Evaluating the use of three-dimensional reconstruction visualization technology for precise laparoscopic resection in gastroesophageal junction cancer

BACKGROUND Laparoscopic gastrectomy for esophagogastric junction(EGJ)carcinoma enables the removal of the carcinoma at the junction between the stomach and esophagus while preserving the gastric function,thereby providing patients with better treatment outcomes and quality of life.Nonetheless,this surgical technique also presents some challenges and limitations.Therefore,three-dimensional reconstruction visualization technology(3D RVT)has been introduced into the procedure,providing doctors with more comprehensive and intuitive anatomical information that helps with surgical planning,navigation,and outcome evaluation.AIM To discuss the application and advantages of 3D RVT in precise laparoscopic resection of EGJ carcinomas.METHODS Data were obtained from the electronic or paper-based medical records at The First Affiliated Hospital of Hebei North University from January 2020 to June 2022.A total of 120 patients diagnosed with EGJ carcinoma were included in the study.Of these,68 underwent laparoscopic resection after computed tomography(CT)-enhanced scanning and were categorized into the 2D group,whereas 52 underwent laparoscopic resection after CT-enhanced scanning and 3D RVT and were categorized into the 3D group.This study had two outcome measures:the deviation between tumor-related factors(such as maximum tumor diameter and infiltration length)in 3D RVT and clinical reality,and surgical outcome indicators(such as operative time,intraoperative blood loss,number of lymph node dissections,R0 resection rate,postoperative hospital stay,postoperative gas discharge time,drainage tube removal time,and related complications)between the 2D and 3D groups.RESULTS Among patients included in the 3D group,27 had a maximum tumor diameter of less than 3 cm,whereas 25 had a diameter of 3 cm or more.In actual surgical observations,24 had a diameter of less than 3 cm,whereas 28 had a diameter of 3 cm or more.The findings were consistent between the two methods(χ^(2)=0.346,P=0.556),with a kappa consistency coefficient of 0.808.With respect to infiltration length,in the 3D group,23 patients had a length of less than 5 cm,whereas 29 had a length of 5 cm or more.In actual surgical observations,20 cases had a length of less than 5 cm,whereas 32 had a length of 5 cm or more.The findings were consistent between the two methods(χ^(2)=0.357,P=0.550),with a kappa consistency coefficient of 0.486.Pearson correlation analysis showed that the maximum tumor diameter and infiltration length measured using 3D RVT were positively correlated with clinical observations during surgery(r=0.814 and 0.490,both P<0.05).The 3D group had a shorter operative time(157.02±8.38 vs 183.16±23.87),less intraoperative blood loss(83.65±14.22 vs 110.94±22.05),and higher number of lymph node dissections(28.98±2.82 vs 23.56±2.77)and R0 resection rate(80.77%vs 61.64%)than the 2D group.Furthermore,the 3D group had shorter hospital stay[8(8,9)vs 13(14,16)],time to gas passage[3(3,4)vs 4(5,5)],and drainage tube removal time[4(4,5)vs 6(6,7)]than the 2D group.The complication rate was lower in the 3D group(11.54%)than in the 2D group(26.47%)(χ^(2)=4.106,P<0.05).CONCLUSION Using 3D RVT,doctors can gain a more comprehensive and intuitive understanding of the anatomy and related lesions of EGJ carcinomas,thus enabling more accurate surgical planning.

Defect-induced Surface and Interface Reconstruction in Novel Two-dimensional Materials Revealed by Low Voltage Scanning Transmission Electron Microscopy

Two-dimensional(2 D) materials attracted substantial attention due to their extraordinary physical properties resulting from the unique atomic thickness. 2 D materials could be considered as material systems with flat surfaces at both sides, while the van der Waals gap is a natural out-of-plane interface between two monolayers. However, defects are inevitably presented and often cause significant surface and interface reconstruction, which modify the physical properties of the materials being investigated. In this review article, we reviewed the effort achieved in probing the defect structures and the reconstruction of surface and interface in novel 2 D materials through aberration corrected low voltage scanning transmission electron microscopy(LVSTEM). The LVSTEM technique enables us to unveil the intrinsic atomic structure of defects atom-by-atom, and even directly visualize the dynamical reconstruction process with single atom precision. The effort in understanding the defect structures and their contributions in the surface and interface reconstructions in 2 D materials shed light on the origin of their novel physical phenomenon, and also pave the way for defect engineering in future potential applications.

