Primary three-dimensional analysis with perspective-filet view versus primary two-dimensional analysis: Evaluation of lesion detection by inexperienced readers at computed tomographic colonography in symptomatic patients

2009 ◽  
Vol 50 (3) ◽  
pp. 244-255 ◽  
Author(s):  
V. A. Fisichella ◽  
F. Jäderling ◽  
S. Horvath ◽  
P.-O. Stotzer ◽  
A. Kilander ◽  
...  

Background: “Perspective-filet view” is a novel three-dimensional (3D) viewing technique for computed tomography colonography (CTC). Studies with experienced readers have shown a sensitivity for perspective-filet view similar to that of 2D or 3D endoluminal fly-through in detection of colorectal lesions. It is not known whether perspective-filet view, compared to axial images, improves lesion detection by inexperienced readers. Purpose: To compare primary 3D analysis using perspective-filet view (3D Filet) with primary 2D analysis, as used by inexperienced CTC readers. Secondary aims were to compare lesion detection by 3D Filet when used by experienced and inexperienced readers, and to evaluate the effect of combined 3D Filet + 2D analysis. Material and Methods: Fifty symptomatic patients were prospectively enrolled. An experienced reader performed 3D Filet analysis followed by complete 2D analysis (3D Filet + 2D), before colonoscopy with segmental unblinding. Two inexperienced readers (readers 2 and 3), blinded to CTC and colonoscopy findings, retrospectively performed 3D Filet analysis and, after 5 weeks, 2D analysis. True positives ≥6 mm detected by the inexperienced readers with 3D Filet and/or 2D were combined to obtain 3D Filet + 2D. Results: Colonoscopy revealed 116 lesions: 16 lesions ≥10 mm, 19 lesions 6–9 mm, and 81 lesions ≤5 mm. For the experienced reader, sensitivities for lesions ≥6 mm with 3D Filet and 3D Filet + 2D were 77% and 83%, respectively. For the inexperienced readers, sensitivities for lesions ≥6 mm with 3D Filet and 2D were 51% and 57% (reader 2) and 40% and 43% (reader 3), respectively. There was no significant difference between 3D Filet and 2D regarding sensitivity and reading time. For lesions ≥6 mm, 3D Filet + 2D improved the sensitivity of reader 2 to 63% and of reader 3 to 51%. Conclusion: Lesion detection by inexperienced readers using perspective-filet view is comparable to that obtained by 2D. Lesion detection improves by combining 3D Filet + 2D, but not to the level of an experienced reader.

Diagnostics ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 252 ◽  
Author(s):  
Fabio Barra ◽  
Ennio Biscaldi ◽  
Carolina Scala ◽  
Antonio Simone Laganà ◽  
Valerio Gaetano Vellone ◽  
...  

(1) Objectives: In patients with symptoms suggestive of rectosigmoid endometriosis, imaging techniques are required to confirm the presence and establish the extent of the disease. The objective of the current study was to compare the performance of three-dimensional rectal water contrast transvaginal ultrasonography (3D-RWC-TVS) and computed tomographic colonography (CTC) in predicting the presence and characteristics of rectosigmoid endometriosis. (2) Methods: This prospective study included patients with suspicion of rectosigmoid endometriosis who underwent both 3D-RWC-TVS and CTC and subsequently were surgically treated. The findings of imaging techniques were compared with surgical and histological results. (3) Results: Out of 68 women included in the study, 37 (48.9; 95% C.I. 38.2–59.7%) had rectosigmoid nodules and underwent bowel surgery. There was no significant difference in the accuracy of 3D-RWC-TVS and CTC in diagnosing the presence of rectosigmoid endometriotic nodules (p = 0.118), although CTC was more precise in diagnosing endometriosis located in the sigmoid (p = 0.016). 3D-RWC-TVS and CTC had similar precision in estimating the largest diameter of the main endometriotic nodule (p = 0.099) and, in patients undergoing segmental resection, the degree of the stenosis of the bowel lumen (p = 0.293). CTC was more accurate in estimating the distance between the lower margin of the intestinal nodule and the anal verge (p = 0.030) but was less tolerated than 3D-RWC-TVS (p < 0.001). (4) Conclusion: This was the first study comparing the performance of 3D-RWC-TVS and CTC in the diagnosis of rectosigmoid endometriosis. Both techniques allowed for the evaluation of the profile of the bowel lumen in a pseudoendoscopic fashion and had a similar performance for the diagnosis of rectosigmoid endometriosis, although CTC was more accurate in diagnosing and characterizing sigmoid nodules.


