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Mechanical and microstructural properties of additively manufactured porous titanium alloy constructs for orthopaedic and maxillofacial reconstruction 增材制造多孔钛合金矫形和颌面重建体的力学和微观结构性能
Pub Date : 2025-02-11 DOI: 10.1016/j.bea.2025.100148
Khaled M. Hijazi , Haojie Mao , David W. Holdsworth , S. Jeffrey Dixon , Amin S. Rizkalla
Porous intraosseous implants, fabricated from titanium alloy by selective laser melting (SLM), promote osseointegration and decrease stress shielding. Nevertheless, the application of such constructs in surgery has been restricted due to issues with their structural and mechanical properties. In addition, the flexural properties of porous constructs are not well known. Hence, this research aimed to investigate the mechanical and microstructural properties of porous constructs made from Ti6Al4V alloy for applications such as mandibular reconstruction. Computer models were created of dumbbell-shaped and square prism constructs with cubic pore structures. Five strut thicknesses between 250 and 650 µm with a constant 1 mm unit cell size were created, which gave rise to pores of sizes between 350 and 750 µm. Nonporous models were used as controls. Constructs were fabricated from these models using selective laser melting. Computed tomography was used to investigate internal defects and surface roughness. Internal defects made up < 1.0 % of the total volume. Loose and partially melted particles caused a rough surface on the struts, with arithmetic mean height ranging between 2.0 and 9.5 µm. Finite element analysis (FEA) was performed to simulate tensile and flexural loadings and predict locations of mechanical weakness. Static tensile and three-point bend tests were performed on SLM-built constructs using an Instron screw-type testing machine. The FEA models incorporated mechanical properties of Ti6Al4V, which were sourced from the stress-strain curves from tensile tests on nonporous constructs produced via selective laser melting. There was close agreement between the FEA simulations and the actual tensile and flexural strengths and moduli of the constructs (deviations < 11 %). The results of real-life mechanical tests and FEA tests demonstrated that the modulus and strength values are strongly correlated with strut thickness (R2>0.95). Porous Ti6Al4V constructs with strut thicknesses ranging between 350 and 450 µm were found to have modulus and strength values that matched those of the mandible. This study demonstrated that FEA models can accurately predict the mechanical behaviour of SLM-built porous constructs. This will permit the rapid design of patient-specific porous devices that facilitate bone alignment, vascularization, tissue ingrowth, and skeletal function.
采用选择性激光熔化(SLM)法制备钛合金多孔骨内种植体,促进骨整合,减少应力屏蔽。然而,由于其结构和机械性能的问题,这种结构在外科手术中的应用受到限制。此外,多孔结构的抗弯性能尚不清楚。因此,本研究旨在探讨由Ti6Al4V合金制成的多孔结构体在下颌重建等应用中的力学和显微组织性能。建立了具有立方孔结构的哑铃形和方形棱镜结构的计算机模型。在250到650微米之间的五个支柱厚度和恒定的1毫米单元尺寸被创造出来,这产生了350到750微米之间的孔。无孔模型作为对照。使用选择性激光熔化从这些模型制造结构体。计算机断层扫描用于研究内部缺陷和表面粗糙度。内部缺陷弥补<;总积的1.0%。松散和部分熔化的颗粒导致支柱表面粗糙,算术平均高度在2.0 ~ 9.5µm之间。有限元分析(FEA)模拟拉伸和弯曲载荷,并预测机械弱点的位置。使用Instron螺旋试验机对slm构建的结构体进行静态拉伸和三点弯曲试验。FEA模型结合了Ti6Al4V的力学性能,这些力学性能来自于通过选择性激光熔化生产的无孔结构的拉伸测试的应力应变曲线。有限元模拟与结构体的实际拉伸和弯曲强度和模量(偏差<;11%)。实际力学试验和有限元分析结果表明,模量和强度值与支撑厚度有较强的相关性(R2>0.95)。多孔Ti6Al4V结构的支撑厚度在350到450µm之间,其模量和强度值与下颌骨的模量和强度值相匹配。该研究表明,有限元模型可以准确地预测slm建造的多孔结构的力学行为。这将允许快速设计患者特定的多孔装置,以促进骨对齐,血管化,组织长入和骨骼功能。
