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App for the prevention of malnutrition in vegan diet 预防纯素饮食中营养不良的应用程序
Q4 Engineering Pub Date : 2023-09-01 DOI: 10.1515/cdbme-2023-1058
Michael Scholtes, Oskar Seifert, Selina Benselama, Keywan Sohrabi, Volker Gross
Abstract More and more people are changing their lifestyle to a vegan diet. On the one hand, a vegan diet can help reduce the risk of nutrition-related diseases, but on the other hand, the vegan diet itself poses the risk of malnutrition. Therefore, nutrient intake should be managed and any nutrient interactions should be considered. The aim of this paper is to work out a development strategy for a nutrition app for a vegan diet. With the help of a market analysis, unique selling proposition were identified and regulatory requirements have been determined. It could be shown that there is currently no adequate app that is approved as a medical device, focuses on the vegan diet and considers nutrient interactions. The necessary regulatory requirements could be identified. There are many apps available, but without medical device approval. From the authors' perspective, this would be necessary to ensure a high level of safety and health protection for users.
越来越多的人正在改变他们的生活方式,开始吃素。一方面,纯素饮食可以帮助减少营养相关疾病的风险,但另一方面,纯素饮食本身也会带来营养不良的风险。因此,应控制营养摄入,并考虑任何营养相互作用。本文的目的是为素食饮食的营养应用程序制定一个开发策略。在市场分析的帮助下,确定了独特的销售主张,并确定了监管要求。可以看出,目前还没有足够的应用程序被批准为医疗设备,专注于素食饮食并考虑营养相互作用。可以确定必要的监管要求。有许多应用程序可用,但没有医疗设备批准。从作者的角度来看,这对于确保用户的高水平安全和健康保护是必要的。
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引用次数: 0
Conception And Implementation of an virtual Reality application for the evaluation of different types of commercially available haptic gloves 虚拟现实应用的概念和实现,用于评估不同类型的市售触觉手套
Q4 Engineering Pub Date : 2023-09-01 DOI: 10.1515/cdbme-2023-1039
Vanessa Schmücker, Rebekka Jakob, Christian Gießer, Rainer Brück, Tanja Eiler, Florian Grensing
Abstract Immersion and presence are important aspects of virtual reality (VR). Efforts are therefore being made to enhance these effects in order to increase the impact of VR and its transferability to reality. This is particularly important in research areas such as medical education and psychology. The development of haptic gloves has therefore increased significantly in recent years. These are immersive input devices designed to make virtual objects tangible. However, the research field is still very new and there is insufficient research on their handling and effect. For this reason, an application was developed to compare different haptic data gloves with different haptic technologies. A glove with vibrotactile feedback (Manus Prime X Haptic VR) and a glove with additional force feedback (SenseGlove) were used and compared in multiple tasks. These include finger tracking and gesture recognition, as well as hand tracking and the behaviour of gloves when grasping objects with and without haptics. The aim is to determine how well the haptics could be integrated and which is more accepted by the test subjects. For this purpose, a questionnaire has been designed to evaluate the effect of the haptic gloves on users. It aims to get a first impression of the tactile gloves available on the market and to advance research in the area.
沉浸感和在场感是虚拟现实技术的重要方面。因此,正在努力加强这些效果,以增加虚拟现实的影响及其向现实的可转移性。这在医学教育和心理学等研究领域尤为重要。因此,近年来触觉手套的发展有了显著的增长。这是一种沉浸式输入设备,旨在使虚拟物体变得有形。然而,这一研究领域还很新,对其处理和效果的研究还很不足。因此,开发了一个应用程序来比较不同触觉技术的不同触觉数据手套。在多个任务中使用并比较了带有振动触觉反馈的手套(Manus Prime X Haptic VR)和带有额外力反馈的手套(SenseGlove)。其中包括手指跟踪和手势识别,以及手部跟踪和手套在有或没有触觉的情况下抓取物体时的行为。这样做的目的是为了确定触觉的整合程度,以及哪种触觉更容易被测试对象接受。为此,设计了一份问卷来评估触觉手套对使用者的影响。它的目的是获得触觉手套在市场上可用的第一印象,并推进该领域的研究。
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引用次数: 0
Audio-based tissue classification - preliminary investigation for a needle procedure 基于音频的组织分类-针手术的初步调查
Q4 Engineering Pub Date : 2023-09-01 DOI: 10.1515/cdbme-2023-1087
Witold Serwatka, Katarzyna Heryan, Joanna Sorysz, Alfredo Illanes, Axel Boese, Gabrielle A. Krombach, Michael Friebe
Abstract Image-guided and minimally invasive procedures still require confirmation on having reached a target. Intraoperative imaging is not always sufficient or conclusive as it comes with artifacts that can come with a certain amount of ambiguity and inaccurate location information. As an alternative to imaging, we want to explore sounds produced by the biopsy needle tip while advancing and interacting with tissue. In this paper, we show that by analyzing vibroacoustic signals acquired at the proximal end of the needle we are able to differentiate the tissue type. In total, 419 audio samples of 5 tissues were acquired and converted to spectrograms used as input to a convolutional neural network. Using this experimental setup we were able to differentiate the tissue types with an F1 score of 71.64%. Based on these results we were able to demonstrate the feasibility of our approach, as well as the importance of further experiments to ensure that vibroacoustic sounds produced by the needle tip can be a new navigation method.
