An algorithm of highly maneuvering target tracking is proposed to solve the problem of large tracking error caused by strong maneuver. In this algorithm, a new estimator, named as multi-parameter fusion Singer (MF-Sin...An algorithm of highly maneuvering target tracking is proposed to solve the problem of large tracking error caused by strong maneuver. In this algorithm, a new estimator, named as multi-parameter fusion Singer (MF-Singer) model is derived based on the Singer model and the fuzzy reasoning method by using radial acceleration and velocity of the target, and applied to the problem of maneuvering target tracking in strong maneuvering environment and operating environment. The tracking performance of the MF-Singer model is evaluated and compared with other manuevering tracking models. It is shown that the MF-Singer model outperforms these algorithms in several examples.展开更多
Assuring medical images protection and robustness is a compulsory necessity nowadays.In this paper,a novel technique is proposed that fuses the wavelet-induced multi-resolution decomposition of the Discrete Wavelet Tr...Assuring medical images protection and robustness is a compulsory necessity nowadays.In this paper,a novel technique is proposed that fuses the wavelet-induced multi-resolution decomposition of the Discrete Wavelet Transform(DWT)with the energy compaction of the Discrete Wavelet Transform(DCT).The multi-level Encryption-based Hybrid Fusion Technique(EbhFT)aims to achieve great advances in terms of imperceptibility and security of medical images.A DWT disintegrated sub-band of a cover image is reformed simultaneously using the DCT transform.Afterwards,a 64-bit hex key is employed to encrypt the host image as well as participate in the second key creation process to encode the watermark.Lastly,a PN-sequence key is formed along with a supplementary key in the third layer of the EbHFT.Thus,the watermarked image is generated by enclosing both keys into DWT and DCT coefficients.The fusions ability of the proposed EbHFT technique makes the best use of the distinct privileges of using both DWT and DCT methods.In order to validate the proposed technique,a standard dataset of medical images is used.Simulation results show higher performance of the visual quality(i.e.,57.65)for the watermarked forms of all types of medical images.In addition,EbHFT robustness outperforms an existing scheme tested for the same dataset in terms of Normalized Correlation(NC).Finally,extra protection for digital images from against illegal replicating and unapproved tampering using the proposed technique.展开更多
In order to ensure the service security of space structures under wind load, the stress identification method based on the combination of fuzzy pattern recognition and information fusion technique is proposed, in whic...In order to ensure the service security of space structures under wind load, the stress identification method based on the combination of fuzzy pattern recognition and information fusion technique is proposed, in which the measurements of limited strain sensors arranged on the structure are used. Firstly, the structure is divided into several regions according to the similarity and the most unfavorable region is selected to be the key region for stress identification, while the different numbers of the strain sensors are located on the key region and the normal regions; secondly, the different stress distributions of the key region are obtained based on the measurements of the strain sensors located on the key region and the normal regions separately, in which the fuzzy pattern recognition is used to identify the different stress distributions; thirdly, the stress distributions obtained by the measurements of sensors in normal regions are selected to calculate the synthesized stress distribution of the key region by D-S evidence theory; fourthly, the weighted fusion algorithm is used to assign the different fusion coefficients to the selected stress distributions obtained by the measurements of the normal regions and the key region, while the synthesized stress distribution of the key region can be obtained. Numerical study on a lattice shell model is carried out to validate the reliability of the proposed stress identification method. The simulated results indicate that the method can improve identification accuracy and be effective by different noise disturbing.展开更多
Based on measured natural frequencies and acceleration responses,a non-probabilistic information fusion technique is proposed for the structural damage detection by adopting the set-membership identification（SMI） an...Based on measured natural frequencies and acceleration responses,a non-probabilistic information fusion technique is proposed for the structural damage detection by adopting the set-membership identification（SMI） and twostep model updating procedure.Due to the insufficiency and uncertainty of information obtained from measurements,the uncertain problem of damage identification is addressed with interval variables in this paper.Based on the first-order Taylor series expansion,the interval bounds of the elemental stiffness parameters in undamaged and damaged models are estimated,respectively.The possibility of damage existence（PoDE） in elements is proposed as the quantitative measure of structural damage probability,which is more reasonable in the condition of insufficient measurement data.In comparison with the identification method based on a single kind of information,the SMI method will improve the accuracy in damage identification,which reflects the information fusion concept based on the non-probabilistic set.A numerical example is performed to demonstrate the feasibility and effectiveness of the proposed technique.展开更多
