Bio-medical materials and engineering最新文献

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Enhanced detection of Mycobacterium Tuberculosis using nanogold-based silver staining enhancement. 纳米金基银染色增强对结核分枝杆菌的检测。
IF 1 4区 医学
Bio-medical materials and engineering Pub Date : 2025-05-01 Epub Date: 2025-01-22 DOI: 10.1177/09592989241308792
Lili Quan, Qianrong Yang, Zhu Jin, Rong Li, Han Xiao, Lu Wang
{"title":"Enhanced detection of Mycobacterium Tuberculosis using nanogold-based silver staining enhancement.","authors":"Lili Quan, Qianrong Yang, Zhu Jin, Rong Li, Han Xiao, Lu Wang","doi":"10.1177/09592989241308792","DOIUrl":"10.1177/09592989241308792","url":null,"abstract":"<p><p>BackgroundTuberculosis (TB) is a global health challenge from a single infectious agent, Mycobacterium tuberculosis (MTB), and it demands improved diagnostics and therapies.ObjectiveThis work explored a novel method for detecting MTB by combining nanogold labeling (NGL) technology with silver staining to enhance sensitivity and specificity.MethodsNanogold particles (NGPs) were characterized using ultraviolet absorption spectroscopy (UVAS), and their morphology was observed via transmission electron microscopy (TEM). The silver staining enhancement (SSE) system was optimized for a reaction time of 11 min. Fifty drug-resistant tuberculosis (DRT) patients were randomly assigned to a control (Ctrl) group receiving conventional nursing and an experimental (Exp) group treated with continuous nursing intervention (CNI). Quality of Life Instrument for Tuberculosis Patients (QLI-TB) scores were compared over 6 months.ResultsUnmarked NGPs were evenly distributed, while labeled NGPs maintained complete morphology with a gray halo. The detection limit was established at 0.582, reaching as low as 1 pmol/L. For sputum specimens, detection rates were 38.7% for culture, 41.94% for PCR, and 43.54% for nanogold SSE, with no significant differences (<i>P </i>> 0.05). However, patients in the Exp group exhibited significant improvements in physical, psychological, and social functions, as well as the tuberculosis-specific module (TSM) compared to the Ctrl group (<i>P </i>< 0.05).ConclusionsWe demonstrated an innovative method for detecting MTB, demonstrating promising results through method optimization and analysis.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"163-173"},"PeriodicalIF":1.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
One-pot method to prepare the guar gum hydrogel dressing and its application in wound repair. 一锅法制备瓜尔胶水凝胶敷料及其在创面修复中的应用。
IF 1 4区 医学
Bio-medical materials and engineering Pub Date : 2025-04-22 DOI: 10.1177/09592989251326661
Xuepeng Guo, Mingming Yin, Zhangqiang Tuo
{"title":"One-pot method to prepare the guar gum hydrogel dressing and its application in wound repair.","authors":"Xuepeng Guo, Mingming Yin, Zhangqiang Tuo","doi":"10.1177/09592989251326661","DOIUrl":"https://doi.org/10.1177/09592989251326661","url":null,"abstract":"<p><p>BackgroundThe skin serves as a critical barrier, safeguarding the body against external threats including bacteria, viruses, and ultraviolet (UV) radiation. Compromised skin integrity can result in pain, hinder daily activities, and elevate the risk of infections. Clinically, dressings are the conventional treatment for skin injuries. However, these often necessitate frequent replacements and may exacerbate wound trauma during removal. Therefore, there is growing interest in developing innovative dressings such as hydrogels, which are celebrated for their softness, adaptability, permeability, and capacity to sustain a moist wound environment. Guar gum, a galactomannan polysaccharide extensively utilized in the food and biomedical sectors, forms highly viscous, biocompatible hydrogels that are promising for medical applications including capsules and wound dressings. Nonetheless, the mechanical strength and antimicrobial properties of guar gum hydrogels require enhancements for optimal medical efficacy.ObjectiveThis study explores the fortification of guar gum (GG) hydrogels with tannic acid (TA) and citric acid (CA), which are known for their antibacterial, anti-inflammatory, and antioxidant properties, to develop injectable, antimicrobial