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overflow: hidden; text-overflow: ellipsis; -webkit-line-clamp: 3; -webkit-box-orient: vertical; }</style><div class="col-xs-12 clearfix"><div class="u-floatLeft"><h1 class="PageHeader-title u-m0x u-fs30">Computer assisted orthopaedic surgery</h1><div class="u-tcGrayDark">544 Followers</div><div class="u-tcGrayDark u-mt2x">Recent papers in <b>Computer assisted orthopaedic surgery</b></div></div></div></div></div></div><div class="TabbedNavigation"><div class="container"><div class="row"><div class="col-xs-12 clearfix"><ul class="nav u-m0x u-p0x list-inline u-displayFlex"><li class="active"><a href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Top Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery/MostCited">Most Cited Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery/MostDownloaded">Most Downloaded Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery/MostRecent">Newest Papers</a></li><li><a class="" href="https://www.academia.edu/People/Computer_assisted_orthopaedic_surgery">People</a></li></ul></div><style type="text/css">ul.nav{flex-direction:row}@media(max-width: 567px){ul.nav{flex-direction:column}.TabbedNavigation li{max-width:100%}.TabbedNavigation li.active{background-color:var(--background-grey, #dddde2)}.TabbedNavigation li.active:before,.TabbedNavigation li.active:after{display:none}}</style></div></div></div><div class="container"><div class="row"><div class="col-xs-12"><div class="u-displayFlex"><div class="u-flexGrow1"><div class="works"><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_17651822" data-work_id="17651822" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/17651822/A_Comparative_Analysis_of_Different_Treatments_for_Distal_Femur_Fractures_using_the_Finite_Element_Method">A Comparative Analysis of Different Treatments for Distal Femur Fractures using the Finite Element Method</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The main objective of this work is the evaluation, by means of the finite element method (FEM) of the mechanical stability and long-term microstructural modifications in bone induced to three different kinds of fractures of the distal... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_17651822" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The main objective of this work is the evaluation, by means of the finite element method (FEM) of the mechanical stability and long-term microstructural modifications in bone induced to three different kinds of fractures of the distal femur by three types of implants: the Condyle Plate, the less invasive stabilization system plate (LISS) and the distal femur nail (DFN). The displacement and the stress distributions both in bone and implants and the internal bone remodelling process after fracture and fixation are obtained and analysed by computational simulation. The main conclusions of this work are that distal femoral fractures can be treated correctly with the Condyle Plate, the LISS plate and the DFN. The stresses both in LISS and DFN implant are high especially around the screws. When respect to remodelling, the LISS produces an important resorption in the fractured region, while the other two implants do not strongly modify bone tissue microstructure.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/17651822" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="50ccca6bccaa2eeec845e534ef714d83" rel="nofollow" data-download="{"attachment_id":39639386,"asset_id":17651822,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/39639386/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37550228" href="https://independent.academia.edu/BelenSeral">Belen Seral</a><script data-card-contents-for-user="37550228" type="text/json">{"id":37550228,"first_name":"Belen","last_name":"Seral","domain_name":"independent","page_name":"BelenSeral","display_name":"Belen Seral","profile_url":"https://independent.academia.edu/BelenSeral?f_ri=55246","photo":"https://0.academia-photos.com/37550228/102642817/91811202/s65_belen.seral.png"}</script></span></span></li><li class="js-paper-rank-work_17651822 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="17651822"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 17651822, container: ".js-paper-rank-work_17651822", }); 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The displacement and the stress distributions both in bone and implants and the internal bone remodelling process after fracture and fixation are obtained and analysed by computational simulation. The main conclusions of this work are that distal femoral fractures can be treated correctly with the Condyle Plate, the LISS plate and the DFN. The stresses both in LISS and DFN implant are high especially around the screws. When respect to remodelling, the LISS produces an important resorption in the fractured region, while the other two implants do not strongly modify bone tissue microstructure.","downloadable_attachments":[{"id":39639386,"asset_id":17651822,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":37550228,"first_name":"Belen","last_name":"Seral","domain_name":"independent","page_name":"BelenSeral","display_name":"Belen Seral","profile_url":"https://independent.academia.edu/BelenSeral?f_ri=55246","photo":"https://0.academia-photos.com/37550228/102642817/91811202/s65_belen.seral.png"}],"research_interests":[{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true},{"id":1131,"name":"Biomedical 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Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246"},{"id":84745,"name":"Movement","url":"https://www.academia.edu/Documents/in/Movement?f_ri=55246"},{"id":152553,"name":"Comparative Analysis","url":"https://www.academia.edu/Documents/in/Comparative_Analysis?f_ri=55246"},{"id":254893,"name":"Finite element simulation","url":"https://www.academia.edu/Documents/in/Finite_element_simulation?f_ri=55246"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":473797,"name":"Microstructures","url":"https://www.academia.edu/Documents/in/Microstructures?f_ri=55246"},{"id":603553,"name":"Stress distribution","url":"https://www.academia.edu/Documents/in/Stress_distribution?f_ri=55246"},{"id":616689,"name":"Bone remodeling","url":"https://www.academia.edu/Documents/in/Bone_remodeling?f_ri=55246"},{"id":632946,"name":"Stress Distribution","url":"https://www.academia.edu/Documents/in/Stress_Distribution-1?f_ri=55246"},{"id":1144130,"name":"Weight Bearing","url":"https://www.academia.edu/Documents/in/Weight_Bearing?f_ri=55246"},{"id":1146776,"name":"Bone Nails","url":"https://www.academia.edu/Documents/in/Bone_Nails?f_ri=55246"},{"id":1157424,"name":"Equipment Failure Analysis","url":"https://www.academia.edu/Documents/in/Equipment_Failure_Analysis?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_13668149" data-work_id="13668149" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/13668149/Prosthetically_Driven_Computer_Guided_Implant_Planning_for_the_Edentulous_Maxilla_A_Model_Study">Prosthetically Driven, Computer-Guided Implant Planning for the Edentulous Maxilla: A Model Study</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest">Objectives: To analyze computer-assisted diagnostics and virtual implant planning and to evaluate the indication for template-guided flapless surgery and immediate loading in the rehabilitation of the edentulous maxilla.</div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/13668149" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="52cd83e29bc907adfd76e26270d92448" rel="nofollow" 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$(".js-view-count-work_13668149").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="13668149"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">9</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="596" rel="nofollow" href="https://www.academia.edu/Documents/in/Dentistry">Dentistry</a>, <script data-card-contents-for-ri="596" type="text/json">{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26170" rel="nofollow" href="https://www.academia.edu/Documents/in/Dental_Implants">Dental Implants</a>, <script data-card-contents-for-ri="26170" type="text/json">{"id":26170,"name":"Dental 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$('*[data-has-card-for-ri-list=13668149]'), work: {"id":13668149,"title":"Prosthetically Driven, Computer-Guided Implant Planning for the Edentulous Maxilla: A Model Study","created_at":"2015-07-05T15:02:07.426-07:00","url":"https://www.academia.edu/13668149/Prosthetically_Driven_Computer_Guided_Implant_Planning_for_the_Edentulous_Maxilla_A_Model_Study?f_ri=55246","dom_id":"work_13668149","summary":"Objectives: To analyze computer-assisted diagnostics and virtual implant planning and to evaluate the indication for template-guided flapless surgery and immediate loading in the rehabilitation of the edentulous maxilla.","downloadable_attachments":[{"id":45082805,"asset_id":13668149,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":32816328,"first_name":"Pawel","last_name":"Pazera","domain_name":"independent","page_name":"PawelPazera","display_name":"Pawel 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Design","url":"https://www.academia.edu/Documents/in/Dental_Prosthesis_Design?f_ri=55246"},{"id":504035,"name":"Three Dimensional","url":"https://www.academia.edu/Documents/in/Three_Dimensional?f_ri=55246"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_56371678" data-work_id="56371678" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/56371678/Thoracic_Aortic_Stent_Grafts_Utility_of_Multidetector_CT_for_Pre_and_Postprocedure_Evaluation1">Thoracic Aortic Stent-Grafts: Utility of Multidetector CT for Pre- and Postprocedure Evaluation1</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Indications for and experience with placement of endovascular stentgrafts in the thoracic aorta are still evolving. Common pathologic conditions of the thoracic aorta that are amenable to stent placement include penetrating ulcers, aortic... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_56371678" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Indications for and experience with placement of endovascular stentgrafts in the thoracic aorta are still evolving. Common pathologic conditions of the thoracic aorta that are amenable to stent placement include penetrating ulcers, aortic dissection, aortic aneurysms, aortic rupture, and congenital abnormalities. Advances in multidetector computed tomography (CT) permit high-quality two-dimensional multiplanar reformation and three-dimensional rendering, which are essential for comprehensive assessment of the thoracic aorta. The ability of multidetector CT to allow detailed evaluation in any plane or perspective enables detection of thoracic aortic disease and assessment of its relationship to normal vessels. Potential complications of endovascular stent placement include endoleaks, stent migration, pseudoaneurysms, dissection, aortic perforation, kinking, thrombosis, and coverage of vital branch vessels. It is important for the radiologist to not only detect pathologic conditions of the thoracic aorta but also to provide the referring clinician with the necessary pre-and postprocedure information to determine appropriate clinical care. ©</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/56371678" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="2899004f6336599ee778ed24357950f7" rel="nofollow" data-download="{"attachment_id":71789777,"asset_id":56371678,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/71789777/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="122731993" href="https://independent.academia.edu/JohnBlack142">John Black</a><script data-card-contents-for-user="122731993" type="text/json">{"id":122731993,"first_name":"John","last_name":"Black","domain_name":"independent","page_name":"JohnBlack142","display_name":"John Black","profile_url":"https://independent.academia.edu/JohnBlack142?f_ri=55246","photo":"https://0.academia-photos.com/122731993/30822179/28520043/s65_john.black.jpg"}</script></span></span></li><li class="js-paper-rank-work_56371678 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="56371678"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 56371678, container: ".js-paper-rank-work_56371678", }); });</script></li><li class="js-percentile-work_56371678 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 56371678; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_56371678"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_56371678 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="56371678"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 56371678; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=56371678]").text(description); $(".js-view-count-work_56371678").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_56371678").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="56371678"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">9</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a>, <script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="27521" rel="nofollow" href="https://www.academia.edu/Documents/in/Stents">Stents</a>, <script data-card-contents-for-ri="27521" type="text/json">{"id":27521,"name":"Stents","url":"https://www.academia.edu/Documents/in/Stents?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=56371678]'), work: {"id":56371678,"title":"Thoracic Aortic Stent-Grafts: Utility of Multidetector CT for Pre- and Postprocedure Evaluation1","created_at":"2021-10-07T10:41:14.261-07:00","url":"https://www.academia.edu/56371678/Thoracic_Aortic_Stent_Grafts_Utility_of_Multidetector_CT_for_Pre_and_Postprocedure_Evaluation1?f_ri=55246","dom_id":"work_56371678","summary":"Indications for and experience with placement of endovascular stentgrafts in the thoracic aorta are still evolving. Common pathologic conditions of the thoracic aorta that are amenable to stent placement include penetrating ulcers, aortic dissection, aortic aneurysms, aortic rupture, and congenital abnormalities. Advances in multidetector computed tomography (CT) permit high-quality two-dimensional multiplanar reformation and three-dimensional rendering, which are essential for comprehensive assessment of the thoracic aorta. The ability of multidetector CT to allow detailed evaluation in any plane or perspective enables detection of thoracic aortic disease and assessment of its relationship to normal vessels. Potential complications of endovascular stent placement include endoleaks, stent migration, pseudoaneurysms, dissection, aortic perforation, kinking, thrombosis, and coverage of vital branch vessels. It is important for the radiologist to not only detect pathologic conditions of the thoracic aorta but also to provide the referring clinician with the necessary pre-and postprocedure information to determine appropriate clinical care. ©","downloadable_attachments":[{"id":71789777,"asset_id":56371678,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":122731993,"first_name":"John","last_name":"Black","domain_name":"independent","page_name":"JohnBlack142","display_name":"John Black","profile_url":"https://independent.academia.edu/JohnBlack142?f_ri=55246","photo":"https://0.academia-photos.com/122731993/30822179/28520043/s65_john.black.jpg"}],"research_interests":[{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true},{"id":27521,"name":"Stents","url":"https://www.academia.edu/Documents/in/Stents?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":489727,"name":"Prognosis","url":"https://www.academia.edu/Documents/in/Prognosis?f_ri=55246"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography?f_ri=55246"},{"id":1157177,"name":"Prosthesis Implantation","url":"https://www.academia.edu/Documents/in/Prosthesis_Implantation?f_ri=55246"},{"id":2201015,"name":"Postoperative care","url":"https://www.academia.edu/Documents/in/Postoperative_care?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_33102622" data-work_id="33102622" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/33102622/MR_guided_adaptive_focusing_of_therapeutic_ultrasound_beams_in_the_human_head">MR-guided adaptive focusing of therapeutic ultrasound beams in the human head</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Purpose: This study aims to demonstrate, using human cadavers the feasibility of energy-based adaptive focusing of ultrasonic waves using Magnetic Resonance Acoustic Radiation Force Imaging (MR-ARFI) in the framework of non-invasive... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_33102622" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Purpose: This study aims to demonstrate, using human cadavers the feasibility of energy-based adaptive focusing of ultrasonic waves using Magnetic Resonance Acoustic Radiation Force Imaging (MR-ARFI) in the framework of non-invasive transcranial High Intensity Focused Ultrasound (HIFU) therapy. Methods: Energy-based adaptive focusing techniques were recently proposed in order to achieve aberration correction. We evaluate this method on a clinical brain HIFU system composed of 512 ultrasonic elements positioned inside a full body 1.5 T clinical Magnetic Resonance (MR) imaging system. Cadaver heads were mounted onto a clinical Leksell stereotactic frame. The ultrasonic wave intensity at the chosen location was indirectly estimated by the MR system measuring the local tissue displacement induced by the acoustic radiation force of the ultrasound (US) beams. For aberration correction, a set of spatially encoded ultrasonic waves was transmitted from the ultrasonic array and the resulting local displacements were estimated with the MR-ARFI sequence for each emitted beam. A non-iterative inversion process was then performed in order to estimate the spatial phase aberrations induced by the cadaver skull. The procedure was first evaluated and optimized in a calf brain using a numerical aberrator mimicking human skull aberrations. The full method was then demonstrated using a fresh human cadaver head. Results: The corrected beam resulting from the direct inversion process was found to focus at the targeted location with an acoustic intensity 2.2 times higher than the conventional non corrected beam. In addition, this corrected beam was found to give an acoustic intensity 1.5 times higher than the focusing pattern obtained with an aberration correction using transcranial acoustic simulation based on X-ray computed tomography (CT) scans. Conclusion: The proposed technique achieved near optimal focusing in an intact human head for the first time. These findings confirm the strong potential of energy-based adaptive focusing of transcranial ultrasonic beams for clinical applications.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/33102622" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="7639500d6fa0002d7ab102afcc5675c6" rel="nofollow" data-download="{"attachment_id":53199675,"asset_id":33102622,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/53199675/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32736856" href="https://independent.academia.edu/MathieuPernot">Mathieu Pernot</a><script data-card-contents-for-user="32736856" type="text/json">{"id":32736856,"first_name":"Mathieu","last_name":"Pernot","domain_name":"independent","page_name":"MathieuPernot","display_name":"Mathieu Pernot","profile_url":"https://independent.academia.edu/MathieuPernot?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_33102622 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="33102622"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 33102622, container: ".js-paper-rank-work_33102622", }); });</script></li><li class="js-percentile-work_33102622 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 33102622; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_33102622"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_33102622 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="33102622"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 33102622; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=33102622]").text(description); $(".js-view-count-work_33102622").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_33102622").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="33102622"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="1131" rel="nofollow" href="https://www.academia.edu/Documents/in/Biomedical_Engineering">Biomedical Engineering</a>, <script data-card-contents-for-ri="1131" type="text/json">{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a>, <script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="13422" rel="nofollow" href="https://www.academia.edu/Documents/in/Medical_Physics">Medical Physics</a>, <script data-card-contents-for-ri="13422" type="text/json">{"id":13422,"name":"Medical Physics","url":"https://www.academia.edu/Documents/in/Medical_Physics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a><script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=33102622]'), work: {"id":33102622,"title":"MR-guided adaptive focusing of therapeutic ultrasound beams in the human head","created_at":"2017-05-19T12:13:48.031-07:00","url":"https://www.academia.edu/33102622/MR_guided_adaptive_focusing_of_therapeutic_ultrasound_beams_in_the_human_head?f_ri=55246","dom_id":"work_33102622","summary":"Purpose: This study aims to demonstrate, using human cadavers the feasibility of energy-based adaptive focusing of ultrasonic waves using Magnetic Resonance Acoustic Radiation Force Imaging (MR-ARFI) in the framework of non-invasive transcranial High Intensity Focused Ultrasound (HIFU) therapy. Methods: Energy-based adaptive focusing techniques were recently proposed in order to achieve aberration correction. We evaluate this method on a clinical brain HIFU system composed of 512 ultrasonic elements positioned inside a full body 1.5 T clinical Magnetic Resonance (MR) imaging system. Cadaver heads were mounted onto a clinical Leksell stereotactic frame. The ultrasonic wave intensity at the chosen location was indirectly estimated by the MR system measuring the local tissue displacement induced by the acoustic radiation force of the ultrasound (US) beams. For aberration correction, a set of spatially encoded ultrasonic waves was transmitted from the ultrasonic array and the resulting local displacements were estimated with the MR-ARFI sequence for each emitted beam. A non-iterative inversion process was then performed in order to estimate the spatial phase aberrations induced by the cadaver skull. The procedure was first evaluated and optimized in a calf brain using a numerical aberrator mimicking human skull aberrations. The full method was then demonstrated using a fresh human cadaver head. Results: The corrected beam resulting from the direct inversion process was found to focus at the targeted location with an acoustic intensity 2.2 times higher than the conventional non corrected beam. In addition, this corrected beam was found to give an acoustic intensity 1.5 times higher than the focusing pattern obtained with an aberration correction using transcranial acoustic simulation based on X-ray computed tomography (CT) scans. Conclusion: The proposed technique achieved near optimal focusing in an intact human head for the first time. These findings confirm the strong potential of energy-based adaptive focusing of transcranial ultrasonic beams for clinical applications.","downloadable_attachments":[{"id":53199675,"asset_id":33102622,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":32736856,"first_name":"Mathieu","last_name":"Pernot","domain_name":"independent","page_name":"MathieuPernot","display_name":"Mathieu Pernot","profile_url":"https://independent.academia.edu/MathieuPernot?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true},{"id":13422,"name":"Medical Physics","url":"https://www.academia.edu/Documents/in/Medical_Physics?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":61474,"name":"Brain","url":"https://www.academia.edu/Documents/in/Brain?f_ri=55246"},{"id":100540,"name":"Feasibility Studies","url":"https://www.academia.edu/Documents/in/Feasibility_Studies?f_ri=55246"},{"id":260829,"name":"Cattle","url":"https://www.academia.edu/Documents/in/Cattle?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_27515170" data-work_id="27515170" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/27515170/Clinical_Application_of_Stereolithographic_Surgical_Guide_With_a_Handpiece_Guidance_Apparatus_A_Case_Report">Clinical Application of Stereolithographic Surgical Guide With a Handpiece Guidance Apparatus: A Case Report</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The success of implant-supported restorations depends on the treatment planning and the transfer of planning through the surgical field. Recently, new computer-aided design and manufacturing (CAD/CAM) techniques, such as... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_27515170" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The success of implant-supported restorations depends on the treatment planning and the transfer of planning through the surgical field. Recently, new computer-aided design and manufacturing (CAD/CAM) techniques, such as stereolithographic (SLA) rapid prototyping, have been developed to fabricate surgical guides to improve the precision of implant placement. The objective of the present case is to introduce a recently developed SLA surgical guide system into the rehabilitation of a 62-year-old male patient with mandibular edentulism. After obtaining a cone-beam computerized tomography (CBCT) scan of the mandible with a radiographic template, the images were transferred into a 3-dimensional (3D) image-based software for implant planning. The StentCad Beyond SLA surgical guide system, which is a combination of a currently used surgical template with pilot hollows and a surgical handpiece guidance apparatus, was designed to transfer a preoperatively defined implant position onto the surgical site without any drill-surgical guide contact. For the fabrication of this system, a surgical handpiece was scanned by a laser optical scanner and a mucosa-supported surgical guide was designed according to the patient's 3D model, which was attained from the CBCT images. Four dental implants were inserted through the SLA surgical guide system by a torque-controlled surgical handpiece to the interforaminal region via a flapless surgical procedure. Implants were assessed 3 months after surgery, and an implant-retained mandibular overdenture was fabricated. The present case emphasizes that CAD/CAM SLA surgical guides, along with CBCT images and scanning data, may help clinicians plan and place dental implants.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/27515170" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="ab3b35e0a849f522df3931ff7a8c4373" rel="nofollow" data-download="{"attachment_id":47770122,"asset_id":27515170,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/47770122/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="51671600" href="https://independent.academia.edu/CSendyk">Claudio Sendyk</a><script data-card-contents-for-user="51671600" type="text/json">{"id":51671600,"first_name":"Claudio","last_name":"Sendyk","domain_name":"independent","page_name":"CSendyk","display_name":"Claudio Sendyk","profile_url":"https://independent.academia.edu/CSendyk?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_27515170 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="27515170"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 27515170, container: ".js-paper-rank-work_27515170", }); });</script></li><li class="js-percentile-work_27515170 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 27515170; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_27515170"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_27515170 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="27515170"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 27515170; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=27515170]").text(description); $(".js-view-count-work_27515170").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_27515170").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="27515170"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">12</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="596" rel="nofollow" href="https://www.academia.edu/Documents/in/Dentistry">Dentistry</a>, <script data-card-contents-for-ri="596" type="text/json">{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="6160" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Aided_Design">Computer Aided Design</a>, <script data-card-contents-for-ri="6160" type="text/json">{"id":6160,"name":"Computer Aided Design","url":"https://www.academia.edu/Documents/in/Computer_Aided_Design?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a>, <script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a><script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=27515170]'), work: {"id":27515170,"title":"Clinical Application of Stereolithographic Surgical Guide With a Handpiece Guidance Apparatus: A Case Report","created_at":"2016-08-03T17:09:51.916-07:00","url":"https://www.academia.edu/27515170/Clinical_Application_of_Stereolithographic_Surgical_Guide_With_a_Handpiece_Guidance_Apparatus_A_Case_Report?f_ri=55246","dom_id":"work_27515170","summary":"The success of implant-supported restorations depends on the treatment planning and the transfer of planning through the surgical field. Recently, new computer-aided design and manufacturing (CAD/CAM) techniques, such as stereolithographic (SLA) rapid prototyping, have been developed to fabricate surgical guides to improve the precision of implant placement. The objective of the present case is to introduce a recently developed SLA surgical guide system into the rehabilitation of a 62-year-old male patient with mandibular edentulism. After obtaining a cone-beam computerized tomography (CBCT) scan of the mandible with a radiographic template, the images were transferred into a 3-dimensional (3D) image-based software for implant planning. The StentCad Beyond SLA surgical guide system, which is a combination of a currently used surgical template with pilot hollows and a surgical handpiece guidance apparatus, was designed to transfer a preoperatively defined implant position onto the surgical site without any drill-surgical guide contact. For the fabrication of this system, a surgical handpiece was scanned by a laser optical scanner and a mucosa-supported surgical guide was designed according to the patient's 3D model, which was attained from the CBCT images. Four dental implants were inserted through the SLA surgical guide system by a torque-controlled surgical handpiece to the interforaminal region via a flapless surgical procedure. Implants were assessed 3 months after surgery, and an implant-retained mandibular overdenture was fabricated. The present case emphasizes that CAD/CAM SLA surgical guides, along with CBCT images and scanning data, may help clinicians plan and place dental implants.","downloadable_attachments":[{"id":47770122,"asset_id":27515170,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":51671600,"first_name":"Claudio","last_name":"Sendyk","domain_name":"independent","page_name":"CSendyk","display_name":"Claudio Sendyk","profile_url":"https://independent.academia.edu/CSendyk?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true},{"id":6160,"name":"Computer Aided Design","url":"https://www.academia.edu/Documents/in/Computer_Aided_Design?f_ri=55246","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":150880,"name":"Mandible","url":"https://www.academia.edu/Documents/in/Mandible?f_ri=55246"},{"id":194187,"name":"Oral","url":"https://www.academia.edu/Documents/in/Oral?f_ri=55246"},{"id":312071,"name":"Oral implantology","url":"https://www.academia.edu/Documents/in/Oral_implantology?f_ri=55246"},{"id":468992,"name":"Dental Prosthesis Design","url":"https://www.academia.edu/Documents/in/Dental_Prosthesis_Design?f_ri=55246"},{"id":524604,"name":"Dental Instruments","url":"https://www.academia.edu/Documents/in/Dental_Instruments?f_ri=55246"},{"id":612976,"name":"Dental Models","url":"https://www.academia.edu/Documents/in/Dental_Models?f_ri=55246"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography?f_ri=55246"},{"id":1145520,"name":"Equipment Design","url":"https://www.academia.edu/Documents/in/Equipment_Design?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_53494592" data-work_id="53494592" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/53494592/Automating_the_design_of_resection_guides_specific_to_patient_anatomy_in_knee_replacement_surgery_by_enhanced_3D_curvature_and_surface_modeling_of_distal_femur_shape_models">Automating the design of resection guides specific to patient anatomy in knee replacement surgery by enhanced 3D curvature and surface modeling of distal femur shape models</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Please cite this article in press as: Cerveri P, et al. Automating the design of resection guides specific to patient anatomy in knee replacement surgery by enhanced 3D curvature and surface modeling of distal femur shape models. Comput... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_53494592" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Please cite this article in press as: Cerveri P, et al. Automating the design of resection guides specific to patient anatomy in knee replacement surgery by enhanced 3D curvature and surface modeling of distal femur shape models. Comput Med Imaging Graph (2014),</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/53494592" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="fcdc726f2f57dcef1d639b7111fa1038" rel="nofollow" data-download="{"attachment_id":70312299,"asset_id":53494592,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/70312299/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="45763313" href="https://independent.academia.edu/NorbertoConfalonieri">Norberto Confalonieri</a><script data-card-contents-for-user="45763313" type="text/json">{"id":45763313,"first_name":"Norberto","last_name":"Confalonieri","domain_name":"independent","page_name":"NorbertoConfalonieri","display_name":"Norberto Confalonieri","profile_url":"https://independent.academia.edu/NorbertoConfalonieri?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_53494592 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="53494592"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 53494592, container: ".js-paper-rank-work_53494592", }); });</script></li><li class="js-percentile-work_53494592 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53494592; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_53494592"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_53494592 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="53494592"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53494592; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53494592]").text(description); $(".js-view-count-work_53494592").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_53494592").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="53494592"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="1131" rel="nofollow" href="https://www.academia.edu/Documents/in/Biomedical_Engineering">Biomedical Engineering</a>, <script data-card-contents-for-ri="1131" type="text/json">{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="69542" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Simulation">Computer Simulation</a>, <script data-card-contents-for-ri="69542" type="text/json">{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="85904" rel="nofollow" href="https://www.academia.edu/Documents/in/Femur">Femur</a><script data-card-contents-for-ri="85904" type="text/json">{"id":85904,"name":"Femur","url":"https://www.academia.edu/Documents/in/Femur?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=53494592]'), work: {"id":53494592,"title":"Automating the design of resection guides specific to patient anatomy in knee replacement surgery by enhanced 3D curvature and surface modeling of distal femur shape models","created_at":"2021-09-27T04:08:07.186-07:00","url":"https://www.academia.edu/53494592/Automating_the_design_of_resection_guides_specific_to_patient_anatomy_in_knee_replacement_surgery_by_enhanced_3D_curvature_and_surface_modeling_of_distal_femur_shape_models?f_ri=55246","dom_id":"work_53494592","summary":"Please cite this article in press as: Cerveri P, et al. Automating the design of resection guides specific to patient anatomy in knee replacement surgery by enhanced 3D curvature and surface modeling of distal femur shape models. Comput Med Imaging Graph (2014),","downloadable_attachments":[{"id":70312299,"asset_id":53494592,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":45763313,"first_name":"Norberto","last_name":"Confalonieri","domain_name":"independent","page_name":"NorbertoConfalonieri","display_name":"Norberto Confalonieri","profile_url":"https://independent.academia.edu/NorbertoConfalonieri?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246","nofollow":true},{"id":85904,"name":"Femur","url":"https://www.academia.edu/Documents/in/Femur?f_ri=55246","nofollow":true},{"id":123287,"name":"Three Dimensional Imaging","url":"https://www.academia.edu/Documents/in/Three_Dimensional_Imaging?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":549280,"name":"Reproducibility of Results","url":"https://www.academia.edu/Documents/in/Reproducibility_of_Results?f_ri=55246"},{"id":901876,"name":"Sensitivity and Specificity","url":"https://www.academia.edu/Documents/in/Sensitivity_and_Specificity?f_ri=55246"},{"id":1145265,"name":"Knee Joint","url":"https://www.academia.edu/Documents/in/Knee_Joint?f_ri=55246"},{"id":1157235,"name":"Prosthesis Fitting","url":"https://www.academia.edu/Documents/in/Prosthesis_Fitting?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_13347675" data-work_id="13347675" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/13347675/Robot_assisted_partial_and_total_splenectomy">Robot-assisted partial and total splenectomy</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest">Background The interest of robotics in performing partial and total splenectomy is poorly reported so far. We report herein our experience.</div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/13347675" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="8f736c49da3a560e5d389b9bb8846737" rel="nofollow" data-download="{"attachment_id":45442774,"asset_id":13347675,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/45442774/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32586038" href="https://independent.academia.edu/NicolasBuchs">Nicolas Buchs</a><script data-card-contents-for-user="32586038" type="text/json">{"id":32586038,"first_name":"Nicolas","last_name":"Buchs","domain_name":"independent","page_name":"NicolasBuchs","display_name":"Nicolas Buchs","profile_url":"https://independent.academia.edu/NicolasBuchs?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_13347675 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="13347675"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 13347675, container: ".js-paper-rank-work_13347675", }); 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$(".js-view-count[data-work-id=13347675]").text(description); $(".js-view-count-work_13347675").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_13347675").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="13347675"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a>, <script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="22506" rel="nofollow" href="https://www.academia.edu/Documents/in/Adolescent">Adolescent</a>, <script data-card-contents-for-ri="22506" type="text/json">{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="49018" rel="nofollow" href="https://www.academia.edu/Documents/in/Spleen">Spleen</a><script data-card-contents-for-ri="49018" type="text/json">{"id":49018,"name":"Spleen","url":"https://www.academia.edu/Documents/in/Spleen?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=13347675]'), work: {"id":13347675,"title":"Robot-assisted partial and total splenectomy","created_at":"2015-06-27T07:00:48.432-07:00","url":"https://www.academia.edu/13347675/Robot_assisted_partial_and_total_splenectomy?f_ri=55246","dom_id":"work_13347675","summary":"Background The interest of robotics in performing partial and total splenectomy is poorly reported so far. We report herein our experience.","downloadable_attachments":[{"id":45442774,"asset_id":13347675,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":32586038,"first_name":"Nicolas","last_name":"Buchs","domain_name":"independent","page_name":"NicolasBuchs","display_name":"Nicolas Buchs","profile_url":"https://independent.academia.edu/NicolasBuchs?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent?f_ri=55246","nofollow":true},{"id":49018,"name":"Spleen","url":"https://www.academia.edu/Documents/in/Spleen?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":100540,"name":"Feasibility Studies","url":"https://www.academia.edu/Documents/in/Feasibility_Studies?f_ri=55246"},{"id":133057,"name":"Young Adult","url":"https://www.academia.edu/Documents/in/Young_Adult?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":2036633,"name":"Medical","url":"https://www.academia.edu/Documents/in/Medical?f_ri=55246"},{"id":2190600,"name":"Splenectomy","url":"https://www.academia.edu/Documents/in/Splenectomy?