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Surgical and Simulation

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https://www.readbyqxmd.com/read/28230539/polyenergetic-known-component-ct-reconstruction-with-unknown-material-compositions-and-unknown-x-ray-spectra
#1
Shiyu Xu, Ali Uneri, Akhil Khanna, Jeffrey Siewerdsen, Joseph Webster Stayman
Metal artifacts can cause substantial image quality issues in computed tomography. This is particularly true in interventional imaging where surgical tools or metal implants are in the field-of-view. Moreover, the region-of-interest is often near such devices which is exactly where image quality degradations are largest. Previous work on known-component reconstruction (KCR) has shown the incorporation of a physical model (e.g. shape, material composition, etc.) of the metal component into the reconstruction algorithm can significantly reduce artifacts even near the edge of a metal component...
February 23, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28227688/development-of-a-finger-like-mechanism-of-end-effector-for-micro-surgery
#2
S M Kim, C M Park, J H Yoo, K Kim, S M Kim, C M Park, J H Yoo, K Kim, J H Yoo, K Kim, C M Park, S M Kim
Neurosurgery had been considered nearly impossible due to its technical difficulty and the danger to its special target organ, but with endoscopic methods, many such surgeries can be made safely through the nose. Endoscopic neurosurgery is limited by available instruments, however, and there remain some areas of the human body inaccessible to standard surgical tools. To overcome some of these limitations, in this study we developed a simple mechanism that could form a high curvature in a narrow space. The end product is a finger-like mechanism consisting of five body parts and four joints...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227658/evaluating-the-deflection-of-dexterous-continuum-manipulators-with-unevenly-distributed-compliant-joints
#3
Anzhu Gao, Ryan J Murphy, Hao Liu, Iulian Iordachita, Mehran Armand, Anzhu Gao, Ryan J Murphy, Hao Liu, Iulian Iordachita, Mehran Armand, Hao Liu, Anzhu Gao, Iulian Iordachita, Mehran Armand, Ryan J Murphy
Dexterous continuum manipulators (DCMs) offer great potential for increasing instrument reach in minimally-invasive surgical procedures. We previously designed and fabricated a tendon driven DCM with a large instrument channel and evenly distributed compliant joints for minimally-invasive skull base surgery and the treatment of osteolysis during hip revision surgery. The evenly distributed compliant joints, in some cases, may limit the reach of the DCM during lesion removal. In this paper, we propose a finite element analysis (FEA) method for optimizing the distribution of the compliant joints based on treatment space requirements determined preoperatively...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227397/investigation-of-gaze-patterns-in-multi-view-laparoscopic-surgery
#4
Navaneeth Kamballur Kottayil, Rositsa Bogdanova, Irene Cheng, Bin Zheng, Anup Basu, Navaneeth Kamballur Kottayil, Rositsa Bogdanova, Irene Cheng, Bin Zheng, Anup Basu, Bin Zheng, Anup Basu, Navaneeth Kamballur Kottayil, Irene Cheng, Rositsa Bogdanova
Laparoscopic Surgery (LS) is a modern surgical technique whereby the surgery is performed through an incision with tools and camera as opposed to conventional open surgery. This promises minimal recovery times and less hemorrhaging. Multi view LS is the latest development in the field, where the system uses multiple cameras to give the surgeon more information about the surgical site, potentially making the surgery easier. In this publication, we study the gaze patterns of a high performing subject in a multi-view LS environment and compare it with that of a novice to detect the differences between the gaze behavior...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227064/energy-based-metrics-for-laparoscopic-skills-assessment
#5
Behnaz Poursartip, Marie-Eve LeBel, Rajni V Patel, Michael D Naish, Ana Luisa Trejos, Behnaz Poursartip, Marie-Eve LeBel, Rajni V Patel, Michael D Naish, Ana Luisa Trejos, Rajni V Patel, Michael D Naish, Marie-Eve LeBel, Ana Luisa Trejos, Behnaz Poursartip
