Towards Non Invasive Diagnosis of Scoliosis Using Semi-supervised Learning Approach

In this paper, a new methodology for the prediction of scoliosis curve types from non invasive acquisitions of the back surface of the trunk is proposed. One hundred and fifty-nine scoliosis patients had their back surface acquired in 3D using an optical digitizer. Each surface is then characterized by 45 local measurements of the back surface rotation. Using a semi-supervised algorithm, the classifier is trained with only 32 labeled and 58 unlabeled data. Tested on 69 new samples, the classifier succeeded in classifying correctly 87.0% of the data. After reducing the number of labeled training samples to 12, the behavior of the resulting classifier tends to be similar to the reference case where the classifier is trained only with the maximum number of available labeled data. Moreover, the addition of unlabeled data guided the classifier towards more generalizable boundaries between the classes. Those results provide a proof of feasibility for using a semi-supervised learning algorithm to train a classifier for the prediction of a scoliosis curve type, when only a few training data are labeled. This constitutes a promising clinical finding since it will allow the diagnosis and the follow-up of scoliotic deformities without exposing the patient to X-ray radiations.

Noninvasive Clinical Assessment of Trunk Deformities Associated With Scoliosis

Besides the spinal deformity, scoliosis modifies notably the general appearance of the trunk resulting in trunk rotation, imbalance, and asymmetries that constitutes patients' major concern. Existing classifications of scoliosis, based on the type of spinal curve as depicted on radiographs, are currently used to guide treatment strategies. Unfortunately, even though a perfect correction of the spinal curve is achieved, some trunk deformities remain, making patients dissatisfied with the treatment received. The purpose of this study is to identify possible shape patterns of trunk surface deformity associated with scoliosis. First, trunk surface is represented by a multivariate functional trunk shape descriptor based on 3-D clinical measurements computed on cross sections of the trunk. Then, the classical formulation of hierarchical clustering is adapted to the case of multivariate functional data and applied to a set of 236 trunk surface 3-D reconstructions. The highest internal validity is obtained when considering 11 clusters that explain up to 65% of the variance in our dataset. Our clustering result shows a concordance with the radiographic classification of spinal curves in 68% of the cases. As opposed to radiographic evaluation, the trunk descriptor is 3-D and its functional nature offers a compact and elegant description of not only the type, but also the severity and extent of the trunk surface deformity along the trunk length. In future work, new management strategies based on the resulting trunk shape patterns could be thought of in order to improve the esthetic outcome after treatment, and thus patients satisfaction.

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.

Prediction of scoliosis curve type based on the analysis of trunk surface topography

Scoliosis treatment strategy is generally chosen according to the severity and type of the spinal curve. Currently, the curve type is determined from X-rays whose acquisition can be harmful for the patient. We propose in this paper a system that can predict the scoliosis curve type based on the analysis of the surface of the trunk. The latter is acquired and reconstructed in 3D using a non invasive multi-head digitizing system. The deformity is described by the back surface rotation, measured on several cross-sections of the trunk. A classifier composed of three support vector machines was trained and tested using the data of 97 patients with scoliosis. A prediction rate of 72.2% was obtained, showing that the use of the trunk surface for a high-level scoliosis classification is feasible and promising.

Nuclear charge radii from X-ray transitions in muonic atoms of carbon, nitrogen and oxygen

Energies of muonic X-rays of the K-series of carbon, nitrogen and oxygen have been measured with an accuracy of about 15 eV. Root mean square radii of the nuclear charge distributions were deduced. The results 2.49±0.05 fm for carbon, 2.55 ±0.03 fm for nitrogen and 2.71 ±0.02 fm for oxygen are in good agreement at comparable accuracy with recent electron scattering data.

