Background:In recent years,the development of digital imaging technology has had a significant influence in liver surgery.The ability to obtain a 3-dimensional(3D)visualization of the liver anatomy has provided surger...Background:In recent years,the development of digital imaging technology has had a significant influence in liver surgery.The ability to obtain a 3-dimensional(3D)visualization of the liver anatomy has provided surgery with virtual reality of simulation 3D computer models,3D printing models and more recently holograms and augmented reality(when virtual reality knowledge is superimposed onto reality).In addition,the utilization of real-time fluorescent imaging techniques based on indocyanine green(ICG)uptake allows clinicians to precisely delineate the liver anatomy and/or tumors within the parenchyma,applying the knowledge obtained preoperatively through digital imaging.The combination of both has transformed the abstract thinking until now based on 2D imaging into a 3D preoperative conception(virtual reality),enhanced with real-time visualization of the fluorescent liver structures,effectively facilitating intraoperative navigated liver surgery(augmented reality).Data sources:A literature search was performed from inception until January 2021 in MEDLINE(Pub Med),Embase,Cochrane library and database for systematic reviews(CDSR),Google Scholar,and National Institute for Health and Clinical Excellence(NICE)databases.Results:Fifty-one pertinent articles were retrieved and included.The different types of digital imaging technologies and the real-time navigated liver surgery were estimated and compared.Conclusions:ICG fluorescent imaging techniques can contribute essentially to the real-time definition of liver segments;as a result,precise hepatic resection can be guided by the presence of fluorescence.Furthermore,3D models can help essentially to further advancing of precision in hepatic surgery by permitting estimation of liver volume and functional liver remnant,delineation of resection lines along the liver segments and evaluation of tumor margins.In liver transplantation and especially in living donor liver transplantation(LDLT),3D printed models of the donor’s liver and models of the recipient’s hilar anatomy can contribute further to improving the results.In particular,pediatric LDLT abdominal cavity models can help to manage the largest challenge of this procedure,namely large-for-size syndrome.展开更多
AIM:To compare the short-term effectiveness of intelligent navigated laser photocoagulation and 577-nm subthreshold micropulse laser(SML)treatment in patients with chronic central serous chorioretinopathy(cCSC).METHOD...AIM:To compare the short-term effectiveness of intelligent navigated laser photocoagulation and 577-nm subthreshold micropulse laser(SML)treatment in patients with chronic central serous chorioretinopathy(cCSC).METHODS:This observational retrospective cohort study included 60 consecutive patients who underwent intelligent navigated laser photocoagulation(n=30)or 577-nm SML treatment(n=30)for cCSC between Jan.2021 and Oct.2022.During 3mo follow-up,all patients underwent assessments of best correct visual acuity(BCVA)and optical coherence tomography(OCT).RESULTS:The operation of laser treatment was successful in all cases.At 1mo,BCVA improved significantly more in the intelligent navigated laser photocoagulation group compared to the SML group(P<0.05).The change was not significantly different at 3mo(P>0.05).Central macular thickness(CMT)in the intelligent navigated laser photocoagulation group was lower than in the SML group at 1mo(P<0.05).The subfoveal choroidal thickness(SFCT)in two groups were all significantly improved at 3mo(all P<0.05).The change between two groups was not significantly different at 1mo or at 3mo(P>0.05).CONCLUSION:Intelligent navigated laser photocoagulation is superior to SML for treating cCSC,leading to better improvements in vision and CMT for short term.展开更多
Title: Analysis of factors influencing true blood loss in navigated total knee replacements. Objectives: To evaluate true blood loss in total knee replacements and analyze the various factors such as gender, BMI, diag...Title: Analysis of factors influencing true blood loss in navigated total knee replacements. Objectives: To evaluate true blood loss in total knee replacements and analyze the various factors such as gender, BMI, diagnosis, size of implants, duration of surgery, tourniquet usage etc. on calculated blood loss using formula by Nadler et al. All the cases included have been done using navigation system and no comparison with conventional jig based surgeries has been attempted. Methods: Retrospectively data of primary cemented total knee replacements performed from October 2012 to August 2013 were evaluated. All surgeries were performed using navigation system. The data collected included patient sex, height, weight and preoperative haemoglobin and hematocrit. The patients’ postoperative data of haemoglobin, hematocrit and drains were collected. All patients had their CBC done on 2nd post operative day. Any data on transfusions that patients received were also collected. We also collected data regarding the size of implant used. We calculated true blood based on formula given by Nadler, Hidalgo & Bloch. We excluded patients whose data were incomplete or who received tranexamic acid. Patients who needed stems (femoral or tibial) were also excluded from this study. Results: The average true calculated blood loss was 959.44 ml. BMI did not have any effect on blood loss. But larger size implants were associated with more blood loss. Conclusion: The preoperative haemoglobin is one of the most important factors in determining transfusion following the knee replacement. Male gender and larger implants are associated with more blood loss. BMI, diagnosis of OA or RA, tourniquet usage and time have no significant effect on blood loss. Our calculated blood loss compares favourably with published literature.展开更多