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_13628550" data-work_id="13628550" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/13628550/A_Three_Dimensional_Computer_Based_Perspective_of_the_Skull_Base">A Three-Dimensional Computer-Based Perspective of the Skull Base</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/13628550" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c4fbf1abb0bccf57f46ae444336feb36" rel="nofollow" data-download="{"attachment_id":45131979,"asset_id":13628550,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/45131979/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32791234" href="https://greav.academia.edu/AlbertoPratsGalino">Alberto Prats-Galino</a><script data-card-contents-for-user="32791234" type="text/json">{"id":32791234,"first_name":"Alberto","last_name":"Prats-Galino","domain_name":"greav","page_name":"AlbertoPratsGalino","display_name":"Alberto Prats-Galino","profile_url":"https://greav.academia.edu/AlbertoPratsGalino?f_ri=55246","photo":"https://0.academia-photos.com/32791234/10625149/11860306/s65_alberto.prats-galino.jpg"}</script></span></span></li><li class="js-paper-rank-work_13628550 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="13628550"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 13628550, container: ".js-paper-rank-work_13628550", }); 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$(".js-view-count[data-work-id=13628550]").text(description); $(".js-view-count-work_13628550").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_13628550").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="13628550"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">10</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="114531" href="https://www.academia.edu/Documents/in/Ct">Ct</a>, <script data-card-contents-for-ri="114531" type="text/json">{"id":114531,"name":"Ct","url":"https://www.academia.edu/Documents/in/Ct?f_ri=55246","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="123287" rel="nofollow" href="https://www.academia.edu/Documents/in/Three_Dimensional_Imaging">Three Dimensional Imaging</a>, <script data-card-contents-for-ri="123287" type="text/json">{"id":123287,"name":"Three Dimensional Imaging","url":"https://www.academia.edu/Documents/in/Three_Dimensional_Imaging?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="162404" rel="nofollow" href="https://www.academia.edu/Documents/in/Skull_Base">Skull Base</a><script data-card-contents-for-ri="162404" type="text/json">{"id":162404,"name":"Skull Base","url":"https://www.academia.edu/Documents/in/Skull_Base?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=13628550]'), work: {"id":13628550,"title":"A Three-Dimensional Computer-Based Perspective of the Skull Base","created_at":"2015-07-04T10:57:02.170-07:00","url":"https://www.academia.edu/13628550/A_Three_Dimensional_Computer_Based_Perspective_of_the_Skull_Base?f_ri=55246","dom_id":"work_13628550","summary":null,"downloadable_attachments":[{"id":45131979,"asset_id":13628550,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":32791234,"first_name":"Alberto","last_name":"Prats-Galino","domain_name":"greav","page_name":"AlbertoPratsGalino","display_name":"Alberto Prats-Galino","profile_url":"https://greav.academia.edu/AlbertoPratsGalino?f_ri=55246","photo":"https://0.academia-photos.com/32791234/10625149/11860306/s65_alberto.prats-galino.jpg"}],"research_interests":[{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":114531,"name":"Ct","url":"https://www.academia.edu/Documents/in/Ct?f_ri=55246","nofollow":false},{"id":123287,"name":"Three Dimensional Imaging","url":"https://www.academia.edu/Documents/in/Three_Dimensional_Imaging?f_ri=55246","nofollow":true},{"id":162404,"name":"Skull Base","url":"https://www.academia.edu/Documents/in/Skull_Base?f_ri=55246","nofollow":true},{"id":181792,"name":"Dissection","url":"https://www.academia.edu/Documents/in/Dissection?f_ri=55246"},{"id":247948,"name":"Cadaver","url":"https://www.academia.edu/Documents/in/Cadaver?f_ri=55246"},{"id":426966,"name":"Nasal cavity","url":"https://www.academia.edu/Documents/in/Nasal_cavity?f_ri=55246"},{"id":504035,"name":"Three Dimensional","url":"https://www.academia.edu/Documents/in/Three_Dimensional?f_ri=55246"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography?f_ri=55246"},{"id":1188947,"name":"D","url":"https://www.academia.edu/Documents/in/D-351414216?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_14090588 coauthored" data-work_id="14090588" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/14090588/RTOG_0631_phase_2_3_study_of_image_guided_stereotactic_radiosurgery_for_localized_1_3_spine_metastases_Phase_2_results">RTOG 0631 phase 2/3 study of image guided stereotactic radiosurgery for localized (1-3) spine metastases: Phase 2 results</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">literature. This study was undertaken to provide a multi-institutional and multi-national summary of the current practice of spine SBRT / SRS. Materials/Methods: All 6 institutions are experienced in spine SBRT/SRS and are members of the... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_14090588" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">literature. This study was undertaken to provide a multi-institutional and multi-national summary of the current practice of spine SBRT / SRS. Materials/Methods: All 6 institutions are experienced in spine SBRT/SRS and are members of the Elekta Spine SBRT Group;</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/14090588" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c747423d25972e8d6c162ac0b2a13dd6" rel="nofollow" data-download="{"attachment_id":44612845,"asset_id":14090588,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44612845/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="33099214" href="https://utah.academia.edu/YingHitchcock">Ying Hitchcock</a><script data-card-contents-for-user="33099214" type="text/json">{"id":33099214,"first_name":"Ying","last_name":"Hitchcock","domain_name":"utah","page_name":"YingHitchcock","display_name":"Ying Hitchcock","profile_url":"https://utah.academia.edu/YingHitchcock?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-14090588">+1</span><div class="hidden js-additional-users-14090588"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/FangfangYin">Fang-fang Yin</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-14090588'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-14090588').html(); 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This study was undertaken to provide a multi-institutional and multi-national summary of the current practice of spine SBRT / SRS. 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However, most clinically available instruments currently consist of contact probes that only provide global monitoring of the patient (e.g., pulse oximetry probes) or local... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5855792" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Oxygenation measurements are widely used in patient care. However, most clinically available instruments currently consist of contact probes that only provide global monitoring of the patient (e.g., pulse oximetry probes) or local monitoring of small areas (e.g., spectroscopy-based probes). Visualization of oxygenation over large areas of tissue, without a priori knowledge of the location of defects, has the potential to improve patient management in many surgical and critical care applications. In this study, we present a clinically compatible multispectral spatial frequency domain imaging (SFDI) system optimized for surgical oxygenation imaging. This system was used to image tissue oxygenation over a large area (16×12 cm) and was validated during preclinical studies by comparing results obtained with an FDA-approved clinical oxygenation probe. Skin flap, bowel, and liver vascular occlusion experiments were performed on Yorkshire pigs and demonstrated that over the course of the experiment, relative changes in oxygen saturation measured using SFDI had an accuracy within 10% of those made using the FDA-approved device. Finally, the new SFDI system was translated to the clinic in a first-in-human pilot study that imaged skin flap oxygenation during reconstructive breast surgery. Overall, this study lays the foundation for clinical translation of endogenous contrast imaging using SFDI.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5855792" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="d3602da123b398e2c673dd62d385da8d" rel="nofollow" data-download="{"attachment_id":49109963,"asset_id":5855792,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/49109963/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="8631156" href="https://uci.academia.edu/DavidCuccia">David Cuccia</a><script data-card-contents-for-user="8631156" type="text/json">{"id":8631156,"first_name":"David","last_name":"Cuccia","domain_name":"uci","page_name":"DavidCuccia","display_name":"David Cuccia","profile_url":"https://uci.academia.edu/DavidCuccia?f_ri=55246","photo":"https://gravatar.com/avatar/bbdfc548753fc2c65143371670119fcd?s=65"}</script></span></span></li><li class="js-paper-rank-work_5855792 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5855792"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 5855792, container: ".js-paper-rank-work_5855792", }); 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$(".js-view-count[data-work-id=5855792]").text(description); $(".js-view-count-work_5855792").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_5855792").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="5855792"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">25</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="647" rel="nofollow" href="https://www.academia.edu/Documents/in/Surgery">Surgery</a>, <script data-card-contents-for-ri="647" type="text/json">{"id":647,"name":"Surgery","url":"https://www.academia.edu/Documents/in/Surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1131" rel="nofollow" href="https://www.academia.edu/Documents/in/Biomedical_Engineering">Biomedical Engineering</a>, <script data-card-contents-for-ri="1131" type="text/json">{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9212" rel="nofollow" href="https://www.academia.edu/Documents/in/A_Priori_Knowledge">A Priori Knowledge</a>, <script data-card-contents-for-ri="9212" type="text/json">{"id":9212,"name":"A Priori Knowledge","url":"https://www.academia.edu/Documents/in/A_Priori_Knowledge?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="23940" rel="nofollow" href="https://www.academia.edu/Documents/in/Near_Infrared">Near Infrared</a><script data-card-contents-for-ri="23940" type="text/json">{"id":23940,"name":"Near Infrared","url":"https://www.academia.edu/Documents/in/Near_Infrared?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=5855792]'), work: {"id":5855792,"title":"First-in-human pilot study of a spatial frequency domain oxygenation imaging system","created_at":"2014-01-27T02:18:32.201-08:00","url":"https://www.academia.edu/5855792/First_in_human_pilot_study_of_a_spatial_frequency_domain_oxygenation_imaging_system?f_ri=55246","dom_id":"work_5855792","summary":"Oxygenation measurements are widely used in patient care. However, most clinically available instruments currently consist of contact probes that only provide global monitoring of the patient (e.g., pulse oximetry probes) or local monitoring of small areas (e.g., spectroscopy-based probes). Visualization of oxygenation over large areas of tissue, without a priori knowledge of the location of defects, has the potential to improve patient management in many surgical and critical care applications. In this study, we present a clinically compatible multispectral spatial frequency domain imaging (SFDI) system optimized for surgical oxygenation imaging. This system was used to image tissue oxygenation over a large area (16×12 cm) and was validated during preclinical studies by comparing results obtained with an FDA-approved clinical oxygenation probe. Skin flap, bowel, and liver vascular occlusion experiments were performed on Yorkshire pigs and demonstrated that over the course of the experiment, relative changes in oxygen saturation measured using SFDI had an accuracy within 10% of those made using the FDA-approved device. Finally, the new SFDI system was translated to the clinic in a first-in-human pilot study that imaged skin flap oxygenation during reconstructive breast surgery. Overall, this study lays the foundation for clinical translation of endogenous contrast imaging using SFDI.","downloadable_attachments":[{"id":49109963,"asset_id":5855792,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":8631156,"first_name":"David","last_name":"Cuccia","domain_name":"uci","page_name":"DavidCuccia","display_name":"David Cuccia","profile_url":"https://uci.academia.edu/DavidCuccia?f_ri=55246","photo":"https://gravatar.com/avatar/bbdfc548753fc2c65143371670119fcd?s=65"}],"research_interests":[{"id":647,"name":"Surgery","url":"https://www.academia.edu/Documents/in/Surgery?f_ri=55246","nofollow":true},{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true},{"id":9212,"name":"A Priori Knowledge","url":"https://www.academia.edu/Documents/in/A_Priori_Knowledge?f_ri=55246","nofollow":true},{"id":23940,"name":"Near Infrared","url":"https://www.academia.edu/Documents/in/Near_Infrared?f_ri=55246","nofollow":true},{"id":32538,"name":"Critical Care","url":"https://www.academia.edu/Documents/in/Critical_Care?f_ri=55246"},{"id":36237,"name":"Biomedical","url":"https://www.academia.edu/Documents/in/Biomedical?f_ri=55246"},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":55983,"name":"Biomedical Optics","url":"https://www.academia.edu/Documents/in/Biomedical_Optics?f_ri=55246"},{"id":71437,"name":"Liver","url":"https://www.academia.edu/Documents/in/Liver?f_ri=55246"},{"id":83120,"name":"Near Infrared Spectroscopy","url":"https://www.academia.edu/Documents/in/Near_Infrared_Spectroscopy?f_ri=55246"},{"id":96945,"name":"Pulse Oximetry","url":"https://www.academia.edu/Documents/in/Pulse_Oximetry?f_ri=55246"},{"id":155840,"name":"Spatial Frequency","url":"https://www.academia.edu/Documents/in/Spatial_Frequency?f_ri=55246"},{"id":162553,"name":"Skin","url":"https://www.academia.edu/Documents/in/Skin?f_ri=55246"},{"id":263152,"name":"Optical physics","url":"https://www.academia.edu/Documents/in/Optical_physics?f_ri=55246"},{"id":308908,"name":"Pilot study","url":"https://www.academia.edu/Documents/in/Pilot_study?f_ri=55246"},{"id":359001,"name":"Optometry and Ophthalmology","url":"https://www.academia.edu/Documents/in/Optometry_and_Ophthalmology?f_ri=55246"},{"id":419370,"name":"Swine","url":"https://www.academia.edu/Documents/in/Swine?f_ri=55246"},{"id":446717,"name":"Patient Care","url":"https://www.academia.edu/Documents/in/Patient_Care?f_ri=55246"},{"id":537759,"name":"Gastrointestinal Tract","url":"https://www.academia.edu/Documents/in/Gastrointestinal_Tract?f_ri=55246"},{"id":549280,"name":"Reproducibility of Results","url":"https://www.academia.edu/Documents/in/Reproducibility_of_Results?f_ri=55246"},{"id":571425,"name":"Oximetry","url":"https://www.academia.edu/Documents/in/Oximetry?f_ri=55246"},{"id":945595,"name":"Pilot Projects","url":"https://www.academia.edu/Documents/in/Pilot_Projects?f_ri=55246"},{"id":1145520,"name":"Equipment Design","url":"https://www.academia.edu/Documents/in/Equipment_Design?f_ri=55246"},{"id":1311261,"name":"Hemoglobins","url":"https://www.academia.edu/Documents/in/Hemoglobins?f_ri=55246"},{"id":1558342,"name":"Oxygen saturation","url":"https://www.academia.edu/Documents/in/Oxygen_saturation?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_13756328 coauthored" data-work_id="13756328" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/13756328/Clinical_applications_of_diffusion_tensor_imaging">Clinical applications of diffusion tensor imaging</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Directionally-ordered cellular structures that impede water motion, such as cell membranes and myelin, result in water mobility that is also directionally-dependent. Diffusion tensor imaging characterizes this directional nature of water... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_13756328" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Directionally-ordered cellular structures that impede water motion, such as cell membranes and myelin, result in water mobility that is also directionally-dependent. Diffusion tensor imaging characterizes this directional nature of water motion and thereby provides structural information that cannot be obtained by standard anatomic imaging. Quantitative apparent diffusion coefficients and fractional anisotropy have emerged from being primarily research tools to methods enabling valuable clinical applications. This review describes the clinical utility of diffusion tensor imaging, including the basic principles of the technique, acquisition, data analysis, and the major clinical applications.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/13756328" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="fe1a607e5be6b13aa87b3e1a602df627" rel="nofollow" data-download="{"attachment_id":44989684,"asset_id":13756328,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44989684/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32912558" href="https://independent.academia.edu/RobertWelsh1">Robert Welsh</a><script data-card-contents-for-user="32912558" type="text/json">{"id":32912558,"first_name":"Robert","last_name":"Welsh","domain_name":"independent","page_name":"RobertWelsh1","display_name":"Robert Welsh","profile_url":"https://independent.academia.edu/RobertWelsh1?f_ri=55246","photo":"https://gravatar.com/avatar/c9c43f5c21e71a9b5f544b6f34843187?s=65"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-13756328">+1</span><div class="hidden js-additional-users-13756328"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/dianagomez63">diana gomez</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-13756328'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-13756328').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_13756328 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="13756328"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 13756328, container: ".js-paper-rank-work_13756328", }); });</script></li><li class="js-percentile-work_13756328 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 13756328; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_13756328"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_13756328 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="13756328"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 13756328; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=13756328]").text(description); $(".js-view-count-work_13756328").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_13756328").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="13756328"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">26</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="48" rel="nofollow" href="https://www.academia.edu/Documents/in/Engineering">Engineering</a>, <script data-card-contents-for-ri="48" type="text/json">{"id":48,"name":"Engineering","url":"https://www.academia.edu/Documents/in/Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="650" rel="nofollow" href="https://www.academia.edu/Documents/in/Neurosurgery">Neurosurgery</a>, <script data-card-contents-for-ri="650" type="text/json">{"id":650,"name":"Neurosurgery","url":"https://www.academia.edu/Documents/in/Neurosurgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2215" rel="nofollow" href="https://www.academia.edu/Documents/in/Water">Water</a>, <script data-card-contents-for-ri="2215" type="text/json">{"id":2215,"name":"Water","url":"https://www.academia.edu/Documents/in/Water?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4933" rel="nofollow" href="https://www.academia.edu/Documents/in/Spine">Spine</a><script data-card-contents-for-ri="4933" type="text/json">{"id":4933,"name":"Spine","url":"https://www.academia.edu/Documents/in/Spine?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=13756328]'), work: {"id":13756328,"title":"Clinical applications of diffusion tensor imaging","created_at":"2015-07-07T10:50:32.181-07:00","url":"https://www.academia.edu/13756328/Clinical_applications_of_diffusion_tensor_imaging?f_ri=55246","dom_id":"work_13756328","summary":"Directionally-ordered cellular structures that impede water motion, such as cell membranes and myelin, result in water mobility that is also directionally-dependent. Diffusion tensor imaging characterizes this directional nature of water motion and thereby provides structural information that cannot be obtained by standard anatomic imaging. Quantitative apparent diffusion coefficients and fractional anisotropy have emerged from being primarily research tools to methods enabling valuable clinical applications. This review describes the clinical utility of diffusion tensor imaging, including the basic principles of the technique, acquisition, data analysis, and the major clinical applications.","downloadable_attachments":[{"id":44989684,"asset_id":13756328,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":32912558,"first_name":"Robert","last_name":"Welsh","domain_name":"independent","page_name":"RobertWelsh1","display_name":"Robert Welsh","profile_url":"https://independent.academia.edu/RobertWelsh1?f_ri=55246","photo":"https://gravatar.com/avatar/c9c43f5c21e71a9b5f544b6f34843187?s=65"},{"id":32874275,"first_name":"diana","last_name":"gomez","domain_name":"independent","page_name":"dianagomez63","display_name":"diana gomez","profile_url":"https://independent.academia.edu/dianagomez63?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":48,"name":"Engineering","url":"https://www.academia.edu/Documents/in/Engineering?f_ri=55246","nofollow":true},{"id":650,"name":"Neurosurgery","url":"https://www.academia.edu/Documents/in/Neurosurgery?f_ri=55246","nofollow":true},{"id":2215,"name":"Water","url":"https://www.academia.edu/Documents/in/Water?f_ri=55246","nofollow":true},{"id":4933,"name":"Spine","url":"https://www.academia.edu/Documents/in/Spine?f_ri=55246","nofollow":true},{"id":6200,"name":"Magnetic Resonance Imaging","url":"https://www.academia.edu/Documents/in/Magnetic_Resonance_Imaging?f_ri=55246"},{"id":8928,"name":"MRI","url":"https://www.academia.edu/Documents/in/MRI?f_ri=55246"},{"id":8929,"name":"Diffusion Tensor Imaging","url":"https://www.academia.edu/Documents/in/Diffusion_Tensor_Imaging?f_ri=55246"},{"id":37333,"name":"Anisotropy","url":"https://www.academia.edu/Documents/in/Anisotropy?f_ri=55246"},{"id":52176,"name":"Brain Mapping","url":"https://www.academia.edu/Documents/in/Brain_Mapping?f_ri=55246"},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":61474,"name":"Brain","url":"https://www.academia.edu/Documents/in/Brain?f_ri=55246"},{"id":104808,"name":"Roi","url":"https://www.academia.edu/Documents/in/Roi?f_ri=55246"},{"id":118582,"name":"Physical sciences","url":"https://www.academia.edu/Documents/in/Physical_sciences?f_ri=55246"},{"id":129932,"name":"Ms","url":"https://www.academia.edu/Documents/in/Ms?f_ri=55246"},{"id":130140,"name":"Diffusion weighted imaging","url":"https://www.academia.edu/Documents/in/Diffusion_weighted_imaging?f_ri=55246"},{"id":223788,"name":"Apparent Diffusion Coefficient","url":"https://www.academia.edu/Documents/in/Apparent_Diffusion_Coefficient?f_ri=55246"},{"id":372581,"name":"Image Enhancement","url":"https://www.academia.edu/Documents/in/Image_Enhancement?f_ri=55246"},{"id":465866,"name":"Magnetic","url":"https://www.academia.edu/Documents/in/Magnetic?f_ri=55246"},{"id":497323,"name":"Fractional Anisotropy","url":"https://www.academia.edu/Documents/in/Fractional_Anisotropy?f_ri=55246"},{"id":979676,"name":"Tractography","url":"https://www.academia.edu/Documents/in/Tractography?f_ri=55246"},{"id":1275886,"name":"Clinical Application","url":"https://www.academia.edu/Documents/in/Clinical_Application?f_ri=55246"},{"id":1372278,"name":"Region of Interest","url":"https://www.academia.edu/Documents/in/Region_of_Interest?f_ri=55246"},{"id":1423078,"name":"Nervous System Diseases","url":"https://www.academia.edu/Documents/in/Nervous_System_Diseases?f_ri=55246"},{"id":1425045,"name":"Brain Neoplasms","url":"https://www.academia.edu/Documents/in/Brain_Neoplasms?f_ri=55246"},{"id":1765793,"name":"Brain Diseases","url":"https://www.academia.edu/Documents/in/Brain_Diseases?f_ri=55246"},{"id":1969155,"name":"Ad","url":"https://www.academia.edu/Documents/in/Ad?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_15816410" data-work_id="15816410" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/15816410/Statistical_modeling_and_recognition_of_surgical_workflow">Statistical modeling and recognition of surgical workflow</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">In this paper, we contribute to the development of context-aware operating rooms by introducing a novel approach to modeling and monitoring the workflow of surgical interventions. We first propose a new representation of interventions in... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_15816410" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">In this paper, we contribute to the development of context-aware operating rooms by introducing a novel approach to modeling and monitoring the workflow of surgical interventions. We first propose a new representation of interventions in terms of multidimensional time-series formed by synchronized signals acquired over time. We then introduce methods based on Dynamic Time Warping and Hidden Markov Models to analyze and process this data. This results in workflow models combining low-level signals with high-level information such as predefined phases, which can be used to detect actions and trigger an event. Two methods are presented to train these models, using either fully or partially labeled training surgeries. Results are given based on tool usage recordings from sixteen laparoscopic cholecystectomies performed by several surgeons.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/15816410" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="618f118eabb5df8ae2cd112957bac819" rel="nofollow" data-download="{"attachment_id":42875718,"asset_id":15816410,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/42875718/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="35004232" href="https://lmu-munich.academia.edu/SeyedahmadAhmadi">Seyed-Ahmad Ahmadi</a><script data-card-contents-for-user="35004232" type="text/json">{"id":35004232,"first_name":"Seyed-Ahmad","last_name":"Ahmadi","domain_name":"lmu-munich","page_name":"SeyedahmadAhmadi","display_name":"Seyed-Ahmad Ahmadi","profile_url":"https://lmu-munich.academia.edu/SeyedahmadAhmadi?f_ri=55246","photo":"https://0.academia-photos.com/35004232/10190554/11372195/s65_seyed-ahmad.ahmadi.jpg"}</script></span></span></li><li class="js-paper-rank-work_15816410 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="15816410"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 15816410, container: ".js-paper-rank-work_15816410", }); 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$(".js-view-count[data-work-id=15816410]").text(description); $(".js-view-count-work_15816410").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_15816410").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="15816410"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">12</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="48" rel="nofollow" href="https://www.academia.edu/Documents/in/Engineering">Engineering</a>, <script data-card-contents-for-ri="48" type="text/json">{"id":48,"name":"Engineering","url":"https://www.academia.edu/Documents/in/Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="10523" rel="nofollow" href="https://www.academia.edu/Documents/in/Workflow">Workflow</a>, <script data-card-contents-for-ri="10523" type="text/json">{"id":10523,"name":"Workflow","url":"https://www.academia.edu/Documents/in/Workflow?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="16838" rel="nofollow" href="https://www.academia.edu/Documents/in/Medical_Image_Analysis">Medical Image Analysis</a>, <script data-card-contents-for-ri="16838" type="text/json">{"id":16838,"name":"Medical Image Analysis","url":"https://www.academia.edu/Documents/in/Medical_Image_Analysis?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a><script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=15816410]'), work: {"id":15816410,"title":"Statistical modeling and recognition of surgical workflow","created_at":"2015-09-17T11:42:15.405-07:00","url":"https://www.academia.edu/15816410/Statistical_modeling_and_recognition_of_surgical_workflow?f_ri=55246","dom_id":"work_15816410","summary":"In this paper, we contribute to the development of context-aware operating rooms by introducing a novel approach to modeling and monitoring the workflow of surgical interventions. We first propose a new representation of interventions in terms of multidimensional time-series formed by synchronized signals acquired over time. We then introduce methods based on Dynamic Time Warping and Hidden Markov Models to analyze and process this data. This results in workflow models combining low-level signals with high-level information such as predefined phases, which can be used to detect actions and trigger an event. Two methods are presented to train these models, using either fully or partially labeled training surgeries. Results are given based on tool usage recordings from sixteen laparoscopic cholecystectomies performed by several surgeons.","downloadable_attachments":[{"id":42875718,"asset_id":15816410,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":35004232,"first_name":"Seyed-Ahmad","last_name":"Ahmadi","domain_name":"lmu-munich","page_name":"SeyedahmadAhmadi","display_name":"Seyed-Ahmad Ahmadi","profile_url":"https://lmu-munich.academia.edu/SeyedahmadAhmadi?f_ri=55246","photo":"https://0.academia-photos.com/35004232/10190554/11372195/s65_seyed-ahmad.ahmadi.jpg"}],"research_interests":[{"id":48,"name":"Engineering","url":"https://www.academia.edu/Documents/in/Engineering?f_ri=55246","nofollow":true},{"id":10523,"name":"Workflow","url":"https://www.academia.edu/Documents/in/Workflow?f_ri=55246","nofollow":true},{"id":16838,"name":"Medical Image Analysis","url":"https://www.academia.edu/Documents/in/Medical_Image_Analysis?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246"},{"id":73265,"name":"Operating Room","url":"https://www.academia.edu/Documents/in/Operating_Room?f_ri=55246"},{"id":89879,"name":"Laparoscopic Cholecystectomy-Analgesia","url":"https://www.academia.edu/Documents/in/Laparoscopic_Cholecystectomy-Analgesia?f_ri=55246"},{"id":143539,"name":"hidden Markov model","url":"https://www.academia.edu/Documents/in/hidden_Markov_model?f_ri=55246"},{"id":203765,"name":"Diagnostic Imaging","url":"https://www.academia.edu/Documents/in/Diagnostic_Imaging?f_ri=55246"},{"id":329268,"name":"Medical Image","url":"https://www.academia.edu/Documents/in/Medical_Image?f_ri=55246"},{"id":538108,"name":"Context Aware","url":"https://www.academia.edu/Documents/in/Context_Aware?f_ri=55246"},{"id":664700,"name":"Statistical Model","url":"https://www.academia.edu/Documents/in/Statistical_Model?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_20101287 coauthored" data-work_id="20101287" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/20101287/Percutaneous_CT_guided_biopsy_of_the_musculoskeletal_system_Results_of_2027_cases">Percutaneous CT-guided biopsy of the musculoskeletal system: Results of 2027 cases</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Biopsy of the musculoskeletal system is useful in the management of bone lesions particularly in oncology but they are often challenging procedures with a significant risk of complications. Computed tomography (CT)-guided needle biopsies... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_20101287" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Biopsy of the musculoskeletal system is useful in the management of bone lesions particularly in oncology but they are often challenging procedures with a significant risk of complications. Computed tomography (CT)-guided needle biopsies may decrease these risks but doubts still exist about their diagnostic accuracy. This retrospective analysis of the experience of a single institution with percutaneous CT-guided biopsy of musculoskeletal lesions evaluates the results of these biopsies for bone lesions either in the appendicular skeleton or in the spine, and defines indications. We reviewed the results of 2027 core needle biopsies performed over the past 18 years at the authors&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; institution. The results obtained are subject of this paper. In 1567 cases the correct diagnosis was made with the first CT-guided needle biopsy (77.3% accuracy rate), in 408 cases the sample was not diagnostic and in 52 inadequate. Within 30 days these 408 patients underwent another biopsy, which was diagnostic in 340 cases with a final diagnostic accuracy of 94%. Highest accuracy rates were obtained in primary and secondary malignant lesions. Most false negative results were found in cervical lesions and in benign, pseudotumoral, flogistic, and systemic pathologies. There were 22 complications (18 transient paresis, 3 haematomas, 1 retroperitoneal haematoma) which had no influence on the treatment strategy, nor on patient outcome. This technique is reliable and safe and should be considered nowadays the gold standard for biopsies of the musculoskeletal system.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/20101287" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="210667d1cf34d74501a4df42b4b17217" rel="nofollow" data-download="{"attachment_id":41991072,"asset_id":20101287,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/41991072/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="41129580" href="https://unibo.academia.edu/CostantinoErrani">Costantino Errani</a><script data-card-contents-for-user="41129580" type="text/json">{"id":41129580,"first_name":"Costantino","last_name":"Errani","domain_name":"unibo","page_name":"CostantinoErrani","display_name":"Costantino Errani","profile_url":"https://unibo.academia.edu/CostantinoErrani?f_ri=55246","photo":"https://0.academia-photos.com/41129580/128445545/117838310/s65_costantino.errani.jpeg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-20101287">+1</span><div class="hidden js-additional-users-20101287"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/TBartalena">Tommaso Bartalena</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-20101287'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-20101287').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_20101287 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="20101287"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 20101287, container: ".js-paper-rank-work_20101287", }); });</script></li><li class="js-percentile-work_20101287 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 20101287; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_20101287"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_20101287 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="20101287"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 20101287; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=20101287]").text(description); $(".js-view-count-work_20101287").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_20101287").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="20101287"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">15</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="1648" rel="nofollow" href="https://www.academia.edu/Documents/in/Computed_Tomography">Computed Tomography</a>, <script data-card-contents-for-ri="1648" type="text/json">{"id":1648,"name":"Computed Tomography","url":"https://www.academia.edu/Documents/in/Computed_Tomography?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="22506" rel="nofollow" href="https://www.academia.edu/Documents/in/Adolescent">Adolescent</a>, <script data-card-contents-for-ri="22506" type="text/json">{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="28973" rel="nofollow" href="https://www.academia.edu/Documents/in/Comorbidity">Comorbidity</a>, <script data-card-contents-for-ri="28973" type="text/json">{"id":28973,"name":"Comorbidity","url":"https://www.academia.edu/Documents/in/Comorbidity?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="45213" rel="nofollow" href="https://www.academia.edu/Documents/in/Italy">Italy</a><script data-card-contents-for-ri="45213" type="text/json">{"id":45213,"name":"Italy","url":"https://www.academia.edu/Documents/in/Italy?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=20101287]'), work: {"id":20101287,"title":"Percutaneous CT-guided biopsy of the musculoskeletal system: Results of 2027 cases","created_at":"2016-01-08T04:55:50.355-08:00","url":"https://www.academia.edu/20101287/Percutaneous_CT_guided_biopsy_of_the_musculoskeletal_system_Results_of_2027_cases?f_ri=55246","dom_id":"work_20101287","summary":"Biopsy of the musculoskeletal system is useful in the management of bone lesions particularly in oncology but they are often challenging procedures with a significant risk of complications. Computed tomography (CT)-guided needle biopsies may decrease these risks but doubts still exist about their diagnostic accuracy. This retrospective analysis of the experience of a single institution with percutaneous CT-guided biopsy of musculoskeletal lesions evaluates the results of these biopsies for bone lesions either in the appendicular skeleton or in the spine, and defines indications. We reviewed the results of 2027 core needle biopsies performed over the past 18 years at the authors\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; institution. The results obtained are subject of this paper. In 1567 cases the correct diagnosis was made with the first CT-guided needle biopsy (77.3% accuracy rate), in 408 cases the sample was not diagnostic and in 52 inadequate. Within 30 days these 408 patients underwent another biopsy, which was diagnostic in 340 cases with a final diagnostic accuracy of 94%. Highest accuracy rates were obtained in primary and secondary malignant lesions. Most false negative results were found in cervical lesions and in benign, pseudotumoral, flogistic, and systemic pathologies. There were 22 complications (18 transient paresis, 3 haematomas, 1 retroperitoneal haematoma) which had no influence on the treatment strategy, nor on patient outcome. This technique is reliable and safe and should be considered nowadays the gold standard for biopsies of the musculoskeletal system.","downloadable_attachments":[{"id":41991072,"asset_id":20101287,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":41129580,"first_name":"Costantino","last_name":"Errani","domain_name":"unibo","page_name":"CostantinoErrani","display_name":"Costantino Errani","profile_url":"https://unibo.academia.edu/CostantinoErrani?f_ri=55246","photo":"https://0.academia-photos.com/41129580/128445545/117838310/s65_costantino.errani.jpeg"},{"id":56719188,"first_name":"Tommaso","last_name":"Bartalena","domain_name":"independent","page_name":"TBartalena","display_name":"Tommaso Bartalena","profile_url":"https://independent.academia.edu/TBartalena?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":1648,"name":"Computed Tomography","url":"https://www.academia.edu/Documents/in/Computed_Tomography?f_ri=55246","nofollow":true},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent?f_ri=55246","nofollow":true},{"id":28973,"name":"Comorbidity","url":"https://www.academia.edu/Documents/in/Comorbidity?f_ri=55246","nofollow":true},{"id":45213,"name":"Italy","url":"https://www.academia.edu/Documents/in/Italy?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child?f_ri=55246"},{"id":133057,"name":"Young Adult","url":"https://www.academia.edu/Documents/in/Young_Adult?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":289330,"name":"Prevalence","url":"https://www.academia.edu/Documents/in/Prevalence?f_ri=55246"},{"id":549280,"name":"Reproducibility of Results","url":"https://www.academia.edu/Documents/in/Reproducibility_of_Results?f_ri=55246"},{"id":583738,"name":"Musculoskeletal system","url":"https://www.academia.edu/Documents/in/Musculoskeletal_system?f_ri=55246"},{"id":675221,"name":"Diagnostic Accuracy","url":"https://www.academia.edu/Documents/in/Diagnostic_Accuracy?f_ri=55246"},{"id":901876,"name":"Sensitivity and Specificity","url":"https://www.academia.edu/Documents/in/Sensitivity_and_Specificity?f_ri=55246"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_69222365" data-work_id="69222365" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/69222365/Challenges_in_Image_Guided_Therapy_System_Design">Challenges in Image-Guided Therapy System Design</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">System development for Image-Guided Therapy (IGT), or Image-Guided Interventions (IGI), continues to be an area of active interest across academic and industry groups. This is an emerging field that is growing rapidly: major academic... