Current Directions in Biomedical Engineering最新文献

{"title":"Investigation of knee joint stability in surgically repaired canine cruciate ligament ruptures by cyclic passive joint motions","authors":"Thomas Reuter, Andreas Grundmann, Jens Siebert, Friederike Preuß, Dirk Barnewitz","doi":"10.1515/cdbme-2023-1061","DOIUrl":"https://doi.org/10.1515/cdbme-2023-1061","url":null,"abstract":"Abstract The cranial cruciate ligament (CCL) rupture is a prevalent injury in dogs. A consequence of a cruciate ligament rupture is instability in the affected knee joint. A veterinary, mostly surgical treatment of the cruciate ligament rupture is usually unavoidable. The suitability of an arthroscopic surgical method with ligament replacement material was investigated. The stability of the knee joint was determined several times during 1,200 passive robotic motion cycles with movement radius between 90° flexion and 140° extension. The stability condition was measured by triggering the drawer test. After 300 motion cycles, the drawer test could be triggered (positive drawer test). In the following movement cycles up to 1,200 cycles, the drawer test could also be triggered. However, no significant differences occurred between these triggered drawer tests. The ligament replacement material showed no damage and no loosening after the tests. The first results showed that the developed arthroscopic surgical method could be a promising approach for the surgical treatment of cruciate ligament ruptures in canines.","PeriodicalId":10739,"journal":{"name":"Current Directions in Biomedical Engineering","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135427377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparison of two CNN-based instrument detection approaches for automated surgical assistance systems","authors":"Flakë Bajraktari, Kathrin Fleissner, Peter P. Pott","doi":"10.1515/cdbme-2023-1150","DOIUrl":"https://doi.org/10.1515/cdbme-2023-1150","url":null,"abstract":"Abstract The shortage of operating room technicians has led to a growing demand for automated systems in the OR to maintain the quality of care. Robotic scrub nurse (RSN) systems are increasingly being developed, which perform tasks such as handling instruments and documenting the surgery. While research has focused on detecting instruments in the hands of surgical staff or recognizing surgical phases, there is a lack of research on detecting instruments on the instrument tray. Therefore, this study proposes and evaluates two distinct methodologies for instrument detection on the OR table using the deep learning approaches YOLOv5 and Mask R-CNN. The performance of the two approaches has been evaluated on 18 YOLOv5 models and twelve Mask R-CNN models, mainly differing in model size. Two sets of instruments were used to assess generalizability of the models. The results show a mean average precision (mAP) score of 0.978 for YOLOv5 and 0.846 for Mask R-CNN on the test dataset comprising three classes. An mAP of 0.874 and 0.707 have been computed respectively for the test dataset including six classes. The study provides a comparison of the performance of two suitable approaches for instrument detection on the instrument tray in the OR to enhance the development of RSN systems.","PeriodicalId":10739,"journal":{"name":"Current Directions in Biomedical Engineering","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135427375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-Speed Laser Drilling for Dental Implantation: Ablation Process and Applicator Technology","authors":"Christina Giesen, Lazar Bochvarov, Marcel Bogdoll, Simon Vervoort, Achim Lenenbach, Yong-Min Yo","doi":"10.1515/cdbme-2023-1162","DOIUrl":"https://doi.org/10.1515/cdbme-2023-1162","url":null,"abstract":"Abstract Conventional mechanical drilling for implant placement is limited to specific geometry and orientation, resulting in incorrect positioning and inadequate anchoring in thin or porous bone. This study presents the development of a laser-based ablation process and an applicator technology for precise and fast laser drilling in the oral cavity. For the process development, a CO2 laser with a wavelength of 10.6 μm was used. Pulse durations between 10 μs and 400 μs were investigated for fast laser drilling with low thermal impact. For efficient ablation and cooling of the bone tissue, we applied a fine water spray. The laser applicator is designed with an integrated scanning module, focusing optics and a compact water spray system with three spray nozzles in the applicator tip. The geometry of the cavities was analyzed using digital microscopy and scanning electron microscopy, allowing to measure the ablated volume and depth as well as investigating the bone microstructure. This study demonstrates a laser ablation process capable to generate cavities with an ablation rate of 1.75mm3/s which is about 80% higher than previously reported. At this ablation rate the melted zones were smaller than 30 μm. This paper demonstrates a concept for a dental laser drilling system with a fast ablation process and a highlyintegrated applicator for treatment in the oral cavity.","PeriodicalId":10739,"journal":{"name":"Current Directions in Biomedical Engineering","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lymph node metastases detection in Whole Slide Images using prototypical patterns and transformer-guided multiple instance learning","authors":"Thomas Wittenberg, Lukas Heinlein, Michaela Benz, Petr Kuritcyn, Volker Bruns, Arndt Hartmann, Carol Geppert, Felix Keil, Katja Evert","doi":"10.1515/cdbme-2023-1042","DOIUrl":"https://doi.org/10.1515/cdbme-2023-1042","url":null,"abstract":"Abstract Background: The examination of lymph nodes (LNs) regarding