Expert review of medical devices最新文献_第10页

Deep learning for early diagnosis of oral cancer via smartphone and DSLR image analysis: a systematic review. 通过智能手机和数码单反相机图像分析进行口腔癌早期诊断的深度学习：系统综述。

Expert review of medical devices Pub Date : 2024-12-01 Epub Date: 2024-11-28 DOI: 10.1080/17434440.2024.2434732

Tapabrat Thakuria, Taibur Rahman, Deva Raj Mahanta, Sanjib Kumar Khataniar, Rahul Dev Goswami, Tashnin Rahman, Lipi B Mahanta

{"title":"Deep learning for early diagnosis of oral cancer via smartphone and DSLR image analysis: a systematic review.","authors":"Tapabrat Thakuria, Taibur Rahman, Deva Raj Mahanta, Sanjib Kumar Khataniar, Rahul Dev Goswami, Tashnin Rahman, Lipi B Mahanta","doi":"10.1080/17434440.2024.2434732","DOIUrl":"10.1080/17434440.2024.2434732","url":null,"abstract":"Introduction: Diagnosing oral cancer is crucial in healthcare, with technological advancements enhancing early detection and outcomes. This review examines the impact of handheld AI-based tools, focusing on Convolutional Neural Networks (CNNs) and their advanced architectures in oral cancer diagnosis.Methods: A comprehensive search across PubMed, Scopus, Google Scholar, and Web of Science identified papers on deep learning (DL) in oral cancer diagnosis using digital images. The review, registered with PROSPERO, employed PRISMA and QUADAS-2 for search and risk assessment, with data analyzed through bubble and bar charts.Results: Twenty-five papers were reviewed, highlighting classification, segmentation, and object detection as key areas. Despite challenges like limited annotated datasets and data imbalance, models such as DenseNet121, VGG19, and EfficientNet-B0 excelled in binary classification, while EfficientNet-B4, Inception-V4, and Faster R-CNN were effective for multiclass classification and object detection. Models achieved up to 100% precision, 99% specificity, and 97.5% accuracy, showcasing AI's potential to improve diagnostic accuracy. Combining datasets and leveraging transfer learning enhances detection, particularly in resource-limited settings.Conclusion: Handheld AI tools are transforming oral cancer diagnosis, with ethical considerations guiding their integration into healthcare systems. DL offers explainability, builds trust in AI-driven diagnoses, and facilitates telemedicine integration.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"1189-1204"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142718141","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}

引用次数: 0

Robotic-assisted surgery for the treatment of urologic cancers: recent advances. 机器人辅助手术治疗泌尿系统癌症：最新进展。

Expert review of medical devices Pub Date : 2024-12-01 DOI: 10.1080/17434440.2024.2435546

Gabriele Bignante, Angelo Orsini, Francesco Lasorsa, Luca Lambertini, Matteo Pacini, Daniele Amparore, Savio Domenico Pandolfo, Francesco Del Giudice, Osama Zaytoun, Maurizio Buscarini, Giuseppe Lucarelli, Luigi Schips, Alessandro Veccia, Alessandro Antonelli, Cristian Fiori, Francesco Porpiglia, Riccardo Autorino

{"title":"Robotic-assisted surgery for the treatment of urologic cancers: recent advances.","authors":"Gabriele Bignante, Angelo Orsini, Francesco Lasorsa, Luca Lambertini, Matteo Pacini, Daniele Amparore, Savio Domenico Pandolfo, Francesco Del Giudice, Osama Zaytoun, Maurizio Buscarini, Giuseppe Lucarelli, Luigi Schips, Alessandro Veccia, Alessandro Antonelli, Cristian Fiori, Francesco Porpiglia, Riccardo Autorino","doi":"10.1080/17434440.2024.2435546","DOIUrl":"10.1080/17434440.2024.2435546","url":null,"abstract":"Introduction: Recent advancements in single-port surgery, robotic platforms, 3D models and artificial intelligence have transformed surgical procedures, especially in urology. These innovations enhance precision, safety, and efficacy, reducing invasiveness and recovery times. The review focuses on the latest in robotic-assisted surgery for genitourinary cancers, highlighting the shift toward personalized, minimally invasive treatments.Areas covered: A bibliographic search across PubMed, Scopus, and EMBASE databases focused on the last four years of innovations in robotic surgery for urologic tumors. The review highlights the use of the Da Vinci Single Port robotic system, available robotic platforms worldwide, advancements in 3D virtual models, artificial intelligence in robotic surgery and the application of molecular imaging for assessing primary lymph nodes and treating lymph node metastases and local recurrences in prostate cancer.Expert opinion: The integration of single-port surgery, new robotic platforms, 3D models and artificial intelligence in urological oncology promises transformative impacts on diagnosis, treatment and cost-effectiveness. Despite benefits like enhanced precision and expanded surgical access, challenges such as high costs, training needs, and technological integration barriers persist. Collaboration and further research are critical to optimize outcomes, improve safety protocols, and ensure equitable global access to these innovations.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"1165-1177"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775889","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}