This paper introduces how to use remote sensing images including Landsat (MSS and TM) and airborne radioactivity images to identify the type of rocks in the areas covered by vegetation. The relationship between light ...This paper introduces how to use remote sensing images including Landsat (MSS and TM) and airborne radioactivity images to identify the type of rocks in the areas covered by vegetation. The relationship between light spectrum (Landsat MSS and TM) and energy spectrum (U, Th and K) is discussed on the basis of correlation analysis, and it is proven that there are correlations between the Landsat MSS or TM data and the U, Th and K data. By using the fusion technique, new images were generated, which contain both the light spectrum and the energy spectrum information.展开更多
Applications of certain multi-parameter acceleration techniques used with themodified New-ton-Raphson (mN-R) methods to solve the nonlinear equations arising from rigid-plasticfinite element analysis are investigated....Applications of certain multi-parameter acceleration techniques used with themodified New-ton-Raphson (mN-R) methods to solve the nonlinear equations arising from rigid-plasticfinite element analysis are investigated. New modified multi-parameter techniques, developed fromCrisfield's multi-parameter methods, are utilized to solve these nonlinear equations. The numericalperformance of these techniques is compared with the standard Newton-Raphson method (sN-R),Crisfield's single parameter method (C1), Crisfield's two parameter method (C2) and Crisfield'sthree parameter method (C3). The new techniques do not involve additional residual force calculationand require little extra computational effort. In addition, they are more robust and efficient thanother existing acceleration techniques.展开更多
Background: Minimally invasive transforaminal lumbar interbody fusion (MI TLIF) is a widely known and performed technique, however its versatility among different physicians continues to hinder its replication and res...Background: Minimally invasive transforaminal lumbar interbody fusion (MI TLIF) is a widely known and performed technique, however its versatility among different physicians continues to hinder its replication and results. Therefore, this study aimed to provide a step-by-step surgical guide to perform a safe MI-TLIF, based on the results obtained in patients operated on by a single surgeon over a period of 12 years. Patients and methods: A retrospective, single center, longitudinal, and observational cohort study was conducted with 931 patients who underwent MI TLIF by a single surgeon between 2010 and 2022 using the technique described on this paper, each with a minimum follow-up of 12 months. Criteria included Schizas classification, listhesis according to Meyerding classification, number of levels treated, cage size, and complications (screw repositioning or cerebrospinal fluid leak). Patient clinical outcomes were assessed using the Oswestry Disability Index (ODI), Visual Analog Scale (VAS) for pre- and postoperative radicular pain. Thin slice CT scans were used to assess the progression of the fusion using the Bridwell classification. In the statistical analysis, percentages, median, and interquartile range (IQR) were calculated. Results: Nine hundred and thirty one patients underwent MI TLIF using the technique described, eight hundred and eighty (94.5%) had a single level treated and fifty one (5.5%) had a 2 level procedure (982 levels), an 8mm cage was placed on five hundred and seventeenlevels (52.7%), six hundred and sixty three levels(67.6%) achieved grade I fusion, two hundred and sixty six levels (27.1%) achieved grade II fusion, 52 levels (5.3) achieved grade III fusion and one level (0.1) achieved a grade IV fusion or non-union. Revision surgery was performed on 3 patients (0.3%) for screw repositioning, cerebrospinal fluid leak was present on 2 patients during surgery and treated before closure. VAS scores and ODI were improved at 12 months postop (VAS from 8.70 to 2.30 and ODI from 34.2 to 14.1, (p = 0.001). Conclusions: The MI TLIF technique described could be a safe and easy to replicate way to achieved lumbar interbody fusion, providingclinical and radiological benefits.展开更多
