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Computer-assisted three-dimensional individualized extreme liver resection for hepatoblastoma in proximity to the major liver vasculature
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作者 Wen-Li Xiu Jie Liu +7 位作者 Jing-Li Zhang Jing-Miao Wang Xue-Feng Wang Fei-Fei Wang Jie Mi Xi-Wei Hao NanXia Qian Dong 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第4期1066-1077,共12页
BACKGROUND The management of hepatoblastoma(HB)becomes challenging when the tumor remains in close proximity to the major liver vasculature(PMV)even after a full course of neoadjuvant chemotherapy(NAC).In such cases,e... BACKGROUND The management of hepatoblastoma(HB)becomes challenging when the tumor remains in close proximity to the major liver vasculature(PMV)even after a full course of neoadjuvant chemotherapy(NAC).In such cases,extreme liver resection can be considered a potential option.AIM To explore whether computer-assisted three-dimensional individualized extreme liver resection is safe and feasible for children with HB who still have PMV after a full course of NAC.METHODS We retrospectively collected data from children with HB who underwent surgical resection at our center from June 2013 to June 2023.We then analyzed the detailed clinical and three-dimensional characteristics of children with HB who still had PMV after a full course of NAC.RESULTS Sixty-seven children diagnosed with HB underwent surgical resection.The age at diagnosis was 21.4±18.8 months,and 40 boys and 27 girls were included.Fifty-nine(88.1%)patients had a single tumor,39(58.2%)of which was located in the right lobe of the liver.A total of 47 patients(70.1%)had PRE-TEXT III or IV.Thirty-nine patients(58.2%)underwent delayed resection.After a full course of NAC,16 patients still had close PMV(within 1 cm in two patients,touching in 11 patients,compressing in four patients,and showing tumor thrombus in three patients).There were 6 patients of tumors in the middle lobe of the liver,and four of those patients exhibited liver anatomy variations.These 16 children underwent extreme liver resection after comprehensive preoperative evaluation.Intraoperative procedures were performed according to the preoperative plan,and the operations were successfully performed.Currently,the 3-year event-free survival of 67 children with HB is 88%.Among the 16 children who underwent extreme liver resection,three experienced recurrence,and one died due to multiple metastases.CONCLUSION Extreme liver resection for HB that is still in close PMV after a full course of NAC is both safe and feasible.This approach not only reduces the necessity for liver transplantation but also results in a favorable prognosis.Individualized three-dimensional surgical planning is beneficial for accurate and complete resection of HB,particularly for assessing vascular involvement,remnant liver volume and anatomical variations. 展开更多
关键词 Children HEPATOBLASTOMA Surgery THREE-DIMENSIONAL computer-assisted
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Diagnostic efficacy of virtual organ computer-assisted analysis in measuring the volume ratio of subchorionic hematoma with serum progesterone
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作者 Lin-Ling Shen Jing Shi +2 位作者 Chang-Wei Ding Gao-Le Dai Qi Ma 《World Journal of Clinical Cases》 SCIE 2024年第17期3053-3060,共8页
BACKGROUND Subchorionic hematoma(SCH)is a common complication in early pregnancy characterized by the accumulation of blood between the uterine wall and the chorionic membrane.SCH can lead to adverse pregnancy outcome... BACKGROUND Subchorionic hematoma(SCH)is a common complication in early pregnancy characterized by the accumulation of blood between the uterine wall and the chorionic membrane.SCH can lead to adverse pregnancy outcomes such as miscarriage,preterm birth,and other complications.Early detection and accurate assessment of SCH are crucial for appropriate management and improved pregnancy outcomes.AIM To evaluate the diagnostic efficacy of virtual organ computer-assisted analysis(VOCAL)in measuring the volume ratio of SCH to gestational sac(GS)combined with serum progesterone on early pregnancy outcomes in patients with SCH.METHODS A total of 153 patients with SCH in their first-trimester pregnancies between 6 and 11 wk were enrolled.All patients were followed up until a gestational age of 20 wk.The parameters of transvaginal two-dimensional ultrasound,including the circumference of SCH(Cs),surface area of SCH(Ss),circumference of GS(Cg),and surface area of GS(Sg),and the parameters of VOCAL with transvaginal three-dimensional ultrasound,including the three-dimensional volume of SCH(3DVs)and GS(3DVg),were recorded.The size of the SCH and its ratio to the GS size(Cs/Cg,Ss/Sg,3DVs/3DVg)were recorded and compared.RESULTS Compared with those in the normal pregnancy group,the adverse pregnancy group had higher Cs/Cg,Ss/Sg,and 3DVs/3DVg ratios(P<0.05).When 3DVs/3DVg was 0.220,the highest predictive performance predicted adverse pregnancy outcomes,resulting in an AUC of 0.767,and the sensitivity,specificity were 70.2%,75%respectively.VOCAL measuring 3DVs/3DVg combined with serum progesterone gave a diagnostic AUC of 0.824 for early pregnancy outcome in SCH patients,with a high sensitivity of 82.1%and a specificity of 72.1%,which showed a significant difference between AUC.CONCLUSION VOCAL-measured 3DVs/3DVg effectively quantifies the severity of SCH,while combined serum progesterone better predicts adverse pregnancy outcomes. 展开更多
