Feasibility and accuracy of pre-procedure imaging of the proximal cephalic vein by duplex ultrasonography in pacemaker and defibrillator implantation

中國醫藥大學機構典藏 China Medical University Repository, Taiwan > 台中附設醫院 > 期刊論文 > Item 310903500/29049

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题名:	Feasibility and accuracy of pre-procedure imaging of the proximal cephalic vein by duplex ultrasonography in pacemaker and defibrillator implantation
作者:	Chen, JY;Chang, KC;Lin, YC;Chou, HT;Hung, JS
贡献者:	附設醫院內科部心臟科;China Med Univ Hosp, Dept Med, Div Cardiol, Taichung, Taiwan
日期:	2004
上传时间:	2010-09-24 14:19:47 (UTC+8)
出版者:	KLUWER ACADEMIC PUBL
摘要:	Spiculation is a stellate distortion caused by the intrusion of breast cancer into surrounding tissue. Its existence is an important clue to characterizing malignant tumors. Many successful mammographic methods have been proposed to detect tumors with spiculation. Traditional two-dimensional (2-D) ultrasound cannot easily find spiculations because spiculations normally appear parallel to the surface of the skin. Recently, three-dimensional (3-D) ultrasound has been gradually used in clinical applications and it has been proven to be useful in determining the architectural distortion or spiculation that surrounds a breast tumor. This paper aims to identify spiculation from 3-D ultrasonic volume data of a tumor found by a physician. In the proposed method, each coronal slice of volume data is successively extracted and then analyzed as a 2-D ultrasound image by the proposed spiculation detection method. First, in each horizontal slice, the modified rotating structuring element (ROSE) operation is used to rind the central region in which spiculation lines converge. Second, the stick algorithm is used to estimate the direction of the edge of each pixel around the central region. A pixel whose edge points toward the central region is marked as a potential spiculation. Finally, the marked pixels are collected around the central region and their distribution is analyzed to determine whether spiculation is present. The 3-D test datasets were obtained using the Voluson 530 or 730, Kretztechnik, Austria. First, the proposed method was tested on 104 2-D typical coronal images (selected by an experienced physician) extracted from 52 3-D ultrasonic datasets. Finally, 225 3-D pathologically proven datasets were tested to evaluate the performance. Spiculations are more easily observed in the coronal view than in the other two views. That is, the 3-D ultrasound is a powerful tool for identifying spiculations. Furthermore, 16% (19/120) of benign cases and 90% (94/105) of malignant cases are detected as spiculations.
關聯:	JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY 10(1):31-35
显示于类别:	[台中附設醫院] 期刊論文

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