scholarly journals Magnetic Resonance Imaging Based on Wavelet Algorithm in the Diagnosis and Treatment of Tibial Osteomyelitis Wound Infection

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Xiaoran Ou ◽  
Qi Wang ◽  
Chunxiao Li ◽  
Hongjin Zhao ◽  
Lei Guo

This study was to explore the therapeutic effect of magnetic resonance imaging (MRI) images based on the image processing algorithm under the correlation of dyadic wavelet coefficients on the diagnosis of tibial osteomyelitis patients. 32 tibial osteomyelitis patients admitted to hospital were randomly selected as the research objects. According to the patients’ wishes, patients who were willing to use new MRI imaging techniques for disease detection were set as the experimental group and conventional MRI imaging detection methods were set as the control group. The application effect of the new MRI imaging technology was evaluated by comparing the treatment effect of the two groups of patients. It was found that the mean square error (MSE) (38.5642) and signal-to-noise ratio (SNR) (18.5122) processed by the improved wavelet algorithm were much better than those of unimproved dyadic wavelet algorithm (59.1096 and 15.2341) ( P < 0.05 ). The possibilities of soft tissue swelling, bone invasion or destruction, thickening and sclerosis of bone cortex, bone abscess, periosteum response, dense dead bone, and bone sinus of patients in the experimental group were higher than those of the control group, which were 100% vs. 55%, 100% vs. 80%, 92% vs. 65%, 50% vs. 25%, 42% vs. 15%, 67% vs. 45%, and 50% vs. 15%, respectively ( P < 0.05 ). The healing time of osteomyelitis (22.89 ± 2.19 d vs. 32.32 ± 2.81 d) and the recovery of wound infection (14% vs. 45%) in the patients in control and experimental groups showed that the results of the experimental group were obviously better than those of the control group. The kappa value of the diagnosis results and tissue biopsy of the experimental group was higher than that of the control group (0.45 vs. 0.34) ( P < 0.05 ). In conclusion, the results of the enhanced and improved MRI images were relatively more accurate and the treatment methods adopted were more symptomatic, resulting in more effective treatment. In addition, the wavelet algorithm had certain application value in the enhancement processing of medical images and showed a good development prospect.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Huajia Dai ◽  
Yuhao Bian ◽  
Libin Wang ◽  
Junfeng Yang

This study was to analyze the diagnostic value of magnetic resonance imaging (MRI) for gastric cancer (GC) lesions and the treatment effect of complete laparoscopic radical resection (CLSRR). A malignant tumor recognition algorithm was constructed in this study based on the backprojection (BP) and support vector machine (SVM), which was named BPS. 78 GC patients were divided into an experimental group (received CLSRR) and a control group (received assisted laparoscopic radical resection (ALSRR)), with 39 cases in each group. It was found that the BPS algorithm showed lower relative mean square error (MSE) in axle x (OMSE, x) and axle y (OMSE, x), but the classification accuracy (CA) was the opposite ( P < 0.05 ). The postoperative hospital stay, analgesia duration, first exhaust time (FET), and first off-bed activity time (FOBA) for patients in the experimental group were less ( P < 0.05 ). The operation time of the experimental group (270.56 ± 90.55 min) was significantly longer than that of the control group (228.07 ± 75.26 min) ( P < 0.05 ). There were 3 cases of anastomotic fistula, 1 case of acute peritonitis, and 2 cases of lung infections in the experimental group, which were greatly less than those in the control group (7 cases, 4 cases, and 3 cases) ( P < 0.05 ). In short, the BPS algorithm was superior in processing MRI images and could improve the diagnostic effect of MRI images. The CLSRR could reduce the length of hospital stay and the probability of complications in GC patients, so it could be used as a surgical plan for the clinical treatment of advanced GC.