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引用次数: 0
Bio-based composite membranes from fish scales: A novel approach to harnessing collagen and hydroxyapatite for tissue engineering applications 鱼鳞生物基复合膜:利用胶原蛋白和羟基磷灰石进行组织工程应用的新方法
Pub Date : 2025-02-07 DOI: 10.1016/j.bea.2025.100146
Israel Núñez-Tapia , Jimena Macouzet-Garduño , Fernanda Ramírez-Ruiz , Febe Carolina Vázquez-Vázquez , Marco Antonio Álvarez-Pérez , Lauro Bucio-Galindo , María Cristina Piña-Barba
Fish scales, a by-product of the fishing industry, have been identified as a potential source of hydroxyapatite and collagen due to their inherent composition. The present study aims to develop a bio-based membrane from fish scales as a raw material, evaluating its suitability for tissue engineering applications.
The characterisation of the resulting membranes was performed by infrared spectroscopy, which allowed the identification of peaks corresponding to the vibrational modes of the amides present in collagen. The presence of hydroxyapatite was confirmed by X-ray diffraction, the results of which were in agreement with the ICDD 009–0431 standard. The collagen denaturation temperature (70 °C) was determined using differential scanning calorimetry. Furthermore, the mechanical properties were evaluated by uniaxial tensile tests, following the standards of ASTM-D1708–96, and the Young's moduli were obtained as 7179 ± 77 kPa in dry conditions and 760 ± 133 kPa in wet conditions.
In tests with human gingival fibroblasts, the fish scale-derived membranes showed higher cell viability and significantly higher proliferation rates compared to the commercial type I collagen membrane used as a control (Matrixflex™, obtained from highly purified porcine peritoneum), highlighting the potential of fish scale-derived membranes as bio-based composite materials.
鱼鳞是渔业的副产品,由于其固有的成分,已被确定为羟基磷灰石和胶原蛋白的潜在来源。本研究旨在以鱼鳞为原料制备生物基膜,并评估其在组织工程中的适用性。所得膜的表征是通过红外光谱进行的,它允许识别与胶原蛋白中存在的酰胺的振动模式相对应的峰。x射线衍射证实了羟基磷灰石的存在,其结果符合ICDD 009-0431标准。采用差示扫描量热法测定胶原变性温度(70℃)。按照ASTM-D1708-96的标准,通过单轴拉伸试验对其力学性能进行了评价,得到了干燥条件下的杨氏模量为7179±77 kPa,潮湿条件下的杨氏模量为760±133 kPa。在人类牙龈成纤维细胞的测试中,与用作对照的商业I型胶原膜(Matrixflex™,从高度纯化的猪腹膜中获得)相比,鱼鳞衍生膜显示出更高的细胞活力和显著更高的增殖率,突出了鱼鳞衍生膜作为生物基复合材料的潜力。
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引用次数: 0
Tissue engineering and biosensing applications of carbon-based nanomaterials 碳基纳米材料的组织工程和生物传感应用
Pub Date : 2025-01-27 DOI: 10.1016/j.bea.2025.100145
Seydanur Yücer , Begüm Sarac , Fatih Ciftci
Carbon nanomaterials (CNMs) have emerged as a transformative class of materials in the biomedical field, offering exceptional versatility and efficacy. This study highlights the unique mechanical, electrical, and biocompatible properties of CNMs that make them indispensable for applications such as drug delivery, biosensing, tissue engineering, and medical implants. Specifically, graphene's remarkable conductivity and mechanical strength enhance biosensor sensitivity and scaffold durability, while the tubular structure and functional surface chemistry of carbon nanotubes (CNTs) improve cellular interactions and mechanical stability in implants. Carbon dots, with their tunable fluorescence and high biocompatibility, are proving to be powerful agents for bioimaging, enabling more precise diagnostics.
