Morphologie tridimensionnelle du bassin scoliotique

La scoliose idiopathique de l’adolescence (SIA) est une déformation tridimensionnelle de la colonne vertébrale et de la cage thoracique dont la cause est inconnue. Il semble que la ceinture pelvienne soit impliquée dans la pathogénie de la SIA, car des différences géométriques des os coxaux ont été observées. Notamment, une rotation du bassin ou une inclinaison latérale dans le sens de la courbe scoliotique ont été mises en évidence en plus des distorsions osseuses. Il est difficile de dissocier la rotation du bassin de son asymétrie, car la majorité des études porte sur des données radiologiques bidimensionnelles. Une analyse tridimensionnelle de la morphologie du bassin de patientes ayant une SIA, mais n’ayant pas reçu de traitement par corset ou chirurgie permettrait d’identifier le rôle du bassin dans la progression de la scoliose. Dix-sept jeunes filles atteintes de la SIA ont participé à cette étude pour lesquelles des radiographies bi-planaires en station debout étaient disponibles au moment du diagnostic par un chirurgien orthopédiste pédiatrique et à l’instant de la prescription d'un corset. Des radiographies postéro-antérieures et latérales avaient été prises au moyen du système EOS®. Douze repères anatomiques du bassin ont été identifiés sur les paires de radiographies, alors que quatre repères ont été identifiés sur la radiographie postéro-antérieure uniquement. Ces quatre derniers n’étaient pas identifiables sur la radiographie latérale à cause de la superposition des repères droits et gauches. La reconstruction tridimensionnelle du bassin a été réalisée à partir de deux clichés radiographiques des 12 premiers repères osseux. Au total, neuf paramètres tridimensionnels ont été calculés afin de quantifier l’asymétrie et la distorsion du bassin entre les deux temps donnés. Des paramètres bidimensionnels ont également été mesurés sur les quatre derniers repères osseux afin de documenter des déformations du bassin pertinentes à la pratique clinique, telle que la rotation axiale de celui-ci. Dans le but d'évaluer une possible asymétrie entre les os coxaux du bassin, les paramètres tridimensionnels du bassin gauche ont été comparés à ceux du côté droit à chaque temps, au moyen d'un test-t pour échantillon apparié. La morphologie pelvienne a été également évaluée par l'analyse multivariée (MANOVA) à mesures répétées à deux conditions (côté*temps). En conséquence, nous avons constaté une croissance osseuse statistiquement significative du bassin dans l’intervalle de temps entre le diagnostic de la scoliose et le port du corset (p=0,033). Une asymétrie significative entre les côtés gauche et droit du bassin (p=0,013) a également été constatée. En ce qui concerne les paramètres bidimensionnels, nous avons constaté une augmentation de la version pelvienne (p=0,024) au cours de la croissance des jeunes filles. Finalement, le bassin n'a pas présenté de distorsion, puisqu'une valeur de p de 0,763 a été observée. En conclusion, la croissance des jeunes filles atteintes de la scoliose idiopathique de l'adolescence est accompagnée d'une asymétrie morphologique entre les deux os coxaux du bassin. Cette asymétrie constatée au moment du diagnostic de la scoliose des filles a évolué jusqu'à l’instant où le port du corset a été prescrit. Quant aux paramètres bidimensionnels, nous pouvons conclure que la rotation du bassin vers l'arrière a augmenté au cours de la croissance des jeunes filles, produisant ainsi une rétroversion pelvienne dans le plan sagittal. La distorsion tridimensionnelle du bassin n'a toutefois pas été observée au cours de la croissance des jeunes filles.