Augmented-and mixed-reality technologies have pioneered the realization of real-time fusion and interactive projection for laparoscopic surgeries.Indocyanine green fluorescence imaging technology has enabled anatomica...Augmented-and mixed-reality technologies have pioneered the realization of real-time fusion and interactive projection for laparoscopic surgeries.Indocyanine green fluorescence imaging technology has enabled anatomical,functional,and radical hepatectomy through tumor identification and localization of target hepatic segments,driving a transformative shift in themanagement of hepatic surgical diseases,moving away from traditional,empirical diagnostic and treatment approaches toward digital,intelligent ones.The Hepatic Surgery Group of the Surgery Branch of the Chinese Medical Association,Digital Medicine Branch of the Chinese Medical Association,Digital Intelligent Surgery Committee of the Chinese Society of ResearchHospitals,and Liver Cancer Committee of the Chinese Medical Doctor Association organized the relevant experts in China to formulate this consensus.This consensus provides a comprehensive outline of the principles,advantages,processes,and key considerations associated with the application of augmented reality and mixed-reality technology combined with indocyanine green fluorescence imaging technology for hepatic segmental and subsegmental resection.The purpose is to streamline and standardize the application of these technologies.展开更多
It is discussed with the design and implementation of an architecture for a mobile robot to navigate in dynamic and anknown indoor environments. The architecture is based on the framework of Open Robot Control Softwar...It is discussed with the design and implementation of an architecture for a mobile robot to navigate in dynamic and anknown indoor environments. The architecture is based on the framework of Open Robot Control Software at KTH （OROCOS@KTH）, which is also discussed and evaluated to navigate indoor efficiently, a new algorithm named door-like-exit detection is proposed which employs 2D feature oft. door and extracts key points of pathway from the raw data of a laser scanner. As a hybrid architecture, it is decomposed into several basic components which can be classified as either deliberative or reactive. Each component can concurrently execute and communicate with another. It is expansible and transferable and its components are reusable.展开更多
The brain is a complex organ that requires precise mapping to understand its structure and function.Brain atlases provide a powerful tool for studying brain circuits,discovering biological markers for early diagnosis,...The brain is a complex organ that requires precise mapping to understand its structure and function.Brain atlases provide a powerful tool for studying brain circuits,discovering biological markers for early diagnosis,and developing personalized treatments for neuropsychiatric disorders.Neuromodulation techniques,such as transcranial magnetic stimulation and deep brain stimulation,have revolutionized clinical therapies for neuropsychiatric disorders.However,the lack of fine-scale brain atlases limits the precision and effectiveness of these techniques.Advances in neuroimaging and machine learning techniques have led to the emergence of stereotactic-assisted neurosurgery and navigation systems.Still,the individual variability among patients and the diversity of brain diseases make it necessary to develop personalized solutions.The article provides an overview of recent advances in individualized brain mapping and navigated neuromodulation and discusses the methodological profiles,advantages,disadvantages,and future trends of these techniques.The article concludes by posing open questions about the future development of individualized brain mapping and navigated neuromodulation.展开更多
Microelectromechanical systems(MEMS)technology has gained significant attention over the past decade for measuring inertial angular velocity.However,due to inherent complexity,MEMS gyroscopes typically feature up to t...Microelectromechanical systems(MEMS)technology has gained significant attention over the past decade for measuring inertial angular velocity.However,due to inherent complexity,MEMS gyroscopes typically feature up to ten times more parameters than traditional sensors,making selection a challenging task even for experts.This study addresses this challenge,focusing on defensive guidance,navigation,and control(GNC)systems where precise and reliable angular velocity measurement is critical to overall performance.A comprehensive mathematical model is introduced to encapsulate all key MEMS parameters,accompanied by discussions on calibration and Allan variance interpretation.For six leading MEMS gyroscope applications,namely inertial navigation,integrated navigation,autopilot systems,rotating projectiles,homing guidance,and north finding,the most critical parameters are identified,distinguishing suitable and unsuitable sensor choices.Special emphasis is placed on inertial navigation systems,where practical rules of thumb for error evaluation are derived using six degrees of freedom motion equations.Rigorous simulations demonstrate the influence of various sensor parameters through real-world case studies,including static navigation,multi-rotor attitude estimation,gimbal stabilization,and north finding via a turntable.This work aims to be a beacon for practitioners across diverse fields,empowering them to make more informed design decisions.展开更多
After a three-year suspension, on December 13, 2005. authorities in Shenzhen again began accepting business applications for Internet cafes. The first batch of newly licensed cafes began operation in February. Accordi...After a three-year suspension, on December 13, 2005. authorities in Shenzhen again began accepting business applications for Internet cafes. The first batch of newly licensed cafes began operation in February. According to the local government's plan, 746 cafes will be opened in Shenzhen, in addition to the existing 314 licensed ones.展开更多
Displaced and unstable pelvic ring injuries have been treated mainly by open reduction and internal fixation. The goal of treatment relies on restoration of pelvic anatomy with stable internal fixation, allowing early...Displaced and unstable pelvic ring injuries have been treated mainly by open reduction and internal fixation. The goal of treatment relies on restoration of pelvic anatomy with stable internal fixation, allowing early mobilization of the patient.The symphysis pubis dislocation （〉25 mm） is consistent indication for anterior internal fixation.3 In most situations, the fixation of the displaced symphysis pubis requires extensive exposure, which may lead to complications including blood loss, neural or vascular injury, postoperative infections, wound healing problems and heterotopic bone formation.展开更多