The growing popularity of minimally invasive surgery (MIS) can be attributed to its advantages, which include reduced post-operative pain, a shorter hospital stay, and faster recovery. However, MIS requires extensive training for surgeons to become experts in their field of practice. Different assessment methods have been proposed for evaluating the performance of surgeons and residents on surgical simulators. Nonetheless, optimal objective performance measures are still lacking. In this study, three metrics for minimally invasive skills assessment are proposed based on energy expenditure: work, potential energy and kinetic energy...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226974/design-of-an-intraoperative-peritoneal-lavage-device
#6
Maria Ignacia Aguilera, Esteban J Pino, Maria Ignacia Aguilera, Esteban J Pino, Maria Ignacia Aguilera, Esteban J Pino
This paper consists of the design and construction of an intraoperative peritoneal lavage device. It is intended for cleaning the intra-abdominal cavity during a surgical procedure, once the etiology of a peritonitis has been identified and treated. Its purpose is to improve the current standard treatment consisting of simple pouring saline solution. A good washing procedure aids stopping the inflammatory and infectious process generated after the contamination due to the perforation of a hollow viscera. COMSOL Multiphysics software was used to simulate the biomechanical behavior of the liver against localized pressure...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226957/inexpensive-bone-cement-substitute-for-vertebral-cement-augmentation-training
#7
Marianne Hollensteiner, Markus Samrykit, Michael Hess, David Fuerst, Benjamin Esterer, Andreas Schrempf, Marianne Hollensteiner, Markus Samrykit, Michael Hess, David Fuerst, Benjamin Esterer, Andreas Schrempf, Benjamin Esterer, Michael Hess, Markus Samrykit, Andreas Schrempf, Marianne Hollensteiner, David Fuerst
Vertebral compression fractures are treated surgically for approximately 25 years. In percutaneous cement augmentation techniques bone cement is applied to a fractured vertebra under fluoroscopic evidence to stabilize the bone fragments. Complications due to leakage of the low viscosity bone cement are reported in 5 to 15% of all routine cases. During the intraoperative application of bone cement surgeons rely on visiohaptic feedback and hence need to be familiar with the cement's rheology properties. Therefore, training is necessary...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226944/3d-force-torque-characterization-of-emergency-cricothyroidotomy-procedure-using-an-instrumented-scalpel
#8
Adam Ryason, Ganesh Sankaranarayanan, Kathryn L Butler, Marc DeMoya, Suvranu De, Adam Ryason, Ganesh Sankaranarayanan, Kathryn L Butler, Marc DeMoya, Suvranu De, Suvranu De, Marc DeMoya, Kathryn L Butler, Ganesh Sankaranarayanan, Adam Ryason
Emergency Cricothyroidotomy (CCT) is a surgical procedure performed to secure a patient's airway. This high-stakes, but seldom-performed procedure is an ideal candidate for a virtual reality simulator to enhance physician training. For the first time, this study characterizes the force/torque characteristics of the cricothyroidotomy procedure, to guide development of a virtual reality CCT simulator for use in medical training. We analyze the upper force and torque thresholds experienced at the human-scalpel interface...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226662/neurophysiological-measures-for-users-training-objective-assessment-during-simulated-robot-assisted-laparoscopic-surgery
#9
Gianluca Borghini, Pietro Arico, Gianluca Di Flumeri, Alfredo Colosimo, Silvia Francesca Storti, Gloria Menegaz, Paolo Fiorini, Fabio Babiloni, Gianluca Borghini, Pietro Arico, Gianluca Di Flumeri, Alfredo Colosimo, Silvia Francesca Storti, Gloria Menegaz, Paolo Fiorini, Fabio Babiloni, Gianluca Borghini, Pietro Arico, Gloria Menegaz, Fabio Babiloni, Alfredo Colosimo, Gianluca Di Flumeri, Silvia Francesca Storti, Paolo Fiorini
