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  1. Article ; Online: Automatic 3D Lamina Curve Extraction from Freehand 3D Ultrasound Data using Sequential Localization Recurrent Convolutional Networks.

    Li, Sen / Cheriet, Farida / Gauthier, Lou / Laporte, Catherine

    IEEE transactions on ultrasonics, ferroelectrics, and frequency control

    2024  Volume PP

    Abstract: Freehand 3D ultrasound imaging is emerging as a promising modality for regular spine exams due to its non-invasiveness and affordability. The laminae landmarks play a critical role in depicting the 3D shape of the spine. However, the extraction of the 3D ...

    Abstract Freehand 3D ultrasound imaging is emerging as a promising modality for regular spine exams due to its non-invasiveness and affordability. The laminae landmarks play a critical role in depicting the 3D shape of the spine. However, the extraction of the 3D lamina curves from transverse ultrasound sequences presents a challenging task, primarily attributed to the presence of diverse contrast variations, imaging artifacts, the complex surface of vertebral bones, and the difficulties associated with probe manipulation. This paper proposes Sequential Localization Recurrent Convolutional Networks (SL-RCN), a novel deep learning model that takes the contextual relationships into account and embeds the transformation matrix feature as a 3D knowledge base to enhance accurate ultrasound sequence analysis. The assessment involved the analysis of 3D ultrasound sequences obtained from 10 healthy adult human participants, covering both the lumbar and thoracic regions. The performance of SL-RCN is evaluated through 7-fold cross-validation, employing the leave-one-participant-out strategy. The validity of the AI model training is assessed on test data from 3 participants. Normalized Discrete Fréchet Distance (NDFD) is employed as the main metric to evaluate the disparity of the extracted 3D lamina curves. In contrast to our previous 2D image analysis method, SL-RCN generates reduced left/right mean distance errors from 1.62/1.63mm to 1.41/1.40mm, and NDFDs from 0.5910/0.6389 to 0.4276/0.4567. The increase in the mean NDFD value from 7-fold cross-validation to the test-data experiment is less than 0.05. The experiments demonstrate the SL-RCN's capability in extracting accurate paired smooth lamina landmark curves.
    Language English
    Publishing date 2024-04-05
    Publishing country United States
    Document type Journal Article
    ISSN 1525-8955
    ISSN (online) 1525-8955
    DOI 10.1109/TUFFC.2024.3385698
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Zoledronate reduces loading-induced microdamage in cortical ulna of ovariectomized rats.

    Ning, Bohao / Londono, Irène / Laporte, Catherine / Villemure, Isabelle

    Journal of the mechanical behavior of biomedical materials

    2023  Volume 150, Page(s) 106350

    Abstract: As a daily physiological mechanism in bone, microdamage accumulation dissipates energy and helps to prevent fractures. However, excessive damage accumulation might bring adverse effects to bone mechanical properties, which is especially problematic among ...

    Abstract As a daily physiological mechanism in bone, microdamage accumulation dissipates energy and helps to prevent fractures. However, excessive damage accumulation might bring adverse effects to bone mechanical properties, which is especially problematic among the osteoporotic and osteopenic patients treated by bisphosphonates. Some pre-clinical studies in the literature applied forelimb loading models to produce well-controlled microdamage in cortical bone. Ovariectomized animals were also extensively studied to assimilate human conditions of estrogen-related bone loss. In the present study, we combined both experimental models to investigate microdamage accumulation in the context of osteopenia and zoledronate treatment. Three-month-old normal and ovariectomized rats treated by saline or zoledronate underwent controlled compressive loading on their right forelimb to create in vivo microdamage, which was then quantified by barium sulfate contrast-enhanced micro-CT imaging. Weekly in vivo micro-CT scans were taken to evaluate bone (re)modeling and to capture microstructural changes over time. After sacrifice, three-point-bending tests were performed to assess bone mechanical properties. Results show that the zoledronate treatment can reduce cortical microdamage accumulation in ovariectomized rats, which might be explained by the enhancement of several bone structural properties such as ultimate force, yield force, cortical bone area and volume. The rats showed increased bone formation volume and surface after the generation of microdamage, especially for the normal and the ovariectomized groups. Woven bone formation was also observed in loaded ulnae, which was most significant in ovariectomized rats. Although all the rats showed strong correlations between periosteal bone formation and microdamage accumulation, the correlation levels were lower for the zoledronate-treated groups, potentially because of their lower levels of microdamage. The present study provides insights to further investigations of pharmaceutical treatments for osteoporosis and osteopenia. The same experimental concept can be applied in future studies on microdamage and drug testing.
    MeSH term(s) Rats ; Humans ; Animals ; Infant ; Zoledronic Acid/pharmacology ; Diphosphonates/pharmacology ; Ulna/diagnostic imaging ; Osteoporosis/diagnostic imaging ; Osteoporosis/drug therapy ; X-Ray Microtomography
    Chemical Substances Zoledronic Acid (6XC1PAD3KF) ; Diphosphonates
    Language English
    Publishing date 2023-12-28
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2378381-3
    ISSN 1878-0180 ; 1751-6161
    ISSN (online) 1878-0180
    ISSN 1751-6161
    DOI 10.1016/j.jmbbm.2023.106350
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Quantitative validation of two model-based methods for the correction of probe pressure deformation in ultrasound.