This review consolidates recent advancements in the synthesis, functionalization, and biomedical integration of CNMs, emphasizing their role in next-generation applications. Notably, it addresses challenges related to scalable production and clinical safety, offering insights into overcoming these obstacles. The findings underline the transformative potential of CNMs in revolutionizing therapeutic and diagnostic approaches, paving the way for innovative solutions in healthcare.
碳纳米材料(CNMs)已成为生物医学领域的一种变革性材料,具有卓越的多功能性和功效。这项研究强调了CNMs独特的机械、电气和生物相容性,使其在药物输送、生物传感、组织工程和医疗植入物等应用中不可或缺。具体来说,石墨烯卓越的导电性和机械强度提高了生物传感器的灵敏度和支架的耐久性,而碳纳米管(CNTs)的管状结构和功能表面化学改善了植入物中的细胞相互作用和机械稳定性。碳点具有可调的荧光和高生物相容性,被证明是生物成像的强大试剂,可以实现更精确的诊断。本文综述了cnm的合成、功能化和生物医学集成方面的最新进展,强调了它们在下一代应用中的作用。值得注意的是,它解决了与规模化生产和临床安全相关的挑战,为克服这些障碍提供了见解。这些发现强调了cnm在革新治疗和诊断方法方面的变革潜力,为医疗保健领域的创新解决方案铺平了道路。
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引用次数: 0
Exploring therapeutic strategies for androgen-independent prostate cancer using a magnetic coculture platform 利用磁性共培养平台探索雄激素非依赖性前列腺癌的治疗策略
Pub Date : 2025-01-13 DOI: 10.1016/j.bea.2025.100144
Anjani Chavali , Giles Fitzwilliams , Adam Germain , Sandra Khuon , Young-tae Kim
Prostate cancer stands as the most diagnosed cancer in males and remains one of the leading causes of death among men in the United States. The progression of prostate cancer to a life-threatening state occurs upon metastasis, typically spreading to vital organs such as the liver, lungs, bones, and lymph nodes, where it sustains growth even in the absence of androgens. In this study, we employed a magnetic coculture device to investigate the interactions between androgen-independent prostate cancer (PC3) cells and healthy normal fibroblasts, aiming to discern their dynamics. Subsequently, the coculture was exposed to varying dosages of Fenbendazole to assess its efficacy differentially on healthy fibroblasts compared to androgen-independent prostate cells. Employing this straightforward coculture method, we observed significant growth, motility, and cluster formation of prostate cancer cells upon direct contact with surrounding fibroblasts. The impact of Fenbendazole was evident in its capacity to markedly diminish the growth and metastasis of prostate cancer cells relative to surrounding fibroblasts. Notably, our findings revealed that a dosage of 2.5 µM Fenbendazole significantly eradicated PC3 cells with minimal damage to surrounding fibroblasts, thus indicating its potential for prostate cancer treatment in-vivo models.