2012 ◽  
Vol 22 (01n02) ◽  
pp. 81-86
Author(s):  
ANNEMARIE SICKERT ◽  
NIRAV BARAPATRE ◽  
MARTIN ROTHERMEL ◽  
DANIEL TEUPSER ◽  
TILO REINERT

Quantitative three dimensional analysis is possible, in principle, by PIXE tomography. But, the inherent problems in quantitation, restrictions on the sample geometry and preparation, and specimen damage due to high fluences make this method unsuitable for many biological samples. The specimen under investigation, a murine artery, was around a millimeter in diameter and the induced atherosclerotic lesion was spread few hundreds of micrometers across the length of the artery. Since no tomographic experiments were possible, we chose to do the 3D quantitative analysis by means of PIXE Stacking. Herein, thin serial sections of the specimen are prepared and measured by conventional ion beam techniques. The resultant two dimensional quantitative element maps are stacked and aligned to reconstruct a quantitative volume of the specimen. Although the reconstructed dimension has poorer spatial resolution as compared with the measured dimensions, new information can still be gained from it. The three dimensional element distribution of the atherosclerotic lesion shows calcification on the outer surface of the artery, which otherwise would not have been easily visible in the two dimensional analysis.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jae-Young Kim ◽  
Michael D. Han ◽  
Kug Jin Jeon ◽  
Jong-Ki Huh ◽  
Kwang-Ho Park

Abstract Background The purpose of this study was to investigate the differences in configuration and dimensions of the anterior loop of the inferior alveolar nerve (ALIAN) in patients with and without mandibular asymmetry. Method Preoperative computed tomography images of patients who had undergone orthognathic surgery from January 2016 to December 2018 at a single institution were analyzed. Subjects were classified into two groups as “Asymmetry group” and “Symmetry group”. The distance from the most anterior and most inferior points of the ALIAN (IANant and IANinf) to the vertical and horizontal reference planes were measured (dAnt and dInf). The distance from IANant and IANinf to the mental foramen were also calculated (dAnt_MF and dInf_MF). The length of the mandibular body and symphysis area were measured. All measurements were analyzed using 3D analysis software. Results There were 57 total eligible subjects. In the Asymmetry group, dAnt and dAnt_MF on the non-deviated side were significantly longer than the deviated side (p < 0.001). dInf_MF on the non-deviated side was also significantly longer than the deviated side (p = 0.001). Mandibular body length was significantly longer on the non-deviated side (p < 0.001). There was no significant difference in length in the symphysis area (p = 0.623). In the Symmetry group, there was no difference between the left and right sides for all variables. Conclusion In asymmetric patients, there is a difference tendency in the ALIAN between the deviated and non-deviated sides. In patients with mandibular asymmetry, this should be considered during surgery in the anterior mandible.


Materials ◽  
2021 ◽  
Vol 14 (6) ◽  
pp. 1550
Author(s):  
Soo-Yeon Yoo ◽  
Seong-Kyun Kim ◽  
Seong-Joo Heo ◽  
Jai-Young Koak ◽  
Joung-Gyu Kim

Previous studies on accuracy of three-dimensional (3D) printed model focused on full arch measurements at few points. The aim of this study was to examine the dimensional accuracy of 3D-printed models which were teeth-prepped for three-unit fixed prostheses, especially at margin and proximal contact areas. The prepped dental model was scanned with a desktop scanner. Using this reference file, test models were fabricated by digital light processing (DLP), Multi-Jet printing (MJP), and stereo-lithography apparatus (SLA) techniques. We calculated the accuracy (trueness and precision) of 3D-printed models on 3D planes, and deviations of each measured points at buccolingual and mesiodistal planes. We also analyzed the surface roughness of resin printed models. For overall 3D analysis, MJP showed significantly higher accuracy (trueness) than DLP and SLA techniques; however, there was not any statistically significant difference on precision. For deviations on margins of molar tooth and distance to proximal contact, MJP showed significantly accurate results; however, for a premolar tooth, there was no significant difference between the groups. 3D color maps of printed models showed contraction buccolingually, and surface roughness of the models fabricated by MJP technique was observed as the lowest. The accuracy of the 3D-printed resin models by DLP, MJP, and SLA techniques showed a clinically acceptable range to use as a working model for manufacturing dental prostheses