Recent monitoring techniques employ multiple sources of information for the characterization of the phenomenon to be studied, being the coupling and adjustment of multi-source data one of the first challenges to consi...Recent monitoring techniques employ multiple sources of information for the characterization of the phenomenon to be studied, being the coupling and adjustment of multi-source data one of the first challenges to consider and solve. The authors propose a new framework of the multi-source and multi-temporal data-oriented fusion for the characterization of landslide events. The main objective is to generate 3D virtual models(in the form of dense point clouds) and feed them back with the characteristic of soil and subsoil information. The scheme consists of three main steps. The first one is on-site data collection(geological characterization, geophysical measurements, GPS measurements, and UAV/drone mapping). The second step is generation of a high-resolution 3D virtual model(~1-inch spatial resolution) from the frames acquired through the UAV using the structure of motion(SfM) processing;the developed virtual model is optimized with GPS measurements to minimize geolocation error and eliminate distortions. The last step is assembling of the acquired data in the field and densified point cloud considering the different nature of the data, re-escalating procedure and the information stacking layer.展开更多
Surgical treatment for cervical kyphotic deformity is still controversial. Circumferential approach has been well described in the literature but long terms outcomes are not well reported. Important to decide the corr...Surgical treatment for cervical kyphotic deformity is still controversial. Circumferential approach has been well described in the literature but long terms outcomes are not well reported. Important to decide the correct treatment option is the preoperative radiological exams to value the type of deformity(flexible or fixed). We report the case of a 67-year-old woman affected by a severe cervical kyphotic deformity who underwent combined anterior/posterior surgical approach, getting a good reduction of the deformity and an optimal stability in a long term follow up.展开更多
Objective: We studied the application of CT image fusion in the evaluation of radiation treatment planning for non-small cell lung cancer (NSCLC). Methods: Eleven patients with NSCLC, who were treated with three-dimen...Objective: We studied the application of CT image fusion in the evaluation of radiation treatment planning for non-small cell lung cancer (NSCLC). Methods: Eleven patients with NSCLC, who were treated with three-dimensional con-formal radiation therapy, were studied. Each patient underwent twice sequential planning CT scan, i.e., at pre-treatment, and at mid-treatment for field reduction planning. Three treatment plans were established in each patient: treatment plan A was based on the pre-treatment planning CT scans for the first course of treatment, plan B on the mid-treatment planning CT scans for the second course of treatment, and treatment plan F on the fused images for the whole treatment. The irradiation doses received by organs at risk in the whole treatment with treatment A and B plans were estimated by the plus of the parameters in treatment plan A and B, assuming that the parameters involve the different tissues (i.e. V20=AV20+BV20), or the same tissues within an organ (i.e. Dmax=ADmax+BDmax). The assessment parameters in the treatment plan F were calculated on the basis of the DVH of the whole treatment. Then the above assessment results were compared. Results: There were marked differ-ences between the assessment results derived from the plus of assessment parameters in treatment plan A and B, and the ones derived from treatment plan F. Conclusion: When a treatment plan is altered during the course of radiation treatment, image fusion technique should be performed in the establishment of a new one. The estimation of the assessment parameters for the whole treatment with treatment plan A and B by simple plus, is inaccurate.展开更多
Objective We aimed to compare the clinical and radiological outcomes of midline lumbar fusion(MIDLF)versus minimally invasive transforaminal lumbar interbody fusion(MI-TLIF)in patients with degenerative spondylolisthe...Objective We aimed to compare the clinical and radiological outcomes of midline lumbar fusion(MIDLF)versus minimally invasive transforaminal lumbar interbody fusion(MI-TLIF)in patients with degenerative spondylolisthesis and/or stenosis in L4-L5 two years after surgery.Methods Consecutively treated patients with lumbar pathology who underwent MIDLF(n=16)and a historical control group who underwent MI-TLIF(n=34)were included.Clinical symptoms were evaluated using Oswestry Disability Index(ODI),the 36-Item Short-Form Health Survey,and visual analog scale(VAS)scores before surgery and 3,6,12,and 24 months after surgery.Results The mean operative time and hematocrit(HCT,Day 1)were significantly shorter and lower in MIDLF cases(174 min vs.229 min,P<0.001;0.34 vs.0.36,P=0.037).The MI-TLIF group showed better improvement than the MIDLF group in ODI and VAS back and leg pain at 3 months postoperatively.VAS leg pain was higher in MIDLF than in MI-TLIF cases at 6 months.At 24 months follow-up,VAS back pain was higher in MI-TLIF than in MIDLF cases(P=0.018).Conclusion MIDLF is comparable to MI-TLIF at L4-5 in clinical outcomes and fusion rates,and the results verified the meaningful advantage of using MIDLF for the elderly with osteoporosis.展开更多
