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Paccini M, Paschina G, De Beni S, Stefanov A, Kolev V, Patanè G. US & MR/CT Image Fusion with Markerless Skin Registration: A Proof of Concept. JOURNAL OF IMAGING INFORMATICS IN MEDICINE 2025; 38:615-628. [PMID: 39020154 PMCID: PMC11810866 DOI: 10.1007/s10278-024-01176-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 05/18/2024] [Accepted: 05/31/2024] [Indexed: 07/19/2024]
Abstract
This paper presents an innovative automatic fusion imaging system that combines 3D CT/MR images with real-time ultrasound acquisition. The system eliminates the need for external physical markers and complex training, making image fusion feasible for physicians with different experience levels. The integrated system involves a portable 3D camera for patient-specific surface acquisition, an electromagnetic tracking system, and US components. The fusion algorithm comprises two main parts: skin segmentation and rigid co-registration, both integrated into the US machine. The co-registration aligns the surface extracted from CT/MR images with the 3D surface acquired by the camera, facilitating rapid and effective fusion. Experimental tests in different settings, validate the system's accuracy, computational efficiency, noise robustness, and operator independence.
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Affiliation(s)
| | | | | | | | - Velizar Kolev
- MedCom GmbH, Dolivostr., 11, Darmstadt, 64293, Germany
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Liu Q, Li M, Wang W, Jin S, Piao H, Jiang Y, Li N, Yao H. Infrared thermography in clinical practice: a literature review. Eur J Med Res 2025; 30:33. [PMID: 39815375 PMCID: PMC11737227 DOI: 10.1186/s40001-025-02278-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2024] [Accepted: 01/05/2025] [Indexed: 01/18/2025] Open
Abstract
BACKGROUND Infrared thermography technology is a diagnostic imaging modality that converts temperature information on the surface of the human body into visualised thermograms. This technology has the capacity to intuitively detect the presence of certain abnormal conditions or foci in the human body. In recent years, the application of this technology in medicine has become increasingly extensive, especially in the areas of auxiliary diagnosis and early screening of diseases. OBJECTIVES The aim of this review is to analyse and summarise the application of infrared thermography in clinical practice. METHODS A comprehensive search of the research literature pertaining to the clinical application of medical infrared thermography was conducted, encompassing publications by both domestic and foreign researchers and scholars, in prominent databases including PubMed, ISI Web of Science, and CNKI since the inception of these databases. RESULTS A total of 51 articles were ultimately included in the study. The application of infrared thermography has been demonstrated in oncology, painful diseases, inflammation, rheumatism, and vascular-related diseases. CONCLUSIONS The extensive utilisation of infrared thermography in clinical settings signifies the technology's considerable potential. Addressing its current limitations can optimise its benefits.
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Affiliation(s)
- Qian Liu
- Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China
- Cancer Hospital of China Medical University, Liaoning Cancer Hospital, Institute No.44 Xiaoheyan Road, Dadong District, Shenyang, Liaoning, China
| | - Mingzhu Li
- Cancer Hospital of China Medical University, Liaoning Cancer Hospital, Institute No.44 Xiaoheyan Road, Dadong District, Shenyang, Liaoning, China.
- Department of Integrated Traditional Chinese and Western Medicine Medical Oncology, Cancer Hospital of China Medical University, Cancer Hospital of Dalian University of Technology, Liaoning Cancer Hospital, Shenyang, Liaoning, China.