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_69222365" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">System development for Image-Guided Therapy (IGT), or Image-Guided Interventions (IGI), continues to be an area of active interest across academic and industry groups. This is an emerging field that is growing rapidly: major academic institutions and medical device manufacturers have produced IGT technologies that are in routine clinical use, dozens of high-impact publications are published in well regarded journals each year, and several small companies have successfully commercialized sophisticated IGT systems. In meetings between IGT investigators over the last two years, a consensus has emerged that several key areas must be addressed collaboratively by the community to reach the next level of impact and efficiency in IGT research and development to improve patient care. These meetings culminated in a two-day workshop that brought together several academic and industrial</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/69222365" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f14e64c63c8a8b1b039f0133451e8cb7" rel="nofollow" data-download="{"attachment_id":79400215,"asset_id":69222365,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/79400215/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="33661683" href="https://independent.academia.edu/SimonDimaio">Simon Dimaio</a><script data-card-contents-for-user="33661683" type="text/json">{"id":33661683,"first_name":"Simon","last_name":"Dimaio","domain_name":"independent","page_name":"SimonDimaio","display_name":"Simon Dimaio","profile_url":"https://independent.academia.edu/SimonDimaio?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_69222365 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="69222365"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 69222365, container: ".js-paper-rank-work_69222365", }); 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$(".js-view-count[data-work-id=69222365]").text(description); $(".js-view-count-work_69222365").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_69222365").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="69222365"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">19</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="428" rel="nofollow" href="https://www.academia.edu/Documents/in/Algorithms">Algorithms</a>, <script data-card-contents-for-ri="428" type="text/json">{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4233" rel="nofollow" href="https://www.academia.edu/Documents/in/Computational_Biology">Computational Biology</a>, <script data-card-contents-for-ri="4233" type="text/json">{"id":4233,"name":"Computational Biology","url":"https://www.academia.edu/Documents/in/Computational_Biology?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="32913" rel="nofollow" href="https://www.academia.edu/Documents/in/Neuroimmunology">Neuroimmunology</a><script data-card-contents-for-ri="32913" type="text/json">{"id":32913,"name":"Neuroimmunology","url":"https://www.academia.edu/Documents/in/Neuroimmunology?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=69222365]'), work: {"id":69222365,"title":"Challenges in Image-Guided Therapy System Design","created_at":"2022-01-22T23:08:59.928-08:00","url":"https://www.academia.edu/69222365/Challenges_in_Image_Guided_Therapy_System_Design?f_ri=55246","dom_id":"work_69222365","summary":"System development for Image-Guided Therapy (IGT), or Image-Guided Interventions (IGI), continues to be an area of active interest across academic and industry groups. This is an emerging field that is growing rapidly: major academic institutions and medical device manufacturers have produced IGT technologies that are in routine clinical use, dozens of high-impact publications are published in well regarded journals each year, and several small companies have successfully commercialized sophisticated IGT systems. In meetings between IGT investigators over the last two years, a consensus has emerged that several key areas must be addressed collaboratively by the community to reach the next level of impact and efficiency in IGT research and development to improve patient care. These meetings culminated in a two-day workshop that brought together several academic and industrial","downloadable_attachments":[{"id":79400215,"asset_id":69222365,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":33661683,"first_name":"Simon","last_name":"Dimaio","domain_name":"independent","page_name":"SimonDimaio","display_name":"Simon Dimaio","profile_url":"https://independent.academia.edu/SimonDimaio?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=55246","nofollow":true},{"id":4233,"name":"Computational Biology","url":"https://www.academia.edu/Documents/in/Computational_Biology?f_ri=55246","nofollow":true},{"id":32913,"name":"Neuroimmunology","url":"https://www.academia.edu/Documents/in/Neuroimmunology?f_ri=55246","nofollow":true},{"id":34756,"name":"System Design","url":"https://www.academia.edu/Documents/in/System_Design?f_ri=55246"},{"id":43203,"name":"Research Funding","url":"https://www.academia.edu/Documents/in/Research_Funding?f_ri=55246"},{"id":53293,"name":"Software","url":"https://www.academia.edu/Documents/in/Software?f_ri=55246"},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":88861,"name":"Computer Systems","url":"https://www.academia.edu/Documents/in/Computer_Systems?f_ri=55246"},{"id":103260,"name":"Neuroimage","url":"https://www.academia.edu/Documents/in/Neuroimage?f_ri=55246"},{"id":129891,"name":"Research and Development","url":"https://www.academia.edu/Documents/in/Research_and_Development-2?f_ri=55246"},{"id":153283,"name":"Medical Device","url":"https://www.academia.edu/Documents/in/Medical_Device?f_ri=55246"},{"id":213915,"name":"Knowledge Bases","url":"https://www.academia.edu/Documents/in/Knowledge_Bases?f_ri=55246"},{"id":446717,"name":"Patient Care","url":"https://www.academia.edu/Documents/in/Patient_Care?f_ri=55246"},{"id":549280,"name":"Reproducibility of Results","url":"https://www.academia.edu/Documents/in/Reproducibility_of_Results?f_ri=55246"},{"id":1144898,"name":"IMAGE GUIDED THERAPY","url":"https://www.academia.edu/Documents/in/IMAGE_GUIDED_THERAPY?f_ri=55246"},{"id":1294974,"name":"National Institute of Health","url":"https://www.academia.edu/Documents/in/National_Institute_of_Health?f_ri=55246"},{"id":2922956,"name":"Psychology and Cognitive Sciences","url":"https://www.academia.edu/Documents/in/Psychology_and_Cognitive_Sciences?f_ri=55246"},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_889320" data-work_id="889320" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/889320/Individualized_image_guided_iso_NTCP_based_liver_cancer_SBRT">Individualized image guided iso-NTCP based liver cancer SBRT</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">A highly individualized stereotactic body radiotherapy (SBRT) strategy was developed to allow a wide spectrum of patients with liver cancer to be treated. This phase I/II study encompasses individualization of immobilization, radiation... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_889320" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">A highly individualized stereotactic body radiotherapy (SBRT) strategy was developed to allow a wide spectrum of patients with liver cancer to be treated. This phase I/II study encompasses individualization of immobilization, radiation planning, PTV margin determination, image guidance strategy and prescription dose. Active breathing control breath hold is used to immobilize the liver when feasible. Image guidance strategies include orthogonal MV images and orthogonal kV fluoroscopy using the diaphragm for a surrogate for the liver, and kV cone beam CT using the liver or tumour for guidance. The prescription dose is individualized to maintain the same estimated risk of radiation-induced liver disease (RILD), based on a normal tissue complication probability (NTCP) model, with a maximum permitted dose of 60 Gy in 6 fractions. Since August 2003, 79 patients with hepatocellular carcinoma (33), intrahepatic cholangiocarcinoma (12) and liver metastases (34) were treated. The median tumour volume was 293 cm3 (2.9-3 088 cm3). The median prescribed dose was 36.6 Gy (24.0 Gy-57.0 Gy) in 6 fractions. The median effective liver volume irradiated was 45% (9-80%). Sixty percent of patients were treated with breath hold to immobilize their liver. Intra-fraction reproducibility (sigma) of the liver with repeat breath holds was excellent (1.5 mm); however inter-fraction reproducibility (sigma) was worse (3.4 mm). Image guidance reduced the residual systematic and random setup errors significantly.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/889320" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="02877e1fcc5bf4b4a25e9a055e3e0ba6" rel="nofollow" data-download="{"attachment_id":51179973,"asset_id":889320,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/51179973/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="711059" href="https://oxford.academia.edu/CynthiaEccles">Cynthia L Eccles DPHIL</a><script data-card-contents-for-user="711059" type="text/json">{"id":711059,"first_name":"Cynthia","last_name":"Eccles DPHIL","domain_name":"oxford","page_name":"CynthiaEccles","display_name":"Cynthia L Eccles DPHIL","profile_url":"https://oxford.academia.edu/CynthiaEccles?f_ri=55246","photo":"https://0.academia-photos.com/711059/240865/81579538/s65_cynthia.eccles_dphil.jpeg"}</script></span></span></li><li class="js-paper-rank-work_889320 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="889320"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 889320, container: ".js-paper-rank-work_889320", }); 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$(".js-view-count[data-work-id=889320]").text(description); $(".js-view-count-work_889320").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_889320").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="889320"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="7986" rel="nofollow" href="https://www.academia.edu/Documents/in/Radiosurgery">Radiosurgery</a>, <script data-card-contents-for-ri="7986" type="text/json">{"id":7986,"name":"Radiosurgery","url":"https://www.academia.edu/Documents/in/Radiosurgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="47067" rel="nofollow" href="https://www.academia.edu/Documents/in/Liver_diseases">Liver diseases</a>, <script data-card-contents-for-ri="47067" type="text/json">{"id":47067,"name":"Liver diseases","url":"https://www.academia.edu/Documents/in/Liver_diseases?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="84745" rel="nofollow" href="https://www.academia.edu/Documents/in/Movement">Movement</a><script data-card-contents-for-ri="84745" type="text/json">{"id":84745,"name":"Movement","url":"https://www.academia.edu/Documents/in/Movement?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=889320]'), work: {"id":889320,"title":"Individualized image guided iso-NTCP based liver cancer SBRT","created_at":"2011-09-05T21:30:31.097-07:00","url":"https://www.academia.edu/889320/Individualized_image_guided_iso_NTCP_based_liver_cancer_SBRT?f_ri=55246","dom_id":"work_889320","summary":"A highly individualized stereotactic body radiotherapy (SBRT) strategy was developed to allow a wide spectrum of patients with liver cancer to be treated. This phase I/II study encompasses individualization of immobilization, radiation planning, PTV margin determination, image guidance strategy and prescription dose. Active breathing control breath hold is used to immobilize the liver when feasible. Image guidance strategies include orthogonal MV images and orthogonal kV fluoroscopy using the diaphragm for a surrogate for the liver, and kV cone beam CT using the liver or tumour for guidance. The prescription dose is individualized to maintain the same estimated risk of radiation-induced liver disease (RILD), based on a normal tissue complication probability (NTCP) model, with a maximum permitted dose of 60 Gy in 6 fractions. Since August 2003, 79 patients with hepatocellular carcinoma (33), intrahepatic cholangiocarcinoma (12) and liver metastases (34) were treated. The median tumour volume was 293 cm3 (2.9-3 088 cm3). The median prescribed dose was 36.6 Gy (24.0 Gy-57.0 Gy) in 6 fractions. The median effective liver volume irradiated was 45% (9-80%). Sixty percent of patients were treated with breath hold to immobilize their liver. Intra-fraction reproducibility (sigma) of the liver with repeat breath holds was excellent (1.5 mm); however inter-fraction reproducibility (sigma) was worse (3.4 mm). Image guidance reduced the residual systematic and random setup errors significantly.","downloadable_attachments":[{"id":51179973,"asset_id":889320,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":711059,"first_name":"Cynthia","last_name":"Eccles DPHIL","domain_name":"oxford","page_name":"CynthiaEccles","display_name":"Cynthia L Eccles DPHIL","profile_url":"https://oxford.academia.edu/CynthiaEccles?f_ri=55246","photo":"https://0.academia-photos.com/711059/240865/81579538/s65_cynthia.eccles_dphil.jpeg"}],"research_interests":[{"id":7986,"name":"Radiosurgery","url":"https://www.academia.edu/Documents/in/Radiosurgery?f_ri=55246","nofollow":true},{"id":47067,"name":"Liver diseases","url":"https://www.academia.edu/Documents/in/Liver_diseases?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":84745,"name":"Movement","url":"https://www.academia.edu/Documents/in/Movement?f_ri=55246","nofollow":true},{"id":111972,"name":"Hepatocellular Carcinoma","url":"https://www.academia.edu/Documents/in/Hepatocellular_Carcinoma?f_ri=55246"},{"id":202428,"name":"Respiration","url":"https://www.academia.edu/Documents/in/Respiration?f_ri=55246"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":403821,"name":"Cholangiocarcinoma","url":"https://www.academia.edu/Documents/in/Cholangiocarcinoma?f_ri=55246"},{"id":469033,"name":"Radiation Injuries","url":"https://www.academia.edu/Documents/in/Radiation_Injuries?f_ri=55246"},{"id":754371,"name":"Liver cancer","url":"https://www.academia.edu/Documents/in/Liver_cancer?f_ri=55246"},{"id":1154231,"name":"Immobilization","url":"https://www.academia.edu/Documents/in/Immobilization?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_25481091" data-work_id="25481091" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/25481091/Head_and_neck_cancer_patients_with_pulmonary_nodules_Value_and_role_of_CT_guided_transthoracic_needle_aspiration_biopsies">Head and neck cancer patients with pulmonary nodules: Value and role of CT-guided transthoracic needle aspiration biopsies</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest">Background. To evaluate transthoracic needle aspiration biopsies of pulmonary lesions in patients with squamous cell cancer of head and neck.</div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/25481091" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="48e726059bacfc0f2e66f7f7f58c80d4" rel="nofollow" data-download="{"attachment_id":45799520,"asset_id":25481091,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/45799520/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="35368923" href="https://independent.academia.edu/Beno%C3%AEtMesurolle">Benoît Mesurolle</a><script data-card-contents-for-user="35368923" type="text/json">{"id":35368923,"first_name":"Benoît","last_name":"Mesurolle","domain_name":"independent","page_name":"BenoîtMesurolle","display_name":"Benoît Mesurolle","profile_url":"https://independent.academia.edu/Beno%C3%AEtMesurolle?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_25481091 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="25481091"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 25481091, container: ".js-paper-rank-work_25481091", }); });</script></li><li class="js-percentile-work_25481091 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 25481091; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_25481091"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_25481091 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="25481091"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 25481091; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=25481091]").text(description); $(".js-view-count-work_25481091").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_25481091").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="25481091"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">9</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="596" rel="nofollow" href="https://www.academia.edu/Documents/in/Dentistry">Dentistry</a>, <script data-card-contents-for-ri="596" type="text/json">{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="98549" rel="nofollow" href="https://www.academia.edu/Documents/in/Head_and_Neck_Cancer">Head and Neck Cancer</a>, <script data-card-contents-for-ri="98549" type="text/json">{"id":98549,"name":"Head and Neck Cancer","url":"https://www.academia.edu/Documents/in/Head_and_Neck_Cancer?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=25481091]'), work: {"id":25481091,"title":"Head and neck cancer patients with pulmonary nodules: Value and role of CT-guided transthoracic needle aspiration biopsies","created_at":"2016-05-20T02:59:35.683-07:00","url":"https://www.academia.edu/25481091/Head_and_neck_cancer_patients_with_pulmonary_nodules_Value_and_role_of_CT_guided_transthoracic_needle_aspiration_biopsies?f_ri=55246","dom_id":"work_25481091","summary":"Background. To evaluate transthoracic needle aspiration biopsies of pulmonary lesions in patients with squamous cell cancer of head and neck.","downloadable_attachments":[{"id":45799520,"asset_id":25481091,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":35368923,"first_name":"Benoît","last_name":"Mesurolle","domain_name":"independent","page_name":"BenoîtMesurolle","display_name":"Benoît Mesurolle","profile_url":"https://independent.academia.edu/Beno%C3%AEtMesurolle?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":98549,"name":"Head and Neck Cancer","url":"https://www.academia.edu/Documents/in/Head_and_Neck_Cancer?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":315194,"name":"Oral Squamous Cell Carcinoma (OSCC)","url":"https://www.academia.edu/Documents/in/Oral_Squamous_Cell_Carcinoma_OSCC_?f_ri=55246"},{"id":901876,"name":"Sensitivity and Specificity","url":"https://www.academia.edu/Documents/in/Sensitivity_and_Specificity?f_ri=55246"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography?f_ri=55246"},{"id":1848588,"name":"Solitary pulmonary nodule","url":"https://www.academia.edu/Documents/in/Solitary_pulmonary_nodule?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_14724763 coauthored" data-work_id="14724763" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/14724763/Personalized_surgical_repair_of_left_ventricular_aneurysm_with_computer_assisted_ventricular_engineering">Personalized surgical repair of left ventricular aneurysm with computer-assisted ventricular engineering</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Although circular ventricular resection techniques are the gold standard of left ventricular (LV) restoration, these techniques can lead to suboptimal results. Postoperative systolic resection can be inadequate, because it must be planned... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_14724763" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Although circular ventricular resection techniques are the gold standard of left ventricular (LV) restoration, these techniques can lead to suboptimal results. Postoperative systolic resection can be inadequate, because it must be planned on a heart stopped in diastole. Low cardiac output due to insufficient LV volume results in a potentially unstable condition, and cannot be corrected. Our aim was to find a preoperative method to minimize risk and maximize outcome with ventricular restoration. We created a novel method combining surgery with gadolinium-enhanced magnetic resonance to construct a preoperative 3D systolic heart model. The model was utilized to determine resection points that could be intraoperatively used. According to our calculations with the predetermined resection line, the calculated percentage reduction in LV volume was above 30%, and LV volumes were predicted above normal values; thus, performing the operation using these resection points is likely to be safe a...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/14724763" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="bbd9444c31a453c1d653355f079b1827" rel="nofollow" data-download="{"attachment_id":43939539,"asset_id":14724763,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/43939539/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="41117065" href="https://imperial.academia.edu/JohnPepper">John Pepper</a><script data-card-contents-for-user="41117065" type="text/json">{"id":41117065,"first_name":"John","last_name":"Pepper","domain_name":"imperial","page_name":"JohnPepper","display_name":"John Pepper","profile_url":"https://imperial.academia.edu/JohnPepper?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-14724763">+2</span><div class="hidden js-additional-users-14724763"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://sote.academia.edu/IHartyanszky">I. Hartyanszky</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://sote.academia.edu/AttilaToth">Attila Toth</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-14724763'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-14724763').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_14724763 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="14724763"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 14724763, container: ".js-paper-rank-work_14724763", }); });</script></li><li class="js-percentile-work_14724763 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 14724763; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_14724763"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_14724763 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="14724763"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 14724763; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=14724763]").text(description); $(".js-view-count-work_14724763").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_14724763").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="14724763"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="69542" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Simulation">Computer Simulation</a>, <script data-card-contents-for-ri="69542" type="text/json">{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="137516" rel="nofollow" href="https://www.academia.edu/Documents/in/Follow-up_studies">Follow-up studies</a>, <script data-card-contents-for-ri="137516" type="text/json">{"id":137516,"name":"Follow-up studies","url":"https://www.academia.edu/Documents/in/Follow-up_studies?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="255094" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_User_Interface_Design">Computer User Interface Design</a><script data-card-contents-for-ri="255094" type="text/json">{"id":255094,"name":"Computer User Interface Design","url":"https://www.academia.edu/Documents/in/Computer_User_Interface_Design?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=14724763]'), work: {"id":14724763,"title":"Personalized surgical repair of left ventricular aneurysm with computer-assisted ventricular engineering","created_at":"2015-08-06T14:42:32.097-07:00","url":"https://www.academia.edu/14724763/Personalized_surgical_repair_of_left_ventricular_aneurysm_with_computer_assisted_ventricular_engineering?f_ri=55246","dom_id":"work_14724763","summary":"Although circular ventricular resection techniques are the gold standard of left ventricular (LV) restoration, these techniques can lead to suboptimal results. Postoperative systolic resection can be inadequate, because it must be planned on a heart stopped in diastole. Low cardiac output due to insufficient LV volume results in a potentially unstable condition, and cannot be corrected. Our aim was to find a preoperative method to minimize risk and maximize outcome with ventricular restoration. We created a novel method combining surgery with gadolinium-enhanced magnetic resonance to construct a preoperative 3D systolic heart model. The model was utilized to determine resection points that could be intraoperatively used. According to our calculations with the predetermined resection line, the calculated percentage reduction in LV volume was above 30%, and LV volumes were predicted above normal values; thus, performing the operation using these resection points is likely to be safe a...","downloadable_attachments":[{"id":43939539,"asset_id":14724763,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":41117065,"first_name":"John","last_name":"Pepper","domain_name":"imperial","page_name":"JohnPepper","display_name":"John Pepper","profile_url":"https://imperial.academia.edu/JohnPepper?f_ri=55246","photo":"/images/s65_no_pic.png"},{"id":33683104,"first_name":"I.","last_name":"Hartyanszky","domain_name":"sote","page_name":"IHartyanszky","display_name":"I. Hartyanszky","profile_url":"https://sote.academia.edu/IHartyanszky?f_ri=55246","photo":"/images/s65_no_pic.png"},{"id":45236331,"first_name":"Attila","last_name":"Toth","domain_name":"sote","page_name":"AttilaToth","display_name":"Attila Toth","profile_url":"https://sote.academia.edu/AttilaToth?f_ri=55246","photo":"https://0.academia-photos.com/45236331/12005473/13375431/s65_attila.toth.png"}],"research_interests":[{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246","nofollow":true},{"id":137516,"name":"Follow-up studies","url":"https://www.academia.edu/Documents/in/Follow-up_studies?f_ri=55246","nofollow":true},{"id":255094,"name":"Computer User Interface Design","url":"https://www.academia.edu/Documents/in/Computer_User_Interface_Design?f_ri=55246","nofollow":true},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies?f_ri=55246"},{"id":1154249,"name":"Heart Ventricles","url":"https://www.academia.edu/Documents/in/Heart_Ventricles?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_18775675" data-work_id="18775675" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/18775675/A_surgical_simulator_for_planning_and_performing_repair_of_cleft_lips">A surgical simulator for planning and performing repair of cleft lips</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The objective of this project was to develop a computer-based surgical simulation system for planning and performing cleft lip repair. This system allows the user to interact with a virtual patient to perform the traditional steps of... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_18775675" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The objective of this project was to develop a computer-based surgical simulation system for planning and performing cleft lip repair. This system allows the user to interact with a virtual patient to perform the traditional steps of cleft-lip repair (rotation-advancement technique). Materials and methods: The system interfaces to force-feedback (haptic) devices to track the user's motion and provide feedback during the procedure, while performing real-time soft-tissue simulation. An 11-day-old unilateral cleft lip, alveolus and palate patient was previously CT scanned for ancillary diagnostic purposes using standard imaging protocols and 1 mm slices. Highresolution 3D meshes were automatically generated from this data using the ROVE software developed in-house. The resulting 3D meshes of bone and soft tissue were instilled with physical properties of soft tissues for purposes of simulation. Once these preprocessing steps were completed, the patient's bone and soft tissue data are presented on the computer screen in stereo and the user can freely view, rotate, and otherwise interact with the patient's data in real time. The user is prompted to select anatomical landmarks on the patient's data for preoperative planning purposes, then their locations are compared against that of a 'gold standard' and a score, derived from their deviation from that standard and time required, is generated. The user can then move a haptic stylus and guide the motion of the virtual cutting tool. The soft tissues can thus be incised using this virtual cutting tool, moved using virtual forceps, and fused in order to perform any of the major procedures for cleft lip repair. Real-time soft tissue deformation of the mesh realistically simulates normal tissues and haptic-rate ð41 kHzÞ force-feedback is provided. The surgical result of the procedure can then be immediately visualized and the entire training process can be repeated at will. A short evaluation study was also performed. Two groups (non-medical and plastic surgery residents) of six persons each performed the anatomical marking task of the simulator four times. Results: -Results showed that the plastic surgery residents scored consistently better than the persons without medical background. Every person's score increased with practice, and the length of time needed to complete the 11 markings decreased. The data was compiled and showed which specific markers consistently took users the longest to identify as well as which locations were hardest to accurately mark. Conclusion: These findings suggest that the simulator is a valuable training tool, giving residents a way to practice anatomical identification for cleft lip surgery without the risks associated with training on a live patient. Educators can also use the simulator to examine which markers are consistently problematic, and modify their training to address these needs. r 2005 European Association for Cranio-Maxillofacial Surgery</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/18775675" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f8e5d791ebcbd51ab9581d4896c0eb78" rel="nofollow" data-download="{"attachment_id":40248622,"asset_id":18775675,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/40248622/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="38849072" href="https://independent.academia.edu/StephenSchendel">Stephen Schendel</a><script data-card-contents-for-user="38849072" type="text/json">{"id":38849072,"first_name":"Stephen","last_name":"Schendel","domain_name":"independent","page_name":"StephenSchendel","display_name":"Stephen Schendel","profile_url":"https://independent.academia.edu/StephenSchendel?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_18775675 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="18775675"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 18775675, container: ".js-paper-rank-work_18775675", }); });</script></li><li class="js-percentile-work_18775675 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 18775675; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_18775675"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_18775675 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="18775675"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 18775675; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=18775675]").text(description); $(".js-view-count-work_18775675").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_18775675").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="18775675"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="596" rel="nofollow" href="https://www.academia.edu/Documents/in/Dentistry">Dentistry</a>, <script data-card-contents-for-ri="596" type="text/json">{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="69542" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Simulation">Computer Simulation</a>, <script data-card-contents-for-ri="69542" type="text/json">{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=18775675]'), work: {"id":18775675,"title":"A surgical simulator for planning and performing repair of cleft lips","created_at":"2015-11-21T15:27:22.609-08:00","url":"https://www.academia.edu/18775675/A_surgical_simulator_for_planning_and_performing_repair_of_cleft_lips?f_ri=55246","dom_id":"work_18775675","summary":"The objective of this project was to develop a computer-based surgical simulation system for planning and performing cleft lip repair. This system allows the user to interact with a virtual patient to perform the traditional steps of cleft-lip repair (rotation-advancement technique). Materials and methods: The system interfaces to force-feedback (haptic) devices to track the user's motion and provide feedback during the procedure, while performing real-time soft-tissue simulation. An 11-day-old unilateral cleft lip, alveolus and palate patient was previously CT scanned for ancillary diagnostic purposes using standard imaging protocols and 1 mm slices. Highresolution 3D meshes were automatically generated from this data using the ROVE software developed in-house. The resulting 3D meshes of bone and soft tissue were instilled with physical properties of soft tissues for purposes of simulation. Once these preprocessing steps were completed, the patient's bone and soft tissue data are presented on the computer screen in stereo and the user can freely view, rotate, and otherwise interact with the patient's data in real time. The user is prompted to select anatomical landmarks on the patient's data for preoperative planning purposes, then their locations are compared against that of a 'gold standard' and a score, derived from their deviation from that standard and time required, is generated. The user can then move a haptic stylus and guide the motion of the virtual cutting tool. The soft tissues can thus be incised using this virtual cutting tool, moved using virtual forceps, and fused in order to perform any of the major procedures for cleft lip repair. Real-time soft tissue deformation of the mesh realistically simulates normal tissues and haptic-rate ð41 kHzÞ force-feedback is provided. The surgical result of the procedure can then be immediately visualized and the entire training process can be repeated at will. A short evaluation study was also performed. Two groups (non-medical and plastic surgery residents) of six persons each performed the anatomical marking task of the simulator four times. Results: -Results showed that the plastic surgery residents scored consistently better than the persons without medical background. Every person's score increased with practice, and the length of time needed to complete the 11 markings decreased. The data was compiled and showed which specific markers consistently took users the longest to identify as well as which locations were hardest to accurately mark. Conclusion: These findings suggest that the simulator is a valuable training tool, giving residents a way to practice anatomical identification for cleft lip surgery without the risks associated with training on a live patient. Educators can also use the simulator to examine which markers are consistently problematic, and modify their training to address these needs. r 2005 European Association for Cranio-Maxillofacial Surgery","downloadable_attachments":[{"id":40248622,"asset_id":18775675,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":38849072,"first_name":"Stephen","last_name":"Schendel","domain_name":"independent","page_name":"StephenSchendel","display_name":"Stephen Schendel","profile_url":"https://independent.academia.edu/StephenSchendel?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true},{"id":253560,"name":"Newborn Infant","url":"https://www.academia.edu/Documents/in/Newborn_Infant?f_ri=55246"},{"id":469768,"name":"ORAL AND CRANIO-MAXILLOFACIAL PLASTIC SURGERY","url":"https://www.academia.edu/Documents/in/ORAL_AND_CRANIO-MAXILLOFACIAL_PLASTIC_SURGERY?f_ri=55246"},{"id":477954,"name":"Cleft Lip","url":"https://www.academia.edu/Documents/in/Cleft_Lip?f_ri=55246"},{"id":549280,"name":"Reproducibility of Results","url":"https://www.academia.edu/Documents/in/Reproducibility_of_Results?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_65771280" data-work_id="65771280" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/65771280/Robotic_prostate_surgery">Robotic prostate surgery</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/65771280" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="e2bf445682ce9ba3af8218907825e38a" rel="nofollow" data-download="{"attachment_id":77223429,"asset_id":65771280,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/77223429/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="61922465" href="https://independent.academia.edu/DanStoianovici">Dan Stoianovici</a><script data-card-contents-for-user="61922465" type="text/json">{"id":61922465,"first_name":"Dan","last_name":"Stoianovici","domain_name":"independent","page_name":"DanStoianovici","display_name":"Dan Stoianovici","profile_url":"https://independent.academia.edu/DanStoianovici?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_65771280 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="65771280"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 65771280, container: ".js-paper-rank-work_65771280", }); });</script></li><li class="js-percentile-work_65771280 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 65771280; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_65771280"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_65771280 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="65771280"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 65771280; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=65771280]").text(description); $(".js-view-count-work_65771280").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_65771280").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="65771280"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">12</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1131" rel="nofollow" href="https://www.academia.edu/Documents/in/Biomedical_Engineering">Biomedical Engineering</a>, <script data-card-contents-for-ri="1131" type="text/json">{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="6200" rel="nofollow" href="https://www.academia.edu/Documents/in/Magnetic_Resonance_Imaging">Magnetic Resonance Imaging</a>, <script data-card-contents-for-ri="6200" type="text/json">{"id":6200,"name":"Magnetic Resonance Imaging","url":"https://www.academia.edu/Documents/in/Magnetic_Resonance_Imaging?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="8726" rel="nofollow" href="https://www.academia.edu/Documents/in/Brachytherapy">Brachytherapy</a><script data-card-contents-for-ri="8726" type="text/json">{"id":8726,"name":"Brachytherapy","url":"https://www.academia.edu/Documents/in/Brachytherapy?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=65771280]'), work: {"id":65771280,"title":"Robotic prostate surgery","created_at":"2021-12-23T19:32:19.882-08:00","url":"https://www.academia.edu/65771280/Robotic_prostate_surgery?f_ri=55246","dom_id":"work_65771280","summary":null,"downloadable_attachments":[{"id":77223429,"asset_id":65771280,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":61922465,"first_name":"Dan","last_name":"Stoianovici","domain_name":"independent","page_name":"DanStoianovici","display_name":"Dan Stoianovici","profile_url":"https://independent.academia.edu/DanStoianovici?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true},{"id":6200,"name":"Magnetic Resonance Imaging","url":"https://www.academia.edu/Documents/in/Magnetic_Resonance_Imaging?f_ri=55246","nofollow":true},{"id":8726,"name":"Brachytherapy","url":"https://www.academia.edu/Documents/in/Brachytherapy?f_ri=55246","nofollow":true},{"id":23324,"name":"Telemedicine","url":"https://www.academia.edu/Documents/in/Telemedicine?f_ri=55246"},{"id":38180,"name":"Medical Robotics","url":"https://www.academia.edu/Documents/in/Medical_Robotics?f_ri=55246"},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":112817,"name":"Expert","url":"https://www.academia.edu/Documents/in/Expert?f_ri=55246"},{"id":1119772,"name":"Computer assisted surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_surgery?f_ri=55246"},{"id":1225807,"name":"Radical Prostatectomy","url":"https://www.academia.edu/Documents/in/Radical_Prostatectomy?f_ri=55246"},{"id":3205111,"name":"Prostatic neoplasms","url":"https://www.academia.edu/Documents/in/Prostatic_neoplasms?f_ri=55246"},{"id":4022629,"name":"minimally invasive surgical procedures","url":"https://www.academia.edu/Documents/in/minimally_invasive_surgical_procedures?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_7888292" data-work_id="7888292" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/7888292/The_Assessment_of_Intraoperative_Prosthetic_Knee_Range_of_Motion_Using_Two_Methods">The Assessment of Intraoperative Prosthetic Knee Range of Motion Using Two Methods</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The commonly used standard goniometer has been shown to underestimate knee flexion. Computer-assisted navigation for total knee arthroplasty offers itself as an alternative method to quantify knee flexion. The goal of our study was to... