White light endoscopy,narrow band imaging and chromoendoscopy with magnification in diagnosing colorectal neoplasia

AIM:To evaluate the sensitivity(Sn),specificity(Sp),positive predictive value(PPV) and negative predictive value(NPV) of 3 different techniques:high resolution white light endoscopy(WLE),Narrow Band Imaging(NBI) and Chromoendoscopy(CHR),all with magnification in differentiating adenocarcinomas,adenomatous and hyperplastic colorectal polyps.METHODS:Each polyp was sequentially assessed first by WLE,followed by NBI and finally by CHR.Digital images of each polyp with each modality were taken and stored.Biopsies or polypectomies were then performed followed by blinded histopathological analysis.Each image was blindly graded based on the Kudo's pit pattern(KPP).In the assessment with NBI,the mesh brown capillary network pattern(MBCN) of each polyp was also described.The Sn,Sp,PPV and NPV of differentiating hyperplastic(Type Ⅰ & Ⅱ-KPP,Type Ⅰ-MBCN) adenomatous(Types Ⅲ,Ⅳ-KPP,Type Ⅱ-MBCN) and carcinomatous polyps(Type Ⅴ-KPP,Type Ⅲ-MCBN) was then compared with reference to the final histopathological diagnosis.RESULTS:A total of 50 colorectal polyps(5 adenocarcinomas,38 adenomas,7 hyperplastic) were assessed.CHR and NBI [KPP,MBCN or the combined classification(KPP & MBCN)] were superior to WLE in the prediction of polyp histology(P < 0.001,P=0.002,P=0.001 and P < 0.001,respectively).NBI,using the MBCN pattern or the combined classification showed higher numerical accuracies compared to CHR,but this was not statistically significant(P=0.625,0.250).CONCLUSION:This feasibility study demonstrated that this combined classification with NBI could potentially be useful in routine clinical practice,allowing the endoscopist to predict histology with higher accuracies using a less cumbersome and technically less challenging method.

Diagnosis of autoimmune gastritis by high resolution magnification endoscopy

Endoscopic visualisation of gastric atrophy is usually not feasible with conven.tional endoscopy. Magnifying endoscopy is helpful to analyze the subepithelial microvascular architecture as well as the mucosal surface microstructure without tissue biopsy. Using this technique we were able to describe the normal gastric microvasculature pattern and we also identified characteristic patterns in two cases of autoimmune atrophic gastritis.

AN IMAGE MAGNIFICATION ALGORITHM USING THE GVF CONSTRAINT MODEL

An image magnification method with a Gradient Vector Flow(GVF)constraint-basedanisotropic diffusion model is proposed in this letter.A Low-Resolution(LR)image is first magnifiedusing bilinear interpolation,and then an iterative image restoration method,with the use of an ani-sotropic diffusion model and a Gaussian moving-average constraint,is applied to the magnified image.The estimated GVF of a High-Resolution(HR)image can be used to remove the jagged effect and topreserve the textural structure in the image.Meanwhile,the use of the Gaussian moving-average LRmodel can provide a data fidelity constraint,which renders a magnified image closer to the ideal HRversion.Experimental results show that the proposed method can improve the quality of magnifiedimages in terms of both objective and subjective criteria.

Polyp detection rates using magnification with narrow band imaging and white light