| | - Wenping Wang
- Cancer Hospital of China Medical University, Liaoning Cancer Hospital, Institute No.44 Xiaoheyan Road, Dadong District, Shenyang, Liaoning, China
| | - Shengbo Jin
- Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China
| | - Haozhe Piao
- Cancer Hospital of China Medical University, Liaoning Cancer Hospital, Institute No.44 Xiaoheyan Road, Dadong District, Shenyang, Liaoning, China
| | - Yuxin Jiang
- Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China
| | - Ningxin Li
- China Medical University, Shenyang, Liaoning, China
| | - Huini Yao
- China Medical University, Shenyang, Liaoning, China
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Pan Y, Dai X, Tsoi JK, Lam WY, Pow EH. Effect of shape and size of implant scan body on scanning accuracy: An in vitro study. J Dent 2025; 152:105498. [PMID: 39626839 DOI: 10.1016/j.jdent.2024.105498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2024] [Revised: 11/28/2024] [Accepted: 11/30/2024] [Indexed: 12/06/2024] Open
Abstract
OBJECTIVES Evaluating the effect of shape and size of implant scan body on the accuracy of optical 3D scanning. MATERIALS AND METHODS Fifteen PEEK scan bodies were milled, including 1 spherical, 9 cylindrical, and 5 cuboidal. The 3D position and angulation of each scan body were measured using a CMM 3 times and a laboratory scanner 10 times. The linear and angular trueness and precision of the scans were calculated by comparing with the CMM measurements. RESULTS The linear accuracy of the cylindrical scan bodies (9.5 ± 6.2 µm) was significantly higher than those of the cuboidal (17.7 ± 8.1 µm) and spherical scan bodies (12.5 ± 6.5 µm). The cuboidal (0.050±0.009°) showed significantly better angular accuracy than the cylindrical (0.065±0.040°). In the cylindrical group, the narrow (∅4.8 mm) demonstrated significantly inferior accuracy than the wider (∅5.5 mm and ∅6.5 mm)(p = 0.003). The tall (12 mm) showed significantly higher angular trueness than the shorter (8 and 4 mm)(p < 0.001). In the cuboidal group, the 24 mm2 exhibited significantly poorer angular trueness compared to the 18 mm2 and 30 mm2 (p < 0.001) CONCLUSIONS: The shape and size of the implant scan body significantly affect the scanning accuracy. Spherical scan bodies cannot transfer implant angulation. Scan bodies with a size of >∅4.8 mm and >8 mm seem accurate for transferring the 3D implant position. CLINICAL SIGNIFICANCE The shape and size of scan bodies directly influence the accuracy of 3D scanning. Well-designed scan bodies offer better transfer results, which is crucial for ensuring passive fit of implant prostheses and improving long-term clinical outcomes.
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Affiliation(s)
- Yu Pan
- Department of Dentistry, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, PR China
| | - Xuanyi Dai
- Department of Dentistry, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, PR China
| | - James Kh Tsoi
- Faculty of Dentistry, The University of Hong Kong, Hong Kong special administrative region, PR China
| | - Walter Yh Lam
- Faculty of Dentistry, The University of Hong Kong, Hong Kong special administrative region, PR China
| | - Edmond Hn Pow
- Faculty of Dentistry, The University of Hong Kong, Hong Kong special administrative region, PR China.
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Varvari AA, Pitilakis A, Karatzidis DI, Kantartzis NV. Thyroid Screening Techniques via Bioelectromagnetic Sensing: Imaging Models and Analytical and Computational Methods. SENSORS (BASEL, SWITZERLAND) 2024; 24:6104. [PMID: 39338849 PMCID: PMC11435840 DOI: 10.3390/s24186104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2024] [Revised: 09/06/2024] [Accepted: 09/19/2024] [Indexed: 09/30/2024]
Abstract
The thyroid gland, which is sensitive to electromagnetic radiation, plays a crucial role in the regulation of the hormonal levels of the human body. Biosensors, on the other hand, are essential to access information and derive metrics about the condition of the thyroid by means of of non-invasive techniques. This paper provides a systematic overview of the recent literature on bioelectromagnetic models and methods designed specifically for the study of the thyroid. The survey, which was conducted within the scope of the radiation transmitter-thyroid model-sensor system, is centered around the following three primary axes: the bands of the frequency spectrum taken into account, the design of the model, and the methodology and/or algorithm. Our review highlights the areas of specialization and underscores the limitations of each model, including its time, memory, and resource requirements, as well as its performance. In this manner, this specific work may offer guidance throughout the selection process of a bioelectromagnetic model of the thyroid, as well as a technique for its analysis based on the available resources and the specific parameters of the electromagnetic problem under consideration.