图像引导和微创手术仍然需要确认是否达到目标。术中成像并不总是充分的或结论性的,因为它会带来一定数量的模糊和不准确的位置信息。作为成像的替代方案,我们想要探索活检针尖在推进和与组织相互作用时产生的声音。在本文中,我们表明,通过分析在针头近端获得的振动声信号,我们能够区分组织类型。总共获取了5种组织的419个音频样本,并将其转换为频谱图,作为卷积神经网络的输入。利用该实验装置,我们能够区分组织类型,F1评分为71.64%。基于这些结果,我们能够证明我们的方法的可行性,以及进一步实验的重要性,以确保由针尖产生的振动声可以成为一种新的导航方法。
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引用次数: 0
Mechanical Adaptive Silicone Composites for UV-triggered Facilitated Cochlear-Implant Removal 机械自适应有机硅复合材料在紫外线触发下促进耳蜗植入物移除
Q4 Engineering Pub Date : 2023-09-01 DOI: 10.1515/cdbme-2023-1168
Florian Klodwig, Nina Ehlert, Timo Herrmann, Henning Menzel
Abstract The removal of the cochlear implant (CI), which in some cases is without alternative, is still an act of simple pulling, not only causing harm for the patient by damaging tissue but also making reimplantation more difficult. For that reason, it is necessary to develop mechanisms to make an explantation easier. To overcome this problem adaption of the mechanical properties by light-degradable periodic mesoporous organosilica (PMO) can be one solution. By introducing PMO nanoparticles into the CI’s silicone matrix, the particles act as a stiffening agent, which can be degraded by irradiation with UV light. Using this mechanism, the silicone becomes softer, thus making explantation easier and safer for patients. Here first results, concerning the creation of a silicone composite material with light-sensitive adaptive mechanical properties are reported.
摘要人工耳蜗(artificial artificial artificial artificial, CI)的拔除,在某些情况下是无可替代的,仍然是一种简单的牵拉行为,不仅对患者造成组织损伤,而且增加了再植的难度。因此,有必要开发使解释更容易的机制。为了克服这一问题,光可降解的周期性介孔有机二氧化硅(PMO)的机械性能适应性是一种解决方案。通过将PMO纳米颗粒引入到CI的硅酮基体中,这些颗粒可以作为一种硬化剂,通过紫外线照射可以降解。使用这种机制,硅胶变得更柔软,从而使患者更容易和更安全的移植。本文首先报道了一种具有光敏自适应机械性能的有机硅复合材料的制备结果。
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引用次数: 0
From Multispectral-Stereo to Intraoperative Hyperspectral Imaging: a Feasibility Study 从多光谱立体成像到术中高光谱成像:可行性研究
Q4 Engineering Pub Date : 2023-09-01 DOI: 10.1515/cdbme-2023-1078
Eric L. Wisotzky, Jost Triller, Benjamin Kossack, Anna Hilsmann, Brigitta Globke, Philipp Arens, Peter Eisert
Abstract Spectral imaging allows to analyze optical tissue properties that are invisible to the naked eye. Different spectral setups have been introduced in the last years to allow intraoperative image-guidance. All systems suffer from different disadvantages, such as lack of real-time capability, limited spectral coverage or low resolution. We present a novel approach using two multispectral snapshot cameras covering different spectral ranges as a stereo-system. The proposed method allows for continuous hyperspectral imaging of the surgical scene, while also enabling 3D scene reconstruction. The study demonstrates the feasibility of this approach and its potential applications in real-time monitoring and tissue identification of surgical interventions. The paper also discusses the technical challenges and future directions for improving the imaging system.
