In general, a theoretical Computerized Tomography (CT) imaging problem can be formulated as a system of linear equations. The discrete inverse problem of reconstructing finite subsets of the n-dimensional integer lattice Zn that are only accessible via their line sums (discrete x-rays), in a finite set of lattice directions, results into an even more ill-posed problem, from noisy data. Because of background noise in the data, the reconstruction process is more difficult since the system of equations becomes inconsistent easily. Unfortunately, with every different kind of CT, as with many contemporary advanced instrumentation systems, one is always faced with an additional experimental data noise reduction problem. By using Information Geometry (IG) and Geometric Science of Information (GSI) approach, it is possible to extend traditional statistical noise reduction concepts and to develop new algorithm to overcome many previous limitations. On the other end, in the past five decades, trend in Systems Theory, in specialized research area, has shifted from classic single domain information channel transfer function approach (Shannon’s noisy channel) to the more structured ODR Functional Sub-domain Transfer Function Approach (Observation, Description and Representation), according to computational information conservation theory (CICT) Infocentric Worldview model (theoretically, virtually noise-free data). CICT achieves to bringing classical and quantum information theory together in a single framework, by considering information not only on the statistical manifold of model states but also from empirical measures. In fact, to grasp a more reliable representation of experimental reality and to get stronger physical and biological system correlates, researchers and scientists need two intelligently articulated hands: both stochastic and combinatorial approaches synergically articulated by natural coupling. As a matter of fact, traditional rational number system Q properties allow to generate an irreducible co-domain for every computational operative domain used. Then, computational information usually lost by using classic LTR computational approach only, based on the traditional noise-affected data model stochastic representation (with high-level perturbation computational model under either additive or multiplicative perturbation hypothesis), can be captured and fully recovered to arbitrary precision, by a corresponding complementary co-domain, step-by-step. In previous paper, we already saw that CICT can supply us with Optimized Exponential Cyclic numeric Sequences (OECS) co-domain perfectly tuned to low-level multiplicative noise source generators, related to experimental high-level overall perturbation. Now, associated OECS co-domain polynomially structured information can be used to evaluate any computed result at arbitrary scale, and to compensate for achieving multi-scale computational information conservation.
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Discrete Tomography (DT), differently from GT and CT, focuses on the case where only few specimen projections are known and the images contain a small number of different colours (e.g. black-and-white). A concise review on main contemporary physical and mathematical CT system problems is offered. Stochastic vs. Combinatorially Optimized Noise generation is compared and presented by two visual examples to emphasise a major double-bind problem at the core of contemporary most advanced instrumentation systems. Automatic tailoring denoising procedures to real dynamic system characteristics and performance can get closer to ideal self-registering and selflinearizing system to generate virtual uniform and robust probing field during its whole designed service life-cycle. The first attempt to develop basic principles for system background low-level noise source automatic characterization, profiling and identification by CICT, from discrete system parameter, is presented. As a matter of fact, CICT can supply us with cyclic numeric sequences perfectly tuned to their low-level multiplicative source generators, related to experimental high-level overall perturbation (according to high-level classic perturbation computational model under either additive or multiplicative perturbation hypothesis). Numeric examples are presented. Furthermore, a practical NTT example is given. Specifically, advanced CT system, HRO and Mission Critical Project (MCP) for very low Technological Risk (TR) and Crisis Management (CM) system will be highly benefitted mostly by CICT infocentric worldview. The presented framework, concepts and techniques can be used to boost the development of next generation algorithms and advanced applications quite conveniently.
Together with technological progress there are newer and newer methods of imaging the bile duct being discovered, which used enable their precise evaluation. The application is little invasive, however often unavailable and expensive. The abundance of methods of imaging using different physical phenomena makes it extremely difficult to gain a universal, practicable in every condition formula of diagnostic proceedings in the obstructive jaundice. The first step in the examination is, on account of the wide availability, noninvasiveness and the low cost of carrying out, trans abdominal ultrasound scan (USS). If on the basis of the ultrasound scan it is possible to offer the patient therapeutic proceedings, a further diagnostics is not necessary. Nevertheless, if after performing the ultrasound scan it is impossible to establish the course of treatment, a further diagnostics is recommended, best using newer, noninvasive methods of depicting such as the computerized axial tomography (CT), nuclear magnetic resonance (NMR) or endosonography (EUS). In case of their unavailability, in special situations, it is allowed to apply endoscopic retrograde cholangiopancreatography (ERCP). Yet, deciding on such proceedings one should always consider the presence of risk factors in the appearance of complications and consider both benefits and the risk of performing the surgery. The aim of this study was an attempt to sum up the basic rules on all levels of diagnostic proceedings considering the aspects mentioned before, from diagnosing jaundice in the subjective examination to suggesting diagnostic - therapy treatment, at the same time including the possibility of intervention in the bile duct with the endoscopic or surgeon's way or by methods of emergency radiology.
PL
Wraz z postępem technologicznym pojawiają się coraz nowsze metody obrazowania dróg żółciowych, które umożliwiają precyzyjną ich ocenę, są mało inwazyjne, jednak niestety często niedostępne i kosztowne. Miogość metod obrazowania wykorzystujących odmienne zjawiska fizyczne sprawia, że bardzo trudno jest wypracować uniwersalny, możliwy do zastosowania w każdych warunkach, schemat postępowania diagnostycznego w żółtaczce mechanicznej. Badaniem pierwszego rzutu ze względu na szeroką dostępność, nieinwazyjność oraz niski koszt wykonania jest ultrasonografia konwencjonalna przezbrzuszna (USG). Jeżeli na podstawie USG można zaproponować pacjentowi postępowanie terapeutyczne, dalsza diagnostyka nie jest konieczna. Jeśli jednak po wykonaniu badania USG nie można ustalić sposobu leczenia, wskazana jest dalsza diagnostyka, najlepiej z wykorzystaniem nowszych, nieinwazyjnych metod obrazowania, takich jak tomografia komputerowa (TK), rezonans magnetyczny (MR) czy endosonografia (EUS). W przypadku ich niedostępności w szczególnych sytuacjach dopuszcza się zastosowanie endoskopowej cholangiopankreatografii wstecznej (ECPW), jednak decydując się na takie postępowanie, zawsze należy bardzo dokładnie ocenić obecność czynników ryzyka wystąpienia powikłań oraz rozważyć korzyści i ryzyko wykonania zabiegu. Celem pracy była próba podsumowania podstawowych zasad na wszystkich szczeblach postępowania diagnostycznego, uwzględniającego wyżej wymienione aspekty, od rozpoznania żółtaczki w badaniu podmiotowym do zaproponowania postępowania diagnostyczno- terapeutycznego, w tym obejmującego możliwość interwencji na drogach żółciowych drogą endoskopową czy chirurgiczną lub metodami radiologii interwencyjnej.
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