Virtual simulation of the postsurgical cosmetic outcome in patientswith pectus excavatum

Pectus excavatum is the most common congenital deformity of the anterior chest wall, in which several ribs and the sternum grow abnormally. Nowadays, the surgical correction is carried out in children and adults through Nuss technic. This technic has been shown to be safe with major drivers as cosmesis and the prevention of psychological problems and social stress. Nowadays, no application is known to predict the cosmetic outcome of the pectus excavatum surgical correction. Such tool could be used to help the surgeon and the patient in the moment of deciding the need for surgery correction. This work is a first step to predict postsurgical outcome in pectus excavatum surgery correction. Facing this goal, it was firstly determined a point cloud of the skin surface along the thoracic wall using Computed Tomography (before surgical correction) and the Polhemus FastSCAN (after the surgical correction). Then, a surface mesh was reconstructed from the two point clouds using a Radial Basis Function algorithm for further affine registration between the meshes. After registration, one studied the surgical correction influence area (SCIA) of the thoracic wall. This SCIA was used to train, test and validate artificial neural networks in order to predict the surgical outcome of pectus excavatum correction and to determine the degree of convergence of SCIA in different patients. Often, ANN did not converge to a satisfactory solution (each patient had its own deformity characteristics), thus invalidating the creation of a mathematical model capable of estimating, with satisfactory results, the postsurgical outcome

Do silêncio à acção.

From silence to action: silence taken as a foundational action that allows creative processes. It is a blankness that precedes the moment of creation but also stands for a search for perfection, the un-representable, the Sublime. The ‘art moment’ is that what is created from such emptiness, in the vertiginous abyss from nowhere to action. We will work this complex process of understanding if an action precedes the silence or if the silence precedes the action. Analyzing art process, considering its phases, from the tension between either to create or not to create will be related with the potency refereed by Agamben regarding Bartleby: starting with blankness, with the invisibility of potency, when communication is urgent. When “the blues” are called into participation, when the melancholic state installs the potency of the work both to grow or be doubted, of to do or not to do, how do we read agency? Is silence the action? Should the action rest in silence? What to do? Remain in the state of pure potency or prove the impossibility to create form? Nowadays, the pensive image counters the logic of the narrative action. On the one hand, the image extends the action on the other hand suspends any given presumption. The artistic process carries on, in its poetic freedom, a search without the enslavement of representational forms.