中国医疗器械杂志Pub Date : 2025-05-30DOI: 10.12455/j.issn.1671-7104.240597
Jinhong Yao, Yan Jin, Xinyu Zhao
{"title":"[Research and Design of Varian Accelerator Quality Management Monitoring System Based on Log Files].","authors":"Jinhong Yao, Yan Jin, Xinyu Zhao","doi":"10.12455/j.issn.1671-7104.240597","DOIUrl":"https://doi.org/10.12455/j.issn.1671-7104.240597","url":null,"abstract":"<p><p>In order to track the running status of the accelerator in real time, discover potential problems in time, reduce the failure rate, and ensure the safety of radiotherapy patients, a linear accelerator quality management monitoring system is designed based on log files. The system adopts B/S architecture, with the server written in Python3.7 language, and is built based on Django2.2.7 framework. The system uses Python3.7 and Pylinac packages to analyze the log files of each plan, obtaining the planned beam quantity, flux gamma pass rate, and position information of multileaf collimator, etc., to realize the quality monitoring of medical linear accelerator, and customize the development of accelerator spare parts and maintenance management modules. According to statistics, after the establishment of the quality management monitoring system, the accelerator has achieved a 16% reduction in failure rate and a 30% reduction in the downtime rate, which ensures its stable operation in clinical settings.</p>","PeriodicalId":52535,"journal":{"name":"中国医疗器械杂志","volume":"49 3","pages":"276-279"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509386","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}
中国医疗器械杂志Pub Date : 2025-05-30DOI: 10.12455/j.issn.1671-7104.240460
Zhenzhen Han, Kunshan Yuan, Haijun Zhang
{"title":"[Research Progress of External Ventricular Drainage Catheterization Techniques].","authors":"Zhenzhen Han, Kunshan Yuan, Haijun Zhang","doi":"10.12455/j.issn.1671-7104.240460","DOIUrl":"https://doi.org/10.12455/j.issn.1671-7104.240460","url":null,"abstract":"<p><p>Insertion of external ventricular drainage (EVD) is an effective neurosurgical treatment approach. The accuracy of EVD insertion is related to potential complications, and the precise placement of the catheter tip can reduce the incidence of complications. With the progress of medical technology, the research and application of EVD catheterization technology are developing rapidly. This paper reviews the traditional blind catheterization, computed tomography, ultrasound guidance, mixed reality navigation system, laser positioning neural navigation, mobile device neural navigation, stereotactic system, and the visualization technology of the whole process of neuroendoscope assisted ventricle puncture to guide EVD catheterization to provide references for clinical decision-making by medical staff.</p>","PeriodicalId":52535,"journal":{"name":"中国医疗器械杂志","volume":"49 3","pages":"287-294"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509390","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":"[3D Pulse Image Detection and Pulse Pattern Recognition Based on Subtle Motion Magnification Technology].","authors":"Chongyang Yao, Yongxin Chou, Zhiwei Liang, Haiping Yang, Jicheng Liu, Dongmei Lin","doi":"10.12455/j.issn.1671-7104.240567","DOIUrl":"https://doi.org/10.12455/j.issn.1671-7104.240567","url":null,"abstract":"<p><p>To address the problem of large reconstruction errors in 3D pulse signals caused by excessively small out-of-plane displacement of the contact membrane in the existing traditional Chinese medicine fingertip tactile binocular vision detection technology, this study proposes a 3D pulse image detection method based on subtle motion magnification technology and explores its application in pulse pattern recognition. Firstly, a 3D pulse image detection system based on binocular vision to obtain pulse image signals is developed as experimental data. Then, the phase motion video magnification algorithm is used to amplify the original signals, and the amplified signals are reconstructed in three dimensions to obtain 3D pulse signals. On this basis, nine features are extracted from the 3D pulse signals and features selection is performed using a two-sample Kolmogorov-Smirnov test. Finally, machine learning algorithms such as decision trees and random forests are used to identify the five types of pulse conditions: deep pulse, intermittent pulse, flooding pulse, slippery pulse, and rapid pulse. The experimental results show that compared to the methods without subtle motion magnification technology, the proposed method significantly improves waveform clarity, amplitude stability, and periodic regularity. Meanwhile, the average accuracy in pulse pattern recognition reaches 96.29%±0.26%.</p>","PeriodicalId":52535,"journal":{"name":"中国医疗器械杂志","volume":"49 3","pages":"255-262"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509361","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}
中国医疗器械杂志Pub Date : 2025-05-30DOI: 10.12455/j.issn.1671-7104.240655
Bao Li, Yongzhong Chen, Jun Jin, Longjun Yan, Xiaoyong Wang