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_7888292" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The commonly used standard goniometer has been shown to underestimate knee flexion. Computer-assisted navigation for total knee arthroplasty offers itself as an alternative method to quantify knee flexion. The goal of our study was to determine the reliability of each instrument in measuring intraoperative range of motion during total knee arthroplasty. We prospectively performed intraoperative measurements using both methods on 99 knees. We assessed the variability between the 2 devices and the confounding effect of body mass index. The mean difference between the goniometric and navigation measurements was significant for flexion, extension, and range of motion. Increasing body mass index accentuated this difference. The goniometric method underestimated flexion measurements as compared to navigation, especially in patients with high body mass index. Our study confirms that navigation is a reliable tool for performing in vivo assessment of range of motion.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/7888292" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="838567f1fd23656437d2c4f7d447bc6e" rel="nofollow" data-download="{"attachment_id":48301251,"asset_id":7888292,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/48301251/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="14753519" href="https://independent.academia.edu/AshishJoshi16">Ashish Joshi</a><script data-card-contents-for-user="14753519" type="text/json">{"id":14753519,"first_name":"Ashish","last_name":"Joshi","domain_name":"independent","page_name":"AshishJoshi16","display_name":"Ashish Joshi","profile_url":"https://independent.academia.edu/AshishJoshi16?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_7888292 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="7888292"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 7888292, container: ".js-paper-rank-work_7888292", }); });</script></li><li class="js-percentile-work_7888292 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 7888292; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_7888292"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_7888292 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="7888292"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 7888292; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=7888292]").text(description); $(".js-view-count-work_7888292").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_7888292").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="7888292"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">14</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="1131" rel="nofollow" href="https://www.academia.edu/Documents/in/Biomedical_Engineering">Biomedical Engineering</a>, <script data-card-contents-for-ri="1131" type="text/json">{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="59695" rel="nofollow" href="https://www.academia.edu/Documents/in/Navigation">Navigation</a>, <script data-card-contents-for-ri="59695" type="text/json">{"id":59695,"name":"Navigation","url":"https://www.academia.edu/Documents/in/Navigation?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="62112" rel="nofollow" href="https://www.academia.edu/Documents/in/Prospective_studies">Prospective studies</a><script data-card-contents-for-ri="62112" type="text/json">{"id":62112,"name":"Prospective studies","url":"https://www.academia.edu/Documents/in/Prospective_studies?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=7888292]'), work: {"id":7888292,"title":"The Assessment of Intraoperative Prosthetic Knee Range of Motion Using Two Methods","created_at":"2014-08-05T19:08:45.013-07:00","url":"https://www.academia.edu/7888292/The_Assessment_of_Intraoperative_Prosthetic_Knee_Range_of_Motion_Using_Two_Methods?f_ri=55246","dom_id":"work_7888292","summary":"The commonly used standard goniometer has been shown to underestimate knee flexion. Computer-assisted navigation for total knee arthroplasty offers itself as an alternative method to quantify knee flexion. The goal of our study was to determine the reliability of each instrument in measuring intraoperative range of motion during total knee arthroplasty. We prospectively performed intraoperative measurements using both methods on 99 knees. We assessed the variability between the 2 devices and the confounding effect of body mass index. The mean difference between the goniometric and navigation measurements was significant for flexion, extension, and range of motion. Increasing body mass index accentuated this difference. The goniometric method underestimated flexion measurements as compared to navigation, especially in patients with high body mass index. Our study confirms that navigation is a reliable tool for performing in vivo assessment of range of motion.","downloadable_attachments":[{"id":48301251,"asset_id":7888292,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":14753519,"first_name":"Ashish","last_name":"Joshi","domain_name":"independent","page_name":"AshishJoshi16","display_name":"Ashish Joshi","profile_url":"https://independent.academia.edu/AshishJoshi16?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":59695,"name":"Navigation","url":"https://www.academia.edu/Documents/in/Navigation?f_ri=55246","nofollow":true},{"id":62112,"name":"Prospective studies","url":"https://www.academia.edu/Documents/in/Prospective_studies?f_ri=55246","nofollow":true},{"id":161176,"name":"The","url":"https://www.academia.edu/Documents/in/The?f_ri=55246"},{"id":192564,"name":"Body Mass Index","url":"https://www.academia.edu/Documents/in/Body_Mass_Index?f_ri=55246"},{"id":206309,"name":"Arthroplasty","url":"https://www.academia.edu/Documents/in/Arthroplasty?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":397456,"name":"Body Mass","url":"https://www.academia.edu/Documents/in/Body_Mass?f_ri=55246"},{"id":901876,"name":"Sensitivity and Specificity","url":"https://www.academia.edu/Documents/in/Sensitivity_and_Specificity?f_ri=55246"},{"id":980294,"name":"Range of Motion","url":"https://www.academia.edu/Documents/in/Range_of_Motion?f_ri=55246"},{"id":1145265,"name":"Knee Joint","url":"https://www.academia.edu/Documents/in/Knee_Joint?f_ri=55246"},{"id":2463817,"name":"Intraoperative Period","url":"https://www.academia.edu/Documents/in/Intraoperative_Period?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_17835950 coauthored" data-work_id="17835950" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/17835950/Multisurgeon_multisite_validation_of_a_trajectory_planning_algorithm_for_deep_brain_stimulation_procedures">Multisurgeon, multisite validation of a trajectory planning algorithm for deep brain stimulation procedures</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Deep brain stimulation, which is used to treat various neurological disorders, involves implanting a permanent electrode into precise targets deep in the brain. Reaching these targets safely is difficult because surgeons have to plan... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_17835950" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Deep brain stimulation, which is used to treat various neurological disorders, involves implanting a permanent electrode into precise targets deep in the brain. Reaching these targets safely is difficult because surgeons have to plan trajectories that avoid critical structures and reach targets within specific angles. A number of systems have been proposed to assist surgeons in this task. These typically involve formulating constraints as cost terms, weighting them by surgical importance, and searching for optimal trajectories, in which constraints and their weights reflect local practice. Assessing the performance of such systems is challenging because of the lack of ground truth and clear consensus on an optimal approach among surgeons. Due to difficulties in coordinating inter-institution evaluation studies, these have been performed so far at the sites at which the systems are developed. Whether or not a scheme developed at one site can also be used at another is thus unknown. I...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/17835950" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="29223fcacf001b2493f9ad47b86a2555" rel="nofollow" data-download="{"attachment_id":39736207,"asset_id":17835950,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/39736207/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37744063" href="https://uofl.academia.edu/JosephNeimat">Joseph Neimat</a><script data-card-contents-for-user="37744063" type="text/json">{"id":37744063,"first_name":"Joseph","last_name":"Neimat","domain_name":"uofl","page_name":"JosephNeimat","display_name":"Joseph Neimat","profile_url":"https://uofl.academia.edu/JosephNeimat?f_ri=55246","photo":"https://0.academia-photos.com/37744063/10618860/11852998/s65_joseph.neimat.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-17835950">+1</span><div class="hidden js-additional-users-17835950"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://vanderbilt.academia.edu/SrivatsanPallavaram">Srivatsan Pallavaram</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-17835950'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-17835950').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_17835950 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="17835950"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 17835950, container: ".js-paper-rank-work_17835950", }); });</script></li><li class="js-percentile-work_17835950 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17835950; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_17835950"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_17835950 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="17835950"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17835950; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17835950]").text(description); $(".js-view-count-work_17835950").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_17835950").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="17835950"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="428" rel="nofollow" href="https://www.academia.edu/Documents/in/Algorithms">Algorithms</a>, <script data-card-contents-for-ri="428" type="text/json">{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1131" rel="nofollow" href="https://www.academia.edu/Documents/in/Biomedical_Engineering">Biomedical Engineering</a>, <script data-card-contents-for-ri="1131" type="text/json">{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2583" rel="nofollow" href="https://www.academia.edu/Documents/in/Deep_Brain_Stimulation">Deep Brain Stimulation</a>, <script data-card-contents-for-ri="2583" type="text/json">{"id":2583,"name":"Deep Brain Stimulation","url":"https://www.academia.edu/Documents/in/Deep_Brain_Stimulation?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a><script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=17835950]'), work: {"id":17835950,"title":"Multisurgeon, multisite validation of a trajectory planning algorithm for deep brain stimulation procedures","created_at":"2015-11-05T19:21:24.390-08:00","url":"https://www.academia.edu/17835950/Multisurgeon_multisite_validation_of_a_trajectory_planning_algorithm_for_deep_brain_stimulation_procedures?f_ri=55246","dom_id":"work_17835950","summary":"Deep brain stimulation, which is used to treat various neurological disorders, involves implanting a permanent electrode into precise targets deep in the brain. Reaching these targets safely is difficult because surgeons have to plan trajectories that avoid critical structures and reach targets within specific angles. A number of systems have been proposed to assist surgeons in this task. These typically involve formulating constraints as cost terms, weighting them by surgical importance, and searching for optimal trajectories, in which constraints and their weights reflect local practice. Assessing the performance of such systems is challenging because of the lack of ground truth and clear consensus on an optimal approach among surgeons. Due to difficulties in coordinating inter-institution evaluation studies, these have been performed so far at the sites at which the systems are developed. Whether or not a scheme developed at one site can also be used at another is thus unknown. I...","downloadable_attachments":[{"id":39736207,"asset_id":17835950,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":37744063,"first_name":"Joseph","last_name":"Neimat","domain_name":"uofl","page_name":"JosephNeimat","display_name":"Joseph Neimat","profile_url":"https://uofl.academia.edu/JosephNeimat?f_ri=55246","photo":"https://0.academia-photos.com/37744063/10618860/11852998/s65_joseph.neimat.jpg"},{"id":38124900,"first_name":"Srivatsan","last_name":"Pallavaram","domain_name":"vanderbilt","page_name":"SrivatsanPallavaram","display_name":"Srivatsan Pallavaram","profile_url":"https://vanderbilt.academia.edu/SrivatsanPallavaram?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=55246","nofollow":true},{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true},{"id":2583,"name":"Deep Brain Stimulation","url":"https://www.academia.edu/Documents/in/Deep_Brain_Stimulation?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":549280,"name":"Reproducibility of Results","url":"https://www.academia.edu/Documents/in/Reproducibility_of_Results?f_ri=55246"},{"id":724965,"name":"Surgeons","url":"https://www.academia.edu/Documents/in/Surgeons?f_ri=55246"},{"id":1237788,"name":"Electrical And Electronic Engineering","url":"https://www.academia.edu/Documents/in/Electrical_And_Electronic_Engineering?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_33182156" data-work_id="33182156" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/33182156/Improved_needle_visualization_with_electronic_beam_steering_proof_of_concept">Improved needle visualization with electronic beam steering: proof of concept</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The objective of this study was to evaluate electronic beam steering to improve needle visualization. Various needles ranging from 27 to 12 gauge were evaluated with a modified CX50 (Philips Ultrasound, Bothell, Wash) using a 12-MHz... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_33182156" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The objective of this study was to evaluate electronic beam steering to improve needle visualization. Various needles ranging from 27 to 12 gauge were evaluated with a modified CX50 (Philips Ultrasound, Bothell, Wash) using a 12-MHz linear probe. For proof of concept, the needles were placed in a pork roast at various random angles. The ultrasound beam was electronically steered at angles from 0 to 50 degrees. Images were obtained at the various angles and compared. Two patients undergoing a thyroid biopsy, one patient undergoing biopsy of the supraclavicular node, and one undergoing a breast biopsy were evaluated using electronic beam steering at various angles. The images were stored and subjectively compared. All needles were better visualized when the ultrasound beam was steered as close to perpendicular to the needle as possible. Significant improvements in needle including tip visualization by subjective visual inspection were found by applying the appropriate beam angle. Elec...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/33182156" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="e7eb33bd285218a95a68c850d95bfdf5" rel="nofollow" data-download="{"attachment_id":53265731,"asset_id":33182156,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/53265731/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37905751" href="https://neoucom.academia.edu/RichardBarr">Richard Barr</a><script data-card-contents-for-user="37905751" type="text/json">{"id":37905751,"first_name":"Richard","last_name":"Barr","domain_name":"neoucom","page_name":"RichardBarr","display_name":"Richard Barr","profile_url":"https://neoucom.academia.edu/RichardBarr?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_33182156 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="33182156"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 33182156, container: ".js-paper-rank-work_33182156", }); 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Various needles ranging from 27 to 12 gauge were evaluated with a modified CX50 (Philips Ultrasound, Bothell, Wash) using a 12-MHz linear probe. For proof of concept, the needles were placed in a pork roast at various random angles. The ultrasound beam was electronically steered at angles from 0 to 50 degrees. Images were obtained at the various angles and compared. Two patients undergoing a thyroid biopsy, one patient undergoing biopsy of the supraclavicular node, and one undergoing a breast biopsy were evaluated using electronic beam steering at various angles. The images were stored and subjectively compared. All needles were better visualized when the ultrasound beam was steered as close to perpendicular to the needle as possible. Significant improvements in needle including tip visualization by subjective visual inspection were found by applying the appropriate beam angle. Elec...","downloadable_attachments":[{"id":53265731,"asset_id":33182156,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":37905751,"first_name":"Richard","last_name":"Barr","domain_name":"neoucom","page_name":"RichardBarr","display_name":"Richard Barr","profile_url":"https://neoucom.academia.edu/RichardBarr?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":37826,"name":"Biopsy","url":"https://www.academia.edu/Documents/in/Biopsy?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":372581,"name":"Image Enhancement","url":"https://www.academia.edu/Documents/in/Image_Enhancement?f_ri=55246","nofollow":true},{"id":419370,"name":"Swine","url":"https://www.academia.edu/Documents/in/Swine?f_ri=55246","nofollow":true},{"id":549280,"name":"Reproducibility of Results","url":"https://www.academia.edu/Documents/in/Reproducibility_of_Results?f_ri=55246"},{"id":901876,"name":"Sensitivity and Specificity","url":"https://www.academia.edu/Documents/in/Sensitivity_and_Specificity?f_ri=55246"},{"id":945595,"name":"Pilot Projects","url":"https://www.academia.edu/Documents/in/Pilot_Projects?f_ri=55246"},{"id":1450141,"name":"Needles","url":"https://www.academia.edu/Documents/in/Needles?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_56061486" data-work_id="56061486" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/56061486/Safety_and_efficacy_of_minimally_invasive_surgery_plus_alteplase_in_intracerebral_haemorrhage_evacuation_MISTIE_a_randomised_controlled_open_label_phase_2_trial">Safety and efficacy of minimally invasive surgery plus alteplase in intracerebral haemorrhage evacuation (MISTIE): a randomised, controlled, open-label, phase 2 trial</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Craniotomy, according to the results from trials, does not improve functional outcome after intracerebral haemorrhage. Whether minimally invasive catheter evacuation followed by thrombolysis for clot removal is safe and can achieve a good... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_56061486" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Craniotomy, according to the results from trials, does not improve functional outcome after intracerebral haemorrhage. Whether minimally invasive catheter evacuation followed by thrombolysis for clot removal is safe and can achieve a good functional outcome is not known. We investigated the safety and efficacy of alteplase, a recombinant tissue plasminogen activator, in combination with minimally invasive surgery (MIS) in patients with intracerebral haemorrhage. MISTIE was an open-label, phase 2 trial that was done in 26 hospitals in the USA, Canada, the UK, and Germany. We used a computer-generated allocation sequence with a block size of four to centrally randomise patients aged 18-80 years with a non-traumatic (spontaneous) intracerebral haemorrhage of 20 mL or higher to standard medical care or image-guided MIS plus alteplase (0·3 mg or 1·0 mg every 8 h for up to nine doses) to remove clots using surgical aspiration followed by alteplase clot irrigation. Primary outcomes were al...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/56061486" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="20b1494e050bbceabc2689a60df8aeb3" rel="nofollow" data-download="{"attachment_id":71632811,"asset_id":56061486,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/71632811/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="25271554" href="https://kumc.academia.edu/PaulCamarata">Paul Camarata</a><script data-card-contents-for-user="25271554" type="text/json">{"id":25271554,"first_name":"Paul","last_name":"Camarata","domain_name":"kumc","page_name":"PaulCamarata","display_name":"Paul Camarata","profile_url":"https://kumc.academia.edu/PaulCamarata?f_ri=55246","photo":"https://gravatar.com/avatar/651004c6a7045fe4af0817bf64dadd7a?s=65"}</script></span></span></li><li class="js-paper-rank-work_56061486 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="56061486"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 56061486, container: ".js-paper-rank-work_56061486", }); });</script></li><li class="js-percentile-work_56061486 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 56061486; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_56061486"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_56061486 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="56061486"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 56061486; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=56061486]").text(description); $(".js-view-count-work_56061486").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_56061486").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="56061486"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">12</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="137516" rel="nofollow" href="https://www.academia.edu/Documents/in/Follow-up_studies">Follow-up studies</a>, <script data-card-contents-for-ri="137516" type="text/json">{"id":137516,"name":"Follow-up studies","url":"https://www.academia.edu/Documents/in/Follow-up_studies?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a>, <script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="289271" rel="nofollow" href="https://www.academia.edu/Documents/in/Aged">Aged</a><script data-card-contents-for-ri="289271" type="text/json">{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=56061486]'), work: {"id":56061486,"title":"Safety and efficacy of minimally invasive surgery plus alteplase in intracerebral haemorrhage evacuation (MISTIE): a randomised, controlled, open-label, phase 2 trial","created_at":"2021-10-06T14:17:49.701-07:00","url":"https://www.academia.edu/56061486/Safety_and_efficacy_of_minimally_invasive_surgery_plus_alteplase_in_intracerebral_haemorrhage_evacuation_MISTIE_a_randomised_controlled_open_label_phase_2_trial?f_ri=55246","dom_id":"work_56061486","summary":"Craniotomy, according to the results from trials, does not improve functional outcome after intracerebral haemorrhage. Whether minimally invasive catheter evacuation followed by thrombolysis for clot removal is safe and can achieve a good functional outcome is not known. We investigated the safety and efficacy of alteplase, a recombinant tissue plasminogen activator, in combination with minimally invasive surgery (MIS) in patients with intracerebral haemorrhage. MISTIE was an open-label, phase 2 trial that was done in 26 hospitals in the USA, Canada, the UK, and Germany. We used a computer-generated allocation sequence with a block size of four to centrally randomise patients aged 18-80 years with a non-traumatic (spontaneous) intracerebral haemorrhage of 20 mL or higher to standard medical care or image-guided MIS plus alteplase (0·3 mg or 1·0 mg every 8 h for up to nine doses) to remove clots using surgical aspiration followed by alteplase clot irrigation. Primary outcomes were al...","downloadable_attachments":[{"id":71632811,"asset_id":56061486,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":25271554,"first_name":"Paul","last_name":"Camarata","domain_name":"kumc","page_name":"PaulCamarata","display_name":"Paul Camarata","profile_url":"https://kumc.academia.edu/PaulCamarata?f_ri=55246","photo":"https://gravatar.com/avatar/651004c6a7045fe4af0817bf64dadd7a?s=65"}],"research_interests":[{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":137516,"name":"Follow-up studies","url":"https://www.academia.edu/Documents/in/Follow-up_studies?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246","nofollow":true},{"id":546400,"name":"Postoperative Hemorrhage","url":"https://www.academia.edu/Documents/in/Postoperative_Hemorrhage?f_ri=55246"},{"id":789989,"name":"Tissue Plasminogen Activator","url":"https://www.academia.edu/Documents/in/Tissue_Plasminogen_Activator?f_ri=55246"},{"id":1159940,"name":"Cerebral Hemorrhage","url":"https://www.academia.edu/Documents/in/Cerebral_Hemorrhage?f_ri=55246"},{"id":1239755,"name":"Neurosciences","url":"https://www.academia.edu/Documents/in/Neurosciences?f_ri=55246"},{"id":2463779,"name":"Combined Modality Therapy","url":"https://www.academia.edu/Documents/in/Combined_Modality_Therapy?f_ri=55246"},{"id":3123185,"name":"Thrombectomy","url":"https://www.academia.edu/Documents/in/Thrombectomy?f_ri=55246"},{"id":3499881,"name":"Outcome assessment (Health care)","url":"https://www.academia.edu/Documents/in/Outcome_assessment_Health_care_?f_ri=55246"},{"id":4022629,"name":"minimally invasive surgical procedures","url":"https://www.academia.edu/Documents/in/minimally_invasive_surgical_procedures?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_5062493" data-work_id="5062493" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/5062493/Using_the_PhysX_engine_for_physics_based_virtual_surgery_with_force_feedback">Using the PhysX engine for physics-based virtual surgery with force feedback</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">BackgroundThe development of modern surgical simulators is highly challenging, as they must support complex simulation environments. The demand for higher realism in such simulators has driven researchers to adopt physics-based models,... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5062493" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">BackgroundThe development of modern surgical simulators is highly challenging, as they must support complex simulation environments. The demand for higher realism in such simulators has driven researchers to adopt physics-based models, which are computationally very demanding. This poses a major problem, since real-time interactions must permit graphical updates of 30 Hz and a much higher rate of 1 kHz for force feedback (haptics). Recently several physics engines have been developed which offer multi-physics simulation capabilities, including rigid and deformable bodies, cloth and fluids. While such physics engines provide unique opportunities for the development of surgical simulators, their higher latencies, compared to what is necessary for real-time graphics and haptics, offer significant barriers to their use in interactive simulation environments.The development of modern surgical simulators is highly challenging, as they must support complex simulation environments. The demand for higher realism in such simulators has driven researchers to adopt physics-based models, which are computationally very demanding. This poses a major problem, since real-time interactions must permit graphical updates of 30 Hz and a much higher rate of 1 kHz for force feedback (haptics). Recently several physics engines have been developed which offer multi-physics simulation capabilities, including rigid and deformable bodies, cloth and fluids. While such physics engines provide unique opportunities for the development of surgical simulators, their higher latencies, compared to what is necessary for real-time graphics and haptics, offer significant barriers to their use in interactive simulation environments.MethodsIn this work, we propose solutions to this problem and demonstrate how a multimodal surgical simulation environment may be developed based on NVIDIA's PhysX physics library. Hence, models that are undergoing relatively low-frequency updates in PhysX can exist in an environment that demands much higher frequency updates for haptics. We use a collision handling layer to interface between the physical response provided by PhysX and the haptic rendering device to provide both real-time tissue response and force feedback.In this work, we propose solutions to this problem and demonstrate how a multimodal surgical simulation environment may be developed based on NVIDIA's PhysX physics library. Hence, models that are undergoing relatively low-frequency updates in PhysX can exist in an environment that demands much higher frequency updates for haptics. We use a collision handling layer to interface between the physical response provided by PhysX and the haptic rendering device to provide both real-time tissue response and force feedback.ResultsOur simulator integrates a bimanual haptic interface for force feedback and per-pixel shaders for graphics realism in real time. To demonstrate the effectiveness of our approach, we present the simulation of the laparoscopic adjustable gastric banding (LAGB) procedure as a case study.Our simulator integrates a bimanual haptic interface for force feedback and per-pixel shaders for graphics realism in real time. To demonstrate the effectiveness of our approach, we present the simulation of the laparoscopic adjustable gastric banding (LAGB) procedure as a case study.ConclusionsTo develop complex and realistic surgical trainers with realistic organ geometries and tissue properties demands stable physics-based deformation methods, which are not always compatible with the interaction level required for such trainers. We have shown that combining different modelling strategies for behaviour, collision and graphics is possible and desirable. Such multimodal environments enable suitable rates to simulate the major steps of the LAGB procedure. Copyright © 2009 John Wiley & Sons, Ltd.To develop complex and realistic surgical trainers with realistic organ geometries and tissue properties demands stable physics-based deformation methods, which are not always compatible with the interaction level required for such trainers. We have shown that combining different modelling strategies for behaviour, collision and graphics is possible and desirable. Such multimodal environments enable suitable rates to simulate the major steps of the LAGB procedure. Copyright © 2009 John Wiley & Sons, Ltd.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5062493" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="e2f907caa7f62159229f777db123a006" rel="nofollow" data-download="{"attachment_id":49465136,"asset_id":5062493,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/49465136/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="6763152" href="https://ufrgs.academia.edu/LucianaNedel">Luciana Nedel</a><script data-card-contents-for-user="6763152" type="text/json">{"id":6763152,"first_name":"Luciana","last_name":"Nedel","domain_name":"ufrgs","page_name":"LucianaNedel","display_name":"Luciana Nedel","profile_url":"https://ufrgs.academia.edu/LucianaNedel?f_ri=55246","photo":"https://0.academia-photos.com/6763152/10654803/11894600/s65_luciana.nedel.jpg"}</script></span></span></li><li class="js-paper-rank-work_5062493 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5062493"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 5062493, container: ".js-paper-rank-work_5062493", }); });</script></li><li class="js-percentile-work_5062493 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 5062493; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_5062493"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_5062493 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="5062493"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 5062493; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=5062493]").text(description); $(".js-view-count-work_5062493").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_5062493").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="5062493"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">14</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="428" rel="nofollow" href="https://www.academia.edu/Documents/in/Algorithms">Algorithms</a>, <script data-card-contents-for-ri="428" type="text/json">{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="445" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Graphics">Computer Graphics</a>, <script data-card-contents-for-ri="445" type="text/json">{"id":445,"name":"Computer Graphics","url":"https://www.academia.edu/Documents/in/Computer_Graphics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="502" rel="nofollow" href="https://www.academia.edu/Documents/in/Biophysics">Biophysics</a><script data-card-contents-for-ri="502" type="text/json">{"id":502,"name":"Biophysics","url":"https://www.academia.edu/Documents/in/Biophysics?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=5062493]'), work: {"id":5062493,"title":"Using the PhysX engine for physics-based virtual surgery with force feedback","created_at":"2013-11-11T06:12:39.983-08:00","url":"https://www.academia.edu/5062493/Using_the_PhysX_engine_for_physics_based_virtual_surgery_with_force_feedback?f_ri=55246","dom_id":"work_5062493","summary":"BackgroundThe development of modern surgical simulators is highly challenging, as they must support complex simulation environments. The demand for higher realism in such simulators has driven researchers to adopt physics-based models, which are computationally very demanding. This poses a major problem, since real-time interactions must permit graphical updates of 30 Hz and a much higher rate of 1 kHz for force feedback (haptics). Recently several physics engines have been developed which offer multi-physics simulation capabilities, including rigid and deformable bodies, cloth and fluids. While such physics engines provide unique opportunities for the development of surgical simulators, their higher latencies, compared to what is necessary for real-time graphics and haptics, offer significant barriers to their use in interactive simulation environments.The development of modern surgical simulators is highly challenging, as they must support complex simulation environments. The demand for higher realism in such simulators has driven researchers to adopt physics-based models, which are computationally very demanding. This poses a major problem, since real-time interactions must permit graphical updates of 30 Hz and a much higher rate of 1 kHz for force feedback (haptics). Recently several physics engines have been developed which offer multi-physics simulation capabilities, including rigid and deformable bodies, cloth and fluids. While such physics engines provide unique opportunities for the development of surgical simulators, their higher latencies, compared to what is necessary for real-time graphics and haptics, offer significant barriers to their use in interactive simulation environments.MethodsIn this work, we propose solutions to this problem and demonstrate how a multimodal surgical simulation environment may be developed based on NVIDIA's PhysX physics library. Hence, models that are undergoing relatively low-frequency updates in PhysX can exist in an environment that demands much higher frequency updates for haptics. We use a collision handling layer to interface between the physical response provided by PhysX and the haptic rendering device to provide both real-time tissue response and force feedback.In this work, we propose solutions to this problem and demonstrate how a multimodal surgical simulation environment may be developed based on NVIDIA's PhysX physics library. Hence, models that are undergoing relatively low-frequency updates in PhysX can exist in an environment that demands much higher frequency updates for haptics. We use a collision handling layer to interface between the physical response provided by PhysX and the haptic rendering device to provide both real-time tissue response and force feedback.ResultsOur simulator integrates a bimanual haptic interface for force feedback and per-pixel shaders for graphics realism in real time. To demonstrate the effectiveness of our approach, we present the simulation of the laparoscopic adjustable gastric banding (LAGB) procedure as a case study.Our simulator integrates a bimanual haptic interface for force feedback and per-pixel shaders for graphics realism in real time. To demonstrate the effectiveness of our approach, we present the simulation of the laparoscopic adjustable gastric banding (LAGB) procedure as a case study.ConclusionsTo develop complex and realistic surgical trainers with realistic organ geometries and tissue properties demands stable physics-based deformation methods, which are not always compatible with the interaction level required for such trainers. We have shown that combining different modelling strategies for behaviour, collision and graphics is possible and desirable. Such multimodal environments enable suitable rates to simulate the major steps of the LAGB procedure. Copyright © 2009 John Wiley \u0026 Sons, Ltd.To develop complex and realistic surgical trainers with realistic organ geometries and tissue properties demands stable physics-based deformation methods, which are not always compatible with the interaction level required for such trainers. We have shown that combining different modelling strategies for behaviour, collision and graphics is possible and desirable. Such multimodal environments enable suitable rates to simulate the major steps of the LAGB procedure. Copyright © 2009 John Wiley \u0026 Sons, Ltd.","downloadable_attachments":[{"id":49465136,"asset_id":5062493,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":6763152,"first_name":"Luciana","last_name":"Nedel","domain_name":"ufrgs","page_name":"LucianaNedel","display_name":"Luciana Nedel","profile_url":"https://ufrgs.academia.edu/LucianaNedel?f_ri=55246","photo":"https://0.academia-photos.com/6763152/10654803/11894600/s65_luciana.nedel.jpg"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=55246","nofollow":true},{"id":445,"name":"Computer Graphics","url":"https://www.academia.edu/Documents/in/Computer_Graphics?f_ri=55246","nofollow":true},{"id":502,"name":"Biophysics","url":"https://www.academia.edu/Documents/in/Biophysics?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246"},{"id":86150,"name":"Touch","url":"https://www.academia.edu/Documents/in/Touch?f_ri=55246"},{"id":112382,"name":"Interaction Techniques","url":"https://www.academia.edu/Documents/in/Interaction_Techniques?f_ri=55246"},{"id":137633,"name":"Feedback","url":"https://www.academia.edu/Documents/in/Feedback?f_ri=55246"},{"id":161176,"name":"The","url":"https://www.academia.edu/Documents/in/The?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":255094,"name":"Computer User Interface Design","url":"https://www.academia.edu/Documents/in/Computer_User_Interface_Design?f_ri=55246"},{"id":428928,"name":"Force Feedback","url":"https://www.academia.edu/Documents/in/Force_Feedback?f_ri=55246"},{"id":487785,"name":"Virtual Surgery","url":"https://www.academia.edu/Documents/in/Virtual_Surgery?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_73768273" data-work_id="73768273" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/73768273/Intraoperative_Transesophageal_Echocardiography_for_Surgical_Repair_of_Mitral_Regurgitation">Intraoperative Transesophageal Echocardiography for Surgical Repair of Mitral Regurgitation</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Surgical repair of the mitral valve is being increasingly performed to treat severe mitral regurgitation. Transesophageal echocardiography is an essential tool for assessing valvular function and guiding surgical decision making during... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_73768273" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Surgical repair of the mitral valve is being increasingly performed to treat severe mitral regurgitation. Transesophageal echocardiography is an essential tool for assessing valvular function and guiding surgical decision making during the perioperative period. A careful and systematic transesophageal echocardiographic examination is necessary to ensure that appropriate information is obtained and that the correct diagnoses are obtained before and after repair. The purpose of this article is to provide a practical guide for perioperative echocardiographers caring for patients undergoing surgical repair of mitral regurgitation. A guide to performing a systematic transesophageal echocardiographic examination of the mitral valve is provided, along with an approach to prerepair and postrepair assessment. Additionally, the anatomy and function of normal and regurgitant mitral valves are reviewed.