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Orthogonal versus Parallel Plating for Distal Humeral Fractures 正交与平行钢板治疗肱骨远端骨折
Pub Date : 2015-06-30 DOI: 10.5397/CISE.2015.18.2.105
J. Moon, Ji Ho Lee
In orthopedic trauma surgery, treatment of intraarticular distal humerus fractures is a challenge. With development of implants and biomechanical studies, surgical strategies with recommendations including preoperative computed tomography images, proper approaches and open reduction and internal fixation with dual plates have emerged. In addition, as an effort to provide stable fixation to permit early elbow motion, different methods of internal fixation, particularly plate configuration, have evolved. Using dual plates, either oriented parallel to each other or orthogonal, stable fixation has been achieved and satisfactory clinical outcomes have been reported. With rationales and advantages/disadvantages of each plate configuration, both techniques are selected according to surgeons’ preference, and, in specific cases, one could be preferred over another. The key to successful fixation by either technique is obtaining anatomical reduction with restoration of two stable columns of the distal humerus.
在骨科创伤手术中,肱骨远端关节内骨折的治疗是一个挑战。随着植入物和生物力学研究的发展,推荐的手术策略包括术前计算机断层扫描图像、合适的入路、切开复位和双钢板内固定。此外,为了提供稳定的固定以允许肘关节早期活动,不同的内固定方法,特别是钢板配置已经发展。使用双钢板,或相互平行或正交,已获得稳定的固定,并报道了令人满意的临床结果。根据每种钢板配置的基本原理和优缺点,根据外科医生的喜好选择两种技术,在特定情况下,一种技术可能优于另一种。任何一种技术成功固定的关键是获得解剖复位并恢复肱骨远端两根稳定柱。
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引用次数: 9
Evaluation of machine learning techniques for prostate cancer diagnosis and Gleason grading 前列腺癌诊断和Gleason分级的机器学习技术评价
Pub Date : 2010-02-01 DOI: 10.1504/IJCIBSB.2010.031392
E. Alexandratou, V. Atlamazoglou, T. Thireou, G. Agrogiannis, Dimitrios Togas, N. Kavantzas, E. Patsouris, D. Yova
Although the gold standard for prostate cancer tissue grading has been the Gleason grading scheme, it is strongly affected by 'inter- and intra observer variations'. Therefore, the development of objective and reproducible computer-aided classification methods is of critical importance. In this paper, 16 supervised machine learning algorithms were compared based on their performance on prostate cancer diagnosis and Gleason grading. The classification problems addressed were: tumour vs. non-tumour, low vs. high grade; and the four class problem of diagnosis and grading. Thirteen Haralick texture characteristics were calculated based on grey level co-occurrence matrix of microscopic prostate tissue. For the best performing algorithm in each case the accuracy obtained was 97.9% for diagnosis (tumour-non-tumour), 80.8% for low-high grade discrimination and 77.8% for accomplishing both diagnosis and Gleason grading. Logistic regression and sequential minimal optimisation for training a support vector machine were among the four top scoring algorithms in each classification problem.
虽然前列腺癌组织分级的金标准一直是Gleason分级方案,但它受到“观察者之间和内部变化”的强烈影响。因此,开发客观、可重复的计算机辅助分类方法至关重要。本文比较了16种监督机器学习算法在前列腺癌诊断和Gleason分级方面的表现。分类问题包括:肿瘤与非肿瘤、低级别与高级别;四类问题的诊断与分级。基于前列腺显微组织灰度共生矩阵计算了13个哈拉里克纹理特征。对于每种情况下表现最好的算法,诊断准确率为97.9%(肿瘤-非肿瘤),低-高级别区分准确率为80.8%,同时完成诊断和Gleason分级准确率为77.8%。逻辑回归和训练支持向量机的顺序最小优化是每个分类问题中得分最高的四种算法之一。
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引用次数: 10
Clinical Result of Arthroscopic Partial Repairs in Massive Rotator Cuff Tears 关节镜下部分修复大面积肩袖撕裂的临床效果
Pub Date : 2009-12-31 DOI: 10.5397/CISE.2009.12.2.150
J. Yoo, Kyung Hwan Ko, Kyungjei Woo
Purpose: With the better understanding of cuff function, partial repair or "force couple repair" for treating massive irreparable rotator cuff tear has gained some popularity. However, there were few reports on the results of partial repair. The purpose of this study was to report the clinical outcome of massive irreparable rotator cuff tears who received arthroscopic force-couple repair or partial repair. Materials and Methods: From June 2005 to Feb 2008, arthroscopic partial repairs were performed for 16 irreparable rotator cuff tears among the 101 large to massive rotator cuff tears that were operated on. Clinical and radiographic evaluation were done at the final follow-up. Results: There were 7 men and 9 women with a mean age of 66.6 years. The mean follow-up period was 27.3 month (range: 15-46). The pain VAS improved from 4.4 () to 2.1 () and the functional VAS improved from 46.9 () to 70.0 (). The ASES score improved from 39.0 () to 80.3 () and the KSS score was 81.9 () at the final follow-up. The acromio-humeral distance was 6.6 cm () preoperatively and 6.2 cm () postoperatively without significant change (p
目的:随着对袖带功能了解的加深,部分修复或“力偶修复”治疗大量不可修复的肩袖撕裂已越来越受欢迎。然而,关于局部修复结果的报道很少。本研究的目的是报道接受关节镜下力偶修复或部分修复的大量不可修复的肩袖撕裂的临床结果。材料与方法:2005年6月至2008年2月,对101例大到大块肩袖撕裂进行了关节镜下部分修复术,其中16例为不可修复性肩袖撕裂。最后随访时进行临床和影像学评价。结果:男性7例,女性9例,平均年龄66.6岁。平均随访时间27.3个月(15 ~ 46个月)。疼痛VAS从4.4分提高到2.1分,功能VAS从46.9分提高到70.0分。最终随访时,as评分由39.0()提高至80.3 (),KSS评分为81.9()。肩肱距离术前为6.6 cm(),术后为6.2 cm(),无明显变化(p
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引用次数: 0
Subclavian Portal Approach for Isolated Subscapularis Tendon Tear: Technical Note 锁骨下门静脉入路治疗孤立性肩胛下肌腱撕裂:技术说明
Pub Date : 2009-12-31 DOI: 10.5397/CISE.2009.12.2.221
C. Choi, Shin-Kun Kim, Il-Woong Chang, S. Kim
Purpose: For an isolated tear of the subscapularis tendon, the presented technique using a subclavian portal provides both a good angle for anchor placement and sufficient space for managing the upper portion of a subscapularis tendon tear. Materials and Methods: The conventional method needs 2 additional portals for traction, debriding the footprint and anchor fixation for repair. The presented technique requires only an anterior portal for suture management and a subclavian portal without cannula for suture anchoring and placement of suture hooks. Results: The two suture limbs of the anchor can be placed on the subscapularis tendon by the switching technique and these limbs are repaired sequentially. Conclusion: This technique is simple and reproducible and it can be applied to partial tears and minimally retracted subscapularis tears.