L’asymétrie mammaire chez les adolescentes présentant une scoliose idiopathique

La scoliose idiopathique de l’adolescence (SIA) est une déformation tridimensionnelle complexe du rachis affectant majoritairement les filles. L’atteinte progressive est surtout esthétique avec, notamment, une déformation de la cage thoracique résultante. L’asymétrie mammaire est une préoccupation fréquente chez ces jeunes filles. Se définissant comme une différence de forme, de position ou de volume des seins ou des complexes aréolo-mamelonnaires, l’asymétrie mammaire est courante chez les femmes, mais habituellement mineure et non visible. Il demeure incertain dans la littérature si l’asymétrie mammaire est plus fréquente chez les scoliotiques. De plus, très peu d’études ont évalué la relation entre la scoliose et l’asymétrie mammaire. De façon instinctive, on serait porté à croire que ce ne sont pas les seins qui sont asymétriques, mais plutôt la déformation du thorax en rotation qui donne cette impression. Les seins représentent un des organes les plus difficiles à mesurer étant donné leur grande variabilité. Plusieurs méthodes de mesure ont été décrites. L’imagerie par résonance magnétique (IRM) est considérée l’outil le plus précis pour définir la glande mammaire et plus particulièrement, sa délimitation sur la cage thoracique. Ce projet consiste à quantifier l’asymétrie mammaire, représentée par une différence de volume entre les deux seins, chez une cohorte de jeunes filles présentant une SIA significative, en utilisant l’IRM comme outil de mesure. Ensuite, une méthode de mesure automatisée, à partir de la topographie surfacique 3D, est proposée. Les résultats obtenus avec cette méthode sont confrontés à ceux de l’IRM. L’influence de la posture sur le volume mammaire est également étudiée à partir de ces deux modalités différentes. Pour réaliser ces objectifs, une cohorte de 30 patientes scoliotiques a été recrutée sur la base de leur courbure thoracique et de leur maturité osseuse et mammaire. Deux imageries de tronc ont été effectuées : la topographie surfacique 3D et la résonance magnétique. Dans un premier temps, la sommation des images segmentées acquises par IRM nous a permis de mesurer de façon très précise le volume mammaire. Notre cohorte présente une asymétrie mammaire moyenne statistiquement significative de 8.32%. 66.6% des patientes présentent une asymétrie ≥ 5%. Par ailleurs, le sein gauche est plus volumineux chez 65.5% des patientes. Une faible corrélation non-significative existe entre les volumes mammaires et l’angle de Cobb ainsi que la gibbosité thoracique. Par la suite, une méthode de mesure automatisée, développée à partir de l’environnement mathématique Matlab, est appliquée directement sur les reconstructions 3D. En bref, elle consiste à identifier les contours des seins pour les exciser afin d’exposer la cage thoracique puis, à soustraire le thorax complet du thorax sans seins pour déterminer les volumes mammaires. Les volumes mammaires acquis par la méthode automatisée sont, de manière attendue, de plus petites tailles que ceux obtenus à l’IRM. Une forte corrélation est établie entre les volumes mammaires obtenus par les deux différentes techniques de mesure. Bien que statistiquement significatives, les asymétries mammaires (r= 0.614, p< .001) ne sont pas aussi fortement corrélées entre elles que les volumes. Le sein droit (r=0.805) présente une corrélation plus élevée que le sein gauche (r=0.747). Finalement, l’influence de la posture est étudiée à partir des maillages 3D de l’IRM (décubitus ventral) et de la topographie surfacique 3D (position debout). D’excellentes corrélations sont confirmées entre les volumes mammaires ; r= 0.896 et r= 0.939, respectivement pour les volumes mammaires gauches et droits. Ce projet a permis de démontrer, pour la première fois, qu’il est possible de calculer le volume mammaire de façon objective et précise avec l’IRM, chez une cohorte scoliotique. Grâce à la précision des repères anatomiques, l’IRM nous a permis de revisiter une croyance populaire dans la communauté de la scoliose. Celle soutenant que l’asymétrie mammaire ressentie par les patientes n’est qu’une perception. Ces nouvelles données nous permettrons de conseiller les jeunes filles avec la SIA, concernant leurs préoccupations sur l’asymétrie de leurs seins. Nous avons confirmé que la méthode de mesure automatisée est réalisable cliniquement et pourrait être utilisée pour prédire les volumes obtenus à l’IRM. Par ailleurs, c’est le premier outil de mesure de volumétrie mammaire complètement automatisé à notre connaissance. Les volumes mammaires obtenus debout et en décubitus ventral sont comparables.

Multimodal image fusion of anatomical structures for diagnosis, therapy planning and assistance

This paper provides an overview of work done in recent years by our research group to fuse multimodal images of the trunk of patients with Adolescent Idiopathic Scoliosis (AIS) treated at Sainte-Justine University Hospital Center (CHU). We first describe our surface acquisition system and introduce a set of clinical measurements (indices) based on the trunk's external shape, to quantify its degree of asymmetry. We then describe our 3D reconstruction system of the spine and rib cage from biplanar radiographs and present our methodology for multimodal fusion of MRI, X-ray and external surface images of the trunk We finally present a physical model of the human trunk including bone and soft tissue for the simulation of the surgical outcome on the external trunk shape in AIS.