    Dahmani, Jawad / Petit, Yvan / Laporte, Catherine

    International journal of computer assisted radiology and surgery

    2023  Volume 19, Issue 2, Page(s) 309–320

    Abstract: Purpose: The acquisition of good quality ultrasound (US) images requires good acoustic coupling between the ultrasound probe and the patient's skin. In practice, this good coupling is achieved by the operator applying a force to the skin through the ... ...

    Abstract Purpose: The acquisition of good quality ultrasound (US) images requires good acoustic coupling between the ultrasound probe and the patient's skin. In practice, this good coupling is achieved by the operator applying a force to the skin through the probe. This force induces a deformation of the tissues underlying the probe. The distorted images deteriorate the quality of the reconstructed 3D US image.
    Methods: In this work, we propose two methods to correct these deformations. These methods are based on the construction of a biomechanical model to predict the mechanical behavior of the imaged soft tissues. The originality of the methods is that they do not use external information (force or position value from sensors, or elasticity value from the literature). The model is parameterized thanks to the information contained in the image. This is allowed thanks to the optimization of two key parameters for the model which are the indentation d and the elasticity ratio α.
    Results: The validation is performed on real images acquired on a gelatin-based phantom using an ultrasound probe inducing an increasing vertical indentation using a step motor. The results showed a good correction of the two methods for indentations less than 4 mm. For larger indentations, one of the two methods (guided by the similarity score) provides a better quality of correction, presenting a Euclidean distance between the contours of the reference image and the corrected image of 0.71 mm.
    Conclusion: The proposed methods ensured the correction of the deformed images induced by a linear probe pressure without using any information coming from sensors (force or position), or generic information about the mechanical parameters. The corrected images can be used to obtain a corrected 3D US image.
    MeSH term(s) Humans ; Algorithms ; Ultrasonography/methods ; Imaging, Three-Dimensional/methods
    Language English
    Publishing date 2023-08-18
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2365628-1
    ISSN 1861-6429 ; 1861-6410
    ISSN (online) 1861-6429
    ISSN 1861-6410
    DOI 10.1007/s11548-023-03006-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mésusage du paracétamol en soins primaires : étude transversale dans un contexte rural français.

    Kinouani, Shérazade / Vielle, Claire / Lambert, Céline / Dupouy, Julie / Laporte, Catherine

    Therapie

    2023  

    Abstract: Objective: To estimate the prevalence of the paracetamol use for a reason other than pain (qualitative misuse) during the last 12 months in patients consulting their general practitioner, as well as the reasons for this misuse.: Methods: Descriptive ... ...

    Title translation Misuse of paracetamol in primary care: Cross-sectional study in a French rural context.
    Abstract Objective: To estimate the prevalence of the paracetamol use for a reason other than pain (qualitative misuse) during the last 12 months in patients consulting their general practitioner, as well as the reasons for this misuse.
    Methods: Descriptive cross-sectional analysis, with gender weighting to estimate the prevalence of paracetamol misuse.
    Results: In total, data from 209 patients were included in the analysis. Among them, 11 patients declared having taken paracetamol for a reason other than pain, i.e., a gender-weighted prevalence of 5.7% (95% CI: 3.0 to 10.4). Nearly two-thirds of these patients said they had done it to feel better.
    Conclusions: The paracetamol misuse is rare but real in general practice. Further studies are needed to better understand it, especially qualitative studies.
    Language French
    Publishing date 2023-11-29
    Publishing country France
    Document type English Abstract ; Journal Article
    ZDB-ID 603474-3
    ISSN 1958-5578 ; 0040-5957
    ISSN (online) 1958-5578
    ISSN 0040-5957
    DOI 10.1016/j.therap.2023.11.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Impact loading intensifies cortical bone (re)modeling and alters longitudinal bone growth of pubertal rats.

