1.Clinical study on application of 3D Slicer software assisted domestic frameless stereotactic robot in biopsy of intracranial lesions.
Hui CHEN ; Xin YAN ; Feng HE ; Sheng Chao DING ; Jin Fu DIAO ; Hui GUO ; Shou Ming CAO ; Chun Juan YANG ; Feng YIN
Chinese Journal of Surgery 2023;61(1):61-65
Objective: To examine the application value of 3D Slicer software assisted domestic frameless stereotactic robot in biopsy of intracranial lesions. Methods: A retrospective analysis was performed on 80 patients who admitted consecutively and underwent intracerebral lesions biopsy with the domestic frameless stereotactic robot at Department of Neurosurgery, Aerospace Central Hospital from January 2019 to December 2021. There were 36 males and 44 females, with a mean age of (38.5±18.0) years (range: 6 to 71 years). Before surgery only enhanced T1-weighted three-dimensional magnetization prepared gradient echo sequences and diffusion tensor imaging scans were performed. Self-reconstruction of intracranial lesions, cerebral cortex and blood vessels was carried out using 3D Slicer software system after the DICOM format imaging data of 80 patients were collected. These imaging data were merged to the workstation of the domestic frameless stereotactic robot for preoperative surgical planning and the surgical puncture path was designed to avoid blood vessels in the brain functional area, cerebral cortex and sulcus. Results: All frameless stereotactic biopsy were successfully performed. Postoperative pathological diagnosis included 50 cases of diffuse astrocytic and oligodendroglioma, 15 cases of lymphoma, 5 cases of metastatic tumors, 5 cases of inflammatory demyelinating disease, 2 cases of inflammatory granuloma, 1 case of hemangioma, 1 case of acute lymphoblastic leukemia intracranial invasion and 1 case of seminoma. The positive diagnosis rate was 100% (80/80). Postoperative imaging confirmed that the puncture path and target were accurately implemented according to the preoperative planning, and the target error was (1.32±0.44) mm (range: 0.55 to 1.99 mm). One case of puncture-related bleeding occurred at the target after surgery and improved after treatment. Conclusion: The three-dimensional multimodal images reconstructed by the 3D Slicer software before operation could help the surgeons make the preoperative planning and reduce the risk of stereotactic brain biopsy.
Male
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Female
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Humans
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Child
;
Adolescent
;
Young Adult
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Adult
;
Middle Aged
;
Aged
;
Brain Neoplasms/pathology*
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Diffusion Tensor Imaging
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Retrospective Studies
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Robotics
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Biopsy
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Software
;
Stereotaxic Techniques
2.Microwave sensor for recognition of abnormal nodule tissue on body surface.
Chunxue LI ; Hongfu GUO ; Chen ZHOU ; Xinran WANG ; Junkai BAI
Journal of Biomedical Engineering 2023;40(1):149-154
For the detection and identification of abnormal nodular tissues on the body surface, a microwave sensor structure loaded with a spiral resonator is proposed in this paper, a sensor simulation model is established using HFSS software, the structural parameters are optimized, and the actual sensor is fabricated. The S21 parameters of the tissue were obtained when nodules appeared by simulation, and the characteristic relationship between the difference of S21 parameters with position was analyzed and tested experimentally. The results showed that when nodules were present in normal tissues, the curve of S21 parameter difference with position change had obvious inverted bimodal characteristics, and the extreme value of S21 parameter difference appeared when the sensor was directly above the nodules, which was easy to identify the position of nodules. It provides an objective detection tool for the identification of abnormal nodular tissues on the body surface.
Microwaves
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Recognition, Psychology
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Computer Simulation
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Software
3.The role of jigsaw karyotype analysis in the teaching of chromosomal recognition.
Chinese Journal of Medical Genetics 2023;40(3):374-377
Karyotype analysis is the basic method in cytogenetics, and is also recognized as the "gold standard" for diagnosing chromosomal disorders. The teaching and training for traditional karyotyping analysis is time-consuming and even boring. The individual's ability for mastering the chromosome morphology can vary greatly. Therefore, it is necessary to improve the teaching method. On the basis of the traditional method, we have added auxiliary analysis software during the teaching. This type of splicing karyotype teaching has increased the students' interest and improved their ability for karyotyping, allowing them to quickly remember the characteristic bands of chromosomes. Through enhanced memory of a large number of karyotypic images, the students' ability to recognize individual chromosomes has improved.
Humans
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Karyotyping
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Karyotype
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Cytogenetics
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RNA Splicing
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Software
4.Automatic determination of mandibular landmarks based on three-dimensional mandibular average model.
Zi Xiang GAO ; Yong WANG ; Ao Nan WEN ; Yu Jia ZHU ; Qing Zhao QIN ; Yun ZHANG ; Jing WANG ; Yi Jiao ZHAO
Journal of Peking University(Health Sciences) 2023;55(1):174-180
OBJECTIVE:
To explore an efficient and automatic method for determining the anatomical landmarks of three-dimensional(3D) mandibular data, and to preliminarily evaluate the performance of the method.
