5,952 research outputs found

    Recent trends, technical concepts and components of computer-assisted orthopedic surgery systems: A comprehensive review

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    Computer-assisted orthopedic surgery (CAOS) systems have become one of the most important and challenging types of system in clinical orthopedics, as they enable precise treatment of musculoskeletal diseases, employing modern clinical navigation systems and surgical tools. This paper brings a comprehensive review of recent trends and possibilities of CAOS systems. There are three types of the surgical planning systems, including: systems based on the volumetric images (computer tomography (CT), magnetic resonance imaging (MRI) or ultrasound images), further systems utilize either 2D or 3D fluoroscopic images, and the last one utilizes the kinetic information about the joints and morphological information about the target bones. This complex review is focused on three fundamental aspects of CAOS systems: their essential components, types of CAOS systems, and mechanical tools used in CAOS systems. In this review, we also outline the possibilities for using ultrasound computer-assisted orthopedic surgery (UCAOS) systems as an alternative to conventionally used CAOS systems.Web of Science1923art. no. 519

    Building and validation of low-cost breast phantoms for interventional procedures

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    Breast cancer is one of the types of cancer with the highest incidence in female population. Current treatment for breast cancer is lumpectomy, a breast conserving tumor excision procedure based on localizing the tumor with the help of hook-wire needle placement. Although this constitutes the standard approach in clinical practice, these procedures do not ensure the complete removal of the lesion due to the demonstrated high rate of positive margins. Improvements in these techniques are needed in order to reduce the number of second interventions, which usually involve mastectomy. Here is where ultrasound-guided interventions with real-time position tracking find their place. The problem is that these techniques require a high level of expertise and they present long learning curves. Therefore, training is needed in order to get from these tools their highest potential and have a real impact in the life of patients. For this purpose, breast phantoms were manufactured using liquid vinyl in order to achieve a mammary mimicking tissue. Optimal manufacturing technique was determined based on a gold-standard (commercial phantom). CT and ultrasound imaging were used to assess the identification of lesions. In addition, manufactured breast phantoms were evaluated by an expert clinician and surgical navigation was tested. This was done with the purpose of validating the breast phantom as a training tool useful for improving the outcomes of these procedures. The results indicated that the optimized formula achieved for the manufacturing of low-cost breast phantoms was suitable for training the skillset required in the interventions related with breast cancer treatment.Ingeniería Biomédica (Plan 2010

