Search Results (46)

Background and Clinical Significance: Heart failure with reduced ejection fraction (HFrEF) and atrial fibrillation (AF) frequently coexist, creating a complex clinical interplay that exacerbates morbidity and mortality. AF can directly precipitate or worsen HFrEF through mechanisms such as tachycardia-induced cardiomyopathy, loss of atrial contribution to ventricular filling, and irregular ventricular response. The use of evidence-based therapies improves clinical outcomes in patients with HFrEF. Case Presentation: We present a clinical case of a 58-year-old man with left bundle branch block (LBBB), tachysystolic AF, and the aforementioned induced HFrEF. The patient’s medical treatment was optimized according to recent guidelines. Subsequent to the improvements in HF treatment, the patient’s echocardiographic data showed a higher left ventricle ejection fraction (LVEF); however, it remained below 35%. Moreover, tachysystolia persisted and was not sufficiently controlled with medications. Therefore, an upgrade of the pacemaker to cardiac resynchronization therapy (CRT) following the destruction of the AV node was performed to control tachysystolic AF and worsening of HF. After the treatment adjustments, the patient’s symptoms regressed, and echocardiography showed improved LVEF up to 41%. Conclusions: This case highlights the successful identification and timely application of intensive heart rate control management and heart failure induced by AF treatment. Full article

The safety and longevity of engineering structures depend on precise and timely monitoring, especially during load testing inspections. Conventional displacement measurement methods—such as LVDT sensors, GNSS, RTS, and levels—each present benefits and limitations in terms of accuracy, applicability, and practicality. Photogrammetry has emerged as a promising alternative, offering non-contact measurement, cost-effectiveness, and adaptability in challenging environments. This study investigates the potential of photogrammetric methods for determining structural displacements during load testing in real-world conditions where such approaches remain underutilized. Two photogrammetric techniques were tested: (1) a single-image homography-based approach, and (2) a multi-image bundle block adjustment (BBA) approach using both UAV and tripod-mounted imaging platforms. Displacement results from both methods were compared against reference measurements obtained by traditional LVDT sensors and robotic total station. The study evaluates the influence of different camera systems, image acquisition techniques, and processing methods on the overall measurement accuracy. The findings suggest that the photogrammetric method, especially when optimized, can provide reliable displacement data with sub-millimeter accuracy, highlighting their potential as a viable alternative or complement to established geodetic and sensor-based approaches in structural testing. Full article

The determination of precise and reliable interior (IO) and relative (RO) orientation parameters for thermal infrared (TIR) cameras is critical for their subsequent use in photogrammetric processes. Although 2D calibration boards have become the predominant approach for TIR geometric calibration, these targets are susceptible to projective coupling and often introduce error through manual construction methods, necessitating the development of 3D targets tailored to TIR geometric calibration. Therefore, this paper evaluates TIR geometric calibration results obtained from 2D board and 3D field calibration approaches, documenting the construction, observation, and calculation of IO and RO parameters. This includes a comparative analysis of values derived from three popular commercial software packages commonly used for geometric calibration: MathWorks’ MATLAB, Agisoft Metashape, and Photometrix’s Australis. Furthermore, to assess the validity of derived parameters, two InfraRed Thermography 3D-Data Fusion (IRT-3DDF) methods are developed to model historic building façades and medieval frescoes. The results demonstrate the success of the proposed 3D field calibration targets for the calculation of both IO and RO parameters tailored to photogrammetric data fusion. Additionally, a novel combined TIR-RGB bundle block adjustment approach demonstrates the success of applying ‘out-of-the-box’ deep-learning neural networks for multi-modal image matching and thermal modelling. Considerations for the development of TIR geometric calibration approaches and the evolution of proposed IRT-3DDF methods are provided for future work. Full article

