3d

3D
  • 文章类型: Journal Article
    背景:本研究旨在评估2D腹腔镜与3D腹腔镜治疗结直肠癌的有效性和安全性。
    方法:通过PubMed进行了文献检索,WebofScience,和Embase从成立到2024年1月。包括调查结直肠手术不同结局的研究。结果以比值比(OR)或平均差(MD)表示,具有95%置信区间(CI)。本次审查的协议已在PROSPERO(CRD42024504902)上注册。
    结果:本文检索到10篇文献。3D组与术中出血量的显着改善相关(MD=-8.04,95%CI=-14.18至-1.89,P=0.01,I2=55%),手术时间(MD=-17.33,95%CI=-29.15~-5.51,P=0.004,I2=90%),和术后住院时间(MD=-0.23,95%CI=-0.43至-0.04,P=0.02,I2=48%)与2D组患者相比,特别是对于三个结果以上的直肠癌患者(MD=-10.36,95%CI=-15.00至-5.73,P<0.001,I2=0%),(MD=-18.85,95%CI=-34.88至-2.82,P=0.02,I2=57%),和(MD=-0.93,95%CI=-1.53至-0.34,P=0.002,I2=0%),分别。经肛门排气时间(MD=-0.14,95%CI=-0.49~0.21,P=0.44,I2=79%)和淋巴结清扫数(MD=0.36,95%CI=-0.49~1.21,P=0.41,I2=45%)差异无统计学意义,但是3D组的直肠癌患者术后肛门排气较早(MD=-0.46,95%CI=-0.66至-0.27,P<0.001,I2=0%),并且结肠癌患者的淋巴结清扫数量更多(MD=1.54,95%CI=0.05至3.03,P=0.04,I2=69%)。两组术后总并发症(OR=0.94,95%CI=0.67~1.31,P=0.71,I2=0%)和吻合口漏(OR=0.93,95%CI=0.48~1.80,P=0.83,I2=0%)比较,差异无统计学意义。无论直肠癌和结肠手术患者。
    结论:这项荟萃分析表明,3D腹腔镜可以减少失血量,加速术后通过排气,并缩短直肠癌根治术的手术时间和术后住院时间,对于结肠癌根治术无明显优势。此外,3D腹腔镜检查可增加结肠癌根治术的淋巴结数量,但在直肠癌手术中可能未观察到。
    BACKGROUND: This study aimed to evaluate the effectiveness and safety of 2D laparoscopy vs 3D laparoscopy for the treatment of colorectal cancer.
    METHODS: A literature search was conducted through PubMed, Web of Science, and Embase from their inception to January 2024. Studies investigating different outcomes of colorectal surgery were included. Results are presented as odds ratios (ORs) or mean differences (MDs) with 95% confidence intervals (CIs). The protocol for this review has been registered on PROSPERO (CRD42024504902).
    RESULTS: A total of 10 publications were retrieved in this article. The 3D group is associated with a significant improvement in intraoperative blood loss (MD = -8.04, 95% CI = -14.18 to -1.89, P = 0.01, I2 = 55%), operative time (MD = -17.33, 95% CI = -29.15 to -5.51, P = 0.004, I2 = 90%), and postoperative hospital stay (MD = -0.23, 95% CI = -0.43 to -0.04, P = 0.02, I2 = 48%) compared to that of patients treated in the 2D group, particularly for rectal cancer patients above three results (MD = -10.36, 95% CI = -15.00 to -5.73, P < 0.001, I2 = 0%), (MD = -18.85, 95% CI = -34.88 to -2.82, P = 0.02, I2 = 57%), and (MD = -0.93, 95% CI = -1.53 to -0.34, P = 0.002, I2 = 0%), respectively. There was no significant statistical difference in the time of pass flatus (MD = -0.14, 95% CI = -0.49 to  0.21, P = 0.44, I2 = 79%) and the number of dissected lymph nodes (MD = 0.36, 95% CI = -0.49 to 1.21, P = 0.41, I2 = 45%), but the 3D group had an earlier postoperative pass flatus for rectal cancer patients (MD = -0.46, 95% CI = -0.66 to -0.27, P<0.001, I2 = 0%) and the more number of dissected lymph nodes for colon cancer patients (MD = 1.54, 95% CI = 0.05 to 3.03, P = 0.04, I2 = 69%) than the 2D group. There was no significant difference in postoperative overall complication (OR = 0.94, 95% CI = 0.67 to 1.31, P = 0.71, I2 = 0%) and anastomotic leakage (OR = 0.93, 95% CI = 0.48 to 1.80, P = 0.83, I2 = 0%) in the two groups, regardless of rectal cancer and colon surgery patients.
