Irreversible electroporation in locally advanced pancreatic cancer: A call for standardization of energy delivery.

Irreversible Electroporation (IRE) is used to treat locally advanced cancers, commonly of the pancreas, liver, kidney, and other soft tissues. Precise eligibility for IRE should be established in each individual patient by a multidisciplinary team based on comprehensive clinical, imaging, and laboratory assessment. Standardization of IRE technique and protocols is expected to improve safety, lead to reproducible outcomes, and facilitate further research into IRE.

Enhanced ultrasound with navigation leads to improved liver lesion identification and needle placement.

Background: The aim of this study was to evaluate whether enhanced three-dimensional ultrasound (US) could increase the accuracy and efficacy for liver tumor identification and needle placement.

Methods: In a prospective study, 30 surgeons of various training levels were evaluated for lesion identification success and accuracy of needle placement. All surgeons were evaluated for time (seconds) to identify the liver lesions in an artificial model and placement of needles after review of a 3-phase computed tomography scan of the liver, first using standard B-mode US and then using E-3DUS.

Nasal Sculpting: Calculated and Predictable Tip Elevation With Cephalic Trim.

Background: Rhinoplasty techniques to affect nasal tip rotation are well described. Cephalic alar trim is a powerful method for achieving tip elevation. Previous studies and texts provide aesthetic guidelines for nasolabial angles.