The objective of this study was to develop a visual navigation system capable of navigating an unmanned ground vehicle(UGV)travelling between tree rows in the outdoor orchard.Thus far,while most research has developed...The objective of this study was to develop a visual navigation system capable of navigating an unmanned ground vehicle(UGV)travelling between tree rows in the outdoor orchard.Thus far,while most research has developed algorithms that deal with ground structures in the orchard,this study focused on the background of canopy plus sky to eliminate the interference factors such as inconsistent lighting,shadows,and color similarities in features.Aiming at the problem that the traditional Hough transform and the least square method are difficult to be applied under outdoor conditions,an algorithm combining Hough matrix and random sample consensus(RANSAC)was proposed to extract the navigation path.In the image segmentation stage,this study used an H-component that was adopted to extract the target path of the canopy plus sky.Then,after denoising and smoothing the image by morphological operation,line scanning was used to determine the midpoint of the target path.For navigation path extraction,this study extracted the feature points through Hough matrix to eliminate the redundant points,and RANSAC was used to reduce the impact of the noise points caused by different canopy shapes and fit the navigation path.The path acquisition experiment proved that the accuracy of Hough matrix and RANSAC method was 90.36%-96.81%and the time consumption of the program was within 0.55 s under different sunlight intensities.This method was superior to the traditional Hough transform in real-time and accuracy,and had higher accuracy,slightly worse real-time compared with the least square method.Furthermore,the OPENMV was used to capture the ground information of the orchard.The experiment proved that the recognition rate of OPENMV for identifying turning information was 100%,and the program running time was 0.17-0.19 s.Field experiments showed that the UGV could autonomously navigate the rows with a maximum lateral error of 0.118 m and realize the automatic turning of the UGV.The algorithm satisfied the practical operation requirements of autonomous vehicles in the orchard.So the UGV has the potential to guide multipurpose agricultural vehicles in outdoor orchards in the future.展开更多
“The future power system will address high line loss,poor reliability,and heavy pressure on new energy load management,”said Xia Wenbo,Vice President,CTO,Chief Digital Transformation Officer of Electric Power Digita...“The future power system will address high line loss,poor reliability,and heavy pressure on new energy load management,”said Xia Wenbo,Vice President,CTO,Chief Digital Transformation Officer of Electric Power Digitalization Business Unit,Huawei.“The deep integration of intelligent technology in the power sector is essential to navigate these systemic challenges.”展开更多
Before you can tie your shoelaces for one of the worlds most remote races,you must first navigate through wild seas,endure(忍受)freezing temperatures and go on a journey that tests more than just your physical enduran...Before you can tie your shoelaces for one of the worlds most remote races,you must first navigate through wild seas,endure(忍受)freezing temperatures and go on a journey that tests more than just your physical endurance.This is no ordinary race;it requires thorough preparation and a strong will.展开更多
Human vision,confined to visible wavelengths,represents a mere fraction of the electromagnetic spectrum exploited by other species.Pit vipers detect infrared radiation through specialized pit organs,integrating therma...Human vision,confined to visible wavelengths,represents a mere fraction of the electromagnetic spectrum exploited by other species.Pit vipers detect infrared radiation through specialized pit organs,integrating thermal and visual data to navigate darkness[1].Conventional retinal prosthetics,limited to visible light and requiring external power or injectable nanomaterials,fail to address this sensory deficit[2–5].展开更多
Brain-machine interface could give patients back their speech,sight or mobility In The Matrix,the protagonist connects to the Matrix to navigate between the real and virtual worlds.In Ghost in the Shell,the brain-mach...Brain-machine interface could give patients back their speech,sight or mobility In The Matrix,the protagonist connects to the Matrix to navigate between the real and virtual worlds.In Ghost in the Shell,the brain-machine interface becomes an important bridge between man and machine.These science fiction works show a technology that was as fascinating as it was inaccessible-until recently.This interface,which for a long time only existed in fantasy,is now appearing in the real world.展开更多
As the core information infrastructure of modern information warfare,the offensive and defensive confrontations of satellite navigation systems have given rise to navigation warfare,which focuses on seizing control of...As the core information infrastructure of modern information warfare,the offensive and defensive confrontations of satellite navigation systems have given rise to navigation warfare,which focuses on seizing control of navigation resources.Based on the space segment,control segment,and user segment of satellite navigation systems,this paper systematically constructs an offensive-defensive technology system for navigation warfare,and deeply analyzes core measures such as signal enhancement and suppression,autonomous navigation and link jamming,anti-jamming reception,and integrated navigation.It extracts key technologies including adaptive nulling antennas,joint filtering,and multi-dimensional combined jamming,and discusses the technical effectiveness of these technologies by incorporating relevant cases.The advantages of navigation warfare stem from multi-segment coordination and technological inte-gration.In the future,the development directions of navigation warfare will focus on three aspects:enhancing satellite capabilities,tackling core technical challenges,and building a multi-dimensional system.展开更多