关键词 Subchorionic hematoma Virtual organ computer-assisted analysis Gestational sac Serum progesterone Ultrasound parameters Adverse pregnancy outcomes
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Computer-assisted rescue of the inferior mesenteric artery in a child with a giant ganglioneuroblastoma: A case report
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作者 Wen-Li Xiu Jie Liu +5 位作者 Jing-Li Zhang Nan Su Feng-Jiao Wang Xi-Wei Hao Fei-Fei Wang Qian Dong 《World Journal of Gastrointestinal Surgery》 2023年第5期984-991,共8页
BACKGROUND Ganglioneuroblastoma(GNB)is a peripheral neuroblastoma(NB)with malignant degree between highly malignant NB and benign ganglioma(GN).Pathology is the gold standard of diagnosis.Although GNB is not uncommon ... BACKGROUND Ganglioneuroblastoma(GNB)is a peripheral neuroblastoma(NB)with malignant degree between highly malignant NB and benign ganglioma(GN).Pathology is the gold standard of diagnosis.Although GNB is not uncommon in children,biopsy alone may lead to an inaccurate diagnosis,especially for giant tumors.However,surgical resection may be associated with significant complications.Here,we report a case of computer-assisted surgical resection of a giant GNB in a child and successful rescue of the inferior mesenteric artery.CASE SUMMARY A 4-year-old girl was admitted to our department for a giant retroperitoneal lesion,which was considered to be an NB by her local hospital.The symptoms of the girl disappeared spontaneously without treatment.On physical examination,a mass of about 10 cm×7 cm could be palpated in her abdomen.Ultrasonography and contrast-enhanced computed tomography performed in our hospital also showed an NB,and there was a very thick blood vessel inside the tumor.However,aspiration biopsy revealed GN.Surgical resection is the best treatment option for this giant benign tumor.For precise preoperative evaluation,threedimensional reconstruction was performed.It was clear that the tumor was close to the abdominal aorta.The superior mesenteric vein was pushed forward,and the inferior mesenteric artery passed through the tumor.Because GN generally does not invade blood vessels,we split the tumor with a CUSA knife during the operation and found that there was indeed a straight and intact vascular sheath.Arterial pulsation was observed in the completely exposed inferior mesenteric artery.The pathologists interpreting the tissue finally diagnosed it as a mixed GNB(GNBi),which is more malignant than GN.However,both GN and GNBi usually have a good prognosis.CONCLUSION This was a case of successful surgical resection of a giant GNB,and aspiration biopsy underestimated the pathological staging of the tumor.Preoperative three-dimensional reconstruction assisted with the radical resection of the tumor and rescue of the inferior mesenteric artery. 展开更多
关键词 Surgery Children GANGLIONEUROBLASTOMA computer-assisted Tumor Case report
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Cartographic Study and Modeling of the Bakwanga Kimberlite Massive 5 at Kasai Oriental in the Democratic Republic of Congo
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作者 Arnold Onya Ngila Ivon Ndala Tshiwisa +3 位作者 Ruben Koy Kasongo Alain Cibumba Cibumba Chamira Fwani Pambu Dona Kampata Mbwelele 《Journal of Geoscience and Environment Protection》 2024年第4期78-95,共18页
Bakwanga kimberlite massive 5 in Kasai Oriental is part of a set of 13 kimberlite massives numbered according to the order in which they were discovered. They are located on an alignment with a more or less W-E direct... Bakwanga kimberlite massive 5 in Kasai Oriental is part of a set of 13 kimberlite massives numbered according to the order in which they were discovered. They are located on an alignment with a more or less W-E direction making up the Northern group known as Bakwanga. The importance of the Bakwanga kimberlite massives on the country’s economy in the production of diamonds sufficiently proves the interest of geological research work in this area. The objective of this work is to determine a mathematical model of the shape of the massive as close as possible to reality and through cartography. The cartographic study and modeling of this kimberlite massive were carried out using data from core samples taken on longitudinal and transverse profiles of the 50 × 50 meter mesh drilling plan intersecting this kimberlite massive. We intend to deduce the structure and lithostratigraphy of the kim-berlitic facies and the direct environment of massive 5. As a result, we note that the majority of surveys on the extent of this massive have intersected: Red clayey sand - Polymorphic sandstone - Nodular sandstone, with kaolin blocks and nodules - Epiclastic Kimberlite - Xenokimberlite - Massive Kimberlite - Mesozoic sandstone - Dolomite (enclosing). The shape of the Massive 5 model is vaguely elliptical with a W-E longitudinal axis of 575 m and N-S axis of 275 meters. Surveys have shown that Massive 5 is in fact composed of two pipes, located in the W (western pipe) and E (eastern pipe) ends of the massif. The two chimneys of the two pipes have walls ranging from subvertical at the eastern pipe to very steep walls of around 70˚ to 80˚ for the western pipe and the average diameter of the two pipes is ±50 meters. At level 600, the massive has an area of ±10.5 hectares and it gradually decreases in depth and the modeling of the latter shows a concentric decrease in the volume of the massive from the surface to depth in the shape of a mushroom. 3 eruptive phases established this Kimber-litic massive, the first two phases (old) of which formed the crater of the western pipe and the third formed the crater of the eastern pipe in the dolomites. These dolomites constitute everywhere the surrounding area of the massive;the distinction of these 3 phases is made possible thanks to Epiclastic deposits, Xenokim-berlites and massive Kimberlites. 展开更多