2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Deqian Xin ◽  
Zhongzhe An ◽  
Juan Ding ◽  
Zhi Li ◽  
Leyan Qiao

This study aimed to explore the value of magnetic resonance imaging (MRI) features based on deep learning super-resolution algorithms in evaluating the value of propofol anesthesia for brain protection of patients undergoing craniotomy evacuation of the hematoma. An optimized super-resolution algorithm was obtained through the multiscale network reconstruction model based on the traditional algorithm. A total of 100 patients undergoing craniotomy evacuation of hematoma were recruited and rolled into sevoflurane control group and propofol experimental group. Both were evaluated using diffusion tensor imaging (DTI) images based on deep learning super-resolution algorithms. The results showed that the fractional anisotropic image (FA) value of the hind limb corticospinal tract of the affected side of the internal capsule of the experimental group after the operation was 0.67 ± 0.28. The National Institute of Health Stroke Scale (NIHSS) score was 6.14 ± 3.29. The oxygen saturation in jugular venous (SjvO2) at T4 and T5 was 61.93 ± 6.58% and 59.38 ± 6.2%, respectively, and cerebral oxygen uptake rate (CO2ER) was 31.12 ± 6.07% and 35.83 ± 7.91%, respectively. The difference in jugular venous oxygen (Da-jvO2) at T3, T4, and T5 was 63.28 ± 10.15 mL/dL, 64.89 ± 13.11 mL/dL, and 66.03 ± 11.78 mL/dL, respectively. The neuron-specific enolase (NSE) and central-nerve-specific protein (S100β) levels at T5 were 53.85 ± 12.31 ng/mL and 7.49 ± 3.16 ng/mL, respectively. In terms of the number of postoperative complications, the patients in the experimental group were better than the control group under sevoflurane anesthesia, and the differences were substantial ( P  < 0.05). In conclusion, MRI images based on deep learning super-resolution algorithm have great clinical value in evaluating the degree of brain injury in patients anesthetized with propofol and the protective effect of propofol on brain nerves.



Author(s):  
Nishtman Ahani ◽  
Kamal Salehi ◽  
Jamal Seidi ◽  
Bakhtyar Salehi ◽  
Bijan Nouri

Objective: Anxiety is one of the most significant problems of patients during magnetic resonance imaging (MRI). Anxiety affects the quality of images, increased costs and repeating the imaging process. Aromatherapy is regarded a complementary therapy that is assumed to be highly effective in reducing anxiety. The present study aims at investigating the effect of aromatherapy with Citrus aurantium on anxiety in MRI imaging. Materials and Methods: This randomized clinical trial was done on 80 patients with spinal disorders that were randomly assigned to the intervention and control groups. In the intervention group, inhaling Citrus aurantium essential oil was conducted two minutes before entering the MRI machine and right before entering the MRI machine. As for the control group, the patients were provided with only the common cares of the medical center. Right after the imaging process, the anxiety experienced was evaluated based on the Magnetic Resonance Imaging-Anxiety Questionnaire (MRI-AQ). The data collected were analyzed in SPSS-21 with statistical tests including independent T-test, Fisher’s exact test, and chi-squared test. Results: The samples of both groups were homogenous in terms of age, sex, marital status, educational level, occupation, and the kind of disease. The mean of MRI anxiety experience was 23.32±12.72 and 37.4±15.41 in the intervention and control group respectively; the independent T-test indicated a significant difference. Conclusion: Citrus aurantium is likely to reduce the anxiety in MRI imaging. Given the proper effectiveness, inexpensiveness, and the easy administration of this aromatherapy, it is recommended to be applied for reducing the MRI anxiety.