metastases is vital for the staging of cancer patients, which is necessary for diagnosis and adequate treatment selection. Advancements in digital pathology, utilizing Whole-Slide Images (WSIs) and convolutional neural networks (CNNs), pose new opportunities to automate this procedure, thus reducing pathologists’ workload while simultaneously increasing the accuracy in metastases detection. Objective: To address the task of LN-metastases detection, the use of weakly supervised transformers are applied for the analysis of WSIs. Methods & Materials: As WSIs are too large to be processed as a whole, they are divided into non-overlapping patches, which are converted to feature vectors using a CNN network, pre-trained on HE-stained colon cancer resections. A subset of these patches serves as input for a transformer to predict if a LN contains a metastasis. Hence, selecting a representative subset is an important part of the pipeline. Hereby, a prototype based clustering is employed and different sampling strategies are tested. Finally, the chosen feature vectors are fed into a transformer-based multiple instance learning (MIL) architecture, classifying the LNs into healthy/negative (that is, containing no metastases), or metastatic/positive (that is, containing metastases). The proposed model is trained only on the Camelyon16 training data (LNs from breast cancer patients), and evaluated on the Camelyon16 test set. Results: The trained model achieves accuracies of up to 92.3% on the test data (from breast LNs). While the model struggles with smaller metastases, high specificities of up to 96.9% can be accomplished. Additionally, the model is evaluated on LNs from a different primary tumor (colon), where accuracies between 62.3% and 95.9% could be obtained. Conclusion: The investigated transformer-model performs very good on LN data from the public LN breast data, but the domain transfer to LNs from the colon needs more research.","PeriodicalId":10739,"journal":{"name":"Current Directions in Biomedical Engineering","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limitations of Pacemaker Spike Detection in Capacitive ECGs via Deep Learning","authors":"Maurice Rohr, Zhaolan Huang, Christoph Hoog Antink, Durmus Umutcan Uguz, Marian Walter, Steffen Leonhardt, Rosalia Dettori, Andreas Napp","doi":"10.1515/cdbme-2023-1046","DOIUrl":"https://doi.org/10.1515/cdbme-2023-1046","url":null,"abstract":"Abstract Pacemaker spike detection is an important step in monitoring paced patients. Capacitive ECG facilitates unobtrusive monitoring of subjects during daily routines such as driving. Robust algorithms are required to deal with low signal quality and artifacts, e.g. by employing fusion of multiple signal channels. Due to the low signal-to-noise ratio of the measurement, there are limitations to detection accuracy compared to conventional ECG monitors. Especially low voltage stimulations such as bipolar pacemaker spikes are hard to detect. We present a convolutional network approach to improve on recent signal processing algorithms.We show a realistic evaluation of its performance using leave-one-subject-out cross validation (LOOCV), its dependence on the size of the receptive field, and an estimation of an upper performance bound.","PeriodicalId":10739,"journal":{"name":"Current Directions in Biomedical Engineering","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Evaluation of a Cost-effective IMU System for Gait Analysis: Comparison with Vicon and VideoPose3D Algorithms","authors":"Nikolas Wilhelm, Sami Haddadin, Carina M. Micheler, Jan J. Lang, Florian Hinterwimmer, Victor Schaack, Ricardo Smits, Rainer Burgkart","doi":"10.1515/cdbme-2023-1064","DOIUrl":"https://doi.org/10.1515/cdbme-2023-1064","url":null,"abstract":"Abstract This study aimed to develop and evaluate a costeffective Inertial Measurement Unit (IMU) system for gait analysis, comparing its performance with the Vicon system and the VideoPose3D algorithm. The system comprises five calibrated sensors and a mobile app to measure lower body orientation during gait and stair climbing. Eight healthy participants were involved in the experiment, each performing ten repetitions to analyze hip and knee flexion angles. The IMU system demonstrated significantly lower mean square error than deep learning-based approaches and comparable results to the Vicon system, indicating its potential for clinical and research applications.","PeriodicalId":10739,"journal":{"name":"Current Directions in Biomedical Engineering","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of flushing parameters for clear view vascular endoscopy","authors":"Axel Boese, Julian Böckmann, Stefan Klebingat, Roland Schwab, Daniel Behme","doi":"10.1515/cdbme-2023-1128","DOIUrl":"https://doi.org/10.1515/cdbme-2023-1128","url":null,"abstract":"Abstract Vascular diseases like aneurysms or atherosclerosis belong to the leading causes of death. For diagnosis and treatment, medical imaging is essential. Standard imaging methods are Ultrasound, X-ray-based Angiography, Computed tomography or Magnet Resonant Imaging. Additionally, Intravascular Ultrasound or Optical Coherence Tomography are available for intravascular imaging. One imaging technique for direct investigation of the inner vessel is vascular endoscopy, also called angioscopy. It is based on the insertion of an optical endoscope into the blood vessel for direct imaging. Dependent on the vessel diameter, these endoscopes have to be very small. Angioscopy can provide valuable information about the condition of the vessel wall and serve for procedure observation or implant assessment. But angioscopy requires the absence of blood for a clear field of view. In prior research, we have