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- The use and relevance of gonad protection shields in children during hips radiographyPublication . Silva, C. A.; Silva, P. N.; Ventura, Sandra Moreira RuaConsidering that ionizing radiation effects are cumulative and the gonads are particularly sensitive to these effects, and also the clinical importance of pelvic radiographs in children, the excess of radiation exposure to the gonads must be avoided. The purpose of this study is to demonstrate the relevance of the correct use of gonad protection shields and to evaluate their use on the hip radiographs performed in a reference clinical institution, through the retrospective analysis of pelvic radiographic images performed in children. According the image quality assessment, 20 (40%) patients were unprotected and gonads shields were incorrectly placed in 24 (80%) patients.
- Modelos morfológicos tridimensionais por IRM do tracto vocal para as principais vogais do Português EuropeuPublication . Ventura, Sandra Moreira Rua; Freitas, Diamantino RuiO entendimento da produção da fala tem sido ampla mente procurado, recorrendo à imagem por ressonância magnética (IRM), mas não é totalmente conhecido, particularmente no que diz respeito aos sons do Português Europeu (PE). O principal objectivo deste estudo foi a caracterização das vogais do PE. Com base na IRM recolheram-se conjuntos de imagens bidimensionais, em cinco posições articulatórias distintas, durante a produção sustentada do som. Após extracção de contornos do tracto vocal procedeu-se à reconstrução tridimensional, constatando-se que a IRM fornece in formação morfológica útil e com considerável precisão acerca da posição e forma dos diferentes articuladores da fala.
- 3D Vocal Tract Reconstruction Using Magnetic Resonance Imaging Data to Study Fricative Consonant ProductionPublication . Ventura, Sandra Moreira Rua; Freitas, Diamantino Rui S.; Ramos, Isabel Maria A. P.; Tavares, João Manuel R. S.The development of Magnetic Resonance Imaging (MRI) has grown rapidly in clinical practice. Currently, the use of MRI in speech research provides useful and accurate qualitative and quantitative data of speech articulation. The aim of this work was to describe an effective method to extract vocal tract and compute their volumes during speech production from MRI images. Using a 3.0 Tesla MRI system, 2D and 3D images of the vocal tract were collected and used to analyze the vocal tract during the production of fricative consonants. These images were also used to build the associated 3D models and compute their volumes. This approach showed that, in general, the volumes measured for the voiceless consonants are smaller than the counterpart voiced consonants.
- Técnicas de reconstrução tridimensionais das vias aéreas superiores - Estado da ArtePublication . Ventura, Sandra Moreira Rua; Silva, Marina Rodrigues daAs vias aéreas superiores, do ponto de vista anatómico e funcional, constituem um desafio na sua avaliação, quer no adulto quer na criança, existindo para o efeito, várias técnicas diretas e indiretas e com diferentes aplicações clínicas. São, no entanto, as modalidades de imagem, pelas potencialidades e utilização de técnicas avançadas, as mais usuais e vantajosas no auxílio ao diagnóstico e escolha da terapêutica de inúmeras patologias. O principal objetivo deste estudo é descrever e realçar a importância das técnicas de reconstrução tridimensionais (3D) no estudo das vias aéreas superiores a partir de imagens de Tomografia Computorizada (TAC) e Ressonância magnética (RM). Para o efeito, procedeu-se a um estudo de natureza descritiva, sustentado numa revisão bibliográfica.
- Three-dimensional modeling of tongue during speech using MRI dataPublication . Ventura, Sandra Moreira Rua; Freitas, Diamantino Rui; Tavares, João ManuelThe tongue is the most important and dynamic articulator for speech formation, because of its anatomic aspects (particularly, the large volume of this muscular organ comparatively to the surrounding organs of the vocal tract) and also due to the wide range of movements and flexibility that are involved. In speech communication research, a variety of techniques have been used for measuring the three-dimensional vocal tract shapes. More recently, magnetic resonance imaging (MRI) becomes common; mainly, because this technique allows the collection of a set of static and dynamic images that can represent the entire vocal tract along any orientation. Over the years, different anatomical organs of the vocal tract have been modelled; namely, 2D and 3D tongue models, using parametric or statistical modelling procedures. Our aims are to present and describe some 3D reconstructed models from MRI data, for one subject uttering sustained articulations of some typical Portuguese sounds. Thus, we present a 3D database of the tongue obtained by stack combinations with the subject articulating Portuguese vowels. This 3D knowledge of the speech organs could be very important; especially, for clinical purposes (for example, for the assessment of articulatory impairments followed by tongue surgery in speech rehabilitation), and also for a better understanding of acoustic theory in speech formation.