AIM: To compare the yield of adenomas between narrow band imaging and white light when using high definition/magnification. METHODS: This prospective, non-randomized comparative study was performed at the endoscopy unit of veteran affairs medical center in Phoenix, Arizona. Consecutive patients undergoing first average risk colorectal cancer screening colonoscopy were selected. Two experienced gastroenterologists performed all the procedures that were blinded to each other's findings. Demographic details were recorded. Data are presented as mean ± SEM. Proportional data were compared using the χ2 test and means were compared using the Student's t test. Tandem colonoscopy was performed in a sequential and segmental fashion using one of 3 strategies: white light followed by narrow band imaging [Group A: white light(WL) → narrow band imaging(NBI)]; narrow band imaging followed by white light(Group B: NBI → WL) and, white light followed by white light(Group C: WL → WL). Detection rate of missed polyps and adenomas were evaluated in all three groups. RESULTS: Three hundred patients were studied(100 in each Group). Although the total time for the colonoscopy was similar in the 3 groups(23.8 ± 0.7, 22.2 ± 0.5 and 24.1 ± 0.7 min for Groups A, B and C, respectively), it reached statistical significance between Groups B and C(P < 0.05). The cecal intubation time in Groups B and C was longer than for Group A(6.5 ± 0.4 min and 6.5 ± 0.4 min vs 4.9 ± 0.3 min; P < 0.05). The withdrawal time for Groups A and C was longer than Group B(18.9 ± 0.7 min and 17.6 ± 0.6min vs 15.7 ± 0.4 min; P < 0.05). Overall miss rate for polyps and adenomas detected in three groups during the second look was 18% and 17%, respectively(P = NS). Detection rate for polyps and adenomas after first look with white light was similar irrespective of the light used during the second look(WL → WL: 13.7% for polyps, 12.6% for adenomas; WL → NBI: 14.2% for polyps, 11.3% for adenomas). Miss rate of polyps and adenomas however was significantly higher when NBI was used first(29.3% and 30.3%, respectively; P < 0.05). Most missed adenomas were ≤ 5 mm in size. There was only one advanced neoplasia(defined by size only) missed during the first look. CONCLUSION: Our data suggest that the tandem nature of the procedure rather than the optical techniques was associated with the detection of additional polyps' and adenomas.

Ultra high magnification endoscopy: Is seeing really believing?

Endoscopy is an indispensible diagnostic and thera-peutic instrument for gastrointestinal diseases. Endo-cytoscopy and confocal endomicroscopy are two types of ultra high magnification endoscopy techniques.Standard endoscopy allows for 50 × magnification,whereas endocytoscopy can magnify up to 1400 × and confocal endomicroscopy can magnify up to 1000 ×.These methods open the realm of real time micros copicevaluation of the GI tract, including cellular and subcellular structures. Confocal endomicroscopy has the additional advantage of being able to visualize subsurface structures. The use of high magnification endoscopy inconjunction with standard endoscopy allows for a real-time microscopic assessment of areas with macroscopic abnormalities, providing "virtual biopsies" with valuable information about cellular and subcellular changes. Thiscan minimize the number of biopsies taken at the time of endoscopy. The use of this technology may assistin detecting premalignant or malignant changes at anearlier state, allowing for earlier intervention and treatment. High magnification endoscopy has shown promising results in clinical trials for Barrett's esophagus,esophageal adenocarcinoma, esophageal squamous cell cancer, gastric cancer, celiac disease, colorectalcancer, and inflammatory bowel disease. As the use of high magnification endoscopy techniques increases,the clinical applications will increase as well. Of the two systems, only confocal endomicroscopy is currently commercially available. Like all new technologies there will be an initial learning curve before operators become proficient in obtaining high quality images and discerning abnormal from normal pathology. Validatedcriteria for the diagnosis of the various gastrointestinal diseases will need to be developed for each method. Inthis review, the basic principles of both modalities are discussed, along with their clinical applic ability and limitations.

Russell body gastritis with Dutcher bodies evaluated using magnification endoscopy