Author(s):  
Jiangfeng ZHOU ◽  
Tao YANG ◽  
Cuihong XING ◽  
Fengxia JIA ◽  
Hongling CHEN

Background: To investigate the characterizations of CT (computed tomography) and MRI (magnetic resonance imaging) in patients with carotid atherosclerosis. Methods: A retrospective analysis was performed on the medical records of 264 patients with carotid atherosclerosis underwent CT and MRI in Linyi Central Hospital, Linyi, China from January 2010 to January 2016. Among them, 142 patients with ischemic stroke were in experimental group (test group), another 122 patients in control group. The lumen stenosis degree, plaque fibrous cap status, calcification information and vascular plaque hemorrhage in the carotid artery fork of patients detected by CT and MRI were collected. Results: The detection rate of the plaque calcification of patients detected by MRI was lower than that detected by CT in the experimental group (P<0.05). Patients in the experimental group had higher average vascular stenosis degree detected by CT and MRI than those in the control group (P<0.01). The average vascular stenosis degree of patients detected by MRI was higher than that detected by CT in the experimental group (P<0.05). Patients in the experimental group had higher unstable fibrous cap number detected by CT and MRI than those in the control group (P<0.01). Patients in the experimental group had significantly higher number of vascular plaque small focus hemorrhage than those in the control group (P<0.05). Conclusion: Patients with carotid atherosclerotic complicated with stroke have higher plaque calcification number, vascular stenosis degree and unstable fibrous cap number. Both CT and MRI can better predict the risk of stroke.



2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Shuguang Pan ◽  
Wei Tang ◽  
Tiejun Zhou ◽  
Wei Luo

This study aimed to explore the application effect of magnetic resonance imaging (MRI) based on deep learning in laparoscopic surgery for colorectal carcinoma (CRC). 40 patients with CRC who were diagnosed and required laparoscopic surgery were selected in the research. The MRI scan images of all patients were processed based on the convolutional neural network algorithm. The MRI images before and after treatment were set as the control group and the experimental group, respectively. The consistency of MRI results with laparoscopic and postoperative pathological biopsy results was observed. Through the comparative analysis of the research results, in terms of consistency with the surgical plane, the assessment results of the experimental group were more consistent than those of the control group and direct observation under laparoscopy, and the difference was statistically significant ( P < 0.05 ). In terms of tumor T staging, the consistency between the experimental group and pathological biopsy results was superior to that of the control group, with considerable difference ( P < 0.05 ). In conclusion, practically speaking, the application of MR images based on convolutional neural network algorithm in laparoscopic CRC surgery was better than conventional MRI technology. However, the research was a small-scale pathological study, which was not very representative.



1999 ◽  
Vol 6 (1) ◽  
pp. E8 ◽  
Author(s):  
Giovanni La Rosa ◽  
Domenico d'Avella ◽  
Alfredo Conti ◽  
Salvatore Cardali ◽  
Domenico La Torre ◽  
...  

Spinal epidural hematomas (SEHs) are uncommon complications caused by traumatic injuries to the spine. Emergency surgical evacuation is the standard treatment. Although recognized in the literature, the possibility of nonsurgical treatment of traumatic SEHs is far from being codified. The authors report on the treatment of four patients whose traumatic SEHs were diagnosed by magnetic resonance (MRI) imaging and managed conservatively with excellent results. All patients had suffered severe spine injury with fracture of a lumbar vertebral body, were admitted within 12 hours of trauma, and exhibited only minimal neurological disturbances on admission. Magnetic resonance imaging studies were performed within 24 hours of trauma. Hematomas appeared isointense/slightly hyperintense on T1- and heterogeneous on T2-weighted MR images. Clot thickness varied between 0.8 cm and 1 cm, width between 1 cm and 1.8 cm, and length between 2.7 and 9 cm. In light of each patient's fairly good neurological condition a conservative approach was taken. In all cases serial MR imaging documented progressive clot resolution, which was completed within 8 to 10 days of trauma. At discharge all patients were neurologically intact. The conservative treatment option of traumatic SEH should be reserved for exceptional cases whose deficits are minimal, when neurological deterioration is followed by early and sustained spontaneous recovery, and when there are clear medical contraindications for surgery. The results of the present study confirm that nonsurgical treatment is feasible in a subgroup of minimally symptomatic patients who harbor moderate-sized SEHs. Although the authors' experience shows a good spontaneous outcome of some traumatic SEH, further studies are necessary to understand the real spectrum of nonsurgical treatment of such lesions.