METHODS:
The CT data of 40 patients with normal craniofacial morphology were collected (among them, 30 cases were used to establish the 3D mandibular average model, and 10 cases were used as test datasets to validate the performance of this method in determining the mandibular landmarks), and the 3D mandibular data were reconstructed in Mimics software. Among the 40 cases of mandibular data after the 3D reconstruction, 30 cases that were more similar to the mean value of Chinese mandibular features were selected, and the size of the mandibular data of 30 cases was normalized based on the Procrustes analysis algorithm in MATLAB software. Then, in the Geomagic Wrap software, the 3D mandibular average shape model of the above 30 mandibular data was constructed. Through symmetry processing, curvature sampling, index marking and other processing procedures, a 3D mandible structured template with 18 996 semi-landmarks and 19 indexed mandibular anatomical landmarks were constructed. The open source non-rigid registration algorithm program Meshmonk was used to match the 3D mandible template constructed above with the tested patient's 3D mandible data through non-rigid deformation, and 19 anatomical landmark positions of the patient's 3D mandible data were obtained. The accuracy of the research method was evaluated by comparing the distance error of the landmarks manually marked by stomatological experts with the landmarks marked by the method of this research.
RESULTS:
The method of this study was applied to the data of 10 patients with normal mandibular morphology. The average distance error of 19 landmarks was 1.42 mm, of which the minimum errors were the apex of the coracoid process [right: (1.01±0.44) mm; left: (0.56±0.14) mm] and maximum errors were the anterior edge of the lowest point of anterior ramus [right: (2.52±0.95) mm; left: (2.57±1.10) mm], the average distance error of the midline landmarks was (1.15±0.60) mm, and the average distance error of the bilateral landmarks was (1.51±0.67) mm.
CONCLUSION
The automatic determination method of 3D mandibular anatomical landmarks based on 3D mandibular average shape model and non-rigid registration algorithm established in this study can effectively improve the efficiency of automatic labeling of 3D mandibular data features. The automatic determination of anatomical landmarks can basically meet the needs of oral clinical applications, and the labeling effect of deformed mandible data needs to be further tested.
Humans
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Imaging, Three-Dimensional/methods*
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Mandible/diagnostic imaging*
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Software
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Algorithms
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Anatomic Landmarks/anatomy & histology*
5.Construction and evaluation of an artificial intelligence-based risk prediction model for death in patients with nasopharyngeal cancer.
Hao Xuan ZHANG ; Jin LU ; Cheng Yi JIANG ; Mei Fang FANG
Journal of Southern Medical University 2023;43(2):271-279
OBJECTIVE:
To screen the risk factors for death in patients with nasopharyngeal carcinoma (NPC) using artificial intelligence (AI) technology and establish a risk prediction model.
METHODS:
The clinical data of NPC patients obtained from SEER database (1973-2015). The patients were randomly divided into model building and verification group at a 7∶3 ratio. Based on the data in the model building group, R software was used to identify the risk factors for death in NPC patients using 4 AI algorithms, namely eXtreme Gradient Boosting (XGBoost), Decision Tree (DT), Least absolute shrinkage and selection operator (LASSO) and random forest (RF), and a risk prediction model was constructed based on the risk factor identified. The C-Index, decision curve analysis (DCA), receiver operating characteristic (ROC) curve and calibration curve (CC) were used for internal validation of the model; the data in the validation group and clinical data of 96 NPC patients (collected from First Affiliated Hospital of Bengbu Medical College) were used for internal and external validation of the model.
RESULTS:
The clinical data of a total of 2116 NPC patients were included (1484 in model building group and 632 in verification group). Risk factor screening showed that age, race, gender, stage M, stage T, and stage N were all risk factors of death in NPC patients. The risk prediction model for NPC-related death constructed based on these factors had a C-index of 0.76 for internal evaluation, an AUC of 0.74 and a net benefit rate of DCA of 9%-93%. The C-index of the model in internal verification was 0.740 with an AUC of 0.749 and a net benefit rate of DCA of 3%-89%, suggesting a high consistency of the two calibration curves. In external verification, the C-index of this model was 0.943 with a net benefit rate of DCA of 3%-97% and an AUC of 0.851, and the predicted value was consistent with the actual value.
CONCLUSIONS
Gender, age, race and TNM stage are risk factors of death of NPC patients, and the risk prediction model based on these factors can accurately predict the risks of death in NPC patients.
Humans
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Nasopharyngeal Neoplasms
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Nasopharyngeal Carcinoma
;
Artificial Intelligence
;
Algorithms
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Software
6.Progress in Development of Dose Verification System Software KylinRay-Dose4D.