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/73768273" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="b3afb588b7b71117994c922132717515" rel="nofollow" data-download="{"attachment_id":82160363,"asset_id":73768273,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/82160363/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="29432920" href="https://independent.academia.edu/SaraMariaAllen">Sara Maria Allen</a><script data-card-contents-for-user="29432920" type="text/json">{"id":29432920,"first_name":"Sara Maria","last_name":"Allen","domain_name":"independent","page_name":"SaraMariaAllen","display_name":"Sara Maria Allen","profile_url":"https://independent.academia.edu/SaraMariaAllen?f_ri=55246","photo":"https://0.academia-photos.com/29432920/8427827/9421442/s65_sara_maria.allen.jpg_oh_898a0a49f06c33cc22adb66d4ef5157d_oe_55aa482f___gda___1436090915_32befaaf595d932cd7cf0433e95a9361"}</script></span></span></li><li class="js-paper-rank-work_73768273 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="73768273"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 73768273, container: ".js-paper-rank-work_73768273", }); });</script></li><li class="js-percentile-work_73768273 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 73768273; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_73768273"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_73768273 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="73768273"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 73768273; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=73768273]").text(description); $(".js-view-count-work_73768273").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_73768273").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="73768273"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a>, <script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="372581" rel="nofollow" href="https://www.academia.edu/Documents/in/Image_Enhancement">Image Enhancement</a>, <script data-card-contents-for-ri="372581" type="text/json">{"id":372581,"name":"Image Enhancement","url":"https://www.academia.edu/Documents/in/Image_Enhancement?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1399312" rel="nofollow" href="https://www.academia.edu/Documents/in/Intraoperative_Neurophysiological_Monitoring">Intraoperative Neurophysiological Monitoring</a><script data-card-contents-for-ri="1399312" type="text/json">{"id":1399312,"name":"Intraoperative Neurophysiological Monitoring","url":"https://www.academia.edu/Documents/in/Intraoperative_Neurophysiological_Monitoring?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=73768273]'), work: {"id":73768273,"title":"Intraoperative Transesophageal Echocardiography for Surgical Repair of Mitral Regurgitation","created_at":"2022-03-14T13:41:39.630-07:00","url":"https://www.academia.edu/73768273/Intraoperative_Transesophageal_Echocardiography_for_Surgical_Repair_of_Mitral_Regurgitation?f_ri=55246","dom_id":"work_73768273","summary":"Surgical repair of the mitral valve is being increasingly performed to treat severe mitral regurgitation. Transesophageal echocardiography is an essential tool for assessing valvular function and guiding surgical decision making during the perioperative period. A careful and systematic transesophageal echocardiographic examination is necessary to ensure that appropriate information is obtained and that the correct diagnoses are obtained before and after repair. The purpose of this article is to provide a practical guide for perioperative echocardiographers caring for patients undergoing surgical repair of mitral regurgitation. A guide to performing a systematic transesophageal echocardiographic examination of the mitral valve is provided, along with an approach to prerepair and postrepair assessment. Additionally, the anatomy and function of normal and regurgitant mitral valves are reviewed.","downloadable_attachments":[{"id":82160363,"asset_id":73768273,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":29432920,"first_name":"Sara Maria","last_name":"Allen","domain_name":"independent","page_name":"SaraMariaAllen","display_name":"Sara Maria Allen","profile_url":"https://independent.academia.edu/SaraMariaAllen?f_ri=55246","photo":"https://0.academia-photos.com/29432920/8427827/9421442/s65_sara_maria.allen.jpg_oh_898a0a49f06c33cc22adb66d4ef5157d_oe_55aa482f___gda___1436090915_32befaaf595d932cd7cf0433e95a9361"}],"research_interests":[{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":372581,"name":"Image Enhancement","url":"https://www.academia.edu/Documents/in/Image_Enhancement?f_ri=55246","nofollow":true},{"id":1399312,"name":"Intraoperative Neurophysiological Monitoring","url":"https://www.academia.edu/Documents/in/Intraoperative_Neurophysiological_Monitoring?f_ri=55246","nofollow":true},{"id":2943594,"name":"Patient selection","url":"https://www.academia.edu/Documents/in/Patient_selection?f_ri=55246"},{"id":3789879,"name":"Cardiovascular medicine and haematology","url":"https://www.academia.edu/Documents/in/Cardiovascular_medicine_and_haematology?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_58481753" data-work_id="58481753" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/58481753/Development_of_a_robotic_FD_CT_guided_navigation_system_for_needle_placement_preliminary_accuracy_tests">Development of a robotic FD-CT-guided navigation system for needle placement-preliminary accuracy tests</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background A needle placement system using a serial robot arm for manipulation of biopsy and/or treatment needles is introduced. A method for fast calibration of the robot and the preliminary accuracy tests of the robotic system are... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_58481753" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background A needle placement system using a serial robot arm for manipulation of biopsy and/or treatment needles is introduced. A method for fast calibration of the robot and the preliminary accuracy tests of the robotic system are presented. Methods The setup consists of a DLR/KUKA Light Weight Robot III especially designed for safe human/robot interaction mounted on a mobile platform, a robot-driven angiographic C-arm system and a navigation system. Results Calibration of the robot with the navigation system has a residual error of 0.23 mm (rms) with a standard deviation of ±0.1 mm. Needle targeting accuracy with different trajectories was 1.2 mm (rms) with a standard deviation of ±0.4 mm. Conclusions Robot absolute positioning accuracy was reduced to the navigation camera accuracy. The approach includes control strategies that may be very useful for interventional applications.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/58481753" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="0d9d307d9a05e8adbfd8fd83d56fa772" rel="nofollow" data-download="{"attachment_id":72871335,"asset_id":58481753,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/72871335/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="5067866" href="https://uaq.academia.edu/CarlosPedraza">Carlos Pedraza Ortega</a><script data-card-contents-for-user="5067866" type="text/json">{"id":5067866,"first_name":"Carlos","last_name":"Pedraza Ortega","domain_name":"uaq","page_name":"CarlosPedraza","display_name":"Carlos Pedraza Ortega","profile_url":"https://uaq.academia.edu/CarlosPedraza?f_ri=55246","photo":"https://0.academia-photos.com/5067866/165012527/154844019/s65_carlos.pedraza_ortega.png"}</script></span></span></li><li class="js-paper-rank-work_58481753 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="58481753"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 58481753, container: ".js-paper-rank-work_58481753", }); });</script></li><li class="js-percentile-work_58481753 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 58481753; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_58481753"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_58481753 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="58481753"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 58481753; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=58481753]").text(description); $(".js-view-count-work_58481753").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_58481753").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="58481753"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">12</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="445" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Graphics">Computer Graphics</a>, <script data-card-contents-for-ri="445" type="text/json">{"id":445,"name":"Computer Graphics","url":"https://www.academia.edu/Documents/in/Computer_Graphics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="37826" rel="nofollow" href="https://www.academia.edu/Documents/in/Biopsy">Biopsy</a>, <script data-card-contents-for-ri="37826" type="text/json">{"id":37826,"name":"Biopsy","url":"https://www.academia.edu/Documents/in/Biopsy?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a><script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=58481753]'), work: {"id":58481753,"title":"Development of a robotic FD-CT-guided navigation system for needle placement-preliminary accuracy tests","created_at":"2021-10-16T13:23:56.137-07:00","url":"https://www.academia.edu/58481753/Development_of_a_robotic_FD_CT_guided_navigation_system_for_needle_placement_preliminary_accuracy_tests?f_ri=55246","dom_id":"work_58481753","summary":"Background A needle placement system using a serial robot arm for manipulation of biopsy and/or treatment needles is introduced. A method for fast calibration of the robot and the preliminary accuracy tests of the robotic system are presented. Methods The setup consists of a DLR/KUKA Light Weight Robot III especially designed for safe human/robot interaction mounted on a mobile platform, a robot-driven angiographic C-arm system and a navigation system. Results Calibration of the robot with the navigation system has a residual error of 0.23 mm (rms) with a standard deviation of ±0.1 mm. Needle targeting accuracy with different trajectories was 1.2 mm (rms) with a standard deviation of ±0.4 mm. Conclusions Robot absolute positioning accuracy was reduced to the navigation camera accuracy. The approach includes control strategies that may be very useful for interventional applications.","downloadable_attachments":[{"id":72871335,"asset_id":58481753,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":5067866,"first_name":"Carlos","last_name":"Pedraza Ortega","domain_name":"uaq","page_name":"CarlosPedraza","display_name":"Carlos Pedraza Ortega","profile_url":"https://uaq.academia.edu/CarlosPedraza?f_ri=55246","photo":"https://0.academia-photos.com/5067866/165012527/154844019/s65_carlos.pedraza_ortega.png"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":445,"name":"Computer Graphics","url":"https://www.academia.edu/Documents/in/Computer_Graphics?f_ri=55246","nofollow":true},{"id":37826,"name":"Biopsy","url":"https://www.academia.edu/Documents/in/Biopsy?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":96893,"name":"Calibration","url":"https://www.academia.edu/Documents/in/Calibration?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":247701,"name":"Angiography","url":"https://www.academia.edu/Documents/in/Angiography?f_ri=55246"},{"id":549280,"name":"Reproducibility of Results","url":"https://www.academia.edu/Documents/in/Reproducibility_of_Results?f_ri=55246"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography?f_ri=55246"},{"id":1145520,"name":"Equipment Design","url":"https://www.academia.edu/Documents/in/Equipment_Design?f_ri=55246"},{"id":1450141,"name":"Needles","url":"https://www.academia.edu/Documents/in/Needles?f_ri=55246"},{"id":2036633,"name":"Medical","url":"https://www.academia.edu/Documents/in/Medical?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_47583530" data-work_id="47583530" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/47583530/Computer_Assisted_Navigation_Software_Advancements_Improve_the_Accuracy_of_Total_Knee_Arthroplasty">Computer-Assisted Navigation Software Advancements Improve the Accuracy of Total Knee Arthroplasty</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The purpose of this study was to evaluate the effectiveness of software advancements in improving total knee component positioning and limb alignment when using computer-aided navigation. A single total joint fellowship-trained surgeon... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_47583530" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The purpose of this study was to evaluate the effectiveness of software advancements in improving total knee component positioning and limb alignment when using computer-aided navigation. A single total joint fellowship-trained surgeon performed unilateral total knee arthroplasty on 315 patients using conventional techniques or with assistance from computer navigation software. Preoperative and postoperative x-ray measurements were taken and analyzed. Our previous work demonstrated a statistically significant improvement (P b .02) in limb alignment (±3°of biomechanical neutral) when using version 2.0 software (93%) when compared with conventional techniques (82%). Further improvement was demonstrated with the version 3.1 software (99%, P b .03). The tourniquet times were recorded for each group and showed a significant improvement with the 3.1 software (conventional = 74 minutes, 2.0 navigation = 90 minutes, and 3.1 navigation = 73 minutes). The Stryker 2.0 software (Stryker Orthopedics, Mahwah, NJ) tourniquet time was statistically significantly longer than either the conventional or the 3.1 group (P b .001). Outcomes-based studies will be required to see if these factors will lead to improved patient function and/or prolonged prosthetic survival rates.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/47583530" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f36da14e2b44fb8bb2f7efb1d699c2c1" rel="nofollow" data-download="{"attachment_id":66602715,"asset_id":47583530,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/66602715/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="180407442" href="https://independent.academia.edu/KevinAnderson165">Kevin Anderson</a><script data-card-contents-for-user="180407442" type="text/json">{"id":180407442,"first_name":"Kevin","last_name":"Anderson","domain_name":"independent","page_name":"KevinAnderson165","display_name":"Kevin Anderson","profile_url":"https://independent.academia.edu/KevinAnderson165?f_ri=55246","photo":"https://0.academia-photos.com/180407442/50862188/38908171/s65_kevin.anderson.png"}</script></span></span></li><li class="js-paper-rank-work_47583530 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="47583530"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 47583530, container: ".js-paper-rank-work_47583530", }); });</script></li><li class="js-percentile-work_47583530 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 47583530; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_47583530"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_47583530 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="47583530"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 47583530; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=47583530]").text(description); $(".js-view-count-work_47583530").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_47583530").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="47583530"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">17</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="1131" rel="nofollow" href="https://www.academia.edu/Documents/in/Biomedical_Engineering">Biomedical Engineering</a>, <script data-card-contents-for-ri="1131" type="text/json">{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a>, <script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="53293" rel="nofollow" href="https://www.academia.edu/Documents/in/Software">Software</a>, <script data-card-contents-for-ri="53293" type="text/json">{"id":53293,"name":"Software","url":"https://www.academia.edu/Documents/in/Software?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a><script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=47583530]'), work: {"id":47583530,"title":"Computer-Assisted Navigation Software Advancements Improve the Accuracy of Total Knee Arthroplasty","created_at":"2021-04-23T07:17:46.993-07:00","url":"https://www.academia.edu/47583530/Computer_Assisted_Navigation_Software_Advancements_Improve_the_Accuracy_of_Total_Knee_Arthroplasty?f_ri=55246","dom_id":"work_47583530","summary":"The purpose of this study was to evaluate the effectiveness of software advancements in improving total knee component positioning and limb alignment when using computer-aided navigation. A single total joint fellowship-trained surgeon performed unilateral total knee arthroplasty on 315 patients using conventional techniques or with assistance from computer navigation software. Preoperative and postoperative x-ray measurements were taken and analyzed. Our previous work demonstrated a statistically significant improvement (P b .02) in limb alignment (±3°of biomechanical neutral) when using version 2.0 software (93%) when compared with conventional techniques (82%). Further improvement was demonstrated with the version 3.1 software (99%, P b .03). The tourniquet times were recorded for each group and showed a significant improvement with the 3.1 software (conventional = 74 minutes, 2.0 navigation = 90 minutes, and 3.1 navigation = 73 minutes). The Stryker 2.0 software (Stryker Orthopedics, Mahwah, NJ) tourniquet time was statistically significantly longer than either the conventional or the 3.1 group (P b .001). Outcomes-based studies will be required to see if these factors will lead to improved patient function and/or prolonged prosthetic survival rates.","downloadable_attachments":[{"id":66602715,"asset_id":47583530,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":180407442,"first_name":"Kevin","last_name":"Anderson","domain_name":"independent","page_name":"KevinAnderson165","display_name":"Kevin Anderson","profile_url":"https://independent.academia.edu/KevinAnderson165?f_ri=55246","photo":"https://0.academia-photos.com/180407442/50862188/38908171/s65_kevin.anderson.png"}],"research_interests":[{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true},{"id":53293,"name":"Software","url":"https://www.academia.edu/Documents/in/Software?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":56001,"name":"X Rays","url":"https://www.academia.edu/Documents/in/X_Rays?f_ri=55246"},{"id":125564,"name":"Statistical Significance","url":"https://www.academia.edu/Documents/in/Statistical_Significance?f_ri=55246"},{"id":161176,"name":"The","url":"https://www.academia.edu/Documents/in/The?f_ri=55246"},{"id":206309,"name":"Arthroplasty","url":"https://www.academia.edu/Documents/in/Arthroplasty?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":424295,"name":"Survival Rate","url":"https://www.academia.edu/Documents/in/Survival_Rate?f_ri=55246"},{"id":457463,"name":"Knee Osteoarthritis","url":"https://www.academia.edu/Documents/in/Knee_Osteoarthritis?f_ri=55246"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies?f_ri=55246"},{"id":1145265,"name":"Knee Joint","url":"https://www.academia.edu/Documents/in/Knee_Joint?f_ri=55246"},{"id":1902100,"name":"Biomechanical Phenomena","url":"https://www.academia.edu/Documents/in/Biomechanical_Phenomena?f_ri=55246"},{"id":2463800,"name":"Severity of Illness Index","url":"https://www.academia.edu/Documents/in/Severity_of_Illness_Index?f_ri=55246"},{"id":2560446,"name":"Total Knee Arthroplasty","url":"https://www.academia.edu/Documents/in/Total_Knee_Arthroplasty?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_30110699" data-work_id="30110699" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/30110699/A_novel_end_effector_design_for_robotics_in_image_guided_needle_procedures">A novel end-effector design for robotics in image-guided needle procedures</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Robotic end-effectors are being developed to facilitate image-guided minimally-invasive needlebased procedures such as tumor ablation, biopsy, thoracentesis, and blood sampling. A novel mechanical end-effector was designed to address the... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_30110699" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Robotic end-effectors are being developed to facilitate image-guided minimally-invasive needlebased procedures such as tumor ablation, biopsy, thoracentesis, and blood sampling. A novel mechanical end-effector was designed to address the challenges associated with any major needlebased procedure, focusing on liver biopsy and ablation. In this end-effector embodiment, the distal end of a single articulating arm can grip needles and instruments and allow a fairly high number of degrees of freedom of movement during the complex motions associated with positioning and driving needles, as well as the periodic motions associated with breathing patterns. Tightening a cable that runs through the articulations fixes the arm in a rigid state, allowing insertion of the gripped needle. In its final form, we diagram a design that will require electro-mechanical stimulation and remote joystick control. Moreover, we discuss how cranial-caudal motion of soft tissue organs and the associated forces affect design constraints. A simulation protocol describes the use of tissue phantoms with mechanical properties in the range of hepatic tissue and the overlying abdominal wall. Finally, an in vivo protocol details the possible use of a robotic arm coupled with our end-effector in an imageguided interventional suite. Such a switchable and flexible mode for a robotic arm overcomes much of the current limitations for automated needle placements for mobile targets, subject to breathing or patient motion and the inherent risks thereof.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/30110699" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="73f7ebf93b06f9ce8fa48dfeb4576216" rel="nofollow" data-download="{"attachment_id":50574202,"asset_id":30110699,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/50574202/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="57154383" href="https://independent.academia.edu/DurraniAmer">Amer Durrani</a><script data-card-contents-for-user="57154383" type="text/json">{"id":57154383,"first_name":"Amer","last_name":"Durrani","domain_name":"independent","page_name":"DurraniAmer","display_name":"Amer Durrani","profile_url":"https://independent.academia.edu/DurraniAmer?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_30110699 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="30110699"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 30110699, container: ".js-paper-rank-work_30110699", }); });</script></li><li class="js-percentile-work_30110699 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 30110699; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_30110699"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_30110699 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="30110699"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 30110699; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=30110699]").text(description); $(".js-view-count-work_30110699").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_30110699").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="30110699"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a>, <script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="260829" rel="nofollow" href="https://www.academia.edu/Documents/in/Cattle">Cattle</a><script data-card-contents-for-ri="260829" type="text/json">{"id":260829,"name":"Cattle","url":"https://www.academia.edu/Documents/in/Cattle?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=30110699]'), work: {"id":30110699,"title":"A novel end-effector design for robotics in image-guided needle procedures","created_at":"2016-11-27T08:43:24.061-08:00","url":"https://www.academia.edu/30110699/A_novel_end_effector_design_for_robotics_in_image_guided_needle_procedures?f_ri=55246","dom_id":"work_30110699","summary":"Robotic end-effectors are being developed to facilitate image-guided minimally-invasive needlebased procedures such as tumor ablation, biopsy, thoracentesis, and blood sampling. A novel mechanical end-effector was designed to address the challenges associated with any major needlebased procedure, focusing on liver biopsy and ablation. In this end-effector embodiment, the distal end of a single articulating arm can grip needles and instruments and allow a fairly high number of degrees of freedom of movement during the complex motions associated with positioning and driving needles, as well as the periodic motions associated with breathing patterns. Tightening a cable that runs through the articulations fixes the arm in a rigid state, allowing insertion of the gripped needle. In its final form, we diagram a design that will require electro-mechanical stimulation and remote joystick control. Moreover, we discuss how cranial-caudal motion of soft tissue organs and the associated forces affect design constraints. A simulation protocol describes the use of tissue phantoms with mechanical properties in the range of hepatic tissue and the overlying abdominal wall. Finally, an in vivo protocol details the possible use of a robotic arm coupled with our end-effector in an imageguided interventional suite. Such a switchable and flexible mode for a robotic arm overcomes much of the current limitations for automated needle placements for mobile targets, subject to breathing or patient motion and the inherent risks thereof.","downloadable_attachments":[{"id":50574202,"asset_id":30110699,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":57154383,"first_name":"Amer","last_name":"Durrani","domain_name":"independent","page_name":"DurraniAmer","display_name":"Amer Durrani","profile_url":"https://independent.academia.edu/DurraniAmer?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true},{"id":260829,"name":"Cattle","url":"https://www.academia.edu/Documents/in/Cattle?f_ri=55246","nofollow":true},{"id":1145520,"name":"Equipment Design","url":"https://www.academia.edu/Documents/in/Equipment_Design?f_ri=55246"},{"id":2036633,"name":"Medical","url":"https://www.academia.edu/Documents/in/Medical?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_27180384" data-work_id="27180384" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/27180384/Augmented_reality_to_the_rescue_of_the_minimally_invasive_surgeon_The_usefulness_of_the_interposition_of_stereoscopic_images_in_the_Da_Vinci_robotic_console">Augmented reality to the rescue of the minimally invasive surgeon. The usefulness of the interposition of stereoscopic images in the Da Vinci™ robotic console</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background Computerized management of medical information and 3D imaging has become the norm in everyday medical practice. Surgeons exploit these emerging technologies and bring information previously confined to the radiology rooms into... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_27180384" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background Computerized management of medical information and 3D imaging has become the norm in everyday medical practice. Surgeons exploit these emerging technologies and bring information previously confined to the radiology rooms into the operating theatre. The paper reports the authors' experience with integrated stereoscopic 3D-rendered images in the da Vinci surgeon console.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/27180384" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="cf49ca424a6d56666452f6139bf32bfc" rel="nofollow" data-download="{"attachment_id":47429810,"asset_id":27180384,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/47429810/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="51209198" href="https://independent.academia.edu/BorisSchiltz">Boris Schiltz</a><script data-card-contents-for-user="51209198" type="text/json">{"id":51209198,"first_name":"Boris","last_name":"Schiltz","domain_name":"independent","page_name":"BorisSchiltz","display_name":"Boris Schiltz","profile_url":"https://independent.academia.edu/BorisSchiltz?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_27180384 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="27180384"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 27180384, container: ".js-paper-rank-work_27180384", }); });</script></li><li class="js-percentile-work_27180384 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 27180384; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_27180384"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_27180384 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="27180384"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 27180384; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=27180384]").text(description); $(".js-view-count-work_27180384").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_27180384").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="27180384"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="86154" rel="nofollow" href="https://www.academia.edu/Documents/in/Depth_Perception">Depth Perception</a>, <script data-card-contents-for-ri="86154" type="text/json">{"id":86154,"name":"Depth Perception","url":"https://www.academia.edu/Documents/in/Depth_Perception?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="123287" rel="nofollow" href="https://www.academia.edu/Documents/in/Three_Dimensional_Imaging">Three Dimensional Imaging</a><script data-card-contents-for-ri="123287" type="text/json">{"id":123287,"name":"Three Dimensional Imaging","url":"https://www.academia.edu/Documents/in/Three_Dimensional_Imaging?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=27180384]'), work: {"id":27180384,"title":"Augmented reality to the rescue of the minimally invasive surgeon. The usefulness of the interposition of stereoscopic images in the Da Vinci™ robotic console","created_at":"2016-07-22T06:31:35.475-07:00","url":"https://www.academia.edu/27180384/Augmented_reality_to_the_rescue_of_the_minimally_invasive_surgeon_The_usefulness_of_the_interposition_of_stereoscopic_images_in_the_Da_Vinci_robotic_console?f_ri=55246","dom_id":"work_27180384","summary":"Background Computerized management of medical information and 3D imaging has become the norm in everyday medical practice. Surgeons exploit these emerging technologies and bring information previously confined to the radiology rooms into the operating theatre. The paper reports the authors' experience with integrated stereoscopic 3D-rendered images in the da Vinci surgeon console.","downloadable_attachments":[{"id":47429810,"asset_id":27180384,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":51209198,"first_name":"Boris","last_name":"Schiltz","domain_name":"independent","page_name":"BorisSchiltz","display_name":"Boris Schiltz","profile_url":"https://independent.academia.edu/BorisSchiltz?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":86154,"name":"Depth Perception","url":"https://www.academia.edu/Documents/in/Depth_Perception?f_ri=55246","nofollow":true},{"id":123287,"name":"Three Dimensional Imaging","url":"https://www.academia.edu/Documents/in/Three_Dimensional_Imaging?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":255094,"name":"Computer User Interface Design","url":"https://www.academia.edu/Documents/in/Computer_User_Interface_Design?f_ri=55246"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_11121490" data-work_id="11121490" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/11121490/Tibial_Shaft_Stress_Fractures_Resulting_from_Placement_of_Navigation_Tracker_Pins">Tibial Shaft Stress Fractures Resulting from Placement of Navigation Tracker Pins</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The use of navigation during joint arthroplasty is believed to allow better placement of components. Gross fracture or stress fracture through navigation tracker pin placement is a complication reported in the literature. This case series... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_11121490" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The use of navigation during joint arthroplasty is believed to allow better placement of components. Gross fracture or stress fracture through navigation tracker pin placement is a complication reported in the literature. This case series presents details of stress fracture of tibial shaft through navigation pin track in 3 patients of 220 cases who underwent total knee arthroplasty at our institution. All the fractures eventually healed after a course of protected weight bearing. As a result, we use smaller-diameter self-tapping and self-drilling pins routinely and avoid placement of pins in the diaphysis and ensure that pins are inserted in different plains during insertion into metaphysis.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/11121490" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="25f4dc91eb51bebc17b0d4fca5198bcd" rel="nofollow" data-download="{"attachment_id":46882936,"asset_id":11121490,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46882936/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="26861345" href="https://independent.academia.edu/FabioAndresAguirreOrozco">Fabio Andres Aguirre Orozco</a><script data-card-contents-for-user="26861345" type="text/json">{"id":26861345,"first_name":"Fabio Andres","last_name":"Aguirre Orozco","domain_name":"independent","page_name":"FabioAndresAguirreOrozco","display_name":"Fabio Andres Aguirre Orozco","profile_url":"https://independent.academia.edu/FabioAndresAguirreOrozco?f_ri=55246","photo":"https://0.academia-photos.com/26861345/7508335/8433917/s65_fabio_andres.aguirre_orozco.jpg_oh_2cc8cf5997566dcbfc55a704accf5e50_oe_558555cf___gda___1435718925_41b78d1185fc190472c635e3e3526c73"}</script></span></span></li><li class="js-paper-rank-work_11121490 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="11121490"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 11121490, container: ".js-paper-rank-work_11121490", }); });</script></li><li class="js-percentile-work_11121490 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 11121490; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_11121490"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_11121490 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="11121490"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 11121490; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=11121490]").text(description); $(".js-view-count-work_11121490").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_11121490").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="11121490"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="1131" rel="nofollow" href="https://www.academia.edu/Documents/in/Biomedical_Engineering">Biomedical Engineering</a>, <script data-card-contents-for-ri="1131" type="text/json">{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a>, <script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="59695" rel="nofollow" href="https://www.academia.edu/Documents/in/Navigation">Navigation</a><script data-card-contents-for-ri="59695" type="text/json">{"id":59695,"name":"Navigation","url":"https://www.academia.edu/Documents/in/Navigation?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=11121490]'), work: {"id":11121490,"title":"Tibial Shaft Stress Fractures Resulting from Placement of Navigation Tracker Pins","created_at":"2015-02-26T12:37:28.440-08:00","url":"https://www.academia.edu/11121490/Tibial_Shaft_Stress_Fractures_Resulting_from_Placement_of_Navigation_Tracker_Pins?f_ri=55246","dom_id":"work_11121490","summary":"The use of navigation during joint arthroplasty is believed to allow better placement of components. Gross fracture or stress fracture through navigation tracker pin placement is a complication reported in the literature. This case series presents details of stress fracture of tibial shaft through navigation pin track in 3 patients of 220 cases who underwent total knee arthroplasty at our institution. All the fractures eventually healed after a course of protected weight bearing. As a result, we use smaller-diameter self-tapping and self-drilling pins routinely and avoid placement of pins in the diaphysis and ensure that pins are inserted in different plains during insertion into metaphysis.","downloadable_attachments":[{"id":46882936,"asset_id":11121490,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":26861345,"first_name":"Fabio Andres","last_name":"Aguirre Orozco","domain_name":"independent","page_name":"FabioAndresAguirreOrozco","display_name":"Fabio Andres Aguirre Orozco","profile_url":"https://independent.academia.edu/FabioAndresAguirreOrozco?f_ri=55246","photo":"https://0.academia-photos.com/26861345/7508335/8433917/s65_fabio_andres.aguirre_orozco.jpg_oh_2cc8cf5997566dcbfc55a704accf5e50_oe_558555cf___gda___1435718925_41b78d1185fc190472c635e3e3526c73"}],"research_interests":[{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":59695,"name":"Navigation","url":"https://www.academia.edu/Documents/in/Navigation?f_ri=55246","nofollow":true},{"id":162962,"name":"Fracture Healing","url":"https://www.academia.edu/Documents/in/Fracture_Healing?f_ri=55246"},{"id":206309,"name":"Arthroplasty","url":"https://www.academia.edu/Documents/in/Arthroplasty?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":1144130,"name":"Weight Bearing","url":"https://www.academia.edu/Documents/in/Weight_Bearing?f_ri=55246"},{"id":1145265,"name":"Knee Joint","url":"https://www.academia.edu/Documents/in/Knee_Joint?f_ri=55246"},{"id":1146776,"name":"Bone Nails","url":"https://www.academia.edu/Documents/in/Bone_Nails?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_3371407" data-work_id="3371407" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/3371407/Synchrony_Cyberknife_Respiratory_Compensation_Technology">Synchrony – Cyberknife Respiratory Compensation Technology</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Studies of organs in the thorax and abdomen have shown that these organs can move as much as 40 mm due to respiratory motion. Without compensation for this motion during the course of external beam radiation therapy, the dose coverage to... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_3371407" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Studies of organs in the thorax and abdomen have shown that these organs can move as much as 40 mm due to respiratory motion. Without compensation for this motion during the course of external beam radiation therapy, the dose coverage to target may be compromised. On the other hand, if compensation of this motion is by expansion of the margin around the target, a significant volume of normal tissue may be unnecessarily irradiated. In hypofractionated regimens, the issue of respiratory compensation becomes an important factor and is critical in single-fraction extracranial radiosurgery applications. CyberKnife is an image-guided radiosurgery system that consists of a 6-MV LINAC mounted to a robotic arm coupled through a control loop to a digital diagnostic x-ray imaging system. The robotic arm can point the beam anywhere in space with 6 degrees of freedom, without being constrained to a conventional isocenter. The CyberKnife has been recently upgraded with a real-time respiratory tracking and compensation system called Synchrony. Using external markers in conjunction with diagnostic x-ray images, Synchrony helps guide the robotic arm to move the radiation beam in real time such that the beam always remains aligned with the target. With the aid of Synchrony, the tumor motion can be tracked in three-dimensional space, and the motion-induced dosimetric change to target can be minimized with a limited margin. The working principles, advantages, limitations, and our clinical experience with this new technology will be discussed.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/3371407" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="550287cdfb017379e62151c0b741ee11" rel="nofollow" data-download="{"attachment_id":31173646,"asset_id":3371407,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/31173646/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="3915871" href="https://nift.academia.edu/FreedomSaiful">Freedom Saiful</a><script data-card-contents-for-user="3915871" type="text/json">{"id":3915871,"first_name":"Freedom","last_name":"Saiful","domain_name":"nift","page_name":"FreedomSaiful","display_name":"Freedom Saiful","profile_url":"https://nift.academia.edu/FreedomSaiful?f_ri=55246","photo":"https://0.academia-photos.com/3915871/1456886/1781204/s65_freedom.saiful.jpg"}</script></span></span></li><li class="js-paper-rank-work_3371407 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="3371407"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 3371407, container: ".js-paper-rank-work_3371407", }); });</script></li><li class="js-percentile-work_3371407 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 3371407; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_3371407"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_3371407 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="3371407"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 3371407; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=3371407]").text(description); $(".js-view-count-work_3371407").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_3371407").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="3371407"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">15</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="7986" rel="nofollow" href="https://www.academia.edu/Documents/in/Radiosurgery">Radiosurgery</a>, <script data-card-contents-for-ri="7986" type="text/json">{"id":7986,"name":"Radiosurgery","url":"https://www.academia.edu/Documents/in/Radiosurgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="10654" rel="nofollow" href="https://www.academia.edu/Documents/in/X-ray_imaging">X-ray imaging</a>, <script data-card-contents-for-ri="10654" type="text/json">{"id":10654,"name":"X-ray imaging","url":"https://www.academia.edu/Documents/in/X-ray_imaging?