光谱成像可以分析肉眼看不见的光学组织特性。在过去的几年中,已经引入了不同的光谱设置,以允许术中图像引导。所有系统都有不同的缺点,如缺乏实时能力、频谱覆盖有限或分辨率低。我们提出了一种新的方法,使用两个覆盖不同光谱范围的多光谱快照相机作为一个立体系统。所提出的方法允许手术场景的连续高光谱成像,同时也允许3D场景重建。该研究证明了这种方法的可行性及其在手术干预的实时监测和组织识别方面的潜在应用。本文还讨论了改进成像系统的技术挑战和未来发展方向。
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引用次数: 1
Ag sputter coating of PLLA nonwovens 不是吗
Q4 Engineering Pub Date : 2023-09-01 DOI: 10.1515/cdbme-2023-1135
Michael Teske, Sabine Illner, Carsten Tautorat, Kerstin Lebahn, Wolfram Schmidt, Volkmar Senz, Niels Grabow
Abstract Physical vapor deposition (PVD) sputtering is a promising technique for the generation of electrically conductive coatings on complex structured biomaterials, such as nonwovens, that can be used in implants. The ultra-thin coatings can fulfil a variety of purposes, such as drug depot or biosensor. The aim of our studies was to determine the feasibility of generating thin silver (Ag) coatings on complex structured poly-L-lactide (PLLA) nonwovens by sputtering and their morphological characterization. PVD sputter process was performed using a customized plasma chamber and a complex rotation of the tender electrospun PLLA nonwovens. Morphological analysis revealed a promising homogenous Ag coating, representing the structure of the nonwovens.
物理气相沉积(PVD)溅射是一种很有前途的技术,可以在复杂结构的生物材料(如非织造布)上生成导电涂层,可用于植入物。超薄涂层可以满足多种用途,如药库或生物传感器。本研究的目的是确定在复杂结构聚l -丙交酯(PLLA)非织造布上溅射制备银(Ag)薄膜的可行性及其形态表征。PVD溅射过程使用定制的等离子体室和复杂旋转的柔软静电纺PLLA非织造布进行。形态学分析表明,银膜具有良好的均匀性,代表了非织造布的结构。
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引用次数: 0
SkillsLab+ - Digitization of the Otoscopy Station through State of the Art Methods of Augmented Reality SkillsLab+ -通过最先进的增强现实方法实现耳镜站的数字化
Q4 Engineering Pub Date : 2023-09-01 DOI: 10.1515/cdbme-2023-1013
Christian Gießer, Archsayan Karunairatnam, Johannes Schmitt, Rainer Brück
Abstract The paper discusses SkillsLab+, a medical augmented reality application developed to digitize the practical course SkillsLab. This application provides medical students with a digital tool to learn and apply practical hand movements, initial treatment, and diagnostic techniques. The otoscopy station, one of the stations in SkillsLab+, allows students to learn the correct use of otoscope inserts and perform case discrimination. The digitization of this station provides several advantages over traditional teaching methods. The implementation of the application with the Unreal Engine on the Magic Leap One headset is discussed. The application is modular, allowing the addition of new stations with ease. Anatomically correct models and 3D models of diagnostic tools provide the necessary realism and precision for the application. Learning and exam modes have been included in the application to enhance the learning experience. The evaluation of the application was conducted using a questionnaire completed by 79 bachelor and master students from the fields of medical informatics and digital biomedicine and health sciences. On average, 54.25% of students had a positive response to the digital otoscopy station in the SkillsLab+ application, while 22.71% had a negative response. The questionnaire results indicated that the digitization of the otoscopy station through augmented reality in the SkillsLab+ application was well-received by the students. The SkillsLab+ application digitizes the practical course SkillsLab and offers several advantages over traditional teaching methods. It provides students with a digital tool to learn and apply practical hand movements, initial treatment, and diagnostic techniques. The otoscopy station in SkillsLab+ allows students to learn the correct use of otoscope inserts and perform case discrimination. The digitization of this station provides students with a digital tool that can be used anywhere, any number of times. The evaluation of the application using a questionnaire showed that the application was well received by the students.