Background and Objective Electromagnetic navigation technology has demonstrated significant potential in enhancing the accuracy and safety of neurosurgical procedures.However,traditional electromagnetic navigation sys...Background and Objective Electromagnetic navigation technology has demonstrated significant potential in enhancing the accuracy and safety of neurosurgical procedures.However,traditional electromagnetic navigation systems face challenges such as high equipment costs,complex operation,bulky size,and insufficient anti-interference performance.To address these limitations,our study developed and validated a novel portable electromagnetic neuronavigation system designed to improve the precision,accessibility,and clinical applicability of electromagnetic navigation technology in cranial surgery.Methods The software and hardware architecture of a portable neural magnetic navigation system was designed.The key technologies of the system were analysed,including electromagnetic positioning algorithms,miniaturized sensor design,optimization of electromagnetic positioning and navigation algorithms,anti-interference signal processing methods,and fast three-dimensional reconstruction algorithms.A prototype was developed,and its accuracy was tested.Finally,a preliminary clinical application evaluation was conducted.Results This study successfully developed a comprehensive portable electromagnetic neuronavigation system capable of achieving preoperative planning,intraoperative real-time positioning and navigation,and postoperative evaluation of navigation outcomes.Through rigorous collaborative testing of the system’s software and hardware,the accuracy of electromagnetic neuronavigation has been validated to meet clinical requirements.Conclusions This study developed a portable neuroelectromagnetic navigation system and validated its effectiveness and safety through rigorous model testing and preliminary clinical applications.The system is characterized by its compact size,high precision,excellent portability,and user-friendly operation,making it highly valuable for promoting navigation technology and advancing the precision and minimally invasive nature of neurosurgical procedures.展开更多
Zenith Tropospheric Delay(ZTD)is an important factor that restricts the high-precision positioning of global navigation satellite system(GNSS),and it is of great significance in establishing a real-time and highprecis...Zenith Tropospheric Delay(ZTD)is an important factor that restricts the high-precision positioning of global navigation satellite system(GNSS),and it is of great significance in establishing a real-time and highprecision ZTD model.However,existing ZTD models only consider the impact of linear terms on ZTD estimation,whereas the nonlinear factors have rarely been investigated before and thus become the focus of this study.A real-time and high-precision ZTD model for large height difference area is proposed by considering the linear and nonlinear characteristics of ZTD spatiotemporal variations and is called the realtime linear and nonlinearity ZTD(RLNZ)model.This model uses the ZTD estimated from the Global Pressure and Temperature 3(GPT3)model as the initial value.The linear impacts of periodic term and height on the estimation of ZTD difference between GNSS and GPT3 model are first considered.In addition,nonlinear factors such as geographical location and time are further used to fit the remaining nonlinear ZTD residuals using the general regression neural network method.Finally,the RLNZ-derived ZTD is obtained at an arbitrary location.The western United States,with height difference ranging from-500 to 4000 m,is selected,and the hourly ZTD of 484 GNSS stations provided by the Nevada Geodetic Laboratory(NGL)and the data of 9 radiosonde(RS)stations in the year 2021 are used.Experiment results show that a better performance of ZTD estimation can be retrieved from the proposed RLNZ model when compared with the GPT3 model.Statistical results show the averaged root mean square(RMS),Bias,and mean absolute error(MAE)of ZTD from GPT3 and RLNZ models are 33.7/0.8/25.7 mm and 22.6/0.1/17.4 mm,respectively.The average improvement rate of the RLNZ model is 33% when compared to the GPT3 model.Finally,the application of the proposed RLNZ model in simulated real-time Precise Point Positioning(PPP)indicates that the accuracy of PPP in N,E and U components is improved by 8%,2%,and 6% when compared with that from the GPT3-based PPP.Meanwhile,the convergence time in N and U components is improved by 23% and 7%,respectively.Such results verify the superiority of the proposed RLNZ model in retrieving realtime ZTD maps for GNSS positioning and navigation applications.展开更多
Precise coseismic displacements in earthquake/tsunamic early warning are necessary to characterize earthquakes in real time in order to enable decision-makers to issue alerts for public safety.Real-time global navigat...Precise coseismic displacements in earthquake/tsunamic early warning are necessary to characterize earthquakes in real time in order to enable decision-makers to issue alerts for public safety.Real-time global navigation satellite systems(GNSSs)have been a valuable tool in monitoring seismic motions,allowing permanent displacement computation to be unambiguously achieved.As a valuable tool presented to the seismic commu nity,the GSeisRT software developed by Wuhan University(China)can realize multi-GNSS precise point positioning with ambiguity resolution(PPP-AR)and achieve centimeterlevel to sub-centimeter-level precision in real time.While the stable maintenance of a global precise point positioning(PPP)service is challenging,this software is capable of estimating satellite clocks and phase biases in real time using a regional GNSS network.This capability makes GSeisRT especially suitable for proprietary GNSS networks and,more importantly,the highest possible positio ning precision and reliability can be obtained.According to real-time results from the Network of the Americas,the mean root mean square(RMS)errors of kinematic PPP-AR over a 24 h span are as low as 1.2,1.3,and 