引用次数: 0

Anatomic feasibility of a novel modular triple-branched endograft for patients with aortic arch pathologies. 用于主动脉弓病变患者的新型模块化三分支内移植物的解剖可行性。

Expert review of medical devices Pub Date : 2024-12-01 Epub Date: 2024-11-24 DOI: 10.1080/17434440.2024.2433718

Zelin Niu, Long Cao, Wei Guo, Hongpeng Zhang

{"title":"Anatomic feasibility of a novel modular triple-branched endograft for patients with aortic arch pathologies.","authors":"Zelin Niu, Long Cao, Wei Guo, Hongpeng Zhang","doi":"10.1080/17434440.2024.2433718","DOIUrl":"10.1080/17434440.2024.2433718","url":null,"abstract":"Objectives: This study aimed to assess the anatomical feasibility of a novel modular triple-branched endograft for aortic arch diseases.Methods: A cross-sectional study was conducted on 314 patients with aortic arch pathologies treated at a single center from January 2018 to December 2023. Preoperative computed tomography angiography images were analyzed with three-dimensional reconstruction to quantify anatomical features. Feasibility was based on endograft anatomical criteria, and logistic regression identified risk factors for unsuitability.Results: Out of 132 patients included in the study, 67.4% were deemed anatomically suitable for the triple-branched device. A total of 36 (27.3%) patients were deemed inapplicable due to a large diameter of the proximal landing zone, 12 (9%) patients due to a small diameter of the left common carotid artery, and 1 (0.8%) patient due to a small diameter of the left subclavian artery. Logistic regression identified large proximal landing zone diameter and small left common carotid artery diameter were significant factors for unsuitability (p < 0.001 and p = 0.002, respectively).Conclusions: The novel triple-branched endograft demonstrated promising anatomical feasibility in two-thirds of patients. However, anatomical constraints limited its applicability. Future device iterations should focus on accommodating a broader range of anatomical variations.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"1219-1225"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712296","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}

引用次数: 0

Planning the use of endografts in the endovascular repair of complex abdominal and thoraco-abdominal aortic lesions leveraging 3D printing. 利用 3D 打印技术，规划在复杂腹部和胸腹主动脉病变的血管内修复中使用内移植物。

Expert review of medical devices Pub Date : 2024-12-01 Epub Date: 2024-12-05 DOI: 10.1080/17434440.2024.2431724

Daniela Mazzaccaro, Francesco Sturla, Antonio Rosato, Paolo Righini, Giovanni Nano

{"title":"Planning the use of endografts in the endovascular repair of complex abdominal and thoraco-abdominal aortic lesions leveraging 3D printing.","authors":"Daniela Mazzaccaro, Francesco Sturla, Antonio Rosato, Paolo Righini, Giovanni Nano","doi":"10.1080/17434440.2024.2431724","DOIUrl":"10.1080/17434440.2024.2431724","url":null,"abstract":"Introduction: Endovascular techniques and materials have significantly expanded their application in the treatment of abdominal and thoraco-abdominal aortic lesions, allowing for the management of increasingly complex pathologies that may require cannulation of target vessels. The treatment of such diseases deserves a particular approach and dedicated materials, for which correct procedural planning is mandatory. In the last decades, the use of 3D printing technology as an assisting tool for preoperative rehearsal of complex cases has progressively widespread.Areas covered: A review was performed about the use of 3D printing technology for the planning of endovascular repair of complex abdominal and thoraco-abdominal aortic lesions. Also, our experience of planning and simulation of an elective challenging endovascular procedure for a Crawford's type II thoraco-abdominal aortic aneurysm using a Cook Zenith® T-BranchTM endograft, leveraging a 3D-printed model of the patient-specific anatomy from the aortic arch to the common femoral artery, is herein described.Expert opinion: The benefits of using 3D printing technologies as an assistive tool in planning complex endovascular repairs of abdominal and thoraco-abdominal aortic lesions have been well-documented in the literature, including their application in urgent cases. However, further research and development are necessary to overcome the current limitations of this potentially highly valuable technology.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"1121-1130"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650433","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}

