as qualitative data to obtain a model deemed acceptable, however, available data very often is insufficient and modeling methods primarily focus on spatial data but geological history usually is mostly neglected for the modeling of large sedimentary basins. A need to better integrate the long and often complex geological history and geological knowledge into modeling procedure is very acute to gain geological insight and improve the quality of geological models. During this research, 3D geological model of the Baltic basin (BB) was created. Because of its complex regional geological setting - wide range of the data sources with multiple scales, resolution and density as well as its various source formats, the study area provides a challenge for the 3D geological modeling. In order to create 3D regional geometrical model for the study area algorithmic genetic approach for model geometry reconstruction was applied. The genetic approach is based on the assumption that post-depositional deformation produce no significant change in sedimentary strata volume, assuming that the strata thickness and its length in a cross sectional plane remains unchanged except as a result of erosion. Assuming that the tectonic deformation occurred in sequential cycles and subsequent tectonic stage strata is separated by regional unconformity as is the case of the BB, there is an opportunity for algorithmic approach in reconstructing these conditions by sequentially reconstructing the layer original thickness. Layer thicknesses were sliced along fault lines, where applicable layer

  4. Nasal meatus plasty: a contribution to plastic reconstruction of the nasal valve during midfacial degloving

    Directory of Open Access Journals (Sweden)

    Lorenz, Kai J.

    2014-05-01

    Full Text Available Midfacial degloving is a proven method for easily accessing the midface, the nasal pyramid, the maxillary and ethmoidal sinuses, the orbits, as well as the anterior skull base. Indications for this method of access mainly include tumour resections in the area of the midface, the septum, the maxillary sinus, the paranasal to the sphenoidal sinus as well as the clivus. In addition, this method of access allows for the exposure of the bony structures of the midface in the event of extensive fractures.In general, this method of access combines an incision in the oral vestibule and circular incisions in the nasal vestibule area in order to release the nasal pyramid.After removing the facial wall of the maxillary sinus, extensive exposure of the surgical site is possible.One disadvantage of this method of access is the difficult reconstruction of the nasal valve area, which often leads to cicatricial stenoses and difficulties with breathing through the nose. Furthermore, wound healing problems and osteoradionecrosis in the area of the lateral margin of the anterior nasal aperture after replantation of the facial wall of the maxillary sinus have been described, because in this area sufficient soft tissue coverage cannot be ensured when a conventional technique is used.We describe a soft tissue flap pedicled in the cranial and caudal directions in the nasal valve area which makes both the reconstruction of the nasal vestibule and sufficient soft tissue coverage of the anterior nasal aperture possible.

  5. Nipple-Areola Complex Malposition in Nipple-Sparing Mastectomy: A Review of Risk Factors and Corrective Techniques from Greater than 1000 Reconstructions.

    Science.gov (United States)

    Choi, Mihye; Frey, Jordan D; Salibian, Ara A; Karp, Nolan S

    2017-08-01

    Nipple-areola complex malposition after nipple-sparing mastectomy can be a challenging issue to correct. The current literature is largely limited to smaller series and implant-based reconstructions. A retrospective review of all nipple-sparing mastectomies from 2006 to 2016 at a single institution was performed. Incidence, risk factors, and corrective techniques of nipple-areola complex malposition were analyzed. One thousand thirty-seven cases of nipple-sparing mastectomy were identified, of which 77 (7.4 percent) underwent nipple-areola complex repositioning. All were performed in a delayed fashion. The most common techniques included crescentic periareolar excision [n = 25 (32.5 percent)] and directional skin excision [n = 10 (13.0 percent)]. Cases requiring nipple-areola complex repositioning were significantly more likely to have preoperative radiation therapy (p = 0.0008), a vertical or Wise pattern incision (p = 0.0157), autologous reconstruction (p = 0.0219), and minor mastectomy flap necrosis (p = 0.0462). Previous radiation therapy (OR, 3.6827; p = 0.0028), vertical radial mastectomy incisions (OR, 1.8218; p = 0.0202), and autologous reconstruction (OR, 1.77; p = 0.0053) were positive independent predictors of nipple-areola complex repositioning, whereas implant-based reconstruction (OR, 0.5552; p < 0.0001) was a negative independent predictor of repositioning. Body mass index (p = 0.7104) and adjuvant radiation therapy (p = 0.9536), among other variables, were not predictors of nipple-areola complex repositioning. Nipple-areola complex malposition after nipple-sparing mastectomy can be successfully corrected with various techniques. Previous radiation therapy, vertical mastectomy incisions, and autologous reconstruction are independently predictive of nipple-areola complex malposition. Therapeutic, III.

  6. Reconstructing an ancestral mammalian immune supercomplex from a marsupial major histocompatibility complex.

    Directory of Open Access Journals (Sweden)

    Katherine Belov

    2006-03-01

    Full Text Available The first sequenced marsupial genome promises to reveal unparalleled insights into mammalian evolution. We have used the Monodelphis domestica (gray short-tailed opossum sequence to construct the first map of a marsupial major histocompatibility complex (MHC. The MHC is the most gene-dense region of the mammalian genome and is critical to immunity and reproductive success. The marsupial MHC bridges the phylogenetic gap between the complex MHC of eutherian mammals and the minimal essential MHC of birds. Here we show that the opossum MHC is gene dense and complex, as in humans, but shares more organizational features with non-mammals. The Class I genes have amplified within the Class II region, resulting in a unique Class I/II region. We present a model of the organization of the MHC in ancestral mammals and its elaboration during mammalian evolution. The opossum genome, together with other extant genomes, reveals the existence of an ancestral "immune supercomplex" that contained genes of both types of natural killer receptors together with antigen processing genes and MHC genes.

  7. Reconstruction of complex networks with delays and noise perturbation based on generalized outer synchronization

    Science.gov (United States)

    Wei, Xiang; Chen, Shihua; Lu, Jun-an; Ning, Di

    2016-06-01

    This paper proposes an approach to identify the topological structure and unknown system parameters of a weighted complex dynamical network with delay and noise perturbation. Based on the Barbalat-type invariance principle for stochastic differential equations, an effective adaptive feedback technique with an updated law is developed to realize generalized outer synchronization. The unknown topological structure and parameters are identified simultaneously through the established technique. The weight configuration matrix was found to be unnecessarily symmetric. Numerical examples are examined to illustrate the effectiveness of the analytical results.

  8. A vascularized osteocutaneous fibular free flap for reconstruction of a complex injury of the foot.

    Science.gov (United States)

    Chung, Y K; Hong, J P; Kang, S Y; Kim, S W; Tark, K C

    2000-11-01

    The foot plays a vital role in standing and gait. Its function results from harmonious interaction of bones, joints, and soft tissue. An imbalance or a defect in these structures can result in problems. The cuneiform bone of the foot consists of three bones: medial, intermediate, and lateral. Its structure plays an important role in maintaining the skeletal arch and it supports the body's weight. A defect or dislocation can disrupt the distribution of the weight-bearing complex of the foot and can lead to difficult gait.

  9. Open reconstruction of complex proximal metadiaphyseal fragility fractures of the humerus.

    Science.gov (United States)

    James, Isaac B; Farrell, Dana J; Evans, Andrew R; Siska, Peter A; Tarkin, Ivan S

    2014-03-01

    A proactive surgical and rehabilitation protocol was implemented to manage humeral fractures involving both the proximal end and shaft in an older patient population. Primary treatment goals were early return to function and reliable fracture union with minimal complications. From 2008 to 2012, 21 such operations were performed; 18 were considered "fragility" fractures based on mechanism, patient age, and evidence of osteopenia or osteoporosis. Open reduction and internal fixation (ORIF) was employed using direct reduction and fixation with a long periarticular locking plate. Physiotherapy was commenced 2 weeks postoperatively. The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire was used to assess functional outcome at a time point greater than 1 year postoperative. The study group consisted primarily of elderly females (83% with a median age of 69 years) whom sustained complex metadiaphyseal proximal humeral fractures after simple mechanical fall (78%). Uneventful union occurred in all cases. Local complications included 1 case of partial radial nerve palsy, which had resolved completely by 1 year. No cases of infection were identified. Long-term return to functionality was evident with a median DASH score of 12 (mean = 21, standard deviation = 20, n = 13). Seventy five percent of patients reported minimal or no pain (question [Q] 24), and 75% achieved return of overhead function (Q6, 12, and 15). Treatment of complex metadiaphyseal fragility fractures with anatomic reduction, fixed angle plating, and early physiotherapy returns the older patient to optimized functionality with minimal risk of complication. The DASH outcomes are equivalent to ORIF of isolated proximal humerus fractures and clinically indistinguishable from the general population.

  10. A Cadaveric Study of the Communication Patterns Between the Buccal Trunks of the Facial Nerve and the Infraorbital Nerve in the Midface.

    Science.gov (United States)

    Tansatit, Tanvaa; Phanchart, Piyaporn; Chinnawong, Dawinee; Apinuntrum, Prawit; Phetudom, Thavorn; Sahraoui, Yasmina M E

    2016-01-01

    Most nerve communications reported in the literature were found between the terminal branches. This study aimed to clarify and classify patterns of proximal communications between the buccal branches (BN) of the facial nerve and the infraorbital nerve (ION).The superficial musculoaponeurotic system protects any communication sites from conventional dissections. Based on this limitation, the soft tissues of each face were peeled off the facial skull and the facial turn-down flap specimens were dissected from the periosteal view. Dissection was performed in 40 hemifaces to classify the communications in the sublevator space. Communication site was measured from the ala of nose.A double communication was the most common type found in 62.5% of hemifaces. Triple and single communications existed in 25% and 10% of 40 hemiface specimens, respectively. One hemiface had no communication. The most common type of communication occurred between the lower trunk of the BN of the facial nerve and the lateral labial (fourth) branch of the ION (70% in 40 hemifaces). Communication site was deep to the levator labii superioris muscle at 16.2 mm from the nasal ala. Communications between the motor and the sensory nerves in the midface may be important to increase nerve endurance and to compensate functional loss from injury.Proximal communications between the main trunks of the facial nerve and the ION in the midface exist in every face. This implies some specific functions in normal individuals. Awareness of these nerves is essential in surgical procedure in the midface.

  11. Biomechanical Comparison of an Intramedullary and Extramedullary Free-Tissue Graft Reconstruction of the Acromioclavicular Joint Complex

    Science.gov (United States)

    Garg, Rishi; Javidan, Pooya; Lee, Thay Q.

    2013-01-01

    Background Several different surgical techniques have been described to address the coracoclavicular (CC) ligaments in acromioclavicular (AC) joint injuries. However, very few techniques focus on reconstructing the AC ligaments, despite its importance in providing stability. The purpose of our study was to compare the biomechanical properties of two free-tissue graft techniques that reconstruct both the AC and CC ligaments in cadaveric shoulders, one with an extramedullary AC reconstruction and the other with an intramedullary AC reconstruction. We hypothesized intramedullary AC reconstruction will provide greater anteroposterior translational stability and improved load to failure characteristics than an extramedullary technique. Methods Six matched cadaveric shoulders underwent translational testing at 10 N and 15 N in the anteroposterior and superoinferior directions, under AC joint compression loads of 10 N, 20 N, and 30 N. After the AC and CC ligaments were transected, one of the specimens was randomly assigned the intramedullary free-tissue graft reconstruction while its matched pair received the extramedullary graft reconstruction. Both reconstructed specimens then underwent repeat translational testing, followed by load to failure testing, via superior clavicle distraction, at a rate of 50 mm/min. Results Intramedullary reconstruction provided significantly greater translational stability in the anteroposterior direction than the extramedullary technique for four of six loading conditions (p < 0.05). There were no significant differences in translational stability in the superoinferior direction for any loading condition. The intramedullary reconstructed specimens demonstrated improved load to failure characteristics with the intramedullary reconstruction having a lower deformation at yield and a higher ultimate load than the extramedullary reconstruction (p < 0.05). Conclusions Intramedullary reconstruction of the AC joint provides greater stability in the

  12. [Reconstruction of complex acetabular fractures using the extensile kocher-langenbeck approach (modified maryland approach).].

    Science.gov (United States)

    Braun, W; Mayr, E; Rüter, A

    1997-06-01

    Approach to the essential bony parts of the pelvis which can be adapted to the fracture pattern and which causes minimal soft tissue damage. It allows exposure of the posterior and anterior columns and the roof of the acetabulum. Complex acetabular fractures such as 2-column fractures, T-fractures, displaced transverse fractures with posterior rim fragment, fractures of 1 column. Fractures which can be approached through smaller incisions, preexisting lesions of the superior gluteal artery, arterial occlusive diseases, particularly of the pelvis. Radiographs of the pelvis in anterior-posterior and two oblique news. Special radiographs and CT. Lateral decubitus with free draping of the leg. Endotracheal anaesthesia. Cell saver optional. T-shaped skin incision and gradual extension of the Kocher-Langenbeck approach depending on the fracture pattern. First extensile step: Transverse division of the fascia lata and osteotomy of the greater trochanter. Second extensile step: Osteotomy of part of the iliac crest and exposure of the outer and inner cortex of the iliac wing. Operated leg rests in a foam padded splint. Careful wound drainage, routine low dose radiation or indomethacin to prevent heterotopic ossification. CPM starting the 2nd postoperative day, mobilization starting the 2nd or 3rd day with partial weight bearing of 15 kg. Full weight bearing depends on fracture type and consolidation. Delayed wound healing with risk of infection. Injury to the superior gluteal artery with danger of necrosis of the abductor muscles. Injury through stretching of the sciatic nerve. Injury of the lateral femorocutaneous nerve. Seven patients with complex acetabular fractures were operated between June 1993 and January 1994. Use of the 1st extensile step was sufficient in 3 patients and 3 times all 4 steps were used. Postoperative necrosis of fatty tissue necessitated 2 revisions. All fractures consolidated. During the follow-up examination 1 case of heterotopic ossification was

  13. 3D Printing Aids Acetabular Reconstruction in Complex Revision Hip Arthroplasty

    Directory of Open Access Journals (Sweden)

    Andrew J. Hughes

    2017-01-01

    Full Text Available Revision hip arthroplasty requires comprehensive appreciation of abnormal bony anatomy. Advances in radiology and manufacturing technology have made three-dimensional (3D representation of osseous anatomy obtainable, which provide visual and tactile feedback. Such life-size 3D models were manufactured from computed tomography scans of three hip joints in two patients. The first patient had undergone multiple previous hip arthroplasties for bilateral hip infections, resulting in right-sided pelvic discontinuity and a severe left-sided posterosuperior acetabular deficiency. The second patient had a first-stage revision for infection and recurrent dislocations. Specific metal reduction protocols were used to reduce artefact. The images were imported into Materialise MIMICS 14.12®. The models were manufactured using selective laser sintering. Accurate templating was performed preoperatively. Acetabular cup, augment, buttress, and cage sizes were trialled using the models, before being adjusted, and resterilised, enhancing the preoperative decision-making process. Screw trajectory simulation was carried out, reducing the risk of neurovascular injury. With 3D printing technology, complex pelvic deformities were better evaluated and treated with improved precision. Life-size models allowed accurate surgical simulation, thus improving anatomical appreciation and preoperative planning. The accuracy and cost-effectiveness of the technique should prove invaluable as a tool to aid clinical practice.

  14. 3D Printing Aids Acetabular Reconstruction in Complex Revision Hip Arthroplasty

    Science.gov (United States)

    DeBuitleir, Cathal; Soden, Philip; O'Donnchadha, Brian; Tansey, Anthony; Abdulkarim, Ali; McMahon, Colm; Hurson, Conor J.

    2017-01-01

    Revision hip arthroplasty requires comprehensive appreciation of abnormal bony anatomy. Advances in radiology and manufacturing technology have made three-dimensional (3D) representation of osseous anatomy obtainable, which provide visual and tactile feedback. Such life-size 3D models were manufactured from computed tomography scans of three hip joints in two patients. The first patient had undergone multiple previous hip arthroplasties for bilateral hip infections, resulting in right-sided pelvic discontinuity and a severe left-sided posterosuperior acetabular deficiency. The second patient had a first-stage revision for infection and recurrent dislocations. Specific metal reduction protocols were used to reduce artefact. The images were imported into Materialise MIMICS 14.12®. The models were manufactured using selective laser sintering. Accurate templating was performed preoperatively. Acetabular cup, augment, buttress, and cage sizes were trialled using the models, before being adjusted, and resterilised, enhancing the preoperative decision-making process. Screw trajectory simulation was carried out, reducing the risk of neurovascular injury. With 3D printing technology, complex pelvic deformities were better evaluated and treated with improved precision. Life-size models allowed accurate surgical simulation, thus improving anatomical appreciation and preoperative planning. The accuracy and cost-effectiveness of the technique should prove invaluable as a tool to aid clinical practice. PMID:28168060

  15. Restoring complex folded geometries in 3D using paleomagnetic vectors; a new tool to validate underground reconstructions

    Science.gov (United States)

    José Ramón, Mª; Pueyo, Emilio L.; Briz, José Luis; Caumon, Guillaume; Fernández, Óscar; Ciria, José Carlos; Pocovi, Andrés; Ros, Luis H.

    2013-04-01

    Three-dimensional reconstructions of the underground involve the integration of discrete and heterogeneous datasets and have significant socio- economic implications. The problem arises when there are limited data to build 3D models or when deformation processes are complex; these reasons inspired the development of restoration methods to validate subsurface reconstructions. The restoration is based on the application of simple geometric (or mechanic) laws that help reduce the uncertainty and increase geomodel accuracy. Apart from mechanical approaches, geometric methods are based on the initial assumption of global conservation of volume during deformation in addition to the paleo-horizontality of the stratigraphic horizons in the undeformed stage. The problem is that the bedding plane cannot be used as a three-dimensional reference system, because a single vector defines it and additional constraints are required. This is particularly important when dealing with complex structures, such as non-cylindrical structures and the superposition of non-coaxial geometries. In this context, paleomagnetism (known in both the deformed and undeformed stages) can contribute to building a more complete reference system and to reducing the uncertainty in restoration processes. The use of paleomagnetism in restoration tools was suggested in the early 1990's and only a few quantitative map-view applications have been developed since then. In this contribution, we introduce the two first surface restoration methods that use paleomagnetic vectors as a primary reference. The first one is a simple geometric approach based on the piecewise restoration of a triangulated surface into which paleomagnetic variables can be easily incorporated. It is valid for complexly folded structures. The surface is modelled by a mesh and the method starts from a pin-element. Triangles are laid flat and then fitted together to minimize distances between common vertices and paleomagnetic error. However

  16. Reconstruction of complex passageways for simulations of transport phenomena: development of a graphical user interface for biological applications.

    Science.gov (United States)

    Godo, M N; Morgan, K T; Richardson, R B; Kimbell, J S

    1995-07-01

    Flow of fluids, such as blood, lymph and air, plays a major role in the normal physiology of all living organisms. Within individual organ systems, flow fields may significantly influence the transport of solutes, including nutrients and chemical toxicants, to and from the confining vessel walls (epithelia and endothelia). Computational fluid dynamics (CFD) provides a potentially useful tool for biologists and toxicologists investigating solute disposition in these flow fields in both normal and disease states. Application of CFD is dependent upon generation of accurate representations of the geometry of the system of interest in the form of a computational reconstruction. The present investigations, which were based on studies of the toxicology of inhaled reactive gases in the respiratory tract of rodents, provide computer programs for the generation of finite element meshes from serial tissue cross-sections. These programs, which interface with a commercial finite element fluid dynamics simulation package (FIDAP 7.05, Fluid Dynamics International, Evanston, IL), permit simulation of fluid flow in the complex geometries and local solute mass flux to the vessel walls of biological systems. The use of these programs and their application to studies of respiratory tract toxicology are described.

  17. Quadruple-component superficial circumflex iliac artery perforator (SCIP) flap: A chimeric SCIP flap for complex ankle reconstruction of an exposed artificial joint after total ankle arthroplasty.

    Science.gov (United States)

    Yamamoto, Takumi; Saito, Takafumi; Ishiura, Ryohei; Iida, Takuya

    2016-09-01

    Total ankle arthroplasty (TAA) is becoming popular in patients with rheumatoid arthritis (RA)-associated ankle joint degeneration. However, ankle wound complications can occur after TAA, which sometimes requires challenging reconstruction due to anatomical complexity of the ankle. Superficial circumflex iliac artery (SCIA) perforator (SCIP) flap has been reported to be useful for various reconstructions, but no case has been reported regarding a chimeric SCIP flap for complex ankle reconstruction. We report a case of complex ankle defect successfully reconstructed with a free quadruple-component chimeric SCIP flap. A 73-year-old female patient with RA underwent TAA, and suffered from an extensive ankle soft tissue defect (13 × 5 cm) with exposure of the implanted artificial joint and the extensor tendons. A chimeric SCIP flap was raised based on the deep branch and the superficial branch of the SCIA, which included chimeric portions of the sartorius muscle, the deep fascia, the inguinal lymph node (ILN), and the skin/fat. The flap was transferred to the recipient ankle. The sartorius muscle was used to cover the artificial joint, the deep fascia to reconstruct the extensor retinaculum, the ILN to prevent postoperative lymphedema, and the adiposal tissue to put around the extensor tendons for prevention of postoperative adhesion. Postoperatively, the patient could walk by herself without persistent leg edema or bowstringing of the extensor tendons, and was satisfied with the concealable donor scar. Although further studies are required to confirm efficacy, multicomponent chimeric SCIP has a potential to be a useful option for complex defects of the ankle.

  18. Dissociation and reconstruction of double-decker bis(phthalocyaninato) terbium(III) complex (TbPc2) on Pd(001): A theoretical investigation

    Science.gov (United States)

    Liu, Heng; Hu, Yujie; Wang, Hao; Jiang, Bo; Xu, Xuechun; Cai, Yingxiang

    2017-01-01

    The study of molecule dissociation is helpful to disclose the nature of chemical bonds and to extend molecular functions. The double-decker bis(phthalocyaninato) terbium(III) complex (TbPc2) is a promising single-molecule magnet (SMM) which exhibits potential applications in spin-devices. In this study, we investigate the dissociation and reconstruction of TbPc2 on Pd(001) surface. The results show that a single TbPc2 adsorbed on Pd(001) tends to split into Pc/Pd(001)+TbPc. However, the TbPc/Pd(001)+Pc might also be observed in an experimental study due to only a slight difference in their dissociation energy. The TbPc2 molecules on Pd(001) will form a (5×3) reconstruction which is different from the (3×4) reconstruction of PbPc on Pd(001). If the TbPc2 molecules with (5×3) reconstruction is dissociated, this reconstruction will be inherited by its daughter molecules due to strong molecule-substrate interaction. In addition, nudged elastic band (NEB) calculation shows that Tb-down is the stable state of TbPc/Pd(001) and Tb-up is a metastable state. The transition between two states might be utilized to realize TbPc's switch or storage functions.

  19. Can the Diagnostics of Triangular Fibrocartilage Complex Lesions Be Improved by MRI-Based Soft-Tissue Reconstruction? An Imaging-Based Workup and Case Presentation

    Directory of Open Access Journals (Sweden)

    Niels Hammer

    2017-01-01

    Full Text Available Introduction. The triangular fibrocartilage complex (TFCC provides both mobility and stability of the radiocarpal joint. TFCC lesions are difficult to diagnose due to the complex anatomy. The standard treatment for TFCC lesions is arthroscopy, posing surgery-related risks onto the patients. This feasibility study aimed at developing a workup for soft-tissue reconstruction using clinical imaging, to verify these results in retrospective patient data. Methods. Microcomputed tomography (μ-CT, 3 T magnetic resonance imaging (MRI, and plastination were used to visualize the TFCC in cadaveric specimens applying segmentation-based 3D reconstruction. This approach further trialed the MRI dataset of a patient with minor radiological TFCC alterations but persistent pain. Results. TFCC reconstruction was impossible using μ-CT only but feasible using MRI, resulting in an appreciation of its substructures, as seen in the plastinates. Applying this approach allowed for visualizing a Palmer 2C lesion in a patient, confirming ex postum the arthroscopy findings, being markedly different from MRI (Palmer 1B. Discussion. This preliminary study showed that image-based TFCC reconstruction may help to identify pathologies invisible in standard MRI. The combined approach of μ-CT, MRI, and plastination allowed for a three-dimensional appreciation of the TFCC. Image quality and time expenditure limit the approach’s usefulness as a diagnostic tool.

  20. 2D and 3D Ultrasonographic Evaluation of Fetal Midface Hypoplasia in Two Cases with 3-M Syndrome.

    Science.gov (United States)

    Vimercati, A; Chincoli, A; de Gennaro, A C; DʼAddario, V; Cicinelli, E

    2016-07-01

    This paper highlights the utility of 2D and 3D ultrasonography in the prenatal diagnosis of facial dysmorphisms suggestive of very rare syndromes such as 3-M syndrome. Two pregnant women at risk for fetal skeletal dysplasias were referred to our clinic for 2D/3D ultrasound scan in the second trimester of pregnancy. Only one of the patients had a familial history of 3-M syndrome. Karyotyping and genetic testing of abortion material were performed in both cases. 2D ultrasonography revealed growth retardation of the long bones in both cases. In the case without a familial history of the syndrome, 2D and 3D ultrasonography showed an absence of nasal bones and a flat malar region suggestive of 3-M syndrome, although the difficult differential diagnosis included other dysmorphic growth disorders with prenatal onset. The karyotype was normal but the pregnancy was terminated in both cases. Postmortem examination confirmed 3-M syndrome as indicated by prenatal findings. In high-risk cases with a familial history of 3-M syndrome, prenatal diagnosis of 3-M syndrome is possible by analyzing fetal DNA. In the absence of risk, a definitive prenatal diagnosis is often not possible but may be suspected in the presence of shortened long bones, normal head size and typical flattened malar region (midface hypoplasia) shown on complementary 2D and 3D sonograms. 2D and 3D ultrasonography has been shown to offer reliable information for the prenatal study of skeletal and facial anomalies and can be useful if there is a suspicion of 3-M syndrome in a pregnancy not known to be at risk.

  1. Complex reconstruction of the dorsal hand using the induced membrane technique associated with bone substitute: A case report

    Directory of Open Access Journals (Sweden)

    Vivien Moris

    2015-12-01

    Conclusion: The induced membrane technique allowed the reconstruction of small bone deficits in the long bones of the hand in a two-step procedure, the first step taking place in an emergency context of composite tissue trauma.

  2. Complex lower face reconstruction using a combined technique of Estlander flap and subscapular artery system free flaps.

    Science.gov (United States)

    Hamahata, Atsumori; Saitou, Takashi; Beppu, Takeshi; Shirakura, Satoshi; Hatanaka, Akio; Yamaki, Takashi; Sakurai, Hiroyuki

    2013-12-01

    When advanced mandibular carcinoma is resected, the defect may include lip and oral commissure. Free flap insertion is commonly used to reconstruct the lip defect. Although improvements in the oral reconstructive method via free flap use have been reported, functional and aesthetic results of the oral sphincter remain limited. This case report describes two individuals presenting with massive lower face defects, including a lower lip defect and a mandibular bone defect. Reconstruction was accomplished using the Estlander flap and free subscapular system of flaps. In both cases, the free subscapular artery system flap was elevated from the mandibular bone defect and other mucosal defect. The lower lip and oral commissure defect was reconstructed via Estlander flap. Free flaps survived 100% and both cases healed without complication. Patients regained good oral sphincter function with no reports of drooling. Thus, in cases involving massive lower face resection, including that of the lower lip and mandibular bone, this method of reconstruction when combined with lip-switch flap and subscapular artery system flap can prove to be useful.

  3. Salvage reconstructive surgery in an adult patient with failed previous repair of an extrophy-epispadias complex: an operation with a functional and aesthetic purpose

    Directory of Open Access Journals (Sweden)

    Steven Joniau

    2007-12-01

    Full Text Available Salvage surgical procedures after failed reconstruction for an extrophy-epispadias complex are extremely challenging. The goals are to restore continence and improve aesthetic appearance in order to provide quality of life and an improved body image to the patient. We describe the surgical steps in an adult patient who presented anal urinary incontinence and a poor body image due to the absence of an umbilicus and the presence of hypertrophic scars. He underwent a modified Mainz II reconstruction of the lower urinary tract at childhood for an extrophy-epispadias complex. Restoration of continence was achieved by the construction of a modified Mainz I pouch with a continent stoma in a neo-umbilicus. Body image improved dramatically by the construction of a neo-umbilicus, a surgical revision of the hypertrophic abdominal scars and an abdominoplasty. It is mandatory that such demanding surgery should only be attempted as a combined multidisciplinary effort with urologists and plastic/reconstructive surgeons.

  4. Computer-aided planning for zygomatic bone reconstruction in maxillofacial traumatology

    CERN Document Server

    Maubleu, S; Chabanas, M; Payan, Y; Boutault, F; Maubleu, Sylvain; Marecaux, Christophe; Chabanas, Matthieu; Payan, Yohan; Boutault, Franck

    2005-01-01

    An optimal planning procedure has been proposed to define the target position of the zygomatic bone following a fracture of the mid-face skeleton. The protocol has been successfully tested on healthy subjects, and ensures the global symmetry of the face could be obtained after the reconstruction surgery. Now that the planning procedure is available, the next step of this project will be to develop an intra-operative guiding system to help the surgeon to follow the planning. This procedure will mainly rely on the intra-operative registration of the zygomatic bone fragment, and the design of specific surgical ancillaries for cranio-maxillofacial surgery.

  5. Source coding for transmission of reconstructed dynamic geometry: a rate-distortion-complexity analysis of different approaches

    NARCIS (Netherlands)

    Mekuria, R.N.; Cesar Garcia, P.S.; Bulterman, D.C.A.

    2014-01-01

    Live 3D reconstruction of a human as a 3D mesh with commodity electronics is becoming a reality. Immersive applications (i.e. cloud gaming, tele-presence) benefit from effective transmission of such content over a bandwidth limited link. In this paper we outline different approaches for compressing

  6. Complex oncologic reconstruction of a mandibular and floor of mouth defect with a fibula free flap in an achondroplastic patient.

    Science.gov (United States)

    García-Rozado, Alvaro; Martín Sastre, Roberto J; López Cedrún, José L

    2003-01-01

    The fibular free flap is seen as one of the foremost technical options in mandibular reconstruction, especially in those defects where long bone is required. Cases with squamous-cell carcinoma of the floor of the mouth with mandibular spread and subsequent segmentary mandibular removal are the cornerstone examples. A case of squamous-cell carcinoma of the whole floor of the mouth with mandibular invasion is reported. Radical resection of the floor of the mouth and bilateral mandibular horizontal ramus was performed, with a bony defect extending from angle to angle. The patient revealed an achondroplastic condition, with remarkable dwarfism and long-bone morphological alterations, that minimized the potential fibular length to transfer. A microsurgical reconstruction with an osteocutaneous fibular free flap was undertaken. The flap design was technically compromised by the forward bowing of the fibula and the ossification of the interosseous membrane. Specific intraoperative strategies for dealing with anatomic variations are discussed. The fibular free flap is an excellent technique for mandibular reconstruction. Morphological deviations can modify the design of the flap. Achondroplasia is not a deterrent in successful use of the free fibula flap for reconstruction of the head and neck in adequately selected cases.

  7. Reconstrucción del complejo areola-pezón: revisión de 60 casos Nipple-areola complex reconstruction: revision of 60 cases

    Directory of Open Access Journals (Sweden)

    R. Fernández García

    2007-06-01

    hay ninguna cuyos resultados se sobrepongan a las demás, pero sí una vez que se reconstruye la areola siendo la técnica que más satisface la del injerto inguinal. A pesar de ello, el aspecto más notable a mejorar está en la reconstrucción del pezón, dada la frecuente disconformidad de las pacientes con la proyección conseguida a lo largo del tiempo por la posible reabsorción del mismo.The creation of the nipple-areola complex is the latest time in breast reconstruction, transforming the reconstruction of the breast mound into a real breast. We have to consider the reconstruction of the areola and the nipple as the culmination of breast reconstruction. There are a lot of documented techniques for nipple-areola complex reconstruction. The aim of this study is to determine the grade of psychological satisfaction of patients after this reconstruction This study was designed as a retrospective clinic review of 60 patients. After reviewing medical histories, the patients were interviewed and asked to complete a questionnaire. The most common desired aspect was to correct the absence/lost of nipple projection. However, 22% of patients answered they would not change anything regarding their reconstruction. The satisfaction with the mammary mound was excellent or good for 68%, normal for 23 % and poor for 9 %. On the other hand, satisfaction for the nippleareola complex reconstruction was excellent or good for 50%, normal for 45% and poor for 5%. There were no statistical differences among the different techniques depending on the time between the mastectomy intervention and the third reconstruction (p=0,06. For nipple reconstruction, the contralateral nipple donation technique offered more satisfaction (2.67 points and projection (7.23 points. In spite of the differences in their means, there were no statistically significant differences. Taking into account the technique used for the areola reconstruction, the donation-graft of inguinal skin was the one that

  8. Pyoderma gangrenosum following complex reconstruction of a large-scale lower limb defect by combined Parascapular and latissimus dorsi flap

    Science.gov (United States)

    Cordts, Tomke; Bigdeli, Amir K.; Harhaus, Leila; Hirche, Christoph; Kremer, Thomas; Kneser, Ulrich; Schmidt, Volker J.

    2017-01-01

    A female patient with a critical soft tissue defect after elective knee replacement surgery was transferred to our department for reconstruction. As wounds were rapidly progressing, necrotizing fasciitis was initially suspected but eventually ruled out by histopathological analysis. A 50 × 15 cm defect was then reconstructed by means of a combined Parascapular and latissimus dorsi flap before, a couple days later, the patient developed tender pustules and ulcers involving the flap as well as the donor site. Attempts of excising necrotic areas not only continued to fail but seemed to worsen the patient's wound and overall condition. Eventually, pyoderma gangrenosum (PG) was diagnosed and local and systemic therapy was initiated but treatment proved to be challenging and insufficient at first. Being an extremely aggressive disease, early diagnosis is crucial and PG should always be suspected when rapidly progressive ulceration on surgical sites is observed. PMID:28096323

  9. The Transmission Disequilibrium/Heterogeneity Test with Parental-Genotype Reconstruction for Refined Genetic Mapping of Complex Diseases

    Directory of Open Access Journals (Sweden)

    Jing Han

    2012-01-01

    Full Text Available In linkage analysis for mapping genetic diseases, the transmission/disequilibrium test (TDT uses the linkage disequilibrium (LD between some marker and trait loci for precise genetic mapping while avoiding confounding due to population stratification. The sib-TDT (S-TDT and combined-TDT (C-TDT proposed by Spielman and Ewens can combine data from families with and without parental marker genotypes (PMGs. For some families with missing PMG, the reconstruction-combined TDT (RC-TDT proposed by Knapp may be used to reconstruct missing parental genotypes from the genotypes of their offspring to increase power and to correct for potential bias. In this paper, we propose a further extension of the RC-TDT, called the reconstruction-combined transmission disequilibrium/heterogeneity (RC-TDH test, to take into account the identical-by-descent (IBD sharing information in addition to the LD information. It can effectively utilize families with missing or incomplete parental genetic marker information. An application of this proposed method to Genetic Analysis Workshop 14 (GAW14 data sets and extensive simulation studies suggest that this approach may further increase statistical power which is particularly valuable when LD is unknown and/or when some or all PMGs are not available.

  10. Accuracy and precision of reconstruction of complex refractive index in near-field single-distance propagation-based phase-contrast tomography

    Science.gov (United States)

    Gureyev, Timur; Mohammadi, Sara; Nesterets, Yakov; Dullin, Christian; Tromba, Giuliana

    2013-10-01

    We investigate the quantitative accuracy and noise sensitivity of reconstruction of the 3D distribution of complex refractive index, n(r)=1-δ(r)+iβ(r), in samples containing materials with different refractive indices using propagation-based phase-contrast computed tomography (PB-CT). Our present study is limited to the case of parallel-beam geometry with monochromatic synchrotron radiation, but can be readily extended to cone-beam CT and partially coherent polychromatic X-rays at least in the case of weakly absorbing samples. We demonstrate that, except for regions near the interfaces between distinct materials, the distribution of imaginary part of the refractive index, β(r), can be accurately reconstructed from a single projection image per view angle using phase retrieval based on the so-called homogeneous version of the Transport of Intensity equation (TIE-Hom) in combination with conventional CT reconstruction. In contrast, the accuracy of reconstruction of δ(r) depends strongly on the choice of the "regularization" parameter in TIE-Hom. We demonstrate by means of an instructive example that for some multi-material samples, a direct application of the TIE-Hom method in PB-CT produces qualitatively incorrect results for δ(r), which can be rectified either by collecting additional projection images at each view angle, or by utilising suitable a priori information about the sample. As a separate observation, we also show that, in agreement with previous reports, it is possible to significantly improve signal-to-noise ratio by increasing the sample-to-detector distance in combination with TIE-Hom phase retrieval in PB-CT compared to conventional ("contact") CT, with the maximum achievable gain of the order of 0.3δ /β. This can lead to improved image quality and/or reduction of the X-ray dose delivered to patients in medical imaging.

  11. Image-based 3D canopy reconstruction to determine potential productivity in complex multi-species crop systems.

    Science.gov (United States)

    Burgess, Alexandra J; Retkute, Renata; Pound, Michael P; Mayes, Sean; Murchie, Erik H

    2017-03-01

    Intercropping systems contain two or more species simultaneously in close proximity. Due to contrasting features of the component crops, quantification of the light environment and photosynthetic productivity is extremely difficult. However it is an essential component of productivity. Here, a low-tech but high-resolution method is presented that can be applied to single- and multi-species cropping systems to facilitate characterization of the light environment. Different row layouts of an intercrop consisting of Bambara groundnut ( Vigna subterranea ) and proso millet ( Panicum miliaceum ) have been used as an example and the new opportunities presented by this approach have been analysed. Three-dimensional plant reconstruction, based on stereo cameras, combined with ray tracing was implemented to explore the light environment within the Bambara groundnut-proso millet intercropping system and associated monocrops. Gas exchange data were used to predict the total carbon gain of each component crop. The shading influence of the tall proso millet on the shorter Bambara groundnut results in a reduction in total canopy light interception and carbon gain. However, the increased leaf area index (LAI) of proso millet, higher photosynthetic potential due to the C4 pathway and sub-optimal photosynthetic acclimation of Bambara groundnut to shade means that increasing the number of rows of millet will lead to greater light interception and carbon gain per unit ground area, despite Bambara groundnut intercepting more light per unit leaf area. Three-dimensional reconstruction combined with ray tracing provides a novel, accurate method of exploring the light environment within an intercrop that does not require difficult measurements of light interception and data-intensive manual reconstruction, especially for such systems with inherently high spatial possibilities. It provides new opportunities for calculating potential productivity within multi-species cropping systems

  12. Complexities in the use of branched GDGT based temperature reconstruction: Case studies from the southwest USA and Mexico

    Science.gov (United States)

    Werne, J. P.; Halbur, J.; Contreras, S.; Caballero, M.; Lozano Garcia, S.; Correa, A.; Fawcett, P. J.

    2012-12-01

    The potential to use bacterial derived branched glycerol dialkyl glycerol tetraethers (brGDGTs) to reconstruct mean annual air temperatures from soils sparked significant interest in the terrestrial paleoclimate community, where a high-fidelity paleotemperature proxy is desperately needed. Initial applications of the original soil-based MBT/CBT proxy to lacustrine sediments from Valles Caldera, New Mexico were promising, producing a viable temperature record spanning two glacial/interglacial cycles, with glacial temperatures near present day average winter and interglacial temperatures near present day average summer temperatures. In continuing research, however, the original soil-based MBT/CBT proxy calibration was shown generally to predict low temperatures when applied to reconstructions in lacustrine sediments. While the bacteria synthesizing brGDGTs remain unknown (but potentially attributed to the highly diverse phylum Acidobacteria), much evidence points to the potential for these bacteria to live not only in soils but also in sediments and possibly lake waters as well. As a result, several additional lacustrine calibrations have been published in an attempt to produce more realistic temperature reconstructions. Here, we present data from a suite of lakes in Mexico, including a core-top calibration with present day annual mean air temperatures as well as down-core reconstructions of temperature from multiple lakes using both our new calibration and those published to date by other groups. Intriguingly, the calibrations produce quite different results, even sometimes producing reasonable values in one lake and apparently negative temperatures in another lake - which is not likely in Mexico. We speculate that this is due to different communities thriving under varying environmental conditions. While we cannot at this time confirm our hypothesis, we do observe significant differences in the distribution of brGDGTs in these Mexican lakes compared with other

  13. Reconstruction of the sphenoid wing in a case of neurofibromatosis type 1 and complex unilateral orbital dysplasia with pulsating exophthalmos.

    Science.gov (United States)

    Friedrich, Reinhard E

    2011-01-01

    Sphenoid wing dysplasia is a defining feature of neurofibromatosis type 1 (NF1). This defect of the skull base can be associated with pulsating exophthalmos. This report describes the successful reconstruction of a dysplastic sphenoid wing in an NF1 patient using lateral orbitotomy as a scarcely visible and sufficiently extendable approach. An intraoperative computed cone-beam computed tomography system (3D C-arm system) was used as a prompt and feasible technique to check the positioning of the titanium mesh in an anatomic region that is sensitive to mechanical stress.

  14. Management of tripod fractures (zygomaticomaxillary complex) 1 point and 2 point fixations: A 5-year review

    OpenAIRE

    2015-01-01

    The zygomaticomaxillary complex (ZMC) plays a key role in the structure, function, and esthetic appearance of the facial skeleton. They can account for approximately 40% of mid-face fractures. They are the second most common facial bone fracture after nasal bone injuries. The fracture complex results from a direct blow to the malar eminence and results in three distinct fracture components that disrupt the anchoring of the zygoma. In addition, the fracture components may result in impingement...

  15. Optimising aesthetic outcome after nipple-areola complex-sparing mastectomy and immediate one-stage prosthetic reconstruction: A simple surgical trick to fix nipple-areola complex position.

    Science.gov (United States)

    Maione, Luca; Lisa, Andrea; Barbera, Federico; Siliprandi, Mattia; Vinci, Valeriano; Klinger, Francesco; Klinger, Marco

    2017-01-01

    Nipple-areola complex (NAC) sparing mastectomy (NSM) is mostly indicated in patients with small-/medium-sized and non-ptotic breasts, while skin-reducing mastectomy is used in patients with medium or large breasts with severe ptosis. NAC location on the reconstructed breast is one of the major factors in determining the final aesthetic result and patients' satisfaction. An optimum result obtained at the end of surgical procedure may be altered and compromised by skin redistribution and consequently NAC depositioning during the post-operative period in patients with medium-sized breasts and a moderate degree of ptosis. In the present study, we propose a simple surgical trick to fix the NAC in the desired position with a long-lasting result. We selected 35 patients undergoing NAC sparing mastectomy for breast cancer and immediate one-stage prosthetic reconstruction and we performed a single suture to fix NAC in the desired position before closing the skin envelope. We evaluated NAC complex position stability overtime comparing pre-operative standard photographs with early (3 weeks after surgery) and late (1 year after surgery). In all patients, we were able to place the NAC complex on the desired position, and the result was stable at 1 year follow-up. The aesthetic outcome was satisfactory in all patients with no change in the complication rate. This simple surgical trick has been shown to be safe and effective in optimising the aesthetic outcome in a patient undergoing NAC sparing mastectomy and immediate one-stage prosthetic reconstruction. Level IV: evidence obtained from multiple time series with or without the intervention, such as case studies. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.

  16. ACL reconstruction

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007208.htm ACL reconstruction To use the sharing features on this page, please enable JavaScript. ACL reconstruction is surgery to reconstruct the ligament in ...

  17. First and last ancestors: reconstructing evolution of the endomembrane system with ESCRTs, vesicle coat proteins, and nuclear pore complexes.

    Science.gov (United States)

    Field, Mark C; Dacks, Joel B

    2009-02-01

    The eukaryotic endomembrane system is responsible for the biosynthesis and transport of proteins and lipids, and for the definition of the major subcellular compartments. Recent work indicates that the endomembrane system is ancient, with near modern complexity predating the radiation of the major eukaryotic lineages. The challenge is to look beyond the last eukaryotic common ancestor and to attempt to deduce the evolutionary steps in the rise of membrane-trafficking complexity. Relationships between the endomembrane coatomer complexes and their evolutionary connection to the nuclear pore complex are emerging. These studies, plus the realization of a role for the ESCRT complex as an alternate, but equally ancient, system for membrane deformation are providing insight into the earliest stages of endomembrane evolution.

  18. Historical fire regimes, reconstructed from land-survey data, led to complexity and fluctuation in sagebrush landscapes.

    Science.gov (United States)

    Bukowski, Beth E; Baker, William L

    2013-04-01

    Sagebrush landscapes provide habitat for Sage-Grouse and other sagebrush obligates, yet historical fire regimes and the structure of historical sagebrush landscapes are poorly known, hampering ecological restoration and management. To remedy this, General Land Office Survey (GLO) survey notes were used to reconstruct over two million hectares of historical vegetation for four sagebrush-dominated (Artemisia spp.) study areas in the western United States. Reconstructed vegetation was analyzed for fire indicators used to identify historical fires and reconstruct historical fire regimes. Historical fire-size distributions were inverse-J shaped, and one fire > 100 000 ha was identified. Historical fire rotations were estimated at 171-342 years for Wyoming big sagebrush (A. tridentata ssp. wyomingensis) and 137-217 years for mountain big sagebrush (A. tridentata ssp. vaseyana). Historical fire and patch sizes were significantly larger in Wyoming big sagebrush than mountain big sagebrush, and historical fire rotations were significantly longer in Wyoming big sagebrush than mountain big sagebrush. Historical fire rotations in Wyoming were longer than those in other study areas. Fine-scale mosaics of burned and unburned area and larger unburned inclusions within fire perimeters were less common than in modern fires. Historical sagebrush landscapes were dominated by large, contiguous areas of sagebrush, though large grass-dominated areas and finer-scale mosaics of grass and sagebrush were also present in smaller amounts. Variation in sagebrush density was a common source of patchiness, and areas classified as "dense" made up 24.5% of total sagebrush area, compared to 16.3% for "scattered" sagebrush. Results suggest significant differences in historical and modern fire regimes. Modern fire rotations in Wyoming big sagebrush are shorter than historical fire rotations. Results also suggest that historical sagebrush landscapes would have fluctuated, because of infrequent

  19. Thickness Reconstruction of Layers by 3D Geometrical Model to Characterize Caledonian Tectonic Complex and Data in Latvia

    Science.gov (United States)

    Ukass, J.; Saks, T.; Popovs, K.

    2012-04-01

    In present study we attempt to verify the 3D geological model, which has been built on a variety of heterogeneous data sources for the Baltic Basin (BB). Data describing the displacement along the faults and associated thickness changes of the syntectonic strata is sparse and reflects only regional relevance (Brangulis & Konsins 2002). Borehole logs provide most reliable and comprehensive data source for reconstructing the structural geology of the Latvia sedimentary cover as sufficient quality seismic data is available only for the local scale structures. Based on the thickness analysis of the boreholes rough resolution 3D geological tectonic block model was developed to deconstruct the geological structure of the Latvia Caledonian sedimentary sequence. MOSYS modeling system was used for the geological structure modeling, developed within the PUMA project (Sennikovs et al, 2011). Algorithmic genetic approach was applied to interpolate data of well logs as strata volume and sequentially to reconstruct the post-deformation situation. This approach allows modifying model construction in any step and all processes are fully documented and are repeatable. Geometrical model consists of 33 tectonic blocks bordered by the faults which were distributed by interpreting displacement amount of the blocks along the faults providing an opportunity to characterize common tectonic evolution. The study results indicate insignificant thickness change of the Ordovician and Silurian strata along the faults suggesting that major slip event along the faults occurred during the late Silurian and early Devonian, and some secondary fault reactivation during the middle Devonian Narva time. Uplift of the territory during this time is confirmed by the presence of the regional unconformity. Constructed rough resolution 3D geometrical model suggests shortening along the horizontal axis approximately 10 - 20% but most of the shortening has occurred in the central-west part of Latvia where it

  20. 不同方向的中位牵引作用下颅面部的生物力学变化%Three-dimensional finite element analysis for different directions distraction at midface

    Institute of Scientific and Technical Information of China (English)

    侯敏; 柳春明; 张海钟; 梁立民; 高全文

    2009-01-01

    目的 探讨颅面复合体在不同方向的中位前牵引作用下的生物力学变化.方法 采用三维有限元法测量以梨状孔底骨性承力,不同方向中位前牵引的生物力学变化.结果 随牵拉的角度增大,各观察点的矢向位移逐渐减小.垂直向移位由向上逐渐转为向下,前下20°~30°牵引可整体前移上颌,且各骨缝区应力一致,可避免上颌骨的逆时针旋转.结论 以梨状孔底承力骨性前牵引,牵引方向为前下20°~30°时,可有效地前移上颌复合体.%Objective To investigate the biomechanical changes with different directions distraction at midface. Methods An anteriorly directed 500 g force was applied to the floor of apertura piriforms in different directions to the occlusal plane. Three-dimensional finite element analysis was used to evaluate the biomechanical change of craniofacial complex. Results As the force direction was moved downward, the sagittal distraction length of the craniofacial complex decreased and vertical movement changed from upward to downward. The craniofacial complex was moved anteriorly when the downward force was applied about 20~30 degrees to the occlnsal plane. The forces could generate the uniform stress distribution in the craniofacial sutures and avoid counterclockwise rotation of the maxilla. Conclusions The craniofacial complex can be effectively distracted anteriorly when the downward force is applied to the floor of aperture piriforms in direction of 20~30 degrees to the occlusal plane.

  1. Non-destructive testing of objects of complex shape using infrared thermography: rear surface reconstruction by temporal tracking of the thermal front

    Science.gov (United States)

    Djupkep Dizeu, F. B.; Laurendeau, Denis; Bendada, Abdelhakim

    2016-12-01

    Infrared thermography allows contactless non-destructive testing of objects based on their thermal behavior. Quantitative inspection of an object aims to characterize its internal defects by estimating their size and their depth. In the field, a one-dimensional thermal model has been used for depth estimation. Unfortunately, the methods based on this model become inaccurate when the inspected object has a high thermal diffusivity, a complex shape, or when the defects, like corrosion, have a complex geometry. For such cases, a 3D formulation of the problem is needed. In this paper, we consider the defect characterization as an inverse geometry problem and we propose a new method: the rear surface reconstruction by temporal tracking of the thermal front. The idea is to follow the thermal front while it propagates inside the object. Referring to the duality time-depth, at every moment, the penetration depth of the thermal front can be estimated. As soon as the thermal front reaches the rear surface, a temperature change will be noticeable on the frontal surface. It is then possible to update the internal geometry of the object at each time step in such a way that the difference between the theoretical temperature, obtained by a 3D solver, and the experimental temperature, recorded by an infrared camera, is minimized. The proposed method shows accurate results and can address situations involving rear surfaces with complex geometry and objects with high thermal diffusivity and a complex shape.