Russell body gastritis(RBG) is an unusual type of chronic gastritis characterized by marked infiltration of Mott cells,which are plasma cells filled with spherical eosinophilic bodies referred to as Russell bodies.It was initially thought that Helicobacter pylori(H.pylori) infection was a major cause of RBG and that the infiltrating Mott cells were polyphenotypic;however,a number of cases of RBG without H.pylori infection or with monoclonal Mott cells have been reported.Thus,diagnostic difficulty exists in distinguishing RBG with monoclonal Mott cells from malignant lymphoma.Here,we report an unusual case of an 86-year-old-Japanese man with H.pylori-positive RBG.During the examination of melena,endoscopic evaluation confirmed a 13-mm whitish,flat lesion in the gastric antrum.Magnification endoscopy with narrowband imaging suggested that the lesion was most likely a poorly differentiated adenocarcinoma.Biopsy findings were consistent with chronic gastritis with many Mott cells with intranuclear inclusions referred to as Dutcher bodies.Endoscopic submucosal dissection confirmed the diagnosis of RBG with kappa-restricted monoclonal Mott cells.Malignant lymphoma was unlikely given the paucity of cytological atypia and Ki-67 immunoreactivity of monoclonal Mott cells.This is the first reported case of RBG with endoscopic diagnosis of malignant tumor and the presence of Dutcher bodies.

Experimental study on dynamic load magnification factor for ballastless track-subgrade of high-speed railway

The magnitude of dynamic load produced by high-speed trains depends on many factors,of which train speed is the most critical one.However,it is quite difficult to determine the effect of train speed on dynamic load using the theoretical methods due to the complexity of the interaction between vehicle and track-subgrade.Thus large-scale model test has gradually become an important approach for studying dynamic responses of ballastless track-subgrade of high-speed railway.In this study,a full-scale model of ballastless track-subgrade was constructed in accordance with the design and construction standards for Shanghai-Nanjing intercity high-speed railway line firstly.Then,the dynamic strain of slab and the dynamic earth pressure of subgrade were measured by conducting single wheel axle excitation test.In addition,the relationship between the dynamic load magnification factor（DLF） and the train speed was obtained.Finally,the DLF of track-subgrade under different train speeds was proposed,similar to that given by German Railway Standard.

Web-based system for training and dissemination of a magnification chromoendoscopy classification

AIM： To evaluate the use of web-based technologies to assess the learning curve and reassess reproducibility of a simplified version of a classification for gastric magnification chromoendoscopy （MC）. METHODS： As part of a multicenter trial, a hybrid approach was taken using a CD-ROM, with 20 films of MC lasting 5 s each and an ＂autorun＂ file triggering a local HTML frameset referenced to a remote questionnaire through an Internet connection. Three endoscopists were asked to prospectively and independently classify 10 of these films randomly selected with at least 3 d apart. The answers were centrally stored and returned to participants together with adequate feedback with the right answer. RESULTS： For classification in 3 groups, both intra- [Cohen＇s kappa （K） = 0.79-1.00 to 0.89-1.00] and inter-observer agreement increased from 1st （moderate） to 6th observation （k = 0.94）. Also, agreement with reference increased in the last observations （0.90, 1.00 and 1.00, for observers A, B and C, respectively）. Validity of 100% was obtained by all observers at their 4th observation. When a 4th （sub）group was considered, inter-observer agreement was almost perfect （K = 0.92） at 6th observation. The relation with reference clearly improved into K （0.93-1.00） and sensitivity （75%-100%） at their 6th observations. CONCLUSION： This MC classification seems to be easily explainable and learnable as shown by excellent intra- and inter-observer agreement, and improved agreement with reference. A web system such as the one used in this study may be useful for endoscopic or other image based diagnostic procedures with respect to definition, education and dissemination.

High Accuracy Zoom Magnification Measurement

A precise zoom magnification is important for semiconductor industry and biomedical research. A novel measurement method is demonstrated for optical zoom magnification measurement in this paper. The magnification is obtained by pattern correction between barcode image formed by optical zoom and reference image generated by an ideal optical model. Measurement accuracy which is better than 0.06% has been achieved for optical zoom magnification. Compared with traditional concept, the measurement results are only dependent on two line edges. The barcode correlation method can achieve higher accuracy and better robustness by using the information over the whole field of view.