引用次数: 0

Durable left ventricular assist devices: a contemporary review of their benefits and drawbacks. 耐用的左心室辅助装置：其优点和缺点的当代回顾。

Expert review of medical devices Pub Date : 2024-12-01 DOI: 10.1080/17434440.2024.2433716

Max Shin, Nikhil Ganjoo, Omar Toubat, Rohan Shad, Pavan Atluri

{"title":"Durable left ventricular assist devices: a contemporary review of their benefits and drawbacks.","authors":"Max Shin, Nikhil Ganjoo, Omar Toubat, Rohan Shad, Pavan Atluri","doi":"10.1080/17434440.2024.2433716","DOIUrl":"10.1080/17434440.2024.2433716","url":null,"abstract":"Introduction: Heart transplantation, the gold standard for end-stage cardiomyopathy, is hindered by donor shortages and clinical deterioration. Left ventricular assist devices (LVADs) have emerged as crucial alternatives, stabilizing hemodynamics, reversing end-organ damage, and enabling patient discharge. Significant engineering advancements and iterative improvements have since produced devices capable of rivaling heart transplantation in early survival potential. This review serves to provide an overview of LVAD technology, an understanding of current device limitations, and preview new technologies being developed to address them.Areas covered: This manuscript reviews the evolution of LVAD technology, discussing its benefits, drawbacks, and contemporary outcomes. It will detail the progression, current state, and future directions of LVAD technology, emphasizing its pivotal role in managing advanced heart failure.Expert opinion: The modern day LVAD has significantly extended the lifespan of patients with end-stage heart failure. However, adverse events remain abound and will be the focus of the next generation of devices. A burgeoning pipline of new technologies abound and preview the possibilities of a sustainable solution to a devastating disease.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"1111-1120"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775793","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}

引用次数: 0

Current status of routine use of veno-arterial extracorporeal membrane oxygenation during lung transplantation. 肺移植中静脉-动脉体外膜氧合的常规应用现状。

Expert review of medical devices Pub Date : 2024-12-01 Epub Date: 2024-12-19 DOI: 10.1080/17434440.2024.2442485

Benjamin R Hauser, Mina Estafanos, Kamal S Ayyat, James J Yun, Haytham Elgharably

{"title":"Current status of routine use of veno-arterial extracorporeal membrane oxygenation during lung transplantation.","authors":"Benjamin R Hauser, Mina Estafanos, Kamal S Ayyat, James J Yun, Haytham Elgharably","doi":"10.1080/17434440.2024.2442485","DOIUrl":"10.1080/17434440.2024.2442485","url":null,"abstract":"Introduction: Recently, there has been growing experience with utilizing a veno-arterial extracorporeal membrane oxygenator (VA ECMO) routinely during lung transplantation procedures. Yet, there is a lack of consensus on the protocols, benefits, and outcomes of routine VA ECMO use in lung transplantation.Areas covered: This article presents an overview of the current status of routine use of VA ECMO during lung transplantation, including rationale, protocols, applications, and outcomes.Expert opinion: Utilization of VA ECMO during lung transplantation has emerged as an alternative mechanical circulatory support modality to cardiopulmonary bypass, with growing evidence showing lower rates of peri-operative complications. Some groups took that further into routine application of VA ECMO during lung transplantation. The current available evidence suggests that routine utilization of VA ECMO during lung transplantation is associated with lower rates of primary graft dysfunction and improved early outcomes. Use of VA ECMO allows controlled reperfusion of the allograft and avoids an unplanned \"crash\" on pump in case of hemodynamic instability, which carries worse outcomes after lung transplantation. As a relatively new approach, further follow-up of growing experience, as well as prospective clinical trials, is necessary to develop a consensus about routine utilization of VA ECMO during lung transplantation.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"1153-1163"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819979","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}

引用次数: 0

Stent type selection in high bleeding risk patients. 高危出血患者支架类型的选择。

Expert review of medical devices Pub Date : 2024-12-01 Epub Date: 2024-12-11 DOI: 10.1080/17434440.2024.2439028

Antonio Greco, Marco Spagnolo, Davide Capodanno

引用次数: 0

Closed-loop systems for deep brain stimulation to treat neuropsychiatric disorders. 用于治疗神经精神疾病的深部脑刺激闭环系统。

Expert review of medical devices Pub Date : 2024-12-01 Epub Date: 2024-12-10 DOI: 10.1080/17434440.2024.2438309