    CONCLUSIONS: This meta-analysis demonstrates that 3D laparoscopy could reduce the amount of blood loss, accelerate postoperative pass flatus, and shorten the operation time and postoperative hospital stay over 2D for radical rectal cancer surgery, without obvious advantage for radical colon cancer surgery. Moreover, 3D laparoscopy increases the number of dissected lymph nodes for radical colon cancer surgery but may not be observed in rectal cancer surgery.
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  • 文章类型: Journal Article
    背景:技术的进步增强了教育,培训,以及在医疗保健中的应用。然而,围绕仿真技术的可访问性和使用存在限制(例如,模拟器)用于健康专业教育。提高非营利组织在大学研究中心开发的技术的可及性(非营利组织;例如,医院)有可能造福全球人口的健康。这种技术的一个例子是3D打印模拟器。
    目的:本范围审查旨在确定使用开源数据库分发用于3D打印的模拟器设计如何促进可靠的医疗保健培训解决方案,同时最大程度地降低商业化的风险。
    方法:此范围审查将遵循Arksey和O\'Malley方法框架以及JoannaBriggsInstitute关于范围审查的指导。OvidMEDLINE,CINAHL,WebofScience,和PsycINFO将以2012年至2022年的应用时间框架进行搜索。此外,灰色文献将与参考列表搜索一起搜索。将包括探索在学术环境和医疗保健部门中使用开源数据库来分发模拟器设计的论文。将对标题和摘要进行两步筛选,然后全文,建立纸质资格。论文的筛选和数据提取将由2名审稿人(MS和SS)完成,以确保质量。范围审查将报告有关通过开源数据库分发3D打印模拟器设计的便利信息。
    结果:本次审查的结果将确定与非营利组织和基于大学的研究中心形成伙伴关系以共享模拟器设计的差距。范围审查将于2024年12月启动。
    结论:所收集的信息将对医疗保健提供者等利益相关者具有相关性和有用性。研究人员,和非营利组织,以克服有关仿真技术的使用和分布的研究空白。范围审查尚未进行。因此,目前没有可报告的调查结果。
    PRR1-10.2196/53167。
    BACKGROUND: Advancements in technology have enhanced education, training, and application in health care. However, limitations are present surrounding the accessibility and use of simulation technology (eg, simulators) for health profession education. Improving the accessibility of technology developed in university-based research centers by nonprofit organizations (NPOs; eg, hospitals) has the potential to benefit the health of populations worldwide. One example of such technology is 3D-printed simulators.
    OBJECTIVE: This scoping review aims to identify how the use of open-source databases for the distribution of simulator designs used for 3D printing can promote credible solutions for health care training while minimizing the risks of commercialization of designs for profit.
    METHODS: This scoping review will follow the Arksey and O\'Malley methodological framework and the Joanna Briggs Institute guidance for scoping reviews. Ovid MEDLINE, CINAHL, Web of Science, and PsycINFO will be searched with an applied time frame of 2012 to 2022. Additionally, gray literature will be searched along with reference list searching. Papers that explore the use of open-source databases in academic settings and the health care sector for the distribution of simulator designs will be included. A 2-step screening process will be administered to titles and abstracts, then full texts, to establish paper eligibility. Screening and data extraction of the papers will be completed by 2 reviewers (MS and SS) for quality assurance. The scoping review will report information on the facilitation of distributing 3D-printed simulator designs through open-source databases.
