Agostino Accardo

Use of the fractal dimension for the analysis of electroencephalographic time series

Abstract. Electroencephalogram (EEG) traces corresponding to different physiopathological conditions can be characterized by their fractal dimension, which is a measure of the signal complexity. Generally this dimension is evaluated in the phase space by means of the attractor dimension or other correlated parameters. Nevertheless, to obtain reliable values, long duration intervals are needed and consequently only long-term events can be analysed; also much calculation time is required. To analyse events of brief duration in real-time mode and to apply the results obtained directly in the time domain, thus providing an easier interpretation of fractal dimension behaviour, in this work we optimize and propose a new method for evaluating the fractal dimension. Moreover, we study the robustness of this evaluation in the presence of white or line noises and compare the results with those obtained with conventional spectral methods. The non-linear analysis carried out allows us to investigate relevant EEG events shorter than those detectable by means of other linear and non-linear techniques, thus achieving a better temporal resolution. An interesting link between the spectral distribution and the fractal dimension value is also pointed out.

Nonlinear indices of heart rate variability in chronic heart failure patients: Redundancy and comparative clinical value

Aims: We aimed to assess the mutual interrelationships and to compare the prognostic value of a comprehensive set of nonlinear indices of heart rate variability (HRV) in a population of chronic heart failure (CHF) patients.

Alginate/Hydroxyapatite biocomposite for bone ingrowth: a trabecular structure with high and isotropic connectivity.

Alginate/hydroxyapatite composite scaffolds were developed using a novel production design. Hydroxyapatite (HAp) was incorporated into an alginate solution and internal gelling was induced by addition of slowly acid hydrolyzing d-gluconic acid delta-lactone (GDL) for the direct release of calcium ions from HAp. Hydrogels were then freeze-casted to produce a three-dimensional isotropic porous network. Scanning electron microscopy (SEM) observations, confocal laser scanning microscopy (CLSM) and microcomputed tomography (micro-CT) analysis of the scaffolds showed an optimal interconnected porous structure with pore sizes ranging between 100 and 300 microm and over 88% porosity. Proliferation assay and SEM observations demonstrated that human osteosarcoma cell lines were able to proliferate, maintain osteoblast-like phenotype and massively colonize the scaffold structure. Overall, these combined results indicate that the novel alginate based composites efficiently support the adhesion and proliferation of cells showing at the same time adequate structural and physical-chemical properties for being used as scaffolds in bone tissue engineering strategies.

Characteristics of horizontal smooth pursuit eye movements to sinusoidal stimulation in children of primary school age.

Previous research about the maturation of the smooth pursuit system has been carried out in newborns and in human infants in the first months of life. A lower gain was found with respect to adults (where gain is close to 1), with frequent saccadic intrusions. On the contrary, no data are available about smooth pursuit response in children. To fill this gap, we analyse in this study the level of maturation reached by children over 7 yr old (the minimum age in which a correct test can be done). Using a cosinusoidal stimulation, the smooth pursuit characteristics (velocity and position gains and phases) evaluated in children are compared to the corresponding parameters in adults. Our data show a clear difference between the two groups, in particular for velocity gain values (which are lower in children), and a larger variability in children. Since the influence of fatigue and prediction appears to be small, we conclude that these differences can be justified both by high level psychological or cognitive factors and incomplete maturation of smooth pursuit system in children.

Enhanced and Flexible Software Tools for X-ray Computed Tomography at the Italian Synchrotron Radiation Facility Elettra

X-ray computed tomography (CT) experiments performed at synchrotron radiation fa- cilities require adequate computing and storage resources due to the large amount of acquired and reconstructed data produced. To satisfy the heterogeneous needs of beamline users, flexible solu- tions are also required. Moreover, the growing demand of quantitative image analysis impose an easy integration between the CT reconstruction process and the subsequent feature extraction step. This paper presents some of the software solutions adopted by the SYRMEP beamline of the Italian synchrotron radiation facility Elettra. By using the enhanced version of the reconstruction software here presented as well as data reduction and data analysis tools, beamline users can easily imple- ment an integrated and comprehensive approach to the digital image processing and image analysis required by a tomography-oriented scientific workflow.

