Publications by authors named "Shinya Terada"

Adequate preoperative planning may facilitate successful procedures in cardiovascular surgery. We have developed a system named the Vesalius 3D suite, combining three-dimensional (3D) image-processing software with an optic-tracking spatial navigation, allowing quick, accessible 3D image interpretation for virtual reality (VR) exploration and measurement from one or more of a range of imaging modalities. We present a novel method of virtual imaging analysis for preoperative planning and simulation in cardiovascular surgery using this 3D-VR system.

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Background And Aim Of The Study: To investigate the accuracy of two methods of measuring features in cardiac anatomy, using an objective standard cast model.

Methods: We made a silicone cast using a swine heart. Computerized tomography data of the solidified cast were processed through virtual reality (VR) software and through two-dimensional multiplanar-reconstruction (2D-MPR), and all measurements were compared against physical measurements of the cast.

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Purpose: To investigate a virtual reality imaging system in terms of visualization accuracy and appropriate orientation when displaying cardiac anatomy, we used an ex vivo model enabling direct comparison between reconstructed 3-dimensional visualization of intracardiac structures and real-time visual images.

Description: We established a systole-diastole platform using a swine heart activated by an external mechanical pump and reservoir, allowing simultaneous acquisition of endoscopic visual and computed tomography images of the aortic valve. Virtual images were processed from computed tomography data using 3-dimensional software (the Vesalius 3D suite; PS Medtech, Amsterdam, Netherlands) and compared with visual images seen through a fiberoptic scope.

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Inorganic layered materials can be converted to colloidal liquid crystals through exfoliation into inorganic nanosheets, and binary nanosheet colloids exhibit rich phase behavior characterized by multiphase coexistence. In particular, niobate-clay binary nanosheet colloids are characterized by phase separation at a mesoscopic (∼several tens of micrometers) scale whereas they are apparently homogeneous at a macroscopic scale. Although the mesoscopic structure of the niobate-clay binary colloid is advantageous to realize unusual photochemical functions, the structure itself has not been clearly demonstrated in real space.

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Article Synopsis
  • A 73-year-old male with diabetes was referred for coronary artery bypass grafting (CABG) due to three-vessel coronary disease.
  • The surgical approach used was minimally invasive coronary artery grafting (MICS CABG) through a left thoracotomy to reduce infection risk, utilizing bilateral internal thoracic arteries (BITA) and off-pump techniques.
  • Post-surgery, there were no major complications, and 3D-CTA confirmed the grafts were functioning well, indicating BITA use in MICS CABG is promising but requires more research.
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In off-pump coronary artery bypass grafting(OPCAB), a bloodless operative field has great influence on the quality of anastomosis. In addition, maintenance of distal coronary flow during anastomosis stabilizes hemodynamics. We introduced a new intracoronary shunt cannula, Mini Shunt Pro (MSP).

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Article Synopsis
  • A 52-year-old man experienced right back discomfort after undergoing a coil embolization for a brachiocephalic artery aneurysm, and initial CT imaging made diagnosis challenging due to artifacts from the coils.
  • Angiography successfully identified a rupture of the aneurysm, leading to emergency surgery where a Y-shaped graft was used to connect the ascending aorta to the carotid and subclavian arteries.
  • The surgery used a regional oximetry system (INVOS) to monitor cerebral blood flow, which remained stable throughout, and no neurological complications were reported postoperatively.
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We report the usefulness of retrograde cardioprotective(RC)-beating test as a method to evaluate mitral valve plasty (MVP). MVP has been established as an effective procedure for mitral regurgitation, but nevertheless, a problem remains as to how to reduce postoperative residual regurgitation. In order to solve this problem, it is crucial to image the 3 dimensional structures of the mitral valve and its systolic condition.

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