hydrogel dressings.MethodsEmploying a one-pot synthesis method, this research aimed to create dressings for treating skin injuries in murine models. The hydrogels were characterized using Scanning Electron Microscopy (SEM) and Fourier Transform Infrared Spectroscopy (FT-IR), assessed for antibacterial efficacy against <i>Staphylococcus aureus</i>, and evaluated for biocompatibility and therapeutic effectiveness in mice with full-thickness skin injuries.ResultsThe results demonstrated successful cross-linking, structural stability, and significant enhancement in wound healing, indicating the potential of these GG-CA-TA hydrogel dressings to broaden the scope of guar gum applications in clinical skin restoration.ConclusionIn this study, a kind of Guar gum hydrogel was successfully synthesized by one-pot method, which has great potential in clinical skin repair.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"9592989251326661"},"PeriodicalIF":1.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adoption of enhanced multislice spiral computed tomography combined with magnetic resonance imaging in staging and preoperative assessment of colon cancer patients. 采用增强多层螺旋ct结合磁共振成像技术对结肠癌患者进行分期及术前评估。
IF 1 4区 医学
Bio-medical materials and engineering Pub Date : 2025-04-21 DOI: 10.1177/09592989251335125
Cong Liang, Ying Wu, Limei Wang, Junfang Bai, Dan Wang, Fei Zhao
{"title":"Adoption of enhanced multislice spiral computed tomography combined with magnetic resonance imaging in staging and preoperative assessment of colon cancer patients.","authors":"Cong Liang, Ying Wu, Limei Wang, Junfang Bai, Dan Wang, Fei Zhao","doi":"10.1177/09592989251335125","DOIUrl":"https://doi.org/10.1177/09592989251335125","url":null,"abstract":"<p><p>BackgroundColon cancer (CC) refers to malignant tumor of the digestive tract worldwide and is also among the cancers with high mortality rates.ObjectiveThe aim of this work was to evaluate the diagnostic performance of multislice spiral CT (MSCT), magnetic resonance imaging (MRI), and MSCT + MRI in different stages of colon cancer (CC) (T1-T2, T3, T4). This work compared the differences in sensitivity (<i>Sen</i>), specificity (<i>Spe</i>), accuracy (Acc), and area under the curve (AUC) values among these methods and explored the optimal diagnostic strategy.MethodsA total of 120 patients with CC confirmed by pathological biopsy and 30 individuals suspected of CC but without detected tumors (as controls) were selected. All subjects underwent MSCT, MRI, and combined MSCT + MRI examinations. Statistical analyses of <i>Sen</i>, <i>Spe</i>, <i>Acc</i>, and AUC values were performed.ResultsIn the T1-T2 stage, MSCT had a <i>Sen</i> of 85.2%, <i>Acc</i> of 86.8%, and an AUC value of 0.878; MRI had a <i>Spe</i> of 91.0%, <i>Sen</i> of 81.6%, and an AUC value of 0.865; the combined MSCT + MRI examination had a <i>Sen</i> of 90.6% and an AUC of 0.903. In the T3 stage, MRI had a significantly higher <i>Sen</i> (91.7%) than MSCT (80.0%), with an AUC of 0.887, while the combined MSCT + MRI examination had a <i>Sen</i> of 98.3% and an AUC of 0.942. In the T4 stage, the combined MSCT + MRI examination performed the best, with a <i>Sen</i> of 100% and an AUC of 0.933, and compared with MSCT or MRI alone, the differences were statistically significant (<i>P </i>< 0.05).ConclusionMSCT and MRI each have their own advantages in the diagnosis of different stages of CC. MSCT is suitable for initial screening in the T1-T2 stage, while MRI is more effective in assessing tumor invasiveness in the T3 and higher stages. The combined MSCT + MRI examination can provide more comprehensive diagnostic information, especially in the T4 stage, where it shows the highest <i>Sen</i> and <i>Acc</i>. Selecting the appropriate examination method based on the patient's specific condition and staging needs is of great significance in improving the diagnostic <i>Acc</i> of CC.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"9592989251335125"},"PeriodicalIF":1.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biomechanical properties of regenerated digital flexor tendon in immature newt following complete transection. 完全横断后未成熟蝾螈指屈肌腱再生的生物力学特性。
IF 1 4区 医学