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="38180" rel="nofollow" href="https://www.academia.edu/Documents/in/Medical_Robotics">Medical Robotics</a><script data-card-contents-for-ri="38180" type="text/json">{"id":38180,"name":"Medical Robotics","url":"https://www.academia.edu/Documents/in/Medical_Robotics?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=3371407]'), work: {"id":3371407,"title":"Synchrony – Cyberknife Respiratory Compensation Technology","created_at":"2013-04-23T18:29:53.169-07:00","url":"https://www.academia.edu/3371407/Synchrony_Cyberknife_Respiratory_Compensation_Technology?f_ri=55246","dom_id":"work_3371407","summary":"Studies of organs in the thorax and abdomen have shown that these organs can move as much as 40 mm due to respiratory motion. Without compensation for this motion during the course of external beam radiation therapy, the dose coverage to target may be compromised. On the other hand, if compensation of this motion is by expansion of the margin around the target, a significant volume of normal tissue may be unnecessarily irradiated. In hypofractionated regimens, the issue of respiratory compensation becomes an important factor and is critical in single-fraction extracranial radiosurgery applications. CyberKnife is an image-guided radiosurgery system that consists of a 6-MV LINAC mounted to a robotic arm coupled through a control loop to a digital diagnostic x-ray imaging system. The robotic arm can point the beam anywhere in space with 6 degrees of freedom, without being constrained to a conventional isocenter. The CyberKnife has been recently upgraded with a real-time respiratory tracking and compensation system called Synchrony. Using external markers in conjunction with diagnostic x-ray images, Synchrony helps guide the robotic arm to move the radiation beam in real time such that the beam always remains aligned with the target. With the aid of Synchrony, the tumor motion can be tracked in three-dimensional space, and the motion-induced dosimetric change to target can be minimized with a limited margin. The working principles, advantages, limitations, and our clinical experience with this new technology will be discussed.","downloadable_attachments":[{"id":31173646,"asset_id":3371407,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":3915871,"first_name":"Freedom","last_name":"Saiful","domain_name":"nift","page_name":"FreedomSaiful","display_name":"Freedom Saiful","profile_url":"https://nift.academia.edu/FreedomSaiful?f_ri=55246","photo":"https://0.academia-photos.com/3915871/1456886/1781204/s65_freedom.saiful.jpg"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":7986,"name":"Radiosurgery","url":"https://www.academia.edu/Documents/in/Radiosurgery?f_ri=55246","nofollow":true},{"id":10654,"name":"X-ray imaging","url":"https://www.academia.edu/Documents/in/X-ray_imaging?f_ri=55246","nofollow":true},{"id":38180,"name":"Medical Robotics","url":"https://www.academia.edu/Documents/in/Medical_Robotics?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":59546,"name":"New Technology","url":"https://www.academia.edu/Documents/in/New_Technology?f_ri=55246"},{"id":151108,"name":"Respiratory Motion","url":"https://www.academia.edu/Documents/in/Respiratory_Motion?f_ri=55246"},{"id":202428,"name":"Respiration","url":"https://www.academia.edu/Documents/in/Respiration?f_ri=55246"},{"id":229390,"name":"Real Time","url":"https://www.academia.edu/Documents/in/Real_Time?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":250085,"name":"Robot Arm","url":"https://www.academia.edu/Documents/in/Robot_Arm?f_ri=55246"},{"id":504035,"name":"Three Dimensional","url":"https://www.academia.edu/Documents/in/Three_Dimensional?f_ri=55246"},{"id":1145520,"name":"Equipment Design","url":"https://www.academia.edu/Documents/in/Equipment_Design?f_ri=55246"},{"id":1242198,"name":"Degree of Freedom","url":"https://www.academia.edu/Documents/in/Degree_of_Freedom?f_ri=55246"},{"id":2036633,"name":"Medical","url":"https://www.academia.edu/Documents/in/Medical?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_13737558 coauthored" data-work_id="13737558" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/13737558/Augmented_Reality_Assisted_Bypass_Surgery_Embracing_Minimal_Invasiveness">Augmented Reality-Assisted Bypass Surgery: Embracing Minimal Invasiveness</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Objective. The overlay of virtual images on the surgical field, defined as augmented reality, has been used for image-guidance during various neurosurgical procedures. Although this technology could conceivably address certain inherent... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_13737558" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Objective. The overlay of virtual images on the surgical field, defined as augmented reality, has been used for image-guidance during various neurosurgical procedures. Although this technology could conceivably address certain inherent problems of extracranial-to-intracranial bypass procedures, this potential has not been explored to date. We evaluate the usefulness of an augmented reality-based setup, which could help in harvesting donor vessels through their precise localization in real-time, in performing tailored craniotomies, and in identifying preoperatively selected recipient vessels for the purpose of anastomosis.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/13737558" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c96d3897d4c9617bee0a86b832029c69" rel="nofollow" data-download="{"attachment_id":45005241,"asset_id":13737558,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/45005241/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32905941" href="https://gfri.academia.edu/KarlSchaller">Karl Schaller</a><script data-card-contents-for-user="32905941" type="text/json">{"id":32905941,"first_name":"Karl","last_name":"Schaller","domain_name":"gfri","page_name":"KarlSchaller","display_name":"Karl Schaller","profile_url":"https://gfri.academia.edu/KarlSchaller?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-13737558">+1</span><div class="hidden js-additional-users-13737558"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/PhilippeBijlenga">Philippe Bijlenga</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-13737558'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-13737558').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_13737558 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="13737558"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 13737558, container: ".js-paper-rank-work_13737558", }); });</script></li><li class="js-percentile-work_13737558 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 13737558; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_13737558"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_13737558 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="13737558"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 13737558; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=13737558]").text(description); $(".js-view-count-work_13737558").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_13737558").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="13737558"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">13</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="5673" rel="nofollow" href="https://www.academia.edu/Documents/in/Augmented_Reality">Augmented Reality</a>, <script data-card-contents-for-ri="5673" type="text/json">{"id":5673,"name":"Augmented Reality","url":"https://www.academia.edu/Documents/in/Augmented_Reality?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="6200" rel="nofollow" href="https://www.academia.edu/Documents/in/Magnetic_Resonance_Imaging">Magnetic Resonance Imaging</a>, <script data-card-contents-for-ri="6200" type="text/json">{"id":6200,"name":"Magnetic Resonance Imaging","url":"https://www.academia.edu/Documents/in/Magnetic_Resonance_Imaging?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="8928" rel="nofollow" href="https://www.academia.edu/Documents/in/MRI">MRI</a>, <script data-card-contents-for-ri="8928" type="text/json">{"id":8928,"name":"MRI","url":"https://www.academia.edu/Documents/in/MRI?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a><script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=13737558]'), work: {"id":13737558,"title":"Augmented Reality-Assisted Bypass Surgery: Embracing Minimal Invasiveness","created_at":"2015-07-07T00:53:25.845-07:00","url":"https://www.academia.edu/13737558/Augmented_Reality_Assisted_Bypass_Surgery_Embracing_Minimal_Invasiveness?f_ri=55246","dom_id":"work_13737558","summary":"Objective. The overlay of virtual images on the surgical field, defined as augmented reality, has been used for image-guidance during various neurosurgical procedures. Although this technology could conceivably address certain inherent problems of extracranial-to-intracranial bypass procedures, this potential has not been explored to date. We evaluate the usefulness of an augmented reality-based setup, which could help in harvesting donor vessels through their precise localization in real-time, in performing tailored craniotomies, and in identifying preoperatively selected recipient vessels for the purpose of anastomosis.","downloadable_attachments":[{"id":45005241,"asset_id":13737558,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":32905941,"first_name":"Karl","last_name":"Schaller","domain_name":"gfri","page_name":"KarlSchaller","display_name":"Karl Schaller","profile_url":"https://gfri.academia.edu/KarlSchaller?f_ri=55246","photo":"/images/s65_no_pic.png"},{"id":32859309,"first_name":"Philippe","last_name":"Bijlenga","domain_name":"independent","page_name":"PhilippeBijlenga","display_name":"Philippe Bijlenga","profile_url":"https://independent.academia.edu/PhilippeBijlenga?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":5673,"name":"Augmented Reality","url":"https://www.academia.edu/Documents/in/Augmented_Reality?f_ri=55246","nofollow":true},{"id":6200,"name":"Magnetic Resonance Imaging","url":"https://www.academia.edu/Documents/in/Magnetic_Resonance_Imaging?f_ri=55246","nofollow":true},{"id":8928,"name":"MRI","url":"https://www.academia.edu/Documents/in/MRI?f_ri=55246","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":114531,"name":"Ct","url":"https://www.academia.edu/Documents/in/Ct?f_ri=55246"},{"id":123287,"name":"Three Dimensional Imaging","url":"https://www.academia.edu/Documents/in/Three_Dimensional_Imaging?f_ri=55246"},{"id":203759,"name":"DSA","url":"https://www.academia.edu/Documents/in/DSA?f_ri=55246"},{"id":255094,"name":"Computer User Interface Design","url":"https://www.academia.edu/Documents/in/Computer_User_Interface_Design?f_ri=55246"},{"id":267802,"name":"Dimensional","url":"https://www.academia.edu/Documents/in/Dimensional?f_ri=55246"},{"id":557543,"name":"Blood Vessels","url":"https://www.academia.edu/Documents/in/Blood_Vessels?f_ri=55246"},{"id":1188947,"name":"D","url":"https://www.academia.edu/Documents/in/D-351414216?f_ri=55246"},{"id":1453325,"name":"Middle Cerebral Artery","url":"https://www.academia.edu/Documents/in/Middle_Cerebral_Artery?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_45507592" data-work_id="45507592" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/45507592/Treatment_outcome_of_immediately_loaded_implants_installed_in_edentulous_jaws_following_computer_assisted_virtual_treatment_planning_and_flapless_surgery">Treatment outcome of immediately loaded implants installed in edentulous jaws following computer-assisted virtual treatment planning and flapless surgery</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest">One of the newly introduced concepts in implant dentistry is computer-guided surgery.</div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/45507592" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="2b99224cd96774e2d6f2cc800228e33d" rel="nofollow" data-download="{"attachment_id":65999257,"asset_id":45507592,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/65999257/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="45408879" href="https://independent.academia.edu/MargaretaHultin">Margareta Hultin</a><script data-card-contents-for-user="45408879" type="text/json">{"id":45408879,"first_name":"Margareta","last_name":"Hultin","domain_name":"independent","page_name":"MargaretaHultin","display_name":"Margareta Hultin","profile_url":"https://independent.academia.edu/MargaretaHultin?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_45507592 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="45507592"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 45507592, container: ".js-paper-rank-work_45507592", }); });</script></li><li class="js-percentile-work_45507592 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 45507592; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_45507592"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_45507592 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="45507592"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 45507592; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=45507592]").text(description); $(".js-view-count-work_45507592").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_45507592").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="45507592"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">14</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="596" rel="nofollow" href="https://www.academia.edu/Documents/in/Dentistry">Dentistry</a>, <script data-card-contents-for-ri="596" type="text/json">{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1131" rel="nofollow" href="https://www.academia.edu/Documents/in/Biomedical_Engineering">Biomedical Engineering</a>, <script data-card-contents-for-ri="1131" type="text/json">{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="6160" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Aided_Design">Computer Aided Design</a>, <script data-card-contents-for-ri="6160" type="text/json">{"id":6160,"name":"Computer Aided Design","url":"https://www.academia.edu/Documents/in/Computer_Aided_Design?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a><script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=45507592]'), work: {"id":45507592,"title":"Treatment outcome of immediately loaded implants installed in edentulous jaws following computer-assisted virtual treatment planning and flapless surgery","created_at":"2021-03-13T12:25:14.947-08:00","url":"https://www.academia.edu/45507592/Treatment_outcome_of_immediately_loaded_implants_installed_in_edentulous_jaws_following_computer_assisted_virtual_treatment_planning_and_flapless_surgery?f_ri=55246","dom_id":"work_45507592","summary":"One of the newly introduced concepts in implant dentistry is computer-guided surgery.","downloadable_attachments":[{"id":65999257,"asset_id":45507592,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":45408879,"first_name":"Margareta","last_name":"Hultin","domain_name":"independent","page_name":"MargaretaHultin","display_name":"Margareta Hultin","profile_url":"https://independent.academia.edu/MargaretaHultin?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true},{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true},{"id":6160,"name":"Computer Aided Design","url":"https://www.academia.edu/Documents/in/Computer_Aided_Design?f_ri=55246","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true},{"id":26170,"name":"Dental Implants","url":"https://www.academia.edu/Documents/in/Dental_Implants?f_ri=55246"},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":255094,"name":"Computer User Interface Design","url":"https://www.academia.edu/Documents/in/Computer_User_Interface_Design?f_ri=55246"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":413195,"name":"Time Factors","url":"https://www.academia.edu/Documents/in/Time_Factors?f_ri=55246"},{"id":468992,"name":"Dental Prosthesis Design","url":"https://www.academia.edu/Documents/in/Dental_Prosthesis_Design?f_ri=55246"},{"id":632959,"name":"Dental Stress Analysis","url":"https://www.academia.edu/Documents/in/Dental_Stress_Analysis?f_ri=55246"},{"id":737256,"name":"Treatment planning","url":"https://www.academia.edu/Documents/in/Treatment_planning?f_ri=55246"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography?f_ri=55246"},{"id":1491248,"name":"Life tables","url":"https://www.academia.edu/Documents/in/Life_tables?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_15916138" data-work_id="15916138" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/15916138/Robotic_partial_nephrectomy_surgical_technique">Robotic partial nephrectomy: surgical technique</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">What ' s known on the subject? and What does the study add? Robotic partial nephrectomy has equivalent oncological outcomes, and possibly better functional outcomes in the short-to-intermediate term, when compared to laparoscopic partial... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_15916138" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">What ' s known on the subject? and What does the study add? Robotic partial nephrectomy has equivalent oncological outcomes, and possibly better functional outcomes in the short-to-intermediate term, when compared to laparoscopic partial nephrectomy. Robotic partial nephrectomy has a less prohibitive learning curve, better ergonomics, and improved vision when compared to laparoscopic partial nephrectomy. We describe our standard transperitoneal technique for robotic partial nephrectomy and also highlight the essential steps in an accompanying video. Novel approaches are discussed, including robotic bulldog clamps for hilar clamping, robotic ultrasound probe for tumour identifi cation, fl exible Doppler probe for vessel identifi cation, and barbed suture renorrhaphy. Tips and tricks to avoid common pitfalls and manage complications are discussed.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/15916138" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="04b87936fbfe4ecafb9ea5d0b28db5fc" rel="nofollow" data-download="{"attachment_id":42825638,"asset_id":15916138,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/42825638/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="35072762" href="https://independent.academia.edu/ShyamSukumar">Shyam Sukumar</a><script data-card-contents-for-user="35072762" type="text/json">{"id":35072762,"first_name":"Shyam","last_name":"Sukumar","domain_name":"independent","page_name":"ShyamSukumar","display_name":"Shyam Sukumar","profile_url":"https://independent.academia.edu/ShyamSukumar?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_15916138 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="15916138"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 15916138, container: ".js-paper-rank-work_15916138", }); });</script></li><li class="js-percentile-work_15916138 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 15916138; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_15916138"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_15916138 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="15916138"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 15916138; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=15916138]").text(description); $(".js-view-count-work_15916138").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_15916138").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="15916138"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">5</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a>, <script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=15916138]'), work: {"id":15916138,"title":"Robotic partial nephrectomy: surgical technique","created_at":"2015-09-19T16:54:39.187-07:00","url":"https://www.academia.edu/15916138/Robotic_partial_nephrectomy_surgical_technique?f_ri=55246","dom_id":"work_15916138","summary":"What ' s known on the subject? and What does the study add? Robotic partial nephrectomy has equivalent oncological outcomes, and possibly better functional outcomes in the short-to-intermediate term, when compared to laparoscopic partial nephrectomy. Robotic partial nephrectomy has a less prohibitive learning curve, better ergonomics, and improved vision when compared to laparoscopic partial nephrectomy. We describe our standard transperitoneal technique for robotic partial nephrectomy and also highlight the essential steps in an accompanying video. Novel approaches are discussed, including robotic bulldog clamps for hilar clamping, robotic ultrasound probe for tumour identifi cation, fl exible Doppler probe for vessel identifi cation, and barbed suture renorrhaphy. Tips and tricks to avoid common pitfalls and manage complications are discussed.","downloadable_attachments":[{"id":42825638,"asset_id":15916138,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":35072762,"first_name":"Shyam","last_name":"Sukumar","domain_name":"independent","page_name":"ShyamSukumar","display_name":"Shyam Sukumar","profile_url":"https://independent.academia.edu/ShyamSukumar?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true},{"id":1190789,"name":"Nephrectomy","url":"https://www.academia.edu/Documents/in/Nephrectomy?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_67948266" data-work_id="67948266" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/67948266/Level_of_Activity_Limitation_Due_to_Joints_Pain_among_Hemophilia_Patients">Level of Activity Limitation Due to Joints Pain among Hemophilia Patients</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background: Hemophilia is an inherited type of disease in which clotting factor VIII cannot produce properly in the body. These diseases can lead to prolonged bleeding after injury or surgery and sometimes bleeding in the joint.... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_67948266" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: Hemophilia is an inherited type of disease in which clotting factor VIII cannot produce properly in the body. These diseases can lead to prolonged bleeding after injury or surgery and sometimes bleeding in the joint. Objective: The objective of this study was to determine the level of activity limitation due to joint pain among hemophilia patients. Material and Method: 152 hemophilia patients was selected for data collection. Data for this research was gathered from hemophilia center in Lahore between 5-19 years of age. Data was collected using Standardized Questioner of Activilim by Convenient sampling technique. Data was analyzed using IBM SPSS Statistics 25. Results: Responses were collected from 152 patients with an age 5-19 years. Pain was observed and affected daily activities and quality of life. Respondents reported functional impairment that limited the kind of work and activities they participated in, with activities involving the lower extremities being most affected. Running and squaring were impossible to perform among few children. Facing difficulty in toilet, taking bath, during shower and other physical activities. Conclusion: Pain was observed and affected daily activities and quality of life. Respondents reported functional impairment that limited the kind of work and activities they participated in, with activities involving the lower extremities being most affected.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/67948266" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="01e284debbc82e1e6a58971bf38cca1d" rel="nofollow" data-download="{"attachment_id":78604129,"asset_id":67948266,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/78604129/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="139425631" href="https://independent.academia.edu/BJSTRAngelaRoy">BJSTR Angela Roy</a><script data-card-contents-for-user="139425631" type="text/json">{"id":139425631,"first_name":"BJSTR","last_name":"Angela Roy","domain_name":"independent","page_name":"BJSTRAngelaRoy","display_name":"BJSTR Angela Roy","profile_url":"https://independent.academia.edu/BJSTRAngelaRoy?f_ri=55246","photo":"https://0.academia-photos.com/139425631/37450907/31685463/s65_bjstr.angela_roy.png"}</script></span></span></li><li class="js-paper-rank-work_67948266 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="67948266"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 67948266, container: ".js-paper-rank-work_67948266", }); });</script></li><li class="js-percentile-work_67948266 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 67948266; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_67948266"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_67948266 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="67948266"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 67948266; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=67948266]").text(description); $(".js-view-count-work_67948266").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_67948266").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="67948266"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">4</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="877963" rel="nofollow" href="https://www.academia.edu/Documents/in/Trauma_and_Orthopaedic_Surgery">Trauma and Orthopaedic Surgery</a>, <script data-card-contents-for-ri="877963" type="text/json">{"id":877963,"name":"Trauma and Orthopaedic Surgery","url":"https://www.academia.edu/Documents/in/Trauma_and_Orthopaedic_Surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1474028" rel="nofollow" href="https://www.academia.edu/Documents/in/History_of_Orthopaedic_Surgery">History of Orthopaedic Surgery</a>, <script data-card-contents-for-ri="1474028" type="text/json">{"id":1474028,"name":"History of Orthopaedic Surgery","url":"https://www.academia.edu/Documents/in/History_of_Orthopaedic_Surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2001443" rel="nofollow" href="https://www.academia.edu/Documents/in/Indian_Journal_of_Orthopaedics_Surgery">Indian Journal of Orthopaedics Surgery</a><script data-card-contents-for-ri="2001443" type="text/json">{"id":2001443,"name":"Indian Journal of Orthopaedics Surgery","url":"https://www.academia.edu/Documents/in/Indian_Journal_of_Orthopaedics_Surgery?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=67948266]'), work: {"id":67948266,"title":"Level of Activity Limitation Due to Joints Pain among Hemophilia Patients","created_at":"2022-01-13T04:44:53.865-08:00","url":"https://www.academia.edu/67948266/Level_of_Activity_Limitation_Due_to_Joints_Pain_among_Hemophilia_Patients?f_ri=55246","dom_id":"work_67948266","summary":"Background: Hemophilia is an inherited type of disease in which clotting factor VIII cannot produce properly in the body. These diseases can lead to prolonged bleeding after injury or surgery and sometimes bleeding in the joint. Objective: The objective of this study was to determine the level of activity limitation due to joint pain among hemophilia patients. Material and Method: 152 hemophilia patients was selected for data collection. Data for this research was gathered from hemophilia center in Lahore between 5-19 years of age. Data was collected using Standardized Questioner of Activilim by Convenient sampling technique. Data was analyzed using IBM SPSS Statistics 25. Results: Responses were collected from 152 patients with an age 5-19 years. Pain was observed and affected daily activities and quality of life. Respondents reported functional impairment that limited the kind of work and activities they participated in, with activities involving the lower extremities being most affected. Running and squaring were impossible to perform among few children. Facing difficulty in toilet, taking bath, during shower and other physical activities. Conclusion: Pain was observed and affected daily activities and quality of life. Respondents reported functional impairment that limited the kind of work and activities they participated in, with activities involving the lower extremities being most affected.","downloadable_attachments":[{"id":78604129,"asset_id":67948266,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":139425631,"first_name":"BJSTR","last_name":"Angela Roy","domain_name":"independent","page_name":"BJSTRAngelaRoy","display_name":"BJSTR Angela Roy","profile_url":"https://independent.academia.edu/BJSTRAngelaRoy?f_ri=55246","photo":"https://0.academia-photos.com/139425631/37450907/31685463/s65_bjstr.angela_roy.png"}],"research_interests":[{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":877963,"name":"Trauma and Orthopaedic Surgery","url":"https://www.academia.edu/Documents/in/Trauma_and_Orthopaedic_Surgery?f_ri=55246","nofollow":true},{"id":1474028,"name":"History of Orthopaedic Surgery","url":"https://www.academia.edu/Documents/in/History_of_Orthopaedic_Surgery?f_ri=55246","nofollow":true},{"id":2001443,"name":"Indian Journal of Orthopaedics Surgery","url":"https://www.academia.edu/Documents/in/Indian_Journal_of_Orthopaedics_Surgery?f_ri=55246","nofollow":true}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_42750807" data-work_id="42750807" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/42750807/Mechatronic_assistant_system_for_dental_drill_handling">Mechatronic assistant system for dental drill handling</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background Holding a dental tool for many hours of work is reflected in fatigue and manual tremor, which causes bad handling of rotatory instruments and consequently injuries within the buccal cavity. At present there exists no system to... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_42750807" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background Holding a dental tool for many hours of work is reflected in fatigue and manual tremor, which causes bad handling of rotatory instruments and consequently injuries within the buccal cavity. At present there exists no system to help the medical dentist in the support and handling of the dental drill. We propose the use of a mechatronic system to help the odontologist in handling the dental drill.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/42750807" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="01dd0ebe262999862b7f85d65f1abab9" rel="nofollow" data-download="{"attachment_id":62970735,"asset_id":42750807,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/62970735/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="154226947" href="https://independent.academia.edu/ArturoMinorMinor">Arturo Minor Minor</a><script data-card-contents-for-user="154226947" type="text/json">{"id":154226947,"first_name":"Arturo","last_name":"Minor Minor","domain_name":"independent","page_name":"ArturoMinorMinor","display_name":"Arturo Minor Minor","profile_url":"https://independent.academia.edu/ArturoMinorMinor?f_ri=55246","photo":"https://0.academia-photos.com/154226947/120319337/109644000/s65_arturo.minor_minor.jpeg"}</script></span></span></li><li class="js-paper-rank-work_42750807 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="42750807"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 42750807, container: ".js-paper-rank-work_42750807", }); });</script></li><li class="js-percentile-work_42750807 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 42750807; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_42750807"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_42750807 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="42750807"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 42750807; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=42750807]").text(description); $(".js-view-count-work_42750807").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_42750807").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="42750807"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">9</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="137633" rel="nofollow" href="https://www.academia.edu/Documents/in/Feedback">Feedback</a>, <script data-card-contents-for-ri="137633" type="text/json">{"id":137633,"name":"Feedback","url":"https://www.academia.edu/Documents/in/Feedback?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=42750807]'), work: {"id":42750807,"title":"Mechatronic assistant system for dental drill handling","created_at":"2020-04-15T14:52:59.160-07:00","url":"https://www.academia.edu/42750807/Mechatronic_assistant_system_for_dental_drill_handling?f_ri=55246","dom_id":"work_42750807","summary":"Background Holding a dental tool for many hours of work is reflected in fatigue and manual tremor, which causes bad handling of rotatory instruments and consequently injuries within the buccal cavity. At present there exists no system to help the medical dentist in the support and handling of the dental drill. We propose the use of a mechatronic system to help the odontologist in handling the dental drill.","downloadable_attachments":[{"id":62970735,"asset_id":42750807,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":154226947,"first_name":"Arturo","last_name":"Minor Minor","domain_name":"independent","page_name":"ArturoMinorMinor","display_name":"Arturo Minor Minor","profile_url":"https://independent.academia.edu/ArturoMinorMinor?f_ri=55246","photo":"https://0.academia-photos.com/154226947/120319337/109644000/s65_arturo.minor_minor.jpeg"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":137633,"name":"Feedback","url":"https://www.academia.edu/Documents/in/Feedback?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true},{"id":255094,"name":"Computer User Interface Design","url":"https://www.academia.edu/Documents/in/Computer_User_Interface_Design?f_ri=55246"},{"id":1145520,"name":"Equipment Design","url":"https://www.academia.edu/Documents/in/Equipment_Design?f_ri=55246"},{"id":1157424,"name":"Equipment Failure Analysis","url":"https://www.academia.edu/Documents/in/Equipment_Failure_Analysis?f_ri=55246"},{"id":2036633,"name":"Medical","url":"https://www.academia.edu/Documents/in/Medical?f_ri=55246"},{"id":2245877,"name":"Man–machine Systems","url":"https://www.academia.edu/Documents/in/Man_machine_Systems?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_11697688" data-work_id="11697688" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/11697688/Accuracy_of_Dynamic_Tactile_Guided_Unicompartmental_Knee_Arthroplasty">Accuracy of Dynamic Tactile-Guided Unicompartmental Knee Arthroplasty</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Unicompartmental knee arthroplasty (UKA) can achieve excellent clinical and functional results for patients having single-compartment osteoarthritis. However, UKA is considered to be technically challenging to perform, and malalignment of... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_11697688" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Unicompartmental knee arthroplasty (UKA) can achieve excellent clinical and functional results for patients having single-compartment osteoarthritis. However, UKA is considered to be technically challenging to perform, and malalignment of implant components significantly contributes to UKA failures. It has been shown that surgical navigation and tactile robotics could be used to provide very accurate component placement when the bones were rigidly fixed in a stereotactic frame during preparation. The purpose of this investigation was to determine the clinically realized accuracy of UKA component placement using surgical navigation and tactile robotics when the bones are free to move. A group of 20 knees receiving medial UKA with dynamically referenced tactile-robotic assistance was studied. Implant placement errors were comparable with those achieved using tactile robotics with rigid stereotactic fixation.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/11697688" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="9df7a252189517ca24ea014ae0595c5e" rel="nofollow" data-download="{"attachment_id":46570249,"asset_id":11697688,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46570249/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="28646194" href="https://florida.academia.edu/ScottBanks">Scott Banks</a><script data-card-contents-for-user="28646194" type="text/json">{"id":28646194,"first_name":"Scott","last_name":"Banks","domain_name":"florida","page_name":"ScottBanks","display_name":"Scott Banks","profile_url":"https://florida.academia.edu/ScottBanks?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_11697688 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="11697688"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 11697688, container: ".js-paper-rank-work_11697688", }); });</script></li><li class="js-percentile-work_11697688 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 11697688; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_11697688"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_11697688 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="11697688"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 11697688; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=11697688]").text(description); $(".js-view-count-work_11697688").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_11697688").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="11697688"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1131" rel="nofollow" href="https://www.academia.edu/Documents/in/Biomedical_Engineering">Biomedical Engineering</a>, <script data-card-contents-for-ri="1131" type="text/json">{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=11697688]'), work: {"id":11697688,"title":"Accuracy of Dynamic Tactile-Guided Unicompartmental Knee Arthroplasty","created_at":"2015-03-28T08:21:47.249-07:00","url":"https://www.academia.edu/11697688/Accuracy_of_Dynamic_Tactile_Guided_Unicompartmental_Knee_Arthroplasty?f_ri=55246","dom_id":"work_11697688","summary":"Unicompartmental knee arthroplasty (UKA) can achieve excellent clinical and functional results for patients having single-compartment osteoarthritis. However, UKA is considered to be technically challenging to perform, and malalignment of implant components significantly contributes to UKA failures. It has been shown that surgical navigation and tactile robotics could be used to provide very accurate component placement when the bones were rigidly fixed in a stereotactic frame during preparation. The purpose of this investigation was to determine the clinically realized accuracy of UKA component placement using surgical navigation and tactile robotics when the bones are free to move. A group of 20 knees receiving medial UKA with dynamically referenced tactile-robotic assistance was studied. Implant placement errors were comparable with those achieved using tactile robotics with rigid stereotactic fixation.","downloadable_attachments":[{"id":46570249,"asset_id":11697688,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":28646194,"first_name":"Scott","last_name":"Banks","domain_name":"florida","page_name":"ScottBanks","display_name":"Scott Banks","profile_url":"https://florida.academia.edu/ScottBanks?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":1131,"name":"Biomedical Engineering","url":"https://www.academia.edu/Documents/in/Biomedical_Engineering?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=55246"},{"id":457463,"name":"Knee Osteoarthritis","url":"https://www.academia.edu/Documents/in/Knee_Osteoarthritis?f_ri=55246"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies?f_ri=55246"},{"id":1145265,"name":"Knee Joint","url":"https://www.academia.edu/Documents/in/Knee_Joint?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_24617075" data-work_id="24617075" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/24617075/CAD_CAM_construction_of_an_auricular_template_for_craniofacial_implant_positioning_A_novel_approach_to_diagnosis">CAD–CAM construction of an auricular template for craniofacial implant positioning: A novel approach to diagnosis</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">A novel approach to the diagnosis of bone available for craniofacial implant positioning is discussed in a case that required ear ablation for tumor removal. A mirrored volume of the healthy ear was rapidly prototyped for a clinical trial... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_24617075" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">A novel approach to the diagnosis of bone available for craniofacial implant positioning is discussed in a case that required ear ablation for tumor removal. A mirrored volume of the healthy ear was rapidly prototyped for a clinical trial in an appropriate position relative to the patient's face. Three ideal positions for the implant were chosen in the inner of the volume of the mirrored ear. The same positions were transferred to a diagnostic template that was rapidly prototyped with a positioning arm extending to the zygomatic arch. Computed tomography (CT) revealed errors in the planning of the implant position and, as a clinical consequence, an implant site was excluded from surgical planning. A virtual elaboration for maxillofacial implant positioning was used to define the correct implant site in relation to the available bone, and two craniofacial implants were correctly positioned in the temporal bone.