Nextmed: Automatic Imaging Segmentation, 3D Reconstruction, and 3D Model Visualization Platform Using Augmented and Virtual Reality

The visualization of medical images with advanced techniques, such as augmented reality and virtual reality, represent a breakthrough for medical professionals. In contrast to more traditional visualization tools lacking 3D capabilities, these systems use the three available dimensions. To visualize medical images in 3D, the anatomical areas of interest must be segmented. Currently, manual segmentation, which is the most commonly used technique, and semi-automatic approaches can be time consuming because a doctor is required, making segmentation for each individual case unfeasible. Using new technologies, such as computer vision and artificial intelligence for segmentation algorithms and augmented and virtual reality for visualization techniques implementation, we designed a complete platform to solve this problem and allow medical professionals to work more frequently with anatomical 3D models obtained from medical imaging. As a result, the Nextmed project, due to the different implemented software applications, permits the importation of digital imaging and communication on medicine (dicom) images on a secure cloud platform and the automatic segmentation of certain anatomical structures with new algorithms that improve upon the current research results. A 3D mesh of the segmented structure is then automatically generated that can be printed in 3D or visualized using both augmented and virtual reality, with the designed software systems. The Nextmed project is unique, as it covers the whole process from uploading dicom images to automatic segmentation, 3D reconstruction, 3D visualization, and manipulation using augmented and virtual reality. There are many researches about application of augmented and virtual reality for medical image 3D visualization; however, they are not automated platforms. Although some other anatomical structures can be studied, we focused on one case: a lung study. Analyzing the application of the platform to more than 1000 dicom images and studying the results with medical specialists, we concluded that the installation of this system in hospitals would provide a considerable improvement as a tool for medical image visualization

Pancreatic metastases from renal cell carcinoma. Postoperative outcome after surgical treatment in a Spanish multicenter study (PANMEKID)

Background: Renal Cell Carcinoma (RCC) occasionally spreads to the pancreas. The purpose of our study is to evaluate the short and long-term results of a multicenter series in order to determine the effect of surgical treatment on the prognosis of these patients. Methods: Multicenter retrospective study of patients undergoing surgery for RCC pancreatic metastases, from January 2010 to May 2020. Variables related to the primary tumor, demographics, clinical characteristics of metastasis, location in the pancreas, type of pancreatic resection performed and data on short and long-term evolution after pancreatic resection were collected. Results: The study included 116 patients. The mean time between nephrectomy and pancreatic metastases' resection was 87.35 months (ICR: 1.51-332.55). Distal pancreatectomy was the most performed technique employed (50 %). Postoperative morbidity was observed in 60.9 % of cases (Clavien-Dindo greater than IIIa in 14 %). The median follow-up time was 43 months (13-78). Overall survival (OS) rates at 1, 3, and 5 years were 96 %, 88 %, and 83 %, respectively. The disease-free survival (DFS) rate at 1, 3, and 5 years was 73 %, 49 %, and 35 %, respectively. Significant prognostic factors of relapse were a disease free interval of less than 10 years (2.05 [1.13-3.72], p 0.02) and a history of previous extrapancreatic metastasis (2.44 [1.22-4.86], p 0.01). Conclusions: Pancreatic resection if metastatic RCC is found in the pancreas is warranted to achieve higher overall survival and disease-free survival, even if extrapancreatic metastases were previously removed. The existence of intrapancreatic multifocal compromise does not always warrant the performance of a total pancreatectomy in order to improve survival

Pancreatic metastases from renal cell carcinoma. Postoperative outcome after surgical treatment in a Spanish multicenter study (PANMEKID)

