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Publicações

Publicações por Sílvia Neto Bessa

2018

Three-dimensional planning tool for breast conserving surgery: A technological review

Autores
Oliveira, SP; Morgado, P; Gouveia, PF; Teixeira, JF; Bessa, S; Monteiro, JP; Zolfagharnasab, H; Reis, M; Silva, NL; Veiga, D; Cardoso, MJ; Oliveira, HP; Ferreira, MJ;

Publicação
Critical Reviews in Biomedical Engineering

Abstract
Breast cancer is one of the most common malignanciesaffecting women worldwide. However, despite its incidence trends have increased, the mortality rate has significantly decreased. The primary concern in any cancer treatment is the oncological outcome but, in the case of breast cancer, the surgery aesthetic result has become an important quality indicator for breast cancer patients. In this sense, an adequate surgical planning and prediction tool would empower the patient regarding the treatment decision process, enabling a better communication between the surgeon and the patient and a better understanding of the impact of each surgical option. To develop such tool, it is necessary to create complete 3D model of the breast, integrating both inner and outer breast data. In this review, we thoroughly explore and review the major existing works that address, directly or not, the technical challenges involved in the development of a 3D software planning tool in the field of breast conserving surgery. © 2018 by Begell House, Inc.

2018

European questionnaire on health literacy-(HLS-EU-PT) in a sample of pregnant women

Autores
Ferreira, M; Neto, S; Amaral, O; Duarte, J; Pedro, AR;

Publicação
REVISTA ROL DE ENFERMERIA

Abstract
INTRODUCTION AND OBJECTIVES. The knowledge and skills that enable pregnant women to adopt healthy lifestyles is broad and complex. In addition to factual knowledge, the adoption of health behaviours also implies a set of emotional, cognitive and behavioural skills that allow the use of this knowledge in the context of pregnancy. METHODOLOGY. Cross-sectional, quantitative, descriptive-correlational study with non-probabilistic, intentional sample by convenience (n = 404 pregnant women) with a mean age of 32 years. They answered the sociodemographic, obstetrical and HLS-EU-PT questionnaire (National School of Public Health, 2014). Following the methodology used in the European Survey, four ways of dealing with relevant health information were recognized. RESULTS AND DISCUSSION. Overall, 36.9% of pregnant women presented a problematic level of health literacy, 40.1%, 39.9% and 38.4%, a sufficient level of health literacy in the area of Health Care, Disease Prevention and Health Promotion, respectively. The factorial analysis demonstrates the validity of its framework. The alpha values of the items are above 0.9.The correlations between the different domains and the overall value are all positive and above 0.8. All dimensions of the scale correlate with each other in a statistically significant way, with values for the different domains. The split-half coefficient was alpha = 0.939 in the first half and alpha = 0.930 in the second half. CONCLUSIONS. The results of the present study support the psychometric adequacy of the European Questionnaire on Health Literacy - (HLS-EU-PT) for the population of pregnant women, indicating that it could be used in future trials.

2019

REGISTRATION OF BREAST MRI AND 3D SCAN DATA BASED ON SURFACE MATCHING

Autores
Bessa, S; Carvalho, PH; Oliveira, HP;

Publicação
2019 IEEE 16TH INTERNATIONAL SYMPOSIUM ON BIOMEDICAL IMAGING (ISBI 2019)

Abstract
The creation of 3D complete models of the woman breast that aggregate radiological and surface information is a crucial step for the development of surgery planning tools in the context of breast cancer. This requires the registration of interior and surface data of the breast, which has to recover large breast deformations caused by the different poses of the patient during data acquisition and has to deal with the lack of landmarks between both modalities, apart from the nipple. In this paper, the registration of Magnetic Resonance Imaging exams and 3D surface data reconstructed from Kinect (TM) acquisitions is explored using a biomechanical modelling of breast pose transformations combined with a free form deformation to finely match the data. The results are promising, with an average euclidean distance between the matched data of 0.81 +/- 0.09 mm being achieved.

