Maura Casadio

Yuki Hashimoto, Akira Furui, Koji Shimatani et al.

The assessment of general movements (GMs) in infants is a useful tool in the early diagnosis of neurodevelopmental disorders. However, its evaluation in clinical practice relies on visual inspection by experts, and an automated solution is eagerly awaited. Recently, video-based GMs classification has attracted attention, but this approach would be strongly affected by irrelevant information, such as background clutter in the video. Furthermore, for reliability, it is necessary to properly extract the spatiotemporal features of infants during GMs. In this study, we propose an automated GMs classification method, which consists of preprocessing networks that remove unnecessary background information from GMs videos and adjust the infant's body position, and a subsequent motion classification network based on a two-stream structure. The proposed method can efficiently extract the essential spatiotemporal features for GMs classification while preventing overfitting to irrelevant information for different recording environments. We validated the proposed method using videos obtained from 100 infants. The experimental results demonstrate that the proposed method outperforms several baseline models and the existing methods.

Marta Lagomarsino, Vincent Groenhuis, Maura Casadio et al.

A biopsy is the only diagnostic procedure for accurate histological confirmation of breast cancer. When sonographic placement is not feasible, a Magnetic Resonance Imaging(MRI)-guided biopsy is often preferred. The lack of real-time imaging information and the deformations of the breast make it challenging to bring the needle precisely towards the tumour detected in pre-interventional Magnetic Resonance (MR) images. The current manual MRI-guided biopsy workflow is inaccurate and would benefit from a technique that allows real-time tracking and localisation of the tumour lesion during needle insertion. This paper proposes a robotic setup and software architecture to assist the radiologist in targeting MR-detected suspicious tumours. The approach benefits from image fusion of preoperative images with intraoperative optical tracking of markers attached to the patient's skin. A hand-mounted biopsy device has been constructed with an actuated needle base to drive the tip toward the desired direction. The steering commands may be provided both by user input and by computer guidance. The workflow is validated through phantom experiments. On average, the suspicious breast lesion is targeted with a radius down to 2.3 mm. The results suggest that robotic systems taking into account breast deformations have the potentials to tackle this clinical challenge.