  2. ADMINISTRATION OF LACTULOSE IN COMPLEX PEHABILITATION TREATMENT AFTER RADICAL AND RECONSTRUCTIVE RESTORATIVE SURGERY OF BOWELS IN CHILDREN

    Directory of Open Access Journals (Sweden)

    I.V. Kirgizov

    2009-01-01

    Full Text Available The results of treatment of children (n = 64 of 1,5–17 years old, receiving rehabilitation course after reconstructive — restorative surgery of bowels are presented in this article. It was shown, that prolonged (1 month and more administration of lactulose (Duphalac results in improvement of motor and evacuation function of bowel, and decreases «sensor inability» of reduced parts of bowel. As a result, lactulose stimulates functioning of «obturative apparatus of neoampula» (voluntary evacuation, retention of intestinal contents, that favors to increase of quality of life and social rehabilitation of children in outlying post surgical period.Key words: children, post surgical rehabilitation, «idiopathic megacolon»syndrome, Hirschsprung's disease, anorectal malformations,lactulose.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2009;8(2:34-37

  3. EDITORIAL Complexity of advanced radiation therapy necessitates multidisciplinary inquiry into dose reconstruction and risk assessment Complexity of advanced radiation therapy necessitates multidisciplinary inquiry into dose reconstruction and risk assessment

    Science.gov (United States)

    Newhauser, Wayne

    2010-07-01

    The availability of low-cost, high-performance computing is rapidly transforming the landscape of cancer research. Computational techniques are playing an increasingly important role and have become the third major method of scientific inquiry, supplementing traditional methods of observation and theory. This evolution began in the 1940s when high-performance computing techniques were developed for military applications, including radiation transport calculations. These same basic methods are still widely utilized in a broad spectrum of computational problems in medicine, including radiation cancer therapy (Rogers 2006, Spezi 2010) and radiologic diagnostic imaging (Doi 2006, Kalender 2006). Supercomputing is also now being used to study the genetics and genomics of cancer (Geurts van Kessel 2010), with application to gene sequencing (Mardis 2008), genome-wide association studies (Pearson and Manolio 2008), biomolecular dynamics (Sanbonmatsu and Tung 2007) and systems biology (Wolkenhauer et al 2010). The extensive and growing body of literature is evidence of a remarkable expansion of activity and enormous boost to cancer research from the application of high-performance computing. Early successes were facilitated by inexpensive computing resources and advances in modeling algorithms. Many contemporary models require extensive approximations and phenomenological approaches. In fact, many critical problems remain computationally intractable; the underlying physical and biological processes are simply too complex to model with contemporary theory and computing capacity. In the future, a vast stream of new insights will flow from studies that use increasingly exact models and first-principles approaches. Hence, in the war on cancer the present status of computational research could be summarized as the beginning of the beginning. For these reasons, there is a vital need for scientists and clinicians to periodically discuss progress and future plans regarding

  4. Complex reconstruction of the dorsal hand using the induced membrane technique associated with bone substitute: A case report

    Science.gov (United States)

    Guillier, David; Rizzi, Philippe; De Taddeo, Alice; Henault, Benoit; Tchurukdichian, Alain; Zwetyenga, Narcisse

    2016-01-01

    Introduction High-energy trauma of the hand often causes tissue loss involving bone, tendon and skin and is sometimes accompanied by devascularization of digits. Bone stabilization is the first step in the management of such injuries. Materials and methods A young patient presented composite tissue loss of the dorsum of his right (dominant) hand following an accident with a surface planer. Tissue loss involved the diaphyses of the first 4 metacarpals, tendons and skin with almost complete amputation of the 3rd finger. Bone stabilization comprised osteosynthesis using pins associated with cement to fill the bone defect. Hunter tendon rods were used for tendon repair and a pedicle groin flap (McGregor) was used to achieve skin coverage. The cement was replaced with autologous cortico-cancellous bone graft combined with bone paste (Nanostim) 3 months after the cement stabilization. Results Eleven months after the accident, the patient was able to return to work as a carpenter. Pinch and Grasp strength in the injured hand were half that in the contralateral hand, but there was no loss of sensitivity. Mobility was very satisfactory with a Kapandji score of 9 and a mean TAM of 280°. The patient can write, open a bottle and does not feel limited for everyday activities. Radiographically, the bone of the 3 reconstructed metacarpals appears consolidated. Conclusion The induced membrane technique allowed the reconstruction of small bone deficits in the long bones of the hand in a two-step procedure, the first step taking place in an emergency context of composite tissue trauma. PMID:27077131

  5. Maxillary reconstruction with particulate bone graft and titanium mesh: a treatment option for large complex odontoma of the maxilla.

    Science.gov (United States)

    Utumi, Estevam Rubens; Cremonini, Caio Cesar; Pedron, Irineu Gregnanin; Zambon, Camila Eduarda; Cavalcanti, Marcelo Gusmão Paraíso; Ceccheti, Marcelo Minharro

    2011-07-01

    Odontomas are the most common type of odontogenic tumor and are generally asymptomatic. The purpose of this paper was to describe the case of a complex odontoma in a patient who had asymptomatic swelling in the central maxillary region, along with unerupted central and lateral incisors. In this case, surgical excision of the lesion was performed and an iliac bone graft was introduced into the defect area with a titanium mesh covering up the grafted harvesting bone. After 2 years of followup, no recurrence was identified. Patient followup is still in progress to evaluate bone graft resorption, and the patient awaits complete bone development. Oral rehabilitation with an osseointegrated titanium implant is expected in the future. An option of the large complex odontoma treatment is discussed.

  6. Interglacial microrefugia and diversification of a cactus species complex: phylogeography and palaeodistributional reconstructions for Pilosocereus aurisetus and allies.

    Science.gov (United States)

    Bonatelli, Isabel A S; Perez, Manolo F; Peterson, A Townsend; Taylor, Nigel P; Zappi, Daniela C; Machado, Marlon C; Koch, Ingrid; Pires, Adriana H C; Moraes, Evandro M

    2014-06-01

    The role of Pleistocene climate changes in promoting evolutionary diversification in global biota is well documented, but the great majority of data regarding this subject come from North America and Europe, which were greatly affected by glaciation. The effects of Pleistocene changes on cold- and/or dry-adapted species in tropical areas where glaciers were not present remain sparsely investigated. Many such species are restricted to small areas surrounded by unfavourable habitats, which may represent potential interglacial microrefugia. Here, we analysed the phylogeographic structure and diversification history of seven cactus species in the Pilosocereus aurisetus complex that are restricted to rocky areas with high diversity and endemism within the Neotropical savannas of eastern South America. We combined palaeodistributional estimates with standard phylogeographic approaches based on two chloroplast DNA regions (trnT-trnL and trnS-trnG), exon 1 of the nuclear gene PhyC and 10 nuclear microsatellite loci. Our analyses revealed a phylogeographic history marked by multiple levels of distributional fragmentation, isolation leading to allopatric differentiation and secondary contact among divergent lineages within the complex. Diversification and demographic events appear to have been affected by the Quaternary climatic cycles as a result of isolation in multiple patches of xerophytic vegetation. These small patches presently harbouring P. aurisetus populations seem to operate as microrefugia, both at present and during Pleistocene interglacial periods; the role of such microrefugia should be explored and analysed in greater detail.

  7. Reconstruction of an active SOCS3-based E3 ubiquitin ligase complex in vitro: identification of the active components and JAK2 and gp130 as substrates.

    Science.gov (United States)

    Kershaw, Nadia J; Laktyushin, Artem; Nicola, Nicos A; Babon, Jeffrey J

    2014-02-01

    SOCS3 (suppressor of cytokine signaling 3) inhibits the intracellular signaling cascade initiated by exposure of cells to cytokines. SOCS3 regulates signaling via two distinct mechanisms: directly inhibiting the catalytic activity of Janus kinases (JAKs) that initiate the intracellular signaling cascade and catalysing the ubiquitination of signaling components by recruiting components of an E3 ubiquitin ligase complex. Here we investigate the latter mode-of-action biochemically by reconstructing a SOCS3-based E3 ubiquitin ligase complex in vitro using fully purified, recombinant components and examining its ability to promote the ubiquitination of molecules involved in the cytokine signaling cascade. We show that SOCS3 is an active substrate recruitment module for a Cullin5-based E3 ligase and have defined the core protein components required for ubiquitination. SOCS3-induced polyubiquitination was rapid and could proceed through a number of different ubiquitin lysines. SOCS3 catalyzed the ubiquitination of both the IL-6 receptor common chain (gp130) and JAK2.

  8. Use of a polymethacrylate radial head spacer in temporary reconstruction of complex radial head fracture with associated elbow instability.

    Science.gov (United States)

    Capomassi, Miguel Angel; Clembosky, Gabriel Adrián

    2010-12-01

    Radial head replacement in complex elbow fractures (Mason III) with either bony or ligamentous injuries or interosseous membrane rupture is unquestionable. Actual modular and metallic prosthesis ease the mounting technique and ensure durability. Nevertheless, these types of prostheses are not always available in a short time in our daily practice. We present the use of a transient polymethacrylate spacer as an alternative in nonreconstructable complex radial head fractures with a unstable elbow. We assessed 38 patients between 2006 and 2007, with a median follow-up of 53.8 months. We included 14 Mason IV; 8 Monteggia (posterior); 7 Mason III with either associated medial collateral ligament or interosseous membrane injury; 6 elbow triads; and 3 Essex-Lopresti lesions. With the Mayo elbow performance score and the disabilities of the arm, shoulder, and hand score questionnaire, we assessed the functionality. Anatomic results were evaluated with x-ray scans of the elbow and wrist using the Broberg and Morrey and the Knirk and Jupiter scales. Functional results were as follows: 14--excellent, 14--good, 8--fair, and 2--poor. Assessment through disabilities of the arm, shoulder, and hand score questionnaire was 18.7% in average. There was a statistically significant relationship between joint stability and motion. Of the patients, 70% showed mild or moderate chondromalacia of the capitellum and 90% showed osteolysis on the proximal metaphysis of the radius, both events related to follow-up time but not to pain or range of movement. Of the cases, 30% showed heterotopic calcifications and 35% showed moderate arthrosis between the ulna and the humerus. None of the patients presented wrist arthrosis. Complications were 1 deep infection and 1 spacer luxation because of fatigue and ulna plate rupture (Monteggia posterior). In 6 patients, we had to remove the spacer because of pain and/or functional limitation, and 2 of these patients remained with moderate valgus instability

  9. Microvascular medial femoral condylar flaps in 107 consecutive reconstructions in the head and neck.

    Science.gov (United States)

    Brandtner, Christian; Hachleitner, Johannes; Bottini, Gian Battista; Buerger, Heinz; Gaggl, Alexander

    2016-07-01

    We have assessed the role of the medial femoral condylar flap in 107 patients who had reconstructions of the head and neck. We retrospectively reviewed their medical records for indications, complications, and outcomes. The flap was primarily used for coverage of alveolar ridge defects (n=67), secondly for defects of the facial bone, calvaria, or skull base (n=35), and thirdly for partial laryngeal defects (n=5). Two flaps were lost. One patient fractured a femur 5 weeks postoperatively. The duration of follow up ranged from 6 months to 12 years. The medial femoral condylar flap is well-suited to individual reconstructions of the alveolar ridge, midface, calvaria, skull base, and part of the larynx with poor recipient sites. The flap does not replace other wellknown flaps, but offers new solutions for solving special problems in head and neck surgery.

  10. Posterior cruciate ligament reconstruction combined with knee posterolateral complex reconstruction%后十字韧带合并后外侧韧带结构损伤的关节镜下重建

    Institute of Scientific and Technical Information of China (English)

    王锋; 赵金忠; 皇甫小桥; 杨星光

    2009-01-01

    目的 介绍后十字韧带合并后外侧韧带结构损伤的关节镜下重建及加强方式,总结其初期临床结果.方法 2006年11月至2007年10月,20例陈旧性后十字韧带合并后外侧韧带结构损伤患者采用八股自体胭绳肌肌腱双束重建后十字韧带、自体半腱肌肌腱加强后外侧韧带结构的手术方法.移植物采用微型钢板纽扣进行悬吊式固定.根据IKDC、Lyshohn和Tegner评分标准进行膝关节功能评估.结果 术后随访1~2年,平均(15.5±3.3)个月.末次随访时,患者伸膝活动均正常,1例屈膝受限15°,5例屈膝受限5°.后抽屉试验阴性17例,Ⅰ度阳性2例,Ⅱ度阳性1例.KT-1000检查(屈膝90°,30 kg)双侧松弛度差异平均为(2.35±1.35)mm.18例(90%)屈膝30°位外侧膝关节间隙增宽小于5 mm,2例(10%)分别为5 mm和6 nun.屈膝30°位小腿外旋角度较健侧增加均小于5°,平均为2.10°±2.67°.IKDC、Lysholm和Tegner评分分别为(90.00±3.49)分、(91.90±2.57)分和(6.50±0.69)分,与术前差异均有统计学意义.IKDC膝关节韧带评级15例(75%)正常,4例(20%)接近正常,1例(5%)异常.结论 采用八股自体胴绳肌肌腱双束重建后十字韧带,同时用自体半腱肌肌腱加强后外侧韧带结构能够恢复后十字韧带和后外侧韧带结构损伤后的膝关节稳定性.%Objective To introduce the method of posterior cruciate ligament (PCL) reconstruction combined with knee posterolateral complex (PLC) reconstruction through arthroseopy and to evaluate short-term outcomes. Methods Twenty cases of combined PCL and PLC injuries were treated with two-bundle PCL reconstruction with eight strands of autogenous hamstring tendons and PLC reinforcement with autoge-nous semitendinosns tendon. The semitendinosus tendon and gracilis tendon from the uninjured lower limb were harvested to reconstruct PCL, and the semitendinosus tendon from the injured leg was used to reinforce PLC. The grafts were fixed with a suspension

  11. Breast Reconstruction

    Science.gov (United States)

    ... rebuild the shape of the breast. Instead of breast reconstruction, you could choose to wear a breast form ... one woman may not be right for another. Breast reconstruction may be done at the same time as ...

  12. Complex abdominal wall reconstruction in the setting of active infection and contamination: a systematic review of hernia and fistula recurrence rates.

    Science.gov (United States)

    Hodgkinson, J D; Maeda, Y; Leo, C A; Warusavitarne, J; Vaizey, C J

    2017-04-01

    Minimal evidence exists to guide surgeons on the risk of complications when performing abdominal wall reconstruction (AWR) in the presence of active infection, contamination or enterocutaneous fistula. This study aims to establish the outcomes of contaminated complex AWR. Analysis was conducted according to PRISMA guidelines. Systematic search of the MEDLINE, EMBASE and Pubmed databases was performed. Studies reporting exclusively on single-staged repair of contaminated complex AWR were included. Pooled data were analysed to establish rates of complications. Sixteen studies were included, consisting of 601 contaminated complex AWRs, of which 233 included concurrent enterocutaneous fistula repair. The average follow-up period was 26.7 months. There were 146 (24.3%) reported hernia recurrences. When stratified by repair method, suture repair alone had the lowest rate of recurrence (14.2%), followed by nonabsorbable synthetic mesh reinforcement (21.2%), biological mesh (25.8%) and absorbable synthetic mesh (53.1%). Hernia recurrence was higher when fascial closure was not achieved. Of the 233 enterocutaneous fistula repairs, fistula recurrence was seen in 24 patients (10.3%). Suture repair alone had the lowest rate of recurrence (1.6%), followed by nonbiological mesh (10.3%) and biological mesh reinforcement (12%). Forty-six per cent of patients were reported as having a wound-related complication and the mortality rate was 2.5%. It is feasible to perform simultaneous enterocutaneous fistula repair and AWR as rates of recurrent fistula are comparable with series describing enterocutaneous fistula repair alone. Hernias recurred in nearly a quarter of cases. This analysis is limited by a lack of comparative data and variability of outcome reporting. Colorectal Disease © 2017 The Association of Coloproctology of Great Britain and Ireland.

  13. Accuracy Assessment of a Complex Building 3d Model Reconstructed from Images Acquired with a Low-Cost Uas

    Science.gov (United States)

    Oniga, E.; Chirilă, C.; Stătescu, F.

    2017-02-01

    Nowadays, Unmanned Aerial Systems (UASs) are a wide used technique for acquisition in order to create buildings 3D models, providing the acquisition of a high number of images at very high resolution or video sequences, in a very short time. Since low-cost UASs are preferred, the accuracy of a building 3D model created using this platforms must be evaluated. To achieve results, the dean's office building from the Faculty of "Hydrotechnical Engineering, Geodesy and Environmental Engineering" of Iasi, Romania, has been chosen, which is a complex shape building with the roof formed of two hyperbolic paraboloids. Seven points were placed on the ground around the building, three of them being used as GCPs, while the remaining four as Check points (CPs) for accuracy assessment. Additionally, the coordinates of 10 natural CPs representing the building characteristic points were measured with a Leica TCR 405 total station. The building 3D model was created as a point cloud which was automatically generated based on digital images acquired with the low-cost UASs, using the image matching algorithm and different software like 3DF Zephyr, Visual SfM, PhotoModeler Scanner and Drone2Map for ArcGIS. Except for the PhotoModeler Scanner software, the interior and exterior orientation parameters were determined simultaneously by solving a self-calibrating bundle adjustment. Based on the UAS point clouds, automatically generated by using the above mentioned software and GNSS data respectively, the parameters of the east side hyperbolic paraboloid were calculated using the least squares method and a statistical blunder detection. Then, in order to assess the accuracy of the building 3D model, several comparisons were made for the facades and the roof with reference data, considered with minimum errors: TLS mesh for the facades and GNSS mesh for the roof. Finally, the front facade of the building was created in 3D based on its characteristic points using the PhotoModeler Scanner

  14. Classifying breast cancer surgery: a novel, complexity-based system for oncological, oncoplastic and reconstructive procedures, and proof of principle by analysis of 1225 operations in 1166 patients.

    Science.gov (United States)

    Hoffmann, Jürgen; Wallwiener, Diethelm

    2009-04-08

    One of the basic prerequisites for generating evidence-based data is the availability of classification systems. Attempts to date to classify breast cancer operations have focussed on specific problems, e.g. the avoidance of secondary corrective surgery for surgical defects, rather than taking a generic approach. Starting from an existing, simpler empirical scheme based on the complexity of breast surgical procedures, which was used in-house primarily in operative report-writing, a novel classification of ablative and breast-conserving procedures initially needed to be developed and elaborated systematically. To obtain proof of principle, a prospectively planned analysis of patient records for all major breast cancer-related operations performed at our breast centre in 2005 and 2006 was conducted using the new classification. Data were analysed using basic descriptive statistics such as frequency tables. A novel two-type, six-tier classification system comprising 12 main categories, 13 subcategories and 39 sub-subcategories of oncological, oncoplastic and reconstructive breast cancer-related surgery was successfully developed. Our system permitted unequivocal classification, without exception, of all 1225 procedures performed in 1166 breast cancer patients in 2005 and 2006. Breast cancer-related surgical procedures can be generically classified according to their surgical complexity. Analysis of all major procedures performed at our breast centre during the study period provides proof of principle for this novel classification system. We envisage various applications for this classification, including uses in randomised clinical trials, guideline development, specialist surgical training, continuing professional development as well as quality of care and public health research.

  15. Complexity

    CERN Document Server

    Gershenson, Carlos

    2011-01-01

    The term complexity derives etymologically from the Latin plexus, which means interwoven. Intuitively, this implies that something complex is composed by elements that are difficult to separate. This difficulty arises from the relevant interactions that take place between components. This lack of separability is at odds with the classical scientific method - which has been used since the times of Galileo, Newton, Descartes, and Laplace - and has also influenced philosophy and engineering. In recent decades, the scientific study of complexity and complex systems has proposed a paradigm shift in science and philosophy, proposing novel methods that take into account relevant interactions.

  16. Reconstruction of a swine SLA-I protein complex and determination of binding nonameric peptides derived from the foot-and-mouth disease virus.

    Science.gov (United States)

    Gao, Feng-Shan; Fang, Qin-Mei; Li, Yun-Gang; Li, Xin-Sheng; Hao, Hui-Fang; Xia, Chun

    2006-10-15

    No experimental system to date is available to identify viral T-cell epitopes in swine. In order to reconstruct the system for identification of short antigenic peptides, the swine SLA-2 gene was linked to the beta(2)m gene via (G4S)3, a linker encoding a 15-amino acid glycine-rich sequence (G4S)3, using splicing overlap extension-PCR (SOE-PCR). The maltose binding protein (MBP)-SLA-2-(G4S)3-beta(2)m fusion protein was expressed and purified in a pMAL-p2X/Escherichia coli TB1 system. The purified MBP-SLA-2-(G4S)3-beta(2)m protein was cleaved by factor Xa protease, and further purified by DEAE-Sepharose chromatography. The conformation of the SLA-2-(G4S)3-beta(2)m protein was determined by circular dichroism (CD) spectrum. In addition, the refolded SLA-2-(G4S)3-beta(2)m protein was used to bind three nonameric peptides derived from the foot-and-mouth disease virus (FMDV) O subtype VP1. The SLA-2-(G4S)3-beta(2)m-associated peptides were detected by mass spectrometry. The molecular weights and amino acid sequences of the peptides were confirmed by primary and secondary spectra, respectively. The results indicate that the SLA-2-(G4S)3-beta(2)m was 41.6kDa, and its alpha-helix, beta-sheet, turn, and random coil by CD estimation were 78 aa, 149 aa, 67 aa, and 93 aa, respectively. SLA-2-(G4S)3-beta(2)m protein was able to bind the nonameric peptides derived from the FMDV VP1 region: 26-34 (RRQHTDVSF) and 157-165 (RTLPTSFNY). The experimental system demonstrated that the reconstructed SLA-2-(G4S)3-beta(2)m protein complex can be used to identify nonameric peptides, including T-cell epitopes in swine.

  17. Complex

    African Journals Online (AJOL)

    CLEMENT O BEWAJI

    Schiff bases and their complex compounds have been studied for their .... establishing coordination of the N–(2 – hydroxybenzyl) - L - α - valine Schiff base ..... (1967); “Spectrophotometric Identification of Organic Compounds”, Willey, New.

  18. Penile reconstruction

    Institute of Scientific and Technical Information of China (English)

    Giulio Garaffa; Salvatore Sansalone; David J Ralph

    2013-01-01

    During the most recent years,a variety of new techniques of penile reconstruction have been described in the literature.This paper focuses on the most recent advances in male genital reconstruction after trauma,excision of benign and malignant disease,in gender reassignment surgery and aphallia with emphasis on surgical technique,cosmetic and functional outcome.

  19. Pangloss: Reconstructing lensing mass

    Science.gov (United States)

    Collett, Thomas E.; Marshall, Philip J.; Mason, Charlotte

    2015-11-01

    Pangloss reconstructs all the mass within a light cone through the Universe. Understanding complex mass distributions like this is important for accurate time delay lens cosmography, and also for accurate lens magnification estimation. It aspires to use all available data in an attempt to make the best of all mass maps.

  20. Stoppa approach for intrapelvic damage control and reconstruction of complex acetabular defects with intra-pelvic socket migration: A case report

    Directory of Open Access Journals (Sweden)

    Antonio Murcia-Asensio

    2016-01-01

    Conclusion: The Stoppa approach in hip revision surgery can be a complement to traditional approaches to control the intrapelvic structures, remove migrated implants of previous surgery and reconstruct the pelvic defect.

  1. The Dras arc Complex: lithofacies and reconstruction of a Late Cretaceous oceanic volcanic arc in the Indus Suture Zone, Ladakh Himalaya

    Science.gov (United States)

    Robertson, Alastair; Degnan, Paul

    1994-08-01

    The purpose of this paper is to give an integrated description and interpretation of mainly volcaniclastic sediments related to excellently exposed oceanic volcanic arc successions in the Ladakh Himalayas. The mainly Late Cretaceous (Aptian—Paleocene?) Dras arc Complex in the Indus Suture Zone (N. India) is reconstructed as an oceanic arc, passing southwards into a proximal to distal forearc apron. The arc complex comprises three structural units. From west to east these are the Suru unit, the Naktul unit and the Nindam Formation. The Suru unit and the Naktul unit are unconformably underlain by dissected Late Jurassic? oceanic crust and mantle. The Suru unit preserves the interior of the arc and is divided into Dras 1 and Dras 2 sub-units. The Dras 1 Sub-unit, of mid-Late Cretaceous age, was intruded by arc plutonics, deformed, then unconformably overlain by the poorly dated Dras 2 Sub-unit (Lower Tertiary). The Dras 1 Sub-unit comprises arc extrusives, volcaniclastic and tuffaceous sedimentary rocks, and mainly redeposited shallow-water limestones. The Dras 2 Sub-unit is dominated by coarse volcaniclastics and lava flows, passing up into rhythmically layered acidic extrusives, with interbedded turbiditic siltstones and siliceous pelagic limestones. Further east, the Naktul unit is mainly clastic, with large volumes of massive volcaniclastic talus, thick-bedded debris flows, volcaniclastic turbidites and reworked shallow-water carbonates. Pillowed extrusives and ribbon radiolarites are present, mainly low in the succession in some areas, while pelagic carbonates are abundant near the top. The Naktul unit is interpreted as a proximal forearc apron. The Nindam Formation in the east is dominated by deep-water volcaniclastic turbidites, tuffaceous sediments and pelagic carbonates, with subordinate debris flows and is interpreted as a distal deep-water forearc succession. Cyclical alternations of mainly volcaniclastics and pelagic carbonates in the Nindam Formation

  2. 基于低影响开发模式的湘潭某小区雨水利用改造%On reconstruction of rainwater utility at some complex of Xiangtan based on low impact development

    Institute of Scientific and Technical Information of China (English)

    王丽; 隆万容; 王政华

    2014-01-01

    以湘潭市某小区雨水系统改造为研究对象,根据该地区的实际情况,基于LID理念,从坡屋面技术改造、雨水收集系统、灌溉系统等方面对小区雨水利用改造思路及技术作了阐述,以实现小区雨水削峰、减流、净化利用,提高小区防涝能力的目标。%Taking the reconstruction of rainwater system at some complex in Xiangtan as the object, the paper illustrates the reconstruction ideas and techniques of the rainwater utilities from the roof technical reconstruction, rainwater collection system, and irrigation system based on LID i-dea according to the facts in the area, so as to realize the peak clipping, abstracting and purification of the rainwater at the complex and enhance the prevention water-logging at the complex.

  3. Organización en el tratamiento del traumatismo panfacial y de las fracturas complejas del tercio medio Organization of treatment in panfacial trauma and complex midfacial fractures

    Directory of Open Access Journals (Sweden)

    J. Muñoz i Vidal

    2009-03-01

    between 2005 and 2006. There were 14 patients with midface high energy trauma, 4 of those associated to mandible or upper face subunit fractures. Extraocular motility, air way, correct oclussal relationship, minimum aesthetic sequel and correct recreating of facial dimensions define our goals. A multidisciplinary approach to these patients is imperative. Due to the complexity of these cases, there is not place allowed for improvisation and a previous accurate anamnesis, exploration and order of treatment is absolutely required. This leads to a proper management, an anatomic bone threedimensional reconstruction, preservation of soft structures according to previous patient's anthropometry and minimum aesthetic sequel in a single surgery time.

  4. Ligament reconstruction.

    Science.gov (United States)

    Glickel, Steven Z; Gupta, Salil

    2006-05-01

    Volar ligament reconstruction is an effective technique for treating symptomatic laxity of the CMC joint of the thumb. The laxity may bea manifestation of generalized ligament laxity,post-traumatic, or metabolic (Ehler-Danlos). There construction reduces the shear forces on the joint that contribute to the development and persistence of inflammation. Although there have been only a few reports of the results of volar ligament reconstruction, the use of the procedure to treat Stage I and Stage II disease gives good to excellent results consistently. More advanced stages of disease are best treated by trapeziectomy, with or without ligament reconstruction.

  5. Breast Reconstruction

    Science.gov (United States)

    ... senos Preguntas Para el Médico Datos Para la Vida Komen El cuidado de sus senos:Consejos útiles ... can help . Cost Federal law requires most insurance plans cover the cost of breast reconstruction. Learn more ...

  6. Climate Reconstructions

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Paleoclimatology Program archives reconstructions of past climatic conditions derived from paleoclimate proxies, in addition to the Program's large holdings...

  7. Nonlinear Reconstruction

    CERN Document Server

    Zhu, Hong-Ming; Pen, Ue-Li; Chen, Xuelei; Yu, Hao-Ran

    2016-01-01

    We present a direct approach to non-parametrically reconstruct the linear density field from an observed non-linear map. We solve for the unique displacement potential consistent with the non-linear density and positive definite coordinate transformation using a multigrid algorithm. We show that we recover the linear initial conditions up to $k\\sim 1\\ h/\\mathrm{Mpc}$ with minimal computational cost. This reconstruction approach generalizes the linear displacement theory to fully non-linear fields, potentially substantially expanding the BAO and RSD information content of dense large scale structure surveys, including for example SDSS main sample and 21cm intensity mapping.

  8. Secondary free-flap reconstruction following ablation for acute invasive fungal sinusitis.

    Science.gov (United States)

    Allensworth, Jordan J; Troob, Scott H; Weaver, Tyler S; Gonzalez, Javier D; Petrisor, Daniel; Wax, Mark K

    2017-04-01

    Acute invasive fungal sinusitis (AIFS) is a frequently fatal infection for which extensive and debilitating surgical debridement is a mainstay of therapy. Resulting defects are often composite in nature, mandating free tissue-transfer reconstruction. Outcomes data for free flap reconstruction are limited. The purpose of this study was to examine surgical outcomes and survival in patients undergoing free flap transfer following invasive fungal sinusitis. Retrospective case series. Between 1995 and 2015, patients undergoing operative debridement for AIFS were identified. Surgical records were used to identify survivors of acute infection who subsequently underwent free flap reconstructive surgery. Patient demographics, cause of immune compromise, defect description, flap type, perioperative complications, indications for revision surgery, functional outcomes, and long-term survival were reviewed. Forty-four patients were treated for AIFS, of those, 30 (68%) survived acute infection. Ten patients underwent maxillectomy, six with orbital exenteration, and were designated candidates for reconstruction. Eight patients underwent reconstruction. Median time from debridement to reconstruction was 67.5 days. Flap types included latissimus dorsi, scapula, anterolateral thigh, rectus, radial forearm, and fibula. Median follow-up was 7.7 months. No perioperative complications were encountered, and all subjects remained disease-free, able to speak and eat normally without prosthetic supplementation. Seven patients (87%) are currently alive. Reconstruction of defects left by invasive fungal sinusitis using free-tissue transfer resulted in successful flap survival, with no disease recurrence for all defects and flap types reviewed. Survivors of AIFS are able to tolerate midface reconstruction, with favorable functional outcomes and survival rates. 4. Laryngoscope, 127:815-819, 2017. © 2016 The American Laryngological, Rhinological and Otological Society, Inc.

  9. ACL reconstruction - discharge

    Science.gov (United States)

    Anterior cruciate ligament reconstruction - discharge; ACL reconstruction - discharge ... had surgery to reconstruct your anterior cruciate ligament (ACL). The surgeon drilled holes in the bones of ...

  10. 颧脂肪垫悬吊技术辅以SMAS折叠的中面部除皱术%Midface lifting of the suspension of the malar fat pad with SMAS plication

    Institute of Scientific and Technical Information of China (English)

    张志宏; 李文志; 欧阳钟石; 王佳琦

    2011-01-01

    目的:出于中面部提升简单化的趋势,介绍一种颧脂肪垫提升和SMAS移位的除皱技术.以期改善颧下区域空虚、鼻唇沟加深等中面部老化的问题.方法:采用一种中面部年轻化方法,行颊部耳前SMAS折叠,同时将下垂的颧脂垫缝线悬吊于耳前筋膜,使老化中面部维持长期的提升效果.结果:2006~2010年,在52例面部除皱术中运用该技术,中面部提升效果维持时间长,恢复期短,无面神经损伤等严重并发症出现.结论:皮下层的安全剥离避免了面神经分支的损伤.颧脂肪垫悬吊技术辅以SMAS折叠术,避免了较长的恢复期和深层剥离可能导致的损伤.这种方法可作为独立的中面部手术在局麻下实施,操作简单、安全、效果持久.%Objective A trend toward simplification in midface lifting has introduced the technique of suspension of the malar fat pad with SMAS plication. The questions of midfacial aging including hollowing in the submalar area, deepening of the nasolabial crease, can be correctted by this technique. Methods We describe an approach to midfacial rejuvenation that combines suture suspension of the ptotic malar fat pad to the preauricular fascia with baccul SMAS placation. Long-lasting improvement of the aging midface is achieved. Results This technique was used in 52 patients between 2006 and 2010, producing effective long-lasting results with limited convalescence and minimal complication rates. Conclusions Safe dissection in the subcutaneous plane avoids injury to facial nerve branches. Plication of the SMAS with suture suspension of the malar fat pad avoids the prolonged convalescence and other morbidities of deep plane dissections. This approach can be quickly and easily performed under local anesthesia as an isolated midface procedure, and it is a simple and safe procedure with effective long-lasting results.

  11. Breast Reconstruction Alternatives

    Science.gov (United States)

    ... Breast Reconstruction Surgery Breast Cancer Breast Reconstruction Surgery Breast Reconstruction Alternatives Some women who have had a ... chest. What if I choose not to get breast reconstruction? Some women decide not to have any ...

  12. Smooth Reconstruction

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Eighty percent of the reconstruction projects in Sichuan Province will be completed by the end of the year Despite ruins still seen everywhere in the earthquake-hit areas in Sichuan (Province, new buildings have been completed, and many people have moved into new houses. Through cameras of the media, the faces, once painful and melancholy after last year’s earthquake, now look confident and firm, gratifying people all over the

  13. A Multi-Data Source and Multi-Sensor Approach for the 3D Reconstruction and Web Visualization of a Complex Archaelogical Site: The Case Study of “Tolmo De Minateda”

    Directory of Open Access Journals (Sweden)

    Jose Alberto Torres-Martínez

    2016-06-01

    Full Text Available The complexity of archaeological sites hinders creation of an integral model using the current Geomatic techniques (i.e., aerial, close-range photogrammetry and terrestrial laser scanner individually. A multi-sensor approach is therefore proposed as the optimal solution to provide a 3D reconstruction and visualization of these complex sites. Sensor registration represents a riveting milestone when automation is required and when aerial and terrestrial datasets must be integrated. To this end, several problems must be solved: coordinate system definition, geo-referencing, co-registration of point clouds, geometric and radiometric homogeneity, etc. The proposed multi-data source and multi-sensor approach is applied to the study case of the “Tolmo de Minateda” archaeological site. A total extension of 9 ha is reconstructed, with an adapted level of detail, by an ultralight aerial platform (paratrike, an unmanned aerial vehicle, a terrestrial laser scanner and terrestrial photogrammetry. Finally, a mobile device (e.g., tablet or smartphone has been used to integrate, optimize and visualize all this information, providing added value to archaeologists and heritage managers who want to use an efficient tool for their works at the site, and even for non-expert users who just want to know more about the archaeological settlement.

  14. Maxillary reconstruction

    Directory of Open Access Journals (Sweden)

    Brown James

    2007-12-01

    Full Text Available This article aims to discuss the various defects that occur with maxillectomy with a full review of the literature and discussion of the advantages and disadvantages of the various techniques described. Reconstruction of the maxilla can be relatively simple for the standard low maxillectomy that does not involve the orbital floor (Class 2. In this situation the structure of the face is less damaged and the there are multiple reconstructive options for the restoration of the maxilla and dental alveolus. If the maxillectomy includes the orbit (Class 4 then problems involving the eye (enopthalmos, orbital dystopia, ectropion and diplopia are avoided which simplifies the reconstruction. Most controversy is associated with the maxillectomy that involves the orbital floor and dental alveolus (Class 3. A case is made for the use of the iliac crest with internal oblique as an ideal option but there are other methods, which may provide a similar result. A multidisciplinary approach to these patients is emphasised which should include a prosthodontist with a special expertise for these defects.

  15. Comparison of classical surfacing and rapid surfacing for complex surface reconstruction%传统方法与快速曲面方法进行复杂曲面重建的比较*

    Institute of Scientific and Technical Information of China (English)

    王秉操; 王殊轶; 毕东东; 郑加宽; 刘斌

    2013-01-01

    BACKGROUND:Reverse engineering technology has been widely used in surgery, and how to produce the model that meet the rapid prototyping processing rapidly and effectively has attracted more and more attention. OBJECTIVE:To compare the classical surfacing and rapid surfacing for complex surface reconstruction based on the summary of the commonly used surface reconstruction modeling technique. METHODS:VIVID9i non-contact three-dimensional digital scanner produced by Konica, Japan was used to perform the three-dimensional coordinate measuring on faces of 30 col ege students. The classical surfacing and rapid surfacing approaches were used to surfacing reconstruct the facial point cloud data, and to perform error analysis and smoothness evaluation. RESULTS AND CONCLUSION:The results show that the maximum distance of surfaces and point clouds reconstructed with the classical surfacing and rapid surfacing approaches were 2.99 mm and 0.69 mm. The surface made by classical surfacing approach was smoother than that made by rapid surfacing approach. There is a conclusion that rapid surfacing approach is more efficient method for complex surface reconstruction, and provides a reference for the three-dimensional reconstruction of complex surfaces.%  背景:逆向工程技术在外科手术中的应用越来越广泛,如何快速、高效地制作出满足快速原型加工所需的模型越来越受到医务人员的关注。  目的:在对常用曲面重构方法建模技术进行总结的基础上,针对传统方法和快速曲面方法对面部复杂曲面进行了重建比较分析。  方法:采用日本Konica公司生产的VIVID9i非接触式三维数字化仪对30名在校大学生面部进行三维坐标测量。采用传统方法和快速曲面方法对扫描得到的面部点云数据进行曲面重建,并对结果进行误差分析和光顺性评价。  结果与结论:传统方法和快速曲面方法重建曲面与原

  16. Porcelain three-dimensional shape reconstruction and its color reconstruction

    Science.gov (United States)

    Yu, Xiaoyang; Wu, Haibin; Yang, Xue; Yu, Shuang; Wang, Beiyi; Chen, Deyun

    2013-01-01

    In this paper, structured light three-dimensional measurement technology was used to reconstruct the porcelain shape, and further more the porcelain color was reconstructed. So the accurate reconstruction of the shape and color of porcelain was realized. Our shape measurement installation drawing is given. Because the porcelain surface is color complex and highly reflective, the binary Gray code encoding is used to reduce the influence of the porcelain surface. The color camera was employed to obtain the color of the porcelain surface. Then, the comprehensive reconstruction of the shape and color was realized in Java3D runtime environment. In the reconstruction process, the space point by point coloration method is proposed and achieved. Our coloration method ensures the pixel corresponding accuracy in both of shape and color aspects. The porcelain surface shape and color reconstruction experimental results completed by proposed method and our installation, show that: the depth range is 860 ˜ 980mm, the relative error of the shape measurement is less than 0.1%, the reconstructed color of the porcelain surface is real, refined and subtle, and has the same visual effect as the measured surface.

  17. Autologous Costochondral Microtia Reconstruction.

    Science.gov (United States)

    Patel, Sapna A; Bhrany, Amit D; Murakami, Craig S; Sie, Kathleen C Y

    2016-04-01

    Reconstruction with autologous costochondral cartilage is one of the mainstays of surgical management of congenital microtia. We review the literature, present our current technique for microtia reconstruction with autologous costochondral graft, and discuss the evolution of our technique over the past 20 years. We aim to minimize donor site morbidity and create the most durable and natural appearing ear possible using a stacked framework to augment the antihelical fold and antitragal-tragal complex. Assessment of outcomes is challenging due to the paucity of available objective measures with which to evaluate aesthetic outcomes. Various instruments are used to assess outcomes, but none is universally accepted as the standard. The challenges we continue to face are humbling, but ongoing work on tissue engineering, application of 3D models, and use of validated questionnaires can help us get closer to achieving a maximal aesthetic outcome.

  18. Afghanistan Reconstruction

    Institute of Scientific and Technical Information of China (English)

    Fu Xiaoqiang

    2006-01-01

    @@ The Karzai regime has made some progress over the past four years and a half in the post-war reconstruction.However, Taliban's destruction and drug economy are still having serious impacts on the security and stability of Afghanistan.Hence the settlement of the two problems has become a crux of affecting the country' s future.Moreover, the Karzai regime is yet to handle a series of hot potatoes in the fields of central government' s authority, military and police building-up and foreign relations as well.

  19. Structural allele-specific patterns adopted by epitopes in the MHC-I cleft and reconstruction of MHC:peptide complexes to cross-reactivity assessment.

    Directory of Open Access Journals (Sweden)

    Dinler A Antunes

    Full Text Available The immune system is engaged in a constant antigenic surveillance through the Major Histocompatibility Complex (MHC class I antigen presentation pathway. This is an efficient mechanism for detection of intracellular infections, especially viral ones. In this work we describe conformational patterns shared by epitopes presented by a given MHC allele and use these features to develop a docking approach that simulates the peptide loading into the MHC cleft. Our strategy, to construct in silico MHC:peptide complexes, was successfully tested by reproducing four different crystal structures of MHC-I molecules available at the Protein Data Bank (PDB. An in silico study of cross-reactivity potential was also performed between the wild-type complex HLA-A2-NS31073 and nine MHC:peptide complexes presenting alanine exchange peptides. This indicates that structural similarities among the complexes can give us important clues about cross reactivity. The approach used in this work allows the selection of epitopes with potential to induce cross-reactive immune responses, providing useful tools for studies in autoimmunity and to the development of more comprehensive vaccines.

  20. Innovations in diabetic foot reconstruction using supermicrosurgery.

    Science.gov (United States)

    Suh, Hyun Suk; Oh, Tae Suk; Hong, Joon Pio

    2016-01-01

    The treatment of diabetic foot ulceration is complex with multiple factors involved, and it may often lead to limb amputation. Hence, a multidisciplinary approach is warranted to cover the spectrum of treatment for diabetic foot, but in complex wounds, surgical treatment is inevitable. Surgery may involve the decision to preserve the limb by reconstruction or to amputate it. Reconstruction involves preserving the limb with secure coverage. Local flaps usually are able to provide sufficient coverage for small or moderate sized wound, but for larger wounds, soft tissue coverage involves flaps that are distantly located from the wound. Reconstruction of distant flap usually involves microsurgery, and now, further innovative methods such as supermicrosurgery have further given complex wounds a better chance to be reconstructed and limbs salvaged. This article reviews the microsurgery involved in reconstruction and introduces the new method of supermicrosurgery.

  1. Extra-anatomic right ventricle to pulmonary artery conduit: the apical-aortic equivalent for complex right ventricular outflow tract reconstruction.

    Science.gov (United States)

    Mori, Makoto; Siddharthan, Ragavan; Kogon, Brian

    2015-03-01

    We describe the case of a 22-year-old with tetralogy of Fallot, who underwent complete repair with ventricular septal defect closure and right ventricle to pulmonary artery conduit placement. She has undergone numerous subsequent conduit changes, each complicated by early stenosis and failure. Unfortunately, serial conduit changes can become increasingly challenging. While extra-anatomic conduits have been described for complex left ventricular outflow tract obstruction, they have not been described for right-sided obstruction. Herein, we present a patient who underwent successful placement of an extra-anatomic valved right ventricle to pulmonary artery conduit in the setting of complex right ventricular outflow tract obstruction.

  2. Putting 3D modelling and 3D printing into practice: virtual surgery and preoperative planning to reconstruct complex post-traumatic skeletal deformities and defects

    Science.gov (United States)

    Tetsworth, Kevin; Block, Steve; Glatt, Vaida

    2017-01-01

    3D printing technology has revolutionized and gradually transformed manufacturing across a broad spectrum of industries, including healthcare. Nowhere is this more apparent than in orthopaedics with many surgeons already incorporating aspects of 3D modelling and virtual procedures into their routine clinical practice. As a more extreme application, patient-specific 3D printed titanium truss cages represent a novel approach for managing the challenge of segmental bone defects. This review illustrates the potential indications of this innovative technique using 3D printed titanium truss cages in conjunction with the Masquelet technique. These implants are custom designed during a virtual surgical planning session with the combined input of an orthopaedic surgeon, an orthopaedic engineering professional and a biomedical design engineer. The ability to 3D model an identical replica of the original intact bone in a virtual procedure is of vital importance when attempting to precisely reconstruct normal anatomy during the actual procedure. Additionally, other important factors must be considered during the planning procedure, such as the three-dimensional configuration of the implant. Meticulous design is necessary to allow for successful implantation through the planned surgical exposure, while being aware of the constraints imposed by local anatomy and prior implants. This review will attempt to synthesize the current state of the art as well as discuss our personal experience using this promising technique. It will address implant design considerations including the mechanical, anatomical and functional aspects unique to each case. PMID:28220752

  3. Reconstruction of a complex late Quaternary glacial landscape in the Cordillera de Cochabamba (Bolivia) based on a morphostratigraphic and multiple dating approach

    Science.gov (United States)

    May, Jan-Hendrik; Zech, Jana; Zech, Roland; Preusser, Frank; Argollo, Jaime; Kubik, Peter W.; Veit, Heinz

    Although glacial landscapes have previously been used for the reconstruction of late Quaternary glaciations in the Central Andes, only few data exist for the Eastern Cordillera in Bolivia. Here, we present results from detailed morphostratigraphic mapping and new data of surface exposure dating (SED), optically stimulated luminescence (OSL), and radiocarbon dating ( 14C) from the Huara Loma Valley, Cordillera de Cochabamba (Bolivia). Discrepancies between individual dating methods could be addressed within the context of a solid geomorphic framework. We identified two major glaciations. The older is not well constrained by the available data, whereas the younger glaciation is subdivided into at least four major glacial stages. Regarding the latter, a first advance dated to ~ 29-25 ka occurred roughly contemporaneous with the onset of the global last glacial maximum (LGM) and was followed by a less extensive (re-)advance around 20-18 ka. The local last glacial maximum (LLGM) in the Huara Loma Valley took place during the humid lateglacial ~ 17-16 ka, followed by several smaller readvances until ~ 10-11 ka, and complete deglaciation at the end of the Early Holocene.

  4. Putting 3D modelling and 3D printing into practice: virtual surgery and preoperative planning to reconstruct complex post-traumatic skeletal deformities and defects

    Directory of Open Access Journals (Sweden)

    Tetsworth Kevin

    2017-01-01

    Full Text Available 3D printing technology has revolutionized and gradually transformed manufacturing across a broad spectrum of industries, including healthcare. Nowhere is this more apparent than in orthopaedics with many surgeons already incorporating aspects of 3D modelling and virtual procedures into their routine clinical practice. As a more extreme application, patient-specific 3D printed titanium truss cages represent a novel approach for managing the challenge of segmental bone defects. This review illustrates the potential indications of this innovative technique using 3D printed titanium truss cages in conjunction with the Masquelet technique. These implants are custom designed during a virtual surgical planning session with the combined input of an orthopaedic surgeon, an orthopaedic engineering professional and a biomedical design engineer. The ability to 3D model an identical replica of the original intact bone in a virtual procedure is of vital importance when attempting to precisely reconstruct normal anatomy during the actual procedure. Additionally, other important factors must be considered during the planning procedure, such as the three-dimensional configuration of the implant. Meticulous design is necessary to allow for successful implantation through the planned surgical exposure, while being aware of the constraints imposed by local anatomy and prior implants. This review will attempt to synthesize the current state of the art as well as discuss our personal experience using this promising technique. It will address implant design considerations including the mechanical, anatomical and functional aspects unique to each case.

  5. Putting 3D modelling and 3D printing into practice: virtual surgery and preoperative planning to reconstruct complex post-traumatic skeletal deformities and defects.

    Science.gov (United States)

    Tetsworth, Kevin; Block, Steve; Glatt, Vaida

    2017-01-01

    3D printing technology has revolutionized and gradually transformed manufacturing across a broad spectrum of industries, including healthcare. Nowhere is this more apparent than in orthopaedics with many surgeons already incorporating aspects of 3D modelling and virtual procedures into their routine clinical practice. As a more extreme application, patient-specific 3D printed titanium truss cages represent a novel approach for managing the challenge of segmental bone defects. This review illustrates the potential indications of this innovative technique using 3D printed titanium truss cages in conjunction with the Masquelet technique. These implants are custom designed during a virtual surgical planning session with the combined input of an orthopaedic surgeon, an orthopaedic engineering professional and a biomedical design engineer. The ability to 3D model an identical replica of the original intact bone in a virtual procedure is of vital importance when attempting to precisely reconstruct normal anatomy during the actual procedure. Additionally, other important factors must be considered during the planning procedure, such as the three-dimensional configuration of the implant. Meticulous design is necessary to allow for successful implantation through the planned surgical exposure, while being aware of the constraints imposed by local anatomy and prior implants. This review will attempt to synthesize the current state of the art as well as discuss our personal experience using this promising technique. It will address implant design considerations including the mechanical, anatomical and functional aspects unique to each case.

  6. Maximizing Modern Distribution of Complex Anatomical Spatial Information: 3D Reconstruction and Rapid Prototype Production of Anatomical Corrosion Casts of Human Specimens

    Science.gov (United States)

    Li, Jianyi; Nie, Lanying; Li, Zeyu; Lin, Lijun; Tang, Lei; Ouyang, Jun

    2012-01-01

    Anatomical corrosion casts of human specimens are useful teaching aids. However, their use is limited due to ethical dilemmas associated with their production, their lack of perfect reproducibility, and their consumption of original specimens in the process of casting. In this study, new approaches with modern distribution of complex anatomical…

  7. BIOGENESIS OF THYLAKOID MEMBRANES WITH RECONSTRUCTION OF CHLOROPHYLL-PROTEIN COMPLEXES IN DELETION-MUTANT OF ORF469 IN BLUE-GREEN ALGA

    Institute of Scientific and Technical Information of China (English)

    WuQingyu; WangRuiyong; XuHong; WireVermaas

    1997-01-01

    The transformable blue green alga is used productively for mutation and deletion studies to provide functional information regarding photosynthetic reaction center complexes. We wish to take the application of transformable blue-green algal systems one step further ,and set out the

  8. Exploring the topology of dynamical reconstructions

    Science.gov (United States)

    Garland, Joshua; Bradley, Elizabeth; Meiss, James D.