Studying the depth-dependent variation of site magnification factor in Dongchuan by earthquakes observed in borehole

The digital seismometers with high accuracy are installed at depths of -200 m, -100 m in borehole and on the surface in Dongchuan. By analysis of spectra ratio, the local events (with epicentral distances between 8.5 km and 95 km, magnitudes ML = 1.3-5.1) recorded are used to calculate site magnification factor at different depths (-100 m and surface) in Dongchuan. Comparing results with that at the depth of -200 m, the site magnification factors at three components of N-S, E-W and U-D corresponding to the depth of -100 m at 8 frequencies (f = 0.75, 1.0, 1.5, 2, 3, 4, 6, and 12 Hz) are 1.0-1.49 when 0.75 Hz- [less-than or equal to] f [less-than or equal to] 2 Hz and 0.47-0.99 when 2 Hz less than or equal f less than or equal 12 Hz. On the surface, site magnification factors at three components are all greater than 1, i.e. between 1.6 and 7.63. The correlation coefficients of site magnification factors for S wave and coda at the depth of -100 m and on surface are 0.82 and 0.81 when 0.75 Hz [less-than or equal to] f [less-than or equal to] 2 Hz, 0.47 and 0.45 when 2 Hz less than or equal f less than or equal 12 Hz, respectively.

Variations of OCT measurements corrected for the magnification effect according to axial length and refractive error in children

Purpose:The aim of this paper was to examine the distribution of macular,retinal nerve fiber layer(RNFL)thickness and optic disc parameters of myopic and hyperopic eyes in comparison withemmetropic control eyes and to investigate their variation according to axial length(AL)andspherical equivalent(SE)in healthy children.Methods:This study included 293 pairs of eyes of 293children(145 boys and 148 girks),ranging in age from 6 to 17 years,Subjects were dividedaccording to SE in control(emmetropia,99 children),myopia(100 children)and hyperopia(94children)groups and according to axial AL in 68 short(<22.00 mm,68),medium(from≥22.00 mmto 25.00 mm,189)and long eyes(>25.00 mm,36).Macular parameters,RNFL thickness and opticdisc morphology were assessed by the Cirrus^(TM) HD-OCT.AL was measured using the IOL-Mastersystem.Littmann's formula was used for calculating the corrected AL-related ocular magnification.Results Mean age(±SD)was 10.84±3.05 years;mean(±SD)SE was+0.14±0.51 D(range from8.75 to+8.25 D)and mean AL(±SD)was 23.12±1.49.Average RNFL thickness,averagemacular thickness and macular volume decreased as AL and myopia increased.No correlationsbetween AL/SE and optic disc parameters were found after correcting for magnification effect.Conclusions:AL and refractive error affect measurements of macular and RNFL thickness inhealthy children.To make a correct interpretation of ocT measurements,ocular magnificationeffect should be taken into account by clinicians or OCT manufacturers.

Fatigue Magnification Factors of Arc-Soft-Toe Bracket Joints

Arc-soft-toe bracket(ASTB), as a joint structure in the marine structure, is the hot spot with significant stress concentration, therefore, fatigue behavior of ASTBs is an important point of concern in their design. Since macroscopic geometric factors obviously influence the stress flaws in joints, the shapes and sizes of ASTBs should represent the stress distribution around cracks in the hot spots. In this paper, we introduce a geometric magnification factor for reflecting the macroscopic geometric effects of ASTB crack features and construct a 3D finite element model to simulate the distribution of stress intensity factor(SIF) at the crack endings. Sensitivity analyses with respect to the geometric ratio Ht/Lb, R/Lb, Lt/Lb are performed, and the relations between the geometric factor and these parameters are presented. A set of parametric equations with respect to the geometric magnification factor is obtained using a curve fitting technique. A nonlinear relationship exists between the SIF and the ratio of ASTB arm to toe length. When the ratio of ASTB arm to toe length reaches a marginal value, the SIF of crack at the ASTB toe is not influenced by ASTB geometric parameters. In addition, the arc shape of the ASTB slope edge can transform the stress flowing path, which significantly affects the SIF at the ASTB toe. A proper method to reduce stress concentration is setting a slope edge arc size equal to the ASTB arm length.

