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	Author	Manuel Carbonell; Alicia Fornes; Mauricio Villegas; Josep Llados
	Title	A Neural Model for Text Localization, Transcription and Named Entity Recognition in Full Pages			Type	Journal Article
	Year	2020	Publication	Pattern Recognition Letters	Abbreviated Journal	PRL
	Volume	136	Issue		Pages	219-227
	Keywords
	Abstract	In the last years, the consolidation of deep neural network architectures for information extraction in document images has brought big improvements in the performance of each of the tasks involved in this process, consisting of text localization, transcription, and named entity recognition. However, this process is traditionally performed with separate methods for each task. In this work we propose an end-to-end model that combines a one stage object detection network with branches for the recognition of text and named entities respectively in a way that shared features can be learned simultaneously from the training error of each of the tasks. By doing so the model jointly performs handwritten text detection, transcription, and named entity recognition at page level with a single feed forward step. We exhaustively evaluate our approach on different datasets, discussing its advantages and limitations compared to sequential approaches. The results show that the model is capable of benefiting from shared features by simultaneously solving interdependent tasks.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	DAG; 600.140; 601.311; 600.121			Approved	no
	Call Number	Admin @ si @ CFV2020			Serial	3451
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	Author	Angel Morera; Angel Sanchez; A. Belen Moreno; Angel Sappa; Jose F. Velez
	Title	SSD vs. YOLO for Detection of Outdoor Urban Advertising Panels under Multiple Variabilities			Type	Journal Article
	Year	2020	Publication	Sensors	Abbreviated Journal	SENS
	Volume	20	Issue	16	Pages	4587
	Keywords
	Abstract	This work compares Single Shot MultiBox Detector (SSD) and You Only Look Once (YOLO) deep neural networks for the outdoor advertisement panel detection problem by handling multiple and combined variabilities in the scenes. Publicity panel detection in images offers important advantages both in the real world as well as in the virtual one. For example, applications like Google Street View can be used for Internet publicity and when detecting these ads panels in images, it could be possible to replace the publicity appearing inside the panels by another from a funding company. In our experiments, both SSD and YOLO detectors have produced acceptable results under variable sizes of panels, illumination conditions, viewing perspectives, partial occlusion of panels, complex background and multiple panels in scenes. Due to the difficulty of finding annotated images for the considered problem, we created our own dataset for conducting the experiments. The major strength of the SSD model was the almost elimination of False Positive (FP) cases, situation that is preferable when the publicity contained inside the panel is analyzed after detecting them. On the other side, YOLO produced better panel localization results detecting a higher number of True Positive (TP) panels with a higher accuracy. Finally, a comparison of the two analyzed object detection models with different types of semantic segmentation networks and using the same evaluation metrics is also included.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	MSIAU; 600.130; 601.349; 600.122			Approved	no
	Call Number	Admin @ si @ MSM2020			Serial	3452
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	Author	B. Gautam; Oriol Ramos Terrades; Joana Maria Pujadas-Mora; Miquel Valls-Figols
	Title	Knowledge graph based methods for record linkage			Type	Journal Article
	Year	2020	Publication	Pattern Recognition Letters	Abbreviated Journal	PRL
	Volume	136	Issue		Pages	127-133
	Keywords
	Abstract	Nowadays, it is common in Historical Demography the use of individual-level data as a consequence of a predominant life-course approach for the understanding of the demographic behaviour, family transition, mobility, etc. Advanced record linkage is key since it allows increasing the data complexity and its volume to be analyzed. However, current methods are constrained to link data from the same kind of sources. Knowledge graph are flexible semantic representations, which allow to encode data variability and semantic relations in a structured manner. In this paper we propose the use of knowledge graph methods to tackle record linkage tasks. The proposed method, named WERL, takes advantage of the main knowledge graph properties and learns embedding vectors to encode census information. These embeddings are properly weighted to maximize the record linkage performance. We have evaluated this method on benchmark data sets and we have compared it to related methods with stimulating and satisfactory results.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	DAG; 600.140; 600.121			Approved	no