    2016-11-01

    Computing the state-space topology of a dynamical system from scalar data requires accurate reconstruction of those dynamics and construction of an appropriate simplicial complex from the results. The reconstruction process involves a number of free parameters and the computation of homology for a large number of simplices can be expensive. This paper is a study of how to compute the homology efficiently and effectively without a full (diffeomorphic) reconstruction. Using trajectories from the classic Lorenz system, we reconstruct the dynamics using the method of delays, then build a simplicial complex whose vertices are a small subset of the data: the "witness complex". Surprisingly, we find that the witness complex correctly resolves the homology of the underlying invariant set from noisy samples of that set even if the reconstruction dimension is well below the thresholds for assuring topological conjugacy between the true and reconstructed dynamics that are specified in the embedding theorems. We conjecture that this is because the requirements for reconstructing homology are less stringent: a homeomorphism is sufficient-as opposed to a diffeomorphism, as is necessary for the full dynamics. We provide preliminary evidence that a homeomorphism, in the form of a delay-coordinate reconstruction map, may exist at a lower dimension than that required to achieve an embedding.

  9. Breast Reconstruction with Implants

    Science.gov (United States)

    Breast reconstruction with implants Overview By Mayo Clinic Staff Breast reconstruction is a surgical procedure that restores shape to ... treat or prevent breast cancer. One type of breast reconstruction uses breast implants — silicone devices filled with silicone ...

  10. Tissue Engineering for Vertical Ridge Reconstruction.

    Science.gov (United States)

    Patel, Neel; Kim, Beomjune; Zaid, Waleed; Spagnoli, Daniel

    2017-02-01

    This article provides an overview of basic tissue engineering principles as they are applied to vertical ridge defects and reconstructive techniques for these types of deficiencies. Presented are multiple clinical cases ranging from office-based dentoalveolar procedures to the more complex reconstruction of postresection mandibular defects. Several different types of regenerative tissue constructs are presented; either used alone or in combination with traditional reconstructive techniques and procedures, such as maxillary sinus augmentation, Le Fort I osteotomy, and microvascular free tissue transfer. The goal is to also familiarize the reconstructive surgeon to potential future strategies in vertical alveolar ridge augmentation. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Reconstructive Urology

    Directory of Open Access Journals (Sweden)

    Fikret Fatih Önol

    2014-11-01

    Full Text Available In the treatment of urethral stricture, Buccal Mucosa Graft (BMG and reconstruction is applied with different patch techniques. Recently often prefered, this approach is, in bulber urethra strictures of BMG’s; by “ventral onley”, in pendulous urethra because of thinner spingiosis body, which provides support and nutrition of graft; by means of “dorsal inley” being anastomosis. In the research that Cordon et al. did, they compared conventional BMJ “onley” urethroplast and “pseudo-spongioplasty” which base on periurethral vascular tissues to be nourished by closing onto graft. In repairment of front urethras that spongiosis supportive tissue is insufficient, this method is defined as peripheral dartos [çevre dartos?] and buck’s fascia being mobilized and being combined on BMG patch. Between the years 2007 and 2012, assessment of 56 patients with conventional “ventral onley” BMG urethroplast and 46 patients with “pseudo-spongioplasty” were reported to have similar success rates (80% to 84% in 3.5 year follow-up on average. While 74% of the patients that were applied pseudo-spongioplasty had disease present at distal urethra (pendulous, bulbopendulous, 82% of the patients which were applied conventional onley urethroplast had stricture at proximal (bulber urethra yet. Also lenght of the stricture at the pseudo-spongioplasty group was longer in a statistically significant way (5.8 cm to 4.7 cm on average, p=0.028. This study which Cordon et al. did, shows that conditions in which conventional sponjiyoplasti is not possible, periurethral vascular tissues are adequate to nourish BMG. Even it is an important technique in terms of bringing a new point of view to today’s practice, data especially about complications that may show up after pseudo-spongioplasty usage on long distal strictures (e.g. appearance of urethral diverticulum is not reported. Along with this we think that, providing an oppurtinity to patch directly

  12. Social consciousness in post-conflict reconstruction.

    NARCIS (Netherlands)

    Gans, Ben; Rutkowski, Anne; Kaminski, B.; Kersten, G.E.; Szapiro, T.

    This paper sheds light on the complexities intergovernmental organizations are facing during post-conflict reconstruction. The article discusses the added-value of Social Responsibility in the context of the Comprehensive Approach, involving collaboration amongst defense, diplomacy and development.

  13. Reconstrucción de defectos torácicos de espesor total: Presentación de 8 casos de especial complejidad Reconstruction of full thickness defects on the chest wall: Presentation of 8 complex cases

    Directory of Open Access Journals (Sweden)

    J.M. Lasso

    2009-12-01

    Full Text Available Las lesiones de gran tamaño en el tórax, requieren casi siempre para su reparación plastias complejas, que en algunos casos han de combinar el uso de tejidos autólogos y/o materiales sintéticos. Por tanto, la reconstrucción de la pared torácica supone un desafío desde el punto de vista reconstructivo en el que es fundamental el papel de los cirujanos plásticos. Los grandes defectos torácicos suelen ser secundarios a exéresis tumoral (tumores parietales de origen primario o secundario, infecciones, radionecrosis, traumatismos y malformaciones congénitas. Si bien los principios de la reconstrucción del tórax exigen una escisión amplia de la lesión, desbridamiento de los tejidos desvitalizados o irradiados y control de la infección local, dichas actuaciones no podrían abordarse con seguridad si no dispusiéramos de un amplio arsenal de técnicas reconstructivas, capaces de aportar tejidos sanos y bien vascularizados o voluminosos y amplios en superficie, junto con soportes rígidos mediante materiales aloplásticos. Gracias a estos avances, en la mayoría de los casos conseguimos el objetivo con sólo una intervención, cuando hace unos años necesitábamos varios procedimientos quirúrgicos. Presentamos una muestra variada de la experiencia de nuestro Servicio en el tratamiento de grandes defectos del tórax, en el que resumimos las distintas posibilidades que podemos encontrar en la práctica clínica diaria, y las soluciones que mejor se adaptan a las mismas.Reconstruction of full thickness defects on the chest wall is controversial and require the use of complex techniques that combine autologous tissue and/or alloplastic materials. Thus it is a challenge for plastic surgeons since it needs a suitable and functional reconstruction. The aethiology for these defects include tumoral surgery (primary wall tumors, or recurrences or metastasis, infections, radiation injury, trauma and congenital defects. Otherwise, first surgical

  14. Clustured regularly interspersed short palindromic repeats (CRISPR) genetic diversity studies as a mean to reconstruct the evolution of the Mycobacterium tuberculosis complex.

    Science.gov (United States)

    Sola, Christophe

    2015-06-01

    The natural history of tuberculosis may be tackled by various means, among which the record of molecular scars that have been registered by the Mycobacterium tuberculosis complex (MTBC) genomes transmitted from patient to patient for tens of thousands years and possibly more. Recently discovered polymorphic loci, the CRISPR sequences, are indirect witnesses of the historical phage-bacteria struggle, and may be related to the time when the ancestor of today's tubercle bacilli were environmental bacteria, i.e. before becoming intracellular parasites. In this article, we present what are CRISPRs and try to summarize almost 20 years of research results obtained using the genetic diversity of the CRISPR loci in MTBC as a perspective for studying new models. We show that the study of the diversity of CRISPR sequences, thanks to «spoligotyping», has played a great role in our global understanding of the population structure of MTBC. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. Performance of cone-beam computed tomography and multidetector computed tomography in diagnostic imaging of the midface: A comparative study on Phantom and cadaver head scans

    Energy Technology Data Exchange (ETDEWEB)

    Veldhoen, Simon [University Medical Center Hamburg, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); University Hospital Wuerzburg, Department of Diagnostic and Interventional Radiology, Wuerzburg (Germany); Schoellchen, Maximilian; Hanken, H.; Precht, C.; Heiland, M. [University Medical Center Hamburg, Department of Oral- and Maxillofacial Surgery, Hamburg (Germany); Henes, F.O.; Adam, G.; Regier, M. [University Medical Center Hamburg, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); Schoen, G. [University Medical Center Hamburg, Department of Medical Biometry and Epidemiology, Hamburg (Germany); Nagel, H.D. [Science and Technology for Radiology, Buchholz (Germany); Schumacher, U. [University Medical Center Hamburg, Institute of Anatomy, Hamburg (Germany)

    2017-02-15

    To compare multidetector computed tomography (MDCT) and cone-beam computed tomography (CBCT) regarding radiation, resolution, image noise, and image quality. CBCT and 256-MDCT were compared based on three scan protocols: Standard-dose (∼24 mGy), reduced-dose (∼9 mGy), and low-dose (∼4 mGy). MDCT images were acquired in standard- and high-resolution mode (HR-MDCT) and reconstructed using filtered back projection (FBP) and iterative reconstruction (IR). Spatial resolution in linepairs (lp) and objective image noise (OIN) were assessed using dedicated phantoms. Image quality was assessed in scans of 25 cadaver heads using a Likert scale. OIN was markedly higher in FBP-MDCT when compared to CBCT. IR lowered the OIN to comparable values in standard-mode MDCT only. CBCT provided a resolution of 13 lp/cm at standard-dose and 11 lp/cm at reduced-dose vs. 11 lp/cm and 10 lp/cm in HR-MDCT. Resolution of 10 lp/cm was observed for both devices using low-dose settings. Quality scores of MDCT and CBCT did not differ at standard-dose (CBCT, 3.4; MDCT, 3.3-3.5; p > 0.05). Using reduced- and low-dose protocols, CBCT was superior (reduced-dose, 3.2 vs. 2.8; low dose, 3.0 vs. 2.3; p < 0.001). Using the low-dose protocol, the assessed CBCT provided better objective and subjective image quality and equality in resolution. Similar image quality, but better resolution using CBCT was observed at higher exposure settings. (orig.)

  16. Network reconstruction from infection cascades

    CERN Document Server

    Braunstein, Alfredo

    2016-01-01

    Reconstructing propagation networks from observations is a fundamental inverse problem, and it's crucial to understand and control dynamics in complex systems. Here we show that it is possible to reconstruct the whole structure of an interaction network and to simultaneously infer the complete time course of activation spreading, relying just on single snapshots of a small number of activity cascades. The method, that we called Inverse Dynamics Network Reconstruction (IDNR), is shown to work successfully on several synthetic and real networks, inferring the networks and the sources of infection based on sparse observations, including single snapshots. IDNR is built on a Belief Propagation approximation, that has an impressive performance in a wide variety of topological structures. The method can be applied in absence of complete time-series data by providing a detailed modeling of the posterior distribution of trajectories conditioned to the observations. Furthermore, we show by experiments that the informat...

  17. Sequestration of rhBMP-2 into self-assembled polyelectrolyte complexes promotes anatomic localization of new bone in a porcine model of spinal reconstructive surgery.

    Science.gov (United States)

    Abbah, Sunny-Akogwu; Lam, Wing Moon Raymond; Hu, Tao; Goh, James; Wong, Hee-Kit

    2014-06-01

    Efficient and therapeutically safe delivery of recombinant human bone morphogenetic protein 2 (rhBMP-2) continues to be a central issue in bone tissue engineering. Recent evidence indicates that layer-by-layer self-assembly of polyelectrolyte complexes (PECs) can be used to recreate synthetic matrix environments that would act as tuneable reservoirs for delicate biomolecules and cells. Although preliminary in vitro as well as small-animal in vivo studies support this premise, translation into clinically relevant bone defect volumes in larger animal models remains unreported. Here we explored the use of native heparin-based PEC, deposited on a hydrated alginate gel template, to load bioactive rhBMP-2 and to facilitate lumbar interbody spinal fusion in pigs. We observed that triple PEC deposits with the highest protein sequestration efficiency and immobilization capacity promoted higher volume of new bone formation when compared with single PEC with low sequestration efficiency and immobilization capacity. This also resulted in a significantly enhanced biomechanical stability of the fused spinal segment when compared with PEC carriers with relatively low protein sequestration and immobilization capacities (pcollagen sponge carriers. We conclude that this growth factor sequestration platform is effective in the healing of clinically relevant bone defect volume and could overcome some of the safety concerns and limitations currently associated with rhBMP-2 therapy such as excessive heterotopic ossification.

  18. Neuromagnetic source reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, P.S.; Mosher, J.C. [Los Alamos National Lab., NM (United States); Leahy, R.M. [University of Southern California, Los Angeles, CA (United States)

    1994-12-31

    In neuromagnetic source reconstruction, a functional map of neural activity is constructed from noninvasive magnetoencephalographic (MEG) measurements. The overall reconstruction problem is under-determined, so some form of source modeling must be applied. We review the two main classes of reconstruction techniques-parametric current dipole models and nonparametric distributed source reconstructions. Current dipole reconstructions use a physically plausible source model, but are limited to cases in which the neural currents are expected to be highly sparse and localized. Distributed source reconstructions can be applied to a wider variety of cases, but must incorporate an implicit source, model in order to arrive at a single reconstruction. We examine distributed source reconstruction in a Bayesian framework to highlight the implicit nonphysical Gaussian assumptions of minimum norm based reconstruction algorithms. We conclude with a brief discussion of alternative non-Gaussian approachs.

  19. Neuromagnetic source reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, P.S.; Mosher, J.C. [Los Alamos National Lab., NM (United States); Leahy, R.M. [University of Southern California, Los Angeles, CA (United States)

    1994-12-31

    In neuromagnetic source reconstruction, a functional map of neural activity is constructed from noninvasive magnetoencephalographic (MEG) measurements. The overall reconstruction problem is under-determined, so some form of source modeling must be applied. We review the two main classes of reconstruction techniques-parametric current dipole models and nonparametric distributed source reconstructions. Current dipole reconstructions use a physically plausible source model, but are limited to cases in which the neural currents are expected to be highly sparse and localized. Distributed source reconstructions can be applied to a wider variety of cases, but must incorporate an implicit source, model in order to arrive at a single reconstruction. We examine distributed source reconstruction in a Bayesian framework to highlight the implicit nonphysical Gaussian assumptions of minimum norm based reconstruction algorithms. We conclude with a brief discussion of alternative non-Gaussian approachs.

  20. ANALOG RECONSTRUCTION OF POSTEROLATERAL COMPLEX BY THE FINITE ELEMENT%膝关节后外侧复合体有限元模拟重建的研究

    Institute of Scientific and Technical Information of China (English)

    刘晓敏; 王学锋; 吕劲; 袁锦波; 蒲勇华; 刘潇; 吴松

    2012-01-01

    目的 建立一个包括后外侧复合体(posterolateral complex,PLC)的完整膝关节三维有限元模型,并在该模型上进行模拟重建生物力学分析.方法 以1名26岁男性志愿者为实验对象,MRI扫描膝关节,获得膝关节冠状位、矢状位和横轴位图像数据.应用Mimics 10.01、Hyperworks 8.0等软件在二维图像数据上提取膝关节各个切片轮廓数据,分别建立骨组织、半月板、关节软骨和韧带的三维模型,在此基础上应用Unigraphics NX 4.0软件的网格划分、材料属性定义、部件连接、接触定义功能建立包括PLC的膝关节三维有限元模型.对模型进行位移测试并用于PLC模拟重建生物力学分析.结果 成功制备包括PLC的膝关节三维有限元模型.在134 N前向力作用下,胫骨向前位移为4.83 mm.于膝关节三维有限元模型上进行PLC模拟重建生物力学分析,在10 N·m内翻和外旋力矩作用工况下,模拟重建后膝关节内翻和外旋角度均大于PLC完整时,并且部小于PLC缺失时.结论 采用逆向工程学原理可建立包括PLC的膝关节三维有限元模型,且该模型有效,可作为PLC模拟重建生物力学分析的基础模型.%Objective To establish the three-dimensional (3D) finite element model of the knee joint including posterolateral complex (PLC), and to simulate the reconstruction biomechanical analysis in this model. Methods The knee of a 26-year-old healthy man was scanned by MRI to obtain the image data of the knee in the coronal, sagittal, and axial position. First, Mimics10.01 and Hyperworks 8.0 softwares were used to extract each slice profile data of the knee joint in a two-dimensional image data respectively and to establish 3D geometric model of bone, meniscus, articular cartilage, and ligament. Second, Unigraphics software NX 4.0 was used to establish a 3D finite element model of knee joint, which had the functions of Mesh, material properties, component connection, and contact

  1. Application of “The Addition Theory" lower blepharoplasty combined with mid-face lift%“加法理论”在下睑袋整复术中的应用

    Institute of Scientific and Technical Information of China (English)

    张兵; 王英霞

    2013-01-01

    目的:探讨改良传统下睑袋整形术式,摒弃传统眼袋术式中去除正常组织的方法,利用眼袋切口提升中面部,尽量达到术后自然,减少并发症的出现.方法:沿用传统的外切眼袋入路,眶隔浅层剥离,释放眶隔脂肪填充下眶缘沟,递进式提升眶区下垂软组织,保留眼轮匝肌折叠并固定,去除多余皮肤缝合切口,术后加压包扎24h.结果:95例术后回访基本满意,术后2例为二次眼袋手术的病例,双眼出现睑球分离现象,1例出现单侧睑球分离现象.分析原因为反复眼袋手术损伤后,眼轮匝肌瘢痕挛缩及下睑缘张力下降所致,重新按修复手术加固后壁防止粘连;外眦锚着术收紧下睑缘使其张力加强后均得到满意改善.结论:该术式尽量保留了正常组织不被去除,膨出的脂肪添加在凹陷的下眶缘沟处,提升后的眼轮匝肌被叠加利用,因此也称加法术式,术后外观自然效果明显;并发症减少,“递进”式中面部提升确保了提升效果,顾客满意度很高.%Objective Discuss the improvement of traditional method of baggy eyelids plastic,abandoning the removal methods of normal tissues in traditional baggy eyelids plastic,and lifting mid-face through incisions in eye bags,in order to naturally reduce the complications after surgery as far as possible.Methods First,the operation were performed by continue to use traditional method to circumscribe bags.Secondly,dissect the superficial layer of the orbital septum,release orbital fat to fill the lachrymal groove,progressively promote sagging organization,retain the orbicular is oculi muscle folded and fixed that,remove excess skin and suture incisions.Finally,use compression bandage for 24 hours after operation.Results Ninty-five cases are satisfied learned by the postoperative reviews.Two cases have taken two pouch surgeries and underwent the eyelid ball separation in the two eyes.One case underwent eyelid ball separation in one

  2. Breast reconstruction after mastectomy

    Directory of Open Access Journals (Sweden)

    Daniel eSchmauss

    2016-01-01

    Full Text Available Breast cancer is the leading cause of cancer death in women worldwide. Its surgical approach has become less and less mutilating in the last decades. However, the overall number of breast reconstructions has significantly increased lately. Nowadays breast reconstruction should be individualized at its best, first of all taking into consideration oncological aspects of the tumor, neo-/adjuvant treatment and genetic predisposition, but also its timing (immediate versus delayed breast reconstruction, as well as the patient’s condition and wish. This article gives an overview over the various possibilities of breast reconstruction, including implant- and expander-based reconstruction, flap-based reconstruction (vascularized autologous tissue, the combination of implant and flap, reconstruction using non-vascularized autologous fat, as well as refinement surgery after breast reconstruction.

  3. Diffraction Correlation to Reconstruct Highly Strained Particles

    Science.gov (United States)

    Brown, Douglas; Harder, Ross; Clark, Jesse; Kim, J. W.; Kiefer, Boris; Fullerton, Eric; Shpyrko, Oleg; Fohtung, Edwin

    2015-03-01

    Through the use of coherent x-ray diffraction a three-dimensional diffraction pattern of a highly strained nano-crystal can be recorded in reciprocal space by a detector. Only the intensities are recorded, resulting in a loss of the complex phase. The recorded diffraction pattern therefore requires computational processing to reconstruct the density and complex distribution of the diffracted nano-crystal. For highly strained crystals, standard methods using HIO and ER algorithms are no longer sufficient to reconstruct the diffraction pattern. Our solution is to correlate the symmetry in reciprocal space to generate an a priori shape constraint to guide the computational reconstruction of the diffraction pattern. This approach has improved the ability to accurately reconstruct highly strained nano-crystals.

  4. Surfaces, Digitisations and Reconstructions

    DEFF Research Database (Denmark)

    2015-01-01

    We present a new digital reconstruction of r-regular sets in three-dimensional Euclidean space. We introduce a vector field and analyse the relation between the topologies of the boundaries of the r-regular set and its reconstruction. This reconstruction can be carried out faster than prior models...... based on the same digitisation, making it attractive for computing....

  5. Reconstruction of complex abdominal wall defects

    NARCIS (Netherlands)

    Slater, N.J.

    2014-01-01

    Incisional hernia is by far the most common complication after laparotomies, occurring in 10 – 20%. Its occurrence is secondary to insufficient healing of the postoperative scar, resulting in wound dehiscence and protrusion of abdominal contents through an opening in the musculo-fascial layer of the

  6. Should I Have Breast Reconstruction?

    Science.gov (United States)

    ... Reconstruction Surgery Breast Cancer Breast Reconstruction Surgery Should I Get Breast Reconstruction Surgery? Women who have surgery ... It usually responds well to treatment. What if I choose not to have breast reconstruction? Many women ...

  7. [Breast reconstruction after mastectomy].

    Science.gov (United States)

    Ho Quoc, C; Delay, E

    2013-02-01

    The mutilating surgery for breast cancer causes deep somatic and psychological sequelae. Breast reconstruction can mitigate these effects and permit the patient to help rebuild their lives. The purpose of this paper is to focus on breast reconstruction techniques and on factors involved in breast reconstruction. The methods of breast reconstruction are presented: objectives, indications, different techniques, operative risks, and long-term monitoring. Many different techniques can now allow breast reconstruction in most patients. Clinical cases are also presented in order to understand the results we expect from a breast reconstruction. Breast reconstruction provides many benefits for patients in terms of rehabilitation, wellness, and quality of life. In our mind, breast reconstruction should be considered more as an opportunity and a positive choice (the patient can decide to do it), than as an obligation (that the patient would suffer). The consultation with the surgeon who will perform the reconstruction is an important step to give all necessary informations. It is really important that the patient could speak again with him before undergoing reconstruction, if she has any doubt. The quality of information given by medical doctors is essential to the success of psychological intervention. This article was written in a simple, and understandable way to help gynecologists giving the best information to their patients. It is maybe also possible to let them a copy of this article, which would enable them to have a written support and would facilitate future consultation with the surgeon who will perform the reconstruction.

  8. Reconstructing direct and indirect interactions in networked public goods game

    Science.gov (United States)

    Han, Xiao; Shen, Zhesi; Wang, Wen-Xu; Lai, Ying-Cheng; Grebogi, Celso

    2016-07-01

    Network reconstruction is a fundamental problem for understanding many complex systems with unknown interaction structures. In many complex systems, there are indirect interactions between two individuals without immediate connection but with common neighbors. Despite recent advances in network reconstruction, we continue to lack an approach for reconstructing complex networks with indirect interactions. Here we introduce a two-step strategy to resolve the reconstruction problem, where in the first step, we recover both direct and indirect interactions by employing the Lasso to solve a sparse signal reconstruction problem, and in the second step, we use matrix transformation and optimization to distinguish between direct and indirect interactions. The network structure corresponding to direct interactions can be fully uncovered. We exploit the public goods game occurring on complex networks as a paradigm for characterizing indirect interactions and test our reconstruction approach. We find that high reconstruction accuracy can be achieved for both homogeneous and heterogeneous networks, and a number of empirical networks in spite of insufficient data measurement contaminated by noise. Although a general framework for reconstructing complex networks with arbitrary types of indirect interactions is yet lacking, our approach opens new routes to separate direct and indirect interactions in a representative complex system.

  9. Reconstructing direct and indirect interactions in networked public goods game.

    Science.gov (United States)

    Han, Xiao; Shen, Zhesi; Wang, Wen-Xu; Lai, Ying-Cheng; Grebogi, Celso

    2016-07-22

    Network reconstruction is a fundamental problem for understanding many complex systems with unknown interaction structures. In many complex systems, there are indirect interactions between two individuals without immediate connection but with common neighbors. Despite recent advances in network reconstruction, we continue to lack an approach for reconstructing complex networks with indirect interactions. Here we introduce a two-step strategy to resolve the reconstruction problem, where in the first step, we recover both direct and indirect interactions by employing the Lasso to solve a sparse signal reconstruction problem, and in the second step, we use matrix transformation and optimization to distinguish between direct and indirect interactions. The network structure corresponding to direct interactions can be fully uncovered. We exploit the public goods game occurring on complex networks as a paradigm for characterizing indirect interactions and test our reconstruction approach. We find that high reconstruction accuracy can be achieved for both homogeneous and heterogeneous networks, and a number of empirical networks in spite of insufficient data measurement contaminated by noise. Although a general framework for reconstructing complex networks with arbitrary types of indirect interactions is yet lacking, our approach opens new routes to separate direct and indirect interactions in a representative complex system.

  10. Reconstrucción compleja de la cavidad oral mediante dos colgajos simultáneos de peroné y radial Complex reconstruction of the oral cavity by means of the combination of two simultaneous free fibula and radial flaps

    Directory of Open Access Journals (Sweden)

    A. Dean Ferrer

    2004-10-01

    Full Text Available El objetivo del presente trabajo es valorar los resultados funcionales y estéticos de reconstrucciones complejas orofaciales, realizadas mediante la asociación de dos colgajos libres simultáneos de peroné y radial. Se ha realizado este tipo de reconstrucción en tres pacientes con buenos resultados funcionales y estéticos. La reconstrucción con dos colgajos libres está indicada en defectos complejos en los que la reconstrucción con un solo colgajo no obtendría resultados estéticos y funcionales adecuados. Cada colgajo se selecciona por sus características que lo hacen ideal para cada tipo de defecto, óseo y de partes blandas con la finalidad de conseguir un resultado estético y funcional superior al que se obtendría con un solo colgajo.The aim of this paper is to evaluate the functional and aesthetic results of complex orofacial reconstructions by means of the combination of two simultaneous free flaps (fibula osteocutaneous and radial forearm flaps. Three patients who have undergone this kind of reconstruction are presented with good functional and aesthetics results. Reconstruction with two free flaps is indicated in complex defects in which reconstruction with a single flap would not obtain adequate aesthetic and functional results. The choice of each particular flap depends on its specific characteristics that make it ideal for the reconstruction of each particular type of defect, osseous defects and soft tissue defects, with the aim of obtaining a better result than that obtained with the use of a single flap.

  11. Cosmic Tidal Reconstruction

    CERN Document Server

    Zhu, Hong-Ming; Yu, Yu; Er, Xinzhong; Chen, Xuelei

    2015-01-01

    The gravitational coupling of a long wavelength tidal field with small scale density fluctuations leads to anisotropic distortions of the locally measured small scale matter correlation function. Since the local correlation function is statistically isotropic in the absence of such tidal interactions, the tidal distortions can be used to reconstruct the long wavelength tidal field and large scale density field in analogy with the cosmic microwave background lensing reconstruction. In this paper we present in detail a formalism for the cosmic tidal reconstruction and test the reconstruction in numerical simulations. We find that the density field on large scales can be reconstructed with good accuracy and the cross correlation coefficient between the reconstructed density field and the original density field is greater than 0.9 on large scales ($k\\lesssim0.1h/\\mathrm{Mpc}$). This is useful in the 21cm intensity mapping survey, where the long wavelength radial modes are lost due to foreground subtraction proces...

  12. Ptychographic ultrafast pulse reconstruction

    CERN Document Server

    Spangenberg, D; Brügmann, M H; Feurer, T

    2014-01-01

    We demonstrate a new ultrafast pulse reconstruction modality which is somewhat reminiscent of frequency resolved optical gating but uses a modified setup and a conceptually different reconstruction algorithm that is derived from ptychography. Even though it is a second order correlation scheme it shows no time ambiguity. Moreover, the number of spectra to record is considerably smaller than in most other related schemes which, together with a robust algorithm, leads to extremely fast convergence of the reconstruction.

  13. Soft Tissue Coverage of the Hand and Upper Extremity: The Reconstructive Elevator.

    Science.gov (United States)

    Miller, Erin Anne; Friedrich, Jeffrey

    2016-07-01

    Soft tissue reconstruction of the upper extremity is a complex topic because every defect has multiple potential solutions. Whereas the often-cited reconstructive ladder advised selection of the simplest reconstruction of the defect, the newer concept of the reconstructive elevator allows freedom to choose a more complex reconstruction to account for specialized function and aesthetic outcome. An algorithm for assessment of the defect is presented and demonstrated in this review, using 6 case examples to highlight key concepts. Representative flaps are presented and a discussion of functional and aesthetic outcomes is undertaken to provide a framework for achieving the patient's and surgeon's goals of reconstruction.

  14. Economics of abdominal wall reconstruction.

    Science.gov (United States)

    Bower, Curtis; Roth, J Scott

    2013-10-01

    The economic aspects of abdominal wall reconstruction are frequently overlooked, although understandings of the financial implications are essential in providing cost-efficient health care. Ventral hernia repairs are frequently performed surgical procedures with significant economic ramifications for employers, insurers, providers, and patients because of the volume of procedures, complication rates, the significant rate of recurrence, and escalating costs. Because biological mesh materials add significant expense to the costs of treating complex abdominal wall hernias, the role of such costly materials needs to be better defined to ensure the most cost-efficient and effective treatments for ventral abdominal wall hernias.

  15. Urethral reconstruction using lingual mucosal graft for the treatment of complex hypospadias%舌黏膜尿道成形术治疗复杂性尿道下裂

    Institute of Scientific and Technical Information of China (English)

    刘中华; 范志强; 皇甫雪军

    2012-01-01

    Objective To review and summarize the experience of urethral reconstruction using lingual mucosal graft for the treatment of complex hypospadias.Methods We evaluated the methods using lingual mucosal graft for the treatment of complex hypospadias.The dorsal inlay graft method and the tube graft method were used in our study.Results From Nov.2010 to Oct.2011,21 cases were treated.All the cases had at least one failed hypospadisa surgery before.The dorasl inlay grafting technique was used for 16 patients,the tube grafting technique was carried out in 5 patients(2 cases received Tube + Duply method).The follow-up period ranged from 3 months to 12 months(by average 6 months).The success rate of the methods was 61.9% with complications in 8 cases.Urethral fistula developed in 3 patients and urethral stricture developed in 5 patients.All cases who suffered stricture received the tube grafting technique.The fistula and urethral stricture were occurred at the site of the urethral termonoterminal anostomosis.Urethral stricture is the most common complication after the tube graft method for the treatment of the complex hypospadias.Conclusions Harvesting the lingual mucosal graft is feasible and easy to perform.The complex hypospadias repair technique using lingual mucosal graft method provides good results.There fore it should be one of the preferred techniques for complex hypospadias repair.The dorsal inlay grafting technique has lower complication rate than the tube grafting technique.Early and regular urethral sounding should be carried out when patients received the tube graft method.%目的 总结21例舌黏膜尿道成形术治疗复杂性尿道下裂的经验与体会.方法 根据阴茎局部尿道皮肤和尿道缺损的程度,以及阴茎腹侧既往手术后瘢痕、阴茎皮肤张力情况,切取口腔舌黏膜游离皮瓣,宽1.5~2.0 cm、长2~9 cm,2010年11月至2011年10月临床应用21例,其中舌黏膜嵌入式即Dorsal inlay术式16

  16. Delayed breast implant reconstruction

    DEFF Research Database (Denmark)

    Hvilsom, Gitte B.; Hölmich, Lisbet R.; Steding-Jessen, Marianne;

    2012-01-01

    We evaluated the association between radiation therapy and severe capsular contracture or reoperation after 717 delayed breast implant reconstruction procedures (288 1- and 429 2-stage procedures) identified in the prospective database of the Danish Registry for Plastic Surgery of the Breast during...... reconstruction approaches other than implants should be seriously considered among women who have received radiation therapy....

  17. Breast reconstruction - slideshow

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/presentations/100156.htm Breast reconstruction - series—Indication, part 1 To use the sharing ... A.M. Editorial team. Related MedlinePlus Health Topics Breast Reconstruction A.D.A.M., Inc. is accredited by ...

  18. Fractures of the Jaw and Midface

    Science.gov (United States)

    ... Abbreviations Weights & Measures ENGLISH View Professional English Deutsch Japanese Espaniol Find information on medical topics, symptoms, drugs, ... so doctors prescribe a liquid or soft-food diet. More severe fractures (such as those with breaks ...

  19. Breast Reconstruction with Flap Surgery

    Science.gov (United States)

    Breast reconstruction with flap surgery Overview By Mayo Clinic Staff Breast reconstruction is a surgical procedure that restores shape to ... breast tissue to treat or prevent breast cancer. Breast reconstruction with flap surgery is a type of breast ...

  20. Hash functions and triangular mesh reconstruction*1

    Science.gov (United States)

    Hrádek, Jan; Kuchař, Martin; Skala, Václav

    2003-07-01

    Some applications use data formats (e.g. STL file format), where a set of triangles is used to represent the surface of a 3D object and it is necessary to reconstruct the triangular mesh with adjacency information. It is a lengthy process for large data sets as the time complexity of this process is O( N log N), where N is number of triangles. Triangular mesh reconstruction is a general problem and relevant algorithms can be used in GIS and DTM systems as well as in CAD/CAM systems. Many algorithms rely on space subdivision techniques while hash functions offer a more effective solution to the reconstruction problem. Hash data structures are widely used throughout the field of computer science. The hash table can be used to speed up the process of triangular mesh reconstruction but the speed strongly depends on hash function properties. Nevertheless the design or selection of the hash function for data sets with unknown properties is a serious problem. This paper describes a new hash function, presents the properties obtained for large data sets, and discusses validity of the reconstructed surface. Experimental results proved theoretical considerations and advantages of hash function use for mesh reconstruction.

  1. Reconstructing Step by Step

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    On May 22,10 days after the Wenchuan earthquake in Sichuan Province,the State Council formed the Post-earthquake Reconstruction Planning Group,deciding to work out a general recon- struction plan within a period of three months. Sichuan was the worst-hit area of China,so reconstruction work there will have a direct influence on how plans proceed in other areas.On July 18,Beijing Review reporter Feng Jianhua interviewed Wang Guangsi,Vice Director of the Sichuan Development and Reform Commission,about Sichuan’s reconstruction plan.

  2. Track Simulation and Reconstruction in the ATLAS experiment

    CERN Document Server

    Salzburger, Andreas; Elsing, Markus

    The reconstruction and simulation of particle trajectories is an inevitable part of the analysis strate- gies for data taken with the ATLAS detector. Many aspects and necessary parts of a high-quality track reconstruction will be presented and discussed in this work. At first, the technical realisation of the data model and the reconstruction geometry will be given; the reconstruction geometry is charac- terised by a newly developed navigation model and an automated procedure for the synchronisation of the detailed simulation geometry description with the simplified reconstruction geometry model, which allows a precise description of the tracker material in track reconstruction. Both components help the coherent and fast integration of material effects in a newly established track extrapolation package, that is discussed in the following. The extrapolation engine enables a highly precise trans- port of the track parameterisation and the associated covariances through the complex magnetic field and the detec...

  3. Breast Reconstruction After Mastectomy

    Science.gov (United States)

    ... It also does not involve cutting of the abdominal muscle and is a free flap. This type of ... NCI fact sheet Mammograms . What are some new developments in breast reconstruction after mastectomy? Oncoplastic surgery. In ...

  4. Prairie Reconstruction Initiative

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The purpose of the Prairie Reconstruction Initiative Advisory Team (PRIAT) is to identify and take steps to resolve uncertainties in the process of prairie...

  5. Head and face reconstruction

    Science.gov (United States)

    ... work together. Head and neck surgeons also perform craniofacial reconstruction operations. The surgery is done while you are deep asleep and pain-free (under general anesthesia ). The surgery may take ...

  6. Reconstructions of eyelid defects

    Directory of Open Access Journals (Sweden)

    Nirmala Subramanian

    2011-01-01

    Full Text Available Eyelids are the protective mechanism of the eyes. The upper and lower eyelids have been formed for their specific functions by Nature. The eyelid defects are encountered in congenital anomalies, trauma, and postexcision for neoplasm. The reconstructions should be based on both functional and cosmetic aspects. The knowledge of the basic anatomy of the lids is a must. There are different techniques for reconstructing the upper eyelid, lower eyelid, and medial and lateral canthal areas. Many a times, the defects involve more than one area. For the reconstruction of the lid, the lining should be similar to the conjunctiva, a cover by skin and the middle layer to give firmness and support. It is important to understand the availability of various tissues for reconstruction. One layer should have the vascularity to support the other layer which can be a graft. A proper plan and execution of it is very important.

  7. On TPC cluster reconstruction

    CERN Document Server

    Dydak, F; Nefedov, Y; Wotschack, J; Zhemchugov, A

    2004-01-01

    For a bias-free momentum measurement of TPC tracks, the correct determination of cluster positions is mandatory. We argue in particular that (i) the reconstruction of the entire longitudinal signal shape in view of longitudinal diffusion, electronic pulse shaping, and track inclination is important both for the polar angle reconstruction and for optimum r phi resolution; and that (ii) self-crosstalk of pad signals calls for special measures for the reconstruction of the z coordinate. The problem of 'shadow clusters' is resolved. Algorithms are presented for accepting clusters as 'good' clusters, and for the reconstruction of the r phi and z cluster coordinates, including provisions for 'bad' pads and pads next to sector boundaries, respectively.

  8. Prairie Reconstruction Initiative Project

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The purpose of the Prairie Reconstruction Initiative Advisory Team (PRIAT) is to identify and take steps to resolve uncertainties in the process of prairie...

  9. Permutationally invariant state reconstruction

    DEFF Research Database (Denmark)

    Moroder, Tobias; Hyllus, Philipp; Tóth, Géza;

    2012-01-01

    Feasible tomography schemes for large particle numbers must possess, besides an appropriate data acquisition protocol, an efficient way to reconstruct the density operator from the observed finite data set. Since state reconstruction typically requires the solution of a nonlinear large-scale opti......Feasible tomography schemes for large particle numbers must possess, besides an appropriate data acquisition protocol, an efficient way to reconstruct the density operator from the observed finite data set. Since state reconstruction typically requires the solution of a nonlinear large...... likelihood and least squares methods, which are the preferred choices in today's experiments. This high efficiency is achieved by greatly reducing the dimensionality of the problem employing a particular representation of permutationally invariant states known from spin coupling combined with convex...

  10. Permutationally invariant state reconstruction

    CERN Document Server

    Moroder, Tobias; Toth, Geza; Schwemmer, Christian; Niggebaum, Alexander; Gaile, Stefanie; Gühne, Otfried; Weinfurter, Harald

    2012-01-01

    Feasible tomography schemes for large particle numbers must possess, besides an appropriate data acquisition protocol, also an efficient way to reconstruct the density operator from the observed finite data set. Since state reconstruction typically requires the solution of a non-linear large-scale optimization problem, this is a major challenge in the design of scalable tomography schemes. Here we present an efficient state reconstruction scheme for permutationally invariant quantum state tomography. It works for all common state-of-the-art reconstruction principles, including, in particular, maximum likelihood and least squares methods, which are the preferred choices in today's experiments. This high efficiency is achieved by greatly reducing the dimensionality of the problem employing a particular representation of permutationally invariant states known from spin coupling combined with convex optimization, which has clear advantages regarding speed, control and accuracy in comparison to commonly employed n...

  11. The evolving breast reconstruction

    DEFF Research Database (Denmark)

    Thomsen, Jørn Bo; Gunnarsson, Gudjon Leifur

    2014-01-01

    The aim of this editorial is to give an update on the use of the propeller thoracodorsal artery perforator flap (TAP/TDAP-flap) within the field of breast reconstruction. The TAP-flap can be dissected by a combined use of a monopolar cautery and a scalpel. Microsurgical instruments are generally...... not needed. The propeller TAP-flap can be designed in different ways, three of these have been published: (I) an oblique upwards design; (II) a horizontal design; (III) an oblique downward design. The latissimus dorsi-flap is a good and reliable option for breast reconstruction, but has been criticized...... for oncoplastic and reconstructive breast surgery and will certainly become an invaluable addition to breast reconstructive methods....

  12. Recent advances and controversies in head and neck reconstructive surgery

    Directory of Open Access Journals (Sweden)

    Kuriakose Moni

    2007-12-01

    Full Text Available Advances in head and neck reconstruction has made significant improvement in the quality of life and resectability of head and neck cancer. Refinements in microsurgical free tissue transfer leave made restoration of form and complex functions of head and region a reality. Standardized reconstructive algorithms for common head and neck defects have been developed with predictable results. Some of the major advances in the field include- sensate free tissue transfer, osseo integrated implant and dental rehabilitation, motorized tissue transfer and vascularized growth center transfer for pediatric mandible reconstruction. However there exist several controversies in head and neck reconstructive surgery. Some are old; resolved partially in the light of recent clinical evidences and others are new, developed as a result of newly introduced reconstructive techniques. These include, primary versus secondary reconstruction, pedicled versus free flaps, primary closure versus free tissue transfer for partial glossectomy defects, reconstruction of posterior mandible and reconstruction of orbital exenteration defects. Rapid advances in the field of tissue engineering and stem cell research is expected to make radical change in the field of reconstructive surgery. This manuscript review progress in head and neck reconstructive surgery during the last decade, current controversies and outline a road map for the future.

  13. Reconstruction Setting Out

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The earthquake-hit Yushu shifts its focus from rescuing survivors to post-quake reconstruction The first phase of earthquake relief, in which rescuing lives was the priority, finished 12 days after a 7.1-magnitude earthquake struck the Tibetan Autonomous Prefecture of Yushu in northwest China’s Qinghai Province on April 14, and reconstruction of the area is now ready to begin.

  14. Four-dimensional (4D) image reconstruction strategies in dynamic PET: beyond conventional independent frame reconstruction.

    Science.gov (United States)

    Rahmim, Arman; Tang, Jing; Zaidi, Habib

    2009-08-01

    In this article, the authors review novel techniques in the emerging field of spatiotemporal four-dimensional (4D) positron emission tomography (PET) image reconstruction. The conventional approach to dynamic PET imaging, involving independent reconstruction of individual PET frames, can suffer from limited temporal resolution, high noise (especially when higher frame sampling is introduced to better capture fast dynamics), as well as complex reconstructed image noise distributions that can be very difficult and time consuming to model in kinetic parameter estimation tasks. Various approaches that seek to address some or all of these limitations are described, including techniques that utilize (a) iterative temporal smoothing, (b) advanced temporal basis functions, (c) principal components transformation of the dynamic data, (d) wavelet-based techniques, as well as (e) direct kinetic parameter estimation methods. Future opportunities and challenges with regards to the adoption of 4D and higher dimensional image reconstruction techniques are also outlined.

  15. Deterministic retrieval of complex Green's functions using hard X rays.

    Science.gov (United States)

    Vine, D J; Paganin, D M; Pavlov, K M; Uesugi, K; Takeuchi, A; Suzuki, Y; Yagi, N; Kämpfe, T; Kley, E-B; Förster, E

    2009-01-30

    A massively parallel deterministic method is described for reconstructing shift-invariant complex Green's functions. As a first experimental implementation, we use a single phase contrast x-ray image to reconstruct the complex Green's function associated with Bragg reflection from a thick perfect crystal. The reconstruction is in excellent agreement with a classic prediction of dynamical diffraction theory.

  16. Biomechanical Analysis of a Novel Acetabulum Reconstruction Technique with Acetabulum Reconstruction Cage and Threaded Rods after Type II Pelvic Resections

    Directory of Open Access Journals (Sweden)

    Vivek Ajit Singh

    2016-01-01

    Full Text Available Background. Periacetabular resections with reconstruction has high rates of complications due to the complexity of the reconstruction. We have improvised a novel technique of reconstruction for type II and type II + III pelvic resections with the use of a commercially available acetabulum reconstruction cage (gap II, Stryker and threaded rods. Objectives. The aim of our study is to determine the biomechanical strength of our reconstruction compared to the traditional cemented total hip replacement (THR designs in normal acetabulum and establish its mode of failure. Methods. Five sets of hemipelvises were biomechanically tested (Instron® 3848, MA, USA. These constructs were subjected to cyclic loading and load to failure. Results. The reconstructed acetabulum was stiffer and required a higher load to failure compared to the intact pelvis with a standard THR. The mean stiffness of the reconstructed pelvis was 1738.6±200.3 Nmm−1 compared to the intact pelvis, which was 911.4±172.7 Nmm−1 (P value = 0.01. The mean load to failure for the standard acetabular cup construct was 3297.3±117.7 N while that of the reconstructed pelvis with the acetabulum cage and threaded rods was 4863.8±7.0 N. Conclusion. Reconstruction of the pelvis with an acetabular reconstruction cage and threaded rods is a biomechanical viable option.

  17. Reconstructing events, from electronic signals to tracks

    CERN Document Server

    CERN. Geneva

    2015-01-01

    Reconstructing tracks in the events taken by LHC experiments is one of the most challenging and computationally expensive software tasks to be carried out in the data processing chain. A typical LHC event is composed of multiple p-p interactions, each leaving signals from many charged particles in the detector and jus building up an environment of unprecedented complexity. In the lecture I will give an overview of event reconstruction in a typical High Energy Physics experiment. After an introduction to particle tracking detectors I will discuss the concepts and techniques required to master the tracking challenge at the LHC. I will explain how track propagation in a realistic detector works, present different techniques for track fitting and track finding. At the end we will see how all of those techniques play together in the ATLAS track reconstruction application.

  18. Primordial density and BAO reconstruction

    CERN Document Server

    Zhu, Hong-Ming; Chen, Xuelei

    2016-01-01

    We present a new method to reconstruct the primordial (linear) density field using the estimated nonlinear displacement field. The divergence of the displacement field gives the reconstructed density field. We solve the nonlinear displacement field in the 1D cosmology and show the reconstruction results. The new reconstruction algorithm recovers a lot of linear modes and reduces the nonlinear damping scale significantly. The successful 1D reconstruction results imply the new algorithm should also be a promising technique in the 3D case.

  19. Direct numerical reconstruction of conductivities in three dimensions using scattering transforms

    DEFF Research Database (Denmark)

    Bikowski, Jutta; Knudsen, Kim; Mueller, Jennifer L

    2011-01-01

    A direct three-dimensional EIT reconstruction algorithm based on complex geometrical optics solutions and a nonlinear scattering transform is presented and implemented for spherically symmetric conductivity distributions. The scattering transform is computed both with a Born approximation and fro...... the forward problem for purposes of comparison. Reconstructions are computed for several test problems. A connection to Calderón's linear reconstruction algorithm is established, and reconstructions using both methods are compared....

  20. Reconstructive options in pelvic tumours

    Directory of Open Access Journals (Sweden)

    Mayilvahanan N

    2005-01-01

    Full Text Available Background: Pelvic tumours present a complex problem. It is difficult to choose between limb salvage and hemipelvectomy. Method: Forty three patients of tumours of pelvis underwent limb salvage resection with reconstruction in 32 patients. The majority were chondrosarcomas (20 cases followed by Ewing sarcoma. Stage II B was the most common stage in malignant lesions and all the seven benign lesions were aggressive (B3. Surgical margins achieved were wide in 31 and marginal in 12 cases. Ilium was involved in 51% of cases and periacetabular involvement was seen in 12 patients. The resections done were mostly of types I &II of Enneking′s classification of pelvic resection. Arthrodesis was attempted in 24 patients. Customized Saddle prosthesis was used in seven patients and no reconstruction in 12 patients. Adjuvant chemotherapy was given to all high-grade malignant tumours, combined with radiotherapy in 7 patients. Results: With a mean follow up of 48.5 months and one patient lost to follow up, the recurrence rate among the evaluated cases was 16.6%. Oncologically, 30 patients were continuously disease free with 7 local recurrences and 4 deaths due to disseminated disease and 2 patients died of other causes. During the initial years, satisfactory functional results were achieved with prosthetic replacement. Long-term functional result of 36 patients who were alive at the time of latest follow up was satisfactory in 75% who underwent arthrodesis and in those where no reconstruction was used. We also describe a method of new classification of pelvic resections that clarifies certain shortcomings of the previous systems of classification. Conclusion: Selection of a procedure depends largely on the patient factors, the tumour grade, the resultant defect and the tissue factors. Resection with proper margins gives better functional and oncological results

  1. Fully 3D GPU PET reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    Herraiz, J.L., E-mail: joaquin@nuclear.fis.ucm.es [Grupo de Fisica Nuclear, Departmento Fisica Atomica, Molecular y Nuclear, Universidad Complutense de Madrid (Spain); Espana, S. [Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, MA (United States); Cal-Gonzalez, J. [Grupo de Fisica Nuclear, Departmento Fisica Atomica, Molecular y Nuclear, Universidad Complutense de Madrid (Spain); Vaquero, J.J. [Departmento de Bioingenieria e Ingenieria Espacial, Universidad Carlos III, Madrid (Spain); Desco, M. [Departmento de Bioingenieria e Ingenieria Espacial, Universidad Carlos III, Madrid (Spain); Unidad de Medicina y Cirugia Experimental, Hospital General Universitario Gregorio Maranon, Madrid (Spain); Udias, J.M. [Grupo de Fisica Nuclear, Departmento Fisica Atomica, Molecular y Nuclear, Universidad Complutense de Madrid (Spain)

    2011-08-21

    Fully 3D iterative tomographic image reconstruction is computationally very demanding. Graphics Processing Unit (GPU) has been proposed for many years as potential accelerators in complex scientific problems, but it has not been used until the recent advances in the programmability of GPUs that the best available reconstruction codes have started to be implemented to be run on GPUs. This work presents a GPU-based fully 3D PET iterative reconstruction software. This new code may reconstruct sinogram data from several commercially available PET scanners. The most important and time-consuming parts of the code, the forward and backward projection operations, are based on an accurate model of the scanner obtained with the Monte Carlo code PeneloPET and they have been massively parallelized on the GPU. For the PET scanners considered, the GPU-based code is more than 70 times faster than a similar code running on a single core of a fast CPU, obtaining in both cases the same images. The code has been designed to be easily adapted to reconstruct sinograms from any other PET scanner, including scanner prototypes.

