Objectives: A new concept for endoscopy is presented in the form of a ureteroscope and cystoscope that efficiently adapts to the needs and situation of the surgical scenario, both in patient's health benefit and better results, and also physician's wellbeing.
Methods: The concept of the instrument, in the neutral position, gives response to the urinary tract anatomy in supine decubitus: horizontally form side to side. The instrument has a handle with a rotor to control the distal active flexible segment of the shaft. It has a unique new shaft with at least three different elastic properties with a proximal firm first segment, followed by a second passive flexible and a third distal active flexible segment. Two pending US patents and another patent endorse the invention.
Results: A perceptive instrument from first contact has been developed. The horizontal response reduces rotation requirements, X-ray needs down to 30 seconds at the most, and operating time to a third. It may be introduced and maneuvered with one hand only, avoiding the need for an assistant and it has the ad vantage that it may be used sitting.
Conclusions: Current operating room scenario generates a demanding situation, affecting even surgeon's own general health. The Campos Instrument has exclusive features for operating room ergonomic fusion, making procedures more dynamic. It simulta-neously procures patient and physician's health. Allows a predictable navigation and provides the stability of a firm endoscope with the diagnostic and therapeutic capabilities of the flexible.
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Crit Rev Oncol Hematol
January 2025
Department of Radiation Oncology, University Hospitals Seidman Cancer Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA. Electronic address:
There is a much debate regarding optimal selection in patients with metastatic cancer who should undergo local treatment (surgery or radiation treatment) to the primary tumor and/or metastases. Additionally, the optimal treatment of newly diagnosed metastatic cancer is largely unclear. Current prognostication systems to best inform these clinical scenarios are limited, as all metastatic patients are grouped together as having Stage IV disease without further incorporation of patient and disease-specific covariates that significantly impact patient outcomes.
View Article and Find Full Text PDFJ Thorac Cardiovasc Surg
January 2025
Division of Cardiology, The Hospital for Sick Children, Toronto, ON, Canada; Center for Image Guided Innovation and Therapeutic Intervention, The Hospital for Sick Children, Toronto, ON, Canada.
Objectives: Mixed reality (MixR) is an innovative visualization tool that presents virtual elements in a real-world environment, enabling real-time interaction between the user and the combined digital/physical reality. We aimed to explore the feasibility of MixR in enhancing preoperative planning and intraoperative guidance for the correction of various complex congenital heart defects (CHDs).
Methods: Patients underwent cardiac computed tomography or cardiac magnetic resonance and segmentation of digital imaging and communications in medicine (DICOM) images was performed.
Sensors (Basel)
January 2025
Shanghai Film Academy, Shanghai University, Shanghai 200072, China.
The advancement of neural radiance fields (NeRFs) has facilitated the high-quality 3D reconstruction of complex scenes. However, for most NeRFs, reconstructing 3D tissues from endoscopy images poses significant challenges due to the occlusion of soft tissue regions by invalid pixels, deformations in soft tissue, and poor image quality, which severely limits their application in endoscopic scenarios. To address the above issues, we propose a novel framework to reconstruct high-fidelity soft tissue scenes from low-quality endoscopic images.
View Article and Find Full Text PDFSensors (Basel)
January 2025
School of Biomedical Engineering, Tsinghua University, Shuang Qing Road, Beijing 100084, China.
Mastoidectomy is critical in acoustic neuroma surgery, where precise planning of the bone milling area is essential for surgical navigation. The complexity of representing the irregular volumetric area and the presence of high-risk structures (e.g.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Neurosurgery, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Kissing aneurysms, a rare and intriguing cerebrovascular anomaly, challenge even the most advanced neurosurgical techniques. These lesions, characterized by two intimately apposed aneurysms with shared arterial walls, often masquerade as single, irregular aneurysms. This report documents a case of ruptured kissing aneurysms in the M1 segment of the right middle cerebral artery (MCA), complicated by ischemic stroke and pulmonary thromboembolism (PTE)-a convergence of severe complications rarely encountered.
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