Huaqing ZHENG ; Guangyao SUN ; Yun ZHAO ; Bo XIAO ; Jing JIA ; Tao HE ; Pengcheng LONG ; Liqin HU
Chinese Journal of Medical Instrumentation 2023;47(4):360-364
Advanced radiotherapy technology enables the dose to more accurately conform to the tumor target area of the patient, providing accurate treatment for the patient, but the gradient of the patient's radiation dose at the tumor edge is getting larger, which putting forward higher requirements for radiotherapy dose verification. The dose verification system software KylinRay-Dose4D can verify the patient's pre-treatment plan and the in vivo/on-line dose during the patient's treatment, providing important reference for the physicist to modify the radiotherapy plan and ensuring that the patient receives accurate treatment. This study introduces the overall design and key technologies of KylinRay-Dose4D, and tests the pre-treatment plan dose checking calculation and 2D/3D dose verification through clinical cases. The test results showed that the 2D/3D gamma pass rate (3 mm/3%) of KylinRay-Dose4D reconstructed dose compared with TPS plan dose and measured dose is larger than 95%, which indicating that the reconstructed dose of KylinRay-Dose4D meets the requirement of clinical application.
Humans
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Radiotherapy Dosage
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Radiotherapy Planning, Computer-Assisted/methods*
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Radiotherapy, Intensity-Modulated/methods*
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Software
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Neoplasms
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Phantoms, Imaging
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Radiometry/methods*
7.Research on Logic Design of Proton Treatment Control System.
Zhuofan CAI ; Rong XIE ; Jianchun DENG ; Zhiyong YANG
Chinese Journal of Medical Instrumentation 2023;47(4):370-376
The proton treatment control system is the supporting software of the proton therapy device, which specifically coordinates and controls the status and work of each subsystem. In this study, the software architecture and hardware implementation of the proton treatment control system was developed and built a foundation for the overall debugging. Using C# programming language and WPF programming techniques, TCP network communication protocol specified by the proton treatment technical document and MVVM pattern in Windows system, the logic design and implementation of each level were studied. Meanwhile, the communication interface between the subsystems under TCP communication protocol was agreed. The logic design and research of the setup field and treatment field were carried out. And the User Interface was designed and developed using the above technology. The program realizes the communication and interaction between the proton treatment control system and each subsystem, so as to control and monitor the whole treatment process. The proton treatment control system provides a software basis for the remote overall debugging and on-line monitor and control of proton treatment device.
Protons
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User-Computer Interface
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Software
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Computers
;
Logic
8.Design of Information System for Whole Life Cycle Management of Medical Equipment.
Chinese Journal of Medical Instrumentation 2023;47(4):454-458
OBJECTIVE:
In order to record the whole life process information of medical equipment and improve the management efficiency, this study proposes an informatization scheme for the whole life cycle management of medical equipment.
METHODS:
Relying on cloud-native, based on the software architecture of front-end and back-end separation, a mode of sub-account and sub-authority management of medical equipment was designed to integrate maintenance work orders, operation reports and other functions, and manage medical equipment data in a structured and platform-based manner.
RESULTS:
Comparing the equipment failure rate, maintenance response time, and average inventory time per device before and after the system operation, the differences are statistically significant (P<0.05).
CONCLUSIONS
The system can realize the work collaboration of maintenance engineers, equipment users, and equipment management personnel, and can trace the information of the whole life cycle of the equipment.
Software
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Information Systems
9.Analysis of the Development Trend in Forensic Odontology Based on CiteSpace.
Hao-Tian MA ; Hua-Ye XIONG ; Ye LU ; Bing LI ; Jiang-Hua LAI
Journal of Forensic Medicine 2023;39(1):18-26
OBJECTIVES:
To realize the dynamic visualization of forensic odontology based on the bibliometrics methods, and capture the research hotspots and identify the future development trend.
METHODS:
Literature articles published from January 1995 to December 2020 were searched according to specific subject words in the core data set of Web of Science. The visualization analysis of publishing country, institution, discipline, author, co-cited journal and keywords was performed by CiteSpace 5.7.R5W software.
RESULTS:
The annual analysis of publications showed an upward trend of forensic odontology research literature year by year, with the number of annual publications more than 110 in the last five years. Developed countries were the main source of contributions and the average centrality was greater than 0.2. The research of forensic odontology involved multiple disciplines, including stomatology, biology, computer science and medical imaging, with a distinct interdisciplinary feature. A total of 115 nodes were obtained by keyword cluster analysis. The principal line of forensic odontology mainly included individual identification and age estimation and the emergence of hotspots was closely related to new technologies. Population-based odontology investigation, improvement of traditional dental age estimation method and dental age estimation based on new technology were popular research in forensic odontology.
CONCLUSIONS
Developing countries urgently need to increase the focus on related research. It may be an important direction for the development of forensic odontology to establish and enrich the regional dental database, develop new odontology identification technology combined with frontier and high-end technology, and develop the identification program based on advanced information technology.
Forensic Medicine
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Software
;
Bibliometrics
10.Acute paediatrics tele-support for caregivers in Singapore: an initial experience with a prototype Chatbot: UPAL.
Sashikumar GANAPATHY ; Su Ying Serena CHANG ; Joanne Mui Ching TAN ; Cynthia LIM ; Kee Chong NG
Singapore medical journal 2023;64(5):335-342
Humans
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Child
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Caregivers
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Singapore
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Software

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