	Call Number	Admin @ si @ GRP2020			Serial	3453
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	Author	Debora Gil; Antonio Esteban Lansaque; Agnes Borras; Esmitt Ramirez; Carles Sanchez
	Title	Intraoperative Extraction of Airways Anatomy in VideoBronchoscopy			Type	Journal Article
	Year	2020	Publication	IEEE Access	Abbreviated Journal	ACCESS
	Volume	8	Issue		Pages	159696 - 159704
	Keywords
	Abstract	A main bottleneck in bronchoscopic biopsy sampling is to efficiently reach the lesion navigating across bronchial levels. Any guidance system should be able to localize the scope position during the intervention with minimal costs and alteration of clinical protocols. With the final goal of an affordable image-based guidance, this work presents a novel strategy to extract and codify the anatomical structure of bronchi, as well as, the scope navigation path from videobronchoscopy. Experiments using interventional data show that our method accurately identifies the bronchial structure. Meanwhile, experiments using simulated data verify that the extracted navigation path matches the 3D route.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	IAM; 600.139; 600.145			Approved	no
	Call Number	Admin @ si @ GEB2020			Serial	3467
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	Author	Gabriel Villalonga; Antonio Lopez
	Title	Co-Training for On-Board Deep Object Detection			Type	Journal Article
	Year	2020	Publication	IEEE Access	Abbreviated Journal	ACCESS
	Volume		Issue		Pages	194441 - 194456
	Keywords
	Abstract	Providing ground truth supervision to train visual models has been a bottleneck over the years, exacerbated by domain shifts which degenerate the performance of such models. This was the case when visual tasks relied on handcrafted features and shallow machine learning and, despite its unprecedented performance gains, the problem remains open within the deep learning paradigm due to its data-hungry nature. Best performing deep vision-based object detectors are trained in a supervised manner by relying on human-labeled bounding boxes which localize class instances (i.e. objects) within the training images. Thus, object detection is one of such tasks for which human labeling is a major bottleneck. In this article, we assess co-training as a semi-supervised learning method for self-labeling objects in unlabeled images, so reducing the human-labeling effort for developing deep object detectors. Our study pays special attention to a scenario involving domain shift; in particular, when we have automatically generated virtual-world images with object bounding boxes and we have real-world images which are unlabeled. Moreover, we are particularly interested in using co-training for deep object detection in the context of driver assistance systems and/or self-driving vehicles. Thus, using well-established datasets and protocols for object detection in these application contexts, we will show how co-training is a paradigm worth to pursue for alleviating object labeling, working both alone and together with task-agnostic domain adaptation.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	ADAS; 600.118			Approved	no
	Call Number	Admin @ si @ ViL2020			Serial	3488
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	Author	Yi Xiao; Felipe Codevilla; Akhil Gurram; Onay Urfalioglu; Antonio Lopez
	Title	Multimodal end-to-end autonomous driving			Type	Journal Article
	Year	2020	Publication	IEEE Transactions on Intelligent Transportation Systems	Abbreviated Journal	TITS
	Volume		Issue		Pages	1-11
	Keywords