    RESULTS: The results of this review will identify gaps in forming partnerships with NPOs and university-based research centers to share simulator designs. The scoping review will be initiated in December 2024.
    CONCLUSIONS: The information collected will be relevant and useful for stakeholders such as health care providers, researchers, and NPOs for the purpose of overcoming the gaps in research regarding the use and distribution of simulation technology. The scoping review has not been conducted yet. Therefore, there are currently no findings to report on.
    UNASSIGNED: PRR1-10.2196/53167.
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  • 文章类型: Systematic Review
    目的:系统回顾中矢状平面建立方法的文献,以确定构建中矢状平面以评估面部不对称的最有效方法。
    方法:六个电子数据库(PubMed,Medline(通过Ovid),EMBASE(通过Ovid),科克伦图书馆,WebofScience,和Scopus)和灰色文献进行了三维计算中矢状参考平面的研究,使用MeSH术语和关键字的组合。采用QUADAS-2和GRADE对纳入研究的方法学质量和证据水平进行分析,分别。
    结果:初步搜索产生了6746条记录,其中42篇符合预定纳入标准的文章被纳入最终分析.所有包含的文章都报告了使用各种方法构建中矢状参考平面(MSP)。对纳入研究的适用性的偏倚风险和担忧被判断为“低”。对于该技术的有效性,证据水平被确定为“低”,而对于临床适用性而言,证据水平被确定为“中等”。
    结论:尽管方法上存在异质性,这篇综述证实了头颅测量和形态测量MSP构建方法的相当功效。全自动形态计量学MSP有望成为常规临床使用的可行选择。然而,未来的前瞻性研究,重点是影响,准确度,在面部不对称的情况下,MSP构造技术的临床适用性是必需的。
    结论:本综述将帮助临床医生选择最合适的MSP构建方法,改善治疗计划,最终获得更有利的治疗结果。
    OBJECTIVE: To systematically review the literature for mid-sagittal plane establishment approaches to identify the most effective method for constructing the mid-sagittal plane for the evaluation of facial asymmetry.
    METHODS: Six electronic databases (PubMed, Medline (via Ovid), EMBASE (via Ovid), Cochrane Library, Web of Science, and Scopus) and grey literature were searched for the studies that computed the mid-sagittal reference plane three-dimensionally, using a combination of MeSH terms and keywords. The methodological quality and the level of evidence for the included studies were analyzed using QUADAS-2 and GRADE, respectively.
    RESULTS: The preliminary search yielded 6746 records, of which 42 articles that met the predefined inclusion criteria were included in the final analysis. All the included articles reported the construction of the mid-sagittal reference plane (MSP) using varied methods. The risk of bias and concerns regarding the applicability of the included studies were judged to be \'low\'. The level of evidence was determined to be \'low\' for the effectiveness of the technique and \'moderate\' for the ease of clinical applicability.
    CONCLUSIONS: Despite methodological heterogeneity, this review substantiates the comparable efficacy of cephalometric and morphometric MSP construction methods. A fully automated morphometric MSP holds promise as a viable option for routine clinical use. Nevertheless, future prospective studies with an emphasis on the impact, accuracy, and clinical applicability of MSP construction techniques in cases of facial asymmetry are required.
    CONCLUSIONS: The present review will assist clinicians in selecting the most suitable method for MSP construction, leading to improved treatment planning and ultimately more favorable treatment outcomes.