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Affiliation(s)
- Anna A Varvari
- School of Electrical and Computer Engineering, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Alexandros Pitilakis
- School of Electrical and Computer Engineering, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Dimitrios I Karatzidis
- School of Electrical and Computer Engineering, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Nikolaos V Kantartzis
- School of Electrical and Computer Engineering, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
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Ayunts H, Grigoryan A, Agaian S. Novel Entropy for Enhanced Thermal Imaging and Uncertainty Quantification. ENTROPY (BASEL, SWITZERLAND) 2024; 26:374. [PMID: 38785623 PMCID: PMC11120493 DOI: 10.3390/e26050374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Revised: 04/17/2024] [Accepted: 04/22/2024] [Indexed: 05/25/2024]
Abstract
This paper addresses the critical need for precise thermal modeling in electronics, where temperature significantly impacts system reliability. We emphasize the necessity of accurate temperature measurement and uncertainty quantification in thermal imaging, a vital tool across multiple industries. Current mathematical models and uncertainty measures, such as Rényi and Shannon entropies, are inadequate for the detailed informational content required in thermal images. Our work introduces a novel entropy that effectively captures the informational content of thermal images by combining local and global data, surpassing existing metrics. Validated by rigorous experimentation, this method enhances thermal images' reliability and information preservation. We also present two enhancement frameworks that integrate an optimized genetic algorithm and image fusion techniques, improving image quality by reducing artifacts and enhancing contrast. These advancements offer significant contributions to thermal imaging and uncertainty quantification, with broad applications in various sectors.
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Affiliation(s)
- Hrach Ayunts
- Informatics and Applied Mathematics Department, Yerevan State University, Yerevan 0025, Armenia
| | - Artyom Grigoryan
- Department of Electrical and Computer Engineering, The University of Texas at San Antonio, San Antonio, TX 78249, USA;
| | - Sos Agaian
- Computer Science Department, Graduate Center, College of Staten Island (CSI), City University of New York, New York, NY 10314, USA;
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Zhai S, Wei Z, Wu X, Xing L, Yu J, Qian J. Feasibility evaluation of radiotherapy positioning system guided by augmented reality and point cloud registration. J Appl Clin Med Phys 2024; 25:e14243. [PMID: 38229472 PMCID: PMC11005969 DOI: 10.1002/acm2.14243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 10/16/2023] [Accepted: 12/04/2023] [Indexed: 01/18/2024] Open
Abstract
PURPOSE To develop a radiotherapy positioning system based on Point Cloud Registration (PCR) and Augmented Reality (AR), and to verify its feasibility. METHODS The optimal steps of PCR were investigated, and virtual positioning experiments were designed to evaluate its accuracy and speed. AR was implemented by Unity 3D and Vuforia for initial position correction, and PCR for precision registration, to achieve the proposed radiotherapy positioning system. Feasibility of the proposed system was evaluated through phantom positioning tests as well as real human positioning tests. Real human tests involved breath-holding positioning and free-breathing positioning tests. Evaluation metrics included 6 Degree of Freedom (DOF) deviations and Distance (D) errors. Additionally, the interaction between CBCT and the proposed system was envisaged through CBCT and optical cross-source PCR. RESULTS Point-to-plane iterative Closest Point (ICP), statistical filtering, uniform down-sampling, and optimal sampling ratio were determined for PCR procedure. In virtual positioning tests, a single registration took only 0.111 s, and the average D error for 15 patients was 0.015 ± 0.029 mm., Errors of phantom tests were at the sub-millimeter level, with an average D error of 0.6 ± 0.2 mm. In the real human positioning tests, the average accuracy of breath-holding positioning was still at the sub-millimeter level, where the errors of X, Y and Z axes were 0.59 ± 0.12 mm, 0.54 ± 0.12 mm, and 0.52 ± 0.09 mm, and the average D error was 0.96 ± 0.22 mm. In the free-breathing positioning, the average errors in X, Y, and Z axes were still less than 1 mm. Although the mean D error was 1.93 ± 0.36 mm, it still falls within a clinically acceptable error margin. CONCLUSION The AR and PCR-guided radiotherapy positioning system enables markerless, radiation-free and high-accuracy positioning, which is feasible in real-world scenarios.