{"title":"[Accuracy Assessment of Cone-Beam CT Images for Pelvic Tumor Dose Calculation].","authors":"Bao Li, Yongzhong Chen, Jun Jin, Longjun Yan, Xiaoyong Wang","doi":"10.12455/j.issn.1671-7104.240655","DOIUrl":"https://doi.org/10.12455/j.issn.1671-7104.240655","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility and accuracy of cone-beam CT (CBCT) images for radiotherapy dose calculation in pelvic tumors.</p><p><strong>Methods: </strong>An improved volumetric density coverage method was used to establish CT value-relative electron density (RED) curves for CBCT images. The planning CT plans were transferred to the CBCT images, and the constructed density curves were applied to calculate doses for CBCT plans while maintaining the optimization parameters unchanged. Dose calculation deviations between the two plans were analyzed.</p><p><strong>Results: </strong>The mean differences in dosimetric parameters for the target volume and organs at risk (OAR) between the two plans were less than 1% and 1.5%, respectively. The target conformity index (CI), homogeneity index (HI), and gamma passing rates were highly consistent, with no statistically significant differences.</p><p><strong>Conclusion: </strong>CBCT images corrected by this method can be used for dose calculation in pelvic tumor radiotherapy planning.</p>","PeriodicalId":52535,"journal":{"name":"中国医疗器械杂志","volume":"49 3","pages":"302-307"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509363","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}
中国医疗器械杂志Pub Date : 2025-05-30DOI: 10.12455/j.issn.1671-7104.240419
Yan Hang, Chaoyang Wang, Qi Yin, Yanan Liu, Lin Huang, Jilun Ye, Xu Zhang
{"title":"[Development of a Multimodal Transcranial Electrical Stimulation System with Integrated Four-Channel EEG Recordings].","authors":"Yan Hang, Chaoyang Wang, Qi Yin, Yanan Liu, Lin Huang, Jilun Ye, Xu Zhang","doi":"10.12455/j.issn.1671-7104.240419","DOIUrl":"https://doi.org/10.12455/j.issn.1671-7104.240419","url":null,"abstract":"<p><p>In order to improve the effect of transcranial electrical stimulation treatment and realize personalized treatment for patients with varying severity levels, this paper designed an integrated four-channel EEG recording multimodal transcranial electrical stimulation system. This system can conduct real-time monitoring on EEG and related characteristic analysis before stimulation, in stimulation, and after stimulation. This enables physicians and researchers to resolve real-time brain states, evaluate transcranial electrical stimulation effect, and then artificially adjust the stimulation parameters. After relevant testing and verification, the system can select four stimulation modes: TACS, TDCS, TPCS and TRNS, which can output the constant stimulation current of 0.03 mA accuracy in the range of ±2 mA and the stimulation frequency of low frequency of 0~4 kHz (precision of 0.01 Hz) and high frequency 50~100 kHz, which can obtain more accurate EEG signals under stimulation interference, demonstrating a good market application prospect.</p>","PeriodicalId":52535,"journal":{"name":"中国医疗器械杂志","volume":"49 3","pages":"313-322"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509383","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}
中国医疗器械杂志Pub Date : 2025-05-30DOI: 10.12455/j.issn.1671-7104.240456
Linghan Zhang, Yuan Lin
{"title":"[Application of Artificial Intelligence in Surgical Robotics].","authors":"Linghan Zhang, Yuan Lin","doi":"10.12455/j.issn.1671-7104.240456","DOIUrl":"10.12455/j.issn.1671-7104.240456","url":null,"abstract":"<p><p>Surgical robots represent one of the important diagnostic and treatment methods in the field of surgery. In recent years, artificial intelligence (AI) has been increasingly used in the field of surgical medicine, especially in the field of robotic-assisted surgery. This article reviews the common modes of AI in surgical robotics, enumerates the surgical robots available in the market, and summarizes some difficulties and challenges in the application of AI in surgical robotics through literature reviews, website visits and investor press releases analysis of target companies.</p>","PeriodicalId":52535,"journal":{"name":"中国医疗器械杂志","volume":"49 3","pages":"244-249"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509364","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 Novel Coronary Knobby Scoring Balloon and Biomechanical Study in Intravascular Dilation].","authors":"Feng Guo, Junmin Guo, Jipeng Chen, Xuemei Duan, Wenkang Zhang","doi":"10.12455/j.issn.1671-7104.240595","DOIUrl":"https://doi.org/10.12455/j.issn.1671-7104.240595","url":null,"abstract":"<p><p>This study investigated a novel coronary knobby scoring balloon through finite element analysis (FEA) and <i>in vitro</i> anti-slippage testing, evaluating its dilation process under various vascular conditions and comparing it with other balloons. The FEA results indicated that in the cases of healthy artery and diseased artery with different stenosis rates, the stress on the vessels caused by the knobby scoring balloon was significantly smaller than that of the scoring balloon, and was close to that of the plain balloon. <i>In vitro</i> anti-slippage testing showed that the slippage distance of a plain balloon was 0.11±0.06 mm, and there was no slippage for knobby scoring balloon under nominal pressure. Knobby scoring balloon can effectively expand calcified lesion while providing anti-slippage function, and has a lower risk of vascular injury.</p>","PeriodicalId":52535,"journal":{"name":"中国医疗器械杂志","volume":"49 3","pages":"269-275"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509362","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}
中国医疗器械杂志Pub Date : 2025-05-30DOI: 10.12455/j.issn.1671-7104.240617
Hao Liu, Longyang Jia, Ruiyao Jiang