关键词 Massive Kimberlite cartography MODELIZATION Epiclastic Kimberlite Xenokimberlite PIPE
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Computer-assisted Surgery for Scaphoid Fracture 被引量:6
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作者 Zi-run XIAO Ge XIONG 《Current Medical Science》 SCIE CAS 2018年第6期941-948,共8页
The computer-assisted surgery (CAS)has significantly improved the accuracy, reliability and outcomes of traumatic,spinal,nerve surgery and many other operations with a less invasive way.The application of CAS for scap... The computer-assisted surgery (CAS)has significantly improved the accuracy, reliability and outcomes of traumatic,spinal,nerve surgery and many other operations with a less invasive way.The application of CAS for scaphoid fractures remains experimental.The related studies are scanty and most of them are cadaver researches.Some intrinsic defects from the registration procedure,scan and immobilization of limbs may inevitably result in deviations. Some deviations become more obvious with operations of small bones (such as scaphoid)although they are acceptable for spine and other orthopedic surgeries.We reviewed the current literatures on the applications of CAS for scaphoid operation and summarized technical principles,scan and registration methods,immobilization of limbs and their outcomes.On the basis of the data,we analyzed the limitations of this technique and envisioned its future development. 展开更多
关键词 computer-assisted SURGERY WRIST SCAPHOID FRACTURE
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Establishment and validation of a computer-assisted colonic polyp localization system based on deep learning 被引量:6
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作者 Sheng-Bing Zhao Wei Yang +24 位作者 Shu-Ling Wang Peng Pan Run-Dong Wang Xin Chang Zhong-Qian Sun Xing-Hui Fu Hong Shang Jian-Rong Wu Li-Zhu Chen Jia Chang Pu Song Ying-Lei Miao Shui-Xiang He Lin Miao Hui-Qing Jiang Wen Wang Xia Yang Yuan-Hang Dong Han Lin Yan Chen Jie Gao Qian-Qian Meng Zhen-Dong Jin Zhao-Shen Li Yu Bai 《World Journal of Gastroenterology》 SCIE CAS 2021年第31期5232-5246,共15页
BACKGROUND Artificial intelligence in colonoscopy is an emerging field,and its application may help colonoscopists improve inspection quality and reduce the rate of missed polyps and adenomas.Several deep learning-bas... BACKGROUND Artificial intelligence in colonoscopy is an emerging field,and its application may help colonoscopists improve inspection quality and reduce the rate of missed polyps and adenomas.Several deep learning-based computer-assisted detection(CADe)techniques were established from small single-center datasets,and unrepresentative learning materials might confine their application and generalization in wide practice.Although CADes have been reported to identify polyps in colonoscopic images and videos in real time,their diagnostic performance deserves to be further validated in clinical practice.AIM To train and test a CADe based on multicenter high-quality images of polyps and preliminarily validate it in clinical colonoscopies.METHODS With high-quality screening and labeling from 55 qualified colonoscopists,a dataset consisting of over 71000 images from 20 centers was used to train and test a deep learning-based CADe.In addition,the real-time diagnostic performance of CADe was tested frame by frame in 47 unaltered full-ranged videos that contained 86 histologically confirmed polyps.Finally,we conducted a selfcontrolled observational study to validate the diagnostic performance of CADe in real-world colonoscopy with the main outcome measure of polyps per colonoscopy in Changhai Hospital.RESULTS The CADe was able to identify polyps in the test dataset with 95.0%sensitivity and 99.1%specificity.For colonoscopy videos,all 86 polyps were detected with 92.2%sensitivity and 93.6%specificity in frame-by-frame analysis.In the prospective validation,the sensitivity of CAD in identifying polyps was 98.4%(185/188).Folds,reflections of light and fecal fluid were the main causes of false positives in both the test dataset and clinical colonoscopies.Colonoscopists can detect more polyps(0.90 vs 0.82,P<0.001)and adenomas(0.32 vs 0.30,P=0.045)with the aid of CADe,particularly polyps<5 mm and flat polyps(0.65 vs 0.57,P<0.001;0.74 vs 0.67,P=0.001,respectively).However,high efficacy is not realized in colonoscopies with inadequate bowel preparation and withdrawal time(P=0.32;P=0.16,respectively).CONCLUSION CADe is feasible in the clinical setting and might help endoscopists detect more polyps and adenomas,and further confirmation is warranted. 展开更多