Background: Renal Cell Carcinoma (RCC) occasionally spreads to the pancreas. The purpose of our study is to evaluate the short and long-term results of a multicenter series in order to determine the effect of surgical treatment on the prognosis of these patients. Methods: Multicenter retrospective study of patients undergoing surgery for RCC pancreatic metastases, from January 2010 to May 2020. Variables related to the primary tumor, demographics, clinical characteristics of metastasis, location in the pancreas, type of pancreatic resection performed and data on short and long-term evolution after pancreatic resection were collected. Results: The study included 116 patients. The mean time between nephrectomy and pancreatic metastases' resection was 87.35 months (ICR: 1.51-332.55). Distal pancreatectomy was the most performed technique employed (50 %). Postoperative morbidity was observed in 60.9 % of cases (Clavien-Dindo greater than IIIa in 14 %). The median follow-up time was 43 months (13-78). Overall survival (OS) rates at 1, 3, and 5 years were 96 %, 88 %, and 83 %, respectively. The disease-free survival (DFS) rate at 1, 3, and 5 years was 73 %, 49 %, and 35 %, respectively. Significant prognostic factors of relapse were a disease free interval of less than 10 years (2.05 [1.13-3.72], p 0.02) and a history of previous extrapancreatic metastasis (2.44 [1.22-4.86], p 0.01). Conclusions: Pancreatic resection if metastatic RCC is found in the pancreas is warranted to achieve higher overall survival and disease-free survival, even if extrapancreatic metastases were previously removed. The existence of intrapancreatic multifocal compromise does not always warrant the performance of a total pancreatectomy in order to improve survival. (C) 2021 The Authors. Published by Elsevier Ltd

Repeated pancreatic resection for pancreatic metastases from renal cell Carcinoma: A Spanish multicenter study (PANMEKID)

Background and objectives: Recurrent isolated pancreatic metastasis from Renal Cell Carcinoma (RCC) after pancreatic resection is rare. The purpose of our study is to describe a series of cases of relapse of pancreatic metastasis from renal cancer in the pancreatic remnant and its surgical treatment with a repeated pancreatic resection, and to analyse the results of both overall and disease -free survival. Methods: Multicenter retrospective study of patients undergoing pancreatic resection for RCC pancreatic metastases, from January 2010 to May 2020. Patients were grouped into two groups depending on whether they received a single pancreatic resection (SPS) or iterative pancreatic resection. Data on short and long-term outcome after pancreatic resection were collected. Results: The study included 131 pancreatic resections performed in 116 patients. Thus, iterative pancreatic surgery (IPS) was performed in 15 patients. The mean length of time between the first pancreatic surgery and the second was 48.9 months (95 % CI: 22.2-56.9). There were no differences in the rate of postoperative complications. The DFS rates at 1, 3 and 5 years were 86 %, 78 % and 78 % vs 75 %, 50 % and 37 % in the IPS and SPS group respectively (p = 0.179). OS rates at 1, 3, 5 and 7 years were 100 %, 100 %, 100 % and 75 % in the IPS group vs 95 %, 85 %, 80 % and 68 % in the SPS group (p = 0.895). Conclusion: Repeated pancreatic resection in case of relapse of pancreatic metastasis of RCC in the pancreatic remnant is justified, since it achieves OS results similar to those obtained after the first resection

Mujeres, prensa e invisibilidad: la cuantificación de un olvido

El papel de las mujeres en el espacio público ha sido frenado (o directamente excluido) en largas épocas históricas. Estando esa etapa en retroceso, la visibilidad del protagonismo femenino resulta sustancial a la hora de afianzar el auténtico cambio de tendencia. La visibilidad social de las mujeres es un requisito de justicia, un condicionante básico para la calidad de cualquier Estado democrático. En esa visibilidad social, la visualización que brinden los medios resultará decisiva. Sobre esas pesquisas se orienta este artículo, que se desprende de un análisis comparativo entre diarios españoles de cobertura nacional y diarios regionales pertenecientes a Castilla y León (España). Los resultados cuantitativos son los que en este trabajo se presentan

Mujeres, prensa e invisibilidad: la cuantificación de un olvido

Women’s role in public life was curbed (or directly excluded) throughout long periods in history. With that situation now subsiding, the visibility of women’s prominence and leadership is substantial when it comes to consolidating and reinforcing a genuine change in tendency. Women’s social visibility is a requirement for justice and a basic condition for the quality of any democratic State. Visualization provided by the media will be decisive to that social visibility. This article is guided by that search and is based on a comparative analysis of the Spanish daily newspapers with national circulation and those of a regional nature, specifically in the regions of Castilla and León (Spain). Quantitative findings are presented.El papel de las mujeres en el espacio público ha sido frenado (o directamente excluido) en largas épocas históricas. Estando esa etapa en retroceso, la visibilidad del protagonismo femenino resulta sustancial a la hora de afianzar el auténtico cambio de tendencia. La visibilidad social de las mujeres es un requisito de justicia, un condicionante básico para la calidad de cualquier Estado democrático. En esa visibilidad social, la visualización que brinden los medios resultará decisiva. Sobre esas pesquisas se orienta este artículo, que se desprende de un análisis comparativo entre diarios españoles de cobertura nacional y diarios regionales pertenecientes a Castilla y León (España). Los resultados cuantitativos son los que en este trabajo se presentan