    STATE OF THE ART INVESTIGATION IN MEDICAL ULTRASOUND DIAGNOSTICS USING PATENT PUBLICATIONS DATABASE

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    Patents are now an integral part of global economy. The creation of the world trade system has also redefined the value of intellectual property protection and generated an unprecedented demand for patent protection that is no longer limited to the traditionally patent-oriented economies of Europe, Japan and the USA. Countries like China, India and Korea, and Singapore and Israel too, are just some of the new players heavily involved in patent-driven innovative competition. Patents protect technical inventions. An invention can, for example, be a product, process or apparatus. Inventions are only patentable if they are novel, industrially applicable and involve an inventive step, but even then patent protection is not granted automatically. The application must be accompanied by a full technical description of the invention, which the Office then examines for compliance with the European Patent Convention. Patents give their owners the right to prevent others from using their invention, and are thus of major economic importance. They also help to recoup research costs, allowing the inventor to reinvest in research and development. The publication requirement allows competitors to build on patented inventions and come up with even better technical solutions. In doing so, patents boost the innovation which Europe badly needs to keep up with other economies, and contribute to the further development of a knowledge society. The 56 million or so patent documents contained in the public EPO database constitute a vast trove of technical information. The field of medical device, according to European Patent Office Annual Report of 2005, is one of the technical fields with the most filings. This state of the art investigation, performed using the patent publications database, is focused on the field of diagnostic ultrasound, a field that thanks to its non ionizing nature and low cost is a very high growing area and a lot of scientific research is made. Scope of this work is to provide an useful tool that allows to check the level of the ultrasound technology and to indicate the future direction of this technique. Scope of this work is also to provide information to all the researchers and inventors who want to set out a patent procedure of an invention. As known, the patent procedure, from the filing day until the decision of granting the patent is quite expensive, this work could be used as a primary consultation tool before to present a patent application. All chapters of this work contains an introduction that explain the technical problematic of a field and in the subsequent sections the solutions are described. In the first chapter of this work the European Patent Office and the world of patents is introduced. A special attention is revolted to several articles of the EPC (European Patent Convention) and to the classification system adopted by the EPO. Some statistics about European patent application filed in 2005 are illustrated and the difference between the first to invent system adopted by EPO (and by the majority of countries) and the first to invent system (adopted by U.S.A.) will be treated at the end of this chapter. In the second chapter the basics of ultrasound are illustrated with particular attention to the physics principles that are at the base of ultrasound devices described in this state of the art investigation. The state of the art is divided in 5 chapters, from 3 to 7, each chapter is about a specific technique. In the third chapter the ultrasound contrast agents are introduced and their main diagnostic application are disclosed. The fourth chapter is about three dimensional imaging, this field is divided in 4 section: mechanical, free-hand, 2D arrays and catheters. In the fifth chapter the technique of elastography and its application is described focusing on the stimulation protocols and methods. The sixth chapter is directed to all the devices that allow to study the blood flow inside vessels and arteries and the seventh chapter treats about the ultrasound catheters and their characteristics. At the end of each chapter statistics about the trends in European patent application in the last 25 years will be illustrated. In the conclusion of this work the future developments field of ultrasound technique will be illustrated

    Advances in structural analysis and process monitoring of thermoplastic composite pipes.

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    Thermoplastic composite pipes (TCP) in comparison to other pipes have proven beneficial features due to its flexibility which includes being fit for purpose, lightweight and no corrosion. However, during the manufacturing of TCP which involves the consolidation process, certain defects may be induced in it because of certain parameters, and this can affect the performance of the pipe in the long run as the induced defects might lead to in-service defects. Current techniques used in the industry are facing challenges with on-the-spot detection in a continuous manufacturing system. In TCP manufacturing process, the pipe is regularly monitored. When a defect is noticed, the whole process stops, and the appropriate action is taken. However, shutting down the process is costly; hence it is vital to decrease the downtime during manufacturing to the barest minimum. The solutions include optimizing the process for reduction in the manufacturing defects amount and thoroughly understanding the effect of parameters which causes certain defect types in the pipe. This review covers the current state-of-the-art and challenges associated with characterizing the identified manufacturing induced defects in TCP. It discusses and describes all effective consolidation monitoring strategy for early detection of these defects during manufacturing through the application of suitable sensing technology that is compatible with the TCP. It can be deduced that there is a correlation between manufacturing process to the performance of the final part and selection of characterization technique as well as optimizing process parameters

    Biomechanical Modeling and Inverse Problem Based Elasticity Imaging for Prostate Cancer Diagnosis