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  • 文章类型: Journal Article
    计算机辅助矫形外科手术需要骨骼表面的精确表示。迄今为止,计算机断层扫描构成了黄金标准,但是有一些限制,包括成本,辐射和可用性。超声有可能成为计算机断层扫描的替代品,然而,遭受低图像质量和有限的视野。这些缺点可以通过根据超声图像的3D骨表面的全自动分割和基于模型的完成来解决。这项调查通过引入采用的算法总结了该领域的最新技术,并确定挑战和趋势。对于分割,可以观察到基于机器学习的算法的明显趋势。然而,对于3D骨骼模型的完成,已发布的方法都不涉及机器学习。此外,数据集和指标被认为是当前研究的弱点,防止推广良好的模型的发展和评价。
    Computer-assisted orthopedic surgery requires precise representations of bone surfaces. To date, computed tomography constitutes the gold standard, but comes with a number of limitations, including costs, radiation and availability. Ultrasound has potential to become an alternative to computed tomography, yet suffers from low image quality and limited field-of-view. These shortcomings may be addressed by a fully automatic segmentation and model-based completion of 3D bone surfaces from ultrasound images. This survey summarizes the state-of-the-art in this field by introducing employed algorithms, and determining challenges and trends. For segmentation, a clear trend toward machine learning-based algorithms can be observed. For 3D bone model completion however, none of the published methods involve machine learning. Furthermore, data sets and metrics are identified as weak spots in current research, preventing development and evaluation of models that generalize well.
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  • 文章类型: Meta-Analysis
    目的:本研究旨在比较使用加减技术制成的陶瓷的力学参数。
    方法:2023年4月5日在四个搜索引擎上进行了搜索。使用研究类型特异性量表进行质量评估。在可能的情况下,进行了荟萃分析.
    方法:数据来自四个搜索引擎:PubMed,PubMedCentral,Embase,WebofScience,Scopus.
    方法:搜索策略确定了686篇潜在文章。对19篇论文进行了定性分析,并对11篇论文的数据进行了荟萃分析。纳入的研究质量高或中等。所有纳入的论文均为体外研究。在文献中没有发现临床试验。
    结论:在机械参数方面,在添加剂技术中制造的陶瓷可以与在铣削技术中制造的陶瓷竞争。目前还没有临床研究表明这种材料可以用于患者的永久性修复。文献中提出的研究在研究设计和结果报告方面差异很大。这项研究没有得到外部资助。
    OBJECTIVE: This study was aimed at comparing the mechanical parameters of ceramics made using the addition and subtraction technique.
    METHODS: A search was performed on four search engines on 5th April 2023. Quality assessment was performed using study type-specific scales. Where possible, a meta-analysis was performed.
    METHODS: Data were extracted from four search engines: PubMed, PubMed Central, Embase, Web of Science, Scopus.
    METHODS: The search strategy identified 686 potential articles. 19 papers were subject to qualitative analysis, and data from 11 papers were meta-analysed. The included studies were of high or medium quality. All included papers were in-vitro studies. No clinical trials were found in the literature.
    CONCLUSIONS: Ceramics made in the additive technology in terms of mechanical parameters can compete with ceramics made in the milling technology. There are no clinical studies yet that would indicate the use of this type of material for permanent restorations in patients. Studies presented in the literature vary greatly in terms of study design and reporting of results. The research did not receive external funding.
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  • 文章类型: Journal Article
    对离体肿瘤模型的生物医学需求尚未满足,该模型将预测药物反应,进而帮助确定治疗方案并在临床研究之前潜在地预测耐药性。研究表明,卵巢癌(OvCa)的三维模型比二维体外系统更真实,因为它们能够以更准确的方式捕获患者体内状况。绝大多数旨在概括卵巢肿瘤形态的研究,行为,和研究化疗反应已经使用卵巢癌细胞系。然而,尽管利用癌细胞系建立平台有优势,它们不如应用患者来源细胞的系统提供信息,因为细胞系不能概括每个患者个体特征之间的差异。在这篇综述中,我们讨论了使用患者来源材料创建3D卵巢癌模型的最新进展,要克服的挑战和未来的应用。
    There is an unmet biomedical need for ex vivo tumour models that would predict drug responses and in turn help determine treatment regimens and potentially predict resistance before clinical studies. Research has shown that three dimensional models of ovarian cancer (OvCa) are more realistic than two dimensional in vitro systems as they are able to capture patient in vivo conditions in more accurate manner. The vast majority of studies aiming to recapitulate the ovarian tumour morphology, behaviors, and study chemotherapy responses have been using ovarian cancer cell lines. However, despite the advantages of utilising cancer cell lines to set up a platform, they are not as informative as systems applying patient derived cells, as cell lines are not able to recapitulate differences between each individual patient characteristics. In this review we discussed the most recent advances in the creation of 3D ovarian cancer models that have used patient derived material, the challenges to overcome and future applications.