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Affiliation(s)
- Shaozhuang Zhai
- School of Basic Medical SciencesAnhui Medical UniversityHefeiP.R. China
- Anhui Province Key Laboratory of Medical Physics and TechnologyInstitute of Health and Medical TechnologyHefei Institutes of Physical ScienceHefei Cancer Hospital, Chinese Academy of SciencesHefeiP.R. China
| | - Ziwen Wei
- Anhui Province Key Laboratory of Medical Physics and TechnologyInstitute of Health and Medical TechnologyHefei Institutes of Physical ScienceHefei Cancer Hospital, Chinese Academy of SciencesHefeiP.R. China
| | - Xiaolong Wu
- Anhui Province Key Laboratory of Medical Physics and TechnologyInstitute of Health and Medical TechnologyHefei Institutes of Physical ScienceHefei Cancer Hospital, Chinese Academy of SciencesHefeiP.R. China
| | - Ligang Xing
- Department of Radiation Oncology, School of Medicine, Shandong UniversityShandong Cancer Hospital and InstituteShandong First Medical University and Shandong Academy of Medical SciencesJinanShandongChina
| | - Jinming Yu
- Department of Radiation Oncology, School of Medicine, Shandong UniversityShandong Cancer Hospital and InstituteShandong First Medical University and Shandong Academy of Medical SciencesJinanShandongChina
| | - Junchao Qian
- School of Basic Medical SciencesAnhui Medical UniversityHefeiP.R. China
- Anhui Province Key Laboratory of Medical Physics and TechnologyInstitute of Health and Medical TechnologyHefei Institutes of Physical ScienceHefei Cancer Hospital, Chinese Academy of SciencesHefeiP.R. China
- Department of Radiation Oncology, School of Medicine, Shandong UniversityShandong Cancer Hospital and InstituteShandong First Medical University and Shandong Academy of Medical SciencesJinanShandongChina
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Kesztyüs D, Brucher S, Wilson C, Kesztyüs T. Use of Infrared Thermography in Medical Diagnosis, Screening, and Disease Monitoring: A Scoping Review. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:2139. [PMID: 38138242 PMCID: PMC10744680 DOI: 10.3390/medicina59122139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 12/06/2023] [Accepted: 12/07/2023] [Indexed: 12/24/2023]
Abstract
Thermography provides non-invasive, radiation-free diagnostic imaging. Despite the extensive literature on medical thermography, a comprehensive overview of current applications is lacking. Hence, the aim of this scoping review is to identify the medical applications of passive infrared thermography and to catalogue the technical and environmental modalities. The diagnostic performance of thermography and the existence of specific reference data are evaluated, and research gaps and future tasks identified. The entire review process followed the Joanna Briggs Institute (JBI) approach and the results are reported according to PRISMA-ScR guidelines. The scoping review protocol is registered at the Open Science Framework (OSF). PubMed, CENTRAL, Embase, Web of Science, OpenGrey, OSF, and PROSPERO were searched using pretested search strategies based on the Population, Concept, Context (PCC) approach. According to the eligibility criteria, references were screened by two researchers independently. Seventy-two research articles were identified describing screening, diagnostic, or monitoring studies investigating the potential of thermography in a total of 17,314 participants within 38 different health conditions across 13 therapeutic areas. The use of several camera models from various manufacturers is described. These and other facts and figures are compiled and presented in a detailed, descriptive tabular and visual format. Thermography offers promising diagnostic capabilities, alone or in addition to conventional methods.
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Affiliation(s)
- Dorothea Kesztyüs
- Medical Data Integration Centre, Department of Medical Informatics, University Medical Centre, Georg-August University Göttingen, 37073 Göttingen, Germany; (C.W.); (T.K.)
| | - Sabrina Brucher
- Institute for Distance Learning, Technical University of Applied Sciences, 13353 Berlin, Germany
| | - Carolyn Wilson
- Medical Data Integration Centre, Department of Medical Informatics, University Medical Centre, Georg-August University Göttingen, 37073 Göttingen, Germany; (C.W.); (T.K.)
| | - Tibor Kesztyüs
- Medical Data Integration Centre, Department of Medical Informatics, University Medical Centre, Georg-August University Göttingen, 37073 Göttingen, Germany; (C.W.); (T.K.)
- Institute for Distance Learning, Technical University of Applied Sciences, 13353 Berlin, Germany
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8
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Wang J, Li L, Xu P. Visual Sensing and Depth Perception for Welding Robots and Their Industrial Applications. SENSORS (BASEL, SWITZERLAND) 2023; 23:9700. [PMID: 38139548 PMCID: PMC10747874 DOI: 10.3390/s23249700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 11/30/2023] [Accepted: 12/06/2023] [Indexed: 12/24/2023]
Abstract
With the rapid development of vision sensing, artificial intelligence, and robotics technology, one of the challenges we face is installing more advanced vision sensors on welding robots to achieve intelligent welding manufacturing and obtain high-quality welding components. Depth perception is one of the bottlenecks in the development of welding sensors. This review provides an assessment of active and passive sensing methods for depth perception and classifies and elaborates on the depth perception mechanisms based on monocular vision, binocular vision, and multi-view vision. It explores the principles and means of using deep learning for depth perception in robotic welding processes. Further, the application of welding robot visual perception in different industrial scenarios is summarized. Finally, the problems and countermeasures of welding robot visual perception technology are analyzed, and developments for the future are proposed. This review has analyzed a total of 2662 articles and cited 152 as references. The potential future research topics are suggested to include deep learning for object detection and recognition, transfer deep learning for welding robot adaptation, developing multi-modal sensor fusion, integrating models and hardware, and performing a comprehensive requirement analysis and system evaluation in collaboration with welding experts to design a multi-modal sensor fusion architecture.