2020 ◽  
pp. 028418512093837
Author(s):  
Sunay Sibel Karayol ◽  
Kudret Cem Karayol

Background The aim of this study is to investigate the role of diffusion-weighted imaging (DWI) in the differential diagnosis of sacroiliitis. Purpose To compare the sacroiliac magnetic resonance imaging (MRI) examinations of patients with suspected active sacroiliitis with patients with acute SpA MR findings and the DWI examinations of patients with acute brucella sacroiliitis, and thereby determine whether DWI can contribute to the differential diagnosis. Material and Methods A total of 84 patients were included in the study and were separated into three groups: group 1 (13 women, 6 men) comprised cases with brucella positive for sacroiliitis; group 2 (17 women, 19 men) comprised cases negative for brucella but with sacroiliitis; and group 3 (16 women, 13 men) comprised cases negative for brucella and sacroiliitis. Results The mean bone marrow apparent diffusion coefficient (ADC) values independently of edema were determined as 0.71 × 10−3 in sacroiliitis and brucella-positive patients, as 0.53 × 10−3 in brucella-negative and sacroiliitis-positive patients, and as 0.43 × 10−3 in the control group of brucella-negative sacroiliitis-negative patients. In the ADC measurements taken from areas of evident edema in patients with sacroiliitis, the mean values were 0.13 × 10−3 in the brucella-positive group and 0.12 × 10−3 in the brucella-negative group. Conclusion By adding DWI, which is a rapid MR sequence, to sacroiliac joint MR examination, normal bone marrow and bone marrow with sacroiliitis can be objectively differentiated with ADC measurements in addition to visual evaluation.



F1000Research ◽  
2014 ◽  
Vol 2 ◽  
pp. 252
Author(s):  
Rachael A Panizzo ◽  
David G Gadian ◽  
Jane C Sowden ◽  
Jack A Wells ◽  
Mark F Lythgoe ◽  
...  

Efficacy of neural stem/progenitor cell (NPC) therapies after cerebral ischaemia could be better evaluated by monitoring in vivo migration and distribution of cells post-engraftment in parallel with analysis of lesion volume and functional recovery. Magnetic resonance imaging (MRI) is ideally placed to achieve this, but still poses several challenges. We show that combining the ferumoxide MRI contrast agent Endorem with protamine sulphate (FePro) improves iron oxide uptake in cells compared to Endorem alone and is non-toxic. Hence FePro complex is a better contrast agent than Endorem for monitoring NPCs. FePro complex-labelled NPCs proliferated and differentiated normally in vitro, and upon grafting into the brain 48 hours post-ischaemia they were detected in vivo by MRI. Imaging over four weeks showed the development of a confounding endogenous hypointense contrast evolution at later timepoints within the lesioned tissue. This was at least partly due to accumulation within the lesion of macrophages and endogenous iron. Neither significant NPC migration, assessed by MRI and histologically, nor a reduction in the ischaemic lesion volume was observed in NPC-grafted brains.  Crucially, while MRI provides reliable information on engrafted cell location early after an ischaemic insult, pathophysiological changes to ischaemic lesions can interfere with cellular imaging at later timepoints.



2005 ◽  
Vol 25 (1) ◽  
pp. 87-97 ◽  
Author(s):  
Guangliang Ding ◽  
Quan Jiang ◽  
Li Zhang ◽  
Zheng Gang Zhang ◽  
Lian Li ◽  
...  