前列腺癌是男性中诊断最多的癌症,也是美国男性死亡的主要原因之一。前列腺癌发展到危及生命的状态发生在转移时,通常会扩散到重要器官,如肝、肺、骨骼和淋巴结,即使在缺乏雄激素的情况下,它也会在那里维持生长。在这项研究中,我们采用磁性共培养装置研究雄激素非依赖性前列腺癌(PC3)细胞与健康正常成纤维细胞之间的相互作用,旨在了解它们的动态。随后,共培养暴露于不同剂量的芬苯达唑,以评估其对健康成纤维细胞与雄激素不依赖型前列腺细胞的疗效差异。采用这种简单的共培养方法,我们观察到前列腺癌细胞与周围成纤维细胞直接接触后显著的生长、运动和簇状形成。相对于周围的成纤维细胞,芬苯达唑明显减少前列腺癌细胞的生长和转移。值得注意的是,我们的研究结果显示,剂量为2.5µM的芬苯达唑显著根除PC3细胞,对周围成纤维细胞的损伤最小,从而表明其治疗前列腺癌的体内模型的潜力。
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引用次数: 0
Biochemical and biophysical cues of the extracellular matrix modulates stem cell fate: Progress and prospect in extracellular matrix mimicking biomaterials 细胞外基质调节干细胞命运的生化和生物物理线索:细胞外基质模拟生物材料的进展与展望
Pub Date : 2025-01-01 DOI: 10.1016/j.bea.2024.100143
Anuska Mishra , Unnati Modi , Rahul Sharma , Dhiraj Bhatia , Raghu Solanki
Stem cell therapies hold immense promise for the treatment of a wide range of diseases; however, the full therapeutic potential remains untaped. This limitation arises primarily from our incomplete understanding of the complex mechanisms of stem cell niches. A promising avenue of research lies in the development of Extracellular Matrix (ECM)-based novel biomaterials, which closely mimic the natural microenvironment of stem cells. These biomaterials provide essential biophysical and biochemical cues necessary for mechanotransduction, thereby enhancing the efficacy and safety of stem cell therapies by precisely modulating stem cell fate. In this review, we discuss the critical role of the stem cell niche and its interplay with ECM, detailing its structural composition and functional significance. We further explore how the biophysical and biochemical factors of the ECM modulate specific transmembrane receptors, triggering intracellular signaling mechanisms that regulate cell morphology, cytoskeletal dynamics, viability, migration, and differentiation. Engineered biomaterials to replicate the properties of the ECM are discussed along with the incorporation of tailored biophysical and biochemical cues into scaffolds and biomaterials to modulate stem cell fate. Overall, this review underscores the innovative applications of ECM mimicking biomaterials in biomedical engineering, emphasizing their transformative potential to modulate stem cell fate and advance regenerative medicine.
干细胞疗法在治疗多种疾病方面有着巨大的前景;然而,它的全部治疗潜力仍未得到证实。这种限制主要源于我们对干细胞龛复杂机制的不完全理解。基于细胞外基质(ECM)的新型生物材料的开发是一种很有前途的研究途径,它可以模拟干细胞的自然微环境。这些生物材料为机械转导提供了必要的生物物理和生化线索,从而通过精确调节干细胞的命运来提高干细胞治疗的有效性和安全性。在这篇综述中,我们讨论了干细胞生态位的关键作用及其与ECM的相互作用,详细介绍了其结构组成和功能意义。我们进一步探讨了ECM的生物物理和生化因子如何调节特定的跨膜受体,触发细胞内信号机制,调节细胞形态、细胞骨架动力学、活力、迁移和分化。讨论了复制ECM特性的工程生物材料,以及将定制的生物物理和生化线索结合到支架和生物材料中来调节干细胞的命运。总之,这篇综述强调了ECM模拟生物材料在生物医学工程中的创新应用,强调了它们在调节干细胞命运和推进再生医学方面的变革潜力。
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引用次数: 0
Gingival fibroblast seeded bioengineered scaffolds for treatment of localized gingival recession 牙龈成纤维细胞植入生物工程支架治疗局部牙龈萎缩
Pub Date : 2024-12-19 DOI: 10.1016/j.bea.2024.100142
Rajul Chordia , Aritri Ghosh , Shalini Dasgupta , Sayandeep Saha , Tirthankar Debnath , Ashit Kumar Pal , Ananya Barui
Gingival recession is a prevalent issue present in most of the Indian population, associated with interproximal tissue deficiency, leading to dental problems. Its treatment has remained a major problem in the field of periodontics due to autologous graft morbidity and limited healing associated with the current artificial grafts. The present study aims to is to develop bio-engineered chitosan-gelatin scaffolds seeded with primary gingival fibroblasts to address gingival recession as noninvasive grafts. Gingival fibroblasts were seeded on scaffolds with varying chitosan-gelatin ratios (1:1, 1:3) (v/v) and a chitosan control. Comprehensive characterization included morphological, mechanical, biochemical, and cellular analyses including cell viability, migration and transcriptomic studies. The chitosan-gelatin scaffolds (1:3) demonstrated a highly porous architecture with satisfactory biodegradation and swelling capacity. Furthermore, in vitro studies show significantly higher cellular compatibility, fibroblast migration, and F-actin expression. The upregulation of FGF-2 gene in this scaffold indicates its potential for promoting fibroblastic growth and improved wound healing potential. In addition, the antibacterial impact reflect its clinical potential of the fibroblast-seeded chitosan-gelatin (1:3) scaffold for potential tissue engineering applications in periodontal regeneration.
