Spine radiographs in the standing position are the recommended standard for diagnosing idiopathic scoliosis. Though the deformity exists in 3D, its diagnosis is currently carried out with the help of 2D radiographs due to the unavailability of an efficient, low-cost 3D alternative. Computed tomography (CT) and magnetic resonance imaging (MRI) are not suitable in this case, as they are obtained in the supine position. Research on 3D modelling of scoliotic spine began with multiplanar radiographs and later moved on to biplanar radiographs and finally a single radiograph. Nonetheless, modern advances in diagnostic imaging have the potential to preserve image quality and decrease radiation exposure. They include the DIERS formetric scanner system, the EOS imaging system, and ultrasonography. This review article briefly explains the technology behind each of these methods. They are compared with the standard imaging techniques. The DIERS system and ultrasonography are radiation free but have limitations with respect to the quality of the 3D model obtained. There is a need for 3D imaging technology with less or zero radiation exposure and that can produce a quality 3D model for diseases like adolescent idiopathic scoliosis. Accurate 3D models are crucial in clinical practice for diagnosis, planning surgery, patient follow-up examinations, biomechanical applications, and computer-assisted surgery.
The top and bottom of the pedicles are used as landmarks for 3D stereo radiographic reconstruction of vertebrae. At present the landmark identification is manual that can cause observer variability which in turn reduces the accuracy of 3D stereo radiographic reconstruction. A semiautomatic method for segmenting pedicles from biplanar (PA and Lateral) vertebral radiographs is proposed here. Mathematical morphology is proposed for enhancement and Gradient Vector Flow (GVF) snake model is proposed for pedicle segmentation. The conventional theoretical concept of image enhancement has been extended to the regime of multiscale mathematical morphology. Structuring element in this method is multiscale. Bright and dark features at various scales of radiographs are extracted using multiscale tophat transformation. These multiscale features are combined to reconstruct the final modified image. Therefore the contrast of radiograph is enhanced locally.GVF snake model is used for segmenting the pedicles from the enhanced radiograph. A comparison is made between the segmented radiographs with and without the morphological enhancement. Results demonstrated that the distance between contours manually delineated by the user and those segmented by the proposed algorithm is far less than the distance resulted from the traditional GVF snake without morphological enhancement. The morphological enhancement produces better segmentation results even with noisy and low contrast radiographs. The proposed method enables the automatic landmark identification from the segmented radiographs which will remove observer variability that in turn increases the 3D reconstruction accuracy. Hence the proposed method might be a useful preprocessing tool for 3D stereo radiographic reconstruction
Linearity and intermodulation distortion are very crucial parameters for RFICs design. Therefore, in this work, a detailed comparative analysis on linearity and intermodulation distortion of single metal (SMG) and double metal (DMG) double gate junction less transistor (JLT) is done using TCAD silvaco suite. Furthermore, the effects of temperature fluctuation, gate length variation, and gate material engineering on the linearity performance of both devices are also studied. A few significant figures of merit, including Voltage Intercept Point 2 (VIP2), Voltage Intercept Point 3 (VIP3), Third Order Intercept Power (IIP3), 1 dB Compression Point (P1dB), Third Order Intermodulation Distortion (IMD3), and the transconductance derivative parameters First Order Transconductance (gm1), Second Order Transconductance (gm2), and Third Order Transconductance (gm3) are used to assess the device linearity and intermodulation distortion of SMG and DMG JLT's. The findings show that higher VIP2, VIP3, IIP3, 1-dB compression point and lower gm3, IMD3 values are obtained for the SMG JLT device when compared to its counterpart DMG JLT. SMG JLT, which assures strong linearity and low distortion.
Three out of every 100 people in this world have some form of scoliosis. A doctor would suggest surgery if scoliosis is severe in certain conditions to prevent it from getting worse. The deformity of spine can be visualized well in 3D rather than in 2D as it is time-consuming to evaluate the degree of deformity. CATIA V5 is used to develop feature-based modeling. The angles of vertebrae orientation from biplanar X-rays are fed into the CATIA interface which forms the orientation of the 3D spine model. The feature-based model is modified using the morpho-realistic model for increasing the accuracy. The validation procedure for the feature-based model is divided into quantitative and qualitative analysis. In quantitative analysis, the One Sided Hausdorff Distance (OSHD), Average Surface Distance (ASD), Cobb angle and Axial Vertebral Rotation (AVR) metrics are obtained for inter-observer variability and intra-observer variability. In qualitative analysis, the model is projected along the frontal and lateral radiographs and compared with reference radiographs. The accuracy of the model can be estimated by the uncertainty in these parameters. The mean surface model reconstruction errors were found to be smaller than 1.5 mm in comparing cadaver Computed Tomography (CT) scan as well as for the 10 cases including inter-observer and intra-observer variability. The average differences for AVR and Cobb angle were less than 2 ̊. The modified feature-based 3D modeling allows for true 3D pre-operative planning which helps the doctor for better treatment with much less time.