    Ning, Bohao / Mustafy, Tanvir / Londono, Irène / Laporte, Catherine / Villemure, Isabelle

    Biomechanics and modeling in mechanobiology

    2023  Volume 22, Issue 4, Page(s) 1145–1162

    Abstract: Physical exercise is important for musculoskeletal development during puberty, which builds bone mass foundation for later in life. However, strenuous levels of training might bring adverse effects to bone health, reducing longitudinal bone growth. ... ...

    Abstract Physical exercise is important for musculoskeletal development during puberty, which builds bone mass foundation for later in life. However, strenuous levels of training might bring adverse effects to bone health, reducing longitudinal bone growth. Animal models with various levels of physical exercise were largely used to provide knowledge to clinical settings. Experiments from our previous studies applied different levels of mechanical loading on rat tibia during puberty accompanied by weekly in vivo micro-CT scans. In the present article, we apply 3D image registration-based methods to retrospectively analyze part of the previously acquired micro-CT data. Longitudinal bone growth, growth plate thickness, and cortical bone (re)modeling were evaluated from rats' age of 28-77 days. Our results show that impact loading inhibited proximal bone growth throughout puberty. We hypothesize that impact loading might bring different growth alterations to the distal and proximal growth plates. High impact loading might lead to pathological consequence of osteochondrosis and catch-up growth due to growth inhibition. Impact loading also increased cortical bone (re)modeling before and after the peak proximal bone growth period of young rats, of which the latter case might be caused by the shift from modeling to remodeling as the dominant activity toward the end of rat puberty. We confirm that the tibial endosteum is more mechano-sensitive than the periosteum in response to mechanical loading. To our knowledge, this is the first study to follow up bone growth and bone (re)modeling of young rats throughout the entire puberty with a weekly time interval.
    MeSH term(s) Rats ; Animals ; Retrospective Studies ; Bone and Bones ; Bone Development/physiology ; Cortical Bone/diagnostic imaging ; Cortical Bone/physiology ; Tibia/diagnostic imaging ; Tibia/physiology ; X-Ray Microtomography ; Bone Remodeling/physiology
    Language English
    Publishing date 2023-03-31
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2093052-5
    ISSN 1617-7940 ; 1617-7959
    ISSN (online) 1617-7940
    ISSN 1617-7959
    DOI 10.1007/s10237-023-01706-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Screen exposure time of children under 6 years old: a French cross-sectional survey in general practices in the Auvergne-Rhône-Alpes region.

    Akbayin, Mehtap / Mulliez, Aurélien / Fortin, Frédéric / Vicard Olagne, Mathilde / Laporte, Catherine / Vorilhon, Philippe

    BMC primary care

    2023  Volume 24, Issue 1, Page(s) 58

    Abstract: Background: The advent of miniature, easy-to-use and accessible multimedia products is leading to screen exposure that begins in early childhood. Overexposure in preschool may lead to adverse effects. The main objective of this study was to determine ... ...

    Abstract Background: The advent of miniature, easy-to-use and accessible multimedia products is leading to screen exposure that begins in early childhood. Overexposure in preschool may lead to adverse effects. The main objective of this study was to determine the average daily time (ADT) spent by children under 6 years of age, followed in general practice, in front of television or interactive screens.
    Methods: A cross-sectional survey was conducted in the Auvergne-Rhône-Alpes region among randomly selected General Practitioners (GPs). The average daily screen time (ADST), regardless of the type of device (TVs, computers, tablets, smartphones, video game consoles), of the included children aged 0 to 2 years and 2 to 5 years was calculated from a self-questionnaire completed by the parents. A multivariate Poisson regression model was performed to analyse daily screen time, adjusted by factors selected on their clinical relevance and statistical significance.
    Results: The 26 participating GPs included 486 parents. They reported an ADST of 26 (± 44) minutes on weekdays and 30 (± 46) minutes on weekends for children under 2 years of age. For children over 2 years of age, the ADST was 66 (± 82) minutes on weekdays and 103 (±91) minutes on weekends. There was an association between the children's average screen time and certain sociodemographic and environmental factors. Children whose parents had higher levels of education, those living in a family without TV screens or those who were well informed about the possible adverse health consequences of overuse of screens had lower average screen time. On the other hand, children of parents who spent more than 2 hours a day in front of screens, were more exposed.
    Conclusions: In our survey, the ADST of children under 6 years of age followed in general practice was higher than the current recommendations. GPs can warn parents of preschool children of the effects of overexposure to screens, particularly parents of at-risk children.
    MeSH term(s) Humans ; Child, Preschool ; Infant ; Cross-Sectional Studies ; Screen Time ; General Practice ; General Practitioners ; Family Practice
    Language English
    Publishing date 2023-03-01
    Publishing country England
    Document type Journal Article
    ISSN 2731-4553
    ISSN (online) 2731-4553
    DOI 10.1186/s12875-023-02009-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Extraction automatique de repères vertébraux à partir d’échographies.