Changes in Trunk Appearance After Scoliosis Spinal Surgery and Their Relation to Changes in Spinal Measurements

Study Design Retrospective study of surgical outcome. Objectives To evaluate quantitatively the changes in trunk surface deformities after scoliosis spinal surgery in Lenke 1A adolescent idiopathic scoliosis (AIS) patients and to compare it with changes in spinal measurements. Summary of Background Data Most studies documenting scoliosis surgical outcome used either radiographs to evaluate changes in the spinal curve or questionnaires to assess patients health-related quality of life. Because improving trunk appearance is a major reason for patients and their parents to seek treatment, this study focuses on postoperative changes in trunk surface deformities. Recently, a novel approach to quantify trunk deformities in a reliable, automatic, and noninvasive way has been proposed. Methods Forty-nine adolescents with Lenke 1A idiopathic scoliosis treated surgically were included. The back surface rotation and trunk lateral shift were computed on trunk surface acquisitions before and at least 6 months after surgery. We analyzed the effect of age, height, weight, curve severity, and flexibility before surgery, length of follow-up, and the surgical technique. For 25 patients with available three-dimensional (3D) spinal reconstructions, we compared changes in trunk deformities with changes in two-dimensional (2D) and 3D spinal measurements. Results The mean correction rates for the back surface rotation and the trunk lateral shift are 18% and 50%, respectively. Only the surgical technique had a significant effect on the correction rate of the back surface rotation. Direct vertebral derotation and reduction by spine translation provide a better correction of the rib hump (22% and 31% respectively) than the classic rod rotation technique (8%). The reductions of the lumbar Cobb angle and the apical vertebrae transverse rotation explain, respectively, up to 17% and 16% the reduction of the back surface rotation. Conclusions Current surgical techniques perform well in realigning the trunk; however, the correction of the deformity in the transverse plane proves to be more challenging. More analysis on the positive effect of vertebral derotation on the rib hump correction is needed. Level of evidence III.

A Novel Method for the 3-D Reconstruction of Scoliotic Ribs From Frontal and Lateral Radiographs

Among the external manifestations of scoliosis, the rib hump, which is associated with the ribs' deformities and rotations, constitutes the most disturbing aspect of the scoliotic deformity for patients. A personalized 3-D model of the rib cage is important for a better evaluation of the deformity, and hence, a better treatment planning. A novel method for the 3-D reconstruction of the rib cage, based only on two standard radiographs, is proposed in this paper. For each rib, two points are extrapolated from the reconstructed spine, and three points are reconstructed by stereo radiography. The reconstruction is then refined using a surface approximation. The method was evaluated using clinical data of 13 patients with scoliosis. A comparison was conducted between the reconstructions obtained with the proposed method and those obtained by using a previous reconstruction method based on two frontal radiographs. A first comparison criterion was the distances between the reconstructed ribs and the surface topography of the trunk, considered as the reference modality. The correlation between ribs axial rotation and back surface rotation was also evaluated. The proposed method successfully reconstructed the ribs of the 6th-12th thoracic levels. The evaluation results showed that the 3-D configuration of the new rib reconstructions is more consistent with the surface topography and provides more accurate measurements of ribs axial rotation.

Design, Fabrication and Characterization of Passive and Active Polymer Photonic Devices

The rapid developments in fields such as fibre optic communication engineering and integrated optical electronics have expanded the interest and have increased the expectations about guided wave optics, in which optical waveguides and optical fibres play a central role. The technology of guided wave photonics now plays a role in generating information (guided-wave sensors) and processing information (spectral analysis, analog-to-digital conversion and other optical communication schemes) in addition to its original application of transmitting information (fibre optic communication). Passive and active polymer devices have generated much research interest recently because of the versatility of the fabrication techniques and the potential applications in two important areas – short distant communication network and special functionality optical devices such as amplifiers, switches and sensors. Polymer optical waveguides and fibres are often designed to have large cores with 10-1000 micrometer diameter to facilitate easy connection and splicing. Large diameter polymer optical fibres being less fragile and vastly easier to work with than glass fibres, are attractive in sensing applications. Sensors using commercial plastic optical fibres are based on ideas already used in silica glass sensors, but exploiting the flexible and cost effective nature of the plastic optical fibre for harsh environments and throw-away sensors. In the field of Photonics, considerable attention is centering on the use of polymer waveguides and fibres, as they have a great potential to create all-optical devices. By attaching organic dyes to the polymer system we can incorporate a variety of optical functions. Organic dye doped polymer waveguides and fibres are potential candidates for solid state gain media. High power and high gain optical amplification in organic dye-doped polymer waveguide amplifier is possible due to extremely large emission cross sections of dyes. Also, an extensive choice of organic dye dopants is possible resulting in amplification covering a wide range in the visible region.