	Abstract	A crucial component of an autonomous vehicle (AV) is the artificial intelligence (AI) is able to drive towards a desired destination. Today, there are different paradigms addressing the development of AI drivers. On the one hand, we find modular pipelines, which divide the driving task into sub-tasks such as perception and maneuver planning and control. On the other hand, we find end-to-end driving approaches that try to learn a direct mapping from input raw sensor data to vehicle control signals. The later are relatively less studied, but are gaining popularity since they are less demanding in terms of sensor data annotation. This paper focuses on end-to-end autonomous driving. So far, most proposals relying on this paradigm assume RGB images as input sensor data. However, AVs will not be equipped only with cameras, but also with active sensors providing accurate depth information (e.g., LiDARs). Accordingly, this paper analyses whether combining RGB and depth modalities, i.e. using RGBD data, produces better end-to-end AI drivers than relying on a single modality. We consider multimodality based on early, mid and late fusion schemes, both in multisensory and single-sensor (monocular depth estimation) settings. Using the CARLA simulator and conditional imitation learning (CIL), we show how, indeed, early fusion multimodality outperforms single-modality.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	ADAS			Approved	no
	Call Number	Admin @ si @ XCG2020			Serial	3490
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	Author	Rahma Kalboussi; Aymen Azaza; Joost Van de Weijer; Mehrez Abdellaoui; Ali Douik
	Title	Object proposals for salient object segmentation in videos			Type	Journal Article
	Year	2020	Publication	Multimedia Tools and Applications	Abbreviated Journal	MTAP
	Volume	79	Issue	13	Pages	8677-8693
	Keywords
	Abstract	Salient object segmentation in videos is generally broken up in a video segmentation part and a saliency assignment part. Recently, object proposals, which are used to segment the image, have had significant impact on many computer vision applications, including image segmentation, object detection, and recently saliency detection in still images. However, their usage has not yet been evaluated for salient object segmentation in videos. Therefore, in this paper, we investigate the application of object proposals to salient object segmentation in videos. In addition, we propose a new motion feature derived from the optical flow structure tensor for video saliency detection. Experiments on two standard benchmark datasets for video saliency show that the proposed motion feature improves saliency estimation results, and that object proposals are an efficient method for salient object segmentation. Results on the challenging SegTrack v2 and Fukuchi benchmark data sets show that we significantly outperform the state-of-the-art.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	LAMP; 600.120			Approved	no
	Call Number	KAW2020			Serial	3504
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	Author	Diana Ramirez Cifuentes; Ana Freire; Ricardo Baeza Yates; Joaquim Punti Vidal; Pilar Medina Bravo; Diego Velazquez; Josep M. Gonfaus; Jordi Gonzalez
	Title	Detection of Suicidal Ideation on Social Media: Multimodal, Relational, and Behavioral Analysis			Type	Journal Article
	Year	2020	Publication	Journal of Medical Internet Research	Abbreviated Journal	JMIR
	Volume	22	Issue	7	Pages	e17758
	Keywords
	Abstract	Background: Suicide risk assessment usually involves an interaction between doctors and patients. However, a significant number of people with mental disorders receive no treatment for their condition due to the limited access to mental health care facilities; the reduced availability of clinicians; the lack of awareness; and stigma, neglect, and discrimination surrounding mental disorders. In contrast, internet access and social media usage have increased significantly, providing experts and patients with a means of communication that may contribute to the development of methods to detect mental health issues among social media users. Objective: This paper aimed to describe an approach for the suicide risk assessment of Spanish-speaking users on social media. We aimed to explore behavioral, relational, and multimodal data extracted from multiple social platforms and develop machine learning models to detect users at risk. Methods: We characterized users based on their writings, posting patterns, relations with other users, and images posted. We also evaluated statistical and deep learning approaches to handle multimodal data for the detection of users with signs of suicidal ideation (suicidal ideation risk group). Our methods were evaluated over a dataset of 252 users annotated by clinicians. To evaluate the performance of our models, we distinguished 2 control groups: users who make use of suicide-related vocabulary (focused control group) and generic random users (generic control group). Results: We identified significant statistical differences between the textual and behavioral attributes of each of the control groups compared with the suicidal ideation risk group. At a 95% CI, when comparing the suicidal ideation risk group and the focused control group, the number of friends (P=.04) and median tweet length (P=.04) were significantly different. The median number of friends for a focused control user (median 578.5) was higher than that for a user at risk (median 372.0). Similarly, the median tweet length was higher for focused control users, with 16 words against 13 words of suicidal ideation risk users. Our findings also show that the combination of textual, visual, relational, and behavioral data outperforms the accuracy of using each modality separately. We defined text-based baseline models based on bag of words and word embeddings, which were outperformed by our models, obtaining an increase in accuracy of up to 8% when distinguishing users at risk from both types of control users. Conclusions: The types of attributes analyzed are significant for detecting users at risk, and their combination outperforms the results provided by generic, exclusively text-based baseline models. After evaluating the contribution of image-based predictive models, we believe that our results can be improved by enhancing the models based on textual and relational features. These methods can be extended and applied to different use cases related to other mental disorders.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	ISE; 600.098; 600.119			Approved	no
	Call Number	Admin @ si @ RFB2020			Serial	3552
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	Author	Ajian Liu; Xuan Li; Jun Wan; Yanyan Liang; Sergio Escalera; Hugo Jair Escalante; Meysam Madadi; Yi Jin; Zhuoyuan Wu; Xiaogang Yu; Zichang Tan; Qi Yuan; Ruikun Yang; Benjia Zhou; Guodong Guo; Stan Z. Li
	Title	Cross-ethnicity Face Anti-spoofing Recognition Challenge: A Review			Type	Journal Article
	Year	2020	Publication	IET Biometrics	Abbreviated Journal	BIO
	Volume	10	Issue	1	Pages	24-43
	Keywords
	Abstract	Face anti-spoofing is critical to prevent face recognition systems from a security breach. The biometrics community has %possessed achieved impressive progress recently due the excellent performance of deep neural networks and the availability of large datasets. Although ethnic bias has been verified to severely affect the performance of face recognition systems, it still remains an open research problem in face anti-spoofing. Recently, a multi-ethnic face anti-spoofing dataset, CASIA-SURF CeFA, has been released with the goal of measuring the ethnic bias. It is the largest up to date cross-ethnicity face anti-spoofing dataset covering 3 ethnicities, 3 modalities, 1,607 subjects, 2D plus 3D attack types, and the first dataset including explicit ethnic labels among the recently released datasets for face anti-spoofing. We organized the Chalearn Face Anti-spoofing Attack Detection Challenge which consists of single-modal (e.g., RGB) and multi-modal (e.g., RGB, Depth, Infrared (IR)) tracks around this novel resource to boost research aiming to alleviate the ethnic bias. Both tracks have attracted 340 teams in the development stage, and finally 11 and 8 teams have submitted their codes in the single-modal and multi-modal face anti-spoofing recognition challenges, respectively. All the results were verified and re-ran by the organizing team, and the results were used for the final ranking. This paper presents an overview of the challenge, including its design, evaluation protocol and a summary of results. We analyze the top ranked solutions and draw conclusions derived from the competition. In addition we outline future work directions.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	HUPBA; no proj			Approved	no
	Call Number	Admin @ si @ LLW2020b			Serial	3523
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	Author	Razieh Rastgoo; Kourosh Kiani; Sergio Escalera
	Title	Hand pose aware multimodal isolated sign language recognition			Type	Journal Article
	Year	2020	Publication	Multimedia Tools and Applications	Abbreviated Journal	MTAP
	Volume	80	Issue		Pages	127–163
	Keywords
	Abstract	Isolated hand sign language recognition from video is a challenging research area in computer vision. Some of the most important challenges in this area include dealing with hand occlusion, fast hand movement, illumination changes, or background complexity. While most of the state-of-the-art results in the field have been achieved using deep learning-based models, the previous challenges are not completely solved. In this paper, we propose a hand pose aware model for isolated hand sign language recognition using deep learning approaches from two input modalities, RGB and depth videos. Four spatial feature types: pixel-level, flow, deep hand, and hand pose features, fused from both visual modalities, are input to LSTM for temporal sign recognition. While