牙龈萎缩是一个普遍存在的问题,目前在大多数印度人口,与近端间组织缺乏,导致牙齿问题。由于自体移植物的发病率和目前人工移植物的愈合有限,其治疗仍然是牙周病领域的一个主要问题。本研究的目的是开发生物工程壳聚糖-明胶支架,以原代牙龈成纤维细胞为种子,作为无创移植物来解决牙龈衰退问题。将成纤维细胞植入不同壳聚糖-明胶比例(1:1,1:3)和壳聚糖对照的支架上。综合表征包括形态学、力学、生化和细胞分析,包括细胞活力、迁移和转录组学研究。壳聚糖-明胶支架(1:3)具有良好的生物降解和溶胀能力。此外,体外研究显示细胞相容性、成纤维细胞迁移和F-actin表达显著提高。该支架中FGF-2基因的上调表明其促进成纤维细胞生长和改善伤口愈合潜力的潜力。此外,抗菌效果反映了成纤维细胞种子壳聚糖-明胶(1:3)支架在牙周再生组织工程中的临床应用潜力。
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引用次数: 0
Shear-thinning conductive chitosan-based nano-hybrid hydrogels by host–guest supramolecular assembled poly ethylene glycol and reduced graphene oxide dual cross-linkers 采用主-客体超分子组装聚乙二醇和还原氧化石墨烯双交联剂制备导电壳聚糖基纳米杂化水凝胶
Pub Date : 2024-12-18 DOI: 10.1016/j.bea.2024.100141
Javad Saberi , Fathallah Karimzadeh , Jaleh Varshosaz , Sheyda Labbaf
Here, a chitosan-based shear-thinning and conductive nano-hybrid hydrogel is developed based on self-assembled host-guest (HG) supramolecular interaction between beta-cyclodextrin modified chitosan (Host, Cs-CD) and adamantane grafted polyethylene glycol (Guest, PEG-AD) and secondary cross-linking with reduced graphene oxide (rGO). The concentration of HG macromers handled the rheological and mechanical behavior of the forming hydrogel, the ratio of the guest macromer, and the amount of rGO. Dual cross-linking hydrogel (macromers concentration=10 wt%) H:G = 1:2 (CPH 102G3) had the highest mechanical strength and toughness (about 3-folds) compared to the (10 wt%) 1:2 hydrogel (CPH 102). Also, (15 %wt) 1:2 Hydrogel (CPH 152) had mechanical strength and toughness of about 6-folds compared to (10 wt%) 1:4 hydrogel (CPH 104). The electro-conductivity of Cs-PEG/rGO nano-hybrid hydrogel was between 3.5 to 6.55 mS.cm-1 and within the myocardial tissue conductivity range. The swelling ratio and degradation rate of hydrogels were also investigated. CPH 102G3 displayed lower than 45 % weight loss after 15 days of immersion in a phosphate buffer saline solution. Finally, all hydrogel samples demonstrated non-cytotoxicity 24 h post-seeding. After 120 h, cell proliferation was observed. In conclusion, Cs-PEG/rGO hydrogel promises to emerge as an injectable scaffold with controllable properties for electroactive tissue engineering applications.