    Brignol, Arnaud / Cheriet, Farida / Laporte, Catherine

    Medecine sciences : M/S

    2021  Volume 37 Hors série n° 1, Page(s) 22–24

    Abstract: Some forms of myopathies such as Duchenne muscular dystrophy cause a progressive degeneration of the patient's muscles. This results in the development of scoliosis, which increases in severity over time. The clinical standard for monitoring scoliosis is ...

    Title translation Automatic extraction of vertebral landmarks from ultrasound images.
    Abstract Some forms of myopathies such as Duchenne muscular dystrophy cause a progressive degeneration of the patient's muscles. This results in the development of scoliosis, which increases in severity over time. The clinical standard for monitoring scoliosis is to perform an X-ray on a regular basis. Unfortunately, repeated exposure to X-rays is harmful to the patient's health. Ultrasound imaging is a radiation-free modality that uses ultrasound (US) waves. However, the interpretation of vertebral ultrasound images is often difficult due to the variable quality of the image. In order to tackle this challenge, we present a method to localize the vertebrae on US images automatically. The validation of this reproducible approach suggests that it would be possible, in the long term, to replace part of the X-ray exams by US imaging.
    MeSH term(s) Humans ; Muscular Dystrophy, Duchenne ; Scoliosis/diagnostic imaging ; Spine/diagnostic imaging ; Ultrasonography ; X-Rays
    Language French
    Publishing date 2021-12-08
    Publishing country France
    Document type Journal Article
    ZDB-ID 632733-3
    ISSN 1958-5381 ; 0767-0974
    ISSN (online) 1958-5381
    ISSN 0767-0974
    DOI 10.1051/medsci/2021186
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  8. Article ; Online: Effect of the Acoustic Impedance Mismatch at the Bone-Soft Tissue Interface as a Function of Frequency in Transcranial Ultrasound: A Simulation and In Vitro Experimental Study.

    Gupta, Shreyank / Haiat, Guillaume / Laporte, Catherine / Belanger, Pierre

    IEEE transactions on ultrasonics, ferroelectrics, and frequency control

    2021  Volume 68, Issue 5, Page(s) 1653–1663

    Abstract: The transcranial Doppler (TCD) ultrasound is a method that uses a handheld low-frequency (2-2.5 MHz), pulsed Doppler phased array probe to measure blood velocity within the arteries located inside the brain. The problem with TCD lies in the low ... ...

    Abstract The transcranial Doppler (TCD) ultrasound is a method that uses a handheld low-frequency (2-2.5 MHz), pulsed Doppler phased array probe to measure blood velocity within the arteries located inside the brain. The problem with TCD lies in the low ultrasonic energy penetrating inside the brain through the skull, which leads to a low signal-to-noise ratio. This is due to several effects, including phase aberration, variations in the speed of sound in the skull, scattering, the acoustic impedance mismatch, and absorption of the three-layer medium constituted by soft tissues, the skull, and the brain. The goal of this article is to study the effect of transmission losses due to the acoustic impedance mismatch on the transmitted energies as a function of frequency. To do so, wave propagation was modeled from the ultrasonic transducer into the brain. This model calculates transmission coefficients inside the brain, leading to a frequency-dependent transmission coefficient for a given skin and bone thickness. This approach was validated experimentally by comparing the analytical results with measurements obtained from a bone phantom plate mimicking the skull. The average position error of the occurrence of the maximum amplitude between the experiment and analytical result was equivalent to a 0.06-mm error on the skin thickness given a fixed bone thickness. The similarity between the experimental and analytical results was also demonstrated by calculating correlation coefficients. The average correlation between the experimental and analytical results came out to be 0.50 for a high-frequency probe and 0.78 for a low-frequency probe. Further analysis of the simulation showed that an optimized excitation frequency can be chosen based on skin and bone thicknesses, thereby offering an opportunity to improve the image quality of TCD.
    MeSH term(s) Computer Simulation ; Electric Impedance ; Skull/diagnostic imaging ; Ultrasonics ; Ultrasonography
    Language English
    Publishing date 2021-04-26
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1525-8955
    ISSN (online) 1525-8955
    DOI 10.1109/TUFFC.2020.3043893
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Identifying available addictive disorder screening tests validated in primary care: A systematic review.