  2. Plate tectonic raster reconstruction in GPlates

    Directory of Open Access Journals (Sweden)

    J. Cannon

    2014-03-01

    Full Text Available We describe a novel method implemented in the GPlates plate tectonic reconstruction software to interactively reconstruct arbitrarily high-resolution raster data to past geological times using a rotation model. The approach is based on the projection of geo-referenced raster data into a cube map followed by a reverse projection onto rotated tectonic plates on the surface of the globe. This decouples the rendering of a geo-referenced raster from its reconstruction, providing a number of benefits including a simple implementation and the ability to combine rasters with different geo-referencing or inbuilt raster projections. The cube map projection is accelerated by graphics hardware in a wide variety of computer systems manufactured over the last decade. Furthermore, by integrating a multi-resolution tile partitioning into the cube map we can provide on-demand tile streaming, level-of-detail rendering and hierarchical visibility culling enabling researchers to visually explore essentially unlimited resolution geophysical raster data attached to tectonic plates and reconstructed through geological time. This capability forms the basis for interactively building and improving plate reconstructions in an iterative fashion, particularly for tectonically complex regions.

  3. Augmented Likelihood Image Reconstruction.

    Science.gov (United States)

    Stille, Maik; Kleine, Matthias; Hägele, Julian; Barkhausen, Jörg; Buzug, Thorsten M

    2016-01-01

    The presence of high-density objects remains an open problem in medical CT imaging. Data of projections passing through objects of high density, such as metal implants, are dominated by noise and are highly affected by beam hardening and scatter. Reconstructed images become less diagnostically conclusive because of pronounced artifacts that manifest as dark and bright streaks. A new reconstruction algorithm is proposed with the aim to reduce these artifacts by incorporating information about shape and known attenuation coefficients of a metal implant. Image reconstruction is considered as a variational optimization problem. The afore-mentioned prior knowledge is introduced in terms of equality constraints. An augmented Lagrangian approach is adapted in order to minimize the associated log-likelihood function for transmission CT. During iterations, temporally appearing artifacts are reduced with a bilateral filter and new projection values are calculated, which are used later on for the reconstruction. A detailed evaluation in cooperation with radiologists is performed on software and hardware phantoms, as well as on clinically relevant patient data of subjects with various metal implants. Results show that the proposed reconstruction algorithm is able to outperform contemporary metal artifact reduction methods such as normalized metal artifact reduction.

  4. Iterative initial condition reconstruction

    Science.gov (United States)

    Schmittfull, Marcel; Baldauf, Tobias; Zaldarriaga, Matias

    2017-07-01

    Motivated by recent developments in perturbative calculations of the nonlinear evolution of large-scale structure, we present an iterative algorithm to reconstruct the initial conditions in a given volume starting from the dark matter distribution in real space. In our algorithm, objects are first moved back iteratively along estimated potential gradients, with a progressively reduced smoothing scale, until a nearly uniform catalog is obtained. The linear initial density is then estimated as the divergence of the cumulative displacement, with an optional second-order correction. This algorithm should undo nonlinear effects up to one-loop order, including the higher-order infrared resummation piece. We test the method using dark matter simulations in real space. At redshift z =0 , we find that after eight iterations the reconstructed density is more than 95% correlated with the initial density at k ≤0.35 h Mpc-1 . The reconstruction also reduces the power in the difference between reconstructed and initial fields by more than 2 orders of magnitude at k ≤0.2 h Mpc-1 , and it extends the range of scales where the full broadband shape of the power spectrum matches linear theory by a factor of 2-3. As a specific application, we consider measurements of the baryonic acoustic oscillation (BAO) scale that can be improved by reducing the degradation effects of large-scale flows. In our idealized dark matter simulations, the method improves the BAO signal-to-noise ratio by a factor of 2.7 at z =0 and by a factor of 2.5 at z =0.6 , improving standard BAO reconstruction by 70% at z =0 and 30% at z =0.6 , and matching the optimal BAO signal and signal-to-noise ratio of the linear density in the same volume. For BAO, the iterative nature of the reconstruction is the most important aspect.

  5. Upper Eyelid Reconstruction.

    Science.gov (United States)

    Espinoza, Gabriela Mabel; Prost, Angela Michelle

    2016-05-01

    Reconstruction of the upper eyelid is complicated because the eyelid must retain mobility, flexibility, function, and a suitable mucosal surface over the delicate cornea. Defects of the upper eyelid may be due to congenital defects or traumatic injury or follow oncologic resection. This article focuses on reconstruction due to loss of tissue. Multiple surgeries may be needed to reach the desired results, addressing loss of tissue and then loss of function. Each defect is unique and the laxity and availability of surrounding tissue vary. Knowing the most common techniques for repair assists surgeons in the multifaceted planning that takes place.

  6. Vertex Reconstruction in CMS

    CERN Document Server

    Chabanat, E; D'Hondt, J; Vanlaer, P; Prokofiev, K; Speer, T; Frühwirth, R; Waltenberger, W

    2005-01-01

    Because of the high track multiplicity in the final states expected in proton collisions at the LHC experiments, novel vertex reconstruction algorithms are required. The vertex reconstruction problem can be decomposed into a pattern recognition problem ("vertex finding") and an estimation problem ("vertex fitting"). Starting from least-square methods, ways to render the classical algorithms more robust are discussed and the statistical properties of the novel methods are shown. A whole set of different approaches for the vertex finding problem is presented and compared in relevant physics channels.

  7. Reconstruction of inflation models

    Energy Technology Data Exchange (ETDEWEB)

    Myrzakulov, Ratbay; Sebastiani, Lorenzo [Eurasian National University, Department of General and Theoretical Physics and Eurasian Center for Theoretical Physics, Astana (Kazakhstan); Zerbini, Sergio [Universita di Trento, Dipartimento di Fisica, Trento (Italy); TIFPA, Istituto Nazionale di Fisica Nucleare, Trento (Italy)

    2015-05-15

    In this paper, we reconstruct viable inflationary models by starting from spectral index and tensor-to-scalar ratio from Planck observations. We analyze three different kinds of models: scalar field theories, fluid cosmology, and f(R)-modified gravity. We recover the well-known R{sup 2} inflation in Jordan-frame and Einstein-frame representation, the massive scalar inflaton models and two models of inhomogeneous fluid. A model of R{sup 2} correction to Einstein's gravity plus a ''cosmological constant'' with an exact solution for early-time acceleration is reconstructed. (orig.)

  8. Fast MR Spectroscopic Imaging Technologies and Data Reconstruction Methods

    Institute of Scientific and Technical Information of China (English)

    HUANGMin; LUSong-tao; LINJia-rui; ZHANYing-jian

    2004-01-01

    MRSI plays a more and more important role in clinical application. In this paper, we compare several fast MRSI technologies and data reconstruction methods. For the conventional phase encoding MRSI, the data reconstruction using FFT is simple. But the data acquisition is very time consuming and thus prohibitive in clinical settings. Up to now, the MRSI technologies based on echo-planar, spiral trajectories and sensitivity encoding are the fastest in data acquisition, but their data reconstruction is complex. EPSI reconstruction uses shift of odd and even echoes. Spiral SI uses gridding FFT. SENSE-SI, a new approach to reducing the acquisition time, uses the distinct spatial sensitivities of the individual coil elements to recover the missing encoding information. These improvements in data acquisition and image reconstruction provide a potential value of metabolic imaging as a clinical tool.

  9. Urogenital Reconstructive Surgery

    DEFF Research Database (Denmark)

    Jakobsen, Lotte Kaasgaard

    Urogenital reconstructive surgery Lotte Kaasgaard Jakobsen1 Professor Henning Olsen1 Overlæge Gitte Hvistendahl1 Professor Karl-Erik Andersson2 1 – Dept. of Urology, Aarhus University Hospital 2 – Dept. of Gynecology and Obstetrics, Aarhus University hospital Background: Congenital obstruction...

  10. Reconstruction Setting Out

    Institute of Scientific and Technical Information of China (English)

    YIN PUMIN

    2010-01-01

    @@ The first phase of earthquake relief,in which rescuing lives was the priority,finished 12 days after a 7.1-magnitude earthquake struck the Tibetan Autonomous Prefecture of Yushu in northwest China's Qinghai Province on April 14,and reconstruction of the area is now ready to begin.

  11. Breast reconstruction: Correlation between different procedures, reconstruction timing and complications

    Directory of Open Access Journals (Sweden)

    Anđelkov Katarina

    2011-01-01

    Full Text Available Introduction. Improved psychophysical condition after breast reconstruction in women has been well documented Objective. To determine the most optimal technique with minimal morbidity, the authors examined their results and complications based on reconstruction timing (immediate and delayed reconstruction and three reconstruction methods: TRAM flap, latissimus dorsi flap and reconstruction with tissue expanders and implants. Methods. Reconstruction was performed in 60 women of mean age 51.1 years. We analyzed risk factors: age, body mass index (BMI, smoking history and radiation therapy in correlation with timing and method of reconstruction. Complications of all three methods of reconstruction were under 1.5-2-year follow-up after the reconstruction. All data were statistically analyzed. Results. Only radiation had significant influence on the occurrence of complications both before and after the reconstruction, while age, smoking and BMI had no considerable influence of the development of complications. There were no statistically significant correlation between the incidence of complications, time and method of reconstruction. Conclusion. Any of the aforementioned breast reconstruction techniques can yield good results and a low rate of re-operations. To choose the best method, the patient needs to be as well informed as possible about the options including the risks and benefits of each method.

  12. Algorithms for reconstruction of chromosomal structures.

    Science.gov (United States)

    Lyubetsky, Vassily; Gershgorin, Roman; Seliverstov, Alexander; Gorbunov, Konstantin

    2016-01-19

    One of the main aims of phylogenomics is the reconstruction of objects defined in the leaves along the whole phylogenetic tree to minimize the specified functional, which may also include the phylogenetic tree generation. Such objects can include nucleotide and amino acid sequences, chromosomal structures, etc. The structures can have any set of linear and circular chromosomes, variable gene composition and include any number of paralogs, as well as any weights of individual evolutionary operations to transform a chromosome structure. Many heuristic algorithms were proposed for this purpose, but there are just a few exact algorithms with low (linear, cubic or similar) polynomial computational complexity among them to our knowledge. The algorithms naturally start from the calculation of both the distance between two structures and the shortest sequence of operations transforming one structure into another. Such calculation per se is an NP-hard problem. A general model of chromosomal structure rearrangements is considered. Exact algorithms with almost linear or cubic polynomial complexities have been developed to solve the problems for the case of any chromosomal structure but with certain limitations on operation weights. The computer programs are tested on biological data for the problem of mitochondrial or plastid chromosomal structure reconstruction. To our knowledge, no computer programs are available for this model. Exactness of the proposed algorithms and such low polynomial complexities were proved. The reconstructed evolutionary trees of mitochondrial and plastid chromosomal structures as well as the ancestral states of the structures appear to be reasonable.

  13. Preparing for Breast Reconstruction Surgery

    Science.gov (United States)

    ... Cancer Breast Reconstruction Surgery Preparing for Breast Reconstruction Surgery Your surgeon can help you know what to ... The plan for follow-up Costs Understanding your surgery costs Health insurance policies often cover most or ...

  14. Resorbable extracellular matrix grafts in urologic reconstruction

    Directory of Open Access Journals (Sweden)

    Richard A. Santucci

    2005-06-01

    Full Text Available PURPOSE: There is an increasingly large body of literature concerning tissue-engineering products that may be used in urology. Some of these are quite complex (such as multilayer patient-specific cell-seeded implants yet the most simple and successful products to date are also the most uncomplicated: resorbable acellular extra-cellular matrices (ECMs harvested from animals. ECMs have been used in a variety of difficult urologic reconstruction problems, and this review is intended to summarize this complex literature for the practicing urologist. METHODS: Medline search of related terms such as "SIS, small intestinal submucosa, ECM, extracellular matrix, acellular matrix and urologic reconstruction". Manuscripts missed in the initial search were taken from the bibliographies of the primary references. RESULTS: Full review of potential clinical uses of resorbable extra-cellular matrices in urologic reconstruction. CONCLUSIONS: Currently, the "state of the art" in tissue engineering solutions for urologic reconstruction means resorbable acellular xenograft matrices. They show promise when used as a pubovaginal sling or extra bolstering layers in ureteral or urethral repairs, although recent problems with inflammation following 8-ply pubovaginal sling use and failures after 1- and 4-ply SIS repair of Peyronie's disease underscore the need for research before wide adoption. Preliminary data is mixed concerning the potential for ECM urethral patch graft, and more data is needed before extended uses such as bladder augmentation and ureteral replacement are contemplated. The distant future of ECMs in urology likely will include cell-seeded grafts with the eventual hope of producing "off the shelf" replacement materials. Until that day arrives, ECMs only fulfill some of the requirements for the reconstructive urologist.

  15. Patient-subjective cosmetic outcomes following the varying stages of tissue expander breast reconstruction: the importance of completion.

    Science.gov (United States)

    Buck, Donald W; Shenaq, Deana; Heyer, Kamaldeep; Kato, Caroline; Kim, John Y S

    2010-12-01

    Tissue expander breast reconstruction consists of three major surgical steps: placement of the expander after mastectomy, exchange of the expander for an implant, and nipple-areola complex reconstruction. The evolution of patient satisfaction throughout this process has not been evaluated. Here we performed a stratified analysis of patient-subjective cosmetic outcomes during the stages of breast reconstruction. Twenty-eight consecutive tissue expander-implant reconstructions were performed by the senior author using human acellular dermis. Cosmetic outcomes were assessed after each reconstructive stage using a validated Breast Evaluation Questionnaire consisting of questions related to breast size, shape and firmness in three separate contexts: intimate or sexual activities, leisure or social activities, and professional or job-related activities. Eighteen patients underwent unilateral reconstruction, while 10 underwent bilateral reconstruction. Satisfaction scores were statistically higher following Stage I and II procedures for bilateral reconstructions. For unilateral reconstructions, there was a statistically significant elevation in scores following Stage II. The addition of nipple-areola reconstruction resulted in the highest scores for both unilateral and bilateral reconstructions. These score elevations were significant (p reconstructions and as such, the significant differences in scores between unilateral and bilateral cohorts after stages I and II were nearly eliminated after completion of the entire reconstructive process. Satisfaction with tissue expander reconstruction is significantly affected by the patients' stage during the reconstructive process. Completion of all three stages, including nipple-areolar complex reconstruction, achieves maximal patient satisfaction. For unilateral reconstructions, completion of the entire reconstructive process, including contralateral symmetry procedures and nipple-areolar complex reconstruction, results in

  16. Free tissue transfer for head and neck reconstruction: a contemporary review.

    Science.gov (United States)

    Cannady, Steven B; Rosenthal, Eben L; Knott, P Daniel; Fritz, Michael; Wax, Mark K

    2014-01-01

    Microvascular free tissue transfer is used for complex composite tissue defects in previously treated fields, in particular after treatment of malignant disease. The increasing incidence of skin cancer in the general population has increased the number of patients with massive tumors that require the expertise of the free flap reconstructive surgeon. We herein examine a number of the recent advances in the field that use free tissue transfer for orbitomaxillary and scalp reconstruction, including maxillary reconstruction, virtual surgical planning in head and neck reconstruction, and scalp reconstruction. Advanced computer algorithms allow planning of these procedures at a savings of time and cost. Free tissue transfer is a reconstructive modality that is often at the top of the reconstructive ladder and, in some instances, is the reconstructive method of choice. The ability to harvest composite tissue that matches the tissue defect in composition, surface area, and volume makes free tissue transfer a versatile modality.

  17. Reconstrucción craneofacial compleja: malla de titanio, hueso autólogo preservado en óxido de etileno y reconstrucciones tridimensionales en polimetilmetacrilato (HTR-PMI Complex craneofacial reconstruction: titanium mesh, autologous bone preserved in ethylene oxide and tridimensional polimetilmetacrilate implants (HTR-PMI

    Directory of Open Access Journals (Sweden)

    G. Flores-Lima

    2010-03-01

    more complex and esthetically rewarding procedures to patients have suffered extensive bone loss in the craniofacial area. We report our initial experience using these techniques with a retrospective analysis of 21 patients operated from January 2007 to March 2009 by a multidisciplinary team in the Hospital Militar, Centro Panamericano de Ojos and Hospital de Diagnóstico of El Salvador, who required complex craneofacial reconstruction using one or more techniques to cover the defects. The reconstructed areas have been cranium, orbital roof and floor as well as cigomatic region, anterior cranium fossa and superior maxillary sinuous. No infections or retrieval of material for reconstruction or fistulas were reported and only one post-traumatic ulcer that resolved in a conservative way. The esthetic results in the patients operated have been considered acceptable, to excellent. As a conclusions, multidisciplinary team, combination of surgical techniques and the acquisition of advanced prosthesis material for craniofacial reconstructions has resulted in a significant advance from the functional and aesthetic point of view in areas that involve this anatomically complex area.

  18. Exhaustive Verification of Weak Reconstruction For Self Complementary Graphs

    CERN Document Server

    Gupta, S K; Khandelwal, Akash; Tiwari, Apurv; Srilekha,

    2010-01-01

    This paper presents an exhaustive approach for verification of the weak reconstruction of Self Complementary Graphs up to 17 vertices. It describes the general problem of the Reconstruction Conjecture, explaining the complexity involved in checking deck-isomorphism between two graphs. In order to improve the computation time, various pruning techniques have been employed to reduce the number of graph-isomorphism comparisons. These techniques offer great help in proceeding with a reconstructive approach. An analysis of the numbers involved is provided, along with the various limitations of this approach. A list enumerating the number of SC graphs up till 101 vertices is also appended.

  19. Reverse Abdominoplasty: A Practical Option for Oncological Trunk Reconstruction

    OpenAIRE

    Pantelides, Nicholas M.; Mondal, Debabrata; WISHART, GORDON C.; Malata, Charles M.

    2013-01-01

    Objectives: Following radical oncological resection, full-thickness upper central trunk defects present a significant challenge. Common reconstructive options include pedicled flaps, such as pectoralis major, rectus abdominis, and latissimus dorsi. In complex cases, free tissue transfer may be required. Reverse abdominoplasty, although initially described for cosmetic body contouring, can be used to reconstruct upper central trunk defects following radical tumour ablation. We present 4 such a...

  20. Radiative Transport Based Flame Volume Reconstruction from Videos.

    Science.gov (United States)

    Shen, Liang; Zhu, Dengming; Nadeem, Saad; Wang, Zhaoqi; Kaufman, Arie E

    2017-06-06

    We introduce a novel approach for flame volume reconstruction from videos using inexpensive charge-coupled device (CCD) consumer cameras. The approach includes an economical data capture technique using inexpensive CCD cameras. Leveraging the smear feature of the CCD chip, we present a technique for synchronizing CCD cameras while capturing flame videos from different views. Our reconstruction is based on the radiative transport equation which enables complex phenomena such as emission, extinction, and scattering to be used in the rendering process. Both the color intensity and temperature reconstructions are implemented using the CUDA parallel computing framework, which provides real-time performance and allows visualization of reconstruction results after every iteration. We present the results of our approach using real captured data and physically-based simulated data. Finally, we also compare our approach against the other state-of-the-art flame volume reconstruction methods and demonstrate the efficacy and efficiency of our approach in four different applications: (1) rendering of reconstructed flames in virtual environments, (2) rendering of reconstructed flames in augmented reality, (3) flame stylization, and (4) reconstruction of other semitransparent phenomena.

  1. A COMPARISON OF EXISTING ALGORITHMS FOR 3D TREE RECONSTRUCTION

    Directory of Open Access Journals (Sweden)

    E. Bournez

    2017-02-01

    Full Text Available 3D models of tree geometry are important for numerous studies, such as for urban planning or agricultural studies. In climatology, tree models can be necessary for simulating the cooling effect of trees by estimating their evapotranspiration. The literature shows that the more accurate the 3D structure of a tree is, the more accurate microclimate models are. This is the reason why, since 2013, we have been developing an algorithm for the reconstruction of trees from terrestrial laser scanner (TLS data, which we call TreeArchitecture. Meanwhile, new promising algorithms dedicated to tree reconstruction have emerged in the literature. In this paper, we assess the capacity of our algorithm and of two others -PlantScan3D and SimpleTree- to reconstruct the 3D structure of trees. The aim of this reconstruction is to be able to characterize the geometric complexity of trees, with different heights, sizes and shapes of branches. Based on a specific surveying workflow with a TLS, we have acquired dense point clouds of six different urban trees, with specific architectures, before reconstructing them with each algorithm. Finally, qualitative and quantitative assessments of the models are performed using reference tree reconstructions and field measurements. Based on this assessment, the advantages and the limits of every reconstruction algorithm are highlighted. Anyway, very satisfying results can be reached for 3D reconstructions of tree topology as well as of tree volume.

  2. Surface Reconstruction from Parallel Curves with Application to Parietal Bone Fracture Reconstruction.

    Directory of Open Access Journals (Sweden)

    Abdul Majeed

    Full Text Available Maxillofacial trauma are common, secondary to road traffic accident, sports injury, falls and require sophisticated radiological imaging to precisely diagnose. A direct surgical reconstruction is complex and require clinical expertise. Bio-modelling helps in reconstructing surface model from 2D contours. In this manuscript we have constructed the 3D surface using 2D Computerized Tomography (CT scan contours. The fracture part of the cranial vault are reconstructed using GC1 rational cubic Ball curve with three free parameters, later the 2D contours are flipped into 3D with equidistant z component. The constructed surface is represented by contours blending interpolant. At the end of this manuscript a case report of parietal bone fracture is also illustrated by employing this method with a Graphical User Interface (GUI illustration.

  3. Arctic Sea Level Reconstruction

    DEFF Research Database (Denmark)

    Svendsen, Peter Limkilde

    Reconstruction of historical Arctic sea level is very difficult due to the limited coverage and quality of tide gauge and altimetry data in the area. This thesis addresses many of these issues, and discusses strategies to help achieve a stable and plausible reconstruction of Arctic sea level from...... 1950 to today.The primary record of historical sea level, on the order of several decades to a few centuries, is tide gauges. Tide gauge records from around the world are collected in the Permanent Service for Mean Sea Level (PSMSL) database, and includes data along the Arctic coasts. A reasonable...... amount of data is available along the Norwegian and Russian coasts since 1950, and most published research on Arctic sea level extends cautiously from these areas. Very little tide gauge data is available elsewhere in the Arctic, and records of a length of several decades,as generally recommended for sea...

  4. Stochastic reconstruction of sandstones

    Science.gov (United States)

    Manwart; Torquato; Hilfer

    2000-07-01

    A simulated annealing algorithm is employed to generate a stochastic model for a Berea sandstone and a Fontainebleau sandstone, with each a prescribed two-point probability function, lineal-path function, and "pore size" distribution function, respectively. We find that the temperature decrease of the annealing has to be rather quick to yield isotropic and percolating configurations. A comparison of simple morphological quantities indicates good agreement between the reconstructions and the original sandstones. Also, the mean survival time of a random walker in the pore space is reproduced with good accuracy. However, a more detailed investigation by means of local porosity theory shows that there may be significant differences of the geometrical connectivity between the reconstructed and the experimental samples.

  5. Reconstructing the Tengger calendar

    Directory of Open Access Journals (Sweden)

    Ian Proudfoot

    2008-12-01

    Full Text Available The survival of an Indic calendar among the Tengger people of the Brama highlands in east Java opens a window on Java’s calendar history. Its hybrid form reflects accommodations between this non-Muslim Javanese group and the increasingly dominant Muslim Javanese culture. Reconstruction is challenging because of this hybridity, because of inconsistencies in practice, and because the historical evidence is sketchy and often difficult to interpret.

  6. Posteromedial Corner Reconstruction

    Science.gov (United States)

    Ferrer, Gonzalo; Leon, Agustín; Wirth, Hans; Mena, Adolfo; Tuca, María José; Espinoza, Gonzalo

    2017-01-01

    Objective: Report the experience, after 1-year follow-up, of 30 patients who underwent anatomical knee reconstruction of posteromedial corner (PMC) injuries, using La Prade´s Technique. Methods: Retrospective cohort study of 30 consecutive patients with PMC injuries operated between November 2010 and May 2014 by the same surgical team. Inclusion criteria: patients with clinical presentation and images (stress radiographs and MRI) compatible with PMC injury, who maintained a grade III chronic instability in spite of at least 3 months of orthopedic treatment, who were reconstructed using La Prade’s anatomical technique, and completed at least 12 months of follow-up. Exclusion criteria: discordance between clinical and image studies, grade I or II medial instability, and surgery performed through a different technique. Data was collected by reviewing the electronic files and images. Functional scores (IKDC and Lysholm) were applied and registered in the preoperative evaluation, and then 6 and 12 months after surgery. Results: Thirty patients (28 men and 2 women) met the inclusion criteria. Mean age was 43 years (24-69). The vast majority (28 patients) had a high-energy mechanism of injury. Twenty patients were diagnosed in the acute setting, while 10 had a delayed diagnosis after poor results of concomitant ligament reconstructions. With the exception of 2 patients, who presented with isolated PMC injury, the majority had associated injuries as detailed: 11 cases had PMC + anterior cruciate ligament (ACL) injury, 3 patients had PMC + posterior cruciate ligament (PCL) injury, 3 patients had PMC + meniscal tears, 9 patients had PMC + ACL + PCL injuries, and there were 2 cases of PMC + ACL + PCL + lateral collateral ligament injuries. Mean time for PMC reconstruction surgery was 5 months (range 2-32). Lysholm and IKDC scores were 18,2 (2-69) and 24,3 (9,2-52,9) respectively in the preoperative setting, improving to 76,7 (44-94) and 70,7 (36,8-95,4) after 1-year follow

  7. Canal Wall Reconstruction Mastoidectomy

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Objective To investigate the advantages of canal wall reconstruction (CWR) mastoidectomy, a single-stage technique for cholesteatoma removal and posterior external canal wall reconstruction, over the open and closed procedures in terms of cholesteatoma recurrence. Methods: Between June 2002 and December 2005, 38 patients (40 ears) with cholesteatoma were admited to Sun Yat-Sen Memorial Hospital and received surgical treatments. Of these patients, 25 were male with ages ranging between 11 and 60 years (mean = 31.6 years) and 13 were female with ages ranging between 20 and 65 years (mean = 38.8 years). Canal wall reconstruction (CWR)mastoidectomy was performed in 31 ears and canal wall down (CWD) mastoidectomy in 9 ears. Concha cartilage was used for ear canal wall reconstruction in 22 of the 31 CWR procedures and cortical mastoid bone was used in the remaining 9 cases. Results At 0.5 to 4 years follow up, all but one patients remained free of signs of cholesteatoma recurrence, i.e., no retraction pocket or cholesteatoma matrix. One patient, a smoker, needed revision surgery due to cholesteatoma recurrence 1.5 year after the initial operation. The recurrence rate was therefore 3.2% (1/31). Cholesteatoma recurrence was monitored using postoperative CT scans whenever possible. In the case that needed a revision procedure, a retraction pocket was identified by otoendoscopy in the pars flacida area that eventually evolved into a cholesteatoma. A pocket extending to the epitympanum filled with cholesteatoma matrix was confirmed during the revision operation, A decision to perform a modified mastoidectomy was made as the patient refused to quit smoking. The mean air-bone gap in pure tone threshold was 45 dB before surgery and 25 dB after (p < 0.05). There was no difference between using concha cartilage and cortical mastoid bone for the reconstruction regarding air-bone gap improvement, CT findings and otoendoscopic results. Conclusion CWR mastoidectomy can be used for

  8. Evaluation of cephalometric points in midface bone lengthening with the use of a rigid external device in syndromic craniosynostosis patients Avaliação de pontos cefalométricos no alongamento ósseo do terço médio da face em portadores de craniossinostose sindrômica com a utilização de dispositivo externo rígido

    Directory of Open Access Journals (Sweden)

    Daniel Santos Corrêa Lima

    2009-06-01

    Full Text Available Distraction osteogenesis has been extensively used to correct severe midface hypoplasia in syndromic craniosynostosis patients. However few studies have reported midface distraction outcomes through cephalometric evaluation. AIM: The purpose of the present study was to evaluate outcomes with midface distraction rigid external device (RED in patients with syndromic craniosynostosis, in terms of quantity of bone lengthening, skeletal stability and facial growth. MATERIALS AND METHODS: Eleven patients were retrospectively evaluated in this study. Cephalometrics was carried out through three teleradiographies from each patient (T1 -before surgery; T2- immediate postop, rigth after distractor removal; T3 - late postop, obtained with a minimal interval of 12 months after surgery. RESULTS: Significant midface advancement was achieved with the procedure. The rate of horizontal relapse was minimal. We noticed a clear vertical facial growth, contrary to what was seen in the horizontal aspect, when there was a mild posterior relapse and no growth evidence. CONCLUSION: Cephalometric evaluation showed adequate results in midface bone lengthening with rigid external distractor.A distração osteogênica tem sido extensamente empregada na correção da grave hipoplasia do terço médio da face de portadores de craniossinostose sindrômica. Poucos estudos têm apresentado os resultados da distração do terço médio da face através de avaliação cefalométrica. OBJETIVO: O objetivo do estudo foi o de avaliar os resultados obtidos com o avanço ósseo do terço médio da face seguida da utilização de dispositivo rígido externo de distração (RED, em portadores de craniossinostose sindrômica, através de análise cefalométrica. MATERIAL E MÉTODOS: O estudo teve desenho retrospectivo, onde onze pacientes foram avaliados retrospectivamente. A análise cefalométrica foi realizada a partir de três telerradiografias de cada paciente (T1- préoperatório; T

  9. Renovation of the hotel complex

    OpenAIRE

    DRHA, Aleš

    2012-01-01

    The theme of this work is reconstruction the hotel complex. The theoretical part informs readers about tourism, marketing and how to build a business plan. Analytical part shows the issue of tourism in the region and technical condition of the hotel. In the synthetic part is suggested business plan to hotel reconstruction, marketing mix for tourism and financial plan, that shows operating costs and revenues. The investment could be paid off by the 13th year since the start of the hotel service.

  10. A New Approach to Upper Eyelid Reconstruction.

    Science.gov (United States)

    Bulla, A; Vielà, C; Fiorot, L; Bolletta, A; Pancrazi, E; Campus, G V

    2017-04-01

    Reconstruction of large defects of the upper eyelid is challenging because of its complex anatomy and specialized function. The aim of this work is to develop a single-stage reconstruction procedure based on a new approach. The technique consists of the advancement of an orbicularis oculi myocutaneous flap designed within the blepharoplasty skin excision pattern. After the tumor's excision is completed with clear margins, the borders of the flap are incised down to the submuscular plane inside the classical pattern of upper eyelid blepharoplasty. Two myocutaneous triangles are excised on both sides of the flap to allow its advancement to cover the defect. When it is necessary to repair the posterior lamella, we harvest a mucochondral graft. From 2012 to 2015, we performed upper eyelid reconstruction with this technique on six patients. The flap survived in all the patients, without total or partial necrosis. No patient required surgical revision. The results were aesthetically satisfying, and no tumor recurrence was noted. Our new approach to upper eyelid reconstruction maximizes the cosmetic outcome respecting the principles of radicality. This flap is better suited for lesions involving the median or paramedian eyelid border from the marginal zone up to the palpebral crease. The approach we propose is safe and versatile, and it ensures either a functional or a good aesthetic reconstruction. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

  11. Two Accelerating Techniques for 3D Reconstruction

    Institute of Scientific and Technical Information of China (English)

    刘世霞; 胡事民; 孙家广

    2002-01-01

    Automatic reconstruction of 3D objects from 2D orthographic views has been a major research issue in CAD/CAM. In this paper, two accelerating techniques to improve the efficiency of reconstruction are presented. First, some pseudo elements are removed by depth and topology information as soon as the wire-frame is constructed, which reduces the searching space. Second, the proposed algorithm does not establish all possible surfaces in the process of generating 3D faces. The surfaces and edge loops are generated by using the relationship between the boundaries of 3D faces and their projections. This avoids the growth in combinational complexity of previous methods that have to check all possible pairs of 3D candidate edges.

  12. Software compensation in Particle Flow reconstruction

    CERN Document Server

    Lan Tran, Huong; Sefkow, Felix; Green, Steven; Marshall, John; Thomson, Mark; Simon, Frank

    2017-01-01

    The Particle Flow approach to calorimetry requires highly granular calorimeters and sophisticated software algorithms in order to reconstruct and identify individual particles in complex event topologies. The high spatial granularity, together with analog energy information, can be further exploited in software compensation. In this approach, the local energy density is used to discriminate electromagnetic and purely hadronic sub-showers within hadron showers in the detector to improve the energy resolution for single particles by correcting for the intrinsic non-compensation of the calorimeter system. This improvement in the single particle energy resolution also results in a better overall jet energy resolution by improving the energy measurement of identified neutral hadrons and improvements in the pattern recognition stage by a more accurate matching of calorimeter energies to tracker measurements. This paper describes the software compensation technique and its implementation in Particle Flow reconstruct...

  13. Reconstruction in Time-Bandwidth Compression Systems

    CERN Document Server

    Chan, Jacky; Asghari, Mohammad H; Jalali, Bahram

    2014-01-01

    Recently it has been shown that the intensity time-bandwidth product of optical signals can be engineered to match that of the data acquisition instrument. In particular, it is possible to slow down an ultrafast signal, resulting in compressed RF bandwidth - a similar benefit to that offered by the Time-Stretch Dispersive Fourier Transform (TS-DFT) - but with reduced temporal record length leading to time-bandwidth compression. The compression is implemented using a warped group delay dispersion leading to non-uniform time stretching of the signal's intensity envelope. Decoding requires optical phase retrieval and reconstruction of the input temporal profile, for the case where information of interest is resides in the complex field. In this paper, we present results on the general behavior of the reconstruction process and its dependence on the signal-to-noise ratio. We also discuss the role of chirp in the input signal.

  14. In vivo bioreactors for mandibular reconstruction.

    Science.gov (United States)

    Tatara, A M; Wong, M E; Mikos, A G

    2014-12-01

    Large mandibular defects are difficult to reconstruct with good functional and aesthetic outcomes because of the complex geometry of craniofacial bone. While the current gold standard is free tissue flap transfer, this treatment is limited in fidelity by the shape of the harvested tissue and can result in significant donor site morbidity. To address these problems, in vivo bioreactors have been explored as an approach to generate autologous prefabricated tissue flaps. These bioreactors are implanted in an ectopic site in the body, where ossified tissue grows into the bioreactor in predefined geometries and local vessels are recruited to vascularize the developing construct. The prefabricated flap can then be harvested with vessels and transferred to a mandibular defect for optimal reconstruction. The objective of this review article is to introduce the concept of the in vivo bioreactor, describe important preclinical models in the field, summarize the human cases that have been reported through this strategy, and offer future directions for this exciting approach.

  15. Repositioning template for mandibular reconstruction with fibular free flap: an alternative technique to pre-plating and virtual surgical planning

    OpenAIRE

    Berrone, M.; Crosetti, E.; Succo, G

    2014-01-01

    SUMMARY Oral malignancies involving the mandibular bone require a complex reconstructive plan. Mandibular reconstruction with a fibular free flap is currently considered the best choice for functional and aesthetic rehabilitation after oncological surgery. This flap can be modelled with multiple osteotomies and can provide bone, muscle and skin for composite reconstruction. One of the most delicate aspects of mandibular reconstruction is the technique of bone modelling; the risk of prolonging...

  16. Optimization based automated curation of metabolic reconstructions

    Directory of Open Access Journals (Sweden)

    Maranas Costas D

    2007-06-01

    Full Text Available Abstract Background Currently, there exists tens of different microbial and eukaryotic metabolic reconstructions (e.g., Escherichia coli, Saccharomyces cerevisiae, Bacillus subtilis with many more under development. All of these reconstructions are inherently incomplete with some functionalities missing due to the lack of experimental and/or homology information. A key challenge in the automated generation of genome-scale reconstructions is the elucidation of these gaps and the subsequent generation of hypotheses to bridge them. Results In this work, an optimization based procedure is proposed to identify and eliminate network gaps in these reconstructions. First we identify the metabolites in the metabolic network reconstruction which cannot be produced under any uptake conditions and subsequently we identify the reactions from a customized multi-organism database that restores the connectivity of these metabolites to the parent network using four mechanisms. This connectivity restoration is hypothesized to take place through four mechanisms: a reversing the directionality of one or more reactions in the existing model, b adding reaction from another organism to provide functionality absent in the existing model, c adding external transport mechanisms to allow for importation of metabolites in the existing model and d restore flow by adding intracellular transport reactions in multi-compartment models. We demonstrate this procedure for the genome- scale reconstruction of Escherichia coli and also Saccharomyces cerevisiae wherein compartmentalization of intra-cellular reactions results in a more complex topology of the metabolic network. We determine that about 10% of metabolites in E. coli and 30% of metabolites in S. cerevisiae cannot carry any flux. Interestingly, the dominant flow restoration mechanism is directionality reversals of existing reactions in the respective models. Conclusion We have proposed systematic methods to identify and

  17. Iterative reconstruction of magnetic induction using Lorentz transmission electron tomography

    Energy Technology Data Exchange (ETDEWEB)

    Phatak, C., E-mail: cd@anl.gov [Materials Science Division, Argonne National Laboratory, Argonne, IL 60439 (United States); Gürsoy, D. [Advanced Photon Source, Argonne National Laboratory, Argonne, IL 60439 (United States)

    2015-03-15

    Intense ongoing research on complex nanomagnetic structures requires a fundamental understanding of the 3D magnetization and the stray fields around the nano-objects. 3D visualization of such fields offers the best way to achieve this. Lorentz transmission electron microscopy provides a suitable combination of high resolution and ability to quantitatively visualize the magnetization vectors using phase retrieval methods. In this paper, we present a formalism to represent the magnetic phase shift of electrons as a Radon transform of the magnetic induction of the sample. Using this formalism, we then present the application of common tomographic methods particularly the iterative methods, to reconstruct the 3D components of the vector field. We present an analysis of the effect of missing wedge and the limited angular sampling as well as reconstruction of complex 3D magnetization in a nanowire using simulations. - Highlights: • We present a formalism to represent electron-optical magnetic phase shift as a Radon transform of the 3D magnetic induction of the nano-object. • We have analyzed four different tomographic reconstruction methods for vectorial data reconstruction. • Reconstruction methods were tested for varying experimental limitations such as limited tilt range and limited angular sampling. • The analysis showed that Gridrec and SIRT methods performed better with lower errors than other reconstruction methods.

  18. Use of the Anterolateral Thigh in Cranio-Orbitofacial Reconstruction

    Directory of Open Access Journals (Sweden)

    William J. Parkes

    2011-01-01

    Full Text Available Objective. To detail the clinical outcomes of a series of patients having undergone free flap reconstruction of the orbit and periorbita and highlight the anterolateral thigh (ALT as a workhorse for addressing defects in this region. Methods. A review of 47 patients who underwent free flap reconstruction for orbital or periorbital defects between September 2006 and May 2011 was performed. Data reviewed included demographics, defect characteristics, free flap used, additional reconstructive techniques employed, length of stay, complications, and follow-up. The ALT subset of the case series was the focus of the data reviewed for this paper. Selected cases were described to highlight some of the advantages of employing the ALT for cranio-orbitofacial reconstruction. Results. 51 free flaps in 47 patients were reviewed. 38 cases required orbital exenteration. The ALT was used in 33 patients. Complications included 1 hematoma, 2 wound infections, 3 CSF leaks, and 3 flap failures. Conclusions. Free tissue transfer allows for the safe and effective reconstruction of complex defects of the orbit and periorbital structures. Reconstructive choice is dependent upon the extent of soft tissue loss, midfacial bone loss, and skullbase involvement. The ALT provides a versatile option to reconstruct the many cranio-orbitofacial defects encountered.

  19. Improvement in fast particle track reconstruction with robust statistics

    Energy Technology Data Exchange (ETDEWEB)

    Aartsen, M.G. [School of Chemistry and Physics, University of Adelaide, Adelaide 5005, SA (Australia); Abbasi, R. [Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 (United States); Abdou, Y. [Department of Physics and Astronomy, University of Gent, B-9000 Gent (Belgium); Ackermann, M. [DESY, D-15735 Zeuthen (Germany); Adams, J. [Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch (New Zealand); Aguilar, J.A. [Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211Genève (Switzerland); Ahlers, M. [Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 (United States); Altmann, D. [Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin (Germany); Auffenberg, J. [Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 (United States); Bai, X. [Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, DE 19716 (United States); Baker, M. [Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 (United States); Barwick, S.W. [Department of Physics and Astronomy, University of California, Irvine, CA 92697 (United States); Baum, V. [Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz (Germany); Bay, R. [Department of Physics, University of California, Berkeley, CA 94720 (United States); and others

    2014-02-01

    The IceCube project has transformed 1 km{sup 3} of deep natural Antarctic ice into a Cherenkov detector. Muon neutrinos are detected and their direction is inferred by mapping the light produced by the secondary muon track inside the volume instrumented with photomultipliers. Reconstructing the muon track from the observed light is challenging due to noise, light scattering in the ice medium, and the possibility of simultaneously having multiple muons inside the detector, resulting from the large flux of cosmic ray muons. This paper describes work on two problems: (1) the track reconstruction problem, in which, given a set of observations, the goal is to recover the track of a muon; and (2) the coincident event problem, which is to determine how many muons are active in the detector during a time window. Rather than solving these problems by developing more complex physical models that are applied at later stages of the analysis, our approach is to augment the detector's early reconstruction with data filters and robust statistical techniques. These can be implemented at the level of on-line reconstruction and, therefore, improve all subsequent reconstructions. Using the metric of median angular resolution, a standard metric for track reconstruction, we improve the accuracy in the initial reconstruction direction by 13%. We also present improvements in measuring the number of muons in coincident events: we can accurately determine the number of muons 98% of the time.

  20. Highly efficient solid state catalysis by reconstructed (001) Ceria surface

    Energy Technology Data Exchange (ETDEWEB)

    Solovyov, VF; Ozaki, T; Atrei, A; Wu, LJ; Al-Mahboob, A; Sadowski, JT; Tong, X; Nykypanchuk, D; Li, Q

    2014-04-10

    Substrate engineering is a key factor in the synthesis of new complex materials. The substrate surface has to be conditioned in order to minimize the energy threshold for the formation of the desired phase or to enhance the catalytic activity of the substrate. The mechanism of the substrate activity, especially of technologically relevant oxide surfaces, is poorly understood. Here we design and synthesize several distinct and stable CeO2 (001) surface reconstructions which are used to grow epitaxial films of the high-temperature superconductor YBa2Cu3O7. The film grown on the substrate having the longest, fourfold period, reconstruction exhibits a twofold increase in performance over surfaces with shorter period reconstructions. This is explained by the crossover between the nucleation site dimensions and the period of the surface reconstruction. This result opens a new avenue for catalysis mediated solid state synthesis.

  1. Improved MRI Reconstruction Using a Singular Value Decomposition Approximation

    Directory of Open Access Journals (Sweden)

    Davi Marco Lyra-Leite

    2012-12-01

    Full Text Available The reconstruction of magnetic resonance imaging (MRI data can be a computationally demanding task. Signal-to-noise ratio is also a concern, especially in high-resolution imaging. Data compression may be useful not only for reducing reconstruction complexity and memory requirements, but also for reducing noise, as it is capable of eliminating spurious components. This work proposes the use of a singular value decomposition low-rank approximation for reconstruction and denoising of MRI data. The Akaike Information Criterion is used to estimate the appropriate model order, which is used to remove noise components and to reduce the amount of data to be stored and processed. The proposed method is evaluated using in vivo MRI data. We present images reconstructed using less than 20% of the original data size, and with a similar quality in terms of visual inspection. A quantitative evaluation is also presented.

  2. RECONSTRUCTING CCTV, BEIJING

    Directory of Open Access Journals (Sweden)

    V. Forcella

    2012-09-01

    Full Text Available This paper deals with the reconstruction of a building, starting from a point cloud. The shape of this building is a non-stellar concave and multi-connected structure, composed of sowns and chains. A sown is the representation of a horizontal plane formed by dense points. A chain is a planar loop modeled by rare points. CCTV structure is defined only by the three orthogonal Cartesian coordinates. The reconstruction uses a sequence of procedures and the desired output is a consistent 3D model. The first procedure is devoted to attributing points to their voxel and to estimating the three values needed afterwards. The second procedure is devoted to analyzing clusters vertically and horizontally, to preliminarily distinguishing chains from sowns and to generating relational matching. The third procedure is devoted to building closed loops between all chains and all their projections on sowns. The fourth procedure is devoted to connecting points with triangles. The fifth procedure, still being implemented, is devoted to interpolating triangles with triangular splines.

  3. Biomaterials for craniofacial reconstruction

    Directory of Open Access Journals (Sweden)

    Neumann, Andreas

    2009-01-01

    Full Text Available Biomaterials for reconstruction of bony defects of the skull comprise of osteosynthetic materials applied after osteotomies or traumatic fractures and materials to fill bony defects which result from malformation, trauma or tumor resections. Other applications concern functional augmentations for dental implants or aesthetic augmentations in the facial region.For ostheosynthesis, mini- and microplates made from titanium alloys provide major advantages concerning biocompatibility, stability and individual fitting to the implant bed. The necessity of removing asymptomatic plates and screws after fracture healing is still a controversial issue. Risks and costs of secondary surgery for removal face a low rate of complications (due to corrosion products when the material remains in situ. Resorbable osteosynthesis systems have similar mechanical stability and are especially useful in the growing skull.The huge variety of biomaterials for the reconstruction of bony defects makes it difficult to decide which material is adequate for which indication and for which site. The optimal biomaterial that meets every requirement (e.g. biocompatibility, stability, intraoperative fitting, product safety, low costs etc. does not exist. The different material types are (autogenic bone and many alloplastics such as metals (mainly titanium, ceramics, plastics and composites. Future developments aim to improve physical and biological properties, especially regarding surface interactions. To date, tissue engineered bone is far from routine clinical application.

  4. Reconstructing Experiences through Sketching

    CERN Document Server

    Karapanos, Evangelos; Hassenzahl, Marc

    2009-01-01

    This paper presents iScale, a survey tool that aims at eliciting users' experiences with a product from memory. iScale employs sketching in imposing a process in the reconstruction of one's experiences. Two versions of iScale, the Constructive and the Value-Account iScale, were motivated by two distinct theories on how people reconstruct emotional experiences from memory. These two versions were tested in two separate studies. Study 1 aimed at providing qualitative insight into the use of iScale and compared its performance to that of free-hand sketching. Study 2 compared the two iScale versions to a control condition: that of reporting one's experiences without employing any form of sketching. Significant differences between iScale and the "no-sketching" tool were found. Overall, iScale resulted in a) an increase in the number of experience reports that subjects provided, b) an increase in the amount of contextual information for the reported experiences, and c) an increase in subjects' accuracy in recalling...

  5. LHCb; LHCb Jet Reconstruction

    CERN Multimedia

    Augusto, O

    2012-01-01

    The Large Hadron Collider (LHC) is the most powerful particle accelerator in the world. It has been designed to collide proton beams at an energy up to 14 TeV in the center of mass. In 2011, the data taking was done with a center of mass energy of 7 TeV, the instant luminosity has reached values greater than $4 \\times 10^{32} cm^{-2} s^{-1}$ and the integrated luminosity reached the value of 1.02 $fb^{-1}$ on the LHCb. The jet reconstruction is fundamental to observe events that can be used to test pertubative QCD (pQCD). It also provides a way to observe standard model channels and searches for new physics like SUSY. The anti-kt algorithm is a jet reconstruction algorithm that is based on the distance of the particles on the space $\\eta \\times \\phi$ and on the transverse momentum of particles. To maximize the energy resolution all information about the trackers and the calo...

  6. Reconstruction in Fourier space

    Science.gov (United States)

    Burden, A.; Percival, W. J.; Howlett, C.

    2015-10-01

    We present a fast iterative fast Fourier transform (FFT) based reconstruction algorithm that allows for non-parallel redshift-space distortions (RSDs). We test our algorithm on both N-body dark matter simulations and mock distributions of galaxies designed to replicate galaxy survey conditions. We compare solenoidal and irrotational components of the redshift distortion and show that an approximation of this distortion leads to a better estimate of the real-space potential (and therefore faster convergence) than ignoring the RSD when estimating the displacement field. Our iterative reconstruction scheme converges in two iterations for the mock samples corresponding to Baryon Oscillation Spectroscopic Survey CMASS Data Release 11 when we start with an approximation of the RSD. The scheme takes six iterations when the initial estimate, measured from the redshift-space overdensity, has no RSD correction. Slower convergence would be expected for surveys covering a larger angle on the sky. We show that this FFT based method provides a better estimate of the real-space displacement field than a configuration space method that uses finite difference routines to compute the potential for the same grid resolution. Finally, we show that a lognormal transform of the overdensity, used as a proxy for the linear overdensity, is beneficial in estimating the full displacement field from a dense sample of tracers. However, the lognormal transform of the overdensity does not perform well when estimating the displacements from sparser simulations with a more realistic galaxy density.

  7. Exercises in PET Image Reconstruction

    Science.gov (United States)

    Nix, Oliver

    These exercises are complementary to the theoretical lectures about positron emission tomography (PET) image reconstruction. They aim at providing some hands on experience in PET image reconstruction and focus on demonstrating the different data preprocessing steps and reconstruction algorithms needed to obtain high quality PET images. Normalisation, geometric-, attenuation- and scatter correction are introduced. To explain the necessity of those some basics about PET scanner hardware, data acquisition and organisation are reviewed. During the course the students use a software application based on the STIR (software for tomographic image reconstruction) library 1,2 which allows them to dynamically select or deselect corrections and reconstruction methods as well as to modify their most important parameters. Following the guided tutorial, the students get an impression on the effect the individual data precorrections have on image quality and what happens if they are forgotten. Several data sets in sinogram format are provided, such as line source data, Jaszczak phantom data sets with high and low statistics and NEMA whole body phantom data. The two most frequently used reconstruction algorithms in PET image reconstruction, filtered back projection (FBP) and the iterative OSEM (ordered subset expectation maximation) approach are used to reconstruct images. The exercise should help the students gaining an understanding what the reasons for inferior image quality and artefacts are and how to improve quality by a clever choice of reconstruction parameters.