3.0 cm in the east,north,and up components,respectively.Within the few minutes that span a typical seismic event,a horizontal displacement precision of 4 mm can be achieved.The positioning precision of the GSeisRT regional PPP/PPP-AR is 30%-40%higher than that of the global PPP/PPP-AR.Since 2019,GSeisRT has successfully recorded the static,dynamic,and peak ground displacements for the 2020Oaxaca,Mexico moment magnitude(Mw)7.4 event;the 2020 Lone Pine,California Mw 5.8 event;and the 2021 Qinghai,China Mw 7.3 event in real time.The resulting immediate magnitude estimates have an error of around 0.1 only.The GSeisRT software is open to the scientific community and has been applied by the China Earthquake Ne tworks Center,the EarthScope Consortium of the United States,the National Seismological Center of Chile,Institute of Geological and Nuclear Sciences Limited(GNS Science Te PūAo)of New Zealand,and the Geospatial Information Agency of Indonesia.展开更多
文摘Background:In recent years,the development of digital imaging technology has had a significant influence in liver surgery.The ability to obtain a 3-dimensional(3D)visualization of the liver anatomy has provided surgery with virtual reality of simulation 3D computer models,3D printing models and more recently holograms and augmented reality(when virtual reality knowledge is superimposed onto reality).In addition,the utilization of real-time fluorescent imaging techniques based on indocyanine green(ICG)uptake allows clinicians to precisely delineate the liver anatomy and/or tumors within the parenchyma,applying the knowledge obtained preoperatively through digital imaging.The combination of both has transformed the abstract thinking until now based on 2D imaging into a 3D preoperative conception(virtual reality),enhanced with real-time visualization of the fluorescent liver structures,effectively facilitating intraoperative navigated liver surgery(augmented reality).Data sources:A literature search was performed from inception until January 2021 in MEDLINE(Pub Med),Embase,Cochrane library and database for systematic reviews(CDSR),Google Scholar,and National Institute for Health and Clinical Excellence(NICE)databases.Results:Fifty-one pertinent articles were retrieved and included.The different types of digital imaging technologies and the real-time navigated liver surgery were estimated and compared.Conclusions:ICG fluorescent imaging techniques can contribute essentially to the real-time definition of liver segments;as a result,precise hepatic resection can be guided by the presence of fluorescence.Furthermore,3D models can help essentially to further advancing of precision in hepatic surgery by permitting estimation of liver volume and functional liver remnant,delineation of resection lines along the liver segments and evaluation of tumor margins.In liver transplantation and especially in living donor liver transplantation(LDLT),3D printed models of the donor’s liver and models of the recipient’s hilar anatomy can contribute further to improving the results.In particular,pediatric LDLT abdominal cavity models can help to manage the largest challenge of this procedure,namely large-for-size syndrome.
文摘AIM:To compare the short-term effectiveness of intelligent navigated laser photocoagulation and 577-nm subthreshold micropulse laser(SML)treatment in patients with chronic central serous chorioretinopathy(cCSC).METHODS:This observational retrospective cohort study included 60 consecutive patients who underwent intelligent navigated laser photocoagulation(n=30)or 577-nm SML treatment(n=30)for cCSC between Jan.2021 and Oct.2022.During 3mo follow-up,all patients underwent assessments of best correct visual acuity(BCVA)and optical coherence tomography(OCT).RESULTS:The operation of laser treatment was successful in all cases.At 1mo,BCVA improved significantly more in the intelligent navigated laser photocoagulation group compared to the SML group(P<0.05).The change was not significantly different at 3mo(P>0.05).Central macular thickness(CMT)in the intelligent navigated laser photocoagulation group was lower than in the SML group at 1mo(P<0.05).The subfoveal choroidal thickness(SFCT)in two groups were all significantly improved at 3mo(all P<0.05).The change between two groups was not significantly different at 1mo or at 3mo(P>0.05).CONCLUSION:Intelligent navigated laser photocoagulation is superior to SML for treating cCSC,leading to better improvements in vision and CMT for short term.
文摘Title: Analysis of factors influencing true blood loss in navigated total knee replacements. Objectives: To evaluate true blood loss in total knee replacements and analyze the various factors such as gender, BMI, diagnosis, size of implants, duration of surgery, tourniquet usage etc. on calculated blood loss using formula by Nadler et al. All the cases included have been done using navigation system and no comparison with conventional jig based surgeries has been attempted. Methods: Retrospectively data of primary cemented total knee replacements performed from October 2012 to August 2013 were evaluated. All surgeries were performed using navigation system. The data collected included patient sex, height, weight and preoperative haemoglobin and hematocrit. The patients’ postoperative data of haemoglobin, hematocrit and drains were collected. All patients had their CBC done on 2nd post operative day. Any data on transfusions that patients received were also collected. We also collected data regarding the size of implant used. We calculated true blood based on formula given by Nadler, Hidalgo & Bloch. We excluded patients whose data were incomplete or who received tranexamic acid. Patients who needed stems (femoral or tibial) were also excluded from this study. Results: The average true calculated blood loss was 959.44 ml. BMI did not have any effect on blood loss. But larger size implants were associated with more blood loss. Conclusion: The preoperative haemoglobin is one of the most important factors in determining transfusion following the knee replacement. Male gender and larger implants are associated with more blood loss. BMI, diagnosis of OA or RA, tourniquet usage and time have no significant effect on blood loss. Our calculated blood loss compares favourably with published literature.