A new model is proposed in this paper on color edge detection that uses the second derivative operators and data fusion mechanism.The secondorder neighborhood shows the connection between the current pixel and the sur...A new model is proposed in this paper on color edge detection that uses the second derivative operators and data fusion mechanism.The secondorder neighborhood shows the connection between the current pixel and the surroundings of this pixel.This connection is for each RGB component color of the input image.Once the image edges are detected for the three primary colors:red,green,and blue,these colors are merged using the combination rule.Then,the final decision is applied to obtain the segmentation.This process allows different data sources to be combined,which is essential to improve the image information quality and have an optimal image segmentation.Finally,the segmentation results of the proposed model are validated.Moreover,the classification accuracy of the tested data is assessed,and a comparison with other current models is conducted.The comparison results show that the proposed model outperforms the existing models in image segmentation.展开更多
Introduction: Surgical interventions for degenerative spondylolisthesis are varied with comparable claims of success. Fusion based technique is one of the most commonly used surgical interventions in treating this con...Introduction: Surgical interventions for degenerative spondylolisthesis are varied with comparable claims of success. Fusion based technique is one of the most commonly used surgical interventions in treating this condition. The aim of this meta-analysis is to compare the effectiveness of the Lumbar Interbody Fusion techniques (specifically Posterolateral Interbody approach—PLIF) versus Posterolateral Instrumented Fusion (PLF). The clinical outcomes investigated were: back pain, leg pain, function, Oswestery Disability Index (ODI), Disability Rating Index (DRI), fusion and revision rates if reported. Methods: Combinations of keywords and MeSH terms, where appropriate, were used to search for studies in Medline via Ovid, Embase, Cochrane Library, and Google scholar. The initial search was conducted on 10 August 2016 and updated on 13 June 2017. Eligibility criteria for the studies to be selected for this meta-analysis were: Randomised Controlled Trials (RCTs), cohort and consecutive cases studies that compared at PLIF versus PLF surgical interventions at the lumbar region. Heterogeneity indicators and Forest plot were computed using RevMan 5. Results: Out of the initial hits of 3021, 5 articles were selected as relevant and assessed for risk of bias and then data was extracted and tabulated. These 5 studies reported data from (900 patients’ records, follow up ranges from 6 months to 5 years) undergone one of 2 interventions (PLIF or PLF). The overall effect for ODI and leg pain showed no advantage of any intervention over the other while there was a greater odd ratio of fusion if the operation applied PLIF techniques (Overall Z = 2.86, p = 0.004). Conclusions: There is a need for more high quality clinical trials to compare these two interventions. However, available data indicate that there are comparable results in the main clinical outcomes between PLIF and PLF. PLIF has superior fusion rate which does not seem to affect post-operative pain ratings.展开更多
基金supported by the National Natural Science Foundation of China(6153102061471383)
文摘An algorithm of highly maneuvering target tracking is proposed to solve the problem of large tracking error caused by strong maneuver. In this algorithm, a new estimator, named as multi-parameter fusion Singer (MF-Singer) model is derived based on the Singer model and the fuzzy reasoning method by using radial acceleration and velocity of the target, and applied to the problem of maneuvering target tracking in strong maneuvering environment and operating environment. The tracking performance of the MF-Singer model is evaluated and compared with other manuevering tracking models. It is shown that the MF-Singer model outperforms these algorithms in several examples.
文摘Assuring medical images protection and robustness is a compulsory necessity nowadays.In this paper,a novel technique is proposed that fuses the wavelet-induced multi-resolution decomposition of the Discrete Wavelet Transform(DWT)with the energy compaction of the Discrete Wavelet Transform(DCT).The multi-level Encryption-based Hybrid Fusion Technique(EbhFT)aims to achieve great advances in terms of imperceptibility and security of medical images.A DWT disintegrated sub-band of a cover image is reformed simultaneously using the DCT transform.Afterwards,a 64-bit hex key is employed to encrypt the host image as well as participate in the second key creation process to encode the watermark.Lastly,a PN-sequence key is formed along with a supplementary key in the third layer of the EbHFT.Thus,the watermarked image is generated by enclosing both keys into DWT and DCT coefficients.The fusions ability of the proposed EbHFT technique makes the best use of the distinct privileges of using both DWT and DCT methods.In order to validate the proposed technique,a standard dataset of medical images is used.Simulation results show higher performance of the visual quality(i.e.,57.65)for the watermarked forms of all types of medical images.In addition,EbHFT robustness outperforms an existing scheme tested for the same dataset in terms of Normalized Correlation(NC).Finally,extra protection for digital images from against illegal replicating and unapproved tampering using the proposed technique.