Arjun Balachandar, Onanong Phokaewvarangkul, Alfonso Fasano

{"title":"Closed-loop systems for deep brain stimulation to treat neuropsychiatric disorders.","authors":"Arjun Balachandar, Onanong Phokaewvarangkul, Alfonso Fasano","doi":"10.1080/17434440.2024.2438309","DOIUrl":"10.1080/17434440.2024.2438309","url":null,"abstract":"Introduction: A closed-loop or feedback-control system is a process which considers the system's output in order to automatically adjust the input. Compared to a traditional open-loop system, a closed-loop system allows for a higher degree of accuracy with minimal human intervention. Novel methods of closed loop 'adaptive' deep brain stimulation DBS (aDBS) are being developed.Areas covered: This review focuses on the current state of aDBS for various neuropsychiatric conditions: common movement disorders such as Parkinson's disease, dystonia, essential tremor, and Tourette syndrome, as well as psychiatric disorders of depression and obsessive-compulsive disorder. Finally, the future directions of closed-loop neuromodulation treatments are also discussed.Expert opinion: Recently, aDBS has been shown to offer benefits compared to open-loop DBS. Understanding the biomarkers of pathological states across various disorders is, however, crucial to implementation of aDBS, and improved sensing-capable hardware and advances in machine learning are poised to allow its effective implementation.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"1141-1152"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793059","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}

引用次数: 0

Comparative evaluation of SanAgile^TMSA01 ultrasonic scalpel and Johnson & Johnson GEN11, and HAR36 for efficacy and safety. 对比评价SanAgileTMSA01超声手术刀与强生GEN11、HAR36的疗效和安全性。

Expert review of medical devices Pub Date : 2024-12-01 Epub Date: 2024-12-12 DOI: 10.1080/17434440.2024.2440599

Xin Xie, Fanyu Huang, Jun Yao, Shifeng Teng, Yi Gao, Lu Chen, Haofei Wang, Wenbin Rui, Wei He, Le Xu, Hai Huang, Hongchao He, Xiaojing Wang, Fukang Sun, Yu Zhu, Zhiqian Hu, Danfeng Xu

{"title":"Comparative evaluation of SanAgileTMSA01 ultrasonic scalpel and Johnson & Johnson GEN11, and HAR36 for efficacy and safety.","authors":"Xin Xie, Fanyu Huang, Jun Yao, Shifeng Teng, Yi Gao, Lu Chen, Haofei Wang, Wenbin Rui, Wei He, Le Xu, Hai Huang, Hongchao He, Xiaojing Wang, Fukang Sun, Yu Zhu, Zhiqian Hu, Danfeng Xu","doi":"10.1080/17434440.2024.2440599","DOIUrl":"10.1080/17434440.2024.2440599","url":null,"abstract":"Background: The advent of ultrasonic scalpels has remarkably advanced minimally invasive surgery; however, the Chinese market's reliance on imports highlights the urgent need for a cost-effective, efficient, and domestically produced surgical scalpel. This study aimed to compare SanAgileTMSA01 with the Johnson & Johnson GEN11, and HAR36 surgical devices.Research design and methods: In total, 152 participants requiring urological or general laparoscopic surgery were randomly and equally divided between the two hospitals and randomized to the test and control groups. Clinical outcomes, adverse event rates, intraoperative bleeding, and surgery duration were compared between the two devices.Results: The clinical application rate of both devices was 100%. There were no significant differences between the two groups in intraoperative bleeding, surgery duration, and incidence of adverse events. In the test group, five device-related adverse events occurred (6.58%), compared to two (2.63%) in the control group (no significant difference). The device-related adverse events did not result in any sequelae.Conclusions: The clinical performance of the SanAgileTMSA01 was comparable to that of the Johnson & Johnson GEN11 and HAR36. The SanAgileTMSA01 device may serve as a viable alternative ultrasonic surgical tool, thereby providing clinicians with additional options.Trial registration: Registration number of Shanghai Medical Equipment Preparation 20,190,114.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"1211-1217"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808924","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}

引用次数: 0

Modular cardiac rhythm management system and results of MODULAR ATP trial: an era of personalized device medicine. 模块化心律管理系统和 MODULAR ATP 试验结果：个性化设备医学时代。

Expert review of medical devices Pub Date : 2024-12-01 Epub Date: 2024-11-12 DOI: 10.1080/17434440.2024.2428690

Muhammad Adnan Zaman, Sidra Kalsoom, Lou Mastrine

引用次数: 0