基金National Key Research and Development Program(2016YFC0106500800)NationalMajor Scientific Instruments and Equipments Development Project of National Natural Science Foundation of China(81627805)+3 种基金National Natural Science Foundation of China-Guangdong Joint Fund Key Program(U1401254)National Natural Science Foundation of China Mathematics Tianyuan Foundation(12026602)Guangdong Provincial Natural Science Foundation Team Project(6200171)Guangdong Provincial Health Appropriate Technology Promotion Project(20230319214525105,20230322152307666).
文摘Augmented-and mixed-reality technologies have pioneered the realization of real-time fusion and interactive projection for laparoscopic surgeries.Indocyanine green fluorescence imaging technology has enabled anatomical,functional,and radical hepatectomy through tumor identification and localization of target hepatic segments,driving a transformative shift in themanagement of hepatic surgical diseases,moving away from traditional,empirical diagnostic and treatment approaches toward digital,intelligent ones.The Hepatic Surgery Group of the Surgery Branch of the Chinese Medical Association,Digital Medicine Branch of the Chinese Medical Association,Digital Intelligent Surgery Committee of the Chinese Society of ResearchHospitals,and Liver Cancer Committee of the Chinese Medical Doctor Association organized the relevant experts in China to formulate this consensus.This consensus provides a comprehensive outline of the principles,advantages,processes,and key considerations associated with the application of augmented reality and mixed-reality technology combined with indocyanine green fluorescence imaging technology for hepatic segmental and subsegmental resection.The purpose is to streamline and standardize the application of these technologies.
基金The project is supported by European Open Robot Control Software Founda-tion(No.IST-2000-31064), National Natural Science Foundation of China(No.60475031) and the Swedish Foundation for Strategic Research, Sweden.
文摘It is discussed with the design and implementation of an architecture for a mobile robot to navigate in dynamic and anknown indoor environments. The architecture is based on the framework of Open Robot Control Software at KTH （OROCOS@KTH）, which is also discussed and evaluated to navigate indoor efficiently, a new algorithm named door-like-exit detection is proposed which employs 2D feature oft. door and extracts key points of pathway from the raw data of a laser scanner. As a hybrid architecture, it is decomposed into several basic components which can be classified as either deliberative or reactive. Each component can concurrently execute and communicate with another. It is expansible and transferable and its components are reusable.
基金partially supported by STI2030-Major Projects(No.2021ZD0200200)the Natural Science Foundation of China(Nos.82072099,91432302,31620103905,and 62250058)+1 种基金the Strategic Priority Research Program of Chinese Academy of Sciences(No.XDB32030200)the National Key Research&Development Program of China(No.2017YFA0105203)
文摘The brain is a complex organ that requires precise mapping to understand its structure and function.Brain atlases provide a powerful tool for studying brain circuits,discovering biological markers for early diagnosis,and developing personalized treatments for neuropsychiatric disorders.Neuromodulation techniques,such as transcranial magnetic stimulation and deep brain stimulation,have revolutionized clinical therapies for neuropsychiatric disorders.However,the lack of fine-scale brain atlases limits the precision and effectiveness of these techniques.Advances in neuroimaging and machine learning techniques have led to the emergence of stereotactic-assisted neurosurgery and navigation systems.Still,the individual variability among patients and the diversity of brain diseases make it necessary to develop personalized solutions.The article provides an overview of recent advances in individualized brain mapping and navigated neuromodulation and discusses the methodological profiles,advantages,disadvantages,and future trends of these techniques.The article concludes by posing open questions about the future development of individualized brain mapping and navigated neuromodulation.
文摘Microelectromechanical systems(MEMS)technology has gained significant attention over the past decade for measuring inertial angular velocity.However,due to inherent complexity,MEMS gyroscopes typically feature up to ten times more parameters than traditional sensors,making selection a challenging task even for experts.This study addresses this challenge,focusing on defensive guidance,navigation,and control(GNC)systems where precise and reliable angular velocity measurement is critical to overall performance.A comprehensive mathematical model is introduced to encapsulate all key MEMS parameters,accompanied by discussions on calibration and Allan variance interpretation.For six leading MEMS gyroscope applications,namely inertial navigation,integrated navigation,autopilot systems,rotating projectiles,homing guidance,and north finding,the most critical parameters are identified,distinguishing suitable and unsuitable sensor choices.Special emphasis is placed on inertial navigation systems,where practical rules of thumb for error evaluation are derived using six degrees of freedom motion equations.Rigorous simulations demonstrate the influence of various sensor parameters through real-world case studies,including static navigation,multi-rotor attitude estimation,gimbal stabilization,and north finding via a turntable.This work aims to be a beacon for practitioners across diverse fields,empowering them to make more informed design decisions.
文摘After a three-year suspension, on December 13, 2005. authorities in Shenzhen again began accepting business applications for Internet cafes. The first batch of newly licensed cafes began operation in February. According to the local government's plan, 746 cafes will be opened in Shenzhen, in addition to the existing 314 licensed ones.
文摘Displaced and unstable pelvic ring injuries have been treated mainly by open reduction and internal fixation. The goal of treatment relies on restoration of pelvic anatomy with stable internal fixation, allowing early mobilization of the patient.The symphysis pubis dislocation （〉25 mm） is consistent indication for anterior internal fixation.3 In most situations, the fixation of the displaced symphysis pubis requires extensive exposure, which may lead to complications including blood loss, neural or vascular injury, postoperative infections, wound healing problems and heterotopic bone formation.
