The medical diagnosis process requires several steps to identify the types of cardiac pathologies. The segmentation step is used to determine the measurements for cardiac abnormalities on the short axis of the 4D acquired in MRI, but this phase remains limited on the blood flow sequences. The MRI modality allow to the experts to quantify the stenosis and the regurgitation of aortic blood flow. The parameters extracted from the flow sequences, after segmentation, make it possible to identify the valvular pathologies, but they are not sufficient to complete the medical prognosis as well as the lack of precision of these measurements. In this paper, we propose to make a coupling between the 4D cardiac cuts with their study of blood flow through the technique of registration and reconstruction. The interest of the purpose of the blood flow as fifth dimension is to improve the accuracy of the cardiac parameters and the extracting of measurements for valvulopathies in the process of assistance to the decision for the experts An example was introduced in this context through the development of cloud services for patient-specific simulations of blood flows through aortic valves as well as an OsiriX software for 5D visualization that combines a 4D sequence and the functional flow dimension. In this framework, we proposed a processing chain to lead towards a 5D solution. Another problem is raised is the choice of the appropriate architecture to solve the problem of hybrid parallelization for the processing of these cardiac images. To test the constraints of time of the concept of 5D, we need a GPU graphics processor acquired in MRI, as well as a CPU processor to perform the complexity of calculation and the operations applied to the algorithms of image processing.
A comparative study has been depicted between the contour and topographic watershed segmentation approach for short-axis 5D cardiac sequences with MRI for medical decision. The fifth dimension has been defined as the excitation of pixels based on the gray scale around the myocardium without consideration of the morphological structure of the heart in 3D and fourth dimension (time). Three patients were performed the first is healthy, the second has a genetic disease, and the third had a heart failure syndrome for a dimension ROI ¼ 150mm, average age is 54 years old, and mean of weight ¼ 86 kg. A contouring and watershed segmentation algorithm for a sample of 63 Cine Fiesta MRI sequences for short-axis cuts with Matlab and its in-box toolbox complements was implemented. For a healthy patient 13.4% tolerance rate for the estimation of the stroke fraction, 6.4% for a patient with genetic disease, 8.7% error rate for a patient with heart failure symptom. The results show that the regurgitation fraction by the contour approach for a patient case with symptom of the presence of a genetic disease is 0.0335% for an aortic valve, 0.248% for a mitral valve, an error rate 0.16% for estimating this parameter for the aortic orifice with the watershed segmentation approach. In return, for a patient with suspected heart failure (stenosis or regurgitation) the regurgitation fraction is estimated by 0% for aortic valve, 1.49 e þ 03 % for a mitral valve, an error rate 11.76% compared to the watershed segmentation approach. The results are validated clinically. The Optimization of the topographic watershed approach with mutual information was simulated for the extraction of measurements (ejection fraction, regurgitation rate) within the left ventricle for three patient types (healthy, genetic pathology and heart failure). The results are considered interesting compared to the clinical assessment.
PurposeThe autonomic network gathers several aspects of Self-organization, which is depicted, into different autonomous function such as the Self-configuration, the Self-optimization, the Self-repair, the Selfprotection, and the Self-cure. The latter is considered as one of the autonomous functions wished of a system network, which could be described by autonomous behavior is realized by structures of the control loops and loop of control.
IssueThese various aspects require an architectural framework, which integrates several protocols of telecommunication as well as programs proactive and reagents for the prevention and the resolution of the unforeseen problems. To ensure a reduction of the loops of the operator, we need good management per policy. An autonomic vision must guarantee the safety and the availability of the resources for the endusers by respecting the constraints of QoS and the deadlines for replies.
GoalsDepict the challenges, the interests, and the anomalies and compare the autonomic approaches of the networks which consist of discovering neighbor's in the self-organizing wireless network. These points are considered the cornerstone of extending autonomous coverage and improving performance. However, the objective is to detect the hidden node in the neighbor discovery procedure based on the simple flood caused by the uncoordinated transmission, which can cause an unnecessary loss of energy.
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