we use Optical Flow (OF) for flow information in RGB video inputs, Scene Flow (SF) is used for depth video inputs. By including hand pose features, we show a consistent performance improvement of the sign language recognition model. To the best of our knowledge, this is the first time that this discriminant spatiotemporal features, benefiting from the hand pose estimation features and multi-modal inputs, are fused for isolated hand sign language recognition. We perform a step-by-step analysis of the impact in terms of recognition performance of the hand pose features, different combinations of the spatial features, and different recurrent models, especially LSTM and GRU. Results on four public datasets confirm that the proposed model outperforms the current state-of-the-art models on Montalbano II, MSR Daily Activity 3D, and CAD-60 datasets with a relative accuracy improvement of 1.64%, 6.5%, and 7.6%. Furthermore, our model obtains a competitive results on isoGD dataset with only 0.22% margin lower than the current state-of-the-art model.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	HUPBA; no menciona			Approved	no
	Call Number	Admin @ si @ RKE2020			Serial	3524
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	Author	Eduardo Aguilar; Petia Radeva
	Title	Uncertainty-aware integration of local and flat classifiers for food recognition			Type	Journal Article
	Year	2020	Publication	Pattern Recognition Letters	Abbreviated Journal	PRL
	Volume	136	Issue		Pages	237-243
	Keywords
	Abstract	Food image recognition has recently attracted the attention of many researchers, due to the challenging problem it poses, the ease collection of food images, and its numerous applications to health and leisure. In real applications, it is necessary to analyze and recognize thousands of different foods. For this purpose, we propose a novel prediction scheme based on a class hierarchy that considers local classifiers, in addition to a flat classifier. In order to make a decision about which approach to use, we define different criteria that take into account both the analysis of the Epistemic Uncertainty estimated from the ‘children’ classifiers and the prediction from the ‘parent’ classifier. We evaluate our proposal using three Uncertainty estimation methods, tested on two public food datasets. The results show that the proposed method reduces parent-child error propagation in hierarchical schemes and improves classification results compared to the single flat classifier, meanwhile maintains good performance regardless the Uncertainty estimation method chosen.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	MILAB; no proj			Approved	no
	Call Number	Admin @ si @ AgR2020			Serial	3525
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	Author	Guillermo Torres; Debora Gil
	Title	A multi-shape loss function with adaptive class balancing for the segmentation of lung structures			Type	Journal Article
	Year	2020	Publication	International Journal of Computer Assisted Radiology and Surgery	Abbreviated Journal	IJCAR
	Volume	15	Issue	1	Pages	S154-55
	Keywords
	Abstract
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	IAM			Approved	no
	Call Number	Admin @ si @ ToG2020			Serial	3590
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	Author	Fatemeh Noroozi; Marina Marjanovic; Angelina Njegus; Sergio Escalera; Gholamreza Anbarjafari
	Title	Audio-Visual Emotion Recognition in Video Clips			Type	Journal Article
	Year	2019	Publication	IEEE Transactions on Affective Computing	Abbreviated Journal	TAC
	Volume	10	Issue	1	Pages	60-75
	Keywords
	Abstract	This paper presents a multimodal emotion recognition system, which is based on the analysis of audio and visual cues. From the audio channel, Mel-Frequency Cepstral Coefficients, Filter Bank Energies and prosodic features are extracted. For the visual part, two strategies are considered. First, facial landmarks’ geometric relations, i.e. distances and angles, are computed. Second, we summarize each emotional video into a reduced set of key-frames, which are taught to visually discriminate between the emotions. In order to do so, a convolutional neural network is applied to key-frames summarizing videos. Finally, confidence outputs of all the classifiers from all the modalities are used to define a new feature space to be learned for final emotion label prediction, in a late fusion/stacking fashion. The experiments conducted on the SAVEE, eNTERFACE’05, and RML databases show significant performance improvements by our proposed system in comparison to current alternatives, defining the current state-of-the-art in all three databases.