Background and aims: His bundle pacing (HBP) is considered the most physiological form of cardiac pacing. Although feasibility studies have included older patients, specific data for HBP in this population are scarce. This study aimed to evaluate gender differences in HBP long-term performance in elderly patients with atrioventricular (AV) block. Methods: This retrospective study included 73 patients aged over 65 years with successful HBP and at least 2 years of follow-up. The patients’ baseline and follow-up clinical and procedural characteristics were recorded. Results: The mean age of the cohort was 72.8 ± 6.3 years, with 43 males and 30 females. The paced QRS complex was significantly narrower than the baseline value for both genders. Females had a narrower-paced QRS complex without differences in detection, type of His bundle capture, impedance, or fluoroscopy time. The pacing threshold increased progressively, reaching statistical significance compared to the baseline values at the two-year follow-up. The pacing threshold increased by more than 1 V over the follow-up period in twenty-four patients (32.9%) and by more than 2 V in six patients (8.2%), with no significant difference between genders. The pacing threshold increase occurred within the first year for most patients, without gender differences. Multivariate Cox regression analysis demonstrated that the paced QRS duration, left ventricular ejection fraction, and ischemic cardiomyopathy were significantly associated with the pacing threshold increase over time. Conclusion: In elderly patients with AV block, HBP remains a feasible pacing method, without significant gender differences, over a long-term follow-up period. Pacing threshold increases are expected in up to one-third of the patients, requiring regular follow-ups to adjust the programmed parameters and optimize battery longevity. Full article

Background/Objectives: The aim of this study is to identify the most accurate and consistent landmarks for determining the precise location of the mandibular foramen (MF) and the mandibular ramus, suggesting appropriate adjustments to anesthesia techniques based on these variations in order to improve the success rate of the inferior alveolar nerve (IAN) block. Methods: CT scans of the mandibles from 100 patients were analyzed to measure the distance between the MF and various landmarks, including the sigmoid notch, gonion, posterior and anterior margins of the ramus, temporal crest, and the mandibular ramus height from the condyle to the gonion. The width of the mandibular ramus was also assessed, with correlations made to age and gender. Results: The MF was found to be closer to the sigmoid notch (mean = 21.2 mm), p = 0.393, than to the gonion (mean = 22.6 mm), p = 0.801, and closer to the posterior margin of the ramus (mean = 13.1 mm), p = 0.753, than to the anterior margin of the ramus. Additionally, the MF was closer to the temporal crest. Age also influenced the position of the MF, with a posterior and superior movement of the foramen, reducing the distance between the MF and the posterior margin of the ramus as well as the MF and the sigmoid notch (p < 0.001). Conclusions: A precise understanding of the MF’s location will help dentists and oral and maxillofacial surgeons improve the success of the IAN block, avoid injury to the inferior alveola neurovascular bundle, and minimize surgical complications such as paresthesia, permanent anesthesia, and hemorrhage. Full article

This study compares the photogrammetric performance of three multi-camera systems—two spherical cameras (INSTA 360 Pro2 and MG1) and one multi-camera rig (ANT3D)—to evaluate their accuracy and precision in confined environments. These systems are particularly suited for indoor surveys, such as narrow spaces, where traditional methods face limitations. The instruments were tested for the survey of a narrow spiral staircase within Milan Cathedral and the results were analyzed based on different processing strategies, including different relative constraints between sensors, various calibration sets for distortion parameters, interior orientation (IO), and relative orientation (RO), as well as two different ground control solutions. This study also included a repeatability test. The findings showed that, with appropriate ground control, all systems achieved the target accuracy of 1 cm. In partially unconstrained scenarios, the drift errors ranged between 5 and 10 cm. Performance varied depending on the processing pipelines; however, the results suggest that imposing a multi-camera constraint between sensors and estimating both IO and RO parameters during the Bundle Block Adjustment yields the best outcomes. In less stable environments, it might be preferable to pre-calibrate and fix the IO parameters. Full article