Women, the Press and Invisibility: Quantification of an Oversight

Women’s role in public life was curbed (or directly excluded) throughout long periods in history. With that situation now subsiding, the visibility of women’s prominence and leadership is substantial when it comes to consolidating and reinforcing a genuine change in tendency. Women’s social visibility is a requirement for justice and a basic condition for the quality of any democratic State. Visualization provided by the media will be decisive to that social visibility. This article is guided by that search and is based on a comparative analysis of the Spanish daily newspapers with national circulation and those of a regional nature, specifically in the regions of Castilla and León (Spain). Quantitative findings are presented.El papel de las mujeres en el espacio público ha sido frenado (o directamente excluido) en largas épocas históricas. Estando esa etapa en retroceso, la visibilidad del protagonismo femenino resulta sustancial a la hora de afianzar el auténtico cambio de tendencia. La visibilidad social de las mujeres es un requisito de justicia, un condicionante básico para la calidad de cualquier Estado democrático. En esa visibilidad social, la visualización que brinden los medios resultará decisiva. Sobre esas pesquisas se orienta este artículo, que se desprende de un análisis comparativo entre diarios españoles de cobertura nacional y diarios regionales pertenecientes a Castilla y León (España). Los resultados cuantitativos son los que en este trabajo se presentan

Innovation, research and development in engineering education: activities of the spanish chapter of the IEEE Education Society: directive board of the IEEE Education Society Spanish chapter 2020-2021

The Technical Committee of the CESEI (Spanish Chapter of the IEEE Education Society) is focused on the Innovation, Research and Development (I+R+D) of the education in engineering, mainly Electric and Computer Engineering. As in other interdisciplinary fields, the I+R+D involves several sources of information and different stakeholders, each one with its own focus and purpose. As a result, sometimes it may be complex for practitioners and researchers to identify the more appropriate entities for their interests. This paper shows how the CESEI Technical Committee tries to solve this difficulty by providing updated information regarding the main publications (journals), events (conferences) and awards to the best academic works. The paper focuses special attention on the activities held during 2020–2021.Peer ReviewedPostprint (published version

Repeated pancreatic resection for pancreatic metastases from renal cell Carcinoma: a Spanish multicenter study (PANMEKID)

Background and objectives: Recurrent isolated pancreatic metastasis from Renal Cell Carcinoma (RCC) after pancreatic resection is rare. The purpose of our study is to describe a series of cases of relapse of pancreatic metastasis from renal cancer in the pancreatic remnant and its surgical treatment with a repeated pancreatic resection, and to analyse the results of both overall and disease-free survival. Methods: Multicenter retrospective study of patients undergoing pancreatic resection for RCC pancreatic metastases, from January 2010 to May 2020. Patients were grouped into two groups depending on whether they received a single pancreatic resection (SPS) or iterative pancreatic resection. Data on short and long-term outcome after pancreatic resection were collected. Results: The study included 131 pancreatic resections performed in 116 patients. Thus, iterative pancreatic surgery (IPS) was performed in 15 patients. The mean length of time between the first pancreatic surgery and the second was 48.9 months (95 % CI: 22.2-56.9). There were no differences in the rate of postoperative complications. The DFS rates at 1, 3 and 5 years were 86 %, 78 % and 78 % vs 75 %, 50 % and 37 % in the IPS and SPS group respectively (p = 0.179). OS rates at 1, 3, 5 and 7 years were 100 %, 100 %, 100 % and 75 % in the IPS group vs 95 %, 85 %, 80 % and 68 % in the SPS group (p = 0.895). Conclusion: Repeated pancreatic resection in case of relapse of pancreatic metastasis of RCC in the pancreatic remnant is justified, since it achieves OS results similar to those obtained after the first resection.This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors

Neurodiversidad: Filosofía y Sociedad (II)

Memoria del Proyecto de innovación educativa 122 curso 22-23 "Neurodiversidad: filosofía y sociedad"Depto. de Filosofía y SociedadFac. de FilosofíaFALSEsubmitte