Expert review of medical devices最新文献_第6页

Transcranial magnetic resonance imaging-guided focused ultrasound for neuropathic pain treatment. 经颅磁共振成像引导聚焦超声治疗神经性疼痛。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-05-07 DOI: 10.1080/17434440.2025.2485289

Silvia Marino, Maria Le Cause, Simona De Salvo, Luigi Cardia, Francesco Corallo, Carmelo Anfuso, Giuseppe Di Lorenzo, Rosa Morabito, Simona Cammaroto, Chiara Smorto, Annalisa Militi, Chiara Sorbera, Amelia Brigandì, Rosario Maugeri, Angelo Lavano, Angelo Quartarore, Domenico La Torre

{"title":"Transcranial magnetic resonance imaging-guided focused ultrasound for neuropathic pain treatment.","authors":"Silvia Marino, Maria Le Cause, Simona De Salvo, Luigi Cardia, Francesco Corallo, Carmelo Anfuso, Giuseppe Di Lorenzo, Rosa Morabito, Simona Cammaroto, Chiara Smorto, Annalisa Militi, Chiara Sorbera, Amelia Brigandì, Rosario Maugeri, Angelo Lavano, Angelo Quartarore, Domenico La Torre","doi":"10.1080/17434440.2025.2485289","DOIUrl":"https://doi.org/10.1080/17434440.2025.2485289","url":null,"abstract":"Introduction: Magnetic resonance imaging-guided focused ultrasound (MRgFUS) has shown promising results for a variety of neurological conditions, including movement disorders, brain tumors, and degenerative diseases. Recent clinical trials have demonstrated that MRgFUS can produce therapeutic effects in essential tremor (ET) and Parkinson's disease (PD), comparable to those achieved with other neurosurgical interventions. Furthermore, there has been increasing attention on the development of FUS technology and its clinical applications, aimed at exploring new uses and enhancing existing ones.Areas covered: In this review, a comprehensive search was conducted across multiple platforms, including PubMed, Scopus, and the Cochrane Library. Filters were applied to include studies based on publication year and clinical trials involving human subjects (excluding animal studies). A thorough analysis of the results was crucial for achieving the objectives of our research. While some studies are still awaiting results, they show promise; others have already been completed.Expert opinion: The authors specifically selected six studies that yielded excellent results, covering aspects such as treatment side effects, pain location, key findings, ultrasound temperature, and sample size. he aim of this review is to provide an overview of the recent literature and ongoing clinical trials regarding the application of MRgFUS in the treatment of neuropathic pain.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":"22 5","pages":"455-465"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995192","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

Clinical study of real-time three-dimensional echocardiography combined with radionuclide imaging to evaluate changes in cardiac function and synchronization before and after cardiac rehabilitation in patients with acute myocardial infarction. 实时三维超声心动图联合放射性核素显像评价急性心肌梗死患者心脏康复前后心功能及同步性变化的临床研究

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-22 DOI: 10.1080/17434440.2025.2489497

Jinfang Cheng, Ning Li, Jun Xue, Xiaolong Mi

{"title":"Clinical study of real-time three-dimensional echocardiography combined with radionuclide imaging to evaluate changes in cardiac function and synchronization before and after cardiac rehabilitation in patients with acute myocardial infarction.","authors":"Jinfang Cheng, Ning Li, Jun Xue, Xiaolong Mi","doi":"10.1080/17434440.2025.2489497","DOIUrl":"10.1080/17434440.2025.2489497","url":null,"abstract":"Objective: This research aimed to unveil the effects of real-time three-dimensional echocardiography (RT-3DE) combined with radionuclide imaging to evaluate changes in cardiac function and synchronization before and after cardiac rehabilitation in patients with acute myocardial infarction (AMI).Methods: RT-3DE and radionuclide imaging were performed after PCI (pre-rehabilitation) and the 8-week follow-up visit (post-rehabilitation). Relevant data were collected: heart rate (HR), left ventricular (LV) end-systolic volume (LVESV), LV end-diastolic volume (LVEDV), LV ejection fraction (LVEF), LV 16-segment maximum difference in time to minimum systolic volume (Tmsv-16-Dif), LV 16-segment standard deviation of time to minimum systolic volume (Tmsv-16-SD), Tmsv 16-Dif % and Tmsv 16-SD %, summed Stress Score (SSS), Summed Rest Score (SRS), and SDS (SRS-SSS).Results: At the 8-week follow-up after PCI, HR, LVEDV, LVESV, Tmsv-16-Dif, Tmsv-16-SD, Tmsv-16-Dif%, Tmsv-16-SD%, SSS, SRS, and SDS in the rehabilitation group were lower than those in the control group; LVEF in the rehabilitation group was higher than the control group.Conclusion: RT-3DE and radionuclide imaging can be used as a follow-up tool for evaluating LV function and synchronization changes after cardiac rehabilitation in patients with AMI undergoing PCI.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"511-517"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775117","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