基金supported by the Special Fund for Agro-scientific Research in the Public Interest(Grant No.201503136)the National Key Technology R&D Program(Grant No.2017YFD0301300).
文摘The objective of this study was to develop a visual navigation system capable of navigating an unmanned ground vehicle(UGV)travelling between tree rows in the outdoor orchard.Thus far,while most research has developed algorithms that deal with ground structures in the orchard,this study focused on the background of canopy plus sky to eliminate the interference factors such as inconsistent lighting,shadows,and color similarities in features.Aiming at the problem that the traditional Hough transform and the least square method are difficult to be applied under outdoor conditions,an algorithm combining Hough matrix and random sample consensus(RANSAC)was proposed to extract the navigation path.In the image segmentation stage,this study used an H-component that was adopted to extract the target path of the canopy plus sky.Then,after denoising and smoothing the image by morphological operation,line scanning was used to determine the midpoint of the target path.For navigation path extraction,this study extracted the feature points through Hough matrix to eliminate the redundant points,and RANSAC was used to reduce the impact of the noise points caused by different canopy shapes and fit the navigation path.The path acquisition experiment proved that the accuracy of Hough matrix and RANSAC method was 90.36%-96.81%and the time consumption of the program was within 0.55 s under different sunlight intensities.This method was superior to the traditional Hough transform in real-time and accuracy,and had higher accuracy,slightly worse real-time compared with the least square method.Furthermore,the OPENMV was used to capture the ground information of the orchard.The experiment proved that the recognition rate of OPENMV for identifying turning information was 100%,and the program running time was 0.17-0.19 s.Field experiments showed that the UGV could autonomously navigate the rows with a maximum lateral error of 0.118 m and realize the automatic turning of the UGV.The algorithm satisfied the practical operation requirements of autonomous vehicles in the orchard.So the UGV has the potential to guide multipurpose agricultural vehicles in outdoor orchards in the future.
文摘“The future power system will address high line loss,poor reliability,and heavy pressure on new energy load management,”said Xia Wenbo,Vice President,CTO,Chief Digital Transformation Officer of Electric Power Digitalization Business Unit,Huawei.“The deep integration of intelligent technology in the power sector is essential to navigate these systemic challenges.”
文摘Before you can tie your shoelaces for one of the worlds most remote races,you must first navigate through wild seas,endure(忍受)freezing temperatures and go on a journey that tests more than just your physical endurance.This is no ordinary race;it requires thorough preparation and a strong will.
基金supported by the National Key Research and Development Program from Ministry of Science and Technology(No.2023YFB3208102).
文摘Human vision,confined to visible wavelengths,represents a mere fraction of the electromagnetic spectrum exploited by other species.Pit vipers detect infrared radiation through specialized pit organs,integrating thermal and visual data to navigate darkness[1].Conventional retinal prosthetics,limited to visible light and requiring external power or injectable nanomaterials,fail to address this sensory deficit[2–5].
文摘Brain-machine interface could give patients back their speech,sight or mobility In The Matrix,the protagonist connects to the Matrix to navigate between the real and virtual worlds.In Ghost in the Shell,the brain-machine interface becomes an important bridge between man and machine.These science fiction works show a technology that was as fascinating as it was inaccessible-until recently.This interface,which for a long time only existed in fantasy,is now appearing in the real world.
文摘As the core information infrastructure of modern information warfare,the offensive and defensive confrontations of satellite navigation systems have given rise to navigation warfare,which focuses on seizing control of navigation resources.Based on the space segment,control segment,and user segment of satellite navigation systems,this paper systematically constructs an offensive-defensive technology system for navigation warfare,and deeply analyzes core measures such as signal enhancement and suppression,autonomous navigation and link jamming,anti-jamming reception,and integrated navigation.It extracts key technologies including adaptive nulling antennas,joint filtering,and multi-dimensional combined jamming,and discusses the technical effectiveness of these technologies by incorporating relevant cases.The advantages of navigation warfare stem from multi-segment coordination and technological inte-gration.In the future,the development directions of navigation warfare will focus on three aspects:enhancing satellite capabilities,tackling core technical challenges,and building a multi-dimensional system.
基金funded by National Natural Science Foundation of China(No.82272134)Innovative Research Group Project of the National Natural Science Foundation of China(No.82272134,Xiao-lei Chen).
文摘Background and Objective Electromagnetic navigation technology has demonstrated significant potential in enhancing the accuracy and safety of neurosurgical procedures.However,traditional electromagnetic navigation systems face challenges such as high equipment costs,complex operation,bulky size,and insufficient anti-interference performance.To address these limitations,our study developed and validated a novel portable electromagnetic neuronavigation system designed to improve the precision,accessibility,and clinical applicability of electromagnetic navigation technology in cranial surgery.Methods The software and hardware architecture of a portable neural magnetic navigation system was designed.The key technologies of the system were analysed,including electromagnetic positioning algorithms,miniaturized sensor design,optimization of electromagnetic positioning and navigation algorithms,anti-interference signal processing methods,and fast three-dimensional reconstruction algorithms.A prototype was developed,and its accuracy was tested.Finally,a preliminary clinical application evaluation was conducted.Results This study successfully developed a comprehensive portable electromagnetic neuronavigation system capable of achieving preoperative planning,intraoperative real-time positioning and navigation,and postoperative evaluation of navigation outcomes.Through rigorous collaborative testing of the system’s software and hardware,the accuracy of electromagnetic neuronavigation has been validated to meet clinical requirements.Conclusions This study developed a portable neuroelectromagnetic navigation system and validated its effectiveness and safety through rigorous model testing and preliminary clinical applications.The system is characterized by its compact size,high precision,excellent portability,and user-friendly operation,making it highly valuable for promoting navigation technology and advancing the precision and minimally invasive nature of neurosurgical procedures.