本文基于β -环糊精修饰的壳聚糖(宿主,Cs-CD)和金刚烷接枝的聚乙二醇(客体,PEG-AD)之间的自组装超分子相互作用以及与还原氧化石墨烯(rGO)的二次交联,开发了一种基于壳聚糖的剪切减薄导电纳米杂化水凝胶。HG大分子的浓度决定了形成水凝胶的流变学和力学行为、客体大分子的比例和还原氧化石墨烯的量。双交联水凝胶(大分子浓度=10 wt%) H:G = 1:2 (CPH 102G3)具有最高的机械强度和韧性(约3倍),相比(10 wt%) 1:2水凝胶(CPH 102)。此外,(15% wt) 1:2水凝胶(CPH 152)的机械强度和韧性是(10 wt%) 1:4水凝胶(CPH 104)的6倍左右。Cs-PEG/rGO纳米杂化水凝胶的电导率在3.5 ~ 6.55 mS.cm-1之间,在心肌组织电导率范围内。研究了水凝胶的溶胀率和降解率。CPH 102G3在磷酸盐缓冲盐水溶液中浸泡15天后,体重下降低于45%。最后,所有水凝胶样品在接种24小时后均显示无细胞毒性。120h后观察细胞增殖。总之,Cs-PEG/rGO水凝胶有望成为电活性组织工程应用中具有可控性能的可注射支架。
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引用次数: 0
New MAO coatings on multiprincipal equimassic β TiNbTaZr and TiNbTaZrMo alloys 多主等温β TiNbTaZr和TiNbTaZrMo合金的MAO新涂层
Pub Date : 2024-12-12 DOI: 10.1016/j.bea.2024.100139
Rafael F.M. dos Santos , Pedro A.B. Kuroda , Gerson S. de Almeida , Willian F. Zambuzzi , Carlos R. Grandini , Conrado R.M. Afonso
β titanium alloys are essential in biomedical applications due to their combination of high strength, low elastic modulus, and biocompatibility. Although high-entropy alloys (BioHEAs) containing Nb, Zr, Ta, and Mo offer high mechanical strength, their elevated elastic modulus can lead to stress shielding in orthopedic applications. To address these limitations, β-stable alloys with enhanced mechanical and surface properties are being developed to support osseointegration and cellular adhesion. The work focuses on innovative medium (MEA) and high entropy (HEA) equimassic β Ti alloys (quaternary Ti-25Ta-25Nb-25Zr and quinary Ti-20Zr-20Ta-20Nb-20Mo in wt.%) treated with micro-arc oxidation (MAO) to optimize their performance as biomaterials. The MAO process generated bioactive coatings enriched with Ca, P, and Mg, promoting bone cell proliferation. X-ray diffraction (XRD) identified β phase structures and revealed amorphous or partially crystalline coatings, with a ZrO₂ cubic phase noted in the MEA quaternary Ti-25Ta-25Nb-25Zr alloy. Surface morphology assessments showed porous and lamellar topographies that varied with alloy composition, resulting in increased hydrophilicity and optimal roughness. Confocal microscopy confirmed that the MAO coating thickness on MEA quaternary Ti-25Ta-25Nb-25Zr (10.4 μm) surpassed that on HEA (high entropy alloy) quinary Ti-20Zr-20Ta-20Nb-20Mo (4.2 μm). Cell viability and adhesion assays indicated significant biocompatibility, particularly for MEA (medium entropy alloy) quaternary Ti-25Ta-25Nb-25Zr, which benefits from a Mo-free composition. These results underscore the potential of these multiprincipal equimassic bcc (body centered cubic) β alloys for biomedical applications, possibly enhancing osteoblast attachment and sustain cell viability effectively.