Bio-medical materials and engineering Pub Date : 2025-03-18 DOI: 10.1177/09592989251324288
Yu Masuda-Otsuka, Tomoka Kamiya, Daisuke Suzuki, Toshinori Hayashi, Jeonghyun Kim, Takeo Matsumoto, Eijiro Maeda
{"title":"Biomechanical properties of regenerated digital flexor tendon in immature newt following complete transection.","authors":"Yu Masuda-Otsuka, Tomoka Kamiya, Daisuke Suzuki, Toshinori Hayashi, Jeonghyun Kim, Takeo Matsumoto, Eijiro Maeda","doi":"10.1177/09592989251324288","DOIUrl":"https://doi.org/10.1177/09592989251324288","url":null,"abstract":"<p><p>BackgroundAdult newt (9-month-old) has become an emerging research model to study complete regeneration of injured adult tendon. If younger newts exhibit tendon regeneration similar to adult ones, they can be used as an additional experimental model, assuring a high- throughput of experiments using genetic manipulation owing to shorter period of growing.ObjectiveTo examine mechanical properties and tissue structure of tendon in immature Iberian ribbed newt following complete transection.MethodsDigital flexor tendon of the middle finger of the left hindlimb in 4- and 6-month-old Iberian ribbed newt (4mo and 6mo, respectively) was transected. Regenerated tendon was mechanically tested at 6 and 12 weeks postoperatively. Collagen fiber structure was also observed using two-photon microscopy.ResultsIn both 4mo and 6mo newts, regenerated tendon at 6 weeks exhibited significantly lower tensile strength than corresponding normal tendons and had unorganized collagen structure. At 12 weeks, Regenerated tendon in both groups had the strength comparable to normal controls. Additionally, the collagen structure seemed more organized compared to that at 6 weeks and comparable to controls. These phenomena were essentially similar to those in adult newts.Conclusion4mo and 6mo newts can also be used as experimental models of adult tendon regeneration research.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"9592989251324288"},"PeriodicalIF":1.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multi-scale topology optimisation design and mechanical property analysis of porous interbody fusion cage. 多孔椎间融合器多尺度拓扑优化设计及力学性能分析。
IF 1 4区 医学
Bio-medical materials and engineering Pub Date : 2025-03-01 Epub Date: 2024-12-10 DOI: 10.1177/09592989241303291
Huaiyue Zhang, Rongchang Fu, Xu Zhu
{"title":"Multi-scale topology optimisation design and mechanical property analysis of porous interbody fusion cage.","authors":"Huaiyue Zhang, Rongchang Fu, Xu Zhu","doi":"10.1177/09592989241303291","DOIUrl":"10.1177/09592989241303291","url":null,"abstract":"<p><p>BackgroundTitanium (Ti) and polyether ether ketone (PEEK) interbody fusion cages cause postoperative stress shielding problems. The porous cage design is one of the solutions advanced to mitigate this problem.ObjectiveExploring the mitigation of stress shielding with a porous interbody fusion cage after surgery for idiopathic scoliosis.MethodsThe porous interbody fusion cage was constructed based on the multiscale topology optimisation method, and the postoperative lumbar spine models implanted with it. The porous Ti and PEEK fusion cages were evaluated under physiological conditions to investigate their mechanical properties.ResultsThe volume of the porous fusion cage was reduced by 52.57%, and the stress was increased by 242.76% and 252.46% compared with the Ti and PEEK fusion cage; the modulus of elasticity of the porous fusion cage was reduced by 76.85%, and the strain was increased by 131.40%∼686.51% compared with the Ti cage; the porous fusion cage increased L3 cortical bone stress by 13.36% and 13.52% and cancellous bone by 82.93% and 76.72%, respectively, compared with the original interbody fusion cages.ConclusionThe porous interbody fusion cage has a much more lightweight design which facilitates growth of bone tissue. However, a frame structure should be constructed to minimize issues with stress peaks and localised stress concentrations. It also has a significantly lower stiffness which helps alleviate vertebral stress shielding, further fostering bone growth. The porous fusion cage thus meets the clinical requirements for better fusion outcomes.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"110-123"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Polydopamine-functionalized nanohydroxyapatite coated exosomes with enhanced cytocompatibility and osteogenesis for bone regeneration. 多多巴胺功能化的纳米羟基磷灰石包被外泌体,增强细胞相容性和骨再生成骨能力。