  8. Virtual 3-D Facial Reconstruction

    Directory of Open Access Journals (Sweden)

    Martin Paul Evison

    2000-06-01

    Full Text Available Facial reconstructions in archaeology allow empathy with people who lived in the past and enjoy considerable popularity with the public. It is a common misconception that facial reconstruction will produce an exact likeness; a resemblance is the best that can be hoped for. Research at Sheffield University is aimed at the development of a computer system for facial reconstruction that will be accurate, rapid, repeatable, accessible and flexible. This research is described and prototypical 3-D facial reconstructions are presented. Interpolation models simulating obesity, ageing and ethnic affiliation are also described. Some strengths and weaknesses in the models, and their potential for application in archaeology are discussed.

  9. [Deferred breast reconstruction - soul surgery?].

    Science.gov (United States)

    Kydlíček, Tomáš; Třešková, Inka; Třeška, Vladislav; Holubec, Luboš

    2013-01-01

    The loss or mutilation of a breast as a result of surgical treatment of neoplastic disease always represents a negative impact on a woman's psyche and negatively influences the quality of the woman's remaining life. The goal of our work was to implement deferred breast reconstruction into routine practice and the objectification of the influence of reconstruction on bodily integrity, quality of life, and the feeling of satisfaction in women. Women in remission from neoplastic disease after a radical mastectomy were indicated for breast reconstruction. Between January 2002 and December 2011 deferred breast reconstruction was carried out 174 × on 163 women, with an average age of 49.2 and an age range of 29-67 years. The most frequently used reconstruction method was a simple gel augmentation of the breast or a Becker expander/implant - 51 (29.3%) and 37 (21.3%), or in combination with a lateral thoracodorsal flap (31; 17.8% and 47; 27%); reconstruction using a free DIEP flap was carried out 7 × (4%). Complications occurred in 19 operations (10.9%) with a dominance of inflammation and pericapsular fibrosis, in a subjective analysis, satisfaction with the results prevailed, along with an increased quality of life after reconstruction. A growing number of deferred breast reconstructions, women's satisfaction with the results, the positive influence of renewed bodily integrity on the feeling of life satisfaction and the quality of life have elevated breast reconstructions to a qualitatively higher level.

  10. Facial Paralysis Reconstruction.

    Science.gov (United States)

    Razfar, Ali; Lee, Matthew K; Massry, Guy G; Azizzadeh, Babak

    2016-04-01

    Facial nerve paralysis is a devastating condition arising from several causes with severe functional and psychological consequences. Given the complexity of the disease process, management involves a multispecialty, team-oriented approach. This article provides a systematic approach in addressing each specific sequela of this complex problem.

  11. 保留乳头乳晕的乳腺癌改良根治术后Ⅰ期假体植入乳房重建20例%Immediate breast reconstruction using silicone prosthesis after modified radical mastectomy with preserved nipple- areola complex for breast cancer

    Institute of Scientific and Technical Information of China (English)

    孙永强; 杨雯雯; 梁文军; 孙敬岩

    2011-01-01

    Objective To explore the feasibility and effect of immediate breast reconstruction u-sing silicone prosthesis after nipple - areola - sparing mastectomy. Methods Totally 20 early stage breast cancer patients who received immediate breast reconstruction using silicone prosthesis after modified radical mastectomy with nipple - areola complex preservation were studied. Results Totally 20 cases were individed into stage 0(2 cases) , stage 1(7 cases) and stage II ( 11 cases). All operations were successful. The appearance of the reconstructed breast was perfect. The objective aesthetic outcomes were graded as excellent and good for 18 patients (90% ) ,and the subjective outcomes for all (100% ). Partial necrosis of preserved nipple - areola complex occurred in only one case, and serom aformation in two cases. Three patients all healed 1 month after operation. Patients were followed for 3 ~ 42 months. In this period of follow - up, no local recurrence or distant failure had been observed. Conclusions Immediate breast reconstruction using silicone prosthesis after nipple - areola - sparing mastectomy is a reliable and safe treatment with minimal complications and good to excellent aesthetic results for the majority of patients with early breast cancer.%目的 探讨保留乳头乳晕复合体的乳腺癌改良根治术后Ⅰ期假体植入乳房重建治疗早期乳腺癌的可行性及疗效.方法 选出符合要求的20例早期乳腺癌患者,行保留乳头乳晕复合体的乳腺癌改良根治术及Ⅰ期硅胶假体植入乳房重建术.结果 20例患者中Tis 2例,Ⅰ期7例,Ⅱ期11例.全部患者均顺利完成手术.再造乳房外观良好,客观评价效果优良和尚好者18例(90%),主观评价效果优良和尚好者达100%.其中1例术后发生乳头部分坏死,2例术后皮下积液,均于1月内痊愈.术后随访3 ~42个月,无严重并发症,所有病例均无局部复发及远处转移.结论 对于有重建要求的大多数早期乳腺

  12. Orbital Reconstruction: Patient-Specific Orbital Floor Reconstruction Using a Mirroring Technique and a Customized Titanium Mesh.

    Science.gov (United States)

    Tarsitano, Achille; Badiali, Giovanni; Pizzigallo, Angelo; Marchetti, Claudio

    2016-10-01

    Enophthalmos is a severe complication of primary reconstruction of orbital floor fractures. The goal of secondary reconstruction procedures is to restore symmetrical globe positions to recover function and aesthetics. The authors propose a new method of orbital floor reconstruction using a mirroring technique and a customized titanium mesh, printed using a direct metal laser-sintering method. This reconstructive protocol involves 4 steps: mirroring of the healthy orbit at the affected site, virtual design of a patient-specific orbital floor mesh, CAM procedures for direct laser-sintering of the customized titanium mesh, and surgical insertion of the device. Using a computed tomography data set, the normal, uninjured side of the craniofacial skeleton was reflected onto the contralateral injured side, and a reconstructive orbital floor mesh was designed virtually on the mirrored orbital bone surface. The solid-to-layer files of the mesh were then manufactured using direct metal laser sintering, which resolves the shaping and bending biases inherent in the indirect method. An intraoperative navigation system ensured accuracy of the entire procedure. Clinical outcomes were assessed using 3dMD photogrammetry and computed tomography data in 7 treated patients. The technique described here appears to be a viable method to correct complex orbital floor defects needing delayed reconstruction. This study represents the first step in the development of a wider experimental protocol for orbital floor reconstruction using computer-assisted design-computer-assisted manufacturing technology.

  13. Preliminary stages before nasal reconstruction using forehead flap: restoring perinasal subunits and nostril patency

    Directory of Open Access Journals (Sweden)

    Victor Diniz de Pochat

    2015-03-01

    Full Text Available Due to the complex three-dimensional structure of the nose, the repair of the nasal defect requires reconstruction of three different layers: skin envelope, osteocartilaginous framework and nasal lining. Before nasal reconstruction can be accomplished, the nose must rest on a stable platform to avoid late nasal obstructions, and septal deviations resulting from scar contraction. We present three cases of nasal reconstruction using a forehead flap in which we performed a preliminary stage to increase reliability of outcomes.

  14. Surface Topology Reconstruction From The White Light Interferogram By Means Of Prony Analysis

    Directory of Open Access Journals (Sweden)

    Khoma Anna

    2015-12-01

    Full Text Available The paper presents a new method of surface topology reconstruction from a white light interferogram. The method is based on interferogram modelling by complex exponents (Prony method. The compatibility of white light interferogram and Prony models has already been proven. Effectiveness of the method was tested by modelling and examining reconstruction of tilted and spherical surfaces, and by estimating the reconstruction accuracy.

  15. 凤凰苑住宅小区修建性详细规划方案解析%On interpretation of detailed reconstruction planning at Fenghuangyuan residential complex

    Institute of Scientific and Technical Information of China (English)

    王军锋

    2014-01-01

    Taking Fenghuangyuan complex as the example,the paper refers to the planning principles,including the coordination,rationality, and ecology,and points out the detailed planning design scheme from improving the residential grouping of counties and promoting the life stand-ards of residents,so as to create the comfortable and agreeable living environment.%以凤凰苑住宅小区为例,依据协调性、合理性、生态性等规划原则,从完善县城居住组团、改善居民生活质量等方面入手,提出了详细的规划设计方案,以期为人们创建舒适、宜居的生活环境。

  16. Complexity and identity reconstruction in second language acquisition Complexidade e reconstrução de identidade na aquisição de segunda língua

    Directory of Open Access Journals (Sweden)

    Liliane Assis Sade

    2009-01-01

    Full Text Available The participation of the individual in different discursive practices contributes to the social formation of identity which is not only constituted, but also, fractalized and emerged via discourse. Taking the concept of polyphony, proposed by Bakhtin (1981, 1986, this work intends to discuss the social formation of the self and the emergence of multiple identities through the perspective of Complexity Theory. Borrowing the concepts of attractors, bifurcation points and fractals from Chaos Theory, and relating them to identity issues, this paper shows how the acknowledgement of identity as a complex/chaotic system can be useful to a deeper understanding of the language acquisition process. Some narratives of AMFALE project are used in order to exemplify the theoretical issues proposed.A participação do indivíduo em diferentes práticas discursivas contribui para a formação social da identidade que não apenas se fractaliza, mas emerge via discurso. Tomando-se o conceito de polifonia proposto por Bakhtin (1981, 1986, este trabalho pretende discutir a formação social do eu e a emergência de múltiplas identidades pela perspectiva da Teoria da Complexidade. Fazendo uso dos conceitos de atratores, pontos de bifurcação e fractais da Teoria do Caos e relacionando-os às questões de identidade, este artigo procura demonstrar como o reconhecimento da identidade como um sistema complexo e caótico pode ser útil para um entendimento mais profundo do processo de aquisição de línguas. Algumas narrativas do projeto AMFALE são usadas para ilustrar os pontos teóricos propostos.

  17. Reconstruction of the Frauenkirche in Dresden

    Directory of Open Access Journals (Sweden)

    Fernando Vegas López-Manzanares

    1999-04-01

    Full Text Available The complexity and the combination of many factors involved in this case of reconstruction make it unwise to jump to conclusions or apply hackneyed labels and worth reflecting about deeply. This purpose of this article is to look into the temple’s polysemy starting from its origin and history to point out its uniqueness and later moving on to technical, urbanistic and theoretical considerations that have to do with this building and provide a basis to estimate the excellence of the intervention.

  18. Structure-based bayesian sparse reconstruction

    KAUST Repository

    Quadeer, Ahmed Abdul

    2012-12-01

    Sparse signal reconstruction algorithms have attracted research attention due to their wide applications in various fields. In this paper, we present a simple Bayesian approach that utilizes the sparsity constraint and a priori statistical information (Gaussian or otherwise) to obtain near optimal estimates. In addition, we make use of the rich structure of the sensing matrix encountered in many signal processing applications to develop a fast sparse recovery algorithm. The computational complexity of the proposed algorithm is very low compared with the widely used convex relaxation methods as well as greedy matching pursuit techniques, especially at high sparsity. © 1991-2012 IEEE.

  19. Periocular Reconstruction in Patients with Facial Paralysis.

    Science.gov (United States)

    Joseph, Shannon S; Joseph, Andrew W; Douglas, Raymond S; Massry, Guy G

    2016-04-01

    Facial paralysis can result in serious ocular consequences. All patients with orbicularis oculi weakness in the setting of facial nerve injury should undergo a thorough ophthalmologic evaluation. The main goal of management in these patients is to protect the ocular surface and preserve visual function. Patients with expected recovery of facial nerve function may only require temporary and conservative measures to protect the ocular surface. Patients with prolonged or unlikely recovery of facial nerve function benefit from surgical rehabilitation of the periorbital complex. Current reconstructive procedures are most commonly intended to improve coverage of the eye but cannot restore blink.

  20. Mathematical modeling to reconstruct Elastic and geoelectrical parameters

    Directory of Open Access Journals (Sweden)

    Y. V. Kiselev

    2002-06-01

    Full Text Available The monitoring of the underground medium requires estimation of accuracy of the methods used. Numerical simulation of the solution of 2D inverse problem on the reconstruction of seismic and electrical parameters of local (comparable in size with the wavelength inhomogeneities by the diffraction tomography method based upon the first order Born approximation is considered. The direct problems for the Lame and Maxwell equations are solved by the finite difference method that allows us to take correctly into account the diffraction phenomenon produced by the target inhomogeneities with simple and complex geometry. For reconstruction of the local inhomogeneities the algebraic methods and the optimizing procedures are used. The investigation includes a parametric representation of inhomogeneities by the simple and complex functions. The results of estimation of the accuracy of the reconstruction of elastic inhomogeneities and inhomogeneities of electrical conductivity by the diffraction tomography method are represented.

  1. Biomatrices for bladder reconstruction.

    Science.gov (United States)

    Lin, Hsueh-Kung; Madihally, Sundar V; Palmer, Blake; Frimberger, Dominic; Fung, Kar-Ming; Kropp, Bradley P

    2015-03-01

    There is a demand for tissue engineering of the bladder needed by patients who experience a neurogenic bladder or idiopathic detrusor overactivity. To avoid complications from augmentation cystoplasty, the field of tissue engineering seeks optimal scaffolds for bladder reconstruction. Naturally derived biomaterials as well as synthetic and natural polymers have been explored as bladder substitutes. To improve regenerative properties, these biomaterials have been conjugated with functional molecules, combined with nanotechology, or seeded with exogenous cells. Although most studies reported complete and functional bladder regeneration in small-animal models, results from large-animal models and human clinical trials varied. For functional bladder regeneration, procedures for biomaterial fabrication, incorporation of biologically active agents, introduction of nanotechnology, and application of stem-cell technology need to be standardized. Advanced molecular and medical technologies such as next generation sequencing and magnetic resonance imaging can be introduced for mechanistic understanding and non-invasive monitoring of regeneration processes, respectively.

  2. Reconstructability analysis of epistasis.

    Science.gov (United States)

    Zwick, Martin

    2011-01-01

    The literature on epistasis describes various methods to detect epistatic interactions and to classify different types of epistasis. Reconstructability analysis (RA) has recently been used to detect epistasis in genomic data. This paper shows that RA offers a classification of types of epistasis at three levels of resolution (variable-based models without loops, variable-based models with loops, state-based models). These types can be defined by the simplest RA structures that model the data without information loss; a more detailed classification can be defined by the information content of multiple candidate structures. The RA classification can be augmented with structures from related graphical modeling approaches. RA can analyze epistatic interactions involving an arbitrary number of genes or SNPs and constitutes a flexible and effective methodology for genomic analysis.

  3. Biofabrication and biomaterials for urinary tract reconstruction

    Directory of Open Access Journals (Sweden)

    Elsawy MM

    2017-05-01

    Full Text Available Moustafa M Elsawy,1–3 Achala de Mel1 1Division of Surgery and Interventional Science, Royal Free Hospital, NHS Trust, University College London (UCL, 2Division of Reconstructive Urology, University College London Hospitals (uclh, London, UK; 3Urology Department, School of Medicine, Alexandria, University, Alexandria, EgyptAbstract: Reconstructive urologists are constantly facing diverse and complex pathologies that require structural and functional restoration of urinary organs. There is always a demand for a biocompatible material to repair or substitute the urinary tract instead of using patient’s autologous tissues with its associated morbidity. Biomimetic approaches are tissue-engineering tactics aiming to tailor the material physical and biological properties to behave physiologically similar to the urinary system. This review highlights the different strategies to mimic urinary tissues including modifications in structure, surface chemistry, and cellular response of a range of biological and synthetic materials. The article also outlines the measures to minimize infectious complications, which might lead to graft failure. Relevant experimental and preclinical studies are discussed, as well as promising biomimetic approaches such as three-dimensional bioprinting. Keywords: reconstruction, biofunctionalization, tissue engineering, urinary tract

  4. CRUCIATE LIGAMENT RECONSTRUCTION

    Directory of Open Access Journals (Sweden)

    A. V. Korolev

    2016-01-01

    Full Text Available Purpose: To evaluate long-term results of meniscal repair during arthroscopic ACL reconstruction.Materials and methods: 45 patients who underwent meniscal repair during arthroscopic ACL reconstruction between 2007 and 2013 by the same surgeon were included in the study. In total, fifty meniscus were repaired (26 medial and 24 lateral. Procedures included use of one up to four Fast-Fix implants (Smith & Nephew. In five cases both medial and lateral meniscus were repaired. Cincinnati, IKDC and Lysholm scales were used for long-term outcome analysis.Results: 19 male and 26 female patients were included in the study aging from 15 to 59 years (mean age 33,2±1,5. Median time from injury to surgical procedure was zero months (ranging zero to one. Mean time from surgery to scale analysis was 55,9±3 months (ranged 20-102. Median Cincinnati score was 97 (ranged 90-100, with excellent results in 93% of cases (43 patients and good results in 7% (3 patients. Median IKDC score was 90,8 (ranged 86,2-95,4, with excellent outcomes in 51% of cases (23 patients, good in 33% (15 patients and satisfactory in 16% (7 patients. Median Lysholm score was 95 (ranged 90-100, with excellent outcomes in 76% of cases (34 patients and good in 24% (11 patients. Authors identified no statistical differences when comparing survey results in age, sex and time from trauma to surgery.Conclusions: Results of the present study match the data from orthopedic literature that prove meniscal repair as a safe and efficient procedure with good and excellent outcomes. All-inside meniscal repair can be used irrespectively of patients' age and is efficient even in case of delayed procedures.

  5. Ptychographic reconstruction of attosecond pulses

    CERN Document Server

    Lucchini, M; Ludwig, A; Gallmann, L; Keller, U; Feurer, T

    2015-01-01

    We demonstrate a new attosecond pulse reconstruction modality which uses an algorithm that is derived from ptychography. In contrast to other methods, energy and delay sampling are not correlated, and as a result, the number of electron spectra to record is considerably smaller. Together with the robust algorithm, this leads to a more precise and fast convergence of the reconstruction.

  6. Exploring Normalization and Network Reconstruction Methods using In Silico and In Vivo Models

    Science.gov (United States)

    Abstract: Lessons learned from the recent DREAM competitions include: The search for the best network reconstruction method continues, and we need more complete datasets with ground truth from more complex organisms. It has become obvious that the network reconstruction methods t...

  7. Are temperature reconstructions regionally biased?

    CERN Document Server

    Bothe, O

    2012-01-01

    Are temperature reconstructions possibly biased due to regionally differing density of utilized proxy-networks? This question is assessed utilizing a simple process-based forward model of tree growth in the virtual reality of two simulations of the climate of the last millennium with different amplitude of solar forcing variations. The pseudo-tree ring series cluster in high latitudes of the northern hemisphere and east Asia. Only weak biases are found for the full network. However, for a strong solar forcing amplitude the high latitudes indicate a warmer first half of the last millennium while mid-latitudes and Asia were slightly colder than the extratropical hemispheric average. Reconstruction skill is weak or non-existent for two simple reconstruction schemes, and comparison of virtual reality target and reconstructions reveals strong deficiencies. The temporal resolution of the proxies has an influence on the reconstruction task and results are sensitive to the construction of the proxy-network. Existing ...

  8. Blob-enhanced reconstruction technique

    Science.gov (United States)

    Castrillo, Giusy; Cafiero, Gioacchino; Discetti, Stefano; Astarita, Tommaso

    2016-09-01

    A method to enhance the quality of the tomographic reconstruction and, consequently, the 3D velocity measurement accuracy, is presented. The technique is based on integrating information on the objects to be reconstructed within the algebraic reconstruction process. A first guess intensity distribution is produced with a standard algebraic method, then the distribution is rebuilt as a sum of Gaussian blobs, based on location, intensity and size of agglomerates of light intensity surrounding local maxima. The blobs substitution regularizes the particle shape allowing a reduction of the particles discretization errors and of their elongation in the depth direction. The performances of the blob-enhanced reconstruction technique (BERT) are assessed with a 3D synthetic experiment. The results have been compared with those obtained by applying the standard camera simultaneous multiplicative reconstruction technique (CSMART) to the same volume. Several blob-enhanced reconstruction processes, both substituting the blobs at the end of the CSMART algorithm and during the iterations (i.e. using the blob-enhanced reconstruction as predictor for the following iterations), have been tested. The results confirm the enhancement in the velocity measurements accuracy, demonstrating a reduction of the bias error due to the ghost particles. The improvement is more remarkable at the largest tested seeding densities. Additionally, using the blobs distributions as a predictor enables further improvement of the convergence of the reconstruction algorithm, with the improvement being more considerable when substituting the blobs more than once during the process. The BERT process is also applied to multi resolution (MR) CSMART reconstructions, permitting simultaneously to achieve remarkable improvements in the flow field measurements and to benefit from the reduction in computational time due to the MR approach. Finally, BERT is also tested on experimental data, obtaining an increase of the

  9. Fast reconstruction of digital holograms for extended depths of field

    Institute of Scientific and Technical Information of China (English)

    P.W.M.Tsang; T.-C.Poon; T.Kim; Y.S.Kim

    2016-01-01

    Past research has demonstrated that a static,three-dimensional (3D) object scene can be directly recorded as a complex digital hologram.However,numerical reconstruction of the object scene,which may comprise multiple sections located at unknown distances from the hologram,is a complicated and computation-intensive process.To the best of our knowledge,we propose,for the first time,a low complexity method that is capable of reconstructing a complex hologram,such that sections at different depths in the 3D object scene can be automatically reconstructed at the correct focal distances and merged into a single image for an extended depth of field.We demonstrate an order of magnitude increase of the depth of field for binary objects.With the use of a graphical processing unit,the reconstruction of a 512 × 512 complex hologram can be accomplished in about 100 ms,equivalent to around 10 frames per second.

  10. What to Expect After Breast Reconstruction Surgery

    Science.gov (United States)

    ... En Español Category Cancer A-Z Breast Cancer Breast Reconstruction Surgery Women who have surgery as part of ... and after your surgery. Deciding Whether To Have Breast Reconstruction Many women choose to have reconstruction surgery, but ...

  11. Semantically Documenting Virtual Reconstruction: Building a Path to Knowledge Provenance

    Science.gov (United States)

    Bruseker, G.; Guillem, A.; Carboni, N.

    2015-08-01

    The outcomes of virtual reconstructions of archaeological monuments are not just images for aesthetic consumption but rather present a scholarly argument and decision making process. They are based on complex chains of reasoning grounded in primary and secondary evidence that enable a historically probable whole to be reconstructed from the partial remains left in the archaeological record. This paper will explore the possibilities for documenting and storing in an information system the phases of the reasoning, decision and procedures that a modeler, with the support of an archaeologist, uses during the virtual reconstruction process and how they can be linked to the reconstruction output. The goal is to present a documentation model such that the foundations of evidence for the reconstructed elements, and the reasoning around them, are made not only explicit and interrogable but also can be updated, extended and reused by other researchers in future work. Using as a case-study the reconstruction of a kitchen in a Roman domus in Grand, we will examine the necessary documentation requirements, and the capacity to express it using semantic technologies. For our study we adopt the CIDOC-CRM ontological model, and its extensions CRMinf, CRMBa and CRMgeo as a starting point for modelling the arguments and relations.

  12. Optimisation of the ATLAS Track Reconstruction Software for Run-2

    CERN Document Server

    Salzburger, Andreas; The ATLAS collaboration

    2015-01-01

    The reconstruction of particle trajectories in the tracking detectors of experiments at the Large Hadron Collider (LHC) is one of the most complex parts in analysing the collected data from beam-beam collisions. To achieve the desired integrated luminosity during Run-1 of the LHC data taking period, the number of simultaneous proton-proton interactions per beam crossing (pile-up) was steadily increased. The track reconstruction is the most time consuming reconstruction component and scales non-linear in high luminosity environments. Flat budget projections (at best) for computing resources during the upcoming Run-2 of the LHC together with the demands of reconstructing higher pile-up collision data at rates more than double compared to Run-1 have put pressure on the track reconstruction software to stay within the available computing resources. The ATLAS experiment has thus performed a two year long software campaign which led to a reduction of the reconstruction time for Run-2 conditions by a factor of four:...

  13. Reconstruction of the early Universe as a convex optimization problem

    Science.gov (United States)

    Brenier, Y.; Frisch, U.; Hénon, M.; Loeper, G.; Matarrese, S.; Mohayaee, R.; Sobolevskiĭ, A.

    2003-12-01

    We show that the deterministic past history of the Universe can be uniquely reconstructed from knowledge of the present mass density field, the latter being inferred from the three-dimensional distribution of luminous matter, assumed to be tracing the distribution of dark matter up to a known bias. Reconstruction ceases to be unique below those scales - a few Mpc - where multistreaming becomes significant. Above 6 h-1 Mpc we propose and implement an effective Monge-Ampère-Kantorovich method of unique reconstruction. At such scales the Zel'dovich approximation is well satisfied and reconstruction becomes an instance of optimal mass transportation, a problem which goes back to Monge. After discretization into N point masses one obtains an assignment problem that can be handled by effective algorithms with not more than O(N3) time complexity and reasonable CPU time requirements. Testing against N-body cosmological simulations gives over 60 per cent of exactly reconstructed points. We apply several interrelated tools from optimization theory that were not used in cosmological reconstruction before, such as the Monge-Ampère equation, its relation to the mass transportation problem, the Kantorovich duality and the auction algorithm for optimal assignment. A self-contained discussion of relevant notions and techniques is provided.

  14. Approximate reconstruction of bandlimited functions for the integrate and fire sampler

    CERN Document Server

    Feichtinger, Hans G; Romero, José Luis; Alvarado, Alexander Singh; Velasco, Gino Angelo

    2009-01-01

    In this paper we study the reconstruction of a bandlimited signal from samples generated by the integrate and fire model. This sampler allows us to trade complexity in the reconstruction algorithms for simple hardware implementations, and is specially convenient in situations where the sampling device is limited in terms of power, area and bandwidth. Although perfect reconstruction for this sampler is impossible, we give a general approximate reconstruction procedure and bound the corresponding error. We also show the performance of the proposed algorithm through numerical simulations.

  15. Recent advances in iterative reconstruction for clinical SPECT/PET and CT

    Energy Technology Data Exchange (ETDEWEB)

    Hutton, Brian F. (Inst. of Nuclear Medicine, Univ. College London, London (United Kingdom)), e-mail: brian.hutton@uclh.nhs.uk

    2011-08-15

    Statistical iterative reconstruction is now widely used in clinical practice and has contributed to significant improvement in image quality in recent years. Although primarily used for reconstruction in emission tomography (both single photon emission computed tomography (SPECT) and positron emission tomography (PET)) there is increasing interest in also applying similar algorithms to x-ray computed tomography (CT). There is increasing complexity in the factors that are included in the reconstruction, a demonstration of the versatility of the approach. Research continues with exploration of methods for further improving reconstruction quality with effective correction for various sources of artefact

  16. An Algorithm for Automated Reconstruction of Particle Cascades in High Energy Physics Experiments

    CERN Document Server

    Actis, O; Henrichs, A; Hinzmann, A; Kirsch, M; Müller, G; Steggemann, J

    2008-01-01

    We present an algorithm for reconstructing particle cascades from event data of a high energy physics experiment. For a given physics process, the algorithm reconstructs all possible configurations of the cascade from the final state objects. We describe the procedure as well as examples of physics processes of different complexity studied at hadron-hadron colliders. We estimate the performance of the algorithm by 20 microseconds per reconstructed decay vertex, and 0.6 kByte per reconstructed particle in the decay trees.

  17. Signal enhanced holographic fluorescence microscopy with guide-star reconstruction

    Science.gov (United States)

    Jang, Changwon; Clark, David C.; Kim, Jonghyun; Lee, Byoungho; Kim, Myung K.

    2016-01-01

    We propose a signal enhanced guide-star reconstruction method for holographic fluorescence microscopy. In the late 00’s, incoherent digital holography started to be vigorously studied by several groups to overcome the limitations of conventional digital holography. The basic concept of incoherent digital holography is to acquire the complex hologram from incoherent light by utilizing temporal coherency of a spatially incoherent light source. The advent of incoherent digital holography opened new possibility of holographic fluorescence microscopy (HFM), which was difficult to achieve with conventional digital holography. However there has been an important issue of low and noisy signal in HFM which slows down the system speed and degrades the imaging quality. When guide-star reconstruction is adopted, the image reconstruction gives an improved result compared to the conventional propagation reconstruction method. The guide-star reconstruction method gives higher imaging signal-to-noise ratio since the acquired complex point spread function provides optimal system-adaptive information and can restore the signal buried in the noise more efficiently. We present theoretical explanation and simulation as well as experimental results. PMID:27446653

  18. Block Compressed Sensing of Images Using Adaptive Granular Reconstruction

    Directory of Open Access Journals (Sweden)

    Ran Li

    2016-01-01

    Full Text Available In the framework of block Compressed Sensing (CS, the reconstruction algorithm based on the Smoothed Projected Landweber (SPL iteration can achieve the better rate-distortion performance with a low computational complexity, especially for using the Principle Components Analysis (PCA to perform the adaptive hard-thresholding shrinkage. However, during learning the PCA matrix, it affects the reconstruction performance of Landweber iteration to neglect the stationary local structural characteristic of image. To solve the above problem, this paper firstly uses the Granular Computing (GrC to decompose an image into several granules depending on the structural features of patches. Then, we perform the PCA to learn the sparse representation basis corresponding to each granule. Finally, the hard-thresholding shrinkage is employed to remove the noises in patches. The patches in granule have the stationary local structural characteristic, so that our method can effectively improve the performance of hard-thresholding shrinkage. Experimental results indicate that the reconstructed image by the proposed algorithm has better objective quality when compared with several traditional ones. The edge and texture details in the reconstructed image are better preserved, which guarantees the better visual quality. Besides, our method has still a low computational complexity of reconstruction.

  19. Reverse Abdominoplasty: A Practical Option for Oncological Trunk Reconstruction

    Science.gov (United States)

    Pantelides, Nicholas M.; Mondal, Debabrata; Wishart, Gordon C.; Malata, Charles M.

    2013-01-01

    Objectives: Following radical oncological resection, full-thickness upper central trunk defects present a significant challenge. Common reconstructive options include pedicled flaps, such as pectoralis major, rectus abdominis, and latissimus dorsi. In complex cases, free tissue transfer may be required. Reverse abdominoplasty, although initially described for cosmetic body contouring, can be used to reconstruct upper central trunk defects following radical tumour ablation. We present 4 such applications in the management of advanced or recurrent malignancies and review the relative indications for this approach. Methods: Four consecutive cases (2004-2010) were reviewed with respect to indication, operative procedure, and complications. Results: There were no cases of complete flap loss. One patient underwent revision for marginal flap necrosis while another developed local recurrence, requiring re-excision and reconstruction with flap advancement. Conclusions: Where pedicled flaps are unavailable or insufficient, adjacent abdominal tissue can be recruited into chest wall defects, avoiding microsurgical free tissue transfer. The authors feel that the reverse abdominoplasty is currently underused in this context and offers an excellent alternative in complex cases where other reconstructive options are unavailable, or where comorbidities preclude free-tissue transfer. The technique is versatile, simple to perform and affords an acceptable cosmetic outcome, yet is not widely reported in the literature. It has particular merit in cases with a high chance of disease recurrence, in the management of recurrent breast cancer, and in patients with multiple comorbidities. The reverse abdominoplasty should therefore be considered when evaluating patients for oncological trunk reconstruction. PMID:23359844

  20. First experiences with simultaneous skeletal and soft tissue reconstruction of noma-related facial defects.

    Science.gov (United States)

    Giessler, Goetz A; Borsche, André; Lim, Paul K; Schmidt, Andreas B; Cornelius, C-Peter

    2012-02-01

    Noma victims suffer from a three-dimensional facial soft-tissue loss. Some may also develop complex viscerocranial defects, due to acute osteitis, chronic exposure, or arrested skeletal growth. Reconstruction has mainly focused on soft tissue so far, whereas skeletal restoration was mostly avoided. After successful microvascular soft tissue free flap reconstruction, we now included skeletal restoration and mandibular ankylosis release into the initial step of complex noma surgery. One free rib graft and parascapular flap, one microvascular osteomyocutaneous flap from the subscapular system, and two sequential chimeric free flaps including vascularized bone were used as the initial steps for facial reconstruction. Ankylosis release could spare the temporomandibular joint. Complex noma reconstruction should include skeletal restoration. Avascular bone is acceptable in cases with complete vascularized graft coverage. Microsurgical chimeric flaps are preferable as they can reduce the number and complexity of secondary operations and provide viable, infection-resistant bone supporting facial growth.

  1. [Knee dislocation: concurrent arthroscopic ACL and PCL reconstruction - operating technique].

    Science.gov (United States)

    Piontek, Tomasz; Ciemniewska-Gorzela, Kinga; Szulc, Andrzej

    2008-01-01

    Injuries involving knee luxation or subluxation generally result in damage to two or three out of the four major ligaments which stabilize this joint. Past treatment of this type of multiligament injuries, consisting in 6- to 12-week immobilization in a plaster cast, does not allow for restoration of the normal, anatomical course of these ligaments. A consequence of this type of healing, which involves the formation of random scars in place of ligaments, is mechanical and functional instability of the knee joint. The goal of this article is to present a classification of multiligament knee injuries and surgical treatment options. We also present our own technique of arthroscopic, concurrent reconstruction of knee joint ligaments. The study material consisted of 20 patients who underwent surgical treatment for multiligament knee injuries in the Department of Pediatric Orthopedics and Traumatology in Poznań. We performed concurrent arthroscopic reconstruction of ACL and PCL in all 20 patients. In addition, reconstruction of the medial complex was performed in 7 patients, and lateral complex was reconstructed in another 7 patients. In three cases we stitched the medial meniscus using a Smith & Nephew FasT-Fix system, and partial menisectomy was performed in 2 patients. The details of the proposed concurrent arthroscopic ACL and PCL reconstruction are extensively discussed. One of the advantages of this operating technique is the exclusive use of autogenous ST and GR tendon grafts for reconstruction of all damaged knee joint structures. The presented operating technique makes possible the reconstruction of all damaged knee joint ligaments in less than two hours, which in turn allows the surgery to be performed in an ischemic setting using an Esmarch band around the limb.

  2. Evidence-Based ACL Reconstruction

    Directory of Open Access Journals (Sweden)

    E. Carlos RODRIGUEZ-MERCHAN

    2015-01-01

    Full Text Available There is controversy in the literature regarding a number of topics related to anterior cruciate ligament (ACLreconstruction. The purpose of this article is to answer the following questions: 1 Bone patellar tendon bone (BPTB reconstruction or hamstring reconstruction (HR; 2 Double bundle or single bundle; 3 Allograft or authograft; 4 Early or late reconstruction; 5 Rate of return to sports after ACL reconstruction; 6 Rate of osteoarthritis after ACL reconstruction. A Cochrane Library and PubMed (MEDLINE search of systematic reviews and meta-analysis related to ACL reconstruction was performed. The key words were: ACL reconstruction, systematic reviews and meta-analysis. The main criteria for selection were that the articles were systematic reviews and meta-analysesfocused on the aforementioned questions. Sixty-nine articles were found, but only 26 were selected and reviewed because they had a high grade (I-II of evidence. BPTB-R was associated with better postoperative knee stability but with a higher rate of morbidity. However, the results of both procedures in terms of functional outcome in the long-term were similar. The double-bundle ACL reconstruction technique showed better outcomes in rotational laxity, although functional recovery was similar between single-bundle and double-bundle. Autograft yielded better results than allograft. There was no difference between early and delayed reconstruction. 82% of patients were able to return to some kind of sport participation. 28% of patients presented radiological signs of osteoarthritis with a follow-up of minimum 10 years.

  3. Application of laminoplasty of pedicled complex replantation on reconstruction of spinal canal at excision of intraspinal tumor%带蒂椎板复合体回植钛网固定在椎管内肿瘤治疗中的应用

    Institute of Scientific and Technical Information of China (English)

    李同相; 肖睿; 官清; 李兴波; 魏书一

    2012-01-01

    目的 探讨带蒂椎板复合体回植、钛网固定,在椎管内肿瘤切除术中椎管重建的应用价值.方法 对13例椎管内肿瘤患者保留双侧关节突关节,根据椎管内肿瘤的大小,采用磨钻或微型咬骨钳沿双侧关节突内侧缘打开一个或多个椎板,切断一端棘上和棘间韧带,将椎板复合体翻转,椎管内肿瘤切除后再将其原位回植,钛网固定,重建椎管完整性和脊柱的稳定性.结果 13例椎管内肿瘤全部成功切除,切除椎板数2~4个,平均(2.5±0.5)个.1例因粘连致硬脊膜破损,1例哑铃型神经鞘瘤术后6个月复发.随访12~27个月,平均(13±0.5)个月,所有病例回植物稳定,无塌陷及椎管狭窄,术后肢体瘫痪Frankel分级均有不同程度提高.结论 椎管内肿瘤术中将带蒂椎板复合体翻转,术后用钛网回植固定,方法简便、安全,有利于保持椎管的完整性及脊柱的稳定性.%Objective To study the value of laminoplasty of pedicled complex replantation on reconstruction of spinal canal at excision of intraspinal tumor. Methods 13 patients with intraspinal canal tumors were treated in our hospital. Each case was reserved bilateral facet joint, one or several vertebral lamina were cut by burr drill or micro rongeur a-long the inner edge of bilateral facet joint, Superspinal and interspinal ligaments of one side were cut, then pedicelar vertebral lamina complex was retroflexed and intraspinal canal was exposured. After resection of the tumor, pedicelar verte-bral lamina complex was replanted and titanic mesh was fixated to reconstruct the integrity of vertebral canal and the sta-bility of spinal column. Results The tumors of 13 cases were totally resected, 2-4(2. 5±0. 5 on average) lamina were removed. 1 case of dura mater was injured for the adhesion, 1 case Dumbbell Schwannoma was recurred after 6 months. The patients were followed up for 12 to 27 months(13±0. 5 months on average),during which no collapse of the

  4. Application of Laminoplasty of Pedicled Complex Replantation on Reconstruction of Spinal Canal at Degenerative Lumbar Spinal Stenosis%带蒂椎板复合体回植钛网固定在退变性腰椎管狭窄治疗中的应用

    Institute of Scientific and Technical Information of China (English)

    肖睿; 李同相; 官清; 李兴波; 魏书一

    2015-01-01

    Objective To investigate the therapeutic effects of laminoplasty of pedicled complex replantation on recon-struction of spinal canal at lumbar spinal stenosis. Methods The involved segments were determinged by symptoms, clinical fea-tures and radiographic at the initial examination. 15patients with lumbar spinal stenosis were treated in our hospital. Each case was reserved bilateral facet joint,one or several vertebral lamina were cut by burr drill or micro-rongeur along the inner edge of bilateral facet joint,Superspinal and interspinal ligaments of one side were cut,then pedicelar vertehral lamina complex was retroflexed and intraspinal canal was exposured. After Lumbar spinal canal decompression,pedicelar vertebral lamina complex was replanted and ti-tanic mesh was fixated to reconstruct the integrity of vertebral canal and the stability of spinal column. Application VAS and ODI scoring method for subjective and objective evaluation of clinical curative effect before and after operation. Results The patients were followed up for 12 to 28 months[(13 ± 0. 5) months on average],during which no collapse of the replanted tissues or spinal canal stenosis occurred. Postoperative patients VAS and ODI score significantly higher than before,the difference was statistically sig-nificant(P<0. 05). Conclusion Retroflexing pedicelar vertebral plate complex and fixating with titanium plate in the lumbar spi-nal stenosis is simple,safe. The spinal column active naturelv without limit postoperatively,the technique can maintain the spinal col-umn good stability and protect the spinal column from degradation.%目的:探讨带蒂椎板复合体回植、钛网固定行椎管成形术治疗退行性腰椎管狭窄症的临床疗效。方法根据临床表现和影像学检查确定减压部位,对15例退行性腰椎管狭窄患者保留双侧关节突关节,采用磨钻或微型咬骨钳沿双侧关节突内侧缘打开一个或多个椎板,切断一端棘上和棘间韧

  5. Modified adaptive algebraic tomographic reconstruction of gas distribution from incomplete projection by a two-wavelength absorption scheme

    Institute of Scientific and Technical Information of China (English)

    Ning Li; Chunsheng Weng

    2011-01-01

    @@ A modified adaptive algebraic reconstruction technique (MAART) with an auto-adjustment relaxation parameter and smoothness regularization is developed to reveal the tomographic reconstruction of H2O distribution in combustion from incomplete projections.Determinations of relaxation parameter and regularization factor are discussed with regard to the consideration of improvement in reconstruction and reduction of computational burden.A two-wavelength scheme from tunable diode laser absorption measurement, 7444.36 and 7185.59 cm-1, is used to simplify the nonlinear solution problem for obtaining the tomographic distributions of concentration and temperature simultaneously.Results of calculations demonstrate that MAART can perform the reconstruction results more efficiently with little complex modification and much lower iterations as compared with the traditional algebraic reconstruction technique (ART) or simultaneous iterative reconstruction technique (SIRT) methods.The stability of the algorithm is studied by reconstruction from projections with random noise at different levels to demonstrate the dependence of reconstruction results on precise line-of-sight measurements.%A modified adaptive algebraic reconstruction technique (MAART) with an auto-adjustment relaxation parameter and smoothness regularization is developed to reveal the tomographic reconstruction of H2O distribution in combustion from incomplete projections. Determinations of relaxation parameter and regularization factor are discussed with regard to the consideration of improvement in reconstruction and reduction of computational burden. A two-wavelength scheme from tunable diode laser absorption measurement, 7444.36 and 7185.59 cm-1, is used to simplify the nonlinear solution problem for obtaining the tomographic distributions of concentration and temperature simultaneously. Results of calculations demonstrate that MAART can perform the reconstruction results more efficiently with little complex

  6. Facial Reconstruction and Rehabilitation.

    Science.gov (United States)

    Guntinas-Lichius, Orlando; Genther, Dane J; Byrne, Patrick J

    2016-01-01

    Extracranial infiltration of the facial nerve by salivary gland tumors is the most frequent cause of facial palsy secondary to malignancy. Nevertheless, facial palsy related to salivary gland cancer is uncommon. Therefore, reconstructive facial reanimation surgery is not a routine undertaking for most head and neck surgeons. The primary aims of facial reanimation are to restore tone, symmetry, and movement to the paralyzed face. Such restoration should improve the patient's objective motor function and subjective quality of life. The surgical procedures for facial reanimation rely heavily on long-established techniques, but many advances and improvements have been made in recent years. In the past, published experiences on strategies for optimizing functional outcomes in facial paralysis patients were primarily based on small case series and described a wide variety of surgical techniques. However, in the recent years, larger series have been published from high-volume centers with significant and specialized experience in surgical and nonsurgical reanimation of the paralyzed face that have informed modern treatment. This chapter reviews the most important diagnostic methods used for the evaluation of facial paralysis to optimize the planning of each individual's treatment and discusses surgical and nonsurgical techniques for facial rehabilitation based on the contemporary literature.

  7. Reconstruction of B mesons

    Science.gov (United States)

    Albrecht, H.; Binder, U.; Böckmann, P.; Gläser, R.; Harder, G.; Lembke-Koppitz, I.; Schmidt-Parzefall, W.; Schröder, H.; Schulz, H. D.; Wurth, R.; Yagil, A.; Donker, J. P.; Drescher, A.; Kamp, D.; Matthiesen, U.; Scheck, H.; Spaan, B.; Spengler, J.; Wegener, D.; Gabriel, J. C.; Schubert, K. R.; Stiewe, J.; Strahl, K.; Waldi, R.; Weseler, S.; Edwards, K. W.; Frisken, W. R.; Gilkinson, D. J.; Gingrich, D. M.; Kapitza, H.; Kim, P. C. H.; Kutschke, R.; Macfarlane, D. B.; McKenna, J. A.; McLean, K. W.; Nilsson, A. W.; Orr, R. S.; Padley, P.; Parsons, J. A.; Patel, P. M.; Prentice, J. D.; Seywerd, H. C. J.; Swain, J. D.; Tsipolitis, G.; Yoon, T.-S.; Yun, J. C.; Ammar, R.; Coppage, D.; Davis, R.; Kanekal, S.; Kwak, N.; Boštjančič, B.; Kernel, G.; Pleško, M.; Jönsson, L.; Babaev, A.; Danilov, M.; Golutvin, A.; Gorelov, I.; Lubimov, V.; Matveev, V.; Nagovitsin, V.; Ryltsov, V.; Semenov, A.; Shevchenko, V.; Soloshenko, V.; Tchistilin, V.; Tichomirov, I.; Zaitzev, Yu.; Childers, R.; Darden, C. W.; Oku, Y.; Gennow, H.; Argus Collaboration

    1987-02-01

    B mesons have been reconstructed in five decay channels of the type B→D ∗±nπ(n=1,2,3) using data accumulated by the ARGUS experiment at the e +e - storage ring DORIS II at DESY. In total, we find 40 neutral B mesons above a background of 15±6 events with a mass of (5278.2±1.0±3.0) MeV/ c2 and 32 charged B mesons above a background of 17±6 events with a mass of (5275.8±1.3±3.0) MeV/ c2. The decays overlineB0D∗+π -π 0, overlineB0D∗+π -π -π +, and B-→ D∗+π -π -π 0 have been observed for the first time. We find substantially smaller branching ratios for the decay modes overlineB0→ D∗+π - and B-→ D∗+π -π - than previously published by the CLEO collaboration.

  8. Reconstructing human evolution

    CERN Document Server

    AUTHOR|(CDS)2074069

    1999-01-01

    One can reconstruct human evolution using modern genetic data and models based on the mathematical theory of evolution and its four major factors : mutation, natural selection, statistical fluctuations in finite populations (random genetic drift), and migration. Archaeology gives some help on the major dates and events of the process. Chances of studying ancient DNA are very limited but there have been a few successful results. Studying DNA instead of proteins, as was done until a few years ago, and in particular the DNA of mitochondria and of the Y chromosome which are transmitted, respectively, by the maternal line and the paternal line, has greatly simplified the analysis. It is now possible to carry the analysis on individuals, while earlier studies were of necessity based on populations. Also the evolution of ÒcultureÓ (i.e. what we learn from others), in particular that of languages, gives some help and can be greatly enlightened by genetic studies. Even though it is largely based on mechanisms of mut...

  9. Image Interpolation Through Surface Reconstruction

    Institute of Scientific and Technical Information of China (English)

    ZHANG Ling; LI Xue-mei

    2013-01-01

    Reconstructing an HR (high-resolution) image which preserves the image intrinsic structures from its LR ( low-resolution) counterpart is highly challenging. This paper proposes a new surface reconstruction algorithm applied to image interpolation. The interpolation surface for the whole image is generated by putting all the quadratic polynomial patches together. In order to eliminate the jaggies of the edge, a new weight function containing edge information is incorporated into the patch reconstruction procedure as a constraint. Extensive experimental results demonstrate that our method produces better results across a wide range of scenes in terms of both quantitative evaluation and subjective visual quality.

  10. [Aesthetic aspects of eyelid reconstruction].

    Science.gov (United States)

    Bruneau, S; Arnaud, D; Rousseau, P; Belmahi, A; Duron, J-B; Gary-Bobo, A; Malet, T; Darsonval, V; Bardot, J

    2013-10-01

    In eyelid reconstruction, filling the defect is not sufficient. In young patients, the aim is to obtain a reconstructed eyelid, as normal as possible. In elderly patients, the large amount of available skin and the good quality of scars seem to be favorable. But weakening and stretching of the connective tissue and eyelid structures and deficient production of tears may compromise the functional result. In every case, restoring aspect and function are going together. The purpose of this chapter is to show how different techniques may be used in eyelid reconstruction with good cosmetic result. Different cases are carefully described and illustrated. Copyright © 2013. Published by Elsevier SAS.

  11. The born approximation and Calderón's method for reconstruction of conductivities in 3-D

    DEFF Research Database (Denmark)

    Knudsen, Kim; Mueller, Jennifer L.

    2011-01-01

    Two algorithms for the direct reconstruction of conductivities in a bounded domain in [\\mathbb{R}^3] from surface measurements of the solutions to the conductivity equation are presented. The algorithms are based on complex geometrical optics solutions and a nonlinear scattering transform. We test...... the algorithms on three numerically simulated examples, including an example with a complex coefficient. The spatial resolution and amplitude of the examples are well-reconstructed....

  12. Breast reconstruction after bilateral prophylactic mastectomy in women at high risk for breast cancer.

    Science.gov (United States)

    Eldor, Liron; Spiegel, Aldona

    2009-01-01

    Several studies have shown the effectiveness of bilateral prophylactic mastectomies (BPM) at reducing the risk of developing breast cancer in women by more than 90%. A growing number of women at high risk for breast cancer are electing to undergo prophylactic mastectomy as part of a risk reduction strategy. This unique group of women frequently chooses to undergo reconstructive surgery as a part of their immediate treatment plan. Breast reconstruction after BPM has profound physiological and emotional impact on body image, sexuality, and quality of life. These factors should be taken into consideration and addressed when consulting the patient prior to BPM and reconstructive surgery. The timing of reconstructive surgery, the type of mastectomy performed, the reconstructive modalities available, and the possibility to preserve the nipple-areola complex, should all be discussed with the patient prior to surgery. In this article, we review our experience and the current existing literature on breast reconstruction for high-risk women after BPM.

  13. Image reconstruction of simulated specimens using convolution back projection

    Directory of Open Access Journals (Sweden)

    Mohd. Farhan Manzoor

    2001-04-01

    Full Text Available This paper reports about the reconstruction of cross-sections of composite structures. The convolution back projection (CBP algorithm has been used to capture the attenuation field over the specimen. Five different test cases have been taken up for evaluation. These cases represent varying degrees of complexity. In addition, the role of filters on the nature of the reconstruction errors has also been discussed. Numerical results obtained in the study reveal that CBP algorithm is a useful tool for qualitative as well as quantitative assessment of composite regions encountered in engineering applications.

  14. Arapahoe NWR diversion reconstruction : Preliminary

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This is a preliminary plan for a diversion reconstruction for Hubbard #2. Oklahoma #1, Dryer, Hill and Crowder sites on the Arapahoe National Wildlife Refuge.

  15. Hologram-reconstruction signal enhancement

    Science.gov (United States)

    Mezrich, R. S.