Minimally invasive surgery can be performed with robotic assistance, as evolution of laparoscopic surgery. Robots for assisted surgery are far from being user friendly and require extensive training. To this end, ad-hoc devices and experimental set-ups are needed. The da Vinci system is one of the most diffused surgical robotics technology. The aim of the study was two-fold: i) to propose a neurophysiological measure by which objectively assess the learning progress of the users by means of a simulator of the da Vinci system, and ii) to demonstrate the advantages of cognitive assessment with respect to the standard methodologies for the evaluation of training efficiency...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28225921/model-for-simulated-training-of-laparoscopic-gastroenterostomy
#10
Márcio Alencar Barreira, Delano Gurgel Siveira, Hermano Alexandre Lima Rocha, Luiz Gonzaga de Moura, Charles Jean Gomes de Mesquita, Gleydson Cesar de Oliveira Borges
Purpose: To develop a model of gastroenterostomy and to analyze the acquisition of skills after training by simulation. Methods: Experimental longitudinal study and of a quantitative character. The sample consisted of twelve general surgery residents from four hospitals. The training consisted of making ten anastomoses divided equally into five sessions and it took place over a period of six weeks. The evaluation of the anastomoses considered the time and the analysis of the operative technique through the global evaluation scale Objective Structured Assessment of Technical Skills (OSATS)...
January 2017: Acta Cir├║rgica Brasileira
https://www.readbyqxmd.com/read/28225325/application-of-mental-skills-training-in-surgery-a-review-of-its-effectiveness-and-proposed-next-steps
#11
Nicholas E Anton, Eric A Bean, Samuel C Hammonds, Dimitrios Stefanidis
INTRODUCTION: Mental skills training, which refers to the teaching of performance enhancement and stress management psychological strategies, may benefit surgeons. Our objective was to review the application of mental skills training in surgery and contrast it to other domains, examine the effectiveness of this approach in enhancing surgical performance and reducing stress, and provide future directions for mental skills training in surgery. MATERIALS AND METHODS: A systematic literature search of MEDLINE, PubMed, PsycINFO, and ClinicalKey was performed between 1996 and 2016...
February 22, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28222067/designation-and-validation-of-a-posterior-anatomical-plate-for-the-anterior-column-of-the-acetabulum
#12
Lifeng Zhang, Chuangxin Lin, Shenglu Cao, Yiran Wang, Geng Peng, Yongqiang Xu, Yongzeng Feng, Gang Wang
BACKGROUND Surgical treatment of acetabular fractures is one of the greatest challenges for orthopedic surgeons. Fixation of most displaced fractures requires extensive exposure, which may lead to complications, including blood loss, neural or vascular injury, postoperative infection, wound healing problems, and heterotopic bone formation. MATERIAL AND METHODS This study was conducted to certify an anatomic plate with an anterior column lag screw guiding device to repair the posterior acetabulum. Complete pelvic spiral computed tomography (CT) scan data were collected from 56 patients...
February 21, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28219432/personalized-heterogeneous-deformable-model-for-fast-volumetric-registration
#13
Weixin Si, Xiangyun Liao, Qiong Wang, Pheng Ann Heng
BACKGROUND: Biomechanical deformable volumetric registration can help improve safety of surgical interventions by ensuring the operations are extremely precise. However, this technique has been limited by the accuracy and the computational efficiency of patient-specific modeling. METHODS: This study presents a tissue-tissue coupling strategy based on penalty method to model the heterogeneous behavior of deformable body, and estimate the personalized tissue-tissue coupling parameters in a data-driven way...
February 20, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28216836/reply-concerns-with-the-use-of-genelyn-cadavers-for-surgical-simulation
#14
Charles Yuen Yung Loh, Nigel Yong Boon Ng, Thanassi Athanassopoulos
No abstract text is available yet for this article.
September 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/28216835/concerns-with-the-use-of-genelyn-cadavers-for-surgical-simulation
#15
Tarak Agrebi Moumni Chouari, Karim El-Shakankery
No abstract text is available yet for this article.
