TY - JOUR A1 - Wöhl, Rebecca A1 - Maier, Johannes A1 - Gehmert, Sebastian A1 - Palm, Christoph A1 - Riebschläger, Birgit A1 - Nerlich, Michael A1 - Huber, Michaela T1 - 3D Analysis of Osteosyntheses Material using semi-automated CT Segmentation BT - a case series of a 4 corner fusion plate JF - BMC Musculoskeletal Disorders N2 - Backround Scaphoidectomy and midcarpal fusion can be performed using traditional fixation methods like K-wires, staples, screws or different dorsal (non)locking arthrodesis systems. The aim of this study is to test the Aptus four corner locking plate and to compare the clinical findings to the data revealed by CT scans and semi-automated segmentation. Methods: This is a retrospective review of eleven patients suffering from scapholunate advanced collapse (SLAC) or scaphoid non-union advanced collapse (SNAC) wrist, who received a four corner fusion between August 2011 and July 2014. The clinical evaluation consisted of measuring the range of motion (ROM), strength and pain on a visual analogue scale (VAS). Additionally, the Disabilities of the Arm, Shoulder and Hand (QuickDASH) and the Mayo Wrist Score were assessed. A computerized tomography (CT) of the wrist was obtained six weeks postoperatively. After semi-automated segmentation of the CT scans, the models were post processed and surveyed. Results During the six-month follow-up mean range of motion (ROM) of the operated wrist was 60°, consisting of 30° extension and 30° flexion. While pain levels decreased significantly, 54% of grip strength and 89% of pinch strength were preserved compared to the contralateral healthy wrist. Union could be detected in all CT scans of the wrist. While X-ray pictures obtained postoperatively revealed no pathology, two user related technical complications were found through the 3D analysis, which correlated to the clinical outcome. Conclusion Due to semi-automated segmentation and 3D analysis it has been proved that the plate design can keep up to the manufacturers’ promises. Over all, this case series confirmed that the plate can compete with the coexisting techniques concerning clinical outcome, union and complication rate. KW - Handchirurgie KW - Osteosynthese KW - Arthrodese KW - 4FC KW - SLAC wrist KW - SNAC wrist KW - Semi-automated segmentation KW - 3D analysis KW - Computertomographie KW - Bildsegmentierung KW - Dreidimensionale Bildverarbeitung Y1 - 2018 U6 - https://doi.org/10.1186/s12891-018-1975-0 VL - 19 SP - 1 EP - 8 PB - Springer Nature ER - TY - JOUR A1 - Axer, Markus A1 - Amunts, Katrin A1 - Gräßel, David A1 - Palm, Christoph A1 - Dammers, Jürgen A1 - Axer, Hubertus A1 - Pietrzyk, Uwe A1 - Zilles, Karl T1 - Novel Approach to the Human Connectome BT - Ultra-High Resolution Mapping of Fiber Tracts in the Brain JF - NeuroImage N2 - Signal transmission between different brain regions requires connecting fiber tracts, the structural basis of the human connectome. In contrast to animal brains, where a multitude of tract tracing methods can be used, magnetic resonance (MR)-based diffusion imaging is presently the only promising approach to study fiber tracts between specific human brain regions. However, this procedure has various inherent restrictions caused by its relatively low spatial resolution. Here, we introduce 3D-polarized light imaging (3D-PLI) to map the three-dimensional course of fiber tracts in the human brain with a resolution at a submillimeter scale based on a voxel size of 100 μm isotropic or less. 3D-PLI demonstrates nerve fibers by utilizing their intrinsic birefringence of myelin sheaths surrounding axons. This optical method enables the demonstration of 3D fiber orientations in serial microtome sections of entire human brains. Examples for the feasibility of this novel approach are given here. 3D-PLI enables the study of brain regions of intense fiber crossing in unprecedented detail, and provides an independent evaluation of fiber tracts derived from diffusion imaging data. KW - Connectome KW - Human brain KW - Method KW - Polarized light imaging KW - Tractography KW - Systems biology KW - Bildgebendes Verfahren KW - Dreidimensionale Bildverarbeitung KW - Polarisiertes Licht KW - Gehirnkarte Y1 - 2011 U6 - https://doi.org/10.1016/j.neuroimage.2010.08.075 VL - 54 IS - 2 SP - 1091 EP - 1101 ER - TY - JOUR A1 - Kolev, Kalin A1 - Kirchgeßner, Norbert A1 - Houben, Sebastian A1 - Csiszár, Agnes A1 - Rubner, Wolfgang A1 - Palm, Christoph A1 - Eiben, Björn A1 - Merkel, Rudolf A1 - Cremers, Daniel T1 - A variational approach to vesicle membrane reconstruction from fluorescence imaging JF - Pattern Recognition N2 - Biological applications like vesicle membrane analysis involve the precise segmentation of 3D structures in noisy volumetric data, obtained by techniques like magnetic resonance imaging (MRI) or laser scanning microscopy (LSM). Dealing with such data is a challenging task and requires robust and accurate segmentation methods. In this article, we propose a novel energy model for 3D segmentation fusing various cues like regional intensity subdivision, edge alignment and orientation information. The uniqueness of the approach consists in the definition of a new anisotropic regularizer, which accounts for the unbalanced slicing of the measured volume data, and the generalization of an efficient numerical scheme for solving the arising minimization problem, based on linearization and fixed-point iteration. We show how the proposed energy model can be optimized globally by making use of recent continuous convex relaxation techniques. The accuracy and robustness of the presented approach are demonstrated by evaluating it on multiple real data sets and comparing it to alternative segmentation methods based on level sets. Although the proposed model is designed with focus on the particular application at hand, it is general enough to be applied to a variety of different segmentation tasks. KW - 3D segmentation KW - Convex optimization KW - Vesicle membrane analysis KW - Fluorescence imaging KW - Dreidimensionale Bildverarbeitung KW - Bildsegmentierung KW - Konvexe Optimierung Y1 - 2011 U6 - https://doi.org/10.1016/j.patcog.2011.04.019 VL - 44 IS - 12 SP - 2944 EP - 2958 PB - Elsevier ER -