already developed methods for the placement of a tiny optical fiber inside a catheter combination. As an essential step toward a clinical study, we now want to evaluate the flushing parameters needed to achieve a clear field of view for the endoscope. The parameters are affected by the blood flow and vessel diameter. We designed a test setup that allows angioscopic examination and the simulation of realistic conditions, such as blood flow and different vessel diameters and that includes a test pattern for image quality assessment.","PeriodicalId":10739,"journal":{"name":"Current Directions in Biomedical Engineering","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Basic studies on the influence of hemorrhage on the antimicrobial effect of visible light in a trachea model","authors":"Katharina Nuding, Ramin Lotfi, Peter Radermacher, Barbara Spellerberg, Jule Buehler, Ben Sicks, Katharina Hoenes, Martin Hessling","doi":"10.1515/cdbme-2023-1077","DOIUrl":"https://doi.org/10.1515/cdbme-2023-1077","url":null,"abstract":"Abstract Ventilator-associated pneumoniae (VAP) are a major problem in intensive care units. Previous in vitro experiments revealed that blue or violet luminescent endotracheal tubes are capable of inhibiting bacterial growth and may thus prevent pathogens from entering the lung. However, while these in vitro studies were conducted in a relatively transparent bacterial suspension, subglottic secretions around endotracheal tubes can also contain highly absorbent components, such as blood. To investigate if light has an antimicrobial effect under such conditions, staphylococcal solutions containing various absorbent components were irradiated by blue or violet luminescent endotracheal tubes for up to 24 h in a tracheal model. Light was generated externally by LEDs or lasers and entered the tube via light guides. An antimicrobial effect was observed for blue and violet light, which was, however, inhibited to some extent in the presence of light adsorbing molecules. Under these conditions, violet light had a stronger effect than blue at low absorptions, while at strong absorptions the effects converged, with blue light even exhibiting a slightly stronger impact. Significant differences between lasers and LEDs could not be detected. In our model, inhibition of bacterial growth could be observed even in the presence of light absorbing molecules. Illuminating endotracheal tubes with blue or violet light may thus represent a promising strategy to migration of bacteria from the oropharynx into the trachea and, thereby, possibly decrease the incidence of VAP.","PeriodicalId":10739,"journal":{"name":"Current Directions in Biomedical Engineering","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inkjet printability of Celecoxib drug solutions","authors":"Ahmed Sannan, Robert Mau, Hermann Seitz, Thomas Eickner, Michael Teske, Niels Grabow","doi":"10.1515/cdbme-2023-1083","DOIUrl":"https://doi.org/10.1515/cdbme-2023-1083","url":null,"abstract":"Abstract Inkjet printing is a versatile tool for the precise positioning of droplets that is used in many application areas such as 3D printing, biotechnology or pharmacy. This work focused on comparing the inkjet printability of different drug solutions of celecoxib (CLX), a non-steroidal anti-inflammatory drug, to produce drug depots in medical implants. CLX was dissolved in dimethyl sulfoxide (DMSO), poly(ethylene glycol) diacrylate (PEGDA) and a mixture of DMSO and PEGDA in a ratio of 1:1. The pure solvents and the drug solutions were inkjet printed using a Nanoplotter 2.1 with the NanoTip J printhead (GeSiM mbH, Radeberg, Germany). The voltage was varied from 60 V to 150 V using a step size of 5 V. Droplet volume and the trajectory of the droplets were investigated. For DMSO, DMSO-CLX, DMSO-PEGDA and DMSOPEGDA- CLX, reproducible droplet formation occurred with a droplet volume of approximately 300 pl - 500 pl and not more than one satellite droplet in a voltage range between 60 V to 80 V. Inkjet printing of PEGDA and PEGDA-CLX was not reproducible in the range of 60 V to 150 V. DMSO, DMSOPEGDA, DMSO-CLX and DMSO-PEGDA-CLX showed a high inkjet printability. In contrast, inkjet printability of PEGDA and PEGDA-CLX was very limited.","PeriodicalId":10739,"journal":{"name":"Current Directions in Biomedical Engineering","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic medical device for stabilized image perception of retinal blood vessels using entoptic phenomena","authors":"Carsten Tautorat, Kerstin Lebahn, Wolfram Schmidt, Niels Grabow, Rudolf Guthoff, Thomas Stahnke, Thomas Lips","doi":"10.1515/cdbme-2023-1102","DOIUrl":"https://doi.org/10.1515/cdbme-2023-1102","url":null,"abstract":"Abstract A diagnostic medical tool is described that allows patients to non-invasively observe, describe and document their own retinal blood vessels using the Purkinje vascular entoptic test. We envision key applications of the Purkinje retinal image stabilization (PRIS) device in monitoring of diabetic retinopathy and cost-effective assessment of retinal visual acuity. To optimize our PRIS principle, we have developed a benchtop device with interchangeable light modules. The modular design is intended to provide maximum flexibility for determining appropriate PRIS stimulation parameters. In self-tests, we found that a pleasant entoptic perception occurs when a green luminous light spot (approx. 525 nm) moves on a circular path. The challenging part is to derive an objective diagnosis from a subjective phenomenon.","PeriodicalId":10739,"journal":{"name":"Current Directions in Biomedical Engineering","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135394177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}