文摘In order to ensure the service security of space structures under wind load, the stress identification method based on the combination of fuzzy pattern recognition and information fusion technique is proposed, in which the measurements of limited strain sensors arranged on the structure are used. Firstly, the structure is divided into several regions according to the similarity and the most unfavorable region is selected to be the key region for stress identification, while the different numbers of the strain sensors are located on the key region and the normal regions; secondly, the different stress distributions of the key region are obtained based on the measurements of the strain sensors located on the key region and the normal regions separately, in which the fuzzy pattern recognition is used to identify the different stress distributions; thirdly, the stress distributions obtained by the measurements of sensors in normal regions are selected to calculate the synthesized stress distribution of the key region by D-S evidence theory; fourthly, the weighted fusion algorithm is used to assign the different fusion coefficients to the selected stress distributions obtained by the measurements of the normal regions and the key region, while the synthesized stress distribution of the key region can be obtained. Numerical study on a lattice shell model is carried out to validate the reliability of the proposed stress identification method. The simulated results indicate that the method can improve identification accuracy and be effective by different noise disturbing.
基金supported by the Specialized Research Fund for the Doctoral Program of Higher Education (20091102120023)the Aeronautical Science Foundation of China (2012ZA51010)+1 种基金the National Natural Science Foundation of China (11002013)Defense Industrial Technology Development Program (A2120110001 and B2120110011)
文摘Based on measured natural frequencies and acceleration responses,a non-probabilistic information fusion technique is proposed for the structural damage detection by adopting the set-membership identification（SMI） and twostep model updating procedure.Due to the insufficiency and uncertainty of information obtained from measurements,the uncertain problem of damage identification is addressed with interval variables in this paper.Based on the first-order Taylor series expansion,the interval bounds of the elemental stiffness parameters in undamaged and damaged models are estimated,respectively.The possibility of damage existence（PoDE） in elements is proposed as the quantitative measure of structural damage probability,which is more reasonable in the condition of insufficient measurement data.In comparison with the identification method based on a single kind of information,the SMI method will improve the accuracy in damage identification,which reflects the information fusion concept based on the non-probabilistic set.A numerical example is performed to demonstrate the feasibility and effectiveness of the proposed technique.
文摘This paper introduces how to use remote sensing images including Landsat (MSS and TM) and airborne radioactivity images to identify the type of rocks in the areas covered by vegetation. The relationship between light spectrum (Landsat MSS and TM) and energy spectrum (U, Th and K) is discussed on the basis of correlation analysis, and it is proven that there are correlations between the Landsat MSS or TM data and the U, Th and K data. By using the fusion technique, new images were generated, which contain both the light spectrum and the energy spectrum information.
文摘Applications of certain multi-parameter acceleration techniques used with themodified New-ton-Raphson (mN-R) methods to solve the nonlinear equations arising from rigid-plasticfinite element analysis are investigated. New modified multi-parameter techniques, developed fromCrisfield's multi-parameter methods, are utilized to solve these nonlinear equations. The numericalperformance of these techniques is compared with the standard Newton-Raphson method (sN-R),Crisfield's single parameter method (C1), Crisfield's two parameter method (C2) and Crisfield'sthree parameter method (C3). The new techniques do not involve additional residual force calculationand require little extra computational effort. In addition, they are more robust and efficient thanother existing acceleration techniques.