关键词 computer-assisted detection Artificial intelligence Deep learning COLONOSCOPY Clinical validation Colorectal polyp
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A comparison of conventional and computer-assisted semen analysis.(CRISMAS software) using samples from 166 young Danish men 被引量:3
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作者 Anne Vested Cecilia H Ramlau-Hansen +3 位作者 Jens P Bonde Ane M Thulstrup Susanne L Kristensen Gunnar Toft 《Asian Journal of Andrology》 SCIE CAS CSCD 2011年第3期453-458,513,共7页
The aim of the present study was to compare assessments of sperm concentration and sperm motility analysed by conventional semen analysis with those obtained by computer-assisted semen analysis (CASA) (Copenhagen R... The aim of the present study was to compare assessments of sperm concentration and sperm motility analysed by conventional semen analysis with those obtained by computer-assisted semen analysis (CASA) (Copenhagen Rigshospitalet Image House Sperm Motility Analysis System (CRISMAS) 4.6 software) using semen samples from 166 young Danish men. The CRISMAS software identifies sperm concentration and classifies spermatozoa into three motility categories. To enable comparison of the two methods, the four motility stages obtained by conventional semen analysis were, based on their velocity classifications, divided into three stages, comparable to the three CRISMAS motility categories: rapidly progressive (A), slowly progressive (B) and non-progressive (C+ D). Differences between the two methods were large for all investigated parameters (P〈0.001). CRISMAS overestimated sperm concentration and the proportion of rapidly progressive spermatozoa and, consequently, underestimated the percentages of slowly progressive and non-progressive spermatozoa, compared to the conventional method. To investigate whether results drifted according to time of semen analysis, results were pooled into quarters according to date of semen analysis. CRISMAS motility results appeared more stable over time compared to the conventional analysis; however, neither method showed any trends. Apparently, CRISMAS CASA results and results from the conventional method were not comparable with respect to sperm concentration and motility analysis. This needs to be accounted for in clinics using this software and in studies of determinants of these semen characteristics. 展开更多
关键词 computer-assisted semen analysis REPRODUCTION semen analysis sperm concentration sperm motility
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Glutathione Peroxidase Revisited—Simulation of the Catalytic Cycle by Computer-Assisted Molecular Modelling 被引量:6
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作者 K. -D. AUMANN N. BEDORF +3 位作者 R. BRIGELIUS-FLOHED D. SCHOMBURG AND L. FLOHE(Gesellschaft fur Biotechnologische Forschung mbH (GBF) Mascheroder Weg 1, D-38124 Braunschweig, Germany Deutsches Institut fur Ernahrungsforschung (DIfE) Arthur-Scheunert-Allee 114 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 1997年第2期136-155,共20页
Glutathione peroxidase, the first example of selenoproteins identified in mammals, was subjected to force field calculations and molecular dynamics in order to enable a clearer comprehension of enzymatic selenium cata... Glutathione peroxidase, the first example of selenoproteins identified in mammals, was subjected to force field calculations and molecular dynamics in order to enable a clearer comprehension of enzymatic selenium catalysis. Starting from the established X-ray structure of bovine GPX, all kinetically defined intermediates and enzyme substrate complexes were modelled. The models thus obtained support the hypothesis that the essential steps of the catalysis are three distinct redox changes of the active site selenium which, in the ground state, presents itself at the surface of selenoperoxidases as the center of a characteristic triad built by selenocysteine, glutarnine and tryptophan. In GPX, four arginine residues and a lysine residue provide an electrostatic architecture which, in each reductive step, directs the donor substrate GSH towards the catalytic center in such a way that 1ts sulfhydryl group must react with the selenium moiety. To this end, different equally efficient modes of substrate binding appear possible. The models are consistent with substrate specificity data, kinetic pattern and other functional characteristics of the enzyme. Comparison of molecular models of GPX with those of other members of the GPX superfamily reveals that the cosubstrate binding mechanisrns are unique for the classical type of cytosolic glutathione peroxidases but cannot operate e. g. in plasma GPX and phospholipid hydroperoxide GPX. The structural differences between the selenoperoxidases, shown to be relevant to their specificities, are discussed in terms of functional diversification within the GPX superfamily 展开更多
关键词 GPX Glutathione Peroxidase Revisited Simulation of the Catalytic Cycle by computer-assisted Molecular Modelling
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Application of a novel computer-assisted surgery system in percutaneous nephrolithotomy:A controlled study 被引量:1
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作者 Fei Qin Ye-Feng Sun +8 位作者 Xin-Ning Wang Bin Li Zhi-Lei Zhang Ming-Xin Zhang Fei Xie Shuai-Hong Liu Zi-Jie Wang Yuan-Chao Cao Wei Jiao 《World Journal of Clinical Cases》 SCIE 2022年第18期6039-6049,共11页
