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Purpose: We present an augmented reality (AR) navigation system that conveys virtual organ models generated from transrectal ultrasonography (TRUS) onto a real laparoscopic video during radical prostatectomy. By providing this additional information about the actual anatomy, we can support surgeons in their working decisions. This work reports the system's first in-vivo application.
Materials And Methods: The system uses custom-developed needles with colored heads that are inserted into the prostate as soon as the organ surface is uncovered. These navigation aids are once segmented in three-dimensional (3D) TRUS data that is acquired right after the placement of the needles and then continuously tracked in the laparoscopic video images by the surgical navigation system. The navigation system traces the navigation aids in real time and computes a registration between TRUS image and laparoscopic video based on the two-dimensional-three dimensional (2D-3D) point correspondences. With this registration, the system correctly superimposes TRUS-based 3D information on an additional AR monitor placed next to the normal laparoscopic screen. Surgical navigation guidance took place until the prostate was removed from the rectal wall. Finally, the navigation aids were removed together with the specimen inside the specimen bag.
Results: The initial human in-vivo application of the surgical navigation system was successful. No complications occurred, the prostate was removed together with the navigation aids, and the system supported the surgeons as intended with an AR visualization in real time. In case of tissue deformations, changes in the spatial configuration of the navigation aids are detected, which preserves the system from erroneous navigation visualization.
Conclusions: Feasibility of the navigation system was shown in the first in-vivo application. TRUS information could be superimposed via AR in real time. To show the benefit for the patient, results obtained from a larger number of trials are needed.
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http://dx.doi.org/10.1089/end.2010.0724 | DOI Listing |
Front Nutr
December 2024
Institute of Biomedical Science, National Sun Yat-sen University, Kaohsiung, Taiwan.
Purpose: This study investigates the complex relationship between body mass index (BMI) and bladder cancer outcomes, utilizing Taiwan's national database. Bladder cancer remains a significant health concern, especially in Taiwan, prompting a comprehensive retrospective analysis to explore the impact of obesity on survival outcomes.
Materials And Methods: A meticulous exclusion process, based on Taiwan National Health Insurance System Database, refined the initial dataset of 15,086 bladder cancer patients to 10,352.
Front Public Health
December 2024
Department of International Health, CAPHRI (Care and Public Health Research Institute), Maastricht University, Maastricht, Netherlands.
Background: Our aim was to assess the level and socio-demographic correlates of knowledge about rights to healthcare services among children in post-communist Albania in order to inform targeted interventions and policies to promote equitable healthcare access for all children.
Methods: An online survey conducted in Albania in September 2022 included a nationwide representative sample of 7,831 schoolchildren (≈54% girls) aged 12-15 years. A structured and anonymous questionnaire was administered inquiring about children's knowledge on their rights to healthcare services.
J Adv Nurs
December 2024
School of Nutrition, Toronto Metropolitan University, Toronto, Canada.
Aims: To present a conceptual definition of transnational healthcare in the context of migrant older adults.
Design: This article follows the Walker and Avant concept analysis framework to conduct an in-depth analysis of transnational healthcare.
Methods: Databases were searched for scholarly articles using keywords associated with transnational healthcare.
Res Social Adm Pharm
December 2024
Institute of Pharmacy, Faculty of Medicine, University of Tartu, Nooruse 1, 50411, Tartu, Estonia.
Background: The European cross-border electronic prescription (CBeP) was first introduced in Estonia and Finland. The CBeP service is gradually being implemented across Europe, prompting a need for practical studies to assess its benefits and potential shortcomings.
Objective: This study aimed to investigate Estonian and Finnish pharmacists' experiences with patient identification, personal data protection and safe use of medications with CBeP, as well as main advantages and areas of development of CBeP.
Water Res
December 2024
Programa de Pós-Graduação em Química Tecnológica e Ambiental (PPGQTA), Universidade Federal do Rio Grande (FURG), Rio Grande, RS 96203-900, Brazil; Instituto de Oceanografia, Universidade Federal do Rio Grande (IO-FURG), Av. Itália s/n, Rio Grande, RS 96203-900, Brazil. Electronic address:
Organotin compounds (OTs) used to be the most widely used biocide in antifouling paint systems, but the International Maritime Organization (IMO) banned them because of their high environmental toxicity to non-target organisms. Currently, at least 25 active ingredients are being employed as biocides in antifouling paint formulations. In the present study, silicone rubber-based passive sampling was used to determine the freely dissolved concentrations (C) of 6 OTs and 4 booster biocides in the water column at the entrance of Santos Port's main navigation channel, the largest Port of South America (southeastern Brazil).
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