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Affiliation(s)
- Ji Wang
- Department of Chemical and Materials Engineering, University of Alberta, Edmonton, AB T6G 1H9, Canada
- School of Materials Science and Engineering, Shanghai University of Engineering Science, Shanghai 201620, China
| | - Leijun Li
- Department of Chemical and Materials Engineering, University of Alberta, Edmonton, AB T6G 1H9, Canada
| | - Peiquan Xu
- School of Materials Science and Engineering, Shanghai University of Engineering Science, Shanghai 201620, China
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Villa C, Lynnerup N, Jacobsen C. A Virtual, 3D Multimodal Approach to Victim and Crime Scene Reconstruction. Diagnostics (Basel) 2023; 13:2764. [PMID: 37685302 PMCID: PMC10486680 DOI: 10.3390/diagnostics13172764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 08/16/2023] [Accepted: 08/18/2023] [Indexed: 09/10/2023] Open
Abstract
In the last two decades, forensic pathology and crime scene investigations have seen a rapid increase in examination tools due to the implementation of several imaging techniques, e.g., CT and MR scanning, surface scanning and photogrammetry. These tools encompass relatively simple visualization tools to powerful instruments for performing virtual 3D crime scene reconstructions. A multi-modality and multiscale approach to a crime scene, where 3D models of victims and the crime scene are combined, offers several advantages. A permanent documentation of all evidence in a single 3D environment can be used during the investigation phases (e.g., for testing hypotheses) or during the court procedures (e.g., to visualize the scene and the victim in a more intuitive manner). Advanced computational approaches to understand what might have happened during a crime can also be applied by, e.g., performing a virtual animation of the victim in the actual context, which can provide important information about possible dynamics during the event. Here, we present an overview of the different techniques and modalities used in forensic pathology in conjunction with crime scene investigations. Based on our experiences, the advantages and challenges of an image-based multi-modality approach will be discussed, including how their use may introduce new visualization modalities in court, e.g., virtual reality (VR) and 3D printing. Finally, considerations about future directions in research will be mentioned.
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Affiliation(s)
- Chiara Villa
- Department of Forensic Medicine, University of Copenhagen, Frederik V’s Vej 11, DK-2100 Copenhagen, Denmark; (N.L.); (C.J.)
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Li H, Wang S, Bai Z, Wang H, Li S, Wen S. Research on 3D Reconstruction of Binocular Vision Based on Thermal Infrared. SENSORS (BASEL, SWITZERLAND) 2023; 23:7372. [PMID: 37687828 PMCID: PMC10490217 DOI: 10.3390/s23177372] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 08/14/2023] [Accepted: 08/21/2023] [Indexed: 09/10/2023]
Abstract
Thermal infrared imaging is less affected by lighting conditions and smoke compared to visible light imaging. However, thermal infrared images often have lower resolution and lack rich texture details, making them unsuitable for stereo matching and 3D reconstruction. To enhance the quality of infrared stereo imaging, we propose an advanced stereo matching algorithm. Firstly, the images undergo preprocessing using a non-local mean noise reduction algorithm to remove thermal noise and achieve a smoother result. Subsequently, we perform camera calibration using a custom-made chessboard calibration board and Zhang's camera calibration method to obtain accurate camera parameters. Finally, the disparity map is generated using the SGBM (semi-global block matching) algorithm based on the weighted least squares method, enabling the 3D point cloud reconstruction of the object. The experimental results demonstrate that the proposed algorithm performs well in objects with sufficient thermal contrast and relatively simple scenes. The proposed algorithm reduces the average error value by 10.9 mm and the absolute value of the average error by 1.07% when compared with the traditional SGBM algorithm, resulting in improved stereo matching accuracy for thermal infrared imaging. While ensuring accuracy, our proposed algorithm achieves the stereo reconstruction of the object with a good visual effect, thereby holding high practical value.
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Affiliation(s)
| | | | | | | | - Sen Li
- College of Building Environmental Engineering, Zhengzhou University of Light Industry, Zhengzhou 450001, China; (H.L.); (S.W.); (Z.B.); (H.W.); (S.W.)