Experimental Modal Damping Identification of a Mechanical Structure Using Video Magnification Technique

Vibration can be introduced in all mechanical fields in our life.Engineers try to avoid its negative effect leading in some cases to deformation in the machines.Many researches are dedicated to study the identification of damping especially in multi degree of freedom systems with particular attention to the source of energy dissipation.They focus on developing new tools or methods which may be used in real problems to obtain accurate results about the amount(or value)and the location of energy dissipation in the structure.The aim of this paper is to present an original procedure aims to experimentally determine the modal damping ratio of a mechanical structure.The proposed procedure consists of extracting the Frequency Response Function of the vibrating system using the video magnification method and then calculate the modal damping ratio using the 3-dB method.These experimental measurements are carried out by giving an external force on a cantilever beam,then the modal damping ratios are extracted using motion magnification.The obtained results show a relative error less than 4.2% between the experimental measurements and the analytical calculation for the Frequency Response Function(FRF)curves.The novelty of the paper is to combine the video magnification technique and the 3dB method in a procedure that aims to experimentally measure the modal damping of a mechanical structure.The proposed procedure in this paper represents the damping identification as a simple and easy engineering application.

Achieving thermal magnification by using effective thermal conductivity

thermal magnification device is proposed by using effective thermal conductivity. Different fromtransformation optics method, the magnification design is realized analytically by enforcingequality of effective thermal conductivity on the magnification device and the reference case inspecified domains. The validity of theoretical analysis is checked by numerical simulation results,which demonstrates the magnifying effects of the proposed design. The device only needsisotropic and homogeneous materials that are easy to obtain in nature. It is also shown that theobtained magnifying conditions are the same as those derived by separation of variables. But theproposed method proves more flexible for multilayered materials and simpler for non-sphericalobjects under non-uniform thermal fields. It can also be extended to other fields and applicationsgoverned by Laplace equation.

High Optical Magnification Three-Dimensional Integral Imaging of Biological Micro-organism

A high optical magnification three-dimensional imaging system is proposed using an optic microscope whose ocular （eyepiece） is retained and the structure of the transmission mode is not destroyed. The elemental image array is captured through the micro lens array. Due to the front diffuse transmission element, each micro lens sees a slightly different spatial perspective of the scene, and a different independent image is formed in each micro lens channel. Each micro lens channel is imaged by a Fourier lens and captured by a CCD. The design translating the stage in x or y provides no parallax. Compared with the conventional integral imaging of micro-objects, the optical magnification of micro-objects in the proposed system can enhanced remarkably. The principle of the enhancement of the image depth is explained in detail and the experimental results are presented.

In vivo pilot study into superficial microcirculatory characteristics of colorectal adenomas using novel high-resolution magnifying endoscopy with blue laser imaging

BACKGROUND No studies have yet been conducted on changes in microcirculatory hemody-namics of colorectal adenomas in vivo under endoscopy.The microcirculation of the colorectal adenoma could be observed in vivo by a novel high-resolution magnification endoscopy with blue laser imaging(BLI),thus providing a new insight into the microcirculation of early colon tumors.AIM To observe the superficial microcirculation of colorectal adenomas using the novel magnifying colonoscope with BLI and quantitatively analyzed the changes in hemodynamic parameters.METHODS From October 2019 to January 2020,11 patients were screened for colon adenomas with the novel high-resolution magnification endoscope with BLI.Video images were recorded and processed with Adobe Premiere,Adobe Photoshop and Image-pro Plus software.Four microcirculation parameters:Microcirculation vessel density(MVD),mean vessel width(MVW)with width standard deviation(WSD),and blood flow velocity(BFV),were calculated for adenomas and the surrounding normal mucosa.RESULTS A total of 16 adenomas were identified.Compared with the normal surrounding mucosa,the superficial vessel density in the adenomas was decreased(MVD:0.95±0.18 vs 1.17±0.28μm/μm2,P<0.05).MVW(5.11±1.19 vs 4.16±0.76μm,P<0.05)and WSD(11.94±3.44 vs 9.04±3.74,P<0.05)were both increased.BFV slowed in the adenomas(709.74±213.28 vs 1256.51±383.31μm/s,P<0.05).CONCLUSION The novel high-resolution magnification endoscope with BLI can be used for in vivo study of adenoma superficial microcirculation.Superficial vessel density was decreased,more irregular,with slower blood flow.