Absorptionsspektrometrie in der Kavität eines Halbleiterlasers unter Ausnutzung der Modenkonkurrenz zwischen zwei Moden

Motivation dieser Arbeit ist die Idee, ein höchst sensitives und selektives Spektroskop, welches gleichzeitig robust ist, auf Basis von Halbleiterlasern zum Einsatz in der Atemgasdiagnostik zu entwickeln. Technische Grundlage ist die Idee, die Probe innerhalb des Laserresonators zu vermessen (sogenannte intra cavity absorption spectroscopy, ICAS). Im speziellen soll durch die Verwendung des relativen Intensitätsrauschens zur Messwertbestimmung und die Verwendung von nur zwei Moden statt der sonst für ICAS verwendeten multimodigen Laser, die Empfindlichkeit erhöht, sowie die Messwerterfassung vereinfacht werden. Die Probe im Laserresonator zu Messen, hat den Vorteil, dass durch die multiple Hin­ und Rückreflektion die wirksame Pfadlänge durch die Probe vervielfacht wird. Dabei werden Verluste an den Resonatorspiegeln durch die Verstärkung der aktiven Zone des Lasers kompensiert. Außerdem wird durch die Konkurrenz der Moden um die idealerweise homogen verbreiterte Verstärkung im Laser die Empfindlichkeit noch einmal bedeutend erhöht. Schon eine geringe Absorption bei einer bestimmten Wellenlänge wird die Intensität des betroffenen Modes zugunsten der anderen Moden verringern. Die Arbeit beschäftigt sich zum einen mit der spektroskopischen Untersuchung zwei- er für die Atemgasdiagnostik relevanter Stoffe, Aceton und das in der Anästhesie häufig eingesetzte Propofol, um das Umfeld, in dem der Laser Verwendung finden soll, zu beleuchten. Diese Untersuchungen flossen in die Entwicklung des später zum Sensor auszubauenden Lasers ein. Für den Laser wurden in der Telekommunikation übliche, glasfaserbasierte, robuste Standardbauteile wie ein optischer Halbleiterverstärker (semiconductor optical amplifier, SOA), Faserkoppler und Faser­Bragg­Gitter verwendet. Die Bauteile wurden charakterisiert. Teilaspekte des Aufbaus wurden mit der Software CAMFR simuliert. Schließlich wurde der Laser als solcher aufgebaut und charakterisiert. Das Ziel der Zweimodigkeit, in einem Intervall von 2 nm durchstimmbar, konnte erreicht werden. An einem vom Heinrich­Hertz­Institut in Berlin entwickelten zweimodigen Halbleiterlasers wurden Untersuchungen der Idee zur Vereinfachung der Messwerterfassung mittels relativen Intensitätsrauschens (relative intensity noise, RIN) durchgeführt. Als Messgröße stellt das RIN die Amplituden der Intensitätsschwankungen des Lasers gegen die Frequenzen der Intensitätsschwankungen als Rauschspektrum dar. Es konnte nachgewiesen werden, dass das Rauschspektrum charakteristisch für das Oszillationsverhalten des Lasers ist.

Algorithms for Tamagawa Number Conjectures

In dieser Arbeit werden Algorithmen zur Untersuchung der äquivarianten Tamagawazahlvermutung von Burns und Flach entwickelt. Zunächst werden Algorithmen angegeben mit denen die lokale Fundamentalklasse, die globale Fundamentalklasse und Tates kanonische Klasse berechnet werden können. Dies ermöglicht unter anderem Berechnungen in Brauergruppen von Zahlkörpererweiterungen. Anschließend werden diese Algorithmen auf die Tamagawazahlvermutung angewendet. Die Epsilonkonstantenvermutung kann dadurch für alle Galoiserweiterungen L|K bewiesen werden, bei denen L in einer Galoiserweiterung E|Q vom Grad kleiner gleich 15 eingebettet werden kann. Für die Tamagawazahlvermutung an der Stelle 1 wird ein Algorithmus angegeben, der die Vermutung für ein gegebenes Fallbeispiel L|Q numerischen verifizieren kann. Im Spezialfall, dass alle Charaktere rational oder abelsch sind, kann dieser Algorithmus die Vermutung für L|Q sogar beweisen.

Jornada de homenaje al maestro del Consejo Escolar de la Región de Murcia.