摘要:本文讨论了为实现医学实践课程SkillsLab数字化而开发的医学增强现实应用程序SkillsLab+。该应用程序为医学生提供了一个学习和应用实际手部运动、初始治疗和诊断技术的数字工具。耳镜工作站是SkillsLab+的其中一个工作站,让学生学习正确使用耳镜插入件并进行病例区分。与传统的教学方法相比,该站的数字化提供了几个优势。讨论了该应用在虚幻引擎下在Magic Leap One耳机上的实现。该应用程序是模块化的,允许轻松添加新的工作站。解剖正确的模型和诊断工具的3D模型提供了必要的现实主义和精度的应用。应用程序中包含学习和考试模式,以增强学习体验。对79名来自医学信息学和数字生物医学与健康科学专业的本科生和硕士生进行了问卷调查。平均54.25%的学生对SkillsLab+应用程序中的数字耳镜台有正面反应,22.71%的学生有负面反应。问卷调查结果显示,在SkillsLab+应用程序中通过增强现实技术实现耳镜工作站的数字化,得到了学生的好评。SkillsLab+应用程序将实践课程SkillsLab数字化,与传统教学方法相比,它具有几个优势。它为学生提供了一个数字工具来学习和应用实际的手部运动、初始治疗和诊断技术。SkillsLab+的耳镜站可以让学生学习正确使用耳镜插入物,并进行病例区分。该站的数字化为学生提供了一个可以在任何地方、任何次数使用的数字化工具。通过问卷调查的方式对申请进行评估,结果显示学生对申请非常满意。
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引用次数: 0
Enhancement and labelling of OCT images OCT图像的增强和标记
Q4 Engineering Pub Date : 2023-09-01 DOI: 10.1515/cdbme-2023-1137
Karri Karthik, Manjunatha Mahadevappa
Abstract Optical Coherence Tomography (OCT) is a noninvasive technique for visualizing retinal cross-sections, assisting in diagnosing and monitoring retinal diseases. This study presents an effective OCT image noise reduction and segmentation method. Due to the high resolution of our primary image database, a visual comparison of filter performance was challenging. To address this, we utilized a high-noise image dataset from Duke University, enabling a better evaluation of noise reduction filters. Our method was compared against eight widely-used image filters, including Gaussian, Low pass,Wavelet domain filtering, Lee filter, Anisotropic diffusion, Bilateral filter, Total variational filter, and BM3D filter. Both visual and quantitative analyses were conducted using no-reference performance parameters, namely Gradient Magnitude Similarity Deviation (GMSD), Standard Deviation of Wavelet Coefficients (SDWC), Focus Measure with Tengrade Variance (FMTV), Perception-based Image Quality Evaluator (PIQE), and Visual Information Fidelity (VIF). The results demonstrated the superiority of our proposed filter in terms of noise reduction performance while maintaining the sharpness of retinal layers. Quantitative analysis revealed notable performance gains, including improvements of 63.27% to 83.24% with GMSD, consistent edge strength enhancement of 9.4% to 9.97% using SDWC, gains in image quality between 51.99% and 54.64% with FMTV, performance improvements ranging from 7.25% to 23.97% in terms of PIQE, and a substantial increase in performance varying from 16.31% to 27.69% when assessing the impact on retinal layer quality using VIF. Using the Kruskal-Wallis test, our proposed noise reduction method shows statistical significance for all quantitative parameters. Additionally, our clustering algorithm effectively separated the foreground, including retinal layers and vitreous detachment, from the background and identified an area representing the region between retinal layers where fluid accumulates. We’ve successfully achieved OCT image enhancement, along with distinct foreground and background segmentation.
光学相干断层扫描(OCT)是一种无创的视网膜横截面可视化技术,有助于诊断和监测视网膜疾病。本研究提出了一种有效的OCT图像降噪与分割方法。由于我们的主图像数据库的高分辨率,过滤器性能的视觉比较是具有挑战性的。为了解决这个问题,我们利用了杜克大学的高噪声图像数据集,以便更好地评估降噪滤波器。将该方法与高斯滤波、低通滤波、小波域滤波、李滤波、各向异性扩散滤波、双边滤波、全变分滤波和BM3D滤波等八种常用的图像滤波进行了比较。视觉和定量分析均采用无参考性能参数,即梯度幅度相似偏差(GMSD)、小波系数标准差(SDWC)、梯度方差焦点测量(FMTV)、基于感知的图像质量评估器(PIQE)和视觉信息保真度(VIF)。结果证明了我们提出的滤波器在保持视网膜层清晰度的同时,在降噪性能方面的优越性。定量分析显示了显著的性能提升,包括GMSD的63.27%至83.24%,SDWC的边缘强度一致性增强9.4%至9.97%,FMTV的图像质量提升在51.99%至54.64%之间,PIQE的性能提升幅度在7.25%至23.97%之间,VIF对视网膜层质量影响的性能提升幅度在16.31%至27.69%之间。通过Kruskal-Wallis检验,我们提出的降噪方法对所有定量参数都具有统计显著性。此外,我们的聚类算法有效地将前景(包括视网膜层和玻璃体脱离)从背景中分离出来,并识别出代表视网膜层之间液体积聚区域的区域。我们已经成功地实现了OCT图像增强,以及清晰的前景和背景分割。
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引用次数: 0
Assessing the impact of a structural prior mask on EIT images with different thorax excursion models 评估不同胸腔偏移模型下结构先验掩模对EIT图像的影响
Q4 Engineering Pub Date : 2023-09-01 DOI: 10.1515/cdbme-2023-1092
Rongqing Chen, Alberto Battistel, Sabine Krueger-Ziolek, Knut Moeller, James Geoffrey Chase, Stefan J. Rupitsch
Abstract Electrical Impedance Tomography (EIT) has shown promising results as a low-cost imaging method for visualizing ventilation distribution within the lungs. However, clinical interpretation of EIT images is often hindered by blurred anatomical alignment and reconstruction artifacts. Integrating structural priors into the EIT reconstruction process has the potential to enhance the interpretability of the EIT images. Thus, a patient-specific structural prior mask is introduced in this contribution, which restricts the reconstruction of conductivity changes within the lung regions.We conducted numerical simulations on four finite element models representing four different thorax excursions to investigate the impact of the structural prior mask on EIT images. Simulations were performed under four different ventilation statuses. EIT images were reconstructed using the Gauss-Newton and discrete cosine transform-based EIT algorithms.We conducted a quantitative analysis using figures of merit to evaluate the images of the two reconstruction algorithms. The results show the structural prior mask preserves the morphological structures of the lungs and limits reconstruction artifacts.