Real-Time/Post-Processing Kinematic (RTK/PPK) technology has been widely applied in Unmanned Aerial Vehicle (UAV) photogrammetry in glaciological research. Considering that ground control points (GCPs) cannot be set on glaciers, evaluating the impacts of one-sided distribution is essential. In this study, 8571 images were captured at Sermeq Avannarleq glacier in western Greenland from 4 August 2021 to the 6th, covering approximately 85 km², with the furthest distance being 13.22 km away from the coastline. Benefited by the meandering coastline, 11 roving stations roughly uniformly distributed on bare rock were surveyed with the RTK technique. PPK-geotagged images were processed in Agisoft Metashape Professional to derive the DSMs, utilizing eight different configurations of GCP distributions that gradually extended longitudinally (along the glacier flow direction) to the upper part of the glacier. The accuracy of DSMs was evaluated by referring to the validation points (VPs) that were not employed in the Bundle Block Adjustment (BBA). The results indicated that the RMSE values of the easting, northing, and height of the reconstruction model georeferenced by only PPK geotagging (no GCPs applied) were 0.038 m, 0.031 m, and 0.146 m, respectively. Applying four GCPs located at one side of the region but with both longitudinal and lateral distribution improved the RMSE values in easting, northing, and vertical to 0.037 m, 0.031 m, and 0.081 m, respectively, and these values were stable even when distributing four GCPs evenly or when increasing the number of GCPs to eleven. Moreover, the cross-validation with ICESat-2 and ArcticDEM performed only at an off-glacier region also suggested that vertical accuracy shows significant improvements for every configuration of GCPs compared to the reconstruction model optimized only by PPK, but such improvements were not obvious if the number of GCPs exceeded four. Moreover, no elevation ramps appeared in the UAV DSM, even for the GCP configuration with only two GCPs distributed at the terminus. Therefore, combining PPK with only a few GCPs but distributing in both directions of the surveying region can offer a viable solution for obtaining glacier DSMs at the coastline with decimeter-level accuracy. Full article

Unmanned aerial vehicles (UAVs) are now widely preferred systems that are capable of rapid mapping and generating topographic models with relatively high positional accuracy. Since the integrated GNSS receivers of UAVs do not allow for sufficiently accurate outcomes either horizontally or vertically, a conventional method is to use ground control points (GCPs) to perform bundle block adjustment (BBA) of the outcomes. Since the number of GCPs to be installed limits the process in UAV operations, there is an important research question whether the precise point positioning (PPP) method can be an alternative when the real-time kinematic (RTK), network RTK, and post-process kinematic (PPK) techniques cannot be used to measure GCPs. This study introduces a novel approach using precise point positioning with ambiguity resolution (PPP-AR) for ground control point (GCP) positioning in UAV photogrammetry. For this purpose, the results are evaluated by comparing the horizontal and vertical coordinates obtained from the 24 h GNSS sessions of six calibration pillars in the field and the horizontal length differences obtained by electronic distance measurement (EDM). Bartlett’s test is applied to statistically determine the accuracy of the results. The results indicate that the coordinates obtained from a two-hour PPP-AR session show no significant difference from those acquired in a 30 min session, demonstrating PPP-AR to be a viable alternative for GCP positioning. Therefore, the PPP technique can be used for the BBA of GCPs to be established for UAVs in large-scale map generation. However, the number of GCPs to be selected should be four or more, which should be homogeneously distributed over the study area. Full article

This work focuses on investigating the accuracy of 3D reconstructions from fixed stereo-photogrammetric monitoring systems through different camera calibration procedures. New reliable and effective calibration methodologies that require minimal effort and resources are presented. A full-format camera equipped with fixed 50 and 85 mm focal length optics is considered, but the methodologies are general and can be applied to other systems. Four different calibration strategies are considered: (i) full-field calibration (FF); (ii) multi-image on-the-job calibration (MI); (iii) point cloud-based calibration (PC); and (iv) self (on-the-job) calibration (SC). To evaluate the calibration strategies and assess their actual performance and practicality, two test sites are used. The full-field calibration, while very reliable, demands significant effort if it needs to be repeated. The multi-image strategy emerges as a favourable compromise, offering good results with minimal effort for its realisation. The point cloud-based method stands out as the optimal choice, balancing ease of implementation with quality results; however, it requires a reference 3D point cloud model. On-the-job calibration with monitoring images is the simplest but least reliable option, prone to uncertainty and potential inaccuracies, and should hence be avoided. Ultimately, prioritising result reliability over absolute accuracy is paramount in continuous monitoring systems. Full article