2020

3D digital breast cancer models with multimodal fusion algorithms

Autores
Bessa, S; Gouveia, PF; Carvalho, PH; Rodrigues, C; Silva, NL; Cardoso, F; Cardoso, JS; Oliveira, HP; Cardoso, MJ;

Publicação
BREAST

Abstract
Breast cancer image fusion consists of registering and visualizing different sets of a patient synchronized torso and radiological images into a 3D model. Breast spatial interpretation and visualization by the treating physician can be augmented with a patient-specific digital breast model that integrates radiological images. But the absence of a ground truth for a good correlation between surface and radiological information has impaired the development of potential clinical applications. A new image acquisition protocol was designed to acquire breast Magnetic Resonance Imaging (MRI) and 3D surface scan data with surface markers on the patient's breasts and torso. A patient-specific digital breast model integrating the real breast torso and the tumor location was created and validated with a MRI/3D surface scan fusion algorithm in 16 breast cancer patients. This protocol was used to quantify breast shape differences between different modalities, and to measure the target registration error of several variants of the MRI/3D scan fusion algorithm. The fusion of single breasts without the biomechanical model of pose transformation had acceptable registration errors and accurate tumor locations. The performance of the fusion algorithm was not affected by breast volume. Further research and virtual clinical interfaces could lead to fast integration of this fusion technology into clinical practice. (C) 2020 The Authors. Published by Elsevier Ltd.

2019

Estimation of Sulfonamides Concentration in Water Based on Digital Colourimetry

Autores
Carvalho, PH; Bessa, S; Silva, ARM; Peixoto, PS; Segundo, MA; Oliveira, HP;

Publicação
Pattern Recognition and Image Analysis - 9th Iberian Conference, IbPRIA 2019, Madrid, Spain, July 1-4, 2019, Proceedings, Part I

Abstract
Overuse of antibiotics is causing the environment to become polluted with them. This is a major threat to global health, with bacteria developing resistance to antibiotics because of it. To monitor this threat, multiple antibiotic detection methods have been developed; however, they are normally complex and costly. In this work, an affordable, easy to use alternative based on digital colourimetry is proposed. Photographs of samples next to a colour reference target were acquired to build a dataset. The algorithm proposed detects the reference target, based on binarisation algorithms, in order to standardise the collected images using a colour correction matrix converting from RGB to XYZ, providing a necessary colour constancy between photographs from different devices. Afterwards, the sample is extracted through edge detection and Hough transform algorithms. Finally, the sulfonamide concentration is estimated resorting to an experimentally designed calibration curve, which correlates the concentration and colour information. Best performance was obtained using Hue colour, achieving a relative standard deviation value of less than 3.5%. © 2019, Springer Nature Switzerland AG.

2020

A Framework for Fusion of T1-Weighted and Dynamic MRI Sequences

Autores
Teixeira, JF; Bessa, S; Gouveia, PF; Oliveira, HP;

Publicação
Image Analysis and Recognition - 17th International Conference, ICIAR 2020, Póvoa de Varzim, Portugal, June 24-26, 2020, Proceedings, Part II

Abstract
Breast cancer imaging research has seen continuous progress throughout the years. Innovative visualization tools and easier planning techniques are being developed. Image segmentation methodologies generally have best results when applied to specific types of exams or sequences, as their features enhance and expedite those approaches. Particular methods have more purchase with the segmentation of particular structures. This is the case with diverse breast structures and the respective lesions on MRI sequences, over T1w and Dyn. The present study presents a methodology to tackle an unapproached task. We aim to facilitate the volumetric alignment of data retrieved from T1w and Dyn sequences, leveraging breast surface segmentation and registration. The proposed method revolves around Canny edge detection and mending potential holes on the surface, in order to accurately reproduce the breast shape. The contour is refined with a Level-set approach and the surfaces are aligned together using a restriction of the Iterative Closest Point (ICP) method. This could easily be applied to other paired same-time, volumetric sequences. The process seems to have promising results as average two-dimensional contour distances are at sub-voxel resolution and visual results seem well within range for the valid transference of other segmented or annotated structures. © Springer Nature Switzerland AG 2020.

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