Breast Conserving Surgery (BCS) is a rapidly emerging field increasingly adopted to facilitate breast conservation and preserve breast aesthetics. Since the publicatio</span><span style="font-family:Verd...Breast Conserving Surgery (BCS) is a rapidly emerging field increasingly adopted to facilitate breast conservation and preserve breast aesthetics. Since the publicatio</span><span style="font-family:Verdana;">n of the Randomized Controlled Trials (RCTs) of Breast Conserving Surgery versus mastectomy in early breast cancer, the adoption of BCS for breast cancer patients’ surgical management has been comprehensive. A computerized bibliographic search was performed on PubMed/MEDLINE,</span><span style="font-family:Verdana;"> Embase, Google Scholar and Cochrane library databases. This article aims to perform a thorough review of new data regarding invasive cancer and margins while evaluating patient outcomes related to BCS after neoadjuvant chemotherapy focusing on margins, imaging evaluation, the extent of resection, and local regional recurrence outcomes. The growth pattern and biopsy of Ductal Carcinoma </span><i><span style="font-family:Verdana;">In Situ</span></i><span style="font-family:Verdana;"> (DCIS) differ from invasive cancer, impacting margins. It is essential to understand how the Society of Surgical Oncology (SSO) DCIS margin guideline has influenced practice. Early breast cancer surgical management should be unique to each patient, driven by evidence-based medicine, and focused on specific clinical, histological, and molecular characteristics of the tumor. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">The current management for early breast cancer should be tailored and evidence-based to each patient based on the clinical, histological and molecular characteristics of the tumor. Presumably, the standard of care in BCS has enhanced the outcomes for this patient population. This review made by peers will help surgeons to stay up to date with the current literature and help them manage breast cancer while improving multiple clinical parameters such as Disease-Free Survival (DFS), Recurrence-Free Survival (RFS) and most importantly Overall Survival (OS)</span></span></span><span style="font-family:Verdana;">.展开更多
针对传统局部不变特征的景象匹配算法冗余点多、实时性差、抗几何变换不突出的情况,提出基于CenSurE-star的无人机(UAV)景象匹配算法。首先采用Cen Sur E特征星型滤波器(CenSurE-star)提取基准图和实时图中的特征点,并生成FREAK二进制...针对传统局部不变特征的景象匹配算法冗余点多、实时性差、抗几何变换不突出的情况,提出基于CenSurE-star的无人机(UAV)景象匹配算法。首先采用Cen Sur E特征星型滤波器(CenSurE-star)提取基准图和实时图中的特征点,并生成FREAK二进制描述符;然后将汉明距离作为特征点的相似性判定度量,采用K近邻距离比值的方法提取匹配点对;最后利用基于RANSAC的定位模型得到空间几何变换关系,实现图像匹配并获取定位点经纬坐标。算法性能评价实验表明,本文算法不仅相对于SIFT、SURF、ORB算法,对各种变换具有更好的鲁棒性,而且相对于改进的SIFT、SURF算法处理时间有更大程度的缩短,算法定位误差在0.8个像素内,尺度误差在0.02倍内,旋转角度误差在0.04°内。基于算法进行外场飞行实验,实验证明算法定位精度较高,可以适应地貌信息较少的环境,并能满足无人机视觉辅助导航的需求。展开更多
The history of bariatric surgery is investigational.Dedicated surgeons have continuously sought for an ideal procedure to relieve morbidly obese patients from their burden of comorbid conditions,reduced life expectanc...The history of bariatric surgery is investigational.Dedicated surgeons have continuously sought for an ideal procedure to relieve morbidly obese patients from their burden of comorbid conditions,reduced life expectancy and low quality of life.The ideal procedure must have low complication risk,both in short- and long term,as well as minimal impact on daily life.The revolution of laparoscopic techniques in bariatric surgery is described in this summary.Advances in minimal invasive techniques have contributed to reduced operative time,length of stay,and complications.The development in bariatric surgery has been exceptional,resulting in a dramatic increase of the number of procedures performed world wide during the last decades.Although,a complex bariatric procedure can be performed with operative mortality no greater than cholecystectomy,specific procedure-related complications and other drawbacks must be taken into account.The evolution of laparoscopy will be the legacy of the 21 st century and at present,day-care surgery and further reduction of the operative trauma is in focus.The impressive effects on comorbid conditions have prompted the adoption of minimal invasive bariatric procedures into the field of metabolic surgery.展开更多