- Radiographic outcomes and evaluation of developmental dysplasia of the hip in childrenPublication . Ventura, Sandra Moreira Rua; Monteiro, AltinoThe Developmental Dysplasia of the Hip (DDH), also know as Congenital Dislocation of the Hip, is common in infants and children and may persist into adulthood. The radiographic interpretation is highly conditioned by appropriate patient positioning and image quality criteria. The main goal of this study is to demonstrate the value of radiographic evaluation of DDH. Through the retrospective analysis of 65 radiographs of the hips, only 2 (3.1%) female patients with 1-2 years of age presented radiographic findings of DDH. The inappropriate field size and the improper placement and size of the gonadal shields, were the most common errors observed.
- Modelling and segmentation of the vocal tract during speech production by using deformable models in magnetic resonance imagesPublication . Vasconcelos, Maria João; Ventura, Sandra Moreira Rua; Freitas, Diamantino Rui; Tavares, João ManuelSince ancient times, speech production has attracted particularly interest aiming at reaching a deeper understanding of the mechanisms involved by considering both morphological and speech acoustic aspects. The central anatomical aspects and the physiology of the human vocal tract are common to all individuals. However, speech production is an exceptionally complex and individualistic process. Therefore, the modelling of the mechanisms involved in speech production implies the enclosing of adequate flexibility in order to consider individual variations accurately. In this work, the shape of vocal tract in the articulation of some European Portuguese (EP) sounds is evaluated by using deformable models applied in Magnetic Resonance (MR) images. Additionally, the deformable models built are afterwards used to automatically segment the modelled vocal tract in MR images. From the imaging modalities that have been take n into consideration in order to study the vocal tract shape and articulators, Magnetic Resonance Imaging (MRI) has been the most commonly accepted. Actually, the use of MRI allows the study of the entire human vocal tract and, in addition, the quality and resolution of soft-tissues and the use of non-ionizing radiation are key advantages presented by MRI. The deformable model used, commonly known as Point Distribution Model (PDM), was built from a set of training images acquired du ring artificially sustained articulations of 21 EP sounds. In a brief review, one can assert that PDM’s are obtained by a statistical analysis done on the co-ordinates of landmark points that represent the shape to be modelled: after aligning the training shapes, a Principal Component Analysis is performed in order to obtain the model mean shape and the modes of variation relatively to this mean shap e. Combining the geometrical information of the PDM with the grey levels of the landmark points us ed in its building one can build the Active Shape Models (ASM) and the Active Appearance Models (AAM). With these enhanced models is possible to segment the modelled shape in new images in a fully automated way. From the experimental results obtained in this work, one may conclude that the PDM built could efficiently characterize the behaviour of the voca l tract shape during the production of the EP sounds studied with MRI. Furthermore, one can ve rify that the ASM and the AAM built could be used to segment the modelled vocal tract in MR images in a successful manner. Therefore, the deformable models built should be considered towards the efficient and automatic study of the vocal tract during speech production with MRI, in particular for enhanced speech production simulation and speech rehabilitation therapies.
- Learner’s satisfaction within a breast imaging eLearning course for radiographersPublication . Moreira, Inês C.; Ventura, Sandra Moreira Rua; Ramos, Isabel Maria; Rodrigues, PedroBackground: An asynchronous eLearning system was developed for radiographers in order to promote a better knowledge about senology and mammography. Objectives: to assess the learners’ satisfaction. Methods: Target population included radiographers and radiogr aphy students, in order to assess eLearning satisfaction according to different experience levels in breast imaging. Satisfaction was measured through a questionnaire developed especially for eLearning systems, using a seven - point Likert scale. Main topics related are content, interface, personalization and learning community. Results: Overall, 85% of learners were satisfied with the course and 87,5% considered that the course is successful. Main areas that were evaluated by most learners in a positive way were interface and content (between six and seven - point); on the other hand, learning community presented a wider distribution of answers . Conclusions: The course provides an overall high degree of learner satisfaction, thus providing more effective knowle dge gain on breast imaging for radiographers.