New High Permittivity and Low Loss Ceramics in the Bao-Ti02- Nb205 Composition

New dielectric ceramics with formula BaTi3Nb4, O„ and Ba6Til4Nbz039 have been prepared and characterized. BaTi3Nba017 was densified to 92% of TD after firing at 1310 oC for 4 h. However, Ba6Ti 1 4Nb2O39 fired under optimized conditions (1260 ` C for 4 h) showed only 85% TD together with secondary phase. The crystal system of both of the compositions is orthorhombic

Loss characterization in rhodamine 6G doped polymer film waveguide by side illumination fluorescence

We report the position dependent tuning of fluorescence emission from rhodamine 6G doped polymethylmethacrylate film waveguide using a side illumination technique. The transmitted fluorescence as a function of the distance from the point of illumination is measured by translating the waveguide horizontally across a monochromatic light source. This technique has been utilized to characterize the optical loss in dye doped waveguides. We observe that the optical loss coefficients for shorter and longer distances of propagation through the dye doped waveguide are different. At longer distance of propagation a decrease in optical loss coefficient is observed

BROADBAND WIDE COVERAGE UNIPLANAR ANTENNA

The Present thesis deals with the numerical as well as experimental investigations conducted on the resonance and radiation characteristics of Drum shaped monopole antenna, Funnel shaped monopole antenna and the shorted coplanar antenna.An introduction to the over view of antennas, state of the art planar antenna technologies, different feeding techniques and introduction of coplanar waveguides have been discussed.

Investigations on The Finite Size Effects of Some Inverse Spinels and Studies on Their Composites Based on Nitrile Rubber

Magnetism and magnetic materials have been an ever-attractive subject area for engineers and scientists alike because of its versatility in finding applications in useful devices. They find applications in a host of devices ranging from rudimentary devices like loud speakers to sophisticated gadgets like waveguides and Magnetic Random Access Memories (MRAM).The one and only material in the realm of magnetism that has been at the centre stage of applications is ferrites and in that spinel ferrites received the lions share as far as practical applications are concerned.It has been the endeavour of scientists and engineers to remove obsolescence and improve upon the existing so as to save energy and integrate in to various other systems. This has been the hallmark of material scientists and this has led to new materials and new technologies.In the field of ferrites too there has been considerable interest to devise new materials based on iron oxides and other compounds. This means synthesising ultra fine particles and tuning its properties to device new materials. There are various preparation techniques ranging from top- down to bottom-up approaches. This includes synthesising at molecular level, self assembling,gas based condensation. Iow temperature eo-precipitation, solgel process and high energy ball milling. Among these methods sol-gel process allows good control of the properties of ceramic materials. The advantage of this method includes processing at low temperature. mixing at the molecular level and fabrication of novel materials for various devices.Composites are materials. which combine the good qualities of one or more components. They can be prepared in situ or by mechanical means by the incorporation of fine particles in appropriate matrixes. The size of the magnetic powders as well as the nature of matrix affect the processability and other physical properties of the final product. These plastic/rubber magnets can in turn be useful for various applications in different devices. In applications involving ferrites at high frequencies, it is essential that the material possesses an appropriate dielectric permittivity and suitable magnetic permeability. This can be achieved by synthesizing rubber ferrite composites (RFC's). RFCs are very useful materials for microwave absorptions. Hence the synthesis of ferrites in the nanoregirne.investigations on their size effects on the structural, magnetic, and electrical properties and the incorporation of these ferrites into polymer matrixes assume significance.In the present study, nano particles of NiFe204, Li(!5Fe2S04 and Col-e-O, are prepared by sol gel method. By appropriate heat treatments, particles of different grain sizes are obtained. The structural, magnetic and electrical measurements are evaluated as a function of grain size and temperature. NiFel04 prepared in the ultrafine regime are then incorporated in nitrile rubber matrix. The incorporation was carried out according to a specific recipe and for various loadings of magnetic fillers. The cure characteristics, magnetic properties, electrical properties and mechanical properties of these elastomer blends are carried out. The electrical permittivity of all the rubber samples in the X - band are also conducted.