目的:对于孤立的肩胛下肌腱撕裂,采用锁骨下门静脉的技术提供了一个良好的锚定放置角度和足够的空间来处理肩胛下肌腱撕裂的上部。材料与方法:常规方法需增加2个门洞牵引、清除足部、锚钉固定修复。所提出的技术只需要一个前门静脉用于缝合管理和锁骨下门静脉,不需要插管用于缝合锚定和放置缝合钩。结果:通过切换技术可将锚钉的两条缝合肢置于肩胛下肌肌腱上,并依次修复。结论:该方法操作简单,重复性好,可用于部分撕裂和肩胛下肌小内缩回撕裂。
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引用次数: 2
Arthroscopic Bankart Repair for Post-seizure Anterior Instabilities of Shoulder - 2 Cases Report - 关节镜下Bankart修复癫痫发作后肩关节前部不稳定2例报告
Pub Date : 2009-06-30 DOI: 10.5397/CISE.2009.12.1.098
Y. Moon, H. Yang, Venkat Gorthi
Purpose: These case reports have been prepared to highlight the uncommon occurrence of anterior shoulder dislocation after an epileptic seizure, the recognition of which is important as this type of injury is associated with bony lesions and a high incidence of recurrence. Materials and Methods: We report two cases of recurrent anterior dislocation of the shoulder due to grand mal epilepsy. These cases were treated as usual anterior dislocations of the shoulder, and were regularly followed to detect any recurrence of shoulder instability. Results: Outcome of the surgery in the two cases was different because of the differences in seizure control. In the patient in whom seizures were well-controlled, there was no recurrence of instability, while the patient with poorly controlled seizures developed a recurrence of the dislocation following shoulder repair. Conclusion: The authors emphasize the need to control seizures in order to prevent injury recurrence in this subset of patients.
目的:这些病例报告是为了强调癫痫发作后肩关节前脱位的罕见发生,认识到这一点很重要,因为这种类型的损伤与骨病变和高复发率有关。材料与方法:我们报告2例因大癫痫引起的复发性肩前脱位。这些病例按照通常的肩关节前脱位进行治疗,并定期随访以检测肩关节不稳定的复发。结果:由于癫痫控制的不同,两例患者的手术效果不同。在癫痫发作控制良好的患者中,没有不稳定复发,而癫痫发作控制不良的患者在肩关节修复后出现脱位复发。结论:作者强调需要控制癫痫发作,以防止这类患者的损伤复发。
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引用次数: 0
First-order interval type-1 non-singleton type-2 TSK fuzzy logic systems 一阶区间1型非单型2型TSK模糊逻辑系统
Pub Date : 2006-11-13 DOI: 10.1007/11925231_8
G. Mendez, L. Leduc, M. MaríadelosAngelesHernandez
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引用次数: 4
Methoden wissensbasierter Systeme - Grundlagen, Algorithmen, Anwendungen 基于知识的系统的方法算法应用
Pub Date : 1900-01-01 DOI: 10.1007/978-3-658-27084-1
Christoph Beierle, Gabriele Kern-Isberner
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引用次数: 52
Sehen und die Verarbeitung visueller Information - eine Einführung, 2. Auflage 视觉信息的处理。发行量
Pub Date : 1900-01-01 DOI: 10.1007/978-3-663-11347-8.PDF
H. Mallot
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引用次数: 8
Methoden wissensbasierter Systeme - Grundlagen, Algorithmen, Anwendungen, 2. Auflage 基于知识的系统的方法,算法,应用,2。发行量
Pub Date : 1900-01-01 DOI: 10.1007/978-3-8348-2300-7
Christoph Beierle, Gabriele Kern-Isberner
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引用次数: 4
Position Control of Ultrasonic Motor using Support Vector Regression 基于支持向量回归的超声电机位置控制
Pub Date : 1900-01-01 DOI: 10.2493/JSPE.72.596
Masayuki Kobayashi, Y. Konishi, Sadao Fujita, H. Ishigaki
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引用次数: 4
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