1983 ◽  
Vol 105 (3) ◽  
pp. 406-412 ◽  
Author(s):  
Kyung Woong Kim ◽  
Masato Tanaka ◽  
Yukio Hori

The thermohydrodynamic performance of the bearing is analyzed, taking into account the three-dimensional variation of lubricant viscosity and density. The effect of pivot position and operating and environmental conditions on the performance is studied. The present analysis is compared with the isoviscous or the two-dimensional analysis, and is found to predict the bearing performance more accurately.


Author(s):  
A. R. Wadia ◽  
P. N. Szucs ◽  
K. L. Gundy-Burlet

Large circumferential varying pressure levels produced by aerodynamic flow interactions between downstream stators and struts present a potential noise and stability margin liability in a compression component. These interactions are presently controlled by tailoring the camber and/or stagger angles of vanes neighboring the fan frame struts. This paper reports on the design and testing of a unique set of swept and leaned fan outlet guide vanes (OGVs) that do not require this local tailoring even though the OGVs are closely coupled with the fan frame struts and splitter to reduce engine length. The swept and leaned OGVs not only reduce core-duct diffusion, but they also reduce the potential flow interaction between the stator and the strut relative to that produced by conventional radial OGVs. First, the design of the outlet guide vanes using a single bladerow three-dimensional viscous flow analysis is outlined. Next, a two-dimensional potential flow analysis was used for the coupled OGV-frame system to obtain a circumferentially non-uniform stator stagger angle distribution to further reduce the upstream static pressure disturbance. Recognizing the limitations of the two-dimensional potential flow analysis for this highly three-dimensional set of leaned OGVs, as a final evaluation of the OGV-strut system design, a full three-dimensional viscous analysis of a periodic circumferential sector of the OGVs, including the fan frame struts and splitter, was performed. The computer model was derived from a NASA-developed code used in simulating the flow field for external aerodynamic applications with complex geometries. The three-dimensional coupled OGV-frame analysis included the uniformly-staggered OGVs configuration and the variably-staggered OGVs configuration determined by the two-dimensional potential flow analysis. Contrary to the two-dimensional calculations, the three-dimensional analysis revealed significant flow problems with the variably-staggered OGVs configuration and showed less upstream flow non-uniformity with the uniformly-staggered OGVs configuration. The flow redistribution in both the radial and tangential directions, captured fully only in the three-dimensional analysis, was identified as the prime contributor to the lower flow non-uniformity with the uniformly-staggered OGVs configuration. The coupled three-dimensional analysis was also used to validate the design at off-design conditions. Engine test performance and stability measurements with both uniformly- and variably-staggered OGVs configurations with and without the presence of inlet distortion confirmed the conclusions from the three-dimensional analysis.


1999 ◽  
Vol 36 (02) ◽  
pp. 102-112
Author(s):  
Michael D. A. Mackney ◽  
Carl T. F. Ross

Computational studies of hull-superstructure interaction were carried out using one-, two-and three-dimensional finite element analyses. Simplification of the original three-dimensional cases to one- and two-dimensional ones was undertaken to reduce the data preparation and computer solution times in an extensive parametric study. Both the one- and two-dimensional models were evaluated from numerical and experimental studies of the three-dimensional arrangements of hull and superstructure. One-dimensional analysis used a simple beam finite element with appropriately changed sections properties at stations where superstructures existed. Two-dimensional analysis used a four node, first order quadrilateral, isoparametric plane elasticity finite element, with a corresponding increase in the grid domain where the superstructure existed. Changes in the thickness property reflected deck stiffness. This model was essentially a multi-flanged beam with the shear webs representing the hull and superstructure sides, and the flanges representing the decks One-dimensional models consistently and uniformly underestimated the three-dimensional behaviour, but were fast to create and run. Two-dimensional models were also consistent in their assessment, and considerably closer in predicting the actual behaviours. These models took longer to create than the one-dimensional, but ran in very much less time than the refined three-dimensional finite element models Parametric insights were accomplished quickly and effectively with the simplest model and processor, but two-dimensional analyses achieved closer absolute measure of the displacement behaviours. Although only static analysis with simple loading and support conditions were presented, it is believed that similar benefits would be found for other loadings and support conditions. Other engineering components and structures may benefit from similarly judged simplification using one- and two-dimensional models to reduce the time and cost of preliminary design.