BACKGROUND Most complex renal stones are managed primarily with percutaneous nephrolithotomy(PCNL).However,PCNL is still a great challenge for surgeons because of poor comprehension on complex adjacent structures.Nove... BACKGROUND Most complex renal stones are managed primarily with percutaneous nephrolithotomy(PCNL).However,PCNL is still a great challenge for surgeons because of poor comprehension on complex adjacent structures.Novel techniques are required to assist in planning and navigation.AIM To apply and evaluate the Hisense computer-assisted surgery(CAS)system in PCNL.METHODS A total of 60 patients with complex renal stones were included.Thirty patients in the CAS group had three-dimensional(3 D)virtual models constructed with the CAS system.The model assisted in planning and navigating in the CAS system.Thirty patients in the control group planned and navigated as standard PCNL,without the application of the CAS system.Success rate of one attempt,operation time,initial stone-free rate,decrease in hemoglobin,and complications were collected and analyzed.RESULTS There were no statistically significant differences in the baseline characteristics or planning characteristics.The success rate of one puncturing attempt(90%vs 67%,P=0.028)and the initial stone-free rate(87%vs 63%,P=0.037)were significantly higher in the CAS group.However,there were no statistically significant differences in the operation time(89.20±29.60 min vs 92.33±33.08 min,P=0.859)or in the decrease in hemoglobin(11.07±8.32 g/L vs 9.03±11.72 g/L,P=0.300)between the CAS group and the control group.No statistically significant differences in the incidence of complications(Clavien-Dindo grade≥2)were found.CONCLUSION Compared with standard PCNL,CAS-assisted PCNL had advantages in terms of the puncturing success rate and stone-free rate.The Hisense CAS System was recommended to assist in preoperative planning and intraoperative navigation for an intuitive,precise and convenient PCNL. 展开更多
关键词 computer-assisted surgery system Percutaneous nephrolithotomy Three-dimensional reconstruction PLANNING NAVIGATION
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Information Theory of Cartography:An Information-theoretic Framework for Cartographic Communication 被引量:11
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作者 Zhilin LI Peichao GAO Zhu XU 《Journal of Geodesy and Geoinformation Science》 2021年第1期1-16,共16页
Map is one of the communication means created by human being.Cartographers have been making efforts on the comparison of maps to natural languages so as to establish a"cartographic language"or"map langu... Map is one of the communication means created by human being.Cartographers have been making efforts on the comparison of maps to natural languages so as to establish a"cartographic language"or"map language".One of such efforts is to adopt the Shannon’s Information Theory originated in digital communication into cartography so as to establish an entropy-based cartographic communication theory.However,success has been very limited although research work had started as early as the mid-1960 s.It is then found that the bottleneck problem was the lack of appropriate measures for the spatial(configurational)information of(graphic and image)maps,as the classic Shannon entropy is only capable of characterizing statistical information but fails to capture the configurational information of(graphic and image)maps.Fortunately,after over 40-year development,some bottleneck problems have been solved.More precisely,generalized Shannon entropies for metric and thematic information of(graphic)maps have been developed and the first feasible solution for computing the Boltzmann entropy of image maps has been invented,which is capable of measuring the spatial information of not only numerical images but also categorical maps.With such progress,it is now feasible to build the"Information Theory of Cartography".In this paper,a framework for such a theory is proposed and some key issues are identified.For these issues,some have already been tackled while others still need efforts.As a result,a research agenda is set for future action.After all these issues are tackled,the theory will become matured so as to become a theoretic basis of cartography.It is expected that the Information Theory of Cartography will play an increasingly important role in the discipline of cartography because more and more researchers have advocated that information is more fundamental than matter and energy. 展开更多
关键词 Information Theory of cartography cartographic communication spatial information of maps generalized Shannon Entropy Boltzmann entropy
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Application of computer-assisted navigation in treating congenital maxillomandibular syngnathia:A case report
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作者 Li-Qin Lin Shan-Shan Bai Min Wei 《World Journal of Clinical Cases》 SCIE 2019年第5期650-655,共6页