β钛合金由于其高强度、低弹性模量和生物相容性的结合,在生物医学应用中是必不可少的。虽然含有Nb、Zr、Ta和Mo的高熵合金(BioHEAs)具有很高的机械强度,但它们的高弹性模量可能导致骨科应用中的应力屏蔽。为了解决这些限制,人们正在开发具有增强机械和表面性能的β稳定合金,以支持骨整合和细胞粘附。研究了采用微弧氧化(MAO)处理的创新介质(MEA)和高熵(HEA)等量β Ti合金(四元Ti- 25ta - 25nb - 25zr和五元Ti- 20zr - 20ta - 20nb - 20mo),以优化其作为生物材料的性能。MAO过程产生了富含Ca, P和Mg的生物活性涂层,促进骨细胞增殖。x射线衍射(XRD)鉴定了β相结构,发现了非晶或部分结晶涂层,在MEA四元Ti-25Ta-25Nb-25Zr合金中发现了ZrO₂立方相。表面形貌评估显示,多孔和片层形貌随合金成分的变化而变化,从而增加了亲水性和最佳粗糙度。共聚焦显微镜证实,MEA四元Ti-25Ta-25Nb-25Zr的MAO涂层厚度(10.4 μm)超过HEA(高熵合金)四元Ti-20Zr-20Ta-20Nb-20Mo的MAO涂层厚度(4.2 μm)。细胞活力和粘附实验显示了显著的生物相容性,特别是MEA(中熵合金)季系Ti-25Ta-25Nb-25Zr,这得益于其无钼成分。这些结果强调了这些多主体等效bcc(体心立方)β合金在生物医学应用中的潜力,可能增强成骨细胞附着并有效维持细胞活力。
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引用次数: 0
Comprehensive study of traditional glaucoma drainage devices and emerging Micro Invasive Glaucoma Surgery (MIGS) devices: A review 传统青光眼引流装置和新兴微创青光眼手术装置的综合研究综述
Pub Date : 2024-12-11 DOI: 10.1016/j.bea.2024.100140
Anshika Garg , Gurpreet Singh , Shubham Gupta , Vivek Gupta , Arnab Chanda
Glaucoma is a neurogenerative, irreversible disorder caused by elevated intraocular pressure (IOP) in the eye, which can lead to vision loss. Currently, reducing IOP by providing an alternate pathway to aqueous humor is the only proven method for preventing glaucoma. It was found in the literature that traditional Glaucoma Drainage Devices (GDD) have proven effective in safety and reducing intraocular pressure. In recent years, a category of Micro Invasive Glaucoma Surgery (MIGS) has emerged, offering smaller and less invasive surgical procedures compared to conventional GDD. This comprehensive literature review focuses on the fluid mechanics of these implants, their structural parameters, and associated clinical studies. The goal is to assist researchers, scientists, and manufacturers in improving the design of glaucoma implants to achieve long-term success.
青光眼是一种由眼内眼压(IOP)升高引起的神经再生、不可逆疾病,可导致视力丧失。目前,通过提供房水的替代途径来降低IOP是唯一被证实的预防青光眼的方法。文献显示,传统的青光眼引流装置(GDD)在安全性和降低眼压方面是有效的。近年来,出现了一种微创青光眼手术(MIGS),与传统的GDD相比,它提供了更小、更少侵入性的手术程序。这篇全面的文献综述着重于这些植入物的流体力学、结构参数和相关的临床研究。目的是帮助研究人员、科学家和制造商改进青光眼植入物的设计,以取得长期的成功。
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引用次数: 0
A scoping review of deep learning approaches for lung cancer detection using chest radiographs and computed tomography scans 使用胸部x光片和计算机断层扫描进行肺癌检测的深度学习方法的范围审查
Pub Date : 2024-12-06 DOI: 10.1016/j.bea.2024.100138
M.N. Nguyen
Lung cancer remains the most lethal cancer, primarily due to late diagnoses. Thus, early detection of lung cancer is critical to improving patient outcomes. While conventional methods like Chest X-rays