September 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/28213924/diagnostic-paradox-ruptured-aneurysm-of-sinus-of-valsalva-simulating-tricuspid-valve-endocarditis
#16
Mehar Hoda, Arushi Verma, Sridevi Alapati, Srilatha Alapati, Tharakanatha R Yarrabolu
Rupture of aneurysm of sinus of Valsalva into the right atrium mimicking tricuspid valve endocarditis is a rare presentation. We review a case of spontaneous rupture of aneurysm of sinus of Valsalva into the right atrium presenting as a murmur. Transthoracic echocardiogram showed a mobile mass that appeared to be attached to the tricuspid valve leaflet with moderate tricuspid regurgitation suggestive of tricuspid valve endocarditis. The diagnosis was confirmed as spontaneous rupture of noncoronary sinus in to the right atrium by transesophageal echocardiogram...
February 18, 2017: Echocardiography
https://www.readbyqxmd.com/read/28213166/influence-of-clamping-stress-and-duration-on-the-trauma-of-liver-tissue-during-surgery-operation
#17
Jin Wang, Qing-Yuan Yu, Wei Li, Bing-Rui Wang, Zhong-Rong Zhou
BACKGROUND: Tissue grasping damage often occurs in minimally invasive surgery, which would increase the postoperative recovery time and the risk of surgical complications. The purpose of this study was to evaluate the relationship between liver tissue trauma and compression stress magnitude and duration during tissue clamping operation. METHODS: The clamping experiments of liver tissues in vivo were conducted by using a universal soft tissue mechanical testing machine under different clamping stress magnitudes and durations...
February 10, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28209345/multiobjective-optimization-of-cartilage-stress-for-non-invasive-patient-specific-recommendations-of-high-tibial-osteotomy-correction-angle-a-novel-method-to-investigate-alignment-correction
#18
Keke Zheng, Corey J Scholes, Junning Chen, David Parker, Qing Li
Medial opening wedge high tibial osteotomy (MOWHTO) is a surgical procedure to treat knee osteoarthritis associated with varus deformity. However, the ideal final alignment of the Hip-Knee-Ankle (HKA) angle in the frontal plane, that maximizes procedural success and post-operative knee function, remains controversial. Therefore, the purpose of this study was to introduce a subject-specific modeling procedure in determining the biomechanical effects of MOWHTO alignment on tibiofemoral cartilage stress distribution...
February 13, 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/28203578/supersized-atheroma-causing-acquired-coarctation-of-aorta-leading-to-heart-failure
#19
Sajin Karakattu, Ghulam Murtaza, Sharma Dinesh, Kamesh Sivagnanam, Jeffrey Schoondyke, Timir Paul
Calcified atheromatous aortic lesion causing significant narrowing of the aorta is an uncommon clinical entity. This calcified atheroma leads to obstruction of the lumen of the aorta simulating acquired coarctation of aorta causing impaired perfusion of lower limbs, visceral ischemia, and hypertension. We report a case of 58-year-old patient who presented with dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, 25-lb weight gain, lower extremity edema, and chest pain. Extensive workup including computed tomography and magnetic resonance imaging revealed a large calcific mass in the aortic arch causing his presenting symptoms...
January 2017: Journal of Investigative Medicine High Impact Case Reports
https://www.readbyqxmd.com/read/28203253/the-use-of-laparoscopy-simulation-to-explore-gender-differences-in-resident-surgical-confidence
#20
Rebecca L Flyckt, Eliza E White, Linnea R Goodman, Catherine Mohr, Sanjeev Dutta, Kristine M Zanotti
Background. The objective of this study was to determine whether female surgical residents underestimate their surgical abilities relative to males on a standardized test of laparoscopic skill. Methods. Twenty-six male and female general surgery residents and 25 female obstetrics and gynecology residents at two academic centers were asked to predict their score prior to undergoing the Fundamentals of Laparoscopic Surgery standardized skills exam. Actual and predicted score as well as delta values (predicted score minus actual score) were compared between residents...
2017: Obstetrics and Gynecology International
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