IF 1 4区 医学
Bio-medical materials and engineering Pub Date : 2025-03-01 Epub Date: 2024-12-13 DOI: 10.1177/09592989241301662
Mingli Xiang, Gengchao Zhang, Yulin Liu, Chengcheng Liao, Linlin Xiao, Meiling Xiang, Xiaoyan Guan, Jianguo Liu
{"title":"Polydopamine-functionalized nanohydroxyapatite coated exosomes with enhanced cytocompatibility and osteogenesis for bone regeneration.","authors":"Mingli Xiang, Gengchao Zhang, Yulin Liu, Chengcheng Liao, Linlin Xiao, Meiling Xiang, Xiaoyan Guan, Jianguo Liu","doi":"10.1177/09592989241301662","DOIUrl":"10.1177/09592989241301662","url":null,"abstract":"<p><p>BackgroundMesenchymal stem cells-derived exosomes, crucial in regenerative medicine, have been explored for their potential for the functional modification of bone scaffolds.ObjectiveTo design a functionally modified biomimetic nanohydroxyapatite using exosomes and explore its effects on bone regeneration.MethodsA biomimetic nanohydroxyapatite (named as tHA) was fabricated as previous methods using a polydopamine (pDA) structure as a template, and exosomes (Exo) derived from periodontal ligament stem cells (PDLSCs) were used to functionally modify the tHA scaffold material through pDA. The effects of functional composite scaffold (tHA-Exo) on cells proliferation and osteogenic differentiation were investigated. Furthermore, their effect on bone regeneration was also evaluated in vivo.ResultsExosomes can be loaded onto the tHA via pDA and the tHA-Exo releases exosomes in a sustained and stable manner. tHA-Exo showed improved cytocompatibility compared to controls. Additionally, tHA-Exo significantly enhanced the proliferation and osteogenic differentiation of PDLSCs. More importantly, animal experiments have shown that tHA-Exo could dramatically promote bone regeneration.ConclusionThe tHA nanoparticles, functionally modified by the PDLSCs-Exo through pDA, significantly promoted bone regeneration by improving its cytocompatibility and osteogenic potential, which could serve as a promising material for promoting bone regeneration.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"98-109"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A novel vessel enhancement method based on Hessian matrix eigenvalues using multilayer perceptron. 一种基于Hessian矩阵特征值的多层感知器血管增强方法。
IF 1 4区 医学
Bio-medical materials and engineering Pub Date : 2025-03-01 Epub Date: 2025-01-02 DOI: 10.1177/09592989241296431
Xiaoyu Guo, Jiajun Hu, Tong Lu, Guoyin Li, Ruoxiu Xiao
{"title":"A novel vessel enhancement method based on Hessian matrix eigenvalues using multilayer perceptron.","authors":"Xiaoyu Guo, Jiajun Hu, Tong Lu, Guoyin Li, Ruoxiu Xiao","doi":"10.1177/09592989241296431","DOIUrl":"10.1177/09592989241296431","url":null,"abstract":"<p><strong>Background: </strong>Vessel segmentation is a critical aspect of medical image processing, often involving vessel enhancement as a preprocessing step. Existing vessel enhancement methods based on eigenvalues of Hessian matrix face challenges such as inconsistent parameter settings and suboptimal enhancement effects across different datasets.</p><p><strong>Objective: </strong>This paper aims to introduce a novel vessel enhancement algorithm that overcomes the limitations of traditional methods by leveraging a multilayer perceptron to fit a vessel enhancement filter function using eigenvalues of Hessian matrix. The primary goal is to simplify parameter tuning while enhancing the effectiveness and generalizability of vessel enhancement.</p><p><strong>Methods: </strong>The proposed algorithm utilizes eigenvalues of Hessian matrix as input for training the multilayer perceptron-based vessel enhancement filter function. The diameter of the largest blood vessel in the dataset is the only parameter to be set.