Automated quantitative characterization of alginate/hydroxyapatite bone tissue engineering scaffolds by means of micro-CT image analysis

Accurate image acquisition techniques and analysis protocols for a reliable characterization of tissue engineering scaffolds are yet to be well defined. To this aim, the most promising imaging technique seems to be the X-ray computed microtomography (μ-CT). However critical issues of the analysis process deal with the representativeness of the selected Volume of Interest (VOI) and, most significantly, its segmentation. This article presents an image analysis protocol that computes a set of quantitative descriptors suitable for characterizing the morphology and the micro-architecture of alginate/hydroxyapatite bone tissue engineering scaffolds. Considering different VOIs extracted from different μ-CT datasets, an automated segmentation technique is suggested and compared against a manual segmentation. Variable sizes of VOIs are also considered in order to assess their representativeness. The resulting image analysis protocol is reproducible, parameter-free and it automatically provides accurate quantitative information in addition to the simple qualitative observation of the acquired images.

Some characteristics of saccadic eye movements in children of primary school age

The characteristics of saccadic eye movements have been extensively studied in adults; researches have also been devoted to the saccades of preschool age children. On the contrary, for primary school-age children no data exist; we investigate the eye movements (recorded utilizing an infrared technique) of six children 7 to 11 years old. The main results indicate that the values of some parameters (for example the saccadic latency and duration) are in the same range as the values of the correspondent parameters in adults, while the values of other parameters (in particular peak velocity and mean velocity/peak velocity ratio) are distinctly different from the ones measured in adult subjects.

Functionalized synchrotron in-line phase-contrast computed tomography: a novel approach for simultaneous quantification of structural alterations and localization of barium-labelled alveolar macrophages within mouse lung samples

This study presents an approach to increase the sensitivity of lung computed tomography (CT) imaging by utilizing in-line phase contrast CT in combination with single-distance phase-retrieval algorithms and a dedicated image-processing regime. As demonstrated here, functional CT imaging can be achieved for the assessment of both structural alterations in asthmatic mouse lung tissue and the accumulation pattern of instilled barium-sulfate-labelled macrophages in comparison with healthy controls.

Clinical application of low-dose phase contrast breast CT: methods for the optimization of the reconstruction workflow

Results are presented of a feasibility study of three-dimensional X-ray tomographic mammography utilising in-line phase contrast. Experiments were performed at SYRMEP beamline of Elettra synchrotron. A specially designed plastic phantom and a mastectomy sample containing a malignant lesion were used to study the reconstructed image quality as a function of different image processing operations. Detailed evaluation and optimization of image reconstruction workflows have been carried out using combinations of several advanced computed tomography algorithms with different pre-processing and post-processing steps. Special attention was paid to the effect of phase retrieval on the diagnostic value of the reconstructed images. A number of objective image quality indices have been applied for quantitative evaluation of the results, and these were compared with subjective assessments of the same images by three experienced radiologists and one pathologist. The outcomes of this study provide practical guidelines for the optimization of image processing workflows in synchrotron-based phase-contrast mammo-tomography.

Saccade testing in the diagnosis and treatment of type 3 Gaucher disease

Gaucher disease (GD) is an autosomal recessive lysosomal disorder caused by a deficiency of glucocerebrosidase. Partial deficiency produces type 1 GD (GD1), while severe deficiency yields the two less common types of neuronopathic GD (GD2 and GD3). GD3 can develop at birth up until age 14 years and is characterized by splenomegaly and fever, growth retardation, and bone changes with thinning of the cortices. Intellectual deterioration and neurologic manifestations, like seizures, occur later in the course of the disease. Oculomotor signs, such as squint, difficulty in generating horizontal saccades (saccadic initiation failure, SIF), and saccadic slowing, are present and may precede the emergence of overt neurologic signs by many years.1 Enzyme replacement therapy (ERT) is effective in most GD1 while its efficacy in neuronopathic GD is less clear. It may relieve the systemic component of GD2, but does not reverse neurologic symptoms.2 In GD3, reports are inconsistent. Some patients show partial neurologic remission and others show progression.3,4 Data about eye movement modifications in GD3 both during its natural history and ERT are not available. In order …