Studies on Some Aspects of Light Beam Propagation Through Certain Nonlinear Media

This thesis deals with the study of light beam propagation through different nonlinear media. Analytical and numerical methods are used to show the formation of solitonS in these media. Basic experiments have also been performed to show the formation of a self-written waveguide in a photopolymer. The variational method is used for the analytical analysis throughout the thesis. Numerical method based on the finite-difference forms of the original partial differential equation is used for the numerical analysis.In Chapter 2, we have studied two kinds of solitons, the (2 + 1) D spatial solitons and the (3 + l)D spatio-temporal solitons in a cubic-quintic medium in the presence of multiphoton ionization.In Chapter 3, we have studied the evolution of light beam through a different kind of nonlinear media, the photorcfractive polymer. We study modulational instability and beam propagation through a photorefractive polymer in the presence of absorption losses. The one dimensional beam propagation through the nonlinear medium is studied using variational and numerical methods. Stable soliton propagation is observed both analytically and numerically.Chapter 4 deals with the study of modulational instability in a photorefractive crystal in the presence of wave mixing effects. Modulational instability in a photorefractive medium is studied in the presence of two wave mixing. We then propose and derive a model for forward four wave mixing in the photorefractive medium and investigate the modulational instability induced by four wave mixing effects. By using the standard linear stability analysis the instability gain is obtained.Chapter 5 deals with the study of self-written waveguides. Besides the usual analytical analysis, basic experiments were done showing the formation of self-written waveguide in a photopolymer system. The formation of a directional coupler in a photopolymer system is studied theoretically in Chapter 6. We propose and study, using the variational approximation as well as numerical simulation, the evolution of a probe beam through a directional coupler formed in a photopolymer system.

Development and Analysis of a Compact Dual-Band Coplanar Antenna

The coplanar wave guide is an attractive device in microwave integrated circuits due to its uniplanar nature, ease of fabrication and low production cost. Several attempts are already done to explore the radiating modes in coplanar wave guide transmission lines. Usually coplanar wave guides are excited by an SMA connector with its centre conductor connected to the exact middle of the centre strip and the outer ground conductor to the two ground strips. The mode excited on it is purely a bound mode. The E-field distribution in the two slots are out of phase and there for cancels at the far field. This thesis addresses an attempt to excite an in phase E-field distribution in the two slots of the co planar wave guide by employing a feed asymmetry, in order to get radiation from the two large slot discontinuities of the coplanar waveguide. The omni directional distribution of the radiating energy can be achieved by widening the centre strip.The first part of the thesis deals with the investigations on the resonance phenomena of conventional coplanar waveguides at higher frequency bands. Then an offset fed open circuited coplanar waveguide supporting resonance/radiation phenomena is analyzed. Finally, a novel compact co planar antenna geometry with dual band characteristics, suitable for mobile terminal applications is designed and characterized using the inferences from the above study.

Ultra-wideband slot antenna for wireless USB dongle applications

An ultra-wideband (UWB) printed slot antenna, suitable for integration with the printed circuit board (PCB) of a wireless universal serial-bus (WUSB) dongle is presented. The design comprises a near-rectangular slot fed by a coplanar waveguide printed on a PCB of width 20 mm. The proposed design has a large bandwidth covering the 3.1-10.6 GHz UWB band, unaffected by the ground length, and omnidirectional radiation patterns. A linear phase response throughout the band further confirms its suitability for high-speed wireless connectivity.

Design and Development of Compact Coplanar Waveguide Fed Antennas for Wireless Applications

The need of miniaturization in the present day communication industry is challenging. In the present scenario, printed antenna technology is highly suitable for wireless communication due to its low profile and other desirable radiation characteristics. Small monopole type antennas are overruled by compact small antennas for present day mobile communication applications. Coplanar waveguides (CPW) are printed on one side of a dielectric substrate. CPW have attracted the attention of antenna designers due to their excellent properties like ease of integration with ‘MMIC’, low cost, wide bandwidth, flexibility towards multiband operation, low radiation leakage and less dispersion. The requirement of omnidirectional coverage, light weight and low cost made these CPW fed antennas a good candidate for wireless applications. The main focus of the thesis is the study of coplanar waveguide transmission line. Rigorous investigations were performed on both the ground plane and signal strip of a coplanar waveguide transmission line to create effective radiation characteristics. Good amount of works have been done to transform CPW line to antenna suitable for mobile phone applications

Polyconductivity in polypyrrole: The correlated electron gas

p-toluensulfonate doped polypyrrole (PPy), undergoes an electric-field induced reversible transition from an insulating state to a highly conductive one. The spatially average field can be as small as 200 V/cm, when the temperature of the sample is below 20 K. The applied electric field leads to a sharp jump in the value of the current to a value which is nearly five orders of magnitude higher than before. When the applied electric field is reduced to below a critical value, the system switches back to a low conductive state. The effect is reversible, symmetric in voltage, and reproducible for different samples. The switching is, we believe, an electronic glass melting transition and it is due to the disordered, highly charged granular nature of PPy.