Suppression of platelet activation improves the efficacy of thrombolytic therapy for stroke. Thus, combination treatment with recombinant tissue plasminogen activator (r-tPA) and 7E3 F(ab′)2, a GPIIb/IIIa inhibitor that binds the platelet to fibrin, may improve the efficacy of thrombolytic therapy in embolic stroke. Magnetic resonance imaging (MRI) was used to monitor treatment response in rats subjected to embolic middle cerebral artery (MCA) occlusion (MCAo). Animals were randomized into treated ( n = 12) and control ( n = 10) groups and received intravenous combination therapy or saline, respectively, 4 hours after MCAo. Magnetic resonance imaging (MRI) measurements performed 1 hour after MCAo showed no difference between groups. However, an increased incidence (50%) of MCA recanalization was found in the treated group at 24 hours compared with 20% in the control group. The area of low cerebral blood flow at 24 and 48 hours was significantly smaller in the combination treatment group, and the lesion size, as indicated from the T2 and T1 maps, differed significantly between groups. Fluorescence microscopy measurements of cerebral microvessels perfused with fluorescein isothiocyanate-dextran and measurements of infarct volume revealed that the combination treatment significantly increased microvascular patency and reduced infarct volume, respectively, compared with the control rats. The efficacy of combination treatment 4 hours after ischemia is reflected by MRI indices of tissue perfusion, MCA recanalization, and reduction of lesion volume. The treatment also reduced secondary microvascular perfusion deficits.



2019 ◽  
Vol 33 (08) ◽  
pp. 768-776 ◽  
Author(s):  
Si Heng Sharon Tan ◽  
Beatrice Ying Lim ◽  
Kiat Soon Jason Chng ◽  
Chintan Doshi ◽  
Francis K.L. Wong ◽  
...  

AbstractThe tibial tubercle–trochlear groove (TT–TG) distance was originally described for computed tomography (CT) but has recently been used on magnetic resonance imaging (MRI) without sufficient evidence demonstrating its validity on MRI. The current review aims to evaluate (1) whether there is a difference in the TT–TG distances measured using CT and MRI, (2) whether both the TT–TG distances measured using CT and MRI could be used to differentiate between patients with or without patellofemoral instability, and (3) whether the same threshold of 15 to 20 mm can be applied for both TT–TG distances measured using CT and MRI. The review was conducted using the preferred reporting items for systematic reviews and meta-analyses (PRSIMA) guidelines. All studies that compared TT–TG distances either (1) between CT and MRI or (2) between patients with and without patellofemoral instability were included. A total of 23 publications were included in the review. These included a total of 3,040 patients. All publications reported the TT–TG distance to be greater in patients with patellofemoral instability as compared to those without patellofemoral instability. This difference was noted for both TT–TG distances measured on CT and on MRI. All publications also reported the TT–TG distance measured on CT to be greater than that measured on MRI (mean difference [MD] = 1.79 mm; 95% confidence interval [CI]: 0.91–2.68). Pooling of the studies revealed that the mean TT–TG distance for the control group was 12.85 mm (95% CI: 11.71–14.01) while the mean TT–TG distance for patients with patellofemoral instability was 18.33 mm (95% CI: 17.04–19.62) when measured on CT. When measured on MRI, the mean TT–TG distance for the control group was 9.83 mm (95% CI: 9.11–10.54), while the mean TT–TG distance for patients with patellofemoral instability was 15.33 mm (95% CI: 14.24–16.42). Both the TTTG distances measured on CT and MRI could be used to differentiate between patients with and without patellofemoral instability. Patients with patellofemoral instability had significantly greater TT–TG distances than those without. However, the TT–TG distances measured on CT were significantly greater than that measured on MRI. Different cut-off values should, therefore, be used for TT–TG distances measured on CT and on MRI in the determination of normal versus abnormal values. Pooling of all the patients included in the review then suggest for 15.5 ± 1.5 mm to be used as the cut off for TT–TG distance measured on CT, and for 12.5 ± 2 mm to be used as the cut-off for TT–TG distance measured on MRI. The Level of evidence for this study is IV.



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