Jornada cuyo objetivo fundamental es promover la reflexión de la sociedad sobre la importancia de la labor educativa, reclamar su apoyo y el compromiso con la figura del maestro y con las funciones que desempeña. La celebración de esta jornada supone el reconocimiento público de la figura del maestro, su esfuerzo y su dedicación desarrollada en todos los rincones de la Región de Murcia.

Evitar los problemas de comportamiento de nuestros hijos e hijas : apuntes para mejorar las relaciones en los centros.

Ayudar a los padres y madres a desarrollar una implicación eficaz en el proceso educativo de sus hijos, es el objetivo de este documento. Se recogen ideas sobre características del ambiente familiar que necesitan los hijos, reflexiones sobre circunstancias que propician algunos problemas de comportamiento, y orientaciones útiles de actuación para evitar los problemas de conducta.

Virtual Model Control of a Biped Walking Robot

The transformation from high level task specification to low level motion control is a fundamental issue in sensorimotor control in animals and robots. This thesis develops a control scheme called virtual model control which addresses this issue. Virtual model control is a motion control language which uses simulations of imagined mechanical components to create forces, which are applied through joint torques, thereby creating the illusion that the components are connected to the robot. Due to the intuitive nature of this technique, designing a virtual model controller requires the same skills as designing the mechanism itself. A high level control system can be cascaded with the low level virtual model controller to modulate the parameters of the virtual mechanisms. Discrete commands from the high level controller would then result in fluid motion. An extension of Gardner's Partitioned Actuator Set Control method is developed. This method allows for the specification of constraints on the generalized forces which each serial path of a parallel mechanism can apply. Virtual model control has been applied to a bipedal walking robot. A simple algorithm utilizing a simple set of virtual components has successfully compelled the robot to walk eight consecutive steps.

View-Based Strategies for 3D Object Recognition

A persistent issue of debate in the area of 3D object recognition concerns the nature of the experientially acquired object models in the primate visual system. One prominent proposal in this regard has expounded the use of object centered models, such as representations of the objects' 3D structures in a coordinate frame independent of the viewing parameters [Marr and Nishihara, 1978]. In contrast to this is another proposal which suggests that the viewing parameters encountered during the learning phase might be inextricably linked to subsequent performance on a recognition task [Tarr and Pinker, 1989; Poggio and Edelman, 1990]. The 'object model', according to this idea, is simply a collection of the sample views encountered during training. Given that object centered recognition strategies have the attractive feature of leading to viewpoint independence, they have garnered much of the research effort in the field of computational vision. Furthermore, since human recognition performance seems remarkably robust in the face of imaging variations [Ellis et al., 1989], it has often been implicitly assumed that the visual system employs an object centered strategy. In the present study we examine this assumption more closely. Our experimental results with a class of novel 3D structures strongly suggest the use of a view-based strategy by the human visual system even when it has the opportunity of constructing and using object-centered models. In fact, for our chosen class of objects, the results seem to support a stronger claim: 3D object recognition is 2D view-based.

Interactival : actividades evaluables para uso en P.D.I

Los materiales que se presentan en esta publicaci??n fueron creados inicialmente para la actividad docente en la Escuela Oficial de Idiomas de Avil??s. Enfocados para el segundo curso de nivel intermedio y de nivel avanzado del idioma ingl??s, se dirigen, sin embargo, a todo el profesorado, pues pretenden demostrar que no es necesario ser un experto en TIC para poder realizar las actividades propuestas, propiciando el que el profesorado pierda el miedo a crear las suyas propias para su uso en el aula, bien con PDI o con proyector y ordenador. As??, por ejemplo, se demuestra como una unidad did??ctica realizada con un procesador de textos del tipo Microsoft Word, de uso corriente entre el profesorado, se puede convertir en material interactivo y apto para la PDI desde el momento en el que cuente simplemente con enlaces externos. La obra se estructura en dos partes: a) Materiales y unidades did??cticas creadas para su uso con PDI (Pizarra Digital Interactiva) y b) Bolet??n de notas y cuaderno de evaluaci??n.