Application of the multi-planar reconstruction in endovascular treatment of type B aortic dissection

Background Although Multi-planar reconstruction （MPR） has been considered a diagnostic imaging technique that observes more perspectives for diseases,few people have applied it surgically.In fact,MPR is also very useful to clinical operation,especially for patients with type B aortic dissection.It helps the surgeon to locate accurately with more information about aortic dissection,so that the safety and effectiveness of operation can be improved.This study examined the application of the MPR in intraoperative DSA imaging for precise positioning by accurately obtaining a crosssection,a spin angle of the coronal plane,and a tilt angle of the sagittal plane in treatment of type B aortic dissection.Methods The conventional and the MPR approaches were compared on positioning the aortic arch for surgery.A group of 40 patients （group A） and another group of 42 patients （group B） was sampled.About the comparison of baseline characteristics,a fourfold table X2 test was conducted on gender,and two independent samples t-test was applied to age between group A and group B.Spin as well as tilt angles for group A were obtained from the patients using both approaches,and their effectiveness was compared with pair t-tests; The MPR data guided stent-grafting in this group.Stent graft placement of group B was based on the conventional approach.Percentages of proximal distributed markers as well as incidences of complications were collected from both groups after stent graft placement.They were also compared with a fourfold table X2 test.Results Gender difference was not found between group A and group B （X2=0.80,P ＞0.05）,and age difference was not statistically significant （F=2.55,homogeneity of variance,t=-1.46,P ＞0.05）.A significant difference was found between the conventional and the MPR approaches for spin angle （t=9.17） as well as tilt angle （t=-2.07）,P ＜0.05.Percentage of proximal distributed markers （5.0％） of group A was significantly lower than that of group B （42.9％）,X2=15.92,P ＜0.05;and incidence of complications （5.0％） of group A was also significant lower than that of group B （21.4％）,X2=4.76,P ＜0.05.Conclusions Application of the MPR facilitated intraoperative angle adaption and led to satisfactory DSA.It is feasible in endovascular treatment of type B aortic dissection,and can effectively and safely guide surgical operations.

Recent advances of two-dimensional CoFe layered-double-hydroxides for electrocatalytic water oxidation

Oxygen evolution reaction(OER)is pivotal to drive green hydrogen generation from water electrolysis,but yet is strictly overshadowed by the sluggish reaction kinetics.Earth-abundant and cut-price transitionmetal compounds,particularly Co Fe layered-double-hydroxides(LDHs),show the distinct superiorities in contrast to noble metals and their derivatives.In this review,we firstly underline their fundamental issues in electrocatalytic water oxidation,including Co Fe LDHs crystal structure,the surface of(hydr)oxides confined to OER and the controversial roles of Fe species,aiming at understanding the structure-related activity and catalytic mechanism.Advanced approaches for optimizing OER activity of Co Fe LDHs are then comprehensively overviewed,which will shed light on the different working mechanisms and provide a concise analysis of their unique advantages.Finally,a perspective on the future development of Co Fe LDHs electrocatalysts is offered.We hope this review can give a concise and explicit guidance for the development of transition-metal-based electrocatalysts in the energy field.

Submonolayer Eu superstructures—A class of 2D magnets

Two-dimensional(2D)magnetic materials promise unconventional properties and quantum phases as well as advances in ultracompact spintronics.Miniaturization of 2D magnets often reaches a single monolayer but in general can go beyond this limit,as demonstrated by 2D magnetism of submonolayer Eu superstructures coupled with Si.The question is whether the submonolayer magnetism constitutes a general phenomenon.Herein,we demonstrate that regular Eu lattices form a class of 2D magnets displaying various structures,stoichiometries,and chemical bonding.We synthesized and studied a set of Eu superstructures on Ge(001).Their magnetic properties are consistent with the emergence of a magnetic order such as ferro-or ferrimagnetism.In particular,control over the magnetic transition temperature by weak magnetic fields indicates the 2D nature of the magnetism.Taken together,Eu/Ge and Eu/Si superstructures seed a nucleus of the research area addressing the emergence of magnetism in submonolayer chemical species.

Radial Hahn Moment Invariants for 2D and 3D Image Recognition

Recently, orthogonal moments have become efficient tools for two-dimensional and three-dimensional（2D and 3D） image not only in pattern recognition, image vision, but also in image processing and applications engineering. Yet, there is still a major difficulty in 3D rotation invariants. In this paper, we propose new sets of invariants for 2D and 3D rotation, scaling and translation based on orthogonal radial Hahn moments. We also present theoretical mathematics to derive them. Thus, this paper introduces in the first case new 2D radial Hahn moments based on polar representation of an object by one-dimensional orthogonal discrete Hahn polynomials, and a circular function. In the second case, we present new 3D radial Hahn moments using a spherical representation of volumetric image by one-dimensional orthogonal discrete Hahn polynomials and a spherical function. Further 2D and 3D invariants are derived from the proposed 2D and 3D radial Hahn moments respectively, which appear as the third case. In order to test the proposed approach, we have resolved three issues： the image reconstruction, the invariance of rotation, scaling and translation, and the pattern recognition. The result of experiments show that the Hahn moments have done better than the Krawtchouk moments, with and without noise. Simultaneously, the mentioned reconstruction converges quickly to the original image using 2D and 3D radial Hahn moments, and the test images are clearly recognized from a set of images that are available in COIL-20 database for 2D image, and Princeton shape benchmark（PSB） database for 3D image.