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  • 文章类型: Case Reports
    UNASSIGNED:高级别神经胶质瘤手术的关键是最大限度地切除而不影响雄辩的脑区。为此,无数的辅助工具和技术已被用来提高手术的安全性和有效性。尽管术中MRI和先进的神经导航技术,以及增强现实,到目前为止,唯一真正的实时可视化工具仍然是超声(US)。神经超声检查是一种经济高效的成像方式,提供即时,关于术中解剖景观变化的实时信息。技术的最新进展现在允许将术中US与神经导航相结合。
    未经评估:在本报告中,我们介绍了3例高级别胶质瘤(2例胶质母细胞瘤和1例间变性星形细胞瘤)的切除技术。患者呈现可变的临床频谱。所有三例病例均使用Brainlab®神经导航系统(BrainLAB,慕尼黑,德国)和bk5000USMachine®(BKMedical,AnalogicCorporation,皮博迪,马萨诸塞州,美国)。
    UNASSIGNED:在所有3例病例中均实现了大体全切除。在这些患者中,使用3D导航US是实现良好切除结果的可靠辅助手术工具。
    UNASSIGNED: The crux in high-grade glioma surgery remains maximizing resection without affecting eloquent brain areas. Toward this, a myriad of adjunct tools and techniques has been employed to enhance surgical safety and efficacy. Despite intraoperative MRI and advanced neuronavigational techniques, as well as augmented reality, to date, the only true real-time visualization tool remains the ultrasound (US). Neuroultrasonography is a cost-efficient imaging modality that offers instant, real-time information about the changing anatomical landscape intraoperatively. Recent advances in technology now allow for the integration of intraoperative US with neuronavigation.
    UNASSIGNED: In this report, we present the resection technique for three cases of high-grade gliomas (two glioblastomas and one anaplastic astrocytoma). The patient presented with a variable clinical spectrum. All three cases have been performed using the Brainlab® neuronavigation system (BrainLAB, Munich, Germany) and the bk5000 US Machine® (BK Medical, Analogic Corporation, Peabody, Massachusetts, USA).
    UNASSIGNED: Gross total resection was achieved in all three cases. The use of 3D navigated US was a reliable adjunct surgical tool in achieving favorable resection outcomes in these patients.
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  • 文章类型: Journal Article
    在过去的十年里,技术的增长已经开发了基于改进的可操作性的更精确手术的新设备,微创方法,和操作领域的放大。在这种情况下,外镜为更准确、更安全的显微外科手术开辟了一个新阶段,提高对物体体积和结构深度的感知,瞄准,控制精细的动作。外镜可用于中耳,Transcanal,乳突,和需要双手解剖的开颅手术,既可以执行完全基于VITOM的技术,又可以使用手术显微镜或内窥镜与传统程序耦合。此外,VITOM3D系统允许外科医生处理高清图像,这在面神经手术或颌下唾液腺结石或撕裂手术方法中是必不可少的,放大在手术成功和减少手术时间中起着至关重要的作用。3D外镜方法也可以包括在传统的口咽手术中。出镜可以为外科医生和护士的教学提供相关方法,允许在非肿瘤性外科手术中进行适当的培训,例如扁桃体切除术或咽侧成形术。
    Over the last decade, technological growth has developed new devices for more precise surgery based on improved maneuverability, minimally invasive approaches, and magnification of the operating field. In this context, the exoscope has opened a new phase for more accurate and safer microsurgery, improving the perception of the volume of objects and the depth of structures for planning, targeting, and controlling fine movements. The exoscope could be used for middle ear, transcanal, transmastoid, and craniotomy procedures that require two-handed dissection, both to perform both totally VITOM-based techniques and coupled to traditional procedures with an operating microscope or endoscope. In addition, the VITOM 3D system allows the surgeon to work with high-definition images, which is essential in facial nerve surgery or submandibular salivary stone or tear surgery approaches, where magnification plays a fundamental role in surgical success and in reducing operating times. The 3D exoscope approach could also be included in traditional transoral procedures for oropharyngeal carcinoma. The exoscope may provide a relevant approach in teaching surgeons and nurses, allowing adequate training in non-oncological surgical procedures such as a tonsillectomy or lateral pharyngoplasty.