The attitude accuracy of high-resolution satellite images is the main factor affecting their geometric positioning accuracy. Bundle block adjustment is the main method for realizing the simultaneous estimation of attitude models for overlapping images over a large area. In the current research on the joint positioning of high-resolution multi-line array satellite images, the adjustment is usually carried out with the view or load as a unit without considering the consistency of the error of the same platform. In this paper, we develop a self-calibration strip bundle adjustment scheme that considers the boresight misalignment among multiple cameras. By introducing the installation angle between multiple loads, we fully utilized their geometric constraint relationship with the same platform to establish a unified attitude compensation model for multiple loads. The experimental results of the ZiYuan3 (ZY-3) satellite image show that, when the ground control points (GCPs) are laid only at four corner points of the image, the image plane and elevation accuracies are 1.85 m and 1.87 m after an adjustment using this method, which can achieve comparable accuracies with those obtained by a traditional program based on an adjustment with more GCPs. Full article

Based on the theory of zero bending moment under constant load, various optimization methods exist for the top beam of large-span continuous rigid frame bridges. These include achieving zero bending moment at the root of the cantilever beam, at the control stage section, and through the zero deflection method. This study aims to explore the methods and effects of optimizing roof beam design using the constant load zero bending moment method and the “three group bundle method”. Using finite element modeling, the total number and eccentricity of prestressed tendons required for each suspended pouring block are determined. Additionally, the “three group beam matching method” is employed to adjust the steel beam, adhering to the design concept of “large cantilever beam matching and small cantilever beam matching”, to achieve a reasonable configuration of the top plate beam. Through specific engineering examples, the results demonstrate that utilizing the constant load zero moment method and the “three group bundle method” can significantly enhance the structural performance and economy of large-span continuous rigid frame bridges. Moreover, it offers practical operability, providing an important reference basis for similar project designs. Full article

Introduction: Data on the prevalence and clinical significance of interventricular conduction disturbances (IVCDs) in children are scarce. While incomplete right bundle branch blocks (IRBBBs) seem to be the most frequent and benign findings, complete bundle blocks and fascicular blocks are often seen in children with congenital/acquired cardiac conditions. This study aims to delineate the prevalence and the diagnostic accuracy of IVCD in children admitted to a paediatric cardiology unit. Methods: Children admitted to the paediatric cardiology unit between January 2010 and December 2020 who had an ECG were included in the study. IVCDs were diagnosed according to standard criteria adjusted for age. Results: Three thousand nine hundred and ninety-three patients were enrolled. The median age was 3.1 years (IQR: 0.0–9.2 years), and 52.7% were males. IVCDs were present in 22.5% of the population: 17.4% of the population presented with IRBBBs, 4.8% with a complete right bundle branch block (CRBBB), 0.1% with a complete left bundle branch block (CLBBB), 0.2% with a left anterior fascicular block (LAFB) and 0.2% with a combination of CRBBB and LAFB. Also, 26% of children with congenital heart disease had an IVCD, and 18% of children with an IVCD had previous cardiac surgery. The overall sensitivity of IVCD in detecting a cardiac abnormality was 22.2%, with a specificity of 75.5%, a PPV of 83.1% and an NPV of 15.1%, but the values were higher for CLBBB and LAFB. Conclusions: IVCDs were present in one-fifth of children admitted to the cardiology unit. IRBBB was the most frequent disturbance, while CRBBB, CLBBB and fascicular blocks were much rarer, though they had a higher predictive value for cardiac abnormalities. Full article