Transperineal prostate biopsy using the PrecisionPoint Transperineal Access System for prostate cancer diagnosis - a new standard of care. 经会阴前列腺活检采用PrecisionPoint经会阴通路系统诊断前列腺癌-一种新的护理标准。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-10 DOI: 10.1080/17434440.2025.2490753

Charlton Martin, Flavio V Ordones

引用次数: 0

Effect of posterior decompression and bone grafting combined with minimally invasive percutaneous pedicle screw fixation on pain and functional recovery in patients with thoracolumbar spinal fractures. 后路减压植骨联合微创经皮椎弓根螺钉固定对胸腰椎骨折患者疼痛及功能恢复的影响。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1080/17434440.2025.2485291

Dong Chen, Pei Liu, Wenqi Song, Shenghe Liu

{"title":"Effect of posterior decompression and bone grafting combined with minimally invasive percutaneous pedicle screw fixation on pain and functional recovery in patients with thoracolumbar spinal fractures.","authors":"Dong Chen, Pei Liu, Wenqi Song, Shenghe Liu","doi":"10.1080/17434440.2025.2485291","DOIUrl":"10.1080/17434440.2025.2485291","url":null,"abstract":"Objective: This study aimed to investigate the effects of posterior decompression and bone grafting combined with minimally invasive percutaneous pedicle screw fixation (MIPSF) on pain relief and functional recovery in patients with thoracolumbar spinal fractures.Methods: This prospective, randomized controlled trial included 68 patients with thoracolumbar spinal fractures, who were divided into control and observation groups. Perioperative outcomes, visual analogue scale (VAS), Oswestry Disability Index (ODI), American Spinal Injury Association Impairment Scale, vertebral anterior height, vertebral sagittal index, Cobb's Angle, serum substance P (SP), serum cortisol (Cor), and C-reactive protein (CRP) levels, were evaluated. Postoperative complications were also recorded.Results: The observation group exhibited reduced operation time, intraoperative blood loss, drainage volume, and hospital stay, lower VAS and ODI scores, higher sensory and motor scores, improved injured vertebral anterior height and sagittal index, decreased kyphotic Cobb's angle, and lower serum SP, Cor, and CRP levels versus the control group (p < 0.05). The postoperative complication rate was 5.88% in the control group and 2.94% in the observation group (p > 0.05).Conclusion: The combination of posterior decompression, bone grafting, and MIPSF for thoracolumbar spine fractures results in less traumatic stress, improved postoperative pain management, and better recovery of spinal function.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"489-495"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712343","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

Vascular access closure devices in neurointerventional procedures: current developments and future directions. 神经介入手术中的血管通路关闭装置：目前的发展和未来的方向。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-15 DOI: 10.1080/17434440.2025.2493266

Sachin Mysore, Anika Pruthi, Arjun Kumar, Meghana Mogalipuvvu, Manisha Koneru

引用次数: 0

An overview of the FreeStyle Libre monitoring system for individuals with type 1 and type 2 diabetes. 1型和2型糖尿病患者自由式自由监测系统概述

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-10 DOI: 10.1080/17434440.2025.2489494