文摘Background: Minimally invasive transforaminal lumbar interbody fusion (MI TLIF) is a widely known and performed technique, however its versatility among different physicians continues to hinder its replication and results. Therefore, this study aimed to provide a step-by-step surgical guide to perform a safe MI-TLIF, based on the results obtained in patients operated on by a single surgeon over a period of 12 years. Patients and methods: A retrospective, single center, longitudinal, and observational cohort study was conducted with 931 patients who underwent MI TLIF by a single surgeon between 2010 and 2022 using the technique described on this paper, each with a minimum follow-up of 12 months. Criteria included Schizas classification, listhesis according to Meyerding classification, number of levels treated, cage size, and complications (screw repositioning or cerebrospinal fluid leak). Patient clinical outcomes were assessed using the Oswestry Disability Index (ODI), Visual Analog Scale (VAS) for pre- and postoperative radicular pain. Thin slice CT scans were used to assess the progression of the fusion using the Bridwell classification. In the statistical analysis, percentages, median, and interquartile range (IQR) were calculated. Results: Nine hundred and thirty one patients underwent MI TLIF using the technique described, eight hundred and eighty (94.5%) had a single level treated and fifty one (5.5%) had a 2 level procedure (982 levels), an 8mm cage was placed on five hundred and seventeenlevels (52.7%), six hundred and sixty three levels(67.6%) achieved grade I fusion, two hundred and sixty six levels (27.1%) achieved grade II fusion, 52 levels (5.3) achieved grade III fusion and one level (0.1) achieved a grade IV fusion or non-union. Revision surgery was performed on 3 patients (0.3%) for screw repositioning, cerebrospinal fluid leak was present on 2 patients during surgery and treated before closure. VAS scores and ODI were improved at 12 months postop (VAS from 8.70 to 2.30 and ODI from 34.2 to 14.1, (p = 0.001). Conclusions: The MI TLIF technique described could be a safe and easy to replicate way to achieved lumbar interbody fusion, providingclinical and radiological benefits.
基金supported by the CONACYT Academic Fellowship(No.308896)
文摘Recent monitoring techniques employ multiple sources of information for the characterization of the phenomenon to be studied, being the coupling and adjustment of multi-source data one of the first challenges to consider and solve. The authors propose a new framework of the multi-source and multi-temporal data-oriented fusion for the characterization of landslide events. The main objective is to generate 3D virtual models(in the form of dense point clouds) and feed them back with the characteristic of soil and subsoil information. The scheme consists of three main steps. The first one is on-site data collection(geological characterization, geophysical measurements, GPS measurements, and UAV/drone mapping). The second step is generation of a high-resolution 3D virtual model(~1-inch spatial resolution) from the frames acquired through the UAV using the structure of motion(SfM) processing;the developed virtual model is optimized with GPS measurements to minimize geolocation error and eliminate distortions. The last step is assembling of the acquired data in the field and densified point cloud considering the different nature of the data, re-escalating procedure and the information stacking layer.
文摘Surgical treatment for cervical kyphotic deformity is still controversial. Circumferential approach has been well described in the literature but long terms outcomes are not well reported. Important to decide the correct treatment option is the preoperative radiological exams to value the type of deformity(flexible or fixed). We report the case of a 67-year-old woman affected by a severe cervical kyphotic deformity who underwent combined anterior/posterior surgical approach, getting a good reduction of the deformity and an optimal stability in a long term follow up.
基金a grant from the Key Program of Science and Technology Foundation of Hubei Province (No. 2007A301B33).
文摘Objective: We studied the application of CT image fusion in the evaluation of radiation treatment planning for non-small cell lung cancer (NSCLC). Methods: Eleven patients with NSCLC, who were treated with three-dimensional con-formal radiation therapy, were studied. Each patient underwent twice sequential planning CT scan, i.e., at pre-treatment, and at mid-treatment for field reduction planning. Three treatment plans were established in each patient: treatment plan A was based on the pre-treatment planning CT scans for the first course of treatment, plan B on the mid-treatment planning CT scans for the second course of treatment, and treatment plan F on the fused images for the whole treatment. The irradiation doses received by organs at risk in the whole treatment with treatment A and B plans were estimated by the plus of the parameters in treatment plan A and B, assuming that the parameters involve the different tissues (i.e. V20=AV20+BV20), or the same tissues within an organ (i.e. Dmax=ADmax+BDmax). The assessment parameters in the treatment plan F were calculated on the basis of the DVH of the whole treatment. Then the above assessment results were compared. Results: There were marked differ-ences between the assessment results derived from the plus of assessment parameters in treatment plan A and B, and the ones derived from treatment plan F. Conclusion: When a treatment plan is altered during the course of radiation treatment, image fusion technique should be performed in the establishment of a new one. The estimation of the assessment parameters for the whole treatment with treatment plan A and B by simple plus, is inaccurate.