Background: Cardiac resynchronization therapy (CRT) has evolved into an established therapy for patients with chronic heart failure and a wide QRS complex. Data on long-term outcomes over time are scarce and the criteria for implantation remain a subject of investigation. Methods: An international, multicenter, retrospective registry includes 2275 patients who received CRT between 30 November 2000 and 31 December 2019, with a mean follow-up of 3.6 ± 2.7 years. Four time periods were defined, based on landmark trials and guidelines. The combined endpoint was a composite of all-cause mortality, heart transplantation, or left ventricular assist device implantation. Results: The composite endpoint occurred in 656 patients (29.2%). The mean annual implantation rate tripled from 31.5 ± 17.4/year in the first period to 107.4 ± 62.4/year in the last period. In the adjusted Cox regression analysis, the hazard ratio for the composite endpoint was not statistically different between time periods. When compared to sinus rhythm with left bundle branch block (LBBB), a non-LBBB conduction pattern (sinus rhythm: HR 1.51, 95% CI 1.12–2.03; atrial fibrillation: HR 2.08, 95% CI 1.30–3.33) and a QRS duration below 130 ms (HR 1.64, 95% CI 1.29–2.09) were associated with a higher hazard ratio. Conclusions: Despite innovations, an adjusted regression analysis revealed stable overall survival over time, which can at least partially be explained by a shift in patient characteristics. Full article

The significant increase in hiking, wood extraction, and transportation activities exerts a notable impact on the environmental balance along trails and forest roads in the form of soil degradation. The aim of this study was to develop a Deformation Classification Model for the surface of a multi-use trail, as well as to calculate sediment deposition and generate a flood hazard map in a partially forested region. The eBee X mapping Unmanned Aerial Vehicle (UAV) equipped with the senseFly S.O.D.A. 3D camera and Real-Time Kinematic (RTK) technology flew over the study area of 149 ha in Northern Greece at an altitude of 120 m and achieved a high spatial resolution of 2.6 cm. The specific constellation of fixed-wing equipment makes the use of ground control points obsolete, compared to previous, in most cases polycopter-based, terrain deformation research. Employing the same methodology, two distinct classifications were applied, utilizing the Digital Surface Model (DSM) and Digital Elevation Model (DEM) for analysis. The Geolocation Errors and Statistics for Bundle Block Adjustment exhibited a high level of accuracy in the model, with the mean values for each of the three directions (X, Y, Z) being 0.000023 m, −0.000044 m, and 0.000177 m, respectively. The standard deviation of the error in each direction was 0.022535 m, 0.019567 m, and 0.020261 m, respectively. In addition, the Root Mean Square (RMS) error was estimated to be 0.022535 m, 0.019567 m, and 0.020262 m, respectively. A total of 20 and 30 altitude categories were defined at a 4 cm spatial resolution, each assigned specific ranges of values, respectively. The area of each altitude category was quantified in square meters (m²), while the volume of each category was measured in cubic meters (m³). The development of a Deformation Classification Model for the deck of a trail or forest road, coupled with the computation of earthworks and the generation of a flood hazards map, represents an efficient approach that can provide valuable support to forest managers during the planning phase or maintenance activities of hiking trails and forest roads. Full article

(1) Background: Periodic repetitive AV interval optimization using a device-based algorithm in cardiac resynchronization therapy (CRT) devices may improve clinical outcomes. There is an unmet need to successfully transform its application into clinical routine. (2) Methods: Non-invasive imaging of cardiac electrophysiology was performed in different device programming settings of the SyncAV^® algorithm in 14 heart failure patients with left bundle branch block and a PR interval ≤ 250 milliseconds to determine the shortest ventricular activation time. (3) Results: the best offset time (to be manually programmed) permitting automatic dynamic adjustment of the paced atrioventricular interval after every 256 heart beats was found to be 30 and 50 milliseconds, decreasing mean native QRS duration from 181.6 ± 23.9 milliseconds to 130.7 ± 10.0 and 130.1 ± 10.5 milliseconds, respectively (p = 0.01); this was followed by an offset of 40 milliseconds (decreasing QRS duration to 130.1 ± 12.2 milliseconds; p = 0.08). (4) Conclusions: The herein presented NICE-CRT study supports the current recommendation to program an offset of 50 milliseconds as default in patients with left bundle branch block and preserved atrioventricular conduction after implantation of a CRT device capable of SyncAV^® optimization. Alternatively, offset programming of 30 milliseconds may also be applied as default programming. In patients with no or poor CRT response, additional efforts should be spent to individualize best offset programming with electrocardiographic optimization techniques. Full article