    1977-01-01

    Principle of heterodyne detection is used to combine object beam and reconstructed virtual image beam. All light valves in page composer are opened, and virtual-image beam is allowed to interfere with light from valves.

  16. Rational reconstructions of modern physics

    CERN Document Server

    Mittelstaedt, Peter

    2013-01-01

    Newton’s classical physics and its underlying ontology are loaded with several metaphysical hypotheses that cannot be justified by rational reasoning nor by experimental evidence. Furthermore, it is well known that some of these hypotheses are not contained in the great theories of Modern Physics, such as the theory of Special Relativity and Quantum Mechanics. This book shows that, on the basis of Newton’s classical physics and by rational reconstruction, the theory of Special Relativity as well as Quantum Mechanics can be obtained by partly eliminating or attenuating the metaphysical hypotheses. Moreover, it is shown that these reconstructions do not require additional hypotheses or new experimental results. In the second edition the rational reconstructions are completed with respect to General Relativity and Cosmology. In addition, the statistics of quantum objects is elaborated in more detail with respect to the rational reconstruction of quantum mechanics. The new material completes the approach of t...

  17. Impact of Prior Tissue Expander/Implant on Postmastectomy Free Flap Breast Reconstruction.

    Science.gov (United States)

    Roostaeian, Jason; Yoon, Alfred P; Ordon, Shannon; Gold, Chris; Crisera, Christopher; Festekjian, Jaco; Da Lio, Andrew; Lipa, Joan E

    2016-04-01

    Implant-based breast reconstructions can result in unsatisfactory results requiring surgical revision or salvage reconstructive surgery with autologous tissue. This study compares the outcomes and complications of salvage (tertiary) flap reconstruction after failed prosthesis placement to those of primary/secondary flap reconstruction. All patients undergoing free flap breast reconstruction after failed prosthesis between July 1, 2005, and June 30, 2014, were identified. A matched number of patients who underwent a de novo free flap breast reconstruction were selected randomly for review. The indication for prosthesis removal, demographic and operative data, flap type and inset, and complication rates were evaluated. Eighty-nine women with a history of failed implant-based reconstruction required free flap reconstruction for salvage in 121 breasts. Capsular contracture was the most common indication for prosthesis removal (62.0 percent). Recipient vessel scarring was 5.23 times more likely to occur in the prior prosthesis group (p breast reconstruction with autologous tissue after failed prosthesis can be safely performed, with success rates similar to those of primary free flap breast reconstruction. However, these procedures may have increased complexity because of recipient vessel scarring, higher rates of prior radiation therapy, and major complications, which may warrant appropriate preoperative planning and patient counseling. Therapeutic, III.

  18. The Clinical Observation on 40 Cases of the Zygomatic-orbital Complex Fracture Reconstruction with High Density Porous Polyethylene Applied%高密度多孔聚乙烯修复颧-眶复合体骨折重建40例临床观察

    Institute of Scientific and Technical Information of China (English)

    邵渊; 赵继元; 刘利峰

    2013-01-01

    目的 探讨眶-颧复合体骨折的临床特点及手术临床效果,了解高密度多孔聚乙烯(Medpor)修复骨缺损的可行性.方法 对40例眶-颧复合体骨折病例进行回顾性分析,手术路径采取头部大冠瓣切口入路,眼睑下缘及口内唇龈沟切口人路,直视下联合骨折复位、固定;骨折断端采用PLGA可吸收材料固定,眶底缺损采用高密度多孔聚乙烯medpor进行重建,术前及术后通过头颅CT三维重建评估治疗效果.结果 术后眼眶移位、凹陷等畸形明显改善,眼眶、颧弓骨折断端对位良好,张口活动度明显改善.经过la随访,40例患者均无复视、排斥反应、骨质吸收等副反应.结论 大冠瓣、睑下缘及唇龈沟切口联合人路对于颧-眶复合体骨折术区暴露起到良好作用,medpor材料对于眶下壁骨缺损起到良好的支撑作用,是一种较理想的骨缺损充填材料.%Objective To research the applied feasibility of high density porous polyethylene (Medpor) for the bone loss repair through the discussion of the zygomatic-orbital complex fracture and its clinical characteristics and the analysis of the operation clinical effect of the operation.Method By making a retrospective analysis of the 40 zygomatic-orbital complex fracture cases,we adopted head big crested flap,infra-eyelid and mouth labiogingival ditch combined route to reset the bone fracture and local fixation.Also We adopted PLGA absorbable material to fix the bone ends and high density porous polyethylene and to repair and reconstruct the orbital bone loss.Effects were assessed before and after the operation through the cranial CT three-dimensional reconstruction.Result After the operation,the orbital displacement and local depression malformation were obviously improved,with the orbital and zygomatic bone fracture ends being well fused and mouth activity being well improved.Through 1 year follow-up,40 patients showed no such side effects as diplopia

  19. Breast reconstruction after breast cancer.

    Science.gov (United States)

    Serletti, Joseph M; Fosnot, Joshua; Nelson, Jonas A; Disa, Joseph J; Bucky, Louis P

    2011-06-01

    After reading this article, the participant should be able to: 1. Describe the mental, emotional, and physical benefits of reconstruction in breast cancer patients. 2. Compare the most common techniques of reconstruction in patients and detail benefits and risks associated with each. 3. Outline different methods of reconstruction and identify the method considered best for the patient based on timing of the procedures, body type, adjuvant therapies, and other coexisting conditions. 4. Distinguish between some of the different flaps that can be considered for autologous reconstruction. Breast cancer is unfortunately a common disease affecting millions of women, often at a relatively young age. Reconstruction following mastectomy offers women an opportunity to mollify some of the emotional and aesthetic effects of this devastating disease. Although varying techniques of alloplastic and autologous techniques are available, all strive to achieve the same goal: the satisfactory reformation of a breast mound that appears as natural as possible without clothing and at the very least is normal in appearance under clothing. This article summarizes the various approaches to breast reconstruction and offers a balanced view of the risks and benefits of each, all of which in the end offer the opportunity for excellent and predictable results with a high degree of patient satisfaction.

  20. Stress field reconstruction in an active mudslide

    Science.gov (United States)

    Baroň, Ivo; Kernstocková, Markéta; Melichar, Rostislav

    2017-07-01

    Meso-scale structures from gravitational slope deformation observed in landslides and deep-seated gravitational slope failures are very similar to those of endogenous ones. Therefore we applied palaeostress analysis of fault-slip data for reconstructing the stress field of an active mudslide in Pechgraben, Austria. This complex compound landslide has developed in clayey colluvium and shale and was activated after a certain period of dormancy in June 2013. During the active motion on June 12, 2013, 73 fault-slip traces at 9 locations were measured within the landslide body. The heterogeneous fault-slip data were processed in term of palaeostresses, the reconstructed palaeostress tensor being characterized by the orientations of the three principal stress axes and the stress ratio (which provides the shape of the stress ellipsoid). The results of the palaeostress analysis were compared to airborne laser scan digital terrain models that revealed dynamics and superficial displacements of the moving mass prior and after our survey. The results were generally in good agreement with the observed landslide displacement pattern and with the anticipated stress regime according to Mohr-Coulomb failure criteria and Anderson's theory. The compressional regime was mostly registered at the toe in areas, where a compressional stress field is expected during previous mass-movement stages, or at margins loaded by subsequent landslide bodies from above. On the other hand, extension regimes were identified at the head scarps of secondary slides, subsequently on bulged ridges at the toe and in the zone of horst-and-graben structures in the lower central part of the main landslide body, where the basal slip surface probably had locally convex character. Strike-slip regimes, as well as oblique normal or oblique reverse regimes were observed at the lateral margins of the landslide bodies. The directions of principal stresses could be used as markers of landslide movement directions

  1. On $\\mathfrak{I}$-reconstruction Property

    OpenAIRE

    L. K. Vashisht; Khattar, Geetika

    2013-01-01

    Reconstruction property in Banach spaces introduced and studied by Casazza and Christensen in [1]. In this paper we introduce reconstruction property in Banach spaces which satisfy $\\mathfrak{I}$-property. A characterization of reconstruction property in Banach spaces which satisfy $\\mathfrak{I}$-property in terms of frames in Banach spaces is obtained. Banach frames associated with reconstruction property are discussed.

  2. Improving outcomes in aesthetic facial reconstruction.

    Science.gov (United States)

    Hofer, Stefan O P; Mureau, Marc A M

    2009-07-01

    Aesthetic facial reconstruction is a challenging art. Improving outcomes in aesthetic facial reconstruction requires a thorough understanding of the basic principles of the functional and aesthetic requirements for facial reconstruction. From there, further refinement and attention to detail can be provided. This paper discusses basic principles of aesthetic facial reconstruction.

  3. On $\\mathfrak{I}$-reconstruction Property

    OpenAIRE

    L. K. Vashisht; Khattar, Geetika

    2013-01-01

    Reconstruction property in Banach spaces introduced and studied by Casazza and Christensen in [1]. In this paper we introduce reconstruction property in Banach spaces which satisfy $\\mathfrak{I}$-property. A characterization of reconstruction property in Banach spaces which satisfy $\\mathfrak{I}$-property in terms of frames in Banach spaces is obtained. Banach frames associated with reconstruction property are discussed.

  4. Choosing a Breast Reconstruction Surgeon and Questions to Ask

    Science.gov (United States)

    ... Reconstruction Surgery Questions to Ask Your Surgeon About Breast Reconstruction If you’ve had surgery to treat your ... reconstruction. Finding the right plastic surgeon for your breast reconstruction If you decide to have breast reconstruction, you’ ...

  5. Alloplastic adjuncts in breast reconstruction

    Science.gov (United States)

    Cabalag, Miguel S.; Rostek, Marie; Miller, George S.; Chae, Michael P.; Quinn, Tam; Rozen, Warren M.

    2016-01-01

    Background There has been an increasing role of acellular dermal matrices (ADMs) and synthetic meshes in both single- and two-stage implant/expander breast reconstruction. Numerous alloplastic adjuncts exist, and these vary in material type, processing, storage, surgical preparation, level of sterility, available sizes and cost. However, there is little published data on most, posing a significant challenge to the reconstructive surgeon trying to compare and select the most suitable product. The aims of this systematic review were to identify, summarize and evaluate the outcomes of studies describing the use of alloplastic adjuncts for post-mastectomy breast reconstruction. The secondary aims were to determine their cost-effectiveness and analyze outcomes in patients who also underwent radiotherapy. Methods Using the PRSIMA 2009 statement, a systematic review was conducted to find articles reporting on the outcomes on the use of alloplastic adjuncts in post-mastectomy breast reconstruction. Multiple databases were searched independently by three authors (Cabalag MS, Miller GS and Chae MP), including: Ovid MEDLINE (1950 to present), Embase (1980 to 2015), PubMed and Cochrane Database of Systematic Reviews. Results Current published literature on available alloplastic adjuncts are predominantly centered on ADMs, both allogeneic and xenogeneic, with few outcome studies available for synthetic meshes. Outcomes on the 89 articles, which met the inclusion criteria, were summarized and analyzed. The reported outcomes on alloplastic adjunct-assisted breast reconstruction were varied, with most data available on the use of ADMs, particularly AlloDerm® (LifeCell, Branchburg, New Jersey, USA). The use of ADMs in single-stage direct-to-implant breast reconstruction resulted in lower complication rates (infection, seroma, implant loss and late revision), and was more cost effective when compared to non-ADM, two-stage reconstruction. The majority of studies demonstrated

  6. Characterization of Reconstructed Basins Using Pattern Spectrum Procedure

    Directory of Open Access Journals (Sweden)

    P. Radhakrishnan

    2005-01-01

    Full Text Available Several classical and Fractal binary shapes, which are akin to geophysical shapes such as basins, lakes, and pore-grain spruce, are analyzed and characterized by employing various mathematical morphological transformations, and methods. By employing rhombus, square and octagon structuring elements, these shapes are decomposed into their skeletal networks and their corresponding skeletal network subsets are dilated to the respective degree by these structuring elements in order to reconstruct the original shapes. Furthermore, to test the reconstruction accuracy, the pattern spectrum procedure is applied and sharpness indices were computed. These shapiness indices were considered as a basis to test the reconstruction accuracy in a quantitative manner. A general trend is observed while characterizing the shape-size complexity of these surface water bodies.

  7. Photoacoustic image reconstruction: material detection and acoustical heterogeneities

    Science.gov (United States)

    Schoeder, S.; Kronbichler, M.; Wall, W. A.

    2017-05-01

    The correct consideration of acoustical heterogeneities in the context of photoacoustic image reconstruction is an open topic. In this publication a physically motivated algorithm is proposed that reconstructs the optical absorption and diffusion coefficients using a gradient-based scheme. The simultaneous reconstruction of both material properties allows for a subsequent material identification and an accordant update of the acoustical material properties. The algorithm is general in terms of illumination scenarios, detection geometries and applications. No prior knowledge on material distributions needs to be provided, only expected materials have to be specified. Numerical experiments are performed to gain insight into the complex inverse problem and to validate the proposed method. Results show that acoustical heterogeneities are correctly detected improving the optical images.

  8. Human Metabolic Network: Reconstruction, Simulation, and Applications in Systems Biology

    Science.gov (United States)

    Wu, Ming; Chan, Christina

    2012-01-01

    Metabolism is crucial to cell growth and proliferation. Deficiency or alterations in metabolic functions are known to be involved in many human diseases. Therefore, understanding the human metabolic system is important for the study and treatment of complex diseases. Current reconstructions of the global human metabolic network provide a computational platform to integrate genome-scale information on metabolism. The platform enables a systematic study of the regulation and is applicable to a wide variety of cases, wherein one could rely on in silico perturbations to predict novel targets, interpret systemic effects, and identify alterations in the metabolic states to better understand the genotype-phenotype relationships. In this review, we describe the reconstruction of the human metabolic network, introduce the constraint based modeling approach to analyze metabolic networks, and discuss systems biology applications to study human physiology and pathology. We highlight the challenges and opportunities in network reconstruction and systems modeling of the human metabolic system. PMID:24957377

  9. Reconstruction method for data protection in telemedicine systems

    Science.gov (United States)

    Buldakova, T. I.; Suyatinov, S. I.

    2015-03-01

    In the report the approach to protection of transmitted data by creation of pair symmetric keys for the sensor and the receiver is offered. Since biosignals are unique for each person, their corresponding processing allows to receive necessary information for creation of cryptographic keys. Processing is based on reconstruction of the mathematical model generating time series that are diagnostically equivalent to initial biosignals. Information about the model is transmitted to the receiver, where the restoration of physiological time series is performed using the reconstructed model. Thus, information about structure and parameters of biosystem model received in the reconstruction process can be used not only for its diagnostics, but also for protection of transmitted data in telemedicine complexes.

  10. Reconstructing prions: fibril assembly from simple yeast to complex mammals

    OpenAIRE

    Sigurdson, C B; Polymenidou, M; Aguzzi, A

    2005-01-01

    With the epizootics of bovine spongiform encephalopathy (BSE) in North American cattle, BSE infections in goats, new forms of human Creutzfeldt-Jakob disease (CJD) and the spread of chronic wasting disease in North American deer and elk, one wonders whether we are gaining control over the transmissible spongiform encephalopathies (TSEs). Although many basic scientific questions in the prion field remain hotly debated and unresolved [1], including the function of the cellular prion protein (Pr...

  11. Complexity of Splits Reconstruction for Low-Degree Trees

    CERN Document Server

    Gaspers, Serge; Stein, Maya; Suchan, Karol

    2010-01-01

    Given a vertex-weighted tree T, the split of an edge xy in T is min(s_x, s_y) where s_x (respectively, s_y) is the sum of all weights of vertices that are closer to x than to y (respectively, closer to y than to x) in T. Given a set of weighted vertices V and a multiset of splits S, we consider the problem of constructing a tree on V whose splits correspond to S. The problem is known to be NP-complete even when all vertices have unit weight and the maximum vertex degree of T is required to be no more than 4. We show that the problem is even strongly NP-complete when T is required to be a path. For this variant we also exhibit an algorithm that runs in polynomial time when the number of distinct vertex weights is constant. We also show that the problem is NP-complete when all vertices have unit weights and the maximum degree of T is required to be no more than 3, and even NP-complete when all vertices have unit weight and T is required to be a caterpillar with unbounded hair length and maximum degree at most 3...

  12. Management of tripod fractures (zygomaticomaxillary complex 1 point and 2 point fixations: A 5-year review

    Directory of Open Access Journals (Sweden)

    K Balakrishnan

    2015-01-01

    Full Text Available The zygomaticomaxillary complex (ZMC plays a key role in the structure, function, and esthetic appearance of the facial skeleton. They can account for approximately 40% of mid-face fractures. They are the second most common facial bone fracture after nasal bone injuries. The fracture complex results from a direct blow to the malar eminence and results in three distinct fracture components that disrupt the anchoring of the zygoma. In addition, the fracture components may result in impingement of the temporalis muscle, trismus (difficulty with mastication and may compromise the infraorbital foramen/nerve resulting in hypesthesia within its sensory distribution. A 4-year retrospective review of all patients treated with ZMC fractures at oral and maxillofacial surgery department, sree balaji dental college and hospital was performed. Computed tomography scans were reviewed. Demographics, treatment protocols, outcomes, complications, reoperations, and length of follow-up were identified. A total of 245 patients was identified by the Current Procedural Terminology codes for ZMC fractures. Closed or open reduction methods were performed with the goal of treatment being preservation of normal facial structure, sensory function, globe position, and mastication functionality. Unacceptably poor surgical outcomes are uncommon. Significant facial asymmetry requiring surgical revision occurs in 3-4% of patients. Postoperative infection rates are extremely low, and these infections nearly always resolve with oral antibiotics. In general, the long-term prognosis after repair of ZMC fractures is very good.

  13. Carney Complex

    Science.gov (United States)

    ... Types of Cancer > Carney Complex Request Permissions Carney Complex Approved by the Cancer.Net Editorial Board , 11/2015 What is Carney complex? Carney complex is a hereditary condition associated with: ...

  14. A dynamic 3D foot reconstruction system.

    Science.gov (United States)

    Thabet, Ali K; Trucco, Emanuele; Salvi, Joaquim; Wang, Weijie; Abboud, Rami J

    2011-01-01

    Foot problems are varied and range from simple disorders through to complex diseases and joint deformities. Wherever possible, the use of insoles, or orthoses, is preferred over surgery. Current insole design techniques are based on static measurements of the foot, despite the fact that orthoses are prevalently used in dynamic conditions while walking or running. This paper presents the design and implementation of a structured-light prototype system providing dense three dimensional (3D) measurements of the foot in motion, and its use to show that foot measurements in dynamic conditions differ significantly from their static counterparts. The input to the system is a video sequence of a foot during a single step; the output is a 3D reconstruction of the plantar surface of the foot for each frame of the input. Engineering and clinical tests were carried out for the validation of the system. The accuracy of the system was found to be 0.34 mm with planar test objects. In tests with real feet, the system proved repeatable, with reconstruction differences between trials one week apart averaging 2.44 mm (static case) and 2.81 mm (dynamic case). Furthermore, a study was performed to compare the effective length of the foot between static and dynamic reconstructions using the 4D system. Results showed an average increase of 9 mm for the dynamic case. This increase is substantial for orthotics design, cannot be captured by a static system, and its subject-specific measurement is crucial for the design of effective foot orthoses.

  15. An information theoretic approach to pedigree reconstruction.

    Science.gov (United States)

    Almudevar, Anthony

    2016-02-01

    Network structure is a dominant feature of many biological systems, both at the cellular level and within natural populations. Advances in genotype and gene expression screening made over the last few decades have permitted the reconstruction of these networks. However, resolution to a single model estimate will generally not be possible, leaving open the question of the appropriate method of formal statistical inference. The nonstandard structure of the problem precludes most traditional statistical methodologies. Alternatively, a Bayesian approach provides a natural methodology for formal inference. Construction of a posterior density on the space of network structures allows formal inference regarding features of network structure using specific marginal posterior distributions. An information theoretic approach to this problem will be described, based on the Minimum Description Length principle. This leads to a Bayesian inference model based on the information content of data rather than on more commonly used probabilistic models. The approach is applied to the problem of pedigree reconstruction based on genotypic data. Using this application, it is shown how the MDL approach is able to provide a truly objective control for model complexity. A two-cohort model is used for a simulation study. The MDL approach is compared to COLONY-2, a well known pedigree reconstruction application. The study highlights the problem of genotyping error modeling. COLONY-2 requires prior error rate estimates, and its accuracy proves to be highly sensitive to these estimates. In contrast, the MDL approach does not require prior error rate estimates, and is able to accurately adjust for genotyping error across the range of models considered. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Universal spatial correlation functions for describing and reconstructing soil microstructure.

    Science.gov (United States)

    Karsanina, Marina V; Gerke, Kirill M; Skvortsova, Elena B; Mallants, Dirk

    2015-01-01

    Structural features of porous materials such as soil define the majority of its physical properties, including water infiltration and redistribution, multi-phase flow (e.g. simultaneous water/air flow, or gas exchange between biologically active soil root zone and atmosphere) and solute transport. To characterize soil microstructure, conventional soil science uses such metrics as pore size and pore-size distributions and thin section-derived morphological indicators. However, these descriptors provide only limited amount of information about the complex arrangement of soil structure and have limited capability to reconstruct structural features or predict physical properties. We introduce three different spatial correlation functions as a comprehensive tool to characterize soil microstructure: 1) two-point probability functions, 2) linear functions, and 3) two-point cluster functions. This novel approach was tested on thin-sections (2.21×2.21 cm2) representing eight soils with different pore space configurations. The two-point probability and linear correlation functions were subsequently used as a part of simulated annealing optimization procedures to reconstruct soil structure. Comparison of original and reconstructed images was based on morphological characteristics, cluster correlation functions, total number of pores and pore-size distribution. Results showed excellent agreement for soils with isolated pores, but relatively poor correspondence for soils exhibiting dual-porosity features (i.e. superposition of pores and micro-cracks). Insufficient information content in the correlation function sets used for reconstruction may have contributed to the observed discrepancies. Improved reconstructions may be obtained by adding cluster and other correlation functions into reconstruction sets. Correlation functions and the associated stochastic reconstruction algorithms introduced here are universally applicable in soil science, such as for soil classification

  17. DIEAP flap for safe definitive autologous breast reconstruction.

    Science.gov (United States)

    Seidenstuecker, Katrin; van Waes, Carl; Munder, Beatrix I; Claes, Karel E Y; Witzel, Christian; Roche, Nathalie; Stillaert, Filip; Mahajan, Ajay L; Andree, Christoph; Blondeel, Phillip N

    2016-04-01

    Breast cancer is the commonest form of cancer in women affecting almost a quarter of a million patients in the US annually. 30 percent of these patients and patients with genetic mutations undergo removal of the breast, as highlighted in a high profile celebrity patient. Although breast reconstruction with free microvascular transfer of a DIEAP flap from the abdomen is an ideal form of reconstruction, there have been misgivings about the complexity and potential complications. This study was aimed at clearing these misunderstandings and establishing the value of this form of breast reconstruction. 1036 DIEAP flap breast reconstructions carried out at the University Hospital, Gent (five year period) and at the Sana Kliniken, Düsseldorf (three year period) were included prospectively. Comorbid factors like chemotherapy, radiotherapy, patient age >65 years, BMI >30 and smoking were recorded. Outcomes were evaluated over a mean follow up of 2 years. Overall complication rate related to the reconstructed breast and donor abdominal area was 6.8 percent. Total flap loss was seen in only 0.8 percent. The mean operating time was less than five hours. Older age, higher BMI, chemotherapy and radiotherapy did not have a significant influence on complication rates, however smoking resulted in significant delay in wound healing in the breast (p = 0.025) and abdominal wounds (p = 0.019). The DIEAP flap is an excellent option for breast reconstruction, with a low level of donor site morbidity and complications. It is an autologous reconstruction that provides a stable long term result. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Mohs Surgical Reconstruction Educational Activity: a resident education tool

    Science.gov (United States)

    Croley, Julie A; Malone, C Helen; Goodwin, Brandon P; Phillips, Linda G; Cole, Eric L; Wagner, Richard F

    2017-01-01

    Background Surgical reconstructive planning following Mohs surgery can be a difficult subject for dermatology residents to master. Prior research demonstrates that active learning is preferred and more effective compared to passive learning models and that dermatology residents desire greater complexity and volume in surgical training. We present a novel, active, problem-based learning tool for the education of Mohs reconstruction with the goal of improving residents’ ability to plan surgical reconstructions. Materials and methods The Mohs Surgical Reconstruction Educational Activity is an active, problem-based learning activity in which residents designed repairs for planned Mohs defects prior to surgery on an iPad application or on a printed photograph. The attending Mohs surgeon reviewed the reconstructive designs, provided feedback, guided discussion, and facilitated insight into additional issues requiring further review. Residents performed or observed the Mohs and reconstructive surgical procedures for respective repairs. Surveys were administered to participants before and after participating in the Mohs Surgical Reconstruction Educational Activity to assess the educational value of the activity. Survey responses were recorded on a 5-point Likert scale. Results Mean participant-reported confidence in flap and graft knowledge, flap and graft planning, and flap and graft performance increased 1.50–2.50 Likert scale points upon completion of the Mohs surgery rotation by residents participating in the educational activity. The observed trend was larger in the dermatology resident subset, with increases of 2.00–3.50 Likert scale points reported for these questions. Mean participant-reported likelihoods of performing flaps and grafts in the future increased 0.25–0.50 Likert scale points among all residents participating in the educational activity and 0.50–1.00 Likert scale points in the dermatology resident subset. All residents participating in the

  19. Mohs Surgical Reconstruction Educational Activity: a resident education tool.

    Science.gov (United States)

    Croley, Julie A; Malone, C Helen; Goodwin, Brandon P; Phillips, Linda G; Cole, Eric L; Wagner, Richard F

    2017-01-01

    Surgical reconstructive planning following Mohs surgery can be a difficult subject for dermatology residents to master. Prior research demonstrates that active learning is preferred and more effective compared to passive learning models and that dermatology residents desire greater complexity and volume in surgical training. We present a novel, active, problem-based learning tool for the education of Mohs reconstruction with the goal of improving residents' ability to plan surgical reconstructions. The Mohs Surgical Reconstruction Educational Activity is an active, problem-based learning activity in which residents designed repairs for planned Mohs defects prior to surgery on an iPad application or on a printed photograph. The attending Mohs surgeon reviewed the reconstructive designs, provided feedback, guided discussion, and facilitated insight into additional issues requiring further review. Residents performed or observed the Mohs and reconstructive surgical procedures for respective repairs. Surveys were administered to participants before and after participating in the Mohs Surgical Reconstruction Educational Activity to assess the educational value of the activity. Survey responses were recorded on a 5-point Likert scale. Mean participant-reported confidence in flap and graft knowledge, flap and graft planning, and flap and graft performance increased 1.50-2.50 Likert scale points upon completion of the Mohs surgery rotation by residents participating in the educational activity. The observed trend was larger in the dermatology resident subset, with increases of 2.00-3.50 Likert scale points reported for these questions. Mean participant-reported likelihoods of performing flaps and grafts in the future increased 0.25-0.50 Likert scale points among all residents participating in the educational activity and 0.50-1.00 Likert scale points in the dermatology resident subset. All residents participating in the educational activity somewhat or completely agreed

  20. 多层螺旋CT多模式重组在复杂髋臼骨折术前检查中的应用%The preoperative application of multi slice CT with three-dimensional reconstruction in complex acetabular fractures

    Institute of Scientific and Technical Information of China (English)

    陈木养; 黄伟坚; 余洪希; 王东

    2016-01-01

    Objective To evaluate the value of volume scanning method, multiplanar reconstruction (MPR), surface shaded display (SSD), and volume reconstruction (VR) techniques in the preoperative examination of complex acetabular fractures. Methods Fifty-eight cases with ancetabular fractures were all accepted CT volume scanning , and MPR were done in all cases. In addition, case-control analysis were done with conventional acetabular CT imagings. Results Coronal plane of MPR, surface shaded display (SSD) combined with VR imaging, could display the acetabular fractures clearly, in accordance with the operations, and its diagnostic accuracy was significantly higher than conventional CT scan. The two sets of data had significances difference (P<0.05) in displaying fracture type, the length of the fracture lines, the shapes and direction of the fracture, the sizes of fracture pieces, the spatial location, the degree of fracture displacement and the joint dislocation classification. Conclusion Multi slice CT (MSCT) volume scanning, MPR, SSD and VR techniques have good display abilities of acetabular fractures , their performance are close to the pathological anatomy. They are considered to be the ideal imaging methods to know about the complex acetabular fractures and its microscopic structures.%目的:利用多层螺旋CT的容积扫描方法和多平面重建(MPR)、表面遮盖法(SSD)及容积再现(VR)技术,评价其在复杂性髋臼骨折术前检查中的应用价值。方法选取58例患者的损伤髋臼进行多层螺旋CT容积扫描,所得原始数据做数字化三维重组处理,并与常规髋臼CT平扫图像进行对照分析。结果 MPR冠状面、SSD重建结合VR成像,能清晰显示58例髋臼骨折情况,与手术相符,诊断正确率明显高于常规CT平扫。在显示骨折分型、骨折线的长短、形态、走向,骨折片大小、空间位置以及骨折移位程度和关节脱位分类征象方面,2组

  1. Reconstructing core-collapse supernovae waveforms with advanced era interferometers

    Science.gov (United States)

    McIver, Jessica; LIGO Scientific Collaboration

    2015-04-01

    Among of the wide range of potentially interesting astrophysical sources for Advanced LIGO and Advanced Virgo are galactic core-collapse supernovae. Although detectable core-collapse supernovae have a low expected rate (a few per century, or less) these signals would yield a wealth of new physics in the form of many messengers. Of particular interest is the insight into the explosion mechanism driving core-collapse supernovae that can be gleaned from the reconstructed gravitational wave signal. A well-reconstructed waveform will allow us to assess the likelihood of different explosion models, perform model selection, and potentially map unexpected features to new physics. This talk will present a study evaluating the current performance of the reconstruction of core-collapse supernovae gravitational wave signals. We used simulated waveforms modeled after different explosion mechanisms that we first injected into fake strain data re-colored to the expected Advanced LIGO/Virgo noise curves and then reconstructed using the pipelines Coherent Waveburst 2G and BayesWave. We will discuss the impact of these results on our ability to accurately reconstruct core-collapse supernovae signals, and by extension, other potential astrophysical generators of rich, complex waveforms.

  2. Reconstructive surgery in immunocompromised patients: evaluation and therapy

    Directory of Open Access Journals (Sweden)

    Dunda, Sebastian E.

    2015-12-01

    Full Text Available Background: An increasing number of patients undergoing reconstructive surgery are immunocompromised due to different reasons and different medical treatments. Some of the used immunosuppressive drugs may affect the process of wound healing and thereby, impair the long-term success of surgical treatment. Therefore, this retrospective analysis aimed at the evaluation of the perioperative treatment and surgical outcome of immunocompromised patients undergoing different reconstructive procedures.Methods: A retrospective review was performed of 8 immunocompromised patients with different primary diseases who needed reconstructive surgery: 2 patients with non-Hodgkin lymphoma, 1 patient with an acute myeloid leukemia, 1 patient with colitis ulcerosa, 1 patient with liver cirrhosis, 1 patient with chronic polyarthritis, and 2 patients with malignant melanoma.Results: In 7 of our 8 presented cases, multiple operations with wound debridements have been necessary to optimize the granulation of the wound bed before reconstructive surgery. 3 out of these 7 patients required further operations due to wound dehiscence or necrosis, with 2 of them as a result of increased immunosuppressive therapy. 5 out of 8 patients needed no further surgical treatment.Conclusions: Both the perioperative drug therapy and the reconstructive surgery concept need to be determined carefully in each individual case of the immunocompromised patients. Thus, the appropriate point in time of operation to achieve the best possible wound healing as well as the complexity of the procedure will require the consideration of a ‘less is more’ strategy in selected cases.

  3. Reconstruction of the early Universe as a convex optimization problem

    CERN Document Server

    Brenier, Y; Hénon, M; Loeper, G; Matarrese, S; Mohayaee, R; Sobolevskii, A

    2003-01-01

    We show that the deterministic past history of the Universe can be uniquely reconstructed from the knowledge of the present mass density field, the latter being inferred from the 3D distribution of luminous matter, assumed to be tracing the distribution of dark matter up to a known bias. Reconstruction ceases to be unique below those scales -- a few Mpc -- where multi-streaming becomes significant. Above 6 Mpc/h we propose and implement an effective Monge-Ampere-Kantorovich method of unique reconstruction. At such scales the Zel'dovich approximation is well satisfied and reconstruction becomes an instance of optimal mass transportation, a problem which goes back to Monge (1781). After discretization into N point masses one obtains an assignment problem that can be handled by effective algorithms with not more than cubic time complexity in N and reasonable CPU time requirements. Testing against N-body cosmological simulations gives over 60% of exactly reconstructed points. We apply several interrelated tools f...

  4. Airway reconstruction in children

    Directory of Open Access Journals (Sweden)

    Rao Sanjay

    2009-01-01

    Full Text Available Aim/Background : Airway anomalies are infrequent but potentially life threatening in children. A program to care for these difficult children was set up at our institution, and this paper summarizes our experience. Methods: A total of 34 children were enrolled in the program over a period of three years. These children were evaluated as per the standard protocols. Treatment was individualized. Results: Of these 34 children, 28 had their airways restored and are doing well. Four children continue to remain on tracheostomy and two will require long term tracheostomy. There were two deaths. All children are under surveillance as there is a risk of recurrence. Conclusions: Airway anomalies are complex problems with significant morbidity and mortality. Current therapeutic modalities allow for good results. Most children were successfully decannulated and did well.

  5. Subcutaneous Implant-based Breast Reconstruction with Acellular Dermal Matrix/Mesh: A Systematic Review.

    Science.gov (United States)

    Salibian, Ara A; Frey, Jordan D; Choi, Mihye; Karp, Nolan S

    2016-11-01

    The availability of acellular dermal matrix (ADM) and synthetic mesh products has prompted plastic surgeons to revisit subcutaneous implant-based breast reconstruction. The literature is limited, however, with regards to evidence on patient selection, techniques, and outcomes. A systematic review of the Medline and Cochrane databases was performed for original studies reporting breast reconstruction with ADM or mesh, and subcutaneous implant placement. Studies were analyzed for level of evidence, inclusion/exclusion criteria for subcutaneous reconstruction, reconstruction characteristics, and outcomes. Six studies (186 reconstructions) were identified for review. The majority of studies (66.7%) were level IV evidence case series. Eighty percent of studies had contraindications for subcutaneous reconstruction, most commonly preoperative radiation, high body mass index, and active smoking. Forty percent of studies commenting on patient selection assessed mastectomy flap perfusion for subcutaneous reconstruction. Forty-five percent of reconstructions were direct-to-implant, 33.3% 2-stage, and 21.5% single-stage adjustable implant, with ADM utilized in 60.2% of reconstructions versus mesh. Pooled complication rates included: major infection 1.2%, seroma 2.9%, hematoma 2.3%, full nipple-areola complex necrosis 1.1%, partial nipple-areola complex necrosis 4.5%, major flap necrosis 1.8%, wound healing complication 2.3%, explantation 4.1%, and grade III/IV capsular contracture 1.2%. Pooled short-term complication rates in subcutaneous alloplastic breast reconstruction with ADM or mesh are low in preliminary studies with selective patient populations, though techniques and outcomes are variable across studies. Larger comparative studies and better-defined selection criteria and outcomes reporting are needed to develop appropriate indications for performing subcutaneous implant-based reconstruction.

  6. Using modern analogues to reconstruct past landcover

    Science.gov (United States)

    Brewer, Simon

    2016-04-01

    The physical cover of the earth plays an important role in the earth system. It affects the climate through feedbacks such as albedo and surface roughness, forms part of the carbon cycle as both sink and source and is both affected by and can affect human societies. Reconstructing past changes in land use and land cover helps to understand how these interactions may have changed over time, and provides important boundary conditions for paleoclimate models. Pollen assemblages, extracted from sedimentary sequences, provide one of the most abundant sources of information about past changes in land cover over the Holocene period. However, the relationship between plant cover and sedimentary pollen abundance is complex and non-linear, being affected by differential dispersal, production and taxonomic resolution. One method to correct for this and provide quantified estimates of past land cover is to calibrate modern pollen assemblages against contemporary remotely sensed estimates of land cover. Results will be presented from developing such a calibration for a set of European modern pollen samples and AVHRR-based tree cover estimates. An emphasis will be placed on the output of validation tests of the calibration, and what this indicates for the predictive skill of this approach. The calibration will then be applied to a set of pollen sequences for the European continent for the past 11,000 years, and the patterns of reconstructed land cover will be discussed.

  7. Surface reconstruction of Pt(001) quantitatively revisited

    Science.gov (United States)

    Hammer, R.; Meinel, K.; Krahn, O.; Widdra, W.

    2016-11-01

    The complex hexagonal reconstructions of the (001) surfaces of platinum and gold have been under debate for decades. Here, the structural details of the Pt(001) reconstruction have been quantitatively reinvestigated by combining the high resolving power of scanning tunneling microscopy (STM) and spot profile analysis low energy electron diffraction (SPA-LEED). In addition, LEED simulations based on a Moiré approach have been applied. Annealing temperatures around 850 °C yield a superstructure that approaches a commensurable c (26.6 ×118 ) substrate registry. It evolves from a Moiré-like buckling of a compressed hexagonal top layer (hex) where atomic rows of the hex run parallel to atomic rows of the square substrate. Annealing at 920 °C stimulates a continuous rotation of the hex where all angles between ±0.7° are simultaneously realized. At temperatures around 1080 °C, the nonrotated hex coexists with a hex that is rotated by about 0.75°. Annealing at temperatures around 1120 °C yield a locking of the hex in fixed rotation angles of 0.77°, 0.88°, and 0.94°. At temperatures around 1170 °C, the Pt(001)-hex-R 0.94° prevails as the energetically most favored form of the rotated hex.

  8. Accelerated reconstruction of electrical impedance tomography images via patch based sparse representation

    Science.gov (United States)

    Wang, Qi; Lian, Zhijie; Wang, Jianming; Chen, Qingliang; Sun, Yukuan; Li, Xiuyan; Duan, Xiaojie; Cui, Ziqiang; Wang, Huaxiang

    2016-11-01

    Electrical impedance tomography (EIT) reconstruction is a nonlinear and ill-posed problem. Exact reconstruction of an EIT image inverts a high dimensional mathematical model to calculate the conductivity field, which causes significant problems regarding that the computational complexity will reduce the achievable frame rate, which is considered as a major advantage of EIT imaging. The single-step method, state estimation method, and projection method were always used to accelerate reconstruction process. The basic principle of these methods is to reduce computational complexity. However, maintaining high resolution in space together with not much cost is still challenging, especially for complex conductivity distribution. This study proposes an idea to accelerate image reconstruction of EIT based on compressive sensing (CS) theory, namely, CSEIT method. The novel CSEIT method reduces the sampling rate through minimizing redundancy in measurements, so that detailed information of reconstruction is not lost. In order to obtain sparse solution, which is the prior condition of signal recovery required by CS theory, a novel image reconstruction algorithm based on patch-based sparse representation is proposed. By applying the new framework of CSEIT, the data acquisition time, or the sampling rate, is reduced by more than two times, while the accuracy of reconstruction is significantly improved.

  9. Ta Keo Temple Reconstruction Based on Terrestrial Laser Scanning Technology

    Science.gov (United States)

    Xi, X.; Wang, C.; Wan, Y. P.; Khuon, K. N.

    2015-08-01

    Ta Keo temple is one of the very famous temple complex of Angkor Wat in northwestern Cambodia. It has been suffering massive collapse and other serious damages in recent years. Nowadays, Terrestrial Laser Scanning(TLS) technology is considered as a wellestablished resource for heritage documentation and protection (Lerma et al, 2008; Reshetyuk, 2009). This paper used TLS to reconstruct Ta Keo Temple. Firstly, we acquired 71 scanning stations of points cloud data with high density and high accuracy, and over one thousand images with high spatial resolution about the temple. Secondly, the raw points cloud data were denoised, reduced and managed efficiently, and registrated using an adjusted ICP algorithm. Thirdly, a triangulation method was used to model most objects. At last, we mapped the texture data into the digital model and a 3-D model of Ta Keo with high accuracy was achieved. The authors focus on large object reconstruction by TLS technology, and pay much attention to the scanning design, multi-station data and the whole project's data registration, and texture mapping and so on. The research result will be useful for Ta Keo restoration, reconstruction and protection. Also, it is a good reference source for large complex buildings reconstruction when using terrestrial laser scanning technology.

  10. CURRENT CONCEPTS IN ACL RECONSTRUCTION

    Directory of Open Access Journals (Sweden)

    Freddie H. Fu

    2008-09-01

    Full Text Available Current Concepts in ACL Reconstruction is a complete reference text composed of the most thorough collection of topics on the ACL and its surgical reconstruction compiled, with contributions from some of the world's experts and most experienced ACL surgeons. Various procedures mentioned throughout the text are also demonstrated in an accompanying video CD-ROM. PURPOSE Composing a single, comprehensive and complete information source on ACL including basic sciences, clinical issues, latest concepts and surgical techniques, from evaluation to outcome, from history to future, editors and contributors have targeted to keep the audience pace with the latest concepts and techniques for the evaluation and the treatment of ACL injuries. FEATURES The text is composed of 27 chapters in 6 sections. The first section is mostly about basic sciences, also history of the ACL, imaging, clinical approach to adolescent and pediatric patients are subjected. In the second section, Graft Choices and Arthroscopy Portals for ACL Reconstruction are mentioned. The third section is about the technique and the outcome of the single-bundle ACL reconstruction. The fourth chapter includes the techniques and outcome of the double-bundle ACL reconstruction. In the fifth chapter revision, navigation technology, rehabilitation and the evaluation of the outcome of ACL reconstruction is subjected. The sixth/the last chapter is about the future advances to reach: What We Have Learned and the Future of ACL Reconstruction. AUDIENCE Orthopedic residents, sports traumatology and knee surgery fellows, orthopedic surgeons, also scientists in basic sciences or clinicians who are studying or planning a research on ACL forms the audience group of this book. ASSESSMENT This is the latest, the most complete and comprehensive textbook of ACL reconstruction produced by the editorial work up of two pioneer and masters "Freddie H. Fu MD and Steven B. Cohen MD" with the contribution of world

  11. Track Reconstruction Performance in CMS

    CERN Document Server

    Azzurri, Paolo

    2008-01-01

    The expected performance of track reconstruction with LHC events using the CMS silicon tracker is presented. Track finding and fitting is accomplished with Kalman Filter techniques that achieve efficiencies above 99\\% on single muons with $p_T >$1~GeV/c. Difficulties arise in the context of standard LHC events with a high density of charged particles, where the rate of fake combinatorial tracks is very large for low $p_T$ tracks, and nuclear interactions in the tracker material reduce the tracking efficiency for charged hadrons. Recent improvements with the CMS track reconstruction now allow to efficiently reconstruct charged tracks with $p_T$ down to few hundred MeV/c and as few as three crossed layers, with a very small fake fraction, by making use of an optimal rejection of fake tracks in conjunction with an iterative tracking procedure.

  12. Clinical applications of iterative reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    Eberl, S. [Royal Prince Alfred Hospital, Camperdown, NSW (Australia). Department of PET and Nuclear Medicine

    1998-03-01

    Expectation maximisation (EM) reconstruction largely eliminates the hot and cold streaking artifacts characteristic of filtered-back projection (FBP) reconstruction around localised hot areas, such as the bladder. It also substantially reduces the problem of decreased inferior wall counts in MIBI myocardial perfusion studies due to ``streaking`` from high liver uptake. Non-uniform attenuation and scatter correction, resolution recovery, anatomical information, e.g. from MRI or CT tracer kinetic modelling, can all be built into the EM reconstruction imaging model. The properties of ordered subset EM (OSEM) have also been used to correct for known patient motion as part of the reconstruction process. These uses of EM are elaborated more fully in some of the other abstracts of this meeting. Currently we use OSEM routinely for: (i) studies where streaking is a problem, including all MIBI myocardial perfusion studies, to avoid hot liver inferior wall artifact, (ii) all whole body FDG PET, all lung V/Q SPECT (which have a short acquisition time) and all gated {sup 201}TI myocardial perfusion studies due to improved noise characteristics of OSEM in these studies; (iii) studies with measured, non-uniform attenuation correction. With the accelerated OSEM algorithm, iterative reconstruction is practical for routine clinical applications and we have found OSEM to provide clearly superior reconstructions for the areas listed above and are investigating its application to other studies. In clinical use, we have not found OSEM to introduce artifacts which would not also occur with FBP, e.g. uncorrected patient motion will cause artifacts with both OSEM and FBP.

  13. Peroneal Flap for Tongue Reconstruction.

    Science.gov (United States)

    Lin, Ying-Sheng; Liu, Wen-Chung; Lin, Yaoh-Shiang; Chen, Lee-Wei; Yang, Kuo-Chung

    2017-07-01

    Background For large tongue defects, reconstructive surgeons have devised a variety of feasible options, such as radial forearm free flap and anterolateral thigh (ALT) flap. In our institution, peroneal flap has been the workhorse flap for the soft tissue defect in head and neck reconstruction. We present our experience using peroneal flap in tongue reconstruction. Patients and Methods The study included 47 patients who had undergone tongue reconstructions with peroneal flaps after tumor resection. The size and location of the defect after tumor resection determined whether the peroneal flaps could be harvested as pure septocutaneous flaps to solely reconstruct the neotongue or to carry an additional muscle bulk to fill the adjacent defect. Retrospective chart review was used to look for postoperative complications and to perform functional assessments (which were also performed through telephone inquiry). Results Of the 47 patients, 3 (6%) had flap failure and 1 (2.1%) had partial flap necrosis. The hemiglossectomy group had better results than the total glossectomy group with respect to speech and diet, but neither of these results reached statistical significance (p = 1.0 for speech and p = 0.06 for diet). The results of the subtotal glossectomy group were better than those of the total glossectomy group with respect to diet (p = 0.03). No statistically significant differences were noted among the three groups with respect to cosmetic aspect (p = 0.64). Conclusions Considering its reasonable postoperative complication rates and functional results, peroneal flap can be considered a feasible option for tongue reconstruction. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  14. Complex Beauty

    OpenAIRE

    Franceschet, Massimo

    2014-01-01

    Complex systems and their underlying convoluted networks are ubiquitous, all we need is an eye for them. They pose problems of organized complexity which cannot be approached with a reductionist method. Complexity science and its emergent sister network science both come to grips with the inherent complexity of complex systems with an holistic strategy. The relevance of complexity, however, transcends the sciences. Complex systems and networks are the focal point of a philosophical, cultural ...

  15. Saturated Reconstruction of a Volume of Neocortex.

    Science.gov (United States)

    Kasthuri, Narayanan; Hayworth, Kenneth Jeffrey; Berger, Daniel Raimund; Schalek, Richard Lee; Conchello, José Angel; Knowles-Barley, Seymour; Lee, Dongil; Vázquez-Reina, Amelio; Kaynig, Verena; Jones, Thouis Raymond; Roberts, Mike; Morgan, Josh Lyskowski; Tapia, Juan Carlos; Seung, H Sebastian; Roncal, William Gray; Vogelstein, Joshua Tzvi; Burns, Randal; Sussman, Daniel Lewis; Priebe, Carey Eldin; Pfister, Hanspeter; Lichtman, Jeff William

    2015-07-30

    We describe automated technologies to probe the structure of neural tissue at nanometer resolution and use them to generate a saturated reconstruction of a sub-volume of mouse neocortex in which all cellular objects (axons, dendrites, and glia) and many sub-cellular components (synapses, synaptic vesicles, spines, spine apparati, postsynaptic densities, and mitochondria) are rendered and itemized in a database. We explore these data to study physical properties of brain tissue. For example, by tracing the trajectories of all excitatory axons and noting their juxtapositions, both synaptic and non-synaptic, with every dendritic spine we refute the idea that physical proximity is sufficient to predict synaptic connectivity (the so-called Peters' rule). This online minable database provides general access to the intrinsic complexity of the neocortex and enables further data-driven inquiries.

  16. Vascular Reconstruction in Hepatic Malignancy.

    Science.gov (United States)

    Berumen, Jennifer; Hemming, Alan

    2016-04-01

    With surgery for hepatic malignancy, there are poor options for chemotherapy; many patients are deemed unresectable because of vascular involvement or location of tumors. Over the past few decades, advances in surgical technique have allowed resection of these tumors with vascular reconstruction to achieve negative margins and improve chances for survival. This article reviews those reconstruction techniques and outcomes in detail, including in situ perfusion and ex vivo liver surgery, and provides a discussion of implications and operative planning for patients with hepatic malignancy in order to provide surgeons with better understanding of these complicated operations.

  17. Markov Random Field Surface Reconstruction

    DEFF Research Database (Denmark)

    Paulsen, Rasmus Reinhold; Bærentzen, Jakob Andreas; Larsen, Rasmus

    2010-01-01

    ) and knowledge about data (the observation model) in an orthogonal fashion. Local models that account for both scene-specific knowledge and physical properties of the scanning device are described. Furthermore, how the optimal distance field can be computed is demonstrated using conjugate gradients, sparse......A method for implicit surface reconstruction is proposed. The novelty in this paper is the adaption of Markov Random Field regularization of a distance field. The Markov Random Field formulation allows us to integrate both knowledge about the type of surface we wish to reconstruct (the prior...

  18. Tragal reconstruction after tumor excision.

    Science.gov (United States)

    Coombs, Christopher J; Lin, Frank

    2015-02-01

    The tragus forms a distinct and important landmark in the overall artistic and anatomical landscape of the ear. Despite its small size, it functions to cover and prevent direct access to the ear canal. Aesthetically, it has an important role in defining the morphology of the auricle in 3 dimensions, not only covering the meatus but also casting a shadow into the conchal bowl that gives the impression of depth. Most of the techniques for tragal reconstruction are associated with creation of a tragus in patients with microtia. We present here a new technique for tragal reconstruction in the setting of tumor ablation.