</p><p><strong>Results: </strong>Experiments were conducted on public datasets such as DRIVE, STARE, and IRCAD. Additionally, optimal parameter acquisition methods for traditional Frangi and Jerman filters are introduced and quantitatively compared with the novel approach. Performance metrics such as AUROC, AUPRC, and DSC show that the proposed algorithm outperforms traditional filters in enhancing vessel features.</p><p><strong>Conclusion: </strong>The findings of this study highlight the superiority of the proposed vessel enhancement algorithm in comparison to traditional methods. By simplifying parameter settings, improving enhancement effects, and showcasing superior performance metrics, the algorithm offers a promising solution for enhancing vessel parts in medical image analysis applications.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"83-97"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of silk short fiber biomimetic materials on the recovery of sports function in patients with meniscal injury during sports. 丝质短纤维仿生材料对半月板损伤患者运动功能恢复的影响。
IF 1 4区 医学
Bio-medical materials and engineering Pub Date : 2025-03-01 Epub Date: 2024-12-11 DOI: 10.1177/09592989241296427
Yong Wang, Dongsong Bin
{"title":"The effect of silk short fiber biomimetic materials on the recovery of sports function in patients with meniscal injury during sports.","authors":"Yong Wang, Dongsong Bin","doi":"10.1177/09592989241296427","DOIUrl":"10.1177/09592989241296427","url":null,"abstract":"<p><p>BackgroundIn sports, especially high-intensity and high-risk activities, the meniscus is easily damaged. For patients with meniscus injuries, it is necessary to repair or replace the patient's meniscus. However, as age increases, the human meniscus tissue gradually forms and cannot be repaired through its own meniscus. Therefore, it is necessary to maintain the patient's movement function through meniscus support materials.ObjectiveTraditional meniscus support materials have poor mechanical properties and poor biocompatibility. In response to this issue, this study designed a meniscus scaffold made of silk short fibers, silk fibroin, and wool protein.MethodsThrough electrospinning and freeze-drying techniques, the material was processed to obtain a silk short fiber meniscus with a biomimetic structure.ResultsThrough experiments, the surface morphology, hydrophobicity, porosity, secondary structure, thermal stability, water absorption swelling, and MP of MCS made of SSF biomimetic materials were characterized.ConclusionThe experimental results show that the manufactured silk short fiber meniscus has good compressive performance, thermal stability, and water absorption and swelling properties, and it also exhibits good biocompatibility.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"69-82"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rotation angle between the femoral and tibial components in varus/valgus stress X-rays following total knee arthroplasty. 全膝关节置换术后内翻/外翻应力x线中股骨和胫骨部件之间的旋转角度。
IF 1 4区 医学
Bio-medical materials and engineering Pub Date : 2025-03-01 Epub Date: 2025-01-10 DOI: 10.1177/09592989241304989
Hiroki Hijikata, Tomoharu Mochizuki, Keisuku Maeda, Osamu Tanifuji, Go Omori, Noriaki Yamamoto, Hiroyuki Kawashima
{"title":"Rotation angle between the femoral and tibial components in varus/valgus stress X-rays following total knee arthroplasty.","authors":"Hiroki Hijikata, Tomoharu Mochizuki, Keisuku Maeda, Osamu Tanifuji, Go Omori, Noriaki Yamamoto, Hiroyuki Kawashima","doi":"10.1177/09592989241304989","DOIUrl":"10.1177/09592989241304989","url":null,"abstract":"<p><p>BackgroundThe impact of rotational angle between the femoral and tibial components is often overlooked in the 2D evaluation of varus/valgus stability after TKA with anterior-posterior knee X-rays. The rotation angle between the femoral and tibial components may influence the measured angle and distance between these components in 2D stress X-rays following TKA.ObjectiveThe purpose of this study was to assess the impact of the rotational angle between the femoral and tibial components on the evaluation of varus/valgus stability using stress X-rays following total knee arthroplasty (TKA).MethodsThis prospective study analyzed 48 consecutive rTKAs (three males, aged 68 ± 6.4 years; 45 females, aged 75 ± 5.9 years). Postoperative varus/valgus stress X-rays were taken at maximum manual stress during knee