    Pautrat, Maxime / Pierre Lebeau, Jean / Laporte, Catherine

    Addictive behaviors

    2021  Volume 126, Page(s) 107180

    Abstract: Background: Substance use disorders and non-substance addictive behaviors are major, growing health concerns. Efficient screening primary care settings encouraged but its widespread implementation is restricted without an appropriate screening approach ... ...

    Abstract Background: Substance use disorders and non-substance addictive behaviors are major, growing health concerns. Efficient screening primary care settings encouraged but its widespread implementation is restricted without an appropriate screening approach for clinical practice or guidance for practitioners choose an appropriate screening test. This study aims to identify addictive disorder screening tests which are validated in primary care and suggest steps to help practitioners select the appropriate test.
    Method: A systematic review of the literature through Pubmed, PsycINFO and The Cochrane Library was performed from database inception to December 21, 2020. The search strategy included three research topics: screening, addictive disorders, and primary care. Selection criteria included published studies evaluating the validity of an addictive disorder screening test in primary care settings.
    Results: 8638 papers were selected, and 50 studies were included. Seventeen questionnaires validated in primary care covered the main substance use disorders, but none screened for non-substance addictive behaviors. Tests such as ASSIST, S2BI, SUBS and TAPS screen for a variety of substance use disorders while others such as TICS and CAGE-AID only have a few questions to improve feasibility. However, some shorter tests had weaker psychometric properties.
    Conclusions: Seventeen addictive disorder screening tests validated in primary care are available. The feasibility and acceptability in primary care of the shorter tests needs to be assessed. A transversal screening test, adapted to the constraints of primary care, that enables clinicians to detect substance use disorders and non-substance addictive behaviors is needed.
    MeSH term(s) Behavior, Addictive/diagnosis ; Humans ; Mass Screening ; Primary Health Care ; Psychometrics ; Substance-Related Disorders/diagnosis
    Language English
    Publishing date 2021-11-20
    Publishing country England
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 197618-7
    ISSN 1873-6327 ; 0306-4603
    ISSN (online) 1873-6327
    ISSN 0306-4603
    DOI 10.1016/j.addbeh.2021.107180
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  10. Article ; Online: Validation of an in vivo micro-CT-based method to quantify longitudinal bone growth of pubertal rats.

    Ning, Bohao / Londono, Irène / Laporte, Catherine / Villemure, Isabelle

    Bone

    2021  Volume 154, Page(s) 116207

    Abstract: Bone growth is an essential part of skeletal development during childhood and puberty. Accurately characterizing longitudinal bone growth helps to better understand the determining factors of peak bone mass, which has impacts on bone quality later in ... ...

    Abstract Bone growth is an essential part of skeletal development during childhood and puberty. Accurately characterizing longitudinal bone growth helps to better understand the determining factors of peak bone mass, which has impacts on bone quality later in life. Animal models were largely used to study longitudinal bone growth. However, the commonly used histology-based method is destructive and unable to follow up the growth curve of live animals in longitudinal experiments. In this study, we validated an in vivo micro-CT-based method against the histology-based method to quantify longitudinal bone growth rates of young rats non-destructively. CD (Sprague Dawley) IGS rats aged 35, 49 and 63 days received the same treatments: two series of repeated in vivo micro-CT scans on their proximal hind limb at a five-day interval, and two calcein injections separated by three days. The longitudinal bone growth rate was quantified by registering time-lapse micro-CT images in 3D, calculating the growth distance on registered images, and dividing the distance by the five-day gap. The growth rate was also evaluated by measuring the 2D distance between consecutive calcein fluorescent bands on microscopic images, divided by the three-day gap. The two methods were both validated independently with reproducible repeated measurements, where the micro-CT-based method showed higher precision. They were also validated against each other with low relative errors and a strong Pearson sample correlation coefficient (0.998), showing a significant (p < 0.0001) linear correlation between paired results. We conclude that the micro-CT-based method can serve as an alternative to the histology-based method for the quantification of longitudinal growth. Thanks to its non-invasive nature and true 3D capability, the micro-CT-based method helps to accommodate in vivo longitudinal animal studies with highly reproducible measurements.
    MeSH term(s) Animals ; Bone Development ; Bone and Bones/physiology ; Rats ; Rats, Sprague-Dawley ; Sexual Maturation ; X-Ray Microtomography/methods
    Language English
    Publishing date 2021-09-20
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632515-4
    ISSN 1873-2763 ; 8756-3282
    ISSN (online) 1873-2763
    ISSN 8756-3282
    DOI 10.1016/j.bone.2021.116207
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