- Speaker-specific articulatory assessment and measurements during Portuguese speech production based on Magnetic Resonance ImagesPublication . Ventura, Sandra Moreira Rua; Vasconcelos, Maria João; Freitas, Diamantino Rui; Ramos, Isabel Maria; Tavares, João Manuel R. S.The development of two and three-dimensional magnetic resonance imaging (MRI) opened new options for a better understanding of speech production; in particular, for the articulation process, comparing with other imaging techniques, such as x-rays. Several MRI studies have been carried out considering different languages, but concerning European Portuguese the available information is far from being completely achieved. Recently, the knowledge gained with the application of deformable models in magnetic resonance images towards the automatic study of the vocal tract, has allowed an enhanced identification and description of the articulatory mechanism and its organs. Our aim is to extract and evaluate the main characteristics of the movements of vocal tract during European Portuguese speech production to achieve speaker-specific articulatory assessment from MRI. For this, we used active shape and active appearance models to identify, i.e. to segment, and simulate the vocal tracts shape in MR images and concluded that both are suitable for such tasks being the later more proficient. The findings obtained are believed to be useful for speech rehabilitation and simulation purposes, namely to recognize and simulate the compensatory movements of the articulators during speech production.Therefore, this chapter gains particular interest within the communities of speech study and rehabilitation, medical imaging and bioengineering. It is organized as follows: the introduction section starts with a literature review concerning the use, application and challenges of MRI in speech production study, in particular for speech articulation. In addition, image analysis techniques based on deformable templates, more specifically by using geometrical shapes driven by parameterized functions, are introduced. In the second section, the adopted methodology of MRI acquisition and data assessment are described. Based on this image analysis approach, in the results section the key aspects of articulatory movements during the production of relevant European Portuguese speech sounds are addressed. In the final section of this chapter, conclusions are presented and further suggestions for future work are indicated.
- Morfometria do trato vocal por ressonância magnética: simulação de padrões patológicos articulatóriosPublication . Ventura, Sandra Moreira Rua; Freitas, Diamantino Rui S.; Ramos, Isabel Maria A.; Tavares, João Manuel R. S.Introdução – A análise da forma ou morfometria de estruturas anatómicas, como o trato vocal, pode ser efetuada a partir de imagens bidimensionais (2D) como de aquisições volumétricas (3D) de ressonância magnética (RM). Esta técnica de imagem tem vindo a ter uma utilização crescente no estudo da produção da fala. Objetivos – Demonstrar como pode ser efetuada a morfometria do trato vocal a partir da imagem por ressonância magnética e ainda apresentar padrões anatómicos normais durante a produção das vogais [i a u] e dois padrões articulatórios patológicos em contexto simulado. Métodos – As imagens consideradas foram recolhidas a partir de aquisições 2D (Turbo Spin-eco) e 3D (Flash Gradiente-Eco) de RM em quatro sujeitos durante a produção das vogais em estudo; adicionalmente procedeu-se à avaliação de duas perturbações articulatórias usando o mesmo protocolo de RM. A morfometria do trato vocal foi extraída com recurso a técnicas manuais (para extração de cinco medidas articulatórias) e automáticas (para determinação de volumes) de processamento e análise de imagem. Resultados – Foi possível analisar todo o trato vocal, incluindo a posição e a forma dos articuladores, tendo por base cinco medidas descritivas do posicionamento destes órgãos durante a produção das vogais. A determinação destas medições permitiu identificar quais as estratégias mais comummente adotadas na produção de cada som, nomeadamente a postura articulatória e a variação de cada medida para cada um dos sujeitos em estudo. No contexto de voz falada intersujeitos, foi notória a variabilidade nos volumes estimados do trato vocal para cada som e, em especial, o aumento do volume do trato vocal na perturbação articulatória de sigmatismo. Conclusão – A imagem por RM é, sem dúvida, uma técnica promissora no estudo da fala, inócua, não-invasiva e que fornece informação fiável da morfometria do trato vocal.