基金the Returned Overseas Chinese Scholars Startup Fund[No.LXHG2018001]。
文摘Objective We aimed to compare the clinical and radiological outcomes of midline lumbar fusion(MIDLF)versus minimally invasive transforaminal lumbar interbody fusion(MI-TLIF)in patients with degenerative spondylolisthesis and/or stenosis in L4-L5 two years after surgery.Methods Consecutively treated patients with lumbar pathology who underwent MIDLF(n=16)and a historical control group who underwent MI-TLIF(n=34)were included.Clinical symptoms were evaluated using Oswestry Disability Index(ODI),the 36-Item Short-Form Health Survey,and visual analog scale(VAS)scores before surgery and 3,6,12,and 24 months after surgery.Results The mean operative time and hematocrit(HCT,Day 1)were significantly shorter and lower in MIDLF cases(174 min vs.229 min,P<0.001;0.34 vs.0.36,P=0.037).The MI-TLIF group showed better improvement than the MIDLF group in ODI and VAS back and leg pain at 3 months postoperatively.VAS leg pain was higher in MIDLF than in MI-TLIF cases at 6 months.At 24 months follow-up,VAS back pain was higher in MI-TLIF than in MIDLF cases(P=0.018).Conclusion MIDLF is comparable to MI-TLIF at L4-5 in clinical outcomes and fusion rates,and the results verified the meaningful advantage of using MIDLF for the elderly with osteoporosis.
文摘A new model is proposed in this paper on color edge detection that uses the second derivative operators and data fusion mechanism.The secondorder neighborhood shows the connection between the current pixel and the surroundings of this pixel.This connection is for each RGB component color of the input image.Once the image edges are detected for the three primary colors:red,green,and blue,these colors are merged using the combination rule.Then,the final decision is applied to obtain the segmentation.This process allows different data sources to be combined,which is essential to improve the image information quality and have an optimal image segmentation.Finally,the segmentation results of the proposed model are validated.Moreover,the classification accuracy of the tested data is assessed,and a comparison with other current models is conducted.The comparison results show that the proposed model outperforms the existing models in image segmentation.
文摘Introduction: Surgical interventions for degenerative spondylolisthesis are varied with comparable claims of success. Fusion based technique is one of the most commonly used surgical interventions in treating this condition. The aim of this meta-analysis is to compare the effectiveness of the Lumbar Interbody Fusion techniques (specifically Posterolateral Interbody approach—PLIF) versus Posterolateral Instrumented Fusion (PLF). The clinical outcomes investigated were: back pain, leg pain, function, Oswestery Disability Index (ODI), Disability Rating Index (DRI), fusion and revision rates if reported. Methods: Combinations of keywords and MeSH terms, where appropriate, were used to search for studies in Medline via Ovid, Embase, Cochrane Library, and Google scholar. The initial search was conducted on 10 August 2016 and updated on 13 June 2017. Eligibility criteria for the studies to be selected for this meta-analysis were: Randomised Controlled Trials (RCTs), cohort and consecutive cases studies that compared at PLIF versus PLF surgical interventions at the lumbar region. Heterogeneity indicators and Forest plot were computed using RevMan 5. Results: Out of the initial hits of 3021, 5 articles were selected as relevant and assessed for risk of bias and then data was extracted and tabulated. These 5 studies reported data from (900 patients’ records, follow up ranges from 6 months to 5 years) undergone one of 2 interventions (PLIF or PLF). The overall effect for ODI and leg pain showed no advantage of any intervention over the other while there was a greater odd ratio of fusion if the operation applied PLIF techniques (Overall Z = 2.86, p = 0.004). Conclusions: There is a need for more high quality clinical trials to compare these two interventions. However, available data indicate that there are comparable results in the main clinical outcomes between PLIF and PLF. PLIF has superior fusion rate which does not seem to affect post-operative pain ratings.