2021 ◽  
Vol 23 (2) ◽  
pp. 99-106
Author(s):  
Inna D. Amelina ◽  
Lev N. Shevkunov ◽  
Aleksey M. Karachun ◽  
Alexander E. Mikhnin ◽  
Denis V. Nesterov

The advantages of computed tomographic pneumogastrography with the possibility of three-dimensional visualization and virtual gastroscopy in diagnosing gastric cancer are considered. The study included 479 patients with histologically diagnosed gastric cancer who were treated at the National Medical Research Center of Oncology named after N.N. Petrov from 2011 to 2018. 232 patients received preoperative chemotherapy. All patients underwent surgery: 70 in the volume of endoscopic dissection, 40 proximal subtotal resection, 166 distal subtotal resection, 203 gastrectomy. All patients at the preoperative stage underwent staging computed tomography on a 64-slice X-ray computed tomograph: 208 patients underwent computed tomography according to the standard protocol without targeted preparation of the stomach for the study, 271 patients with targeted preparation of the stomach for the study according to the computed tomographic pneumogastrography protocol. The sensitivity of the computed tomography in assessing the T-stage was assessed by comparison with pathomorphological data. Of the 208 patients who underwent computed tomography according to the standard protocol, a gastric cancer was detected in 111 (53.4%), out of 271 patients who underwent computed tomography pneumogastrography, a gastric cancer was detected in 267 (98.52%), which is a statistically significant difference in comparing computed tomography methods (Pearson, 144.223, df = 1; p 0.001). There are statistically significant differences when comparing computed tomography according to the standard protocol and computed tomographic pneumogastrography in detecting gastric cancer for all tumor categories: T/yT1 8.2 and 94.4% (Pearson, 99.205, df = 1; p 0.001), T/yT2 47.8 and 100% (Pearson, 24.681, df = 1; p 0.001), T/yT3 72.3 and 100% (Pearson, 33.114, df = 1; p 0.001), T/yT4 90.0 and 100% (Pearson, 4.789, df = 1; p = 0.029) respectively. There are also statistically significant differences when comparing the sensitivity of computed tomography according to the standard protocol and computed tomographic pneumogastrography in determining tumor invasion for all tumor categories: T/yT1 0 and 69.4% (Pearson, 67.880, df = 1; p 0.001), T/yT2 26.1 and 71.1% (Pearson, 11.666, df = 1; p 0.001), T/yT3 32.9 and 84.6% (Pearson, 54.900, df = 1; p 0.001), T/yT4 73.3 and 95.7% (Pearson, 7.916, df = 1; p = 0.005) respectively. In general, the sensitivity of the computed tomography according to the standard protocol for determining the T-stage of gastric cancer was 28.4%, computed tomographic pneumogastrography 77.1% (Pearson, 113.505, df = 1; p 0.001). Computed tomographic pneumogastrography with the possibility of three-dimensional visualization and virtual gastroscopy significantly increases the indicators of the effectiveness of diagnosing gastric cancer both early forms (category T1) and with deeper invasion (categories T2T4), demonstrates high sensitivity in determining T/yT-stages.


1957 ◽  
Vol 24 (3) ◽  
pp. 478-480
Author(s):  
G. A. Zizicas

Abstract In a recent note the author proposed a graphical procedure which supplements the classical three-dimensional Mohr-circle representation by specifying the direction of the total shear on any element of surface. The same results are reached here by superposition which simplifies and clarifies the analysis considerably. The associated analytical results are presented in a more useful form and are shown to lead readily to the classical Mohr representation. An application is made to the practically important stress components on the octahedral planes.


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