Sergio Di Molfetta, Antonio Cutruzzolà, Agostino Gnasso, Concetta Irace

{"title":"An overview of the FreeStyle Libre monitoring system for individuals with type 1 and type 2 diabetes.","authors":"Sergio Di Molfetta, Antonio Cutruzzolà, Agostino Gnasso, Concetta Irace","doi":"10.1080/17434440.2025.2489494","DOIUrl":"10.1080/17434440.2025.2489494","url":null,"abstract":"Introduction: Diabetes is a chronic disease with high prevalence, necessitating advanced technology to achieve glycemic targets and reduce complications. Continuous glucose monitoring (CGM) has become a cornerstone in diabetes management, with the Freestyle Libre (FSL) systems being some of the most widely used devices.Areas covered: This review focuses on FSL systems, each including an all-in-one sensor and transmitter, a handheld reader and a Mobile Medical App (MMA). Glucose data are uploaded to a dedicated cloud-based platform for analysis. Over the years, FSL has evolved with new features offering valuable support for individuals with diabetes, caregivers, and healthcare providers. Clinical trials and real-world studies have demonstrated efficacy and safety across diverse populations, including individuals with type 1 and type 2 diabetes, adolescents, and pregnant women with diabetes.Expert opinion: FSL is a user-friendly system that meets the needs of patients and healthcare providers. The MMA allows a review of glucose metrics and pattern identification, and supports educational strategies and patient-tailored treatment. Future advancements, including ketone monitoring, integration with wearables and other devices, and telemedicine applications, will further optimize diabetes care and prevention.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"425-436"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782353","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

Optimizing the clinical adoption of total joint replacement of the lumbar spine through imaging, robotics and artificial intelligence. 通过影像学、机器人技术和人工智能优化腰椎全关节置换术的临床应用。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-03-26 DOI: 10.1080/17434440.2025.2484252

S Craig Humphreys, Jon E Block, Ahilan Sivaganesan, Louis J Nel, Marc Peterman, Scott D Hodges

{"title":"Optimizing the clinical adoption of total joint replacement of the lumbar spine through imaging, robotics and artificial intelligence.","authors":"S Craig Humphreys, Jon E Block, Ahilan Sivaganesan, Louis J Nel, Marc Peterman, Scott D Hodges","doi":"10.1080/17434440.2025.2484252","DOIUrl":"10.1080/17434440.2025.2484252","url":null,"abstract":"Introduction: The objective of this article is to assess the potential of imaging, robotics, and artificial intelligence (AI) to significantly improve spine care, preoperative planning and surgery.Areas covered: This article describes the development of lumbar total joint replacement (TJR) of the spine (MOTUS, 3Spine, Chattanooga, TN, U.S.A.). We discuss the evolution of intra-operative imaging, robotics, and AI and how these trends can intersect with lumbar TJR to optimize the safety, efficiency, and accessibility of the procedure.Expert opinion: By preserving natural spinal motion, TJR represents a significant leap forward in the treatment of degenerative spinal conditions by providing an alternative to fusion. This transformation has already occurred and is continuing to evolve in the primary synovial joints such as hip, knee, shoulder and ankle where arthroplasty outcomes are now so superior that fusion is considered a salvage procedure. The convergence of imaging, robotics and AI is poised to reshape spine care by enhancing precision and safety, personalizing treatment pathways, lowering production costs, and accelerating adoption. However, the key challenges include ensuring continued collaboration between surgeons, researchers, manufacturers, and regulatory bodies to optimize the potential of TJR.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"405-413"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722720","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

VisionGuard: enhancing diabetic retinopathy detection with hybrid deep learning. VisionGuard：通过混合深度学习增强糖尿病视网膜病变的检测。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-03-30 DOI: 10.1080/17434440.2025.2486476

Sudesh Rao, Sudesh Rao, Sanjeev D Kulkarni, Vikas Marakini

{"title":"VisionGuard: enhancing diabetic retinopathy detection with hybrid deep learning.","authors":"Sudesh Rao, Sudesh Rao, Sanjeev D Kulkarni, Vikas Marakini","doi":"10.1080/17434440.2025.2486476","DOIUrl":"10.1080/17434440.2025.2486476","url":null,"abstract":"Objectives: Early detection of diabetic retinopathy (DR) and timely intervention are critical for preventing vision loss. Recently, deep learning techniques have shown promising results in streamlining this process. The objective of this study was to develop a novel method, termed MobileFusionNet, which integrates the strengths of MobileNet and GoogleNet architectures to automate the detection of DR better using mobile devices.Methods: The model is implemented in Python and trained on large-scale datasets of retinal images annotated with DR severity levels. The initial step involves pre-processing the images. Further, an advanced feature extraction technique named Histogram of Oriented Gradients (HOG) is utilized, which helps capture the shape/texture information. Finally, the methodology incorporates Linear Discriminant Analysis (LDA), a technique aimed at reducing the dimensionality of the extracted features.Results: The proposed model displays low inference time and is highly energy efficient. The model exhibits high sensitivity and specificity in detecting DR, with an impressive accuracy of 98.19%.Conclusions: The model with its modular architecture allows easy integration and holds great potential for revolutionizing DR detection by democratizing access to accurate and timely screening, particularly in resource-limited settings.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"497-509"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744596","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