文摘Breast Conserving Surgery (BCS) is a rapidly emerging field increasingly adopted to facilitate breast conservation and preserve breast aesthetics. Since the publicatio</span><span style="font-family:Verdana;">n of the Randomized Controlled Trials (RCTs) of Breast Conserving Surgery versus mastectomy in early breast cancer, the adoption of BCS for breast cancer patients’ surgical management has been comprehensive. A computerized bibliographic search was performed on PubMed/MEDLINE,</span><span style="font-family:Verdana;"> Embase, Google Scholar and Cochrane library databases. This article aims to perform a thorough review of new data regarding invasive cancer and margins while evaluating patient outcomes related to BCS after neoadjuvant chemotherapy focusing on margins, imaging evaluation, the extent of resection, and local regional recurrence outcomes. The growth pattern and biopsy of Ductal Carcinoma </span><i><span style="font-family:Verdana;">In Situ</span></i><span style="font-family:Verdana;"> (DCIS) differ from invasive cancer, impacting margins. It is essential to understand how the Society of Surgical Oncology (SSO) DCIS margin guideline has influenced practice. Early breast cancer surgical management should be unique to each patient, driven by evidence-based medicine, and focused on specific clinical, histological, and molecular characteristics of the tumor. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">The current management for early breast cancer should be tailored and evidence-based to each patient based on the clinical, histological and molecular characteristics of the tumor. Presumably, the standard of care in BCS has enhanced the outcomes for this patient population. This review made by peers will help surgeons to stay up to date with the current literature and help them manage breast cancer while improving multiple clinical parameters such as Disease-Free Survival (DFS), Recurrence-Free Survival (RFS) and most importantly Overall Survival (OS)</span></span></span><span style="font-family:Verdana;">.
文摘针对传统局部不变特征的景象匹配算法冗余点多、实时性差、抗几何变换不突出的情况,提出基于CenSurE-star的无人机(UAV)景象匹配算法。首先采用Cen Sur E特征星型滤波器(CenSurE-star)提取基准图和实时图中的特征点,并生成FREAK二进制描述符;然后将汉明距离作为特征点的相似性判定度量,采用K近邻距离比值的方法提取匹配点对;最后利用基于RANSAC的定位模型得到空间几何变换关系,实现图像匹配并获取定位点经纬坐标。算法性能评价实验表明,本文算法不仅相对于SIFT、SURF、ORB算法,对各种变换具有更好的鲁棒性,而且相对于改进的SIFT、SURF算法处理时间有更大程度的缩短,算法定位误差在0.8个像素内,尺度误差在0.02倍内,旋转角度误差在0.04°内。基于算法进行外场飞行实验,实验证明算法定位精度较高,可以适应地貌信息较少的环境,并能满足无人机视觉辅助导航的需求。
文摘The history of bariatric surgery is investigational.Dedicated surgeons have continuously sought for an ideal procedure to relieve morbidly obese patients from their burden of comorbid conditions,reduced life expectancy and low quality of life.The ideal procedure must have low complication risk,both in short- and long term,as well as minimal impact on daily life.The revolution of laparoscopic techniques in bariatric surgery is described in this summary.Advances in minimal invasive techniques have contributed to reduced operative time,length of stay,and complications.The development in bariatric surgery has been exceptional,resulting in a dramatic increase of the number of procedures performed world wide during the last decades.Although,a complex bariatric procedure can be performed with operative mortality no greater than cholecystectomy,specific procedure-related complications and other drawbacks must be taken into account.The evolution of laparoscopy will be the legacy of the 21 st century and at present,day-care surgery and further reduction of the operative trauma is in focus.The impressive effects on comorbid conditions have prompted the adoption of minimal invasive bariatric procedures into the field of metabolic surgery.