  19. Rational Reconstructions of Modern Physics

    CERN Document Server

    Mittelstaedt, Peter

    2011-01-01

    Newton’s classical physics and its underlying ontology are loaded with several metaphysical hypotheses that cannot be justified by rational reasoning nor by experimental evidence. Furthermore, it is well known that some of these hypotheses are not contained in the great theories of modern physics, such as the theory of relativity and quantum mechanics. This book shows that, on the basis of Newton’s classical physics and by rational reconstruction, the theory of relativity as well as quantum mechanics can be obtained by partly eliminating or attenuating the metaphysical hypotheses. Moreover, it is shown that these reconstructions do not require additional hypotheses or new experimental results.

  20. Visual reconstruction of Hampi Temple - Construed Graphically, Pictorially and Digitally

    Directory of Open Access Journals (Sweden)

    Meera Natampally

    2014-05-01

    Full Text Available The existing temple complex in Hampi, Karnataka, India was extensively studied, analyzed and documented. The complex was measured-drawn and digitized by plotting its edges and vertices using AutoCAD to generate 2d drawings. The graphic 2d elements developed were extended into 3 dimensional objects using Google sketch-up. The tool has been used to facilitate the visual re-construction to achieve the architecture of the temple in its original form. 3D virtual modelling / visual reconstruction helps us to visualize the structure in its original form giving a holistic picture of the Vijayanagara Empire in all its former glory. The project is interpreted graphically using Auto-CAD drawings, pictorially, digitally using Sketch-Up model and Kinect.

  1. Reconstructing Concept Lattices Usingnth-Order Context Kernels

    Institute of Scientific and Technical Information of China (English)

    SHEN Xiajiong; XU Bin; LIU Zongtian

    2006-01-01

    To be different from traditional algorithms for concept lattice constructing, a method based on nth-order context kernel is suggested in this paper.The context kernels support generating small lattices for sub-contexts split by a given context.The final concept lattice is reconstructed by combining these small lattices.All relevant algorithms are implemented in a system IsoFCA.Test shows that the method yields concept lattices in lower time complexity than Godin algorithm in practical case.

  2. Re-telling, Re-evaluating and Re-constructing

    Directory of Open Access Journals (Sweden)

    Gorana Tolja

    2013-11-01

    Full Text Available 'Graphic History: Essays on Graphic Novels and/as History '(2012 is a collection of 14 unique essays, edited by scholar Richard Iadonisi, that explores a variety of complex issues within the graphic novel medium as a means of historical narration. The essays address the issues of accuracy of re-counting history, history as re-constructed, and the ethics surrounding historical narration.

  3. CLINICAL EXAMPLE OF THE USE OF LIPOFILLING WITH DELAYED RECONSTRUCTION

    OpenAIRE

    A. D. Zikiryakhodzhayev; A. A. Masri; A. S. Sukhotko; F. N. Usov; M. V. Starkova; V. V. Ratushnaya; N. V. Evtyagina

    2017-01-01

    Malignant breast tumors are one of the causes of disability due to lack of breast or having operational defects. In most cases, the quality of the operation depends on the further social and active patient behavior.This article presents a clinical case of the use of lipofilling with reconstructive plastic surgery in breast cancer patients after complex treatment. In the particular example we show the positive effects after one session of conducted lipofiling in front of the chest wall to the ...

  4. An Improved Method for Power-Line Reconstruction from Point Cloud Data

    Directory of Open Access Journals (Sweden)

    Bo Guo

    2016-01-01

    Full Text Available This paper presents a robust algorithm to reconstruct power-lines using ALS technology. Point cloud data are automatically classified into five target classes before reconstruction. In order to improve upon the defaults of only using the local shape properties of a single power-line span in traditional methods, the distribution properties of power-line group between two neighbor pylons and contextual information of related pylon objects are used to improve the reconstruction results. First, the distribution properties of power-line sets are detected using a similarity detection method. Based on the probability of neighbor points belonging to the same span, a RANSAC rule based algorithm is then introduced to reconstruct power-lines through two important advancements: reliable initial parameters fitting and efficient candidate sample detection. Our experiments indicate that the proposed method is effective for reconstruction of power-lines from complex scenarios.

  5. Reconstructing eruptive source parameters from tephra deposit: a numerical approach for medium-sized explosive eruptions

    CERN Document Server

    Spanu, A; Barsotti, S

    2015-01-01

    Since the seventies, several reconstruction techniques have been proposed, and are currently used, to extrapolate and quantify eruptive parameters from sampled deposit datasets. Discrete numbers of tephra ground loadings or stratigraphic records are usually processed to estimate source eruptive values. Reconstruction techniques like Pyle, Power law and Weibull are adopted as standard to quantify the erupted mass (or volume) whereas Voronoi for reconstructing the granulometry. Reconstructed values can be affected by large uncertainty due to complexities occurring within the atmospheric dispersion and deposition of volcanic particles. Here we want to quantify the sensitivity of reconstruction techniques, and to quantify how much estimated values of mass and grain size differ from emitted and deposited ones. We adopted a numerical approach simulating with a dispersal code a mild explosive event occurring at Mt. Etna, with eruptive parameters similar to those estimated for eruptions occurred in the last decade. T...

  6. 青海贵德—共和—同德地区更新统最小古沉积面恢复与全新世侵蚀量计算%Pleistocene paleosurface reconstruction and Holocen erosion quantity calculation for Guide-Gonghe-Tongde basin complex, Qinghai

    Institute of Scientific and Technical Information of China (English)

    高明星; 刘少峰

    2013-01-01

    The Guide - Gonghe - Tongde basin complex is located along the northeast marginal zone of the Tibetan Plateau. The Yellow River flows through these three basins. For understanding the tectonic and climatic indications of the fluvial erosion of the three basins since Holocene, the authors calculated the erosion quantity by using geological cross sections combined with digital elevation model ( DEM). First, the points selected for the interpolation were picked out manually from a series of geological profiles. The minimum Pleistocene surfaces were reconstructed within the basins. This method reduced the error caused by the erosion after the deposition. Second, the erosion quantity and the erosion rates since Holocene were obtained by subtracting the modern elevation from the reconstructed surface. The results show that the erosion rate increased from upstream basin (Tongde basin) to downstream basin ( Guide basin). The spatial erosion differences may indicate that the uplift of the margin of the Tibetan Plateau was greater than that of the inner part of the plateau.%青海省贵德—共和—同德盆地位于青藏高原东北缘,黄河干流流经这3个盆地.为了解该区全新世以来河流侵蚀所指示的构造和气候信息,利用数字高程模型(DEM)结合地质资料,采用地质剖面网,计算了全新世以来3个盆地的侵蚀量.首先,通过一系列地质剖面选取代表更新统沉积顶面的样本点,恢复盆地内部更新统最小古沉积面,最大限度地排除更新统沉积之后因侵蚀作用造成的误差;然后,将恢复的更新统最小古沉积面DEM与现今DEM进行差值运算,获得全新世以来的最低侵蚀量和侵蚀速率.结果表明,全新世以来的侵蚀速率在接近高原内部的同德盆地最小,在高原边缘的贵德盆地最大.这种侵蚀速率在空间上的差异表明,全新世以来青藏高原东北缘的地表隆升有大于其内部隆升的趋势.

  7. Poethical: Breaking Ground for Reconstruction

    Science.gov (United States)

    Krojer, Jo; Holge-Hazelton, Bibi

    2008-01-01

    Departing from a methodological experiment performed by the authors, this article reflects on and discusses issues of ethics and politics in poetic strategies of "representation". In relation to the experiment the article questions how to conceive the notion of connectedness between empirical time and the reconstruction of it in poststructuralist…

  8. Reconstructing Death in Postmodern Society.

    Science.gov (United States)

    Kastenbaum, Robert

    1993-01-01

    Examines interaction between emerging thanatological movement and its sociohistorical context. Notes that thanatology will take on new shape as individuals and society attempt to cope with postmodernistic forces and deconstructive mentality. Considers prospect for authentic solidarity against distress in reconstructed death system. (Author/NB)

  9. A survey of urban reconstruction

    KAUST Repository

    Musialski, Przemyslaw

    2013-05-10

    This paper provides a comprehensive overview of urban reconstruction. While there exists a considerable body of literature, this topic is still under active research. The work reviewed in this survey stems from the following three research communities: computer graphics, computer vision and photogrammetry and remote sensing. Our goal is to provide a survey that will help researchers to better position their own work in the context of existing solutions, and to help newcomers and practitioners in computer graphics to quickly gain an overview of this vast field. Further, we would like to bring the mentioned research communities to even more interdisciplinary work, since the reconstruction problem itself is by far not solved. This paper provides a comprehensive overview of urban reconstruction. While there exists a considerable body of literature, this topic is still under active research. The work reviewed in this survey stems from the following three research communities: computer graphics, computer vision and photogrammetry and remote sensing. Our goal is to provide a survey that will help researchers to better position their own work in the context of existing solutions, and to help newcomers and practitioners in computer graphics to quickly gain an overview of this vast field. Further, we would like to bring the mentioned research communities to even more interdisciplinary work, since the reconstruction problem itself is by far not solved. © 2013 The Eurographics Association and John Wiley & Sons Ltd.

  10. Clip reconstruction of a large right MCA bifurcation aneurysm. Case report

    Directory of Open Access Journals (Sweden)

    Giovani A.

    2014-06-01

    Full Text Available We report a case of complex large middle cerebral artery (MCA bifurcation aneurysm that ruptured during dissection from the very adherent MCA branches but was successfully clipped and the MCA bifurcation reconstructed using 4 Yasargill clips. Through a right pterional craniotomy the sylvian fissure was largely opened as to allow enough workspace for clipping the aneurysm and placing a temporary clip on M1. The pacient recovered very well after surgery and was discharged after 1 week with no neurological deficit. Complex MCA bifurcation aneurysms can be safely reconstructed using regular clips, without the need of using fenestrated clips or complex by-pass procedures.

  11. Complexity explained

    CERN Document Server

    Erdi, Peter

    2008-01-01

    This book explains why complex systems research is important in understanding the structure, function and dynamics of complex natural and social phenomena. Readers will learn the basic concepts and methods of complex system research.

  12. A Novel Technique of Preserving Internal Mammary Artery Perforators in Nipple Sparing Breast Reconstruction

    Science.gov (United States)

    Swistel, Alexander; Small, Kevin; Dent, Briar; Cohen, Oriana; Devgan, Lara

    2014-01-01

    Summary: As nipple-sparing mastectomy with implant-based reconstruction has increased, attention must be paid to the viability of the nipple-areolar complex. This article describes the use of preoperative Doppler ultrasound to identify the internal mammary artery perforators. Preserving the internal mammary artery improves vascular supply to the nipple-areolar complex. PMID:25426381

  13. A Novel Technique of Preserving Internal Mammary Artery Perforators in Nipple Sparing Breast Reconstruction

    Directory of Open Access Journals (Sweden)

    Alexander Swistel, MD

    2014-08-01

    Full Text Available Summary: As nipple-sparing mastectomy with implant-based reconstruction has increased, attention must be paid to the viability of the nipple-areolar complex. This article describes the use of preoperative Doppler ultrasound to identify the internal mammary artery perforators. Preserving the internal mammary artery improves vascular supply to the nipple-areolar complex.

  14. Fast alternating projection methods for constrained tomographic reconstruction.

    Science.gov (United States)

    Liu, Li; Han, Yongxin; Jin, Mingwu

    2017-01-01

    The alternating projection algorithms are easy to implement and effective for large-scale complex optimization problems, such as constrained reconstruction of X-ray computed tomography (CT). A typical method is to use projection onto convex sets (POCS) for data fidelity, nonnegative constraints combined with total variation (TV) minimization (so called TV-POCS) for sparse-view CT reconstruction. However, this type of method relies on empirically selected parameters for satisfactory reconstruction and is generally slow and lack of convergence analysis. In this work, we use a convex feasibility set approach to address the problems associated with TV-POCS and propose a framework using full sequential alternating projections or POCS (FS-POCS) to find the solution in the intersection of convex constraints of bounded TV function, bounded data fidelity error and non-negativity. The rationale behind FS-POCS is that the mathematically optimal solution of the constrained objective function may not be the physically optimal solution. The breakdown of constrained reconstruction into an intersection of several feasible sets can lead to faster convergence and better quantification of reconstruction parameters in a physical meaningful way than that in an empirical way of trial-and-error. In addition, for large-scale optimization problems, first order methods are usually used. Not only is the condition for convergence of gradient-based methods derived, but also a primal-dual hybrid gradient (PDHG) method is used for fast convergence of bounded TV. The newly proposed FS-POCS is evaluated and compared with TV-POCS and another convex feasibility projection method (CPTV) using both digital phantom and pseudo-real CT data to show its superior performance on reconstruction speed, image quality and quantification.

  15. Mandibular reconstruction in adults: a review.

    NARCIS (Netherlands)

    Goh, B.T.; Lee, S.; Tideman, H.; Stoelinga, P.J.W.

    2008-01-01

    Mandibular defects may result from trauma, inflammatory disease and benign or malignant tumours. Mastication, speech and facial aesthetics are often severely compromised without reconstruction. The goal of mandibular reconstruction is to restore facial form and function, implying repair of mandibula

  16. Top reconstruction and boosted top experimental overview

    CERN Document Server

    Skinnari, Louise

    2015-01-01

    An overview of techniques used to reconstruct resolved and boosted top quarks is presented. Techniques for resolved top quark reconstruction include kinematic likelihood fitters and pseudo- top reconstruction. Many tools and methods are available for the reconstruction of boosted top quarks, such as jet grooming techniques, jet substructure variables, and dedicated top taggers. Different techniques as used by ATLAS and CMS analyses are described and the performance of different variables and top taggers are shown.

  17. 3D Reconstruction Technique for Tomographic PIV

    Institute of Scientific and Technical Information of China (English)

    姜楠; 包全; 杨绍琼

    2015-01-01

    Tomographic particle image velocimetry(Tomo-PIV) is a state-of-the-art experimental technique based on a method of optical tomography to achieve the three-dimensional(3D) reconstruction for three-dimensional three-component(3D-3C) flow velocity measurements. 3D reconstruction for Tomo-PIV is carried out herein. Meanwhile, a 3D simplified tomographic reconstruction model reduced from a 3D volume light inten-sity field with 2D projection images into a 2D Tomo-slice plane with 1D projecting lines, i.e., simplifying this 3D reconstruction into a problem of 2D Tomo-slice plane reconstruction, is applied thereafter. Two kinds of the most well-known algebraic reconstruction techniques, algebraic reconstruction technique(ART) and multiple algebraic reconstruction technique(MART), are compared as well. The principles of the two reconstruction algorithms are discussed in detail, which has been performed by a series of simulation images, yielding the corresponding recon-struction images that show different features between the ART and MART algorithm, and then their advantages and disadvantages are discussed. Further discussions are made for the standard particle image reconstruction when the background noise of the pre-initial particle image has been removed. Results show that the particle image recon-struction has been greatly improved. The MART algorithm is much better than the ART. Furthermore, the computa-tional analyses of two parameters(the particle density and the number of cameras), are performed to study their effects on the reconstruction. Lastly, the 3D volume particle field is reconstructed by using the improved algorithm based on the simplified 3D tomographic reconstruction model, which proves that the algorithm simplification is feasible and it can be applied to the reconstruction of 3D volume particle field in a Tomo-PIV system.

  18. 经腹直肌外侧切口入路重建钢板辅助后柱顺行拉力螺钉治疗复杂髋臼骨折%Surgical treatment of complex acetabular fractures through the lateral-rectus approach with the pelvic reconstructive plate and antegrade posterior-column lag screw

    Institute of Scientific and Technical Information of China (English)

    张潇; 杨晓东; 夏广; 李涛; 王华; 熊然; 樊仕才

    2015-01-01

    Objective To evaluate the clinical value of the lateral-rectus approach with the pelvic recon-structive plate and antegrade posterior -column lag screw in the treatment of complex acetabular fractures .Meth-ods Between May 2012 and Jan.2014,9 patients with complex acetabular fractures were treated with pelvic recon-structive plate and antegrade posterior-column lag screw through the lateral-rectus approach . There were 6 males and 3 females,aged 27-74 years(mean,39 years).Fractures were caused by traffic accident in 5 cases,by falling in 2 cases,and by heavy crash in 2 cases.According to Letournel classification ,there were 2 cases of transverse frac-ture,4 cases of anterior column with posterior hemi-transverse lesion fracture,and 3 cases of both-column fracture with 1 case of central dislocation of hip joint .The operation time and blood loss were statistically analyzed .The pa-tients were evaluated clinically according to Merle d'Aubigne-Postel scoring system and X ray performance based on the criteria described by Matta .Results The average time of operation was 200 minutes ( 150-255 minutes );the average blood loss was 730ml(300-1250ml);the average follow up was 15.9 months(9-30 months);the clinical results were excellent in 5 patients,good in 2 and fair in 2.The radiological results were anatomical reduction in 5 patients,satisfactory in 3 and fair in 1.All the patients were healed within 3 months and there were no complications such as infection ,avascular necrosis of the femoral head ( ANFH) ,or heterotopic ossification .Conclusion The lat-eral-rectus approach is suitable for some complex acetabular fractures ,with advantages of the adequate exposure of quadrilateral surface and insertion of the posterior column antegrade lag screw .%目的:评价经腹直肌外侧切口入路以前柱重建钢板配合后柱顺行拉力螺钉内固定治疗复杂髋臼骨折的临床疗效。方法回顾性分析自2012年5月~2014年1月本科

  19. Thermographic image reconstruction using ultrasound reconstruction from virtual waves

    CERN Document Server

    Burgholzer, Peter; Gruber, Jürgen; Mayr, Günther

    2016-01-01

    Reconstruction of subsurface features from ultrasound signals measured on the surface is widely used in medicine and non-destructive testing. In this work, we introduce a concept how to use image reconstruction methods known from ultrasonic imaging for thermographic signals, i.e. on the measured temperature evolution on a sample surface. Before using these imaging methods a virtual signal is calculated by applying a transformation to the measured temperature evolution. The virtual signal is calculated locally for every detection point and has the same initial temperature distribution as the measured signal, but is a solution of the wave equation. The introduced transformation can be used for every shape of the detection surface and in every dimension. It describes all the irreversibility of the heat diffusion, which is responsible that the spatial resolution gets worse with increasing depth. Up to now, for thermographic imaging mostly one-dimensional methods, e.g., for depth-profiling were used, which are sui...

  20. Ocular Surface Reconstruction: Recent Innovations

    Directory of Open Access Journals (Sweden)

    Madhavan HN

    2009-01-01

    Full Text Available The ocular surface is exceptionally rich in complexity and functionality. Severe ocular surface disorders/conditions, such as chemical or thermal injuries, Stevens-Johnson syndrome (SJS, ocular cicatricial pemphigoid, neurotrophic keratopathy, chronic limbitis, and severe microbial keratitis cause significant morbidities and even corneal blindness. Hypofunction may be caused by Aniridia, Neurotrophy, Endocrine, Pterygium and Chronic limbitis Approximately 6000 patients are seen in Ocular Surface Clinic every year; almost 80% have some form of dry eyes. About 125 new patients of Stevens Johnson Syndrome are seen in a year of which approximately 25% may benefit from Cultured Epithelial Transplant and 75 new patients of thermal/chemical injury in a year of which almost 80% will benefit from Stem Cell Transplantation. Of the 128 severe vernal keratoconjunctivitis which were seen in the ocular surface clinic, 10% require stem cell transplantation. Nearly 30 new cases of Ocular cicatrical pemphigoid every year are seen and they may need stem cell transplantation. In addition, several patients with persistent epithelial defects may benefit from limbal stem cell transplantation to alleviate, maintain conjunctivalization regression and corneal avascularity limbal deficiency, and restore vision. Even if granted that this statistics is for a single large ophthalmic hospital, for a large country as India with 1.1 billion populations, the number of patients requiring corneal stem cell transplantation is enormous. Stem cells in the palisades of Vogt participate in regeneration and preservation of corneal transparency and avascularity. The diminished regenerative capacity seen in LSCD is characterized by persistent epithelial defects, erosion and ulceration, conjunctivalization and neovascularization, and chronic inflammation. Standard corneal transplantation for restoration of corneal clarity and avascularity is a contraindication in the surgical management

  1. Compressive sensing reconstruction of feed-forward connectivity in pulse-coupled nonlinear networks

    Science.gov (United States)

    Barranca, Victor J.; Zhou, Douglas; Cai, David

    2016-06-01

    Utilizing the sparsity ubiquitous in real-world network connectivity, we develop a theoretical framework for efficiently reconstructing sparse feed-forward connections in a pulse-coupled nonlinear network through its output activities. Using only a small ensemble of random inputs, we solve this inverse problem through the compressive sensing theory based on a hidden linear structure intrinsic to the nonlinear network dynamics. The accuracy of the reconstruction is further verified by the fact that complex inputs can be well recovered using the reconstructed connectivity. We expect this Rapid Communication provides a new perspective for understanding the structure-function relationship as well as compressive sensing principle in nonlinear network dynamics.

  2. Compressive sensing reconstruction of feed-forward connectivity in pulse-coupled nonlinear networks.

    Science.gov (United States)

    Barranca, Victor J; Zhou, Douglas; Cai, David

    2016-06-01

    Utilizing the sparsity ubiquitous in real-world network connectivity, we develop a theoretical framework for efficiently reconstructing sparse feed-forward connections in a pulse-coupled nonlinear network through its output activities. Using only a small ensemble of random inputs, we solve this inverse problem through the compressive sensing theory based on a hidden linear structure intrinsic to the nonlinear network dynamics. The accuracy of the reconstruction is further verified by the fact that complex inputs can be well recovered using the reconstructed connectivity. We expect this Rapid Communication provides a new perspective for understanding the structure-function relationship as well as compressive sensing principle in nonlinear network dynamics.

  3. Carbon stable isotope analysis of cereal remains as a way to reconstruct water availability: preliminary results

    OpenAIRE

    Flohr, Pascal; Muldner, Gundula; Jenkins, Emma

    2011-01-01

    Reconstructing past water availability, both as rainfall and irrigation, is important to answer questions about the way society reacts to climate and its changes and the role of irrigation in the development of social complexity. Carbon stable isotope analysis of archaeobotanical remains is a potentially valuable method for reconstructing water availability. To further define the relationship between water availability and plant carbon isotope composition and to set up baseline values for the...

  4. Results of Free Flap Reconstruction After Ablative Surgery in the Head and Neck

    OpenAIRE

    Kim, Heejin; Jeong, Woo-Jin; Ahn, Soon-Hyun

    2015-01-01

    Objectives Due to the complex anatomy and function of the head and neck region, the reconstruction of ablative defects in this area is challenging. In addition, an increasing interest in improving the quality of life of patients and achieving good functional results has highlighted the importance of free flaps. The aim of this study was to summarize the results of free flap reconstruction and salvage of free flaps in a single institute, and to analyze differences in the results by the flap do...

  5. Vertex Reconstruction in ATLAS Run II

    CERN Document Server

    Zhang, Matt; The ATLAS collaboration

    2016-01-01

    Vertex reconstruction is the process of taking reconstructed tracks and using them to determine the locations of proton collisions. In this poster we present the performance of our current vertex reconstruction algorithm, and look at investigations into potential improvements from a new seed finding method.

  6. The oncological implications of immediate breast reconstruction.

    NARCIS (Netherlands)

    Knottenbelt, A.; Spauwen, P.H.M.; Wobbes, Th.

    2004-01-01

    AIMS: The timing of breast reconstruction following mastectomy has been an area of contention. The purpose of this study was to report the oncologic safety of mastectomy and immediate breast reconstruction, primarily with a tissue expander. METHODS: We offered 54 patients (58 reconstructions) an

  7. A Pipeline for Neuron Reconstruction Based on Spatial Sliding Volume Filter Seeding

    Directory of Open Access Journals (Sweden)

    Dong Sui

    2014-01-01

    Full Text Available Neuron’s shape and dendritic architecture are important for biosignal transduction in neuron networks. And the anatomy architecture reconstruction of neuron cell is one of the foremost challenges and important issues in neuroscience. Accurate reconstruction results can facilitate the subsequent neuron system simulation. With the development of confocal microscopy technology, researchers can scan neurons at submicron resolution for experiments. These make the reconstruction of complex dendritic trees become more feasible; however, it is still a tedious, time consuming, and labor intensity task. For decades, computer aided methods have been playing an important role in this task, but none of the prevalent algorithms can reconstruct full anatomy structure automatically. All of these make it essential for developing new method for reconstruction. This paper proposes a pipeline with a novel seeding method for reconstructing neuron structures from 3D microscopy images stacks. The pipeline is initialized with a set of seeds detected by sliding volume filter (SVF, and then the open curve snake is applied to the detected seeds for reconstructing the full structure of neuron cells. The experimental results demonstrate that the proposed pipeline exhibits excellent performance in terms of accuracy compared with traditional method, which is clearly a benefit for 3D neuron detection and reconstruction.

  8. “Use what God has given me”: Difference and disparity in breast reconstruction

    Science.gov (United States)

    Chavez, Jessica; Alderman, Amy; Pusic, Andrea L

    2014-01-01

    African-American women are significantly less likely to undergo postmastectomy breast reconstruction compared White women in the US. These observed differences have been interpreted as evidence of a healthcare disparity. The current study examines breast reconstruction decision-making among African-American women, locating reconstruction decisions in a context of culture, racial inequality, and biomedicalization. Semi-structured interviews were conducted with 27 African-American women who underwent mastectomy for breast cancer to add patient-centred perspectives to existing conceptualizations of racial/ethnic differences in reconstruction. Participants were socio-demographically diverse, and resided in the New York metropolitan area. Data analysis was informed by grounded theory. Spiritually and culturally-informed body ethics often guided surgery decisions. Participants expressed reservations about breast implants, preferring autologous procedures that use “what God has given.” For some, breast reconstruction restored a sense of normalcy after cancer; others challenged an imperative to reconstruct. Several participants redirected our focus on access to reconstruction toward access to alternatives, noting the low reimbursement for prostheses, or their unavailability in patients' skin tones. We suggest that a framework of “stratified biomedicalization” better addresses the complexities of race, class, and gender that inform preference, access, and recommendations for breast reconstruction, and focuses attention on access to high and lower-tech interventions. PMID:23557084

  9. TRAM flap in reconstructive operations in patients with breast cancer

    Directory of Open Access Journals (Sweden)

    A. D. Zikiryakhodzhaev

    2015-01-01

    Full Text Available The treatment of breast cancer (BC is a relevant problem. Surgery is a key treatment method for BC. The volume of its operations varies from radical mastectomies to lumpectomies and, in the areas of regional metastases, from three-level lymphadenectomy to sentinel lymph node biopsy. Objective: to assess whether a displaced TRAM flap may be used for reconstructive operations for BC. The paper presents some experience in treating 11 BC patients in whom a displaced TRAMP flap was employed for reconstruction. At this time, the displaced TRAM flap was applied for delayed reconstruction in 3 patients. The mean age of the patients was 45.5 ± 15.7 years. In 8 BC patients undergoing one-stage reconstruction with a displaced TRAM flap, the treatment schedule was as follows: surgical treatment in 1 patient, combined treatment in 2 patients, and multimodality treatment in 5. The patients received targeted therapy in 3 cases or hormone therapy in 6. A lower abdominal skin-and-fat flap on one vascular pedicle was used in all the 11 patients.Indications for using a displaced TRAM flap were determined; complications were analyzed. The percentage of complications due to the use of a displaced TRAM flap was 9.1 % in our study.To reduce the rate of complications after breast reconstruction with a displaced TRAM flap, we carefully selected patients for this choiceof a plastic component. The displaced TRAM flap is one of the variants for delayed breast reconstruction despite its duration and complexity. Corrective surgery is further used to achieve breast symmetry. Corrective operations, namely, breast liposuction and submammary fold formation, were performed in 2 patients. For full breast recovery, the nipple-areolar complex is to be formed following skin-sparing mastectomies and delayed breast reconstructions. The cosmetic effect was evaluated in 11 patients as excellent in 4 (36.4 % cases, good in 7 (63.6 %. Neither local recurrences nor distant

  10. Bucolic Complexes

    CERN Document Server

    Brešar, Bostjan; Chepoi, Victor; Gologranc, Tanja; Osajda, Damian

    2012-01-01

    In this article, we introduce and investigate bucolic complexes, a common generalization of systolic complexes and of CAT(0) cubical complexes. This class of complexes is closed under Cartesian products and amalgamations over some convex subcomplexes. We study various approaches to bucolic complexes: from graph-theoretic and topological viewpoints, as well as from the point of view of geometric group theory. Bucolic complexes can be defined as locally-finite simply connected prism complexes satisfying some local combinatorial conditions. We show that bucolic complexes are contractible, and satisfy some nonpositive-curvature-like properties. In particular, we prove a version of the Cartan-Hadamard theorem, the fixed point theorem for finite group actions, and establish some results on groups acting geometrically on such complexes. We also characterize the 1-skeletons (which we call bucolic graphs) and the 2-skeletons of bucolic complexes. In particular, we prove that bucolic graphs are precisely retracts of Ca...

  11. Model Based Iterative Reconstruction for Bright Field Electron Tomography (Postprint)

    Science.gov (United States)

    2013-02-01

    Reconstruction Technique ( SIRT ) are applied to the data. Model based iterative reconstruction (MBIR) provides a powerful framework for tomographic...the reconstruction when the typical algorithms such as Filtered Back Projection (FBP) and Simultaneous Iterative Reconstruction Technique ( SIRT ) are

  12. Iterative reconstruction of transcriptional regulatory networks: an algorithmic approach.

    Directory of Open Access Journals (Sweden)

    Christian L Barrett

    2006-05-01

    Full Text Available The number of complete, publicly available genome sequences is now greater than 200, and this number is expected to rapidly grow in the near future as metagenomic and environmental sequencing efforts escalate and the cost of sequencing drops. In order to make use of this data for understanding particular organisms and for discerning general principles about how organisms function, it will be necessary to reconstruct their various biochemical reaction networks. Principal among these will be transcriptional regulatory networks. Given the physical and logical complexity of these networks, the various sources of (often noisy data that can be utilized for their elucidation, the monetary costs involved, and the huge number of potential experiments approximately 10(12 that can be performed, experiment design algorithms will be necessary for synthesizing the various computational and experimental data to maximize the efficiency of regulatory network reconstruction. This paper presents an algorithm for experimental design to systematically and efficiently reconstruct transcriptional regulatory networks. It is meant to be applied iteratively in conjunction with an experimental laboratory component. The algorithm is presented here in the context of reconstructing transcriptional regulation for metabolism in Escherichia coli, and, through a retrospective analysis with previously performed experiments, we show that the produced experiment designs conform to how a human would design experiments. The algorithm is able to utilize probability estimates based on a wide range of computational and experimental sources to suggest experiments with the highest potential of discovering the greatest amount of new regulatory knowledge.

  13. A CUDA-based reverse gridding algorithm for MR reconstruction.

    Science.gov (United States)

    Yang, Jingzhu; Feng, Chaolu; Zhao, Dazhe

    2013-02-01

    MR raw data collected using non-Cartesian method can be transformed on Cartesian grids by traditional gridding algorithm (GA) and reconstructed by Fourier transform. However, its runtime complexity is O(K×N(2)), where resolution of raw data is N×N and size of convolution window (CW) is K. And it involves a large number of matrix calculation including modulus, addition, multiplication and convolution. Therefore, a Compute Unified Device Architecture (CUDA)-based algorithm is proposed to improve the reconstruction efficiency of PROPELLER (a globally recognized non-Cartesian sampling method). Experiment shows a write-write conflict among multiple CUDA threads. This induces an inconsistent result when synchronously convoluting multiple k-space data onto the same grid. To overcome this problem, a reverse gridding algorithm (RGA) was developed. Different from the method of generating a grid window for each trajectory as in traditional GA, RGA calculates a trajectory window for each grid. This is what "reverse" means. For each k-space point in the CW, contribution is cumulated to this grid. Although this algorithm can be easily extended to reconstruct other non-Cartesian sampled raw data, we only implement it based on PROPELLER. Experiment illustrates that this CUDA-based RGA has successfully solved the write-write conflict and its reconstruction speed is 7.5 times higher than that of traditional GA.

  14. Dimensionality Reduction of Laplacian Embedding for 3D Mesh Reconstruction

    Science.gov (United States)

    Mardhiyah, I.; Madenda, S.; Salim, R. A.; Wiryana, I. M.

    2016-06-01

    Laplacian eigenbases are the important thing that we have to process from 3D mesh information. The information of geometric 3D mesh are include vertices locations and the connectivity of graph. Due to spectral analysis, geometric 3D mesh for large and sparse graphs with thousands of vertices is not practical to compute all the eigenvalues and eigenvector. Because of that, in this paper we discuss how to build 3D mesh reconstruction by reducing dimensionality on null eigenvalue but retain the corresponding eigenvector of Laplacian Embedding to simplify mesh processing. The result of reducing information should have to retained the connectivity of graph. The advantages of dimensionality reduction is for computational eficiency and problem simplification. Laplacian eigenbases is the point of dimensionality reduction for 3D mesh reconstruction. In this paper, we show how to reconstruct geometric 3D mesh after approximation step of 3D mesh by dimensionality reduction. Dimensionality reduction shown by Laplacian Embedding matrix. Furthermore, the effectiveness of 3D mesh reconstruction method will evaluated by geometric error, differential error, and final error. Numerical approximation error of our result are small and low complexity of computational.

  15. Reconstruction of moving acoustic sources in heterogeneous elastic solid

    Science.gov (United States)

    Lloyd, Stephen F.; Jeong, Chanseok

    2016-04-01

    A novel computational framework for reconstructing spatial and temporal profiles of moving acoustic sources from wave responses measured at sparsely distributes sensors is introduced in this paper. This method can be applied to a broad range of acoustic-source inversion (ASI) problems for heterogeneous, complex-shaped coupled dynamic systems. The finite element method (FEM) is used to obtain wave response solutions due guessed moving sources. An adjoint-gradient based optimization technique iteratively improves the guesses so that the guessed moving sources converge on the actual moving sources. To reconstruct acoustic source profiles without a-priori knowledge of sources, we will employ high-resolution discretization of source functions in space and time. Because of such dense discretization, the order of magnitude of number of inversion parameters could range from millions to billions. Numerical experiments prove the robustness of this method by reconstructing spatial and temporal profiles of multiple dynamic moving body forces in a one-dimensional heterogeneous solid bar. The sources create stress waves propagating through the bar. The guessed source functions are spatially discretized by using linear shape functions with an element size of 1m at discrete times with a time step of 0.001s. Thus, the total number of control parameters in this example is 100,000 (i.e., 100 (in space) by 1000 (in time)). The convergence toward the target in the numerical examples is excellent, reconstructing the spatial and temporal footprints of the sources.

  16. [Perineal reconstruction: Salvage surgery with 2flaps technique].

    Science.gov (United States)

    Jiménez Gómez, Marta; Navarro-Sánchez, Antonio; Lima Sánchez, Jaime; Hernández Hernández, Juan Ramón

    2017-03-06

    The principles of perineal reconstructive surgery comprise adequate filling of the defect along with stable and durable skin coverage, with a low morbidity rate. Two-flap perineal reconstruction is a simple, fast and reliable technique that uses a single donor site. This improves scar position with low morbidity. It is based in the use of 2flaps; one flap fills the defect with a «turn over» technique and the other is a rotation - advancement flap for skin coverage. A 52-year-old male diagnosed with Lynch syndrome who underwent laparoscopic abdominoperineal amputation for adenocarcinoma of the lower rectum and developed recurrence 2years later over the perineal scar that required radical resection and perineal reconstruction. The use of this approach facilitates perineal reconstruction and enables treatment of patients with large and complex defects in frequently irradiated tissues where wound dehiscence and infection are common. Copyright © 2017 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

  17. Automatic Indoor Building Reconstruction from Mobile Laser Scanning Data

    Science.gov (United States)

    Xie, L.; Wang, R.

    2017-09-01

    Indoor reconstruction from point clouds is a hot topic in photogrammetry, computer vision and computer graphics. Reconstructing indoor scene from point clouds is challenging due to complex room floorplan and line-of-sight occlusions. Most of existing methods deal with stationary terrestrial laser scanning point clouds or RGB-D point clouds. In this paper, we propose an automatic method for reconstructing indoor 3D building models from mobile laser scanning point clouds. The method includes 2D floorplan generation, 3D building modeling, door detection and room segmentation. The main idea behind our approach is to separate wall structure into two different types as the inner wall and the outer wall based on the observation of point distribution. Then we utilize a graph cut based optimization method to solve the labeling problem and generate the 2D floorplan based on the optimization result. Subsequently, we leverage an ?-shape based method to detect the doors on the 2D projected point clouds and utilize the floorplan to segment the individual room. The experiments show that this door detection method can achieve a recognition rate at 97% and the room segmentation method can attain the correct segmentation results. We also evaluate the reconstruction accuracy on the synthetic data, which indicates the accuracy of our method is comparable to the state-of-the art.

  18. The use of free flaps in skull base reconstruction.

    Science.gov (United States)

    Macía, G; Picón, M; Nuñez, J; Almeida, F; Alvarez, I; Acero, J

    2016-02-01

    Skull base tumours are rare, comprising less than 1% of all tumours of the head and neck. Surgical treatment of these tumours involves the approach, the resection, and the reconstruction of the defect, which present a challenge due to the technical difficulty and anatomical complexity. A retrospective study of 17 patients with tumours involving the skull base, treated by resection and immediate reconstruction using microsurgical free flaps, is presented; 11 were men and six were women. The following types of flap were used: osteocutaneous fibula flaps, fasciocutaneous anterolateral thigh flaps, and myocutaneous latissimus dorsi flaps. The most common histology of the tumours was squamous cell carcinoma. The most frequent point of origin was the paranasal sinuses (58.8%). All of the free flaps used for reconstruction were viable. A cerebrospinal fluid fistula occurred in two patients, and in one of these cases, meningoencephalitis led to death. In conclusion, the reconstruction of large defects of the skull base after ablation requires a viable tissue that in many cases can be obtained only through the use of microvascular free flaps. The type of flap to be selected depends on the anatomical structures and size of the defect to be restored.

  19. Network reconstruction via density sampling

    CERN Document Server

    Squartini, Tiziano; Gabrielli, Andrea; Garlaschelli, Diego

    2016-01-01

    Reconstructing weighted networks from partial information is necessary in many important circumstances, e.g. for a correct estimation of systemic risk. It has been shown that, in order to achieve an accurate reconstruction, it is crucial to reliably replicate the empirical degree sequence, which is however unknown in many realistic situations. More recently, it has been found that the knowledge of the degree sequence can be replaced by the knowledge of the strength sequence, which is typically accessible, complemented by that of the total number of links, thus considerably relaxing the observational requirements. Here we further relax these requirements and devise a procedure valid when even the the total number of links is unavailable. We assume that, apart from the heterogeneity induced by the degree sequence itself, the network is homogeneous, so that its link density can be estimated by sampling subsets of nodes with representative density. We show that the best way of sampling nodes is the random selecti...

  20. Reconstruction of complete interval tournaments

    CERN Document Server

    Iványi, Antal

    2010-01-01

    Let $a, b$ and $n$ be nonnegative integers $(b \\geq a, \\ b > 0, \\ n \\geq 1)$, $\\mathcal{G}_n(a,b)$ be a multigraph on $n$ vertices in which any pair of vertices is connected with at least $a$ and at most $b$ edges and \\textbf{v =} $(v_1, v_2, ..., v_n)$ be a vector containing $n$ nonnegative integers. We give a necessary and sufficient condition for the existence of such orientation of the edges of $\\mathcal{G}_n(a,b)$, that the resulted out-degree vector equals to \\textbf{v}. We describe a reconstruction algorithm. In worst case checking of \\textbf{v} requires $\\Theta(n)$ time and the reconstruction algorithm works in $O(bn^3)$ time. Theorems of H. G. Landau (1953) and J. W. Moon (1963) on the score sequences of tournaments are special cases $b = a = 1$ resp. $b = a \\geq 1$ of our result.

  1. X-Ray Tomographic Reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    Bonnie Schmittberger

    2010-08-25

    Tomographic scans have revolutionized imaging techniques used in medical and biological research by resolving individual sample slices instead of several superimposed images that are obtained from regular x-ray scans. X-Ray fluorescence computed tomography, a more specific tomography technique, bombards the sample with synchrotron x-rays and detects the fluorescent photons emitted from the sample. However, since x-rays are attenuated as they pass through the sample, tomographic scans often produce images with erroneous low densities in areas where the x-rays have already passed through most of the sample. To correct for this and correctly reconstruct the data in order to obtain the most accurate images, a program employing iterative methods based on the inverse Radon transform was written. Applying this reconstruction method to a tomographic image recovered some of the lost densities, providing a more accurate image from which element concentrations and internal structure can be determined.

  2. Blind reconstruction of linear scrambler

    Institute of Scientific and Technical Information of China (English)

    Hui Xie; Fenghua Wang; Zhitao Huang

    2014-01-01

    An algorithm based on eigenanalysis technique and Walsh-Hadamard transform (WHT) is proposed. The algorithm contains two steps. Firstly, the received sequence is divided into temporal windows, and a covariance matrix is computed. The li-near feedback shift register (LFSR) sequence is reconstructed from the first eigenvector of this matrix. Secondly, equations ac-cording to the recovered LFSR sequence are constructed, and the Walsh spectrum corresponding to the equations is computed. The feedback polynomial of LFSR is estimated from the Walsh spec-trum. The validity of the algorithm is verified by the simulation result. Final y, case studies are presented to il ustrate the perfor-mance of the blind reconstruction method.

  3. Bayes reconstruction of missing teeth

    DEFF Research Database (Denmark)

    Sporring, Jon; Jensen, Katrine Hommelhoff

    2008-01-01

     We propose a method for restoring the surface of tooth crowns in a 3D model of a human denture, so that the pose and anatomical features of the tooth will work well for chewing. This is achieved by including information about the position and anatomy of the other teeth in the mouth. Our system...... contains two major parts: A statistical model of a selection of tooth shapes and a reconstruction of missing data. We use a training set consisting of 3D scans of dental cast models obtained with a laser scanner, and we have build a model of the shape variability of the teeth, their neighbors...... regularization of the log-likelihood estimate based on differential geometrical properties of teeth surfaces, and we show general conditions under which this may be considered a Bayes prior.Finally we use Bayes method to propose the reconstruction of missing data, for e.g. finding the most probable shape...

  4. Characterization of Midface Fractures Incurred in Recent Wars

    Science.gov (United States)

    2012-11-01

    devices ORIGINAL ARTICLE The Journal of Craniofacial Surgery & Volume 23, Number 6, November 2012 1587 What Is This Box? A QR Code is a matrix barcode ...readable by QR scanners , mobile phones with cameras, and smartphones. The QR Code links to the online version of the article. From the *Brooke Army

  5. Bayes reconstruction of missing teeth

    DEFF Research Database (Denmark)

    Sporring, Jon; Jensen, Katrine Hommelhoff

    2008-01-01

     We propose a method for restoring the surface of tooth crowns in a 3D model of a human denture, so that the pose and anatomical features of the tooth will work well for chewing. This is achieved by including information about the position and anatomy of the other teeth in the mouth. Our system...... of a missing tooth based on the best match with our shape model on the known data, and we superior improved reconstructions of our full system....

  6. Hanford Environmental Dose Reconstruction Project

    Energy Technology Data Exchange (ETDEWEB)

    Finch, S.M.; McMakin, A.H. (comps.)

    1992-02-01

    The objective of the Hanford Environmental Dose Reconstruction Project is to estimate the radiation doses that individuals and populations could have received from nuclear operations at Hanford since 1944. The project is divided into the following technical tasks. These tasks correspond to the path radionuclides followed, from release to impact on humans (dose estimates): source terms; environmental transport; environmental monitoring data; demography, food consumption, and agriculture; environmental pathways and dose estimates.

  7. Modern methods of image reconstruction.

    Science.gov (United States)

    Puetter, R. C.

    The author reviews the image restoration or reconstruction problem in its general setting. He first discusses linear methods for solving the problem of image deconvolution, i.e. the case in which the data are a convolution of a point-spread function and an underlying unblurred image. Next, non-linear methods are introduced in the context of Bayesian estimation, including maximum likelihood and maximum entropy methods. Then, the author discusses the role of language and information theory concepts for data compression and solving the inverse problem. The concept of algorithmic information content (AIC) is introduced and is shown to be crucial to achieving optimal data compression and optimized Bayesian priors for image reconstruction. The dependence of the AIC on the selection of language then suggests how efficient coordinate systems for the inverse problem may be selected. The author also introduced pixon-based image restoration and reconstruction methods. The relation between image AIC and the Bayesian incarnation of Occam's Razor is discussed, as well as the relation of multiresolution pixon languages and image fractal dimension. Also discussed is the relation of pixons to the role played by the Heisenberg uncertainty principle in statistical physics and how pixon-based image reconstruction provides a natural extension to the Akaike information criterion for maximum likelihood. The author presents practical applications of pixon-based Bayesian estimation to the restoration of astronomical images. He discusses the effects of noise, effects of finite sampling on resolution, and special problems associated with spatially correlated noise introduced by mosaicing. Comparisons to other methods demonstrate the significant improvements afforded by pixon-based methods and illustrate the science that such performance improvements allow.

  8. Which Reconstruction Results are Significant?

    Science.gov (United States)

    1980-05-01

    other significant result is due to Tutte [17]. Tutte’s Theorem: The characteristic polynomial of a graph can be reconstructed. Equivalently, two...hypomorphic graphs must have the same characteristic polynomial . Several points should be noted concerning this theorem: 1. The derivative of the...characteristic polynomial is the sum of the char- acteristic polynomials of the vertex-deleted subgraphs. Thus the characteristic polynomials of hypomorphic

  9. A Reduction of the Graph Reconstruction Conjecture

    Directory of Open Access Journals (Sweden)

    Monikandan S.

    2014-08-01

    Full Text Available A graph is said to be reconstructible if it is determined up to isomor- phism from the collection of all its one-vertex deleted unlabeled subgraphs. Reconstruction Conjecture (RC asserts that all graphs on at least three vertices are reconstructible. In this paper, we prove that interval-regular graphs and some new classes of graphs are reconstructible and show that RC is true if and only if all non-geodetic and non-interval-regular blocks G with diam(G = 2 or diam(Ḡ = diam(G = 3 are reconstructible

  10. Reconstruction of topology and geometry from digitisations

    DEFF Research Database (Denmark)

    2016-01-01

    . The first problem, the reconstruction of topology in dimension three, is approached using combinatorics of voxel reconstructions in combination with differential topology results. An improved digital re-construction based on binary images of objects with sufficiently smooth boundary is proposed. It is shown...... that this reconstruction is ambient isotopic to the underlying object provided the resolution of the digitisation be sufficiently high and under certain assumptions on the classical voxel reconstruction. The exact lower bound on the resolution, related to the curvature of the boundary of the object, is given...

  11. Reconstructing propagation networks with temporal similarity metrics

    CERN Document Server

    Liao, Hao

    2014-01-01

    Node similarity is a significant property driving the growth of real networks. In this paper, based on the observed spreading results we apply the node similarity metrics to reconstruct propagation networks. We find that the reconstruction accuracy of the similarity metrics is strongly influenced by the infection rate of the spreading process. Moreover, there is a range of infection rate in which the reconstruction accuracy of some similarity metrics drops to nearly zero. In order to improve the similarity-based reconstruction method, we finally propose a temporal similarity metric to take into account the time information of the spreading. The reconstruction results are remarkably improved with the new method.

  12. 局部修复和(或)异体肌腱重建治疗急性膝关节后外侧复合结构损伤%Local suture repair and(or)allograft tendon reconstruction for acute posterolateral complex injuries of the knee joint

    Institute of Scientific and Technical Information of China (English)

    高石军; 李彤; 陆博; 邵德成; 陈竞青; 王建朝

    2011-01-01

    Objective To evaluate the surgical treatment of the acute posterolateral complex(PLC)injuries of knee joint and then observe the clinical outcome.Methods Twelve cases(12 knees)of acute PLC injuries were treated from May 2006 to October 2008.Patients' age ranged from 23 to 47 years old,average 31 years.There were 9 males and 3 females.Rebuild the anterior cruciate ligament(ACL)and posterior cruciate ligament(PCL)under arthroscope and then,locally suture the PLC injuries sites on those patients with PLC avulsion fraction.If there is PLC rupture,then locally suture the injury sites plus PLC reconstruction.Knee functions were evaluated by IKDC and Lysholm score.Results All patients were followed up for 12-18 months(mean,13.3 months).The preoperative range of motion was 118.00°±6.77°,which was 130.75°±3.05° after surgery.KT-1000 arthrometer measurement showed that the average posterior translation improved from(14.85+1.83)mm preoperatively to(4.18±1.88)mm postoperatively.Seven cases were normal(A grade),3 cases were nearly normal(B grade),1 abnormal(C grade),and 1 severely abnormal(D grade)according to IKDC standard.The preoperative Lysholm joint function score was 35-44,average 38.83 ±3.16,which was 79-91,average 84.92±3.73 after surgery.Conclusion To those acute PLC injuries with avulsion at the ligament extremities,locally suture should be taken.But for those with PLC rupture at the mid part of ligament,locally suture the injury sites plus PLC reconstruction helps get satisfactory outcome.%目的 探讨采用局部修复和(或)异体肌腱重建治疗急性膝关节后外侧复合结构(posterolateral complex,PLC)损伤的方法及疗效.方法 2006年5月至2008年10月,收治急性PLC损伤患者12例,男9例,女3例;年龄23~47岁,平均31岁;合并后十字韧带损伤9例,合并前、后十字韧带同时损伤3例.首先在关节镜下采用异体肌腱解剖重建前、后十字韧带,然后对于PLC两端附着点撕脱损伤的患者采用铆钉

  13. Photogrammetric Reconstruction with Bayesian Information

    Science.gov (United States)

    Masiero, A.; Fissore, F.; Guarnieri, A.; Pirotti, F.; Vettore, A.

    2016-06-01

    Nowadays photogrammetry and laser scanning methods are the most wide spread surveying techniques. Laser scanning methods usually allow to obtain more accurate results with respect to photogrammetry, but their use have some issues, e.g. related to the high cost of the instrumentation and the typical need of high qualified personnel to acquire experimental data on the field. Differently, photogrammetric reconstruction can be achieved by means of low cost devices and by persons without specific training. Furthermore, the recent diffusion of smart devices (e.g. smartphones) embedded with imaging and positioning sensors (i.e. standard camera, GNSS receiver, inertial measurement unit) is opening the possibility of integrating more information in the photogrammetric reconstruction procedure, in order to increase its computational efficiency, its robustness and accuracy. In accordance with the above observations, this paper examines and validates new possibilities for the integration of information provided by the inertial measurement unit (IMU) into the photogrammetric reconstruction procedure, and, to be more specific, into the procedure for solving the feature matching and the bundle adjustment problems.