Focused ultrasound: focused on tremor. 聚焦超声：聚焦于震颤。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-17 DOI: 10.1080/17434440.2025.2489493

Benjamin Davidson, Andres M Lozano

{"title":"Focused ultrasound: focused on tremor.","authors":"Benjamin Davidson, Andres M Lozano","doi":"10.1080/17434440.2025.2489493","DOIUrl":"10.1080/17434440.2025.2489493","url":null,"abstract":"Introduction: Magnetic resonance-guided focused ultrasound (MRgFUS) has emerged as a leading noninvasive therapy for tremor, offering a precise, lesion-based alternative to deep brain stimulation (DBS) and traditional lesioning techniques. By using phased ultrasound arrays to focus energy at intracranial targets, MRgFUS allows for real-time visualization and monitoring, improving safety and efficacy. Initially developed for essential tremor (ET), MRgFUS-VIM-thalamotomy has gained widespread acceptance and is now a first-line option for tremor-dominant Parkinson's disease (TDPD) and other tremor syndromes.Areas covered: This review discusses the fundamental physics of focused ultrasound, key anatomical targets, and the clinical application of MRgFUS thalamotomy, pallidotomy, and subthalamotomy. Skull density ratio (SDR) and energy efficiency are highlighted as crucial factors affecting treatment outcomes. The evolution of MRgFUS as a bilateral treatment, along with the exploration of novel targets such as the pallidothalamic tract, is examined. Additionally, we discuss advancements in FUS neuromodulation, which could complement lesioning by providing temporary or reversible symptom relief.Expert opinion: MRgFUS is poised to further revolutionize tremor treatment with frameless technology, staged bilateral procedures, and the integration of neuromodulation. Future developments may allow for precise, adaptive therapies that enhance both efficacy and patient experience.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"467-475"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784656","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

How robotic platforms are revolutionizing colorectal surgery techniques: a comparative review. 机器人平台如何革新结直肠手术技术：比较回顾。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1080/17434440.2025.2486481

Mariam Hussain, Mona Jaffar-Karballai, Fatima Kayali, Matti Jubouri, Abedalaziz Omar Surkhi, Mohamad Bashir, Ali Murtada

{"title":"How robotic platforms are revolutionizing colorectal surgery techniques: a comparative review.","authors":"Mariam Hussain, Mona Jaffar-Karballai, Fatima Kayali, Matti Jubouri, Abedalaziz Omar Surkhi, Mohamad Bashir, Ali Murtada","doi":"10.1080/17434440.2025.2486481","DOIUrl":"10.1080/17434440.2025.2486481","url":null,"abstract":"Introduction: In the last two decades, robotic technology has fundamentally transformed the field of colorectal surgery by providing surgeons with unprecedented levels of precision and control. Nevertheless, robotic surgery presents certain challenges such as prolonged operating times, high costs, limited accessibility, and the necessity for specialized training.Areas covered: This comparative review analyzes the impact of robotic platforms on colorectal surgery and its outcomes, with the expanding market of this technology. The major databases including PubMed, Scopus, and Google Scholars were searched using the key term 'robotic assisted surgery,' 'robotic platforms,' and 'colorectal surgery' to identify relevant articles as of August 2024. The most utilized robotic platforms currently available on the market - Da Vinci, Versius, Senhance, and Revo-I - are compared through their peri- and post-operative outcomes, including operative duration, blood loss, hospitalization period, oncological outcomes, and cost, providing a comprehensive insight into the future of robotic-assisted colorectal surgery.Expert opinion: Robotic surgery significantly improves patient outcomes, including shorter postoperative recovery times and effective cancer resection margins. However, challenges faced with these platforms include longer intraoperative times, arm clashing, the need for bedside assistance, and cost. Nevertheless, with the evolution toward managing more complex rectal cancer cases and more challenging dissection planes, the need for robotic platforms will only grow.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"437-453"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744594","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