电阻抗断层扫描(EIT)作为一种低成本的成像方法显示出良好的结果,用于可视化肺部通风分布。然而,临床解释的EIT图像往往阻碍了模糊的解剖对齐和重建伪影。将结构先验整合到EIT重建过程中有可能提高EIT图像的可解释性。因此,在本贡献中引入了患者特异性结构先验掩膜,该掩膜限制了肺区域内电导率变化的重建。我们对代表四种不同胸腔偏移的四个有限元模型进行了数值模拟,以研究结构先验掩模对EIT图像的影响。在四种不同的通风状态下进行了模拟。采用基于高斯-牛顿变换和离散余弦变换的EIT算法重建EIT图像。我们进行了定量分析,使用优点的数字来评估两种重建算法的图像。结果表明,结构先验掩模保留了肺的形态结构,限制了重建伪影。
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引用次数: 0
Landmark-Based Generation of Common Ultrasound Views and 17-Segment Model from Cardiac Computed Tomography 基于地标的常见超声图像生成和心脏计算机断层扫描的17段模型
Q4 Engineering Pub Date : 2023-09-01 DOI: 10.1515/cdbme-2023-1016
Christian Janorschke, Jingyang Xie, Xinyu Lu, Achim Schweikard, Melanie Grehn, Oliver Blanck
Abstract Complex medical therapies can require a multitude of imaging modalities and are often supervised by a team with different medical backgrounds. This necessitates the conversion of medical data between technical systems and visualizations. In the case of stereotactic arrhythmia radioablation therapy (STAR-therapy) of the left ventricle, electroanatomical mapping, ultrasound (US) and computed tomography (CT) are the central imaging modalities that are needed for defining the target volume as well as for the examination and validation pre and post treatment. In the interest of developing a motion management system for STAR-therapy, a way to transfer information and visualizations between these modalities and to compare data from different patients is needed. For this purpose, we present a landmark-based approach for the generation of commonly used ultrasound views and the 17-segment model from cardiac computed tomography (CCT) data. The developed tool can already be used to aid the examination process by extracting function-based views from CT datasets, comparing them to live US imaging, localize CT structures within the 17-segment model or to transfer information like motion or strain data from one modality to the other. In the future, it will be used in the development of a live or predictive management system for cardiac and respiratory motion.
复杂的医学治疗可能需要多种成像方式,并且通常由具有不同医学背景的团队进行监督。这就需要在技术系统和可视化之间进行医疗数据的转换。在左心室立体定向心律失常放射消融治疗(STAR-therapy)的情况下,电解剖测绘、超声(US)和计算机断层扫描(CT)是确定靶体积以及治疗前后检查和验证所需的主要成像方式。为了开发用于star治疗的运动管理系统,需要一种在这些模式之间传输信息和可视化的方法,并比较来自不同患者的数据。为此,我们提出了一种基于里程碑的方法,用于从心脏计算机断层扫描(CCT)数据中生成常用的超声视图和17段模型。开发的工具已经可以用于辅助检查过程,从CT数据集中提取基于功能的视图,将其与实时US成像进行比较,在17段模型中定位CT结构,或者将运动或应变数据等信息从一种模态传输到另一种模态。在未来,它将被用于心脏和呼吸运动的实时或预测管理系统的开发。
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引用次数: 0
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Current Directions in Biomedical Engineering
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