  14. Network reconstruction via graph blending

    Science.gov (United States)

    Estrada, Rolando

    2016-05-01

    Graphs estimated from empirical data are often noisy and incomplete due to the difficulty of faithfully observing all the components (nodes and edges) of the true graph. This problem is particularly acute for large networks where the number of components may far exceed available surveillance capabilities. Errors in the observed graph can render subsequent analyses invalid, so it is vital to develop robust methods that can minimize these observational errors. Errors in the observed graph may include missing and spurious components, as well fused (multiple nodes are merged into one) and split (a single node is misinterpreted as many) nodes. Traditional graph reconstruction methods are only able to identify missing or spurious components (primarily edges, and to a lesser degree nodes), so we developed a novel graph blending framework that allows us to cast the full estimation problem as a simple edge addition/deletion problem. Armed with this framework, we systematically investigate the viability of various topological graph features, such as the degree distribution or the clustering coefficients, and existing graph reconstruction methods for tackling the full estimation problem. Our experimental results suggest that incorporating any topological feature as a source of information actually hinders reconstruction accuracy. We provide a theoretical analysis of this phenomenon and suggest several avenues for improving this estimation problem.

  15. Femoral Reconstruction Using External Fixation

    Directory of Open Access Journals (Sweden)

    Yevgeniy Palatnik

    2011-01-01

    Full Text Available Background. The use of an external fixator for the purpose of distraction osteogenesis has been applied to a wide range of orthopedic problems caused by such diverse etiologies as congenital disease, metabolic conditions, infections, traumatic injuries, and congenital short stature. The purpose of this study was to analyze our experience of utilizing this method in patients undergoing a variety of orthopedic procedures of the femur. Methods. We retrospectively reviewed our experience of using external fixation for femoral reconstruction. Three subgroups were defined based on the primary reconstruction goal lengthening, deformity correction, and repair of nonunion/bone defect. Factors such as leg length discrepancy (LLD, limb alignment, and external fixation time and complications were evaluated for the entire group and the 3 subgroups. Results. There was substantial improvement in the overall LLD, femoral length discrepancy, and limb alignment as measured by mechanical axis deviation (MAD and lateral distal femoral angle (LDFA for the entire group as well as the subgroups. Conclusions. The Ilizarov external fixator allows for decreased surgical exposure and preservation of blood supply to bone, avoidance of bone grafting and internal fixation, and simultaneous lengthening and deformity correction, making it a very useful technique for femoral reconstruction.

  16. Mandibular Reconstruction, State of the Art

    Directory of Open Access Journals (Sweden)

    Julio ACERO

    2011-08-01

    Full Text Available SUMMARY: Mandibular bone loss can result in severe aesthetic and functional consequences for the patient, posing a challenge to the reconstructive maxillo-facial surgeon. Advent of microvascular surgery revolutionized mandible reconstruction introducing the possibility to transfer vascularized bone and soft tissues with high success rate. Major donor sites are the fibula, iliac crest and scapula. Planning of the reconstruction and advantages and disadvantages of the different reconstructive methods are discussed. The iliac crest provides an excellent bone for mandibular reconstruction but has some limits concerning length and versatility of soft tissues. The fibula permits the repair of large mandibular defects due to its length while the scapular osteocutaneous flap allows for the reconstruction of limited bone defects associated with large soft tissue defects. Nonvascularized reconstructive methods are associated with higher failure rates but can be considered in selected cases.

  17. Localized and efficient cardiac CT reconstruction

    Science.gov (United States)

    Clark, D. P.; Badea, C. T.

    2017-03-01

    The superiority of iterative reconstruction techniques over classic analytical ones is well documented in a variety of CT imaging applications where radiation dose and sampling time are limiting factors. However, by definition, the iterative nature of advanced reconstruction techniques is accompanied by a substantial increase in data processing time. This problem is further exacerbated in temporal and spectral CT reconstruction problems where the gap between the amount of data acquired and the amount of data to be reconstructed is exaggerated within the framework of compressive sensing. Two keys to overcoming this barrier include (1) advancements in parallel-computing technology and (2) advancements in data-efficient reconstruction. In this work, we propose a novel, two-stage strategy for 4D cardiac CT reconstruction which leverages these two keys by (1) exploiting GPU computing hardware and by (2) reconstructing temporal contrast on a limited spatial domain. Following a review of the proposed algorithm, we demonstrate its application in retrospectively gated cardiac CT reconstruction using the 4D MOBY mouse phantom. Quantitatively, reconstructing the temporal contrast on a limited domain reduces the overall reconstruction error by 20% and the reconstruction error within the dynamic portion of the phantom by 15% (root-mean-square error metric). A complementary in vivo mouse experiment demonstrates a suitable reconstruction fidelity to allow the measurement of cardiac functional metrics while reducing computation time by 75% relative to direct reconstruction of ten phases of the cardiac cycle. We believe that the proposed algorithm will serve as the basis for novel, data-efficient, multi-dimensional CT reconstruction techniques.

  18. Improvement of tomographic reconstruction in bone SPECT

    Energy Technology Data Exchange (ETDEWEB)

    Schuenemann, M.; Sahlmann, C.O.; Siefker, U.; Luig, H.; Meller, J. [Abteilungen fuer Nuklearmedizin, Georg-August-Univ. Goettingen (Germany); Heidrich, G. [Abteilungen fuer Diagnostische Radiologie, Georg-August-Univ., Goettingen (Germany); Werner, C.; Brunner, E. [Abteilungen fuer Medizinische Statistik, Georg-August-Univ., Goettingen (Germany)

    2006-07-01

    Aim: the comparison between iterative reconstruction and filtered backprojection in the reconstruction of bone SPECT in the diagnosis of skeletal metastases. Patients, methods: 47 consecutive patients (vertebral segments: n = 435), with suspected malignancy of the vertebral column, were examined by bone scintigraphy and MRI (maximal interval between the two procedures {+-} 5 weeks). The SPECT-data were reconstructed with an iterative algorithm (ISA) and with filtered backprojection. We defined semiquantitative criteria in order to assess the quality of the tomograms. Conventional reconstruction was performed both by a Wiener-filter and a low-pass-filter. Iterative reconstruction was performed by the ISA algorithm. The clinical evaluation of the different reconstruction algorithms was performed by MRI as the gold-standard. Results: sensitivity (%): 87.3 (ISA), 86.4 (low-pass), 79.7 (Wiener); specificity (%): 95.3 (ISA), 95 (low-pass), 85.4 (Wiener). The sensitivity of iterative reconstructed SPECT and low-pass reconstructed SPECT was significantly higher (p < 0.05) compared with the sensitivity of SPECT reconstructed by the Wiener-filter. The specificity of iterative reconstruction ISA and low-pass-filter reconstructed SPECT were significantly higher compared with the SPECT data reconstructed by the Wiener-filter. ISA was significantly superior to the Wiener-SPECT relating to all criteria of quality. Iterative reconstruction was significantly superior to the low-pass-SPECT relating to 2 of 3 criteria. In addition the Wiener-SPECT was significantly inferior to the low-pass-SPECT regarding to 2 of 3 criteria. Conclusion: in our series the iterative algorithm ISA was the method of choice in the reconstruction of bone SPECT data. In comparison with conventional algorithms ISA offers a significantly higher quality of the tomograms and yields a high diagnostic accuracy. (orig.)

  19. Breast reconstruction following amputation for cancer

    Directory of Open Access Journals (Sweden)

    Višnjić Milan

    2009-01-01

    Full Text Available Background/Aim. Today, breast reconstruction is a widely accepted method in the treatment of breast cancer after modified radical mastectomy. Reconstruction methods are associated with an acceptable number of complications and reconstruction favorably impacts quality of life. The aim of the study was to present our experience in breast reconstruction. Methods. We presented here a four-year experience with 84 patients with breast reconstruction after modified radical mastectomy. Results. Implant reconstructions were most common, 44 (52.3%, with primary reconstruction in 31(70.4% and secondary in 13 (29.5% women. Lattisimus dorsi flap (LDF and implant were utilized in 32 (38% of the patients, with primary reconstruction in 24 (75% and secondary in 8 (25% women. Transversal rectus abdominis myocutaneous (TRAM flap was rarely used - just in 8 (9.5% patients and only for secondary breast reconstruction. Postoperatively, some early complications such as hematoma, seroma, infections and partial flap necrosis were observed in 10 (11.9% patients. Late complications, such as implant rejection, hypertrophic scarring and hernias at the flap elevation site, were noted in 10 (11.9% cases. Implant loss occurred in 5 (5.9% cases. All the complications were successfully managed, and patients rated their reconstruction as follows: excellent, 49 (59% cases; very good, 20 (24%, and good, 14 (16.8%. In one case, disease progression was observed 6 months after the primary breast reconstruction. Conclusion. Breast reconstruction is an acceptable method in the treatment of breast cancer in patients in the need for or with already performed mastectomy. The choice of reconstruction approach depends on the breast volume, patient's wish and experience of surgical team. Our results suggest the advantage of breast reconstruction with LDF with implant, since the technique is safe, complications relatively rare and easily manageable, and the results are excellent or very good

  20. Accurate stochastic reconstruction of heterogeneous microstructures by limited x-ray tomographic projections.

    Science.gov (United States)

    Li, Hechao; Kaira, Shashank; Mertens, James; Chawla, Nikhilesh; Jiao, Yang

    2016-12-01

    An accurate knowledge of the complex microstructure of a heterogeneous material is crucial for its performance prediction, prognosis and optimization. X-ray tomography has provided a nondestructive means for microstructure characterization in 3D and 4D (i.e. structural evolution over time), in which a material is typically reconstructed from a large number of tomographic projections using filtered-back-projection (FBP) method or algebraic reconstruction techniques (ART). Here, we present in detail a stochastic optimization procedure that enables one to accurately reconstruct material microstructure from a small number of absorption contrast x-ray tomographic projections. This discrete tomography reconstruction procedure is in contrast to the commonly used FBP and ART, which usually requires thousands of projections for accurate microstructure rendition. The utility of our stochastic procedure is first demonstrated by reconstructing a wide class of two-phase heterogeneous materials including sandstone and hard-particle packing from simulated limited-angle projections in both cone-beam and parallel beam projection geometry. It is then applied to reconstruct tailored Sn-sphere-clay-matrix systems from limited-angle cone-beam data obtained via a lab-scale tomography facility at Arizona State University and parallel-beam synchrotron data obtained at Advanced Photon Source, Argonne National Laboratory. In addition, we examine the information content of tomography data by successively incorporating larger number of projections and quantifying the accuracy of the reconstructions. We show that only a small number of projections (e.g. 20-40, depending on the complexity of the microstructure of interest and desired resolution) are necessary for accurate material reconstructions via our stochastic procedure, which indicates its high efficiency in using limited structural information. The ramifications of the stochastic reconstruction procedure in 4D materials science are also

  1. Reconstruction of High Resolution 3D Objects from Incomplete Images and 3D Information

    Directory of Open Access Journals (Sweden)

    Alexander Pacheco

    2014-05-01

    Full Text Available To this day, digital object reconstruction is a quite complex area that requires many techniques and novel approaches, in which high-resolution 3D objects present one of the biggest challenges. There are mainly two different methods that can be used to reconstruct high resolution objects and images: passive methods and active methods. This methods depend on the type of information available as input for modeling 3D objects. The passive methods use information contained in the images and the active methods make use of controlled light sources, such as lasers. The reconstruction of 3D objects is quite complex and there is no unique solution- The use of specific methodologies for the reconstruction of certain objects it’s also very common, such as human faces, molecular structures, etc. This paper proposes a novel hybrid methodology, composed by 10 phases that combine active and passive methods, using images and a laser in order to supplement the missing information and obtain better results in the 3D object reconstruction. Finally, the proposed methodology proved its efficiency in two complex topological complex objects.

  2. An adaptive signal compression system with pre-specified reconstruction quality and compression rate.

    Science.gov (United States)

    Tümer, M Borahan; Demir, Mert C

    2006-02-01

    Two essential properties of a signal compression method are the compression rate and the distance between the original signal and the reconstruction from the compressed signal. These two properties are used to assess the performance and quality of the method. In a recent work [B. Tümer, B. Demiröz, Lecture Notes in Computer Science-Computer and Information Sciences, volume 2869, chapter Signal Compression Using Growing Cell Structures: A Transformational Approach, Springer Verlag, 2003, pp. 952-959], an adaptive signal compression system (ACS) is presented which defines the performance of the system as a function of the system complexity, system sensitivity and data size. For a compression method, it is desirable to formulate the performance of the system as a function of the system complexity and sensitivity to optimize the performance of the system. It would be further desirable to express the reconstruction quality in terms of the same system parameters so as to know up front what compression rate to end up with for a specific reconstruction quality. In this work, we modify ACS such that the modified ACS (MACS) estimates the reconstruction quality for a given system complexity and sensitivity. Once this relation is identified it is possible to optimize either compression rate or reconstruction quality with respect to system sensitivity and system complexity while limiting the other one.

  3. Maxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels.

    LENUS (Irish Health Repository)

    Dolderer, Jürgen H

    2010-09-01

    Mandibular and maxillary resections can produce complex three-dimensional defects requiring skeletal, soft tissue, and epithelial reconstruction. The subscapular vascular axis offers a source of skin, bone, and muscle on a single pedicle for microvascular flap transfer. We reviewed four cases where the subscapular vascular pedicle was used as a source of tissue for complex facial reconstructions in maxillofacial defects. Reconstruction of these complex defects was performed with a latissimus dorsi muscle or myocutaneous flap in combination with the lateral border of the scapula, harvested on the angular branch of the thoracodorsal vessels. There were three cases of maxillectomy and one case of partial mandibulectomy for malignant tumors. In each case, the angular branch of the thoracodorsal artery supplied 6 to 8 cm of the lateral border of the scapula and a latissimus dorsi myocutaneous flap was used for soft tissue reconstruction. Follow-up ranged from 9 months to 3 years and in all cases there was successful bony union. Shoulder movement was normal. This series encourages the further use of subscapular axis flaps as flexible sources of combined myocutaneous and osseous flaps on a single vascular pedicle in cases of complex maxillofacial reconstruction.

  4. Multiple sparse volumetric priors for distributed EEG source reconstruction.

    Science.gov (United States)

    Strobbe, Gregor; van Mierlo, Pieter; De Vos, Maarten; Mijović, Bogdan; Hallez, Hans; Van Huffel, Sabine; López, José David; Vandenberghe, Stefaan

    2014-10-15

    We revisit the multiple sparse priors (MSP) algorithm implemented in the statistical parametric mapping software (SPM) for distributed EEG source reconstruction (Friston et al., 2008). In the present implementation, multiple cortical patches are introduced as source priors based on a dipole source space restricted to a cortical surface mesh. In this note, we present a technique to construct volumetric cortical regions to introduce as source priors by restricting the dipole source space to a segmented gray matter layer and using a region growing approach. This extension allows to reconstruct brain structures besides the cortical surface and facilitates the use of more realistic volumetric head models including more layers, such as cerebrospinal fluid (CSF), compared to the standard 3-layered scalp-skull-brain head models. We illustrated the technique with ERP data and anatomical MR images in 12 subjects. Based on the segmented gray matter for each of the subjects, cortical regions were created and introduced as source priors for MSP-inversion assuming two types of head models. The standard 3-layered scalp-skull-brain head models and extended 4-layered head models including CSF. We compared these models with the current implementation by assessing the free energy corresponding with each of the reconstructions using Bayesian model selection for group studies. Strong evidence was found in favor of the volumetric MSP approach compared to the MSP approach based on cortical patches for both types of head models. Overall, the strongest evidence was found in favor of the volumetric MSP reconstructions based on the extended head models including CSF. These results were verified by comparing the reconstructed activity. The use of volumetric cortical regions as source priors is a useful complement to the present implementation as it allows to introduce more complex head models and volumetric source priors in future studies.

  5. 3D Reconstruction of Extensive Air Showers from Fluorescence Data

    CERN Document Server

    Andringa, S; Pimenta, M

    2007-01-01

    A new method to reconstruct the 3-dimensional structure of extensive air showers, seen by fluorescence detectors, is proposed. The observation of the shower is done in 2-dimensional pixels, for consecutive time bins. Time corresponds to a third dimension. Assuming that the cosmic ray shower propagates as a plane wave front moving at the speed of light, a complex 3D volume in space can be associated to each measured charge (per pixel and time bin). The 3D description in space allows a simultaneous access to the longitudinal and lateral profiles of each shower. In the case that several eyes observe the same shower, the method gives a straight-forward combination of all the information. This method is in an early phase of development and is not used for the general reconstruction of the Auger data.

  6. Object Oriented Reconstruction and Particle Identification in the ATLAS Calorimeter

    Institute of Scientific and Technical Information of China (English)

    B.Caron; J.Collot; 等

    2001-01-01

    The reconstruction and subsequent particle identification is a challenge in a complex and a high luminosity environment such as those expected in the ATLAS detector at the LHC.The ATLAS software has chosen the object oriented paradigm and has recently migrated much of its software components developed earlier using procedural programming languages.The new software,which emphasizes on the separation between algorthms and data objects,has been successfully integrated in the broader ATLAS framework.We will present a status report of the reconstruction software summarizing the experiences gained in the migration of several software components.We will examine some of the components of the calorimeter software design,which include simulation of real-time detector effects and online environment,and strategies deployed for identification of particles.

  7. Cavlectometry: Towards holistic reconstruction of large mirror objects

    KAUST Repository

    Balzer, Jonathan

    2014-12-01

    We introduce a method based on the deflectometry principle for the reconstruction of specular objects exhibiting significant size and geometric complexity. A key feature of our approach is the deployment of an Automatic Virtual Environment (CAVE) as pattern generator. To unfold the full power of this experimental setup, an optical encoding scheme is developed which accounts for the distinctive topology of the CAVE. Furthermore, we devise an algorithm for detecting the object of interest in raw deflectometric images. The segmented foreground is used for single-view reconstruction, the background for estimation of the camera pose, necessary for calibrating the sensor system. Experiments suggest a significant gain of coverage in single measurements compared to previous methods. © 2014 IEEE.

  8. Relating Admissibility Standards for Digital Evidence to Attack Scenario Reconstruction

    Directory of Open Access Journals (Sweden)

    Changwei Liu

    2014-09-01

    Full Text Available Attackers tend to use complex techniques such as combining multi-step, multi-stage attack with anti-forensic tools to make it difficult to find incriminating evidence and reconstruct attack scenarios that can stand up to the expected level of evidence admissibility in a court of law. As a solution, we propose to integrate the legal aspects of evidence correlation into a Prolog based reasoner to address the admissibility requirements by creating most probable attack scenarios that satisfy admissibility standards for substantiating evidence. Using a prototype implementation, we show how evidence extracted by using forensic tools can be integrated with legal reasoning to reconstruct network attack scenarios. Our experiment shows this implemented reasoner can provide pre-estimate of admissibility on a digital crime towards an attacked network.

  9. Modification of the Bankart reconstruction using a suture anchor.

    Science.gov (United States)

    Traina, S M; Holtgrewe, J L; King, S

    1998-01-01

    A prospective study was done to determine the effectiveness of a suture anchor in doing a Modified Bankart Reconstruction on the traumatic unidirectional Bankart lesion shoulder. From 1989 to 1991, 26 patients encompassing 27 shoulders with recurrent instability had modified Bankart reconstructions. A minimum 18-month follow-up was obtained by examination of 24 patients with telephone interviews done on two patients. The average follow-up was 23.6 months. A 93.1% good-to-excellent result was obtained using the Bankart rating scale. There were no failures or complications. The surgeon involved in the study thought the suture anchor facilitated the attachment of the avulsed capsulolabral complex in doing the Bankart procedure.

  10. Automating 3D reconstruction using a probabilistic grammar

    Science.gov (United States)

    Xiong, Hanwei; Xu, Jun; Xu, Chenxi; Pan, Ming

    2015-10-01

    3D reconstruction of objects from point clouds with a laser scanner is still a laborious task in many applications. Automating 3D process is an ongoing research topic and suffers from the complex structure of the data. The main difficulty is due to lack of knowledge of real world objects structure. In this paper, we accumulate such structure knowledge by a probabilistic grammar learned from examples in the same category. The rules of the grammar capture compositional structures at different levels, and a feature dependent probability function is attached for every rule. The learned grammar can be used to parse new 3D point clouds, organize segment patches in a hierarchal way, and assign them meaningful labels. The parsed semantics can be used to guide the reconstruction algorithms automatically. Some examples are given to explain the method.

  11. Reconstruction of Anacostia wetlands: success?

    Science.gov (United States)

    Hammerschlag, R.S.; Perry, M.C.

    2002-01-01

    Historically, the tidal Anacostia River in Washington, D.C. had been an extensive system of freshwater tidal marshes replete with a full array of wetland vegetation dominated by wild rice. The local Nacochtank Indians had found the abundant fish and wildlife sufficient to sustain their daily lives. White man's intrusion upon the landscape gradually brought about deterioration of the natural (and associated cultural) system. Total demise followed mid-20th century dredge and fill channelization, which was conducted from the confluence of the Anacostia with the Potomac near the heart of Washington, D.C. to the terminus of the tidal regime at Bladensburg, Maryland. The National Park Service (NPS) became the manager for much of the land along the Anacostia, particularly the eastern bank. As part of its planning effort, the NPS envisioned returning portions of the Anacostia under its control to a natural system as a vignette. The concept was based on bringing back as comprehensive a collection of vegetation and wildlife as possible through the reestablishment of tidal marshes at Kenilworth and Kingman. The resultant wetlands were to be made accessible to the public both logistically and through a well designed interpretative program. In fact, this vision has been realized due to an impressive cooperative effort among a number of Federal and local agencies and organizations. In 1993, 32 acres of freshwater tidal marsh were reconstructed at Kenilworth. Based upon the 5-year monitoring program that has been in place since reconstruction, several generalizations may be made concerning the degree of success of the marsh reconstruction. Water quality in the marsh system and nearby tidal waters has not been noticeably improved. The poor quality may be clue to the overwhelmingly high loads (e.g., sediment, nutrients, etc.) brought in on the twice daily tidal cycle from the Anacostia and to the relatively small volume of water which actually interacts with the emergent marsh

  12. Towards a d-bar reconstruction method for three-dimensional EIT

    DEFF Research Database (Denmark)

    Cornean, Horia Decebal; Knudsen, Kim

    Three-dimensional electrical impedance tomography (EIT) is considered. Both uniqueness proofs and theoretical reconstruction algorithms available for this problem rely on the use of exponentially growing solutions to the governing conductivity equation. The study of those solutions is continued...... here. It is shown that exponentially growing solutions exist for low complex frequencies without imposing any regularity assumption on the conductivity. Further, a reconstruction method for conductivities close to a constant is given. In this method the complex frequency is taken to zero instead...

  13. Immediate Debridement and Reconstruction with

    Directory of Open Access Journals (Sweden)

    Hyoseob Lim

    2012-01-01

    Full Text Available Background Poststernotomy mediastinitis is a rare, but life-threatening complication,thus early diagnosis and proper management is essential for poststernotomy mediastinitis.The main treatment for mediastinitis is aggressive debridement. Several options exist forreconstruction of defects after debridement. The efficacy of immediate debridement andreconstruction with a pectoralis major muscle flap designed for the defect immediately afterthe diagnosis of poststernotomy mediastinitis is demonstrated.Methods Between September 2009 and June 2011, 6 patients were referred to the Departmentof Plastic and Reconstructive Surgery and the Department of Thoracic and CardiovascularSurgery of Ajou University Hospital for poststernotomy mediastinitis. All of the patientsunderwent extensive debridement and reconstruction with pectoralis major muscle flaps,advanced based on the pedicle of the thoracoacromial artery as soon as possible followingdiagnosis. A retrospective review of the 6 cases was performed to evaluate infection control,postoperative morbidity, and mortality.Results All patients had complete wound closures and reduced severity of infections basedon the erythrocyte sedimentation rate and C-reactive protein levels and a reduction inpoststernal fluid collection on computed tomography an average of 6 days postoperatively.A lack of growth of organisms in the wound culture was demonstrated after 3 weeks. Therewere no major wound morbidities, such as hematomas, but one minor complication requireda skin graft caused by skin flap necrosis. No patient expired after definitive surgery.Conclusions Immediate debridement and reconstruction using a pectoralis major muscle flapis a safe technique for managing infections associated with poststernotomy mediastinitis,and is associated with minimal morbidity and mortality.

  14. Communication complexity and information complexity

    Science.gov (United States)

    Pankratov, Denis

    Information complexity enables the use of information-theoretic tools in communication complexity theory. Prior to the results presented in this thesis, information complexity was mainly used for proving lower bounds and direct-sum theorems in the setting of communication complexity. We present three results that demonstrate new connections between information complexity and communication complexity. In the first contribution we thoroughly study the information complexity of the smallest nontrivial two-party function: the AND function. While computing the communication complexity of AND is trivial, computing its exact information complexity presents a major technical challenge. In overcoming this challenge, we reveal that information complexity gives rise to rich geometrical structures. Our analysis of information complexity relies on new analytic techniques and new characterizations of communication protocols. We also uncover a connection of information complexity to the theory of elliptic partial differential equations. Once we compute the exact information complexity of AND, we can compute exact communication complexity of several related functions on n-bit inputs with some additional technical work. Previous combinatorial and algebraic techniques could only prove bounds of the form theta( n). Interestingly, this level of precision is typical in the area of information theory, so our result demonstrates that this meta-property of precise bounds carries over to information complexity and in certain cases even to communication complexity. Our result does not only strengthen the lower bound on communication complexity of disjointness by making it more exact, but it also shows that information complexity provides the exact upper bound on communication complexity. In fact, this result is more general and applies to a whole class of communication problems. In the second contribution, we use self-reduction methods to prove strong lower bounds on the information

  15. Computed laminography and reconstruction algorithm

    Institute of Scientific and Technical Information of China (English)

    QUE Jie-Min; YU Zhong-Qiang; YAN Yong-Lian; CAO Da-Quan; ZHAO Wei; TANG Xiao; SUN Cui-Li; WANG Yan-Fang; WEI Cun-Feng; SHI Rong-Jian; WEI Long

    2012-01-01

    Computed laminography (CL) is an alternative to computed tomography if large objects are to be inspected with high resolution.This is especially true for planar objects.In this paper,we set up a new scanning geometry for CL,and study the algebraic reconstruction technique (ART) for CL imaging.We compare the results of ART with variant weighted functions by computer simulation with a digital phantom.It proves that ART algorithm is a good choice for the CL system.

  16. Reconstructing NURBS Surface with Features

    Institute of Scientific and Technical Information of China (English)

    SUN Chunhua

    2006-01-01

    The method of reconstructing NURBS surface with features is proposed in this paper. Features including boundary curves and feature points are recognized from the scanned data. An initial surface is constructed with boundary curves. The desired NURBS is determined by modifying the initial surface to pass through feature points. Lagrange multiplier is used to find the solution. The error analysis is then done. Examples are given to verify the algorithm at last. The method can keep some features fixed and be widely used in CAD modeling.

  17. Reconstruction of Space Steel Constructions

    OpenAIRE

    BRODNIANSKY, Jan; AGOCS, Zoltan; AROCH, Rudolf; SLIVANSKY, Milos

    2010-01-01

    p. 1328-1337 Reconstruction of some special types of constructions - silos, timber roof structure and a winter stadium are described. The silos are cylindrical with a diameter of 36.0m with a total height of 50.5m. The silo shell is made from steel plates of variable thickness. Capacity of the silo is 60 000t. Gradually, during more than 30 years of operation, local deformations and distinctive 6000mm high cracks in the bottom part of the shells of the silos developed. On the basis o...

  18. [Reconstruction of facial burn sequelae].

    Science.gov (United States)

    Foyatier, J L; Comparin, J P; Boulos, J P; Bichet, J C; Jacquin, F

    2001-06-01

    The deep burns of the face can lead to horrible scars functionally and aesthetically. Treatment of these scars need several surgical interventions frequently and during many years. In our region we deal with this type of wounds as team work, multidisciplinary approach carrying out many process starting by emergency treatment of acute burns till the social rehabilitation. The expansion technique was great help in improving the shape of scars, by using the expanding skin as full thickness grafts. Reconstruction of the anatomical units and application of aesthetic techniques (like rhinoplasty, lifting, tattooing and autologous fat injections) participate equally in improving the quality of results. Many examples of treatments of burns scars are shown.

  19. Reconstruction of fundamental SUSY parameters

    Energy Technology Data Exchange (ETDEWEB)

    P. M. Zerwas et al.

    2003-09-25

    We summarize methods and expected accuracies in determining the basic low-energy SUSY parameters from experiments at future e{sup +}e{sup -} linear colliders in the TeV energy range, combined with results from LHC. In a second step we demonstrate how, based on this set of parameters, the fundamental supersymmetric theory can be reconstructed at high scales near the grand unification or Planck scale. These analyses have been carried out for minimal supergravity [confronted with GMSB for comparison], and for a string effective theory.

  20. Reconstructing past fractional record values

    Directory of Open Access Journals (Sweden)

    Magdy E. El-Adll

    2016-10-01

    Full Text Available In this paper, reconstructing past fractional upper (lower records from any absolutely continuous distribution is proposed. For this purpose, two pivotal quantities are given and their exact distributions are derived. More detailed results, including the case of unknown parameters, are given for the exponential and Fre´chet distributions. Moreover, the exact mean square reconstructor errors are obtained and some comparisons between the pivotal quantities are performed. To explore the efficiency of the obtained results, a simulation study is conducted and two real data sets are analyzed.

  1. 3D打印技术在复杂肿瘤膝关节股骨假体周围骨折翻修术中的应用%Application of 3D printing technology in reconstruction of an complex periprosthetic femoral fracture of tumor knee joint

    Institute of Scientific and Technical Information of China (English)

    李忱; 邹运; 王晓楠; 赵洪宇; 韩青; 王金成

    2016-01-01

    Objective:To perform the preoperative design and operative simulation for periprosthetic femoral fractures (PFF)in one patient with complex tumor knee replacement under assistance of three-dimensional (3D) printing technology,and to explore a more accurate and feasible way to restore the normal anatomy and function of this kind of patients.Methods:The female patient aged 32 years old diagnosed with PFF after an complex tumor knee replacement was selected.The CT images of the patient’s bilateral legs were collected and reconstructed.The bilateral femurs were virtually sliced and the important parameters at each location of both sides were recorded respectively.Novel femoral stem and nail paths were specially designed on the basis of original prosthesis according to these parameters. Then vitual assemble was made with the residual femur. The prosthetic femoral stem components and navigator were customized based on the 3D simulation results when no more errors were found.The residual femoral resin model,customized components and navigator were printed with an SLA 3D printer.The bone cement was taken out and newly designed femoral stem was implanted successfully according to the steps designed preoperatively.The preconcerted allograft bone plates were applied for patch of the bone defect.The pathological results,X-ray and functional scores were included in the observation indexes. Results: With the help of successfully preoperative computer matching,successfully printed bone model-prosthesis assemble and re-customized navigator,the operation was successfully performed.The postoperative alignment shown in the X-ray image was good.The patient was able to normally walk and squat one month after operation with a crutch.MSTS93 score was improved from 0 before operation to 14 only one month after operation.Conclusion:As for PFF of complex tumor knee joint,preoperative design and simulation with 3D printing technology may provide a more accurately and effectively operative

  2. The direct results of breast reconstruction using endoprotheses in patients with breast cancer

    Directory of Open Access Journals (Sweden)

    Юрий Алексеевич Винник

    2016-04-01

    Full Text Available Aim of research: the study of the direct results of using endoprotheses synchronously with the surgical stage of combined and complex treatment of patients with BC.The improvement of results of the complex treatment of patients with BC by means of determination of indications for using the different variants of reconstructive-plastic operations.Materials and methods. Under observation were 120 patients with BC who underwent the combined and complex treatment during the period 2012–2015years on the base of MIHP “Kharkov regional oncologic center”. For the study and comparative analysis of the treatment effect on the life quality (LQ indices all patients were separated into 2 groups by the method of temporal randomization. The 1group – 78 patients who underwent the breast reconstruction with the own tissues remodeling.The 2 group – 32 patients who underwent the hypodermic mastectomies with preservation of the nipple-alveolar complex (NAC and the momentary breast reconstruction with silicone endoprothesis.Results of research. At the all stages of observation the lines of the role and social functioning change in parallel that indicates the absence of the effect of using the reconstructive-plastic operations at the surgical stage of both combined and complex treatment of patients with BC on this LQ index.Conclusions1. The reconstructive-plastic surgical intervention using endoprotheses synchronously with the hypodermic mastectomy with preservation of NAC allow obtain the good cosmetic results that in its turn leads to the acceleration of psycho-emotional rehabilitation of patients with BC.2. On the base of research was established the absence of the effect of breast reconstruction on the widening of post-operative complications spectrum and on the planned individually adjuvant therapy in this category of patientsAim of research: the study of the direct results of using endoprotheses synchronously with the surgical stage of combined and

  3. Preoperative Planning Using 3D Reconstructions and Virtual Endoscopy for Location of the Frontal Sinus

    Directory of Open Access Journals (Sweden)

    Abreu, João Paulo Saraiva

    2011-01-01

    Full Text Available Introduction: Computed tomography (TC generated tridimensional (3D reconstructions allow the observation of cavities and anatomic structures of our body with detail. In our specialty there have been attempts to carry out virtual endoscopies and laryngoscopies. However, such application has been practically abandoned due to its complexity and need for computers with high power of graphic processing. Objective: To demonstrate the production of 3D reconstructions from CTs of patients in personal computers, with a free specific program and compare them to the surgery actual endoscopic images. Method: Prospective study in which the CTs proper files of 10 patients were reconstructed with the program Intage Realia, version 2009, 0, 0, 702 (KGT Inc., Japan. The reconstructions were carried out before the surgeries and a virtual endoscopy was made to assess the recess and frontal sinus region. After this study, the surgery was digitally performed and stored. The actual endoscopic images of the recess and frontal sinus region were compared to the virtual images. Results: The 3D reconstruction and virtual endoscopy were made in 10 patients submitted to the surgery. The virtual images had a large resemblance with the actual surgical images. Conclusion: With relatively simple tools and personal computer, we demonstrated the possibility to generate 3D reconstructions and virtual endoscopies. The preoperative knowledge of the frontal sinus natural draining path location may generate benefits during the performance of surgeries. However, more studies must be developed for the evaluation of the real roles of such 3D reconstructions and virtual endoscopies.

  4. An Algorithmic Approach for the Reconstruction of Nasal Skin Defects: Retrospective Analysis of 130 Cases

    Directory of Open Access Journals (Sweden)

    Berrak Akşam

    2016-06-01

    Full Text Available Objective: Most of the malignant cutaneous carcinomas are seen in the nasal region. Reconstruction of nasal defects is challenging because of the unique anatomic properties and complex structure of this region. In this study, we present our algorithm for the nasal skin defects that occurred after malignant skin tumor excisions. Material and Methods: Patients whose nasal skin was reconstructed after malignant skin tumor excision were included in the study. These patients were evaluated by their age, gender, comorbities, tumor location, tumor size, reconstruction type, histopathological diagnosis, and tumor recurrence. Results: A total of 130 patients (70 female, 60 male were evaluated. The average age of the patients was 67.8 years. Tumors were located mostly at the dorsum, alar region, and tip of the nose. When reconstruction methods were evaluated, primary closure was preferred in 14.6% patients, full thickness skin grafts were used in 25.3% patients, and reconstruction with flaps were the choice in 60% patients. Different flaps were used according to the subunits. Mostly, dorsal nasal flaps, bilobed flaps, nasolabial flaps, and forehead flaps were used. Conclusion: The defect-only reconstruction principle was accepted in this study. Previously described subunits, such as the dorsum, tip, alar region, lateral wall, columella, and soft triangles, of the nose were further divided into subregions by their anatomical relations. An algorithm was planned with these sub regions. In nasal skin reconstruction, this algorithm helps in selection the methods for the best results and minimize the complications.

  5. One-Stage Nipple and Breast Reconstruction Following Areola-Sparing Mastectomy

    Directory of Open Access Journals (Sweden)

    Hye Ri Kim

    2013-09-01

    Full Text Available BackgroundSkin-sparing mastectomy with immediate breast reconstruction is increasingly becoming a proven surgical option for early-stage breast cancer patients. Areola-sparing mastectomy (ASM has also recently become a popular procedure. The purpose of this article is to investigate the reconstructive and aesthetic issues experienced with one-stage nipple and breast reconstruction using ASM.MethodsAmong the patients who underwent mastectomy between March 2008 and March 2010, 5 women with a low probability of nipple-areolar complex malignant involvement underwent ASM and immediate breast reconstruction with simultaneous nipple reconstruction using the modified C-V flap. The cosmetic outcomes of this series were reviewed by plastic surgeons and patient self-assessment and satisfaction were assessed via telephone interview.ResultsDuring the average 11-month follow-up period, there were no cases of cancer recurrence, the aesthetic outcomes were graded as excellent to very good, and all of the patients were satisfied. Two patients developed a gutter-like depression around the reconstructed nipple, and one patient developed skin erosion in a small area of the areola, which healed with conservative dressing. The other complications, such as necrosis of the skin flap or areola, seroma, hematoma, or fat necrosis did not occur.ConclusionsSince one-stage nipple and breast reconstruction following ASM is an oncologically safe, cost-effective, and aesthetically satisfactory procedure, it is a good surgical option for early breast cancer patients.

  6. A New Algorithm for Reconstructing Two-Dimensional Temperature Distribution by Ultrasonic Thermometry

    Directory of Open Access Journals (Sweden)

    Xuehua Shen

    2015-01-01

    Full Text Available Temperature, especially temperature distribution, is one of the most fundamental and vital parameters for theoretical study and control of various industrial applications. In this paper, ultrasonic thermometry to reconstruct temperature distribution is investigated, referring to the dependence of ultrasound velocity on temperature. In practical applications of this ultrasonic technique, reconstruction algorithm based on least square method is commonly used. However, it has a limitation that the amount of divided blocks of measure area cannot exceed the amount of effective travel paths, which eventually leads to its inability to offer sufficient temperature information. To make up for this defect, an improved reconstruction algorithm based on least square method and multiquadric interpolation is presented. And then, its reconstruction performance is validated via numerical studies using four temperature distribution models with different complexity and is compared with that of algorithm based on least square method. Comparison and analysis indicate that the algorithm presented in this paper has more excellent reconstruction performance, as the reconstructed temperature distributions will not lose information near the edge of area while with small errors, and its mean reconstruction time is short enough that can meet the real-time demand.

  7. Method for position emission mammography image reconstruction

    Science.gov (United States)

    Smith, Mark Frederick

    2004-10-12

    An image reconstruction method comprising accepting coincidence datat from either a data file or in real time from a pair of detector heads, culling event data that is outside a desired energy range, optionally saving the desired data for each detector position or for each pair of detector pixels on the two detector heads, and then reconstructing the image either by backprojection image reconstruction or by iterative image reconstruction. In the backprojection image reconstruction mode, rays are traced between centers of lines of response (LOR's), counts are then either allocated by nearest pixel interpolation or allocated by an overlap method and then corrected for geometric effects and attenuation and the data file updated. If the iterative image reconstruction option is selected, one implementation is to compute a grid Siddon retracing, and to perform maximum likelihood expectation maiximization (MLEM) computed by either: a) tracing parallel rays between subpixels on opposite detector heads; or b) tracing rays between randomized endpoint locations on opposite detector heads.

  8. Considerations on Xi- reconstruction in LHCb

    CERN Document Server

    Brochu, F M

    2016-01-01

    This paper describes an alternative method of charged hyperon reconstruction applicable to the LHCb experiment. It extends the seminal work of the FOCUS collaboration to the specific detector layout of LHCb and addresses the reconstruction ambiguities reported in their earlier work, leading to improvements in the reconstruction efficiency for the specific cases of Xi- and Omega- baryon decays to a charged meson and a Lambda baryon.

  9. Reconstruction Threshold for the Hardcore Model

    CERN Document Server

    Bhatnagar, Nayantara; Tetali, Prasad

    2010-01-01

    In this paper we consider the reconstruction problem on the tree for the hardcore model. We determine new bounds for the non-reconstruction regime on the k-regular tree showing non-reconstruction when lambda (e+o(1))ln^2(k). We discuss the relationship for finding large independent sets in sparse random graphs and to the mixing time of Markov chains for sampling independent sets on trees.

  10. Reconstruction Formulas for Photoacoustic Sectional Imaging

    CERN Document Server

    Elbau, Peter; Schulze, Rainer

    2011-01-01

    The literature on reconstruction formulas for photoacoustic tomography (PAT) is vast. The various reconstruction formulas differ by used measurement devices and geometry on which the data are sampled. In standard photoacoustic imaging (PAI), the object under investigation is illuminated uniformly. Recently, sectional photoacoustic imaging techniques, using focusing techniques for initializing and measuring the pressure along a plane, appeared in the literature. This paper surveys existing and provides novel exact reconstruction formulas for sectional photoacoustic imaging.

  11. Track and Vertex Reconstruction in CMS

    CERN Document Server

    Adam, W

    2006-01-01

    The CMS experiment relies on a Silicon pixel and micro-strip tracker for the reconstruction of tracks and vertices of charged particles in the harsh environment of proton and heavy-ion collisions at the LHC at CERN. An outline of the basic track and vertex reconstruction algorithms used in CMS is given and their performance is described. Results of more advanced algorithms like the Gaussian Sum Filter for electron reconstruction and robust vertex fitters are shown.

  12. The Theory of Variances in Equilibrium Reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    Zakharov, Leonid E.; Lewandowski, Jerome; Foley, Elizabeth L.; Levinton, Fred M.; Yuh, Howard Y.; Drozdov, Vladimir; McDonald, Darren

    2008-01-14

    The theory of variances of equilibrium reconstruction is presented. It complements existing practices with information regarding what kind of plasma profiles can be reconstructed, how accurately, and what remains beyond the abilities of diagnostic systems. The σ-curves, introduced by the present theory, give a quantitative assessment of quality of effectiveness of diagnostic systems in constraining equilibrium reconstructions. The theory also suggests a method for aligning the accuracy of measurements of different physical nature.

  13. Primary vertex reconstruction with the ATLAS detector

    CERN Document Server

    Meloni, Federico; The ATLAS collaboration

    2016-01-01

    Efficient and precise reconstruction of the primary vertex in a LHC collision is essential for determining the full kinematic properties of a hard-scatter event and of soft interactions as a measure of the amount of pile-up. The reconstruction of primary vertices in the busy, high pile-up environment of Run-2 of the LHC is a challenging task. The algorithms developed by the ATLAS experiments to reconstruct multiple vertices with small spatial separation are presented.

  14. Plate tectonic raster reconstruction in GPlates

    OpenAIRE

    2014-01-01

    We describe a novel method implemented in the GPlates plate tectonic reconstruction software to interactively reconstruct arbitrarily high-resolution raster data to past geological times using a rotation model. The approach is based on the projection of geo-referenced raster data into a cube map followed by a reverse projection onto rotated tectonic plates on the surface of the globe. This decouples the rendering of a geo-referenced raster from its reconstruction, providing ...

  15. Prosthetic breast reconstruction: indications and update

    Science.gov (United States)

    Quinn, Tam T.; Miller, George S.; Rostek, Marie; Cabalag, Miguel S.; Rozen, Warren M.

    2016-01-01

    Background Despite 82% of patients reporting psychosocial improvement following breast reconstruction, only 33% patients choose to undergo surgery. Implant reconstruction outnumbers autologous reconstruction in many centres. Methods A systematic review of the literature was undertaken. Inclusion required: (I) Meta-analyses or review articles; (II) adult patients aged 18 years or over undergoing alloplastic breast reconstruction; (III) studies including outcome measures; (IV) case series with more than 10 patients; (V) English language; and (VI) publication after 1st January, 2000. Results After full text review, analysis and data extraction was conducted for a total of 63 articles. Definitive reconstruction with an implant can be immediate or delayed. Older patients have similar or even lower complication rates to younger patients. Complications include capsular contracture, hematoma and infection. Obesity, smoking, large breasts, diabetes and higher grade tumors are associated with increased risk of wound problems and reconstructive failure. Silicone implant patients have higher capsular contracture rates but have higher physical and psychosocial function. There were no associations made between silicone implants and cancer or systemic disease. There were no differences in outcomes or complications between round and shaped implants. Textured implants have a lower risk of capsular contracture than smooth implants. Smooth implants are more likely to be displaced as well as having higher rates of infection. Immediate breast reconstruction (IBR) gives the best aesthetic outcome if radiotherapy is not required but has a higher rate of capsular contracture and implant failure. Delayed-immediate reconstruction patients can achieve similar aesthetic results to IBR whilst preserving the breast skin if radiotherapy is required. Delayed breast reconstruction (DBR) patients have fewer complications than IBR patients. Conclusions Implant reconstruction is a safe and popular

  16. Muon Reconstruction Performance of the ATLAS detector

    CERN Document Server

    Marchese, Luigi; The ATLAS collaboration

    2017-01-01

    Muons are of key importance to study some of the most interesting physics topics at the LHC. We show the status of the performance of the muon reconstruction in the analysis of proton-proton collisions at the LHC, recorded by the ATLAS detector in 2016. Reconstruction efficiency and momentum resolution have been measured using J/Psi and Z decays for different classes of reconstructed muons.

  17. Dimensional characterization of anesthesia dynamic in reconstructed embedding space.

    Science.gov (United States)

    Gifani, P; Rabiee, H R; Hashemi, M; Ghanbari, M

    2007-01-01

    The depth of anesthesia quantification has been one of the most research interests in the field of EEG signal processing and nonlinear dynamical analysis has emerged as a novel method for the study of complex systems in the past few decades. In this investigation we use the concept of nonlinear time series analysis techniques to reconstruct the attractor of anesthesia from EEG signal which have been obtained from different hypnotic states during surgery to give a characterization of the dimensional complexity of EEG by Correlation Dimension estimation. The dimension of the anesthesia strange attractor can be thought of as a measure of the degrees of freedom or the ;complexity' of the dynamics at different hypnotic levels. The results imply that for awaked state the correlation dimension is high, On the other hand, for light, moderate and deep hypnotic states these values decrease respectively; which means for anesthetized situation we expect lower correlation dimension.

  18. Immediate post-traumatic upper incisor reconstruction using composite resin materials.

    Science.gov (United States)

    Panduric, Vlatko; Gabric, Dragana; Negovetic-Mandic, Visnja

    2008-02-01

    Single visit reconstruction of the fractured crown can be completed with composite resins if there is no bleeding due to the soft tissue injury. Clinical inspection revealed a complex crown fracture of the central incisor as well as a simple horizontal fracture of the lateral incisor crown of the enamel-dentin type. Vertical fracture separated the palatal enamel wall from the rest of the lateral incisor crown. After the completion of the endodontic sanitation, root canals were prepared for prefabricated composite posts and crown reconstructions were performed with the Finger Tip Technique by using composite resin materials. The advantage of this kind of reconstruction is preservation of the hard dental crown tissue removed in case of prosthetic therapy, especially in younger patients. Reconstruction can be finished in one visit, without the need for a dental technician and laboratory.

  19. Hanford Environmental Dose Reconstruction Project

    Energy Technology Data Exchange (ETDEWEB)

    Finch, S.M. (comp.)

    1990-01-01

    The objective of the Hanford Environmental Dose Reconstruction Project is to estimate the radiation doses that populations could have received from nuclear operations at Hanford since 1944. The project is being managed and conducted by the Pacific Northwest Laboratory (PNL) under the direction of an independent Technical Steering Panel (TSP). The project is divided into the following technical tasks. These tasks correspond to the path radionuclides followed, from release to impact on humans (dose estimates). The Source Terms Task develops estimates of radioactive emissions from Hanford facilities since 1944. The Environmental Transport Task reconstructs the movement of radioactive materials from the areas of release to populations. The Environmental Monitoring Data Task assembles, evaluates, and reports historical environmental monitoring data. The Demographics, Agriculture, Food Habits Task develops the data needed to identify the populations that could have been affected by the releases. In addition to population and demographic data, the food and water resources and consumption patterns for populations are estimated because they provide a primary pathway for the intake of radionuclides. The Environmental Pathways and Dose Estimates Task use the information produced by the other tasks to estimate the radiation doses populations could have received from Hanford radiation. Project progress is documented in this monthly report, which is available to the public. 3 figs., 3 tabs.

  20. Using the T-scan III system to analyze occlusal function in mandibular reconstruction patients: A pilot study

    Directory of Open Access Journals (Sweden)

    Chao-Wei Liu

    2015-02-01

    Full Text Available Background: This study was designed to analyze the post-rehabilitation occlusal function of subjects treated with complex mandibular resection and subsequently rehabilitated with fibula osteoseptocutaneous flaps, dental implants, and fixed prostheses utilizing the T-scan system. Methods: Ten mandibular complex resection cases that adopted fibula osteoseptocutaneous flaps, dental implants, and fixed prostheses to reconstruct occlusal function were analyzed. The mandibular reconstructions were divided into three groups based on size: full mandibular reconstructions, mandibular reconstructions larger than half of the arch, and mandibular reconstructions smaller than half of the arch. The T-scan III system was used to measure maximum occlusal force, occlusal time, anterior-posterior as well as left-right occlusal force asymmetries, and anterior-posterior as well as left-right asymmetrical locations of occlusal centers. Results: Subjects with larger mandibular reconstructions and dental implants with fixed partial dentures demonstrated decreased average occlusal force; however, the difference did not reach the statistically significant level (p > 0.05. The most significant asymmetry of occlusal center location occurred among subjects with mandibular reconstructed areas larger than half of the mandibular arch. Conclusions: Comparison of the parameters of T-scan system used to analyze the occlusal function showed that the occlusal force was not an objective reference. Measurements of the location of the occlusal center appeared more repeatable, and were less affected by additional factors. The research results of this study showed that the size of a reconstruction did not affect the occlusal force after reconstruction and larger reconstructed areas did not decrease the average occlusal force. The most significant parameter was left and right asymmetry of the occlusion center (LROC and was measured in subjects with reconstruction areas larger than half