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    Early detection of prostate cancer plays an important role in successful prostate cancer treatment. This requires screening the prostate periodically after the age of 50. If screening tests lead to prostate cancer suspicion, prostate needle biopsy is administered which is still considered as the clinical gold standard for prostate cancer diagnosis. Given that needle biopsy is invasive and is associated with issues including discomfort and infection, it is desirable to develop a prostate cancer diagnosis system that has high sensitivity and specificity for early detection with a potential to improve needle biopsy outcome. Given the complexity and variability of prostate cancer pathologies, many research groups have been pursuing multi-parametric imaging approach as no single modality imaging technique has proven to be adequate. While imaging additional tissue properties increases the chance of reliable prostate cancer detection and diagnosis, selecting an additional property needs to be done carefully by considering clinical acceptability and cost. Clinical acceptability entails ease with respect to both operating by the radiologist and patient comfort. In this work, effective tissue biomechanics based diagnostic techniques are proposed for prostate cancer assessment with the aim of early detection and minimizing the numbers of prostate biopsies. The techniques take advantage of the low cost, widely available and well established TRUS imaging method. The proposed techniques include novel elastography methods which were formulated based on an inverse finite element frame work. Conventional finite element analysis is known to have high computational complexity, hence computation time demanding. This renders the proposed elastography methods not suitable for real-time applications. To address this issue, an accelerated finite element method was proposed which proved to be suitable for prostate elasticity reconstruction. In this method, accurate finite element analysis of a large number of prostates undergoing TRUS probe loadings was performed. Geometry input and displacement and stress fields output obtained from the analysis were used to train a neural network mapping function to be used for elastopgraphy imaging of prostate cancer patients. The last part of the research presented in this thesis tackles an issue with the current 3D TRUS prostate needle biopsy. Current 3D TRUS prostate needle biopsy systems require registering preoperative 3D TRUS to intra-operative 2D TRUS images. Such image registration is time-consuming while its real-time implementation is yet to be developed. To bypass this registration step, concept of a robotic system was proposed which can reliably determine the preoperative TRUS probe position relative to the prostate to place at the same position relative to the prostate intra-operatively. For this purpose, a contact pressure feedback system is proposed to ensure similar prostate deformation during 3D and 2D image acquisition in order to bypass the registration step

    Traffic jam driving with NMV avoidance

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    n recent years, the development of advanced driver assistance systems (ADAS) – mainly based on lidar and cameras – has considerably improved the safety of driving in urban environments. These systems provide warning signals for the driver in the case that any unexpected traffic circumstance is detected. The next step is to develop systems capable not only of warning the driver but also of taking over control of the car to avoid a potential collision. In the present communication, a system capable of autonomously avoiding collisions in traffic jam situations is presented. First, a perception system was developed for urban situations—in which not only vehicles have to be considered, but also pedestrians and other non-motor-vehicles (NMV). It comprises a differential global positioning system (DGPS) and wireless communication for vehicle detection, and an ultrasound sensor for NMV detection. Then, the vehicle's actuators – brake and throttle pedals – were modified to permit autonomous control. Finally, a fuzzy logic controller was implemented capable of analyzing the information provided by the perception system and of sending control commands to the vehicle's actuators so as to avoid accidents. The feasibility of the integrated system was tested by mounting it in a commercial vehicle, with the results being encouraging

    The application of biomedical engineering techniques to the diagnosis and management of tropical diseases: A review

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    This paper reviews a number of biomedical engineering approaches to help aid in the detection and treatment of tropical diseases such as dengue, malaria, cholera, schistosomiasis, lymphatic filariasis, ebola, leprosy, leishmaniasis, and American trypanosomiasis (Chagas). Many different forms of non-invasive approaches such as ultrasound, echocardiography and electrocardiography, bioelectrical impedance, optical detection, simplified and rapid serological tests such as lab-on-chip and micro-/nano-fluidic platforms and medical support systems such as artificial intelligence clinical support systems are discussed. The paper also reviewed the novel clinical diagnosis and management systems using artificial intelligence and bioelectrical impedance techniques for dengue clinical applications

    Physiological Remote Monitoring of Free Tissue Transfer

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    In the clinical setting today, the Doppler probe is the gold standard of monitoring free flaps. However, it poses many limitations including, but not limited to, subjective interpretation, reproducibility and limited remote access, confining the surgeon to the hospital for days. This project focuses on the design of a remote monitoring application for free tissue transplants. Utilizing a custom housing with a Doppler probe and temperature sensor, the device is capable of sampling physiological signals from tissue after microvascular surgery. This information is then exported to cloud storage for remote access. This enables surgeons to leave the hospital without leaving their patient, while also providing early detection of flap failure and better success rates
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