{"title":"[Performance Testing of Medical Ultrasound Diagnostic Equipment Based on Tissue-Mimicking Phantom].","authors":"Hao Liu, Longyang Jia, Ruiyao Jiang","doi":"10.12455/j.issn.1671-7104.240617","DOIUrl":"https://doi.org/10.12455/j.issn.1671-7104.240617","url":null,"abstract":"<p><p>This study aims to ensure the effectiveness of medical ultrasound diagnostic equipment in clinical applications by testing multiple key performance indicators using tissue-mimicking phantoms and exploring the changes in these performance indicators over time. Firstly, 17 in-service medical ultrasound diagnostic equipments were selected, and their depth of penetration, dead zone, lateral resolution, axial resolution, geometric position error, and cystic focal diameter error were tested according to the verification regulations. In addition, the study retrospectively analyzed the performance testing data of 19 medical ultrasound diagnostic equipments over the past three consecutive years and conducted statistical analysis. Through the testing, all performance indicators of the 17 equipments met the requirements of the verification regulations, indicating that they can stably and reliably provide high-quality ultrasound diagnostic images and data in clinical applications. Meanwhile, retrospective data showed that with the increase with the increase in service life, the resolving ability at the far field of the 19 equipments decreased, and the cystic focal diameter error increased. Therefore, it is recommended that medical institutions establish a regular testing and maintenance system for medical ultrasound diagnostic equipment, conducting regular performance evaluations and maintenance to ensure its good working condition.</p>","PeriodicalId":52535,"journal":{"name":"中国医疗器械杂志","volume":"49 3","pages":"308-312"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509385","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}
中国医疗器械杂志Pub Date : 2025-05-30DOI: 10.12455/j.issn.1671-7104.240696
Lanfeng Zhang, Guangjun Guo, Guibing Hou
{"title":"[Study on Performance of Nebulizer for Pressurized Intraperitoneal Aerosol Chemotherapy].","authors":"Lanfeng Zhang, Guangjun Guo, Guibing Hou","doi":"10.12455/j.issn.1671-7104.240696","DOIUrl":"https://doi.org/10.12455/j.issn.1671-7104.240696","url":null,"abstract":"<p><strong>Objective: </strong>The study investigates the performance parameters of a nebulizer for pressurized intraperitoneal aerosol chemotherapy (PIPAC).</p><p><strong>Methods: </strong>Laser diffraction spectroscopy was used to measure the median droplet diameter ( <i>D</i> <sub>50</sub>) and spray angle during the steady-state aerosol phase.</p><p><strong>Results: </strong>The minimum droplet diameter of aerosol was achieved when using a nozzle of 0.2 mm diameter and 0.07 mm thickness. The nebulizer could not produce steady-state aerosol when the liquid flow rate was less than or equal to 0.3 mL/s. When the liquid flow rate was greater than or equal to 0.5 mL/s, as the working pressure increased, the median particle size gradually decreased and the spray angle gradually increased. When the pressure is greater than or equal to 200 psi(1 psi=6 894.76 Pa), as the liquid flow rate increased, the spray angle gradually increased. At a flow rate of 0.7 mL/s and working pressure of 300 psi, the median droplet diameter of aerosol <i>D</i> <sub>50</sub> was 16 μm with a spray angle up to 89.2°.</p><p><strong>Conclusion: </strong>As a novel intraperitoneal drug delivery technology, PIPAC requires further research focusing on reducing droplet size, expanding drug distribution, improving tissue permeability, and increasing drug concentration.</p>","PeriodicalId":52535,"journal":{"name":"中国医疗器械杂志","volume":"49 3","pages":"330-335"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509394","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":"[Design and Efficacy Evaluation of Steam Thermal Ablation System for Liver Tumor].","authors":"Wei Wei, Xiaofei Jin, Lidong Xing, Zhiyu Qian, Haotian Wang, Jingqi Song, Kairan Wan","doi":"10.12455/j.issn.1671-7104.250114","DOIUrl":"https://doi.org/10.12455/j.issn.1671-7104.250114","url":null,"abstract":"<p><p>To address the limitations of traditional minimally invasive thermal ablation technology such as poor conformability, carbonization and electromagnetic radiation, this paper proposes a steam thermal ablation technology that uses saturated steam internal energy to replace the traditional electromagnetic radiation energy. Through the steam thermal ablation system and the steam thermal ablation needle designed based on simulation, the <i>ex vivo</i> pig liver experiments were carried out. The results have the characteristics of the maximum ablation axis ratio (short diameter / long diameter) and non-carbonization with the same type of thermal ablation technology. Based on the near-infrared light, in this paper the curative effect of the reduced scattering coefficient of the steam thermal ablation results was evaluated. The reduced scattering coefficients of the coagulation area all exceeded 16, reaching the completely damaged state, which verified that the steam thermal ablation can effectively inactivate the tumor cells.</p>","PeriodicalId":52535,"journal":{"name":"中国医疗器械杂志","volume":"49 3","pages":"323-329"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509366","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}