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Cutti AG, Morosato F, Gentile C, Gariboldi F, Hamoui G, Santi MG, Teti G, Gruppioni E. A Workflow for Studying the Stump-Socket Interface in Persons with Transtibial Amputation through 3D Thermographic Mapping. SENSORS (BASEL, SWITZERLAND) 2023; 23:s23115035. [PMID: 37299763 DOI: 10.3390/s23115035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 05/09/2023] [Accepted: 05/22/2023] [Indexed: 06/12/2023]
Abstract
The design and fitting of prosthetic sockets can significantly affect the acceptance of an artificial limb by persons with lower limb amputations. Clinical fitting is typically an iterative process, which requires patients' feedback and professional assessment. When feedback is unreliable due to the patient's physical or psychological conditions, quantitative measures can support decision-making. Specifically, monitoring the skin temperature of the residual limb can provide valuable information regarding unwanted mechanical stresses and reduced vascularization, which can lead to inflammation, skin sores and ulcerations. Multiple 2D images to examine a real-life 3D limb can be cumbersome and might only offer a partial assessment of critical areas. To overcome these issues, we developed a workflow for integrating thermographic information on the 3D scan of a residual limb, with intrinsic reconstruction quality measures. Specifically, workflow allows us to calculate a 3D thermal map of the skin of the stump at rest and after walking, and summarize this information with a single 3D differential map. The workflow was tested on a person with transtibial amputation, with a reconstruction accuracy lower than 3 mm, which is adequate for socket adaptation. We expect the workflow to improve socket acceptance and patients' quality of life.
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Affiliation(s)
| | - Federico Morosato
- Centro Protesi Inail, Via Rabuina 14, Vigorso di Budrio, 40054 Bologna, Italy
| | - Cosimo Gentile
- Centro Protesi Inail, Via Rabuina 14, Vigorso di Budrio, 40054 Bologna, Italy
| | - Francesca Gariboldi
- Department of Industrial Engineering, University of Padova, Via VIII Febbraio, 2, 35122 Padova, Italy
| | - Giovanni Hamoui
- Centro Protesi Inail, Via Rabuina 14, Vigorso di Budrio, 40054 Bologna, Italy
| | - Maria Grazia Santi
- Department of Industrial Engineering, University of Padova, Via VIII Febbraio, 2, 35122 Padova, Italy
| | - Gregorio Teti
- Centro Protesi Inail, Via Rabuina 14, Vigorso di Budrio, 40054 Bologna, Italy
| | - Emanuele Gruppioni
- Centro Protesi Inail, Via Rabuina 14, Vigorso di Budrio, 40054 Bologna, Italy
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Gonçalves RSBP, Haueisen J. Three-Dimensional Immersion Scanning Technique: A Scalable Low-Cost Solution for 3D Scanning Using Water-Based Fluid. SENSORS (BASEL, SWITZERLAND) 2023; 23:3214. [PMID: 36991924 PMCID: PMC10052920 DOI: 10.3390/s23063214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 03/01/2023] [Accepted: 03/14/2023] [Indexed: 06/19/2023]
Abstract
Three-dimensional scanning technology has been traditionally used in the medical and engineering industries, but these scanners can be expensive or limited in their capabilities. This research aimed to develop low-cost 3D scanning using rotation and immersion in a water-based fluid. This technique uses a reconstruction approach similar to CT scanners but with significantly less instrumentation and cost than traditional CT scanners or other optical scanning techniques. The setup consisted of a container filled with a mixture of water and Xanthan gum. The object to be scanned was submerged at various rotation angles. A stepper motor slide with a needle was used to measure the fluid level increment as the object being scanned was submerged into the container. The results showed that the 3D scanning using immersion in a water-based fluid was feasible and could be adapted to a wide range of object sizes. The technique produced reconstructed images of objects with gaps or irregularly shaped openings in a low-cost fashion. A 3D printed model with a width of 30.7200 ± 0.2388 mm and height of 31.6800 ± 0.3445 mm was compared to its scan to evaluate the precision of the technique. Its width/height ratio (0.9697 ± 0.0084) overlaps the margin of error of the width/height ratio of the reconstructed image (0.9649 ± 0.0191), showing statistical similarities. The signal-to-noise ratio was calculated at around 6 dB. Suggestions for future work are made to improve the parameters of this promising, low-cost technique.
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