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/24617075" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="05444e2f9cd4b0cc61b4fc52d160f96c" rel="nofollow" data-download="{"attachment_id":44946882,"asset_id":24617075,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44946882/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="47384232" href="https://independent.academia.edu/LCiocca">Leonardo Ciocca</a><script data-card-contents-for-user="47384232" type="text/json">{"id":47384232,"first_name":"Leonardo","last_name":"Ciocca","domain_name":"independent","page_name":"LCiocca","display_name":"Leonardo Ciocca","profile_url":"https://independent.academia.edu/LCiocca?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_24617075 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="24617075"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 24617075, container: ".js-paper-rank-work_24617075", }); });</script></li><li class="js-percentile-work_24617075 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 24617075; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_24617075"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_24617075 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="24617075"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 24617075; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=24617075]").text(description); $(".js-view-count-work_24617075").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_24617075").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="24617075"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">12</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="640" rel="nofollow" href="https://www.academia.edu/Documents/in/Radiology">Radiology</a>, <script data-card-contents-for-ri="640" type="text/json">{"id":640,"name":"Radiology","url":"https://www.academia.edu/Documents/in/Radiology?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="6160" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Aided_Design">Computer Aided Design</a>, <script data-card-contents-for-ri="6160" type="text/json">{"id":6160,"name":"Computer Aided Design","url":"https://www.academia.edu/Documents/in/Computer_Aided_Design?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="10035" rel="nofollow" href="https://www.academia.edu/Documents/in/Nuclear_medicine">Nuclear medicine</a>, <script data-card-contents-for-ri="10035" type="text/json">{"id":10035,"name":"Nuclear medicine","url":"https://www.academia.edu/Documents/in/Nuclear_medicine?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="17515" rel="nofollow" href="https://www.academia.edu/Documents/in/Digital_imaging">Digital imaging</a><script data-card-contents-for-ri="17515" type="text/json">{"id":17515,"name":"Digital imaging","url":"https://www.academia.edu/Documents/in/Digital_imaging?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=24617075]'), work: {"id":24617075,"title":"CAD–CAM construction of an auricular template for craniofacial implant positioning: A novel approach to diagnosis","created_at":"2016-04-21T02:41:37.162-07:00","url":"https://www.academia.edu/24617075/CAD_CAM_construction_of_an_auricular_template_for_craniofacial_implant_positioning_A_novel_approach_to_diagnosis?f_ri=55246","dom_id":"work_24617075","summary":"A novel approach to the diagnosis of bone available for craniofacial implant positioning is discussed in a case that required ear ablation for tumor removal. A mirrored volume of the healthy ear was rapidly prototyped for a clinical trial in an appropriate position relative to the patient's face. Three ideal positions for the implant were chosen in the inner of the volume of the mirrored ear. The same positions were transferred to a diagnostic template that was rapidly prototyped with a positioning arm extending to the zygomatic arch. Computed tomography (CT) revealed errors in the planning of the implant position and, as a clinical consequence, an implant site was excluded from surgical planning. A virtual elaboration for maxillofacial implant positioning was used to define the correct implant site in relation to the available bone, and two craniofacial implants were correctly positioned in the temporal bone.","downloadable_attachments":[{"id":44946882,"asset_id":24617075,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":47384232,"first_name":"Leonardo","last_name":"Ciocca","domain_name":"independent","page_name":"LCiocca","display_name":"Leonardo Ciocca","profile_url":"https://independent.academia.edu/LCiocca?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":640,"name":"Radiology","url":"https://www.academia.edu/Documents/in/Radiology?f_ri=55246","nofollow":true},{"id":6160,"name":"Computer Aided Design","url":"https://www.academia.edu/Documents/in/Computer_Aided_Design?f_ri=55246","nofollow":true},{"id":10035,"name":"Nuclear medicine","url":"https://www.academia.edu/Documents/in/Nuclear_medicine?f_ri=55246","nofollow":true},{"id":17515,"name":"Digital imaging","url":"https://www.academia.edu/Documents/in/Digital_imaging?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":715808,"name":"prosthesis Design","url":"https://www.academia.edu/Documents/in/prosthesis_Design?f_ri=55246"},{"id":753054,"name":"Cad Cam","url":"https://www.academia.edu/Documents/in/Cad_Cam-1?f_ri=55246"},{"id":907382,"name":"Digital Image","url":"https://www.academia.edu/Documents/in/Digital_Image?f_ri=55246"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography?f_ri=55246"},{"id":1157235,"name":"Prosthesis Fitting","url":"https://www.academia.edu/Documents/in/Prosthesis_Fitting?f_ri=55246"},{"id":1157424,"name":"Equipment Failure Analysis","url":"https://www.academia.edu/Documents/in/Equipment_Failure_Analysis?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_14314233 coauthored" data-work_id="14314233" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/14314233/Surgical_model_view_controller_simulation_software_framework_for_local_and_collaborative_applications">Surgical model-view-controller simulation software framework for local and collaborative applications</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Purpose -Surgical simulations require haptic interactions and collaboration in a shared virtual environment. A software framework for decoupled surgical simulation based on a multi-controller and multi--viewer Model--View--Controller... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_14314233" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Purpose -Surgical simulations require haptic interactions and collaboration in a shared virtual environment. A software framework for decoupled surgical simulation based on a multi-controller and multi--viewer Model--View--Controller (MVC) pattern was developed and tested.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/14314233" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="739df7701b3ac7623fde67659a40ed06" rel="nofollow" data-download="{"attachment_id":44330229,"asset_id":14314233,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44330229/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="33266792" href="https://rpi.academia.edu/SuvranuDe">Suvranu De</a><script data-card-contents-for-user="33266792" type="text/json">{"id":33266792,"first_name":"Suvranu","last_name":"De","domain_name":"rpi","page_name":"SuvranuDe","display_name":"Suvranu De","profile_url":"https://rpi.academia.edu/SuvranuDe?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-14314233">+1</span><div class="hidden js-additional-users-14314233"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://ufrgs.academia.edu/AndersonMaciel">Anderson Maciel</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-14314233'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-14314233').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_14314233 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="14314233"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 14314233, container: ".js-paper-rank-work_14314233", }); });</script></li><li class="js-percentile-work_14314233 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 14314233; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_14314233"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_14314233 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="14314233"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 14314233; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=14314233]").text(description); $(".js-view-count-work_14314233").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_14314233").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="14314233"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">20</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="3385" rel="nofollow" href="https://www.academia.edu/Documents/in/Design_Support">Design Support</a>, <script data-card-contents-for-ri="3385" type="text/json">{"id":3385,"name":"Design Support","url":"https://www.academia.edu/Documents/in/Design_Support?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11119" rel="nofollow" href="https://www.academia.edu/Documents/in/User_Interface">User Interface</a>, <script data-card-contents-for-ri="11119" type="text/json">{"id":11119,"name":"User Interface","url":"https://www.academia.edu/Documents/in/User_Interface?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="50642" rel="nofollow" href="https://www.academia.edu/Documents/in/Virtual_Reality">Virtual Reality</a>, <script data-card-contents-for-ri="50642" type="text/json">{"id":50642,"name":"Virtual Reality","url":"https://www.academia.edu/Documents/in/Virtual_Reality?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="53293" rel="nofollow" href="https://www.academia.edu/Documents/in/Software">Software</a><script data-card-contents-for-ri="53293" type="text/json">{"id":53293,"name":"Software","url":"https://www.academia.edu/Documents/in/Software?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=14314233]'), work: {"id":14314233,"title":"Surgical model-view-controller simulation software framework for local and collaborative applications","created_at":"2015-07-22T16:58:48.346-07:00","url":"https://www.academia.edu/14314233/Surgical_model_view_controller_simulation_software_framework_for_local_and_collaborative_applications?f_ri=55246","dom_id":"work_14314233","summary":"Purpose -Surgical simulations require haptic interactions and collaboration in a shared virtual environment. A software framework for decoupled surgical simulation based on a multi-controller and multi--viewer Model--View--Controller (MVC) pattern was developed and tested.","downloadable_attachments":[{"id":44330229,"asset_id":14314233,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":33266792,"first_name":"Suvranu","last_name":"De","domain_name":"rpi","page_name":"SuvranuDe","display_name":"Suvranu De","profile_url":"https://rpi.academia.edu/SuvranuDe?f_ri=55246","photo":"/images/s65_no_pic.png"},{"id":6212980,"first_name":"Anderson","last_name":"Maciel","domain_name":"ufrgs","page_name":"AndersonMaciel","display_name":"Anderson Maciel","profile_url":"https://ufrgs.academia.edu/AndersonMaciel?f_ri=55246","photo":"https://0.academia-photos.com/6212980/18067320/18066330/s65_anderson.maciel.jpg"}],"research_interests":[{"id":3385,"name":"Design Support","url":"https://www.academia.edu/Documents/in/Design_Support?f_ri=55246","nofollow":true},{"id":11119,"name":"User Interface","url":"https://www.academia.edu/Documents/in/User_Interface?f_ri=55246","nofollow":true},{"id":50642,"name":"Virtual Reality","url":"https://www.academia.edu/Documents/in/Virtual_Reality?f_ri=55246","nofollow":true},{"id":53293,"name":"Software","url":"https://www.academia.edu/Documents/in/Software?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":68786,"name":"Virtual Environment","url":"https://www.academia.edu/Documents/in/Virtual_Environment?f_ri=55246"},{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246"},{"id":143336,"name":"Haptic Interaction","url":"https://www.academia.edu/Documents/in/Haptic_Interaction?f_ri=55246"},{"id":200952,"name":"Surgical Simulation","url":"https://www.academia.edu/Documents/in/Surgical_Simulation?f_ri=55246"},{"id":243832,"name":"Software Framework","url":"https://www.academia.edu/Documents/in/Software_Framework?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":255094,"name":"Computer User Interface Design","url":"https://www.academia.edu/Documents/in/Computer_User_Interface_Design?f_ri=55246"},{"id":297691,"name":"High performance","url":"https://www.academia.edu/Documents/in/High_performance?f_ri=55246"},{"id":345361,"name":"Geographic distribution","url":"https://www.academia.edu/Documents/in/Geographic_distribution?f_ri=55246"},{"id":610834,"name":"Haptic Feedback","url":"https://www.academia.edu/Documents/in/Haptic_Feedback?f_ri=55246"},{"id":1127947,"name":"Network Simulator","url":"https://www.academia.edu/Documents/in/Network_Simulator?f_ri=55246"},{"id":1178013,"name":"Physically Based Simulation","url":"https://www.academia.edu/Documents/in/Physically_Based_Simulation?f_ri=55246"},{"id":1272985,"name":"Simulation Software","url":"https://www.academia.edu/Documents/in/Simulation_Software?f_ri=55246"},{"id":1802420,"name":"Minimal Invasive Surgery","url":"https://www.academia.edu/Documents/in/Minimal_Invasive_Surgery?f_ri=55246"},{"id":2185540,"name":"MODEL VIEW CONTROLLER","url":"https://www.academia.edu/Documents/in/MODEL_VIEW_CONTROLLER?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_20572752" data-work_id="20572752" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/20572752/The_application_accuracy_of_the_NeuroMate_robot_A_quantitative_comparison_with_frameless_and_frame_based_surgical_localization_systems">The application accuracy of the NeuroMate robot?A quantitative comparison with frameless and frame-based surgical localization systems</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The NeuroMate™ robot system (Integrated Surgical Systems, Davis, CA) is a commercially available, image-guided, robotic-assisted system used for stereotactic procedures in neurosurgery. In this article, we present a quantitative... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_20572752" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The NeuroMate™ robot system (Integrated Surgical Systems, Davis, CA) is a commercially available, image-guided, robotic-assisted system used for stereotactic procedures in neurosurgery. In this article, we present a quantitative comparison of the application accuracy of the NeuroMate with that of standard frame-based and frameless stereotactic techniques. The article discusses a five-way application accuracy comparison study. The variables of our comparison and their mean errors are as follows: (1) with the robot in a frame-based configuration, the RMS was 0.86 ؎ 0.32 mm; (2) with the robot in the frameless configuration, the RMS was 1.95 ؎ 0.44 mm; (3) in a standard stereotactic (ZD) frame-based approach, the RMS was 1.17 ؎ 0.25 mm; (4) with an infrared tracking system using the frame for fiducial registration, the RMS was 1.47 ؎ 0.45 mm; (5) with an infrared tracking system using screw markers for registration, the RMS was 0.68 ؎ 0.26 mm. The study was performed with 2-mm sections of CT scans. These results show that the application accuracy of the frame-based NeuroMate robot is comparable to that of standard localizing systems, whether they are frame-based or infrared tracked. Comp Aid Surg 7:90 -98 (2002).</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/20572752" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="3a3a2e73dcffe3d462939aa4b7810104" rel="nofollow" data-download="{"attachment_id":41444364,"asset_id":20572752,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/41444364/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="41926253" href="https://independent.academia.edu/ZamoranoLucia">Lucia Zamorano</a><script data-card-contents-for-user="41926253" type="text/json">{"id":41926253,"first_name":"Lucia","last_name":"Zamorano","domain_name":"independent","page_name":"ZamoranoLucia","display_name":"Lucia Zamorano","profile_url":"https://independent.academia.edu/ZamoranoLucia?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_20572752 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="20572752"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 20572752, container: ".js-paper-rank-work_20572752", }); });</script></li><li class="js-percentile-work_20572752 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 20572752; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_20572752"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_20572752 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="20572752"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 20572752; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=20572752]").text(description); $(".js-view-count-work_20572752").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_20572752").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="20572752"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="77" rel="nofollow" href="https://www.academia.edu/Documents/in/Robotics">Robotics</a>, <script data-card-contents-for-ri="77" type="text/json">{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="6160" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Aided_Design">Computer Aided Design</a>, <script data-card-contents-for-ri="6160" type="text/json">{"id":6160,"name":"Computer Aided Design","url":"https://www.academia.edu/Documents/in/Computer_Aided_Design?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="549280" rel="nofollow" href="https://www.academia.edu/Documents/in/Reproducibility_of_Results">Reproducibility of Results</a><script data-card-contents-for-ri="549280" type="text/json">{"id":549280,"name":"Reproducibility of Results","url":"https://www.academia.edu/Documents/in/Reproducibility_of_Results?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=20572752]'), work: {"id":20572752,"title":"The application accuracy of the NeuroMate robot?A quantitative comparison with frameless and frame-based surgical localization systems","created_at":"2016-01-22T12:25:56.898-08:00","url":"https://www.academia.edu/20572752/The_application_accuracy_of_the_NeuroMate_robot_A_quantitative_comparison_with_frameless_and_frame_based_surgical_localization_systems?f_ri=55246","dom_id":"work_20572752","summary":"The NeuroMate™ robot system (Integrated Surgical Systems, Davis, CA) is a commercially available, image-guided, robotic-assisted system used for stereotactic procedures in neurosurgery. In this article, we present a quantitative comparison of the application accuracy of the NeuroMate with that of standard frame-based and frameless stereotactic techniques. The article discusses a five-way application accuracy comparison study. The variables of our comparison and their mean errors are as follows: (1) with the robot in a frame-based configuration, the RMS was 0.86 ؎ 0.32 mm; (2) with the robot in the frameless configuration, the RMS was 1.95 ؎ 0.44 mm; (3) in a standard stereotactic (ZD) frame-based approach, the RMS was 1.17 ؎ 0.25 mm; (4) with an infrared tracking system using the frame for fiducial registration, the RMS was 1.47 ؎ 0.45 mm; (5) with an infrared tracking system using screw markers for registration, the RMS was 0.68 ؎ 0.26 mm. The study was performed with 2-mm sections of CT scans. These results show that the application accuracy of the frame-based NeuroMate robot is comparable to that of standard localizing systems, whether they are frame-based or infrared tracked. Comp Aid Surg 7:90 -98 (2002).","downloadable_attachments":[{"id":41444364,"asset_id":20572752,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":41926253,"first_name":"Lucia","last_name":"Zamorano","domain_name":"independent","page_name":"ZamoranoLucia","display_name":"Lucia Zamorano","profile_url":"https://independent.academia.edu/ZamoranoLucia?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":77,"name":"Robotics","url":"https://www.academia.edu/Documents/in/Robotics?f_ri=55246","nofollow":true},{"id":6160,"name":"Computer Aided Design","url":"https://www.academia.edu/Documents/in/Computer_Aided_Design?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":549280,"name":"Reproducibility of Results","url":"https://www.academia.edu/Documents/in/Reproducibility_of_Results?f_ri=55246","nofollow":true},{"id":553083,"name":"Computer Aided Surgery","url":"https://www.academia.edu/Documents/in/Computer_Aided_Surgery?f_ri=55246"},{"id":1145520,"name":"Equipment Design","url":"https://www.academia.edu/Documents/in/Equipment_Design?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_26674658" data-work_id="26674658" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/26674658/Three_Dimensional_Treatment_Planning_of_Orthognathic_Surgery_in_the_Era_of_Virtual_Imaging">Three-Dimensional Treatment Planning of Orthognathic Surgery in the Era of Virtual Imaging</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Purpose: The aim of this report was to present an integrated 3-dimensional (3D) virtual approach toward cone-beam computed tomography-based treatment planning of orthognathic surgery in the clinical routine. Materials and Methods: We have... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_26674658" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Purpose: The aim of this report was to present an integrated 3-dimensional (3D) virtual approach toward cone-beam computed tomography-based treatment planning of orthognathic surgery in the clinical routine. Materials and Methods: We have described the different stages of the workflow process for routine 3D virtual treatment planning of orthognathic surgery: 1) image acquisition for 3D virtual orthognathic surgery; 2) processing of acquired image data toward a 3D virtual augmented model of the patient's head; 3) 3D virtual diagnosis of the patient; 4) 3D virtual treatment planning of orthognathic surgery; 5) 3D virtual treatment planning communication; 6) 3D splint manufacturing; 7) 3D virtual treatment planning transfer to the operating room; and 8) 3D virtual treatment outcome evaluation. Conclusions: The potential benefits and actual limits of an integrated 3D virtual approach for the treatment of the patient with a maxillofacial deformity are discussed comprehensively from our experience using 3D virtual treatment planning clinically.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/26674658" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="5eb230f90f03df73dea135d377177f51" rel="nofollow" data-download="{"attachment_id":46955894,"asset_id":26674658,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46955894/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="50668123" href="https://independent.academia.edu/FilipSchutyser">Filip Schutyser</a><script data-card-contents-for-user="50668123" type="text/json">{"id":50668123,"first_name":"Filip","last_name":"Schutyser","domain_name":"independent","page_name":"FilipSchutyser","display_name":"Filip Schutyser","profile_url":"https://independent.academia.edu/FilipSchutyser?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_26674658 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="26674658"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 26674658, container: ".js-paper-rank-work_26674658", }); });</script></li><li class="js-percentile-work_26674658 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 26674658; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_26674658"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_26674658 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="26674658"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 26674658; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=26674658]").text(description); $(".js-view-count-work_26674658").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_26674658").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="26674658"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">24</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="428" rel="nofollow" href="https://www.academia.edu/Documents/in/Algorithms">Algorithms</a>, <script data-card-contents-for-ri="428" type="text/json">{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="445" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Graphics">Computer Graphics</a>, <script data-card-contents-for-ri="445" type="text/json">{"id":445,"name":"Computer Graphics","url":"https://www.academia.edu/Documents/in/Computer_Graphics?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="596" rel="nofollow" href="https://www.academia.edu/Documents/in/Dentistry">Dentistry</a>, <script data-card-contents-for-ri="596" type="text/json">{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="647" rel="nofollow" href="https://www.academia.edu/Documents/in/Surgery">Surgery</a><script data-card-contents-for-ri="647" type="text/json">{"id":647,"name":"Surgery","url":"https://www.academia.edu/Documents/in/Surgery?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=26674658]'), work: {"id":26674658,"title":"Three-Dimensional Treatment Planning of Orthognathic Surgery in the Era of Virtual Imaging","created_at":"2016-07-02T06:58:17.041-07:00","url":"https://www.academia.edu/26674658/Three_Dimensional_Treatment_Planning_of_Orthognathic_Surgery_in_the_Era_of_Virtual_Imaging?f_ri=55246","dom_id":"work_26674658","summary":"Purpose: The aim of this report was to present an integrated 3-dimensional (3D) virtual approach toward cone-beam computed tomography-based treatment planning of orthognathic surgery in the clinical routine. Materials and Methods: We have described the different stages of the workflow process for routine 3D virtual treatment planning of orthognathic surgery: 1) image acquisition for 3D virtual orthognathic surgery; 2) processing of acquired image data toward a 3D virtual augmented model of the patient's head; 3) 3D virtual diagnosis of the patient; 4) 3D virtual treatment planning of orthognathic surgery; 5) 3D virtual treatment planning communication; 6) 3D splint manufacturing; 7) 3D virtual treatment planning transfer to the operating room; and 8) 3D virtual treatment outcome evaluation. Conclusions: The potential benefits and actual limits of an integrated 3D virtual approach for the treatment of the patient with a maxillofacial deformity are discussed comprehensively from our experience using 3D virtual treatment planning clinically.","downloadable_attachments":[{"id":46955894,"asset_id":26674658,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":50668123,"first_name":"Filip","last_name":"Schutyser","domain_name":"independent","page_name":"FilipSchutyser","display_name":"Filip Schutyser","profile_url":"https://independent.academia.edu/FilipSchutyser?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=55246","nofollow":true},{"id":445,"name":"Computer Graphics","url":"https://www.academia.edu/Documents/in/Computer_Graphics?f_ri=55246","nofollow":true},{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true},{"id":647,"name":"Surgery","url":"https://www.academia.edu/Documents/in/Surgery?f_ri=55246","nofollow":true},{"id":859,"name":"Communication","url":"https://www.academia.edu/Documents/in/Communication?f_ri=55246"},{"id":6160,"name":"Computer Aided Design","url":"https://www.academia.edu/Documents/in/Computer_Aided_Design?f_ri=55246"},{"id":8942,"name":"Treatment","url":"https://www.academia.edu/Documents/in/Treatment?f_ri=55246"},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246"},{"id":49693,"name":"Oral and Maxillofacial Surgery","url":"https://www.academia.edu/Documents/in/Oral_and_Maxillofacial_Surgery?f_ri=55246"},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":58759,"name":"Cephalometry","url":"https://www.academia.edu/Documents/in/Cephalometry?f_ri=55246"},{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246"},{"id":73265,"name":"Operating Room","url":"https://www.academia.edu/Documents/in/Operating_Room?f_ri=55246"},{"id":123287,"name":"Three Dimensional Imaging","url":"https://www.academia.edu/Documents/in/Three_Dimensional_Imaging?f_ri=55246"},{"id":184676,"name":"Jaw","url":"https://www.academia.edu/Documents/in/Jaw?f_ri=55246"},{"id":194187,"name":"Oral","url":"https://www.academia.edu/Documents/in/Oral?f_ri=55246"},{"id":255094,"name":"Computer User Interface Design","url":"https://www.academia.edu/Documents/in/Computer_User_Interface_Design?f_ri=55246"},{"id":267802,"name":"Dimensional","url":"https://www.academia.edu/Documents/in/Dimensional?f_ri=55246"},{"id":502118,"name":"Splints","url":"https://www.academia.edu/Documents/in/Splints?f_ri=55246"},{"id":504035,"name":"Three Dimensional","url":"https://www.academia.edu/Documents/in/Three_Dimensional?f_ri=55246"},{"id":737256,"name":"Treatment planning","url":"https://www.academia.edu/Documents/in/Treatment_planning?f_ri=55246"},{"id":1191356,"name":"Internet","url":"https://www.academia.edu/Documents/in/Internet?f_ri=55246"},{"id":1789189,"name":"Cone Beam Computed Tomography","url":"https://www.academia.edu/Documents/in/Cone_Beam_Computed_Tomography?f_ri=55246"},{"id":2085770,"name":"Image Acquisition","url":"https://www.academia.edu/Documents/in/Image_Acquisition?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_29290554" data-work_id="29290554" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/29290554/Optical_image_guided_surgery_where_do_we_stand">Optical image-guided surgery—where do we stand?</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">In cancer surgery, intra-operative assessment of the tumor-free margin, which is critical for the prognosis of the patient, relies on the visual appearance and palpation of the tumor. Optical imaging techniques provide real-time... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_29290554" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">In cancer surgery, intra-operative assessment of the tumor-free margin, which is critical for the prognosis of the patient, relies on the visual appearance and palpation of the tumor. Optical imaging techniques provide real-time visualization of the tumor, warranting intra-operative image-guided surgery. Within this field, imaging in the near-infrared light spectrum offers two essential advantages: increased tissue penetration of light and an increased signal-tobackground-ratio of contrast agents. In this article, we review the various techniques, contrast agents, and camera systems that are currently used for image-guided surgery. Furthermore, we provide an overview of the wide range of molecular contrast agents targeting specific hallmarks of cancer and we describe perspectives on its future use in cancer surgery.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/29290554" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="650a70818223fe05cf66b3fca312edf1" rel="nofollow" data-download="{"attachment_id":49733893,"asset_id":29290554,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/49733893/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="55318447" href="https://independent.academia.edu/IvoQue">Ivo Que</a><script data-card-contents-for-user="55318447" type="text/json">{"id":55318447,"first_name":"Ivo","last_name":"Que","domain_name":"independent","page_name":"IvoQue","display_name":"Ivo Que","profile_url":"https://independent.academia.edu/IvoQue?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_29290554 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="29290554"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 29290554, container: ".js-paper-rank-work_29290554", }); 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Optical imaging techniques provide real-time visualization of the tumor, warranting intra-operative image-guided surgery. Within this field, imaging in the near-infrared light spectrum offers two essential advantages: increased tissue penetration of light and an increased signal-tobackground-ratio of contrast agents. In this article, we review the various techniques, contrast agents, and camera systems that are currently used for image-guided surgery. Furthermore, we provide an overview of the wide range of molecular contrast agents targeting specific hallmarks of cancer and we describe perspectives on its future use in cancer surgery.","downloadable_attachments":[{"id":49733893,"asset_id":29290554,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":55318447,"first_name":"Ivo","last_name":"Que","domain_name":"independent","page_name":"IvoQue","display_name":"Ivo Que","profile_url":"https://independent.academia.edu/IvoQue?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":167,"name":"Physiology","url":"https://www.academia.edu/Documents/in/Physiology?f_ri=55246","nofollow":true},{"id":13621,"name":"Nanoparticles","url":"https://www.academia.edu/Documents/in/Nanoparticles?f_ri=55246","nofollow":true},{"id":18529,"name":"Fluorescent Dyes and Reagents","url":"https://www.academia.edu/Documents/in/Fluorescent_Dyes_and_Reagents?f_ri=55246","nofollow":true},{"id":23940,"name":"Near Infrared","url":"https://www.academia.edu/Documents/in/Near_Infrared?f_ri=55246","nofollow":true},{"id":33302,"name":"Optical Imaging","url":"https://www.academia.edu/Documents/in/Optical_Imaging?f_ri=55246"},{"id":39857,"name":"Molecular Imaging","url":"https://www.academia.edu/Documents/in/Molecular_Imaging?f_ri=55246"},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":180850,"name":"Real-Time Visualization","url":"https://www.academia.edu/Documents/in/Real-Time_Visualization?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":321836,"name":"Spectrum","url":"https://www.academia.edu/Documents/in/Spectrum?f_ri=55246"},{"id":548472,"name":"Optics and Photonics","url":"https://www.academia.edu/Documents/in/Optics_and_Photonics?f_ri=55246"},{"id":869073,"name":"Image guided surgery","url":"https://www.academia.edu/Documents/in/Image_guided_surgery?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_24395648 coauthored" data-work_id="24395648" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/24395648/The_CAD_CAM_technique_for_mandibular_reconstruction_an_18_patients_oncological_case_series">The CAD-CAM technique for mandibular reconstruction: an 18 patients oncological case-series</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background: Modern techniques for mandibular reconstruction, such as CADeCAM, offer new solutions for planning of reconstructive surgery in relation to the aesthetic outcome and the prosthetic rehabilitation. Methods: CADeCAM... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_24395648" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: Modern techniques for mandibular reconstruction, such as CADeCAM, offer new solutions for planning of reconstructive surgery in relation to the aesthetic outcome and the prosthetic rehabilitation. Methods: CADeCAM reconstruction procedures using vascularised bone free-flap transfers and surgical guides to cut the mandible and fibula were performed in 18 cases of neoplasms. The planned surgery was used to design and manufacture customised surgical devices. Results: The mean follow-up was 12 months. All patients, except one, are alive without disease at the time of writing. Reconstructive microvascular flap survival was 100%. No major or minor microvascular complication occurred. No donor site complication was observed. Conclusions: CADeCAM technology is a very useful way to obtain the native morphology of the mandible, especially when both bi-dimensional and tri-dimensional defects occur. The reconstruction protocol presented offers several benefits and few disadvantages, which are discussed in the article.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/24395648" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="44d2f1c90c9c0fb0a4509f94f760baf6" rel="nofollow" data-download="{"attachment_id":44728370,"asset_id":24395648,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44728370/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="47036009" href="https://unibo.academia.edu/AchilleTarsitano">Achille Tarsitano</a><script data-card-contents-for-user="47036009" type="text/json">{"id":47036009,"first_name":"Achille","last_name":"Tarsitano","domain_name":"unibo","page_name":"AchilleTarsitano","display_name":"Achille Tarsitano","profile_url":"https://unibo.academia.edu/AchilleTarsitano?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-24395648">+3</span><div class="hidden js-additional-users-24395648"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/LCiocca">Leonardo Ciocca</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://unibo.academia.edu/CMarchetti">CLAUDIO MARCHETTI</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/TarsitanoAchille">Tarsitano Achille</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-24395648'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-24395648').html(); 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container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_24395648 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="24395648"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 24395648; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=24395648]").text(description); $(".js-view-count-work_24395648").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_24395648").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="24395648"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">13</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="596" rel="nofollow" href="https://www.academia.edu/Documents/in/Dentistry">Dentistry</a>, <script data-card-contents-for-ri="596" type="text/json">{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="6160" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Aided_Design">Computer Aided Design</a>, <script data-card-contents-for-ri="6160" type="text/json">{"id":6160,"name":"Computer Aided Design","url":"https://www.academia.edu/Documents/in/Computer_Aided_Design?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11404" rel="nofollow" href="https://www.academia.edu/Documents/in/Titanium">Titanium</a>, <script data-card-contents-for-ri="11404" type="text/json">{"id":11404,"name":"Titanium","url":"https://www.academia.edu/Documents/in/Titanium?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a><script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=24395648]'), work: {"id":24395648,"title":"The CAD-CAM technique for mandibular reconstruction: an 18 patients oncological case-series","created_at":"2016-04-14T06:24:43.008-07:00","url":"https://www.academia.edu/24395648/The_CAD_CAM_technique_for_mandibular_reconstruction_an_18_patients_oncological_case_series?f_ri=55246","dom_id":"work_24395648","summary":"Background: Modern techniques for mandibular reconstruction, such as CADeCAM, offer new solutions for planning of reconstructive surgery in relation to the aesthetic outcome and the prosthetic rehabilitation. Methods: CADeCAM reconstruction procedures using vascularised bone free-flap transfers and surgical guides to cut the mandible and fibula were performed in 18 cases of neoplasms. The planned surgery was used to design and manufacture customised surgical devices. Results: The mean follow-up was 12 months. All patients, except one, are alive without disease at the time of writing. Reconstructive microvascular flap survival was 100%. No major or minor microvascular complication occurred. No donor site complication was observed. Conclusions: CADeCAM technology is a very useful way to obtain the native morphology of the mandible, especially when both bi-dimensional and tri-dimensional defects occur. The reconstruction protocol presented offers several benefits and few disadvantages, which are discussed in the article.","downloadable_attachments":[{"id":44728370,"asset_id":24395648,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":47036009,"first_name":"Achille","last_name":"Tarsitano","domain_name":"unibo","page_name":"AchilleTarsitano","display_name":"Achille Tarsitano","profile_url":"https://unibo.academia.edu/AchilleTarsitano?f_ri=55246","photo":"/images/s65_no_pic.png"},{"id":47384232,"first_name":"Leonardo","last_name":"Ciocca","domain_name":"independent","page_name":"LCiocca","display_name":"Leonardo Ciocca","profile_url":"https://independent.academia.edu/LCiocca?f_ri=55246","photo":"/images/s65_no_pic.png"},{"id":32520562,"first_name":"CLAUDIO","last_name":"MARCHETTI","domain_name":"unibo","page_name":"CMarchetti","display_name":"CLAUDIO MARCHETTI","profile_url":"https://unibo.academia.edu/CMarchetti?f_ri=55246","photo":"/images/s65_no_pic.png"},{"id":47217046,"first_name":"Tarsitano","last_name":"Achille","domain_name":"independent","page_name":"TarsitanoAchille","display_name":"Tarsitano Achille","profile_url":"https://independent.academia.edu/TarsitanoAchille?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=55246","nofollow":true},{"id":6160,"name":"Computer Aided Design","url":"https://www.academia.edu/Documents/in/Computer_Aided_Design?f_ri=55246","nofollow":true},{"id":11404,"name":"Titanium","url":"https://www.academia.edu/Documents/in/Titanium?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":85893,"name":"Fibula","url":"https://www.academia.edu/Documents/in/Fibula?f_ri=55246"},{"id":137516,"name":"Follow-up studies","url":"https://www.academia.edu/Documents/in/Follow-up_studies?