基金supported by the National Natural Science Foundation of China(42274039)Shaanxi Provincial Innovation Capacity Support Plan Project(2023KJXX-050)+2 种基金The Open Grants of the State Key Laboratory of Severe Weather(2023LASW-B18)Scientific and technological research projects for major issues in military medicine and aviation medicine(2022ZZXM012)Local special scientific research plan project of Shaanxi Provincial Department of Education(22JE012)。
文摘Zenith Tropospheric Delay(ZTD)is an important factor that restricts the high-precision positioning of global navigation satellite system(GNSS),and it is of great significance in establishing a real-time and highprecision ZTD model.However,existing ZTD models only consider the impact of linear terms on ZTD estimation,whereas the nonlinear factors have rarely been investigated before and thus become the focus of this study.A real-time and high-precision ZTD model for large height difference area is proposed by considering the linear and nonlinear characteristics of ZTD spatiotemporal variations and is called the realtime linear and nonlinearity ZTD(RLNZ)model.This model uses the ZTD estimated from the Global Pressure and Temperature 3(GPT3)model as the initial value.The linear impacts of periodic term and height on the estimation of ZTD difference between GNSS and GPT3 model are first considered.In addition,nonlinear factors such as geographical location and time are further used to fit the remaining nonlinear ZTD residuals using the general regression neural network method.Finally,the RLNZ-derived ZTD is obtained at an arbitrary location.The western United States,with height difference ranging from-500 to 4000 m,is selected,and the hourly ZTD of 484 GNSS stations provided by the Nevada Geodetic Laboratory(NGL)and the data of 9 radiosonde(RS)stations in the year 2021 are used.Experiment results show that a better performance of ZTD estimation can be retrieved from the proposed RLNZ model when compared with the GPT3 model.Statistical results show the averaged root mean square(RMS),Bias,and mean absolute error(MAE)of ZTD from GPT3 and RLNZ models are 33.7/0.8/25.7 mm and 22.6/0.1/17.4 mm,respectively.The average improvement rate of the RLNZ model is 33% when compared to the GPT3 model.Finally,the application of the proposed RLNZ model in simulated real-time Precise Point Positioning(PPP)indicates that the accuracy of PPP in N,E and U components is improved by 8%,2%,and 6% when compared with that from the GPT3-based PPP.Meanwhile,the convergence time in N and U components is improved by 23% and 7%,respectively.Such results verify the superiority of the proposed RLNZ model in retrieving realtime ZTD maps for GNSS positioning and navigation applications.
基金funded by National Science Foundation of China(42025401)National Key Research and Development Program of China(2022YFB3903800)。
文摘Precise coseismic displacements in earthquake/tsunamic early warning are necessary to characterize earthquakes in real time in order to enable decision-makers to issue alerts for public safety.Real-time global navigation satellite systems(GNSSs)have been a valuable tool in monitoring seismic motions,allowing permanent displacement computation to be unambiguously achieved.As a valuable tool presented to the seismic commu nity,the GSeisRT software developed by Wuhan University(China)can realize multi-GNSS precise point positioning with ambiguity resolution(PPP-AR)and achieve centimeterlevel to sub-centimeter-level precision in real time.While the stable maintenance of a global precise point positioning(PPP)service is challenging,this software is capable of estimating satellite clocks and phase biases in real time using a regional GNSS network.This capability makes GSeisRT especially suitable for proprietary GNSS networks and,more importantly,the highest possible positio ning precision and reliability can be obtained.According to real-time results from the Network of the Americas,the mean root mean square(RMS)errors of kinematic PPP-AR over a 24 h span are as low as 1.2,1.3,and 3.0 cm in the east,north,and up components,respectively.Within the few minutes that span a typical seismic event,a horizontal displacement precision of 4 mm can be achieved.The positioning precision of the GSeisRT regional PPP/PPP-AR is 30%-40%higher than that of the global PPP/PPP-AR.Since 2019,GSeisRT has successfully recorded the static,dynamic,and peak ground displacements for the 2020Oaxaca,Mexico moment magnitude(Mw)7.4 event;the 2020 Lone Pine,California Mw 5.8 event;and the 2021 Qinghai,China Mw 7.3 event in real time.The resulting immediate magnitude estimates have an error of around 0.1 only.The GSeisRT software is open to the scientific community and has been applied by the China Earthquake Ne tworks Center,the EarthScope Consortium of the United States,the National Seismological Center of Chile,Institute of Geological and Nuclear Sciences Limited(GNS Science Te PūAo)of New Zealand,and the Geospatial Information Agency of Indonesia.