	Address	1 Jan.-March 2019
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	HUPBA; 602.143; 602.133			Approved	no
	Call Number	Admin @ si @ NMN2017			Serial	3011
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	Author	Debora Gil; Ruth Aris; Agnes Borras; Esmitt Ramirez; Rafael Sebastian; Mariano Vazquez
	Title	Influence of fiber connectivity in simulations of cardiac biomechanics			Type	Journal Article
	Year	2019	Publication	International Journal of Computer Assisted Radiology and Surgery	Abbreviated Journal	IJCAR
	Volume	14	Issue	1	Pages	63–72
	Keywords	Cardiac electromechanical simulations; Diffusion tensor imaging; Fiber connectivity
	Abstract	PURPOSE: Personalized computational simulations of the heart could open up new improved approaches to diagnosis and surgery assistance systems. While it is fully recognized that myocardial fiber orientation is central for the construction of realistic computational models of cardiac electromechanics, the role of its overall architecture and connectivity remains unclear. Morphological studies show that the distribution of cardiac muscular fibers at the basal ring connects epicardium and endocardium. However, computational models simplify their distribution and disregard the basal loop. This work explores the influence in computational simulations of fiber distribution at different short-axis cuts. METHODS: We have used a highly parallelized computational solver to test different fiber models of ventricular muscular connectivity. We have considered two rule-based mathematical models and an own-designed method preserving basal connectivity as observed in experimental data. Simulated cardiac functional scores (rotation, torsion and longitudinal shortening) were compared to experimental healthy ranges using generalized models (rotation) and Mahalanobis distances (shortening, torsion). RESULTS: The probability of rotation was significantly lower for ruled-based models [95% CI (0.13, 0.20)] in comparison with experimental data [95% CI (0.23, 0.31)]. The Mahalanobis distance for experimental data was in the edge of the region enclosing 99% of the healthy population. CONCLUSIONS: Cardiac electromechanical simulations of the heart with fibers extracted from experimental data produce functional scores closer to healthy ranges than rule-based models disregarding architecture connectivity.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	IAM; 600.096; 601.323; 600.139; 600.145			Approved	no
	Call Number	Admin @ si @ GAB2019a			Serial	3133
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	Author	Marta Diez-Ferrer; Arturo Morales; Rosa Lopez Lisbona; Noelia Cubero; Cristian Tebe; Susana Padrones; Samantha Aso; Jordi Dorca; Debora Gil; Antoni Rosell
	Title	Ultrathin Bronchoscopy with and without Virtual Bronchoscopic Navigation: Influence of Segmentation on Diagnostic Yield			Type	Journal Article
	Year	2019	Publication	Respiration	Abbreviated Journal	RES
	Volume	97	Issue	3	Pages	252-258
	Keywords	Lung cancer; Peripheral lung lesion; Diagnosis; Bronchoscopy; Ultrathin bronchoscopy; Virtual bronchoscopic navigation
	Abstract	Background: Bronchoscopy is a safe technique for diagnosing peripheral pulmonary lesions (PPLs), and virtual bronchoscopic navigation (VBN) helps guide the bronchoscope to PPLs. Objectives: We aimed to compare the diagnostic yield of VBN-guided and unguided ultrathin bronchoscopy (UTB) and explore clinical and technical factors associated with better results. We developed a diagnostic algorithm for deciding whether to use VBN to reach PPLs or choose an alternative diagnostic approach. Methods: We compared diagnostic yield between VBN-UTB (prospective cases) and unguided UTB (historical controls) and analyzed the VBN-UTB subgroup to identify clinical and technical variables that could predict the success of VBN-UTB. Results: Fifty-five cases and 110 controls were included. The overall diagnostic yield did not differ between the VBN-guided and unguided arms (47 and 40%, respectively; p = 0.354). Although the yield was slightly higher for PPLs ≤20 mm in the VBN-UTB arm, the difference was not significant (p = 0.069). No other clinical characteristics were associated with a higher yield in a subgroup analysis, but an 85% diagnostic yield was observed when segmentation was optimal and the PPL was endobronchial (vs. 30% when segmentation was suboptimal and 20% when segmentation was optimal but the PPL was extrabronchial). Conclusions: VBN-guided UTB is not superior to unguided UTB. A greater impact of VBN-guided over unguided UTB is highly dependent on both segmentation quality and an endobronchial location of the PPL. Segmentation quality should be considered before starting a procedure, when an alternative technique that may improve yield can be chosen, saving time and resources.
	Address
	Corporate Author				Thesis
	Publisher		Place of Publication		Editor
	Language		Summary Language		Original Title
	Series Editor		Series Title		Abbreviated Series Title
	Series Volume		Series Issue		Edition
	ISSN		ISBN		Medium
	Area		Expedition		Conference
	Notes	IAM; 600.145; 600.139			Approved	no
	Call Number	Admin @ si @ DML2019			Serial	3134
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