BACKGROUND Congenital maxillomandibular syngnathia is an extremely rare disorder characterized by craniofacial malformations and inability to open the mouth adequately, which leads to problems with feeding, swallowing... BACKGROUND Congenital maxillomandibular syngnathia is an extremely rare disorder characterized by craniofacial malformations and inability to open the mouth adequately, which leads to problems with feeding, swallowing, and breathing as well as temporomandibular joint ankylosis. The main goal of the surgery is to release the ankylosis, establish functioning mandible, and prevent re-fusion.However, surgical procedures for this disease are rarely reported.CASE SUMMARY Here, we report a 7-mo-old girl with bilateral maxillomandibular syngnathia. The patient presented with difficulty in feeding, breathing, sounding, and swallowing and had developmental dysplasia. For treatment, we performed bone isolation by computer-assisted navigation and used silicone to fix the wound surface to prevent refusion of bone. To our knowledge, this is the only syngnathia case in the literature treated using computer-assisted navigation. With the guidance of precise navigation, we were able to minimize operation time by at least one hour,the patient's blood vessels, nerves, and tooth germs were well protected, and excessive bleeding was avoided. After six weeks, the patient showed improvement in mouth opening and no major issues of feeding.CONCLUSION Application of computer-assisted navigation can significantly improve accuracy,effectiveness, and surgical safety in correcting congenital maxillomandibular syngnathia. 展开更多
关键词 CRANIOFACIAL ABNORMALITIES MANDIBULAR diseases MAXILLA computer-assisted NAVIGATION Case report
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Novel computer-assisted method for revision arthroplasty of the knee
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作者 Hanns-Edgar Hoffart Harald Dinges +2 位作者 Stefan Kolbeck Peter Ritschl Hagen Hommel 《World Journal of Orthopedics》 2015年第10期821-828,共8页
AIM: To introduce the navigation system of software and instruments designed specifically for revision total knee arthroplasty(TKA).METHODS: We present an imageless navigation system for revision TKA,with optical poin... AIM: To introduce the navigation system of software and instruments designed specifically for revision total knee arthroplasty(TKA).METHODS: We present an imageless navigation system for revision TKA,with optical point and tracker identification to assess kinematic and anatomical landmarks.The system automatically positions the cutting guides with a motorized cutting unit.The cutting unit is placed on the distal femur with a femoral clamp and acts as a rigid body and the base for all femoral cuts.The surgical technique for using the navigation system for revision TKA is based on the technique used in primary TKA.However,there are some important differences.The most notable are:(1) differences in estimation of the position of the primary implant relative to the bone and the mechanical axes;(2) the specific possibilities the revision navigation software offers in terms of optimal joint level positioning; and(3) the suggested "best fit" position,in which the clock position,stem position and offset,femoral component size,and mediolateral position of the femoral component are taken into account to find the optimal femoral component position.We assessed the surgical technique,and accompanying software procedural steps,of the system,identifying any advantages or disadvantages that they present.RESULTS: The system aims to visualize critical steps of the procedure and is intended as a tool to support the surgeon in surgical decision-making.Combining a computer-assisted cutting device with navigation makes it possible to carry out precise cuts without pinning.Furthermore,the femoral clamp provides a stable fixation mechanism for the motorized cutting unit.A stable clamp is paramount in the presence of periarticular bony defects.The system allows the position of the primary implant relative to the bone and mechanical axes to be estimated,at which point any malalignments can be corrected.It also offers an optimal joint level position for implantation,and suggests a "best fit" position,in which the clock position,stem position and offset,femoral component size,and mediolateral position of the femoral component are considered.The surgeon can therefore make decisions intraoperatively to maximise alignment and,hence,outcomes.Based on the intraoperative findings of joint stability,the surgeon can modify the preoperative plan and switch from a constrained condylar system to a hinged version,or vice versa.CONCLUSION: The system is flexible and easy to learn and allows improvements in workflow during TKA. 展开更多
关键词 KNEE Navigation system REVISION TOTAL KNEE ARTHROPLASTY computer-assisted surgery SURGICAL technique
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The Influence of Combining Computer-Assisted Language Learning With Instruction on Chinese College Students’L2 Pragmatic Ability
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作者 Ying ZHANG 《Chinese Journal of Applied Linguistics》 2022年第2期243-253,317,共12页