Present status and future directions:Apexification

The success rate of apexification is primarily determined by multiple factors,including the material used,the size of the open apex compared to the length of the root,and the technique used in each case.The main objective of this review was to provide an update on the present management of open apex to identify factors and circumstances that may influence the success of apexification using different materials and techniques.Future research on apexification should focus on how to treat open apices with wide periapical lesions without surgery.Previously,the predictability of these parameters with non-surgical procedures was uncertain,but now,with the use of a dental operating microscope,it has become more predictable.Another reason could be that extra visits are no longer required due to major advances in the armamentarium and materials used for apexification.

Image Magnification Method Using Joint Diffusion

In this paper a new algorithm for image magnification is presented. Because linear magnification/interpolation techniques diminish the contrast and produce sawtooth effects, in recent years, many nonlinear interpolation methods, especially nonlinear diffusion based approaches, have been proposed to solve these problems. Two recently proposed techniques for interpolation by diffusion, forward and backward diffusion (FAB) and level-set reconstruction (LSR), cannot enhance the contrast and smooth edges simultaneously. In this article, a novel Partial Differential Equations (PDE) based approach is presented. The contributions of the paper include: firstly, a unified form of diffusion joining FAB and LSR is constructed to have all of their virtues; secondly, to eliminate artifacts of the joint diffusion, soft constraint takes the place of hard constraint presented by LSR; thirdly, the determination of joint coefficients, criterion for stopping time and color image processing are also discussed. The results demonstrate that the method is visually and quantitatively better than Bicubic, FAB and LSR.

Edge-Aware Level Set Diffusion and Bilateral Filtering Reconstruction for Image Magnification

In this paper we propose an image magnification reconstruction method. In recent years many interpolation algorithms have been proposed for image magnification, but all of them have defects to some degree, such as jaggies and blurring. To solve these problems, we propose applying post-processing which consists of edge-aware level set diffusion and bilateral filtering. After the initial interpolation, the contours of the image are identified. Next, edge-aware level set diffusion is applied to these significant contours to remove the jaggies, followed by bilateral filtering at the same locations to reduce the blurring created by the initial interpolation and level set diffusion. These processes produce sharp contours without jaggies and preserve the details of the image. Results show that the overall RMS error of our method barely increases while the contour smoothness and sharpness are substantially improved.

Shaking table test and cumulative deformation evaluation analysis of a tunnel across the hauling sliding surface

To explore the cumulative deformation effect of the dynamic response of a tunnel crossing the hauling sliding surface under earthquakes,the shaking table test was conducted in this study.Combined with the numerical calculations,this study proposed magnification of the Arias intensity(MIa)to characterize the overall local deformation damage of the tunnel lining in terms of the deformation characteristics,frequency domain,and energy.Using the time‐domain analysis method,the plastic effect coefficient(PEC)was proposed to characterize the degree of plastic deformation,and the applicability of the seismic cumulative failure effect(SCFE)was discussed.The results show that the low‐frequency component(f1 and f2≤10 Hz)and the high‐frequency component(f3 and f4>10 Hz)acceleration mainly cause global and local deformation of the tunnel lining.The local deformation caused by the high‐frequency wave has an important effect on the seismic damage of the lining.The physical meaning of PEC is more clearly defined than that of the residual strain,and the SCFE of the tunnel lining can also be defined.The SCFE of the tunnel lining includes the elastic deformation effect stage(<0.15g),the elastic–plastic deformation effect stage(0.15g–0.30g),and the plastic deformation effect stage(0.30g–0.40g).This study can provide valuable theoretical and technical support for the construction of traffic tunnels in high‐intensity earthquake areas.