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  • 文章类型: Journal Article
    超级电容器具有功率密度高、循环寿命长等特点,但是低能量密度限制了它们的进一步发展。二维过渡金属碳化物/氮化物(MXenes)由于其优越的体积电容,在超级电容器领域显示出巨大的应用前景。类似金属的导电性,可调表面终端,和结构优势。然而,像其他2D材质一样,MXenes遭受纳米片重新堆叠和聚集的不可避免的问题,这减少了整体活性表面位点并阻止了电解质离子的可及性。将2DMXene纳米片转变为3D架构已被证明可有效克服重堆问题。本文简要概述了3DMXene材料的制备策略,包括模板辅助方法,框架辅助方法,化学组装法,发泡法,和其他方法的讨论集中在3DMXenes在超级电容器中的性能上。最后,对当前的进展和机会进行了展望,以突出3DMXenes在超级电容器中的日益普及。
    Supercapacitors have the characteristics of high power density and long cycle life, but the low energy density limits their further development. The 2D transitional metal carbides/nitrides (MXenes) show great application prospects in the field of supercapacitors due to their superior volumetric capacitance, metallic-like conductivity, tunable surface terminations, and structural advantages. However, like other 2D materials, MXenes suffer from the inevitable problem of nanosheet restacking and aggregation, which reduces the overall active surface sites and blocks the accessibility of the electrolyte ions. The transformation of 2D MXene nanosheets into 3D architectures is proven effective to overcome the restacking problem. The review briefly summarizes the preparation strategies of 3D MXene materials, including template-assisted method, framework-assisted method, chemical assembly method, foaming method, and other methods with the discussion centered on the performances of 3D MXenes in supercapacitors. Finally, an outlook on the current progress and opportunities is given to highlight the increasing popularity of 3D MXenes in supercapacitors.
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  • 文章类型: Journal Article
    在手术风险较高或有手术禁忌症的严重二尖瓣反流(MR)患者中,使用MitraClip进行的边缘到边缘的经导管二尖瓣修复(TMVr)发展迅速。三维(3D)超声心动图在严重MR的管理中起着重要作用。特别是,3D经食管超声心动图(TEE)成像允许使用专用软件评估MV几何形状和量化MR严重程度。实时3DTEE也通常用于引导TMVr并促进该过程。3D超声心动图的进一步发展可能有助于实现更安全和更有益的结果。以下文章总结了TMVr中3DTEE的当前知识和未来前景。
    Edge-to-edge transcatheter mitral valve repair (TMVr) using MitraClip has been evolving rapidly in patients with severe mitral regurgitation (MR) at high surgical risk or having contraindications for surgery. Three-dimensional (3D) echocardiography plays an important role in the management of severe MR. In particular, 3D transesophageal echocardiography (TEE) imaging allows the evaluation of MV geometry and quantification of MR severity with dedicated software. Real-time 3D TEE is also commonly used to guide TMVr and facilitate the procedure. Further development of 3D echocardiography may help achieve safer and more beneficial results. The following article summarizes the current knowledge and the future perspectives of 3D TEE in TMVr.
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