Reliability of the image evaluation system PGMI

Purpose: Many countries used the PGMI (P=perfect, G=good, M=moderate, I=inadequate) classification system for assessing the quality of mammograms. Limits inherent to the subjectivity of this classification have been shown. Prior to introducing this system in Switzerland, we wanted to better understand the origin of this subjectivity in order to minimize it. Our study aimed at identifying the main determinants of the variability of the PGMI system and which criteria are the most subjected to subjectivity. Methods and Materials: A focus group composed of 2 experienced radiographers and 2 radiologists specified each PGMI criterion. Ten raters (6 radiographers and 4 radiologists) evaluated twice a panel of 40 randomly selected mammograms (20 analogic and 20 digital) according to these specified PGMI criteria. The PGMI classification was assessed and the intra- and inter-rater reliability was tested for each professional group (radiographer vs radiologist), image technology (analogic vs digital) and PGMI criterion. Results: Some 3,200 images were assessed. The intra-rater reliability appears to be weak, particularly in respect to inter-rater variability. Subjectivity appears to be largely independent of the professional group and image technology. Aspects of the PGMI classification criteria most subjected to variability were identified. Conclusion: Post-test discussions enabled to specify more precisely some criteria. This should reduce subjectivity when applying the PGMI classification system. A concomitant, important effort in training radiographers is also necessary.

Mastectomy, body deconstruction, and impact on identity: a qualitative study.

Objectives This qualitative study aims at understanding the consequences of body deconstruction through mastectomy on corporality and identity in women with breast cancer. Design Nineteen women were contacted through the hospital. All had to undergo mastectomy. Some were offered immediate breast reconstruction, others, because of cancer treatments, had no planned reconstruction. A qualitative reflexive methodological background was chosen. Method Women were invited to participate in three semi-structured interviews, one shortly before or after mastectomy, and the other interviews later in their illness courses, after surgery. All interviews were transcribed verbatim. Thematic analysis was performed. The analysis of the first interview of each woman is presented in this article. Results Mastectomy provokes a painful experience of body deconstruction. Even when immediate reconstruction is proposed, contrasted feelings and dissonance are expressed when comparing the former healthy body to the present challenged body entity. Body transformations are accompanied with experiences of mutilation, strangeness, and modify the physical, emotional social, symbolic and relational dimensions of the woman's gendered identity. Although the opportunity of breast reconstruction is seen as a possible recovery of a lost physical symmetry and body integrity, grieving the past body and integrating a new corporality leads to a painful identity crisis. Conclusion With mastectomy, the roots of the woman's identity are challenged, leading to a re-evaluation of her existential values. The consequences of mastectomy transform the woman's corporality and embodiment, and question her identity. Psychological support is discussed in the perspective of our results.

Dieu obscur : le sexe, la cruauté et la violence dans l'Ancien Testament

Le Dieu de l'Ancien Testament peut choquer les lecteurs de la Bible : il noie sa création sous le déluge, il exige d'Abraham qu'il sacrifie son fils, il élimine les premiers-nés des Egyptiens la nuit précédant l'exode ou supprime impitoyablement les Israélites qui s'étaient adonnés au culte du veau d'or. Au cours des siècles, nombre de chrétiens ou philosophes ont rejeté tout ou partie de l'Ancien Testament à cause de ces traits divins qui ne concordent pas, loin s'en faut, avec certaines images du Dieu bon et doux du Nouveau Testament. Alors, peut-on aujourd'hui croire ou (re)croire à un Dieu macho, cruel, despotique ou même purificateur ethnique ? Thomas Römer propose de relire les passages litigieux à la lumière des dernières recherches en Ancien Testament. Pour l'auteur, les traits à première vue rébarbatifs que Dieu arbore ici et là veulent préserver la foi de tout ronron dogmatique en lui instillant les visions inattendues d'un Dieu en prise avec la vie réelle de l'humanité. Cet ouvrage est une réédition largement revue et augmentée de l'ancienne version parue 1996. Il accueille un nouveau chapitre sur le Dieu moralisateur et l'homme pécheur.

Comparison of organ doses and image quality between CT and flat panel XperCT scans in wrist and inner ear examinations.

The aim of this study was to evaluate and compare organ doses delivered to patients in wrist and petrous bone examinations using a multislice spiral computed tomography (CT) and a C-arm cone-beam CT equipped with a flat-panel detector (XperCT). For this purpose, doses to the target organ, i.e. wrist or petrous bone, together with those to the most radiosensitive nearby organs, i.e. thyroid and eye lens, were measured and compared. Furthermore, image quality was compared for both imaging systems and different acquisition modes using a Catphan phantom. Results show that both systems guarantee adequate accuracy for diagnostic purposes for wrist and petrous bone examinations. Compared with the CT scanner, the XperCT system slightly reduces the dose to target organs and shortens the overall duration of the wrist examination. In addition, using the XperCT enables a reduction of the dose to the eye lens during head scans (skull base and ear examinations).

Habitudes alimentaires et image corporelle chez des étudiants de deuxième année de gymnase à Lausanne [Food habits and body image of students in Lausanne]

During adolescence, nutrition needs are high; however the literature shows that few adolescents are following standardized nutritional requirements. A few weeks before an intervention about nutrition to high school adolescents in Lausanne, they were invited to fill in a self-reported questionnaire about their nutrition modes and habits, and their self-image satisfaction (N = 198). Results show that only 5% of youth are eating 5 fruits and vegetables per day and only 29% 3 to 5 dairy products. 21% of female and 6% of boys are not satisfied about their self-image, and those exhibiting a poor self-image tend to adopt health compromising eating patterns in a higher proportion. During adolescence it is important not only to investigate the nutritional habits but also one's self image.

Active learning methods for remote sensing image classification

In this paper, we propose two active learning algorithms for semiautomatic definition of training samples in remote sensing image classification. Based on predefined heuristics, the classifier ranks the unlabeled pixels and automatically chooses those that are considered the most valuable for its improvement. Once the pixels have been selected, the analyst labels them manually and the process is iterated. Starting with a small and nonoptimal training set, the model itself builds the optimal set of samples which minimizes the classification error. We have applied the proposed algorithms to a variety of remote sensing data, including very high resolution and hyperspectral images, using support vector machines. Experimental results confirm the consistency of the methods. The required number of training samples can be reduced to 10% using the methods proposed, reaching the same level of accuracy as larger data sets. A comparison with a state-of-the-art active learning method, margin sampling, is provided, highlighting advantages of the methods proposed. The effect of spatial resolution and separability of the classes on the quality of the selection of pixels is also discussed.

Transformations et influences dans «l'historiographie» juive de la fin du VIIe s. av. notre ère jusqu'à l'époque perse

The origins of biblical historiography may be dated to the end of the VIIth c. and linked to those of the deuteronomic school itself. In order to justify Josiah's politics, his scribes elaborated a collection of texts (Deut, Josh, Kings, a vita Mosis in Gen-Nb) which were widely inspired by Assyrian ideology. During the Babylonian exile, this literature underwent a transformation: the new created « Deuteronomistic History, (Deut-2 Kings) converted propaganda into theodicee. The Deuteronomists were still at work in the Persian period as can be seen in numerous texts in Deut-2 Kings, as well as in the edition of the prophetic corpus. From now on, dtr ideology was centered on three points: the restauration by law, the end of prophecy and the need to separate Israel from the « others » (cf. EsdNeh). But the Persian period was also the, time of compromise. The Pentateuch was made by putting together dtr and priestly ideologies, « autochtonous » and « exodic » views about the origins of Israel.