In the area of computer-assisted language learning(CALL),although a number of studies have adopted various CALL-based devices(e.g.,blogs,gaming,and synthetic environments)to foster second language(L2)acquisition,the v... In the area of computer-assisted language learning(CALL),although a number of studies have adopted various CALL-based devices(e.g.,blogs,gaming,and synthetic environments)to foster second language(L2)acquisition,the vital component of instruction has received little attention.The present study explored the usefulness of CALL-based communication in conjunction with instruction on EFL learners’L2 pragmatic development.Sixty-two EFL students from a university in China were recruited for the current research.The experimental group communicated with a native English speaker through synchronous messaging via Skype and had two instructional sessions pertinent to compliment responses,while the control group interacted with a native English speaker via Skype without having the teaching intervention.Findings from an independent samples t-test demonstrated that the experimental group produced significantly more proper compliment responses in the immediate posttest than the control group(p<.001).Moreover,a significant difference(p<.001)was found for the experimental group between the preintervention and delayed post-intervention mean scores,suggesting that CALL coupled with teaching intervention had a long-term impact on learners’L2 pragmatic development.These findings enrich our understanding of the beneficial and lasting influence of combining CALL with instruction on EFL students’pragmatic development.In addition,pedagogical implications for deploying CALL paired with L2 pragmatics instruction are provided. 展开更多
关键词 computer-assisted language learning technology English learners PRAGMATICS INSTRUCTION
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Models for Teaching Culture in Computer-Assisted Language Learning
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作者 YUEJian-ying 《Sino-US English Teaching》 2014年第4期283-289,共7页
CALL (computer-assisted language learning) has tremendously transformed the teaching of language, with its wide application in many aspects of language teaching. However, how to integrate CALL into the teaching of c... CALL (computer-assisted language learning) has tremendously transformed the teaching of language, with its wide application in many aspects of language teaching. However, how to integrate CALL into the teaching of culture is still rarely discussed. The purpose of the paper is to explore feasible models for teaching culture in CALL and their effects on students' acquisition process. Based on two fundamental pedagogical approaches (participatory pedagogy and multiliteracies pedagogy) for teaching culture, this paper proposes three pedagogical models (problem-posing model, web-quest model, and computer-supported collaborative learning model) for teaching culture in CALL. In the end, this paper illustrates a combination of the three models in real CALL setting by a cultural teaching case. A questionnaire survey and interviews are conducted to reflect on students' feedback, which gives an insight into possible adjustments in teaching models and the paper also proposes future possibilities in applying these models into teaching culture 展开更多
关键词 CALL computer-assisted language learning) teaching culture pedagogical models
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COMPUTER-ASSISTED TESTING OF METALINGUISTIC COMPETENCE
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作者 Baisara Ludmila 《广州大学学报(社会科学版)》 1995年第2X期96-100,共5页
The paper is devoted to the description of possible approaches to designing materials for computer-assisted testing of metalinguistic competence of the intending foreign language teachers. By metalinguistic competence... The paper is devoted to the description of possible approaches to designing materials for computer-assisted testing of metalinguistic competence of the intending foreign language teachers. By metalinguistic competence we here mean the learners’ comprehension of such fundamental concepts of linguistic theory as: grammatical and lexical meanings and their types, the concepts of grammatical form and grammatical category, homonyms and synonyms, 展开更多
关键词 computer-assisted TESTING OF METALINGUISTIC COMPETENCE
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A Computer-Assisted Corpus Analysis (CACA) of Professional Discourse
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作者 K. Manvender H-Z Yasmin Sarimah Shamsudin 《Sino-US English Teaching》 2012年第6期1236-1245,共10页
This paper presents CACA (computer-assisted corpus analysis) conducted by using a compiled representative corpus. As a descriptive study, it explores the written communicative events produced by engineers in the pet... This paper presents CACA (computer-assisted corpus analysis) conducted by using a compiled representative corpus. As a descriptive study, it explores the written communicative events produced by engineers in the petroleum industry in Malaysia. Language use is commonly analyzed for competence and performance. Competence is best described as the internalized linguistic knowledge as acquired by the learners while the notion of"performance" is best defined as the external evidence of language competence. Therefore, the core of this paper is reflecting actual language use of the language learners in Malaysia. The data are drawn from a sample corpus compiled from the written communicative events in three companies of the petroleum industry in Malaysia. The methodology applied is fundamental as it tends to investigate the linguistic constitutions in the genre-specific corpus of the professional discourse produced. Computer-based syntactical studies are limited as they require hard work and long hours in order to key-in the data and then there is the complex analytic method of describing the findings. In contrast, this paper will demonstrate an uncomplicated method of analysis and also encourage the use of existing POS (part-of speech) tagging software available online. 展开更多