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":255094,"name":"Computer User Interface Design","url":"https://www.academia.edu/Documents/in/Computer_User_Interface_Design?f_ri=55246"},{"id":315194,"name":"Oral Squamous Cell Carcinoma (OSCC)","url":"https://www.academia.edu/Documents/in/Oral_Squamous_Cell_Carcinoma_OSCC_?f_ri=55246"},{"id":354937,"name":"Bone Marrow Transplantation","url":"https://www.academia.edu/Documents/in/Bone_Marrow_Transplantation?f_ri=55246"},{"id":469768,"name":"ORAL AND CRANIO-MAXILLOFACIAL PLASTIC SURGERY","url":"https://www.academia.edu/Documents/in/ORAL_AND_CRANIO-MAXILLOFACIAL_PLASTIC_SURGERY?f_ri=55246"},{"id":1031067,"name":"Biocompatible Materials","url":"https://www.academia.edu/Documents/in/Biocompatible_Materials?f_ri=55246"},{"id":1035735,"name":"Mandibular Reconstruction","url":"https://www.academia.edu/Documents/in/Mandibular_Reconstruction?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_23087988" data-work_id="23087988" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/23087988/Simulation_in_surgical_training_educational_issues_and_practical_implications">Simulation in surgical training: educational issues and practical implications</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background Surgical skills are required by a wide range of health care professionals. Tasks range from simple wound closure to highly complex diagnostic and therapeutic procedures. Technical expertise, although essential, is only one... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_23087988" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background Surgical skills are required by a wide range of health care professionals. Tasks range from simple wound closure to highly complex diagnostic and therapeutic procedures. Technical expertise, although essential, is only one component of a complex picture. By emphasising the importance of knowledge and attitudes, this article aims to locate the acquisition of surgical skills within a wider educational framework.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/23087988" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="837853bb92a849829c750181b3a16326" rel="nofollow" data-download="{"attachment_id":43588376,"asset_id":23087988,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/43588376/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32802114" href="https://independent.academia.edu/RogerKneebone">Roger Kneebone</a><script data-card-contents-for-user="32802114" type="text/json">{"id":32802114,"first_name":"Roger","last_name":"Kneebone","domain_name":"independent","page_name":"RogerKneebone","display_name":"Roger Kneebone","profile_url":"https://independent.academia.edu/RogerKneebone?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_23087988 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="23087988"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 23087988, container: ".js-paper-rank-work_23087988", }); });</script></li><li class="js-percentile-work_23087988 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23087988; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_23087988"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_23087988 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="23087988"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23087988; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23087988]").text(description); $(".js-view-count-work_23087988").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_23087988").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="23087988"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="922" rel="nofollow" href="https://www.academia.edu/Documents/in/Education">Education</a>, <script data-card-contents-for-ri="922" type="text/json">{"id":922,"name":"Education","url":"https://www.academia.edu/Documents/in/Education?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4441" rel="nofollow" href="https://www.academia.edu/Documents/in/Health_Care">Health Care</a>, <script data-card-contents-for-ri="4441" type="text/json">{"id":4441,"name":"Health Care","url":"https://www.academia.edu/Documents/in/Health_Care?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4455" rel="nofollow" href="https://www.academia.edu/Documents/in/Medical_Education">Medical Education</a>, <script data-card-contents-for-ri="4455" type="text/json">{"id":4455,"name":"Medical Education","url":"https://www.academia.edu/Documents/in/Medical_Education?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4900" rel="nofollow" href="https://www.academia.edu/Documents/in/Situated_Learning">Situated Learning</a><script data-card-contents-for-ri="4900" type="text/json">{"id":4900,"name":"Situated Learning","url":"https://www.academia.edu/Documents/in/Situated_Learning?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=23087988]'), work: {"id":23087988,"title":"Simulation in surgical training: educational issues and practical implications","created_at":"2016-03-10T07:52:05.156-08:00","url":"https://www.academia.edu/23087988/Simulation_in_surgical_training_educational_issues_and_practical_implications?f_ri=55246","dom_id":"work_23087988","summary":"Background Surgical skills are required by a wide range of health care professionals. Tasks range from simple wound closure to highly complex diagnostic and therapeutic procedures. Technical expertise, although essential, is only one component of a complex picture. By emphasising the importance of knowledge and attitudes, this article aims to locate the acquisition of surgical skills within a wider educational framework.","downloadable_attachments":[{"id":43588376,"asset_id":23087988,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":32802114,"first_name":"Roger","last_name":"Kneebone","domain_name":"independent","page_name":"RogerKneebone","display_name":"Roger Kneebone","profile_url":"https://independent.academia.edu/RogerKneebone?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":922,"name":"Education","url":"https://www.academia.edu/Documents/in/Education?f_ri=55246","nofollow":true},{"id":4441,"name":"Health Care","url":"https://www.academia.edu/Documents/in/Health_Care?f_ri=55246","nofollow":true},{"id":4455,"name":"Medical Education","url":"https://www.academia.edu/Documents/in/Medical_Education?f_ri=55246","nofollow":true},{"id":4900,"name":"Situated Learning","url":"https://www.academia.edu/Documents/in/Situated_Learning?f_ri=55246","nofollow":true},{"id":52836,"name":"Clinical Practice","url":"https://www.academia.edu/Documents/in/Clinical_Practice?f_ri=55246"},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246"},{"id":200952,"name":"Surgical Simulation","url":"https://www.academia.edu/Documents/in/Surgical_Simulation?f_ri=55246"},{"id":414843,"name":"Longitudinal Study","url":"https://www.academia.edu/Documents/in/Longitudinal_Study?f_ri=55246"},{"id":570703,"name":"Patient Simulation","url":"https://www.academia.edu/Documents/in/Patient_Simulation?f_ri=55246"},{"id":704648,"name":"Clinical Competence","url":"https://www.academia.edu/Documents/in/Clinical_Competence?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_20708823" data-work_id="20708823" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/20708823/Intra_Operative_Correction_of_Taylor_Spatial_Frame_Without_a_Computer">Intra-Operative Correction of Taylor Spatial Frame Without a Computer</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The Taylor Spatial Frame (TSF) is a circular external fixator used to treat complex fractures and skeletal deformities. The device consists of 2 rings attached to bone by wires or half pins, connected by universal hinge joints to 6... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_20708823" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The Taylor Spatial Frame (TSF) is a circular external fixator used to treat complex fractures and skeletal deformities. The device consists of 2 rings attached to bone by wires or half pins, connected by universal hinge joints to 6 independent telescopic struts, creating a hexapod. The output piece is defined as the movable ring, which has 6 degree of freedom relative to the other ring, which is the base. With 6 degree of freedom, the movable platform is capable of moving in 3 linear directions and 3 angular directions singularly or in any combination. These hexapod devices require complex mathematical software programs to accurately control the output piece. In the case of the TSF, the deformity and positional frame parameters can be indentified on postoperative radiographs. They are then input into internet-based software to calculate strut adjustments required to achieve deformity correction. When treating fractures with the TSF, the rings can be connected using FastFx struts. These struts can be locked in position or left in a sliding mode (unlocked) allowing manual manipulation of the frame to acutely correct the position of the fracture fragments. This reduction is rarely perfect however and often requires further postoperative frame adjustments using software calculations. We describe an intra-operative method for accurately adjusting the frame in its locked mode without the need for software input.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/20708823" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="38e44f162eb9da94d3ccbb6fa38d36b8" rel="nofollow" data-download="{"attachment_id":42343001,"asset_id":20708823,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/42343001/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="41919407" href="https://independent.academia.edu/HeidariNima">Nima Heidari</a><script data-card-contents-for-user="41919407" type="text/json">{"id":41919407,"first_name":"Nima","last_name":"Heidari","domain_name":"independent","page_name":"HeidariNima","display_name":"Nima Heidari","profile_url":"https://independent.academia.edu/HeidariNima?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_20708823 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="20708823"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 20708823, container: ".js-paper-rank-work_20708823", }); });</script></li><li class="js-percentile-work_20708823 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 20708823; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_20708823"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_20708823 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="20708823"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 20708823; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=20708823]").text(description); $(".js-view-count-work_20708823").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_20708823").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="20708823"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">5</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a>, <script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="877963" rel="nofollow" href="https://www.academia.edu/Documents/in/Trauma_and_Orthopaedic_Surgery">Trauma and Orthopaedic Surgery</a>, <script data-card-contents-for-ri="877963" type="text/json">{"id":877963,"name":"Trauma and Orthopaedic Surgery","url":"https://www.academia.edu/Documents/in/Trauma_and_Orthopaedic_Surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1312233" rel="nofollow" href="https://www.academia.edu/Documents/in/External_Fixators">External Fixators</a><script data-card-contents-for-ri="1312233" type="text/json">{"id":1312233,"name":"External Fixators","url":"https://www.academia.edu/Documents/in/External_Fixators?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=20708823]'), work: {"id":20708823,"title":"Intra-Operative Correction of Taylor Spatial Frame Without a Computer","created_at":"2016-01-24T10:06:37.825-08:00","url":"https://www.academia.edu/20708823/Intra_Operative_Correction_of_Taylor_Spatial_Frame_Without_a_Computer?f_ri=55246","dom_id":"work_20708823","summary":"The Taylor Spatial Frame (TSF) is a circular external fixator used to treat complex fractures and skeletal deformities. The device consists of 2 rings attached to bone by wires or half pins, connected by universal hinge joints to 6 independent telescopic struts, creating a hexapod. The output piece is defined as the movable ring, which has 6 degree of freedom relative to the other ring, which is the base. With 6 degree of freedom, the movable platform is capable of moving in 3 linear directions and 3 angular directions singularly or in any combination. These hexapod devices require complex mathematical software programs to accurately control the output piece. In the case of the TSF, the deformity and positional frame parameters can be indentified on postoperative radiographs. They are then input into internet-based software to calculate strut adjustments required to achieve deformity correction. When treating fractures with the TSF, the rings can be connected using FastFx struts. These struts can be locked in position or left in a sliding mode (unlocked) allowing manual manipulation of the frame to acutely correct the position of the fracture fragments. This reduction is rarely perfect however and often requires further postoperative frame adjustments using software calculations. We describe an intra-operative method for accurately adjusting the frame in its locked mode without the need for software input.","downloadable_attachments":[{"id":42343001,"asset_id":20708823,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":41919407,"first_name":"Nima","last_name":"Heidari","domain_name":"independent","page_name":"HeidariNima","display_name":"Nima Heidari","profile_url":"https://independent.academia.edu/HeidariNima?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true},{"id":877963,"name":"Trauma and Orthopaedic Surgery","url":"https://www.academia.edu/Documents/in/Trauma_and_Orthopaedic_Surgery?f_ri=55246","nofollow":true},{"id":1312233,"name":"External Fixators","url":"https://www.academia.edu/Documents/in/External_Fixators?f_ri=55246","nofollow":true},{"id":1330117,"name":"Orthopedic Procedures","url":"https://www.academia.edu/Documents/in/Orthopedic_Procedures?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_60507836" data-work_id="60507836" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/60507836/Incidence_and_Outcomes_of_Optical_Zone_Enlargement_and_Recentration_After_Previous_Myopic_LASIK_by_Topography_Guided_Custom_Ablation">Incidence and Outcomes of Optical Zone Enlargement and Recentration After Previous Myopic LASIK by Topography-Guided Custom Ablation</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">To report the incidence, visual and refractive outcomes, optical zone enlargement, and recentration using topography-guided CRS-Master TOSCA II software with the MEL 80 excimer laser (Carl Zeiss Meditec AG, Jena, Germany) after primary... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_60507836" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">To report the incidence, visual and refractive outcomes, optical zone enlargement, and recentration using topography-guided CRS-Master TOSCA II software with the MEL 80 excimer laser (Carl Zeiss Meditec AG, Jena, Germany) after primary myopic laser refractive surgery. Retrospective analysis of 73 eyes (40 patients) with complaints of night vision disturbances due to either a decentration or small optical zone following a primary myopic laser refractive surgery procedure using the MEL 80 laser. Multiple ATLAS topography scans were imported into the CRS-Master software for topography-guided ablation planning. The topography-guided re-treatment procedure was performed as either a LASIK flap lift, a new LASIK flap, a side cut only, or photorefractive keratectomy. Axial curvature maps were analyzed using a fixed grid and set of concentric circles superimposed to measure the topographic optical zone diameter and centration. Follow-up was 12 months. The incidence of use in the population o...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/60507836" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="192a11b1559bfdf77a71c50b8ccb6b18" rel="nofollow" data-download="{"attachment_id":73921954,"asset_id":60507836,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/73921954/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="40329723" href="https://ulster.academia.edu/AndrewNesbit">Andrew Nesbit</a><script data-card-contents-for-user="40329723" type="text/json">{"id":40329723,"first_name":"Andrew","last_name":"Nesbit","domain_name":"ulster","page_name":"AndrewNesbit","display_name":"Andrew Nesbit","profile_url":"https://ulster.academia.edu/AndrewNesbit?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_60507836 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="60507836"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 60507836, container: ".js-paper-rank-work_60507836", }); 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Retrospective analysis of 73 eyes (40 patients) with complaints of night vision disturbances due to either a decentration or small optical zone following a primary myopic laser refractive surgery procedure using the MEL 80 laser. Multiple ATLAS topography scans were imported into the CRS-Master software for topography-guided ablation planning. The topography-guided re-treatment procedure was performed as either a LASIK flap lift, a new LASIK flap, a side cut only, or photorefractive keratectomy. Axial curvature maps were analyzed using a fixed grid and set of concentric circles superimposed to measure the topographic optical zone diameter and centration. Follow-up was 12 months. The incidence of use in the population o...","downloadable_attachments":[{"id":73921954,"asset_id":60507836,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":40329723,"first_name":"Andrew","last_name":"Nesbit","domain_name":"ulster","page_name":"AndrewNesbit","display_name":"Andrew Nesbit","profile_url":"https://ulster.academia.edu/AndrewNesbit?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":11284,"name":"Myopia","url":"https://www.academia.edu/Documents/in/Myopia?f_ri=55246","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=55246","nofollow":true},{"id":17721,"name":"Cornea","url":"https://www.academia.edu/Documents/in/Cornea?f_ri=55246","nofollow":true},{"id":40271,"name":"Visual acuity","url":"https://www.academia.edu/Documents/in/Visual_acuity?f_ri=55246","nofollow":true},{"id":43860,"name":"Refractive Surgery","url":"https://www.academia.edu/Documents/in/Refractive_Surgery?f_ri=55246"},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246"},{"id":133057,"name":"Young Adult","url":"https://www.academia.edu/Documents/in/Young_Adult?f_ri=55246"},{"id":174502,"name":"Incidence","url":"https://www.academia.edu/Documents/in/Incidence?f_ri=55246"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":359001,"name":"Optometry and Ophthalmology","url":"https://www.academia.edu/Documents/in/Optometry_and_Ophthalmology?f_ri=55246"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies?f_ri=55246"},{"id":878239,"name":"Corneal Pachymetry","url":"https://www.academia.edu/Documents/in/Corneal_Pachymetry?f_ri=55246"},{"id":1161531,"name":"Corneal topography","url":"https://www.academia.edu/Documents/in/Corneal_topography?f_ri=55246"},{"id":2482067,"name":"Reoperation","url":"https://www.academia.edu/Documents/in/Reoperation?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_14669355" data-work_id="14669355" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/14669355/A_customized_modular_reference_array_clamp_for_navigated_spine_surgery">A customized modular reference array clamp for navigated spine surgery</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Introduction The current authors have developed a modular system of reference array Wxation which is tailored spe-ciWcally to the spinal level being operated upon. They believe that this system may further increase the precision and... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_14669355" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Introduction The current authors have developed a modular system of reference array Wxation which is tailored spe-ciWcally to the spinal level being operated upon. They believe that this system may further increase the precision and accuracy of pedicle screw placement. Materials and methods Two formalin-Wxed whole body cadavers were used for this study. For cervical spine evaluation of the reference clamp, four odontoid screws (two per cadaver) for C1/C2-fusion and four lateral mass screws (two per cadaver) were implanted. Following navigated screw placement with 2D and 3D Xuoroscopic veriWcation, insertion of two lateral mass screws was performed. In the same way, lumbar and thoracic pedicle screws were implanted. Two pedicle screws were placed at two levels of the lumbar and two levels of the thoracic areas giving an overall of 16 screws implanted (8 cervical, 4 thoracic, and 4 lumbar). Postoperative evaluation involved comparison of postoperative 3D scans and preoperative planning images. A simple classiWcation system was used for evaluation of any deviation from the planned trajectory. Results All pedicle screw placements were performed as planned without any technical problems. The reference array clamps remained in position at all the spinal levels at which they were employed with no loosening or displacement and no secondary damage to any of the spinous processes. Manual manipulation was performed but no displacement or slippage was observed. Image artefacts caused by the reference clamp were not signiWcant as to obscure the area of interest. Both imaging modalities (Iso-C 3D and Vario 3D) generated suYciently precise 3D images. There was no substantial diVerence in quality when those two systems were compared. Discussion InsuYcient Wxation of the reference clamp can lead to failure and complications. To date, no reference clamp systems have been developed speciWcally for navigated spine surgery. Conclusions Stable reference array Wxation is a critical step in navigated surgery. To date, the same reference clamps have been applied to the spinal anatomy as have been developed originally for the appendicular skeleton. The current investigators have developed a novel modular clamp and have demonstrated its eYcacy in a cadaveric model.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/14669355" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="bbe1365f8ab90d7f0df50ab97d89b764" rel="nofollow" data-download="{"attachment_id":43996406,"asset_id":14669355,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/43996406/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="33615583" href="https://ucd.academia.edu/PadhraigOLoughlin">Padhraig O'Loughlin</a><script data-card-contents-for-user="33615583" type="text/json">{"id":33615583,"first_name":"Padhraig","last_name":"O'Loughlin","domain_name":"ucd","page_name":"PadhraigOLoughlin","display_name":"Padhraig O'Loughlin","profile_url":"https://ucd.academia.edu/PadhraigOLoughlin?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_14669355 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="14669355"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 14669355, container: ".js-paper-rank-work_14669355", }); 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$(".js-view-count[data-work-id=14669355]").text(description); $(".js-view-count-work_14669355").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_14669355").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="14669355"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">15</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="4933" rel="nofollow" href="https://www.academia.edu/Documents/in/Spine">Spine</a>, <script data-card-contents-for-ri="4933" type="text/json">{"id":4933,"name":"Spine","url":"https://www.academia.edu/Documents/in/Spine?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="74754" rel="nofollow" href="https://www.academia.edu/Documents/in/3-D_Imaging">3-D Imaging</a>, <script data-card-contents-for-ri="74754" type="text/json">{"id":74754,"name":"3-D Imaging","url":"https://www.academia.edu/Documents/in/3-D_Imaging?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="186079" rel="nofollow" href="https://www.academia.edu/Documents/in/Cervical_Vertebrae">Cervical Vertebrae</a><script data-card-contents-for-ri="186079" type="text/json">{"id":186079,"name":"Cervical Vertebrae","url":"https://www.academia.edu/Documents/in/Cervical_Vertebrae?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=14669355]'), work: {"id":14669355,"title":"A customized modular reference array clamp for navigated spine surgery","created_at":"2015-08-04T15:35:04.398-07:00","url":"https://www.academia.edu/14669355/A_customized_modular_reference_array_clamp_for_navigated_spine_surgery?f_ri=55246","dom_id":"work_14669355","summary":"Introduction The current authors have developed a modular system of reference array Wxation which is tailored spe-ciWcally to the spinal level being operated upon. They believe that this system may further increase the precision and accuracy of pedicle screw placement. Materials and methods Two formalin-Wxed whole body cadavers were used for this study. For cervical spine evaluation of the reference clamp, four odontoid screws (two per cadaver) for C1/C2-fusion and four lateral mass screws (two per cadaver) were implanted. Following navigated screw placement with 2D and 3D Xuoroscopic veriWcation, insertion of two lateral mass screws was performed. In the same way, lumbar and thoracic pedicle screws were implanted. Two pedicle screws were placed at two levels of the lumbar and two levels of the thoracic areas giving an overall of 16 screws implanted (8 cervical, 4 thoracic, and 4 lumbar). Postoperative evaluation involved comparison of postoperative 3D scans and preoperative planning images. A simple classiWcation system was used for evaluation of any deviation from the planned trajectory. Results All pedicle screw placements were performed as planned without any technical problems. The reference array clamps remained in position at all the spinal levels at which they were employed with no loosening or displacement and no secondary damage to any of the spinous processes. Manual manipulation was performed but no displacement or slippage was observed. Image artefacts caused by the reference clamp were not signiWcant as to obscure the area of interest. Both imaging modalities (Iso-C 3D and Vario 3D) generated suYciently precise 3D images. There was no substantial diVerence in quality when those two systems were compared. Discussion InsuYcient Wxation of the reference clamp can lead to failure and complications. To date, no reference clamp systems have been developed speciWcally for navigated spine surgery. Conclusions Stable reference array Wxation is a critical step in navigated surgery. To date, the same reference clamps have been applied to the spinal anatomy as have been developed originally for the appendicular skeleton. The current investigators have developed a novel modular clamp and have demonstrated its eYcacy in a cadaveric model.","downloadable_attachments":[{"id":43996406,"asset_id":14669355,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":33615583,"first_name":"Padhraig","last_name":"O'Loughlin","domain_name":"ucd","page_name":"PadhraigOLoughlin","display_name":"Padhraig O'Loughlin","profile_url":"https://ucd.academia.edu/PadhraigOLoughlin?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":4933,"name":"Spine","url":"https://www.academia.edu/Documents/in/Spine?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":74754,"name":"3-D Imaging","url":"https://www.academia.edu/Documents/in/3-D_Imaging?f_ri=55246","nofollow":true},{"id":186079,"name":"Cervical Vertebrae","url":"https://www.academia.edu/Documents/in/Cervical_Vertebrae?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246"},{"id":247948,"name":"Cadaver","url":"https://www.academia.edu/Documents/in/Cadaver?f_ri=55246"},{"id":255207,"name":"3-D scanning","url":"https://www.academia.edu/Documents/in/3-D_scanning?f_ri=55246"},{"id":847997,"name":"Cervical Spine","url":"https://www.academia.edu/Documents/in/Cervical_Spine?f_ri=55246"},{"id":963201,"name":"Thoracic Vertebrae","url":"https://www.academia.edu/Documents/in/Thoracic_Vertebrae?f_ri=55246"},{"id":1119772,"name":"Computer assisted surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_surgery?f_ri=55246"},{"id":1274629,"name":"Area of Interest","url":"https://www.academia.edu/Documents/in/Area_of_Interest?f_ri=55246"},{"id":1281407,"name":"Whole Body","url":"https://www.academia.edu/Documents/in/Whole_Body?f_ri=55246"},{"id":2112668,"name":"Spinal fractures","url":"https://www.academia.edu/Documents/in/Spinal_fractures?f_ri=55246"},{"id":2257649,"name":"Surgical Instruments","url":"https://www.academia.edu/Documents/in/Surgical_Instruments?f_ri=55246"},{"id":2305423,"name":"lumbar vertebrae","url":"https://www.academia.edu/Documents/in/lumbar_vertebrae?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_17059135" data-work_id="17059135" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/17059135/Simulation_in_Neurosurgery_A_Review_of_Computer_Based_Simulation_Environments_and_Their_Surgical_Applications">Simulation in Neurosurgery: A Review of Computer-Based Simulation Environments and Their Surgical Applications</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">BACKGROUND: Computer-based surgical simulators create a no-risk virtual environment where surgeons can develop and refine skills through harmless repetition. These applications may be of particular benefit to neurosurgeons, as the... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_17059135" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">BACKGROUND: Computer-based surgical simulators create a no-risk virtual environment where surgeons can develop and refine skills through harmless repetition. These applications may be of particular benefit to neurosurgeons, as the vulnerability of nervous tissue limits the margin for error. The rapid progression of computer-processing capabilities in recent years has led to the development of more sophisticated and realistic neurosurgery simulators. OBJECTIVE: To catalogue the most salient of these advances and characterize our current effort to create a spine surgery simulator. METHODS: An extensive search of the databases Ovid-MEDLINE, PubMed, and Google Scholar was conducted. Search terms included, but were not limited to: neurosurgery combined with simulation, virtual reality, haptics, and 3-dimensional imaging. RESULTS: A survey of the literature reveals that surgical simulators are evolving from platforms used for preoperative planning and anatomic education into programs that aim to simulate essential components of key neurosurgical procedures. This evolution is predicated upon the advancement of 3 main components of simulation: graphics/ volume rendering, model behavior/tissue deformation, and haptic feedback. CONCLUSION: The computational burden created by the integration of these complex components often limits the fluidity of real-time interactive simulators. Although haptic interfaces have become increasingly sophisticated, the production of realistic tactile sensory feedback remains a formidable and costly challenge. The rate of future progress may be contingent upon international collaboration between research groups and the establishment of common simulation platforms. Given current limitations, the most potential for growth lies in the innovative design of models that expand the procedural applications of neurosurgery simulation environments.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/17059135" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="4c5a1cc42f44e48f54ec2402d18a6101" rel="nofollow" data-download="{"attachment_id":42336673,"asset_id":17059135,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/42336673/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="36623050" href="https://independent.academia.edu/HaniMalone">Hani Malone</a><script data-card-contents-for-user="36623050" type="text/json">{"id":36623050,"first_name":"Hani","last_name":"Malone","domain_name":"independent","page_name":"HaniMalone","display_name":"Hani Malone","profile_url":"https://independent.academia.edu/HaniMalone?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_17059135 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="17059135"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 17059135, container: ".js-paper-rank-work_17059135", }); 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$(".js-view-count[data-work-id=17059135]").text(description); $(".js-view-count-work_17059135").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_17059135").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="17059135"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="650" rel="nofollow" href="https://www.academia.edu/Documents/in/Neurosurgery">Neurosurgery</a>, <script data-card-contents-for-ri="650" type="text/json">{"id":650,"name":"Neurosurgery","url":"https://www.academia.edu/Documents/in/Neurosurgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="55246" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery">Computer assisted orthopaedic surgery</a>, <script data-card-contents-for-ri="55246" type="text/json">{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="69542" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer_Simulation">Computer Simulation</a>, <script data-card-contents-for-ri="69542" type="text/json">{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=17059135]'), work: {"id":17059135,"title":"Simulation in Neurosurgery: A Review of Computer-Based Simulation Environments and Their Surgical Applications","created_at":"2015-10-20T12:40:54.086-07:00","url":"https://www.academia.edu/17059135/Simulation_in_Neurosurgery_A_Review_of_Computer_Based_Simulation_Environments_and_Their_Surgical_Applications?f_ri=55246","dom_id":"work_17059135","summary":"BACKGROUND: Computer-based surgical simulators create a no-risk virtual environment where surgeons can develop and refine skills through harmless repetition. These applications may be of particular benefit to neurosurgeons, as the vulnerability of nervous tissue limits the margin for error. The rapid progression of computer-processing capabilities in recent years has led to the development of more sophisticated and realistic neurosurgery simulators. OBJECTIVE: To catalogue the most salient of these advances and characterize our current effort to create a spine surgery simulator. METHODS: An extensive search of the databases Ovid-MEDLINE, PubMed, and Google Scholar was conducted. Search terms included, but were not limited to: neurosurgery combined with simulation, virtual reality, haptics, and 3-dimensional imaging. RESULTS: A survey of the literature reveals that surgical simulators are evolving from platforms used for preoperative planning and anatomic education into programs that aim to simulate essential components of key neurosurgical procedures. This evolution is predicated upon the advancement of 3 main components of simulation: graphics/ volume rendering, model behavior/tissue deformation, and haptic feedback. CONCLUSION: The computational burden created by the integration of these complex components often limits the fluidity of real-time interactive simulators. Although haptic interfaces have become increasingly sophisticated, the production of realistic tactile sensory feedback remains a formidable and costly challenge. The rate of future progress may be contingent upon international collaboration between research groups and the establishment of common simulation platforms. Given current limitations, the most potential for growth lies in the innovative design of models that expand the procedural applications of neurosurgery simulation environments.","downloadable_attachments":[{"id":42336673,"asset_id":17059135,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":36623050,"first_name":"Hani","last_name":"Malone","domain_name":"independent","page_name":"HaniMalone","display_name":"Hani Malone","profile_url":"https://independent.academia.edu/HaniMalone?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":650,"name":"Neurosurgery","url":"https://www.academia.edu/Documents/in/Neurosurgery?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic surgery","url":"https://www.academia.edu/Documents/in/Computer_assisted_orthopaedic_surgery?f_ri=55246","nofollow":true},{"id":69542,"name":"Computer Simulation","url":"https://www.academia.edu/Documents/in/Computer_Simulation?f_ri=55246","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=55246","nofollow":true},{"id":255094,"name":"Computer User Interface Design","url":"https://www.academia.edu/Documents/in/Computer_User_Interface_Design?f_ri=55246"},{"id":1239755,"name":"Neurosciences","url":"https://www.academia.edu/Documents/in/Neurosciences?f_ri=55246"},{"id":1423078,"name":"Nervous System Diseases","url":"https://www.academia.edu/Documents/in/Nervous_System_Diseases?f_ri=55246"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_25788760" data-work_id="25788760" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/25788760/Virtual_reality_in_neurosurgical_education_part_task_ventriculostomy_simulation_with_dynamic_visual_and_haptic_feedback">Virtual reality in neurosurgical education: part-task ventriculostomy simulation with dynamic visual and haptic feedback</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Mastery of the neurosurgical skill set involves many hours of supervised intraoperative training. Convergence of political, economic, and social forces has limited neurosurgical resident operative exposure. There is need to develop... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_25788760" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Mastery of the neurosurgical skill set involves many hours of supervised intraoperative training. Convergence of political, economic, and social forces has limited neurosurgical resident operative exposure. There is need to develop realistic neurosurgical simulations that reproduce the operative experience, unrestricted by time and patient safety constraints. Computer-based, virtual reality platforms offer just such a possibility. The combination of virtual reality with dynamic, three-dimensional stereoscopic visualization, and haptic feedback technologies makes realistic procedural simulation possible. Most neurosurgical procedures can be conceptualized and segmented into critical task components, which can be simulated independently or in conjunction with other modules to recreate the experience of a complex neurosurgical procedure. We use the ImmersiveTouch (ImmersiveTouch, Inc., Chicago, IL) virtual reality platform, developed at the University of Illinois at Chicago, to simulat...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/25788760" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c01c51f6283f4e912d7fc5295d041d5a" rel="nofollow" data-download="{"attachment_id":46149804,"asset_id":25788760,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46149804/download_file?st=MTc0MDAzNDY4Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="49547294" href="https://independent.academia.edu/MichaelLemole">Michael Lemole</a><script data-card-contents-for-user="49547294" type="text/json">{"id":49547294,"first_name":"Michael","last_name":"Lemole","domain_name":"independent","page_name":"MichaelLemole","display_name":"Michael Lemole","profile_url":"https://independent.academia.edu/MichaelLemole?f_ri=55246","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_25788760 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="25788760"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 25788760, container: ".js-paper-rank-work_25788760", }); 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Convergence of political, economic, and social forces has limited neurosurgical resident operative exposure. There is need to develop realistic neurosurgical simulations that reproduce the operative experience, unrestricted by time and patient safety constraints. Computer-based, virtual reality platforms offer just such a possibility. The combination of virtual reality with dynamic, three-dimensional stereoscopic visualization, and haptic feedback technologies makes realistic procedural simulation possible. Most neurosurgical procedures can be conceptualized and segmented into critical task components, which can be simulated independently or in conjunction with other modules to recreate the experience of a complex neurosurgical procedure. We use the ImmersiveTouch (ImmersiveTouch, Inc., Chicago, IL) virtual reality platform, developed at the University of Illinois at Chicago, to simulat...","downloadable_attachments":[{"id":46149804,"asset_id":25788760,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":49547294,"first_name":"Michael","last_name":"Lemole","domain_name":"independent","page_name":"MichaelLemole","display_name":"Michael Lemole","profile_url":"https://independent.academia.edu/MichaelLemole?f_ri=55246","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":650,"name":"Neurosurgery","url":"https://www.academia.edu/Documents/in/Neurosurgery?f_ri=55246","nofollow":true},{"id":50642,"name":"Virtual Reality","url":"https://www.academia.edu/Documents/in/Virtual_Reality?f_ri=55246","nofollow":true},{"id":55246,"name":"Computer assisted orthopaedic 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