extension under anesthesia, and were analyzed three-dimensionally using a 2D-3D image matching technique with 3D bone and component models. The rotation angles of the components (CR angles) were assessed under conditions of no stress, valgus stress, and varus stress. Additionally, the varus/valgus angle (VV angle) between components was evaluated under the same conditions. Medial joint opening (MJO) and lateral joint opening (LJO) were also measured in both stressed and non-stressed states.ResultsThe CR angles under no stress, valgus stress, and varus stress were 9.9 ± 5.5°, 10.1 ± 6.2°, and 10.8 ± 5.1°, respectively. The VV angles under no stress, valgus stress, and varus stress were 3.6 ± 1.1°, 1.1 ± 1.4°, and 7.1 ± 1.9°, respectively. The MJO in the non-stress condition and under valgus stress were 0.0 ± 0.4 mm and 1.3 ± 1.0 mm, respectively. The LJO in the non-stress condition and under varus stress were 0.9 ± 0.9 mm and 2.9 ± 2.7 mm, respectively.ConclusionsThis prospective study revealed two key findings: (1) the CR angle in varus stress was significantly more externally rotated compared to the CR angle in the non-stress condition, and (2) no significant correlations were found between the rotational angle of the components and the VV angle, MJO, or LJO.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"124-132"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Algorithm-controlled RF power output for enhanced margin precision in liver cancer radiofrequency ablation. 算法控制射频功率输出,提高肝癌射频消融边缘精度。
IF 1 4区 医学
Bio-medical materials and engineering Pub Date : 2025-03-01 Epub Date: 2024-12-12 DOI: 10.1177/09592989241304992
Dandan Gu, Difang Liu, Haitao Yao, Danni Rui, Yifan Yang, Yu Zhou
{"title":"Algorithm-controlled RF power output for enhanced margin precision in liver cancer radiofrequency ablation.","authors":"Dandan Gu, Difang Liu, Haitao Yao, Danni Rui, Yifan Yang, Yu Zhou","doi":"10.1177/09592989241304992","DOIUrl":"10.1177/09592989241304992","url":null,"abstract":"<p><p>BackgroundPercutaneous radiofrequency ablation (RFA) is a common method for treating liver cancer. Compared to other treatment modalities, RFA has a higher local tumor recurrence rate due to incomplete ablation. On the other hand, to ensure complete tumor removal, multiple ablations may be necessary, but this can lead to excessive thermal damage. Therefore, improving the precision of the ablation margin control is crucial.ObjectiveThis study aims to investigate an algorithm-controlled ablation mode that can precisely control the tumor treatment margins. This mode uses temperature and impedance as feedback parameters to adaptively adjust the RF power output, ensuring both effective tumor ablation and enhanced safety.MethodsThe study conducted finite element analyses and ex-vivo bovine liver experiments comparing traditional constant power ablation and the algorithm-controlled ablation mode. Simulations primarily analyzed the temperature changes and ablation area in biological tissue, assessing the effectiveness of the two ablation modes. In the ex-vivo bovine liver experiments, temperature and impedance were monitored in real-time to validate the feasibility of the algorithmic ablation mode.ResultsThe findings indicate that the algorithm-controlled ablation mode effectively controls the rise in tissue impedance, preventing carbonization and charring. For ablation diameters of 10 mm and 20 mm, it precisely maintained the boundary temperatures within the range of 50-60°C, ensuring effective damage at the ablation margins while avoiding excessive damage to normal tissue.ConclusionThis study developed an adaptive radiofrequency ablation algorithm for treating liver cancer, using temperature and impedance as feedback parameters. Preliminary results from finite element analysis and ex-vivo bovine liver experiments suggest that for small tumors with diameters of 10 mm and 20 mm, this algorithm may provide more precise control of the ablation zone, improving efficiency and safety compared to traditional constant power ablation.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"133-147"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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