关键词 profesional discourse written communicative events move analysis CACA computer-assisted corpusanalysis) petroleum industry
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Computer-Assisted Surgery for Mandibular Reconstruction Using a Patient-Specific Titanium Mesh Tray and Particulate Cancellous Bone and Marrow
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作者 Seiji Kondo Hideyuki Katsuta +6 位作者 Ayako Akizuki Yuji Kurihara Takaaki Kamatani Atsushi Yaso Masahiro Nagasaki Toshikazu Shimane Tatsuo Shirota 《Case Reports in Clinical Medicine》 2015年第3期85-92,共8页
Craniomaxillofacial surgery is difficult due to the complexity of the regional anatomy. Computer-assisted surgery is a promising tool aiming to improve the safety and precision of such surgery. A computer-assisted sur... Craniomaxillofacial surgery is difficult due to the complexity of the regional anatomy. Computer-assisted surgery is a promising tool aiming to improve the safety and precision of such surgery. A computer-assisted surgical navigation approach for reconstruction of mandibular defects using a patient-specific titanium mesh tray and particulate cancellous bone and marrow (PCBM) harvested from bilateral anterior ilia is proposed. This case report involves a large multicystic ameloblastoma affecting the right mandible of a 31-year-old male patient. Following detailed clinical examination, radiological interpretation, and histopathological diagnosis, computer-assisted surgical simulation with a virtual 3-dimensional (3-D) model was designed using surgical planning software based on the pre-operative computed tomography data. Long-span segmental resection of the mandible was planned, and the defect was analyzed for reconstruction using a patient-specific reconstruction titanium mesh tray mediated with computer-aided design and manufacturing (CAD/CAM) techniques. During the actual surgery, the ultrasonic bone cutting instrument in the surgeon’s hand was connected to the navigation system to touch an anatomical position on the patient. Therefore, osteotomies were performed finely and smoothly according to the navigation images of the cutting bone line by sequentially moving the instrument. Finally, a CAD/CAM-mediated titanium mesh tray condensed by PCBM was adapted to the remaining mandibular fragments. Six months postoperatively, the patient had a good mandibular configuration and facial contour. Integration of different technologies, such as software planning and 3-D surgical simulation, combined with intraoperative navigation and CAD/CAM techniques, provides safe and precise mandibular reconstruction surgery. 展开更多
关键词 PATIENT-SPECIFIC Titanium Mesh TRAY computer-assisted Surgery MANDIBULAR Reconstruction PARTICULATE CANCELLOUS Bone and MARROW Surgical Navigation
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中国地图制图学与地理信息工程进展报告(2019—2023) 被引量:1
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作者 孙群 任福 +4 位作者 龙毅 陈欣 徐根才 刘建军 周炤 《测绘学报》 EI CSCD 北大核心 2024年第3期399-412,共14页
本报告根据2019年以来中国在地图学与地理信息技术方面的进展状况,对地图学理论、数字地图制图与出版技术、国家基础地理信息数据库更新、地理信息技术和产业发展、地理信息应用与服务、地图集编制出版、新型在线地图等方面所取得的成... 本报告根据2019年以来中国在地图学与地理信息技术方面的进展状况,对地图学理论、数字地图制图与出版技术、国家基础地理信息数据库更新、地理信息技术和产业发展、地理信息应用与服务、地图集编制出版、新型在线地图等方面所取得的成就和进展进行总结,报告最后对中国地图学与地理信息工程发展趋势进行了展望。 展开更多
关键词 地图制图学与地理信息工程 国家报告 成就 发展趋势
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Clinical application of improved 2D computer-assisted fluoroscopic navigation through simulating a 3D vertebrae image to guide pedicle screw internal fixation
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作者 刘恩志 《外科研究与新技术》 2011年第2期94-94,共1页
Objective To study the effect of using improved 2D computer-assisted fluoroscopic navigation through simulating 3D vertebrae image to guide pedicle screw internal fixation.Methods Posterior pedicle screw internal fixa... Objective To study the effect of using improved 2D computer-assisted fluoroscopic navigation through simulating 3D vertebrae image to guide pedicle screw internal fixation.Methods Posterior pedicle screw internal fixation,distraction 展开更多
关键词 Clinical application of improved 2D computer-assisted fluoroscopic navigation through simulating a 3D vertebrae image to guide pedicle screw internal fixation
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AI绘画在地图制图中的应用与挑战
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作者 吴明光 邵文青 +1 位作者 汪浩 刘晓艳 《现代测绘》 2024年第2期1-7,共7页
进入信息时代,地图制图呈现大众化趋势,大众制图时代来临。人人都能制作地图,但制图质量却参差不齐,如何实现地图制图由专家主导的“授人以鱼”扩展为面向大众的“授人以渔”成为当前的研究热点,迫切需要发展智能化、个性化的制图方法... 进入信息时代,地图制图呈现大众化趋势,大众制图时代来临。人人都能制作地图,但制图质量却参差不齐,如何实现地图制图由专家主导的“授人以鱼”扩展为面向大众的“授人以渔”成为当前的研究热点,迫切需要发展智能化、个性化的制图方法。AI绘画通过机器学习和深度学习等技术,使计算机能够模拟人类艺术家的创造力进行图像创作、编辑和合成图像。AI绘画能否为智能化、个性化制图提供一种新的技术途径?针对这一问题,首先梳理出了由文本生成图像、图像编辑、草图转化为图像、风格化神经渲染、图像风格迁移5类典型AI绘画技术。然后,逐一分析这些技术在游戏地图绘制、地图脱密脱敏、心象地图绘制、艺术感地图绘制、地图风格迁移等方面的应用。最后,总结AI绘画在地图制图中面临的地图内容理解、制图知识规则嵌入以及结果地图的可读性等挑战,以期丰富对AI地图制图的讨论,启发创新性AI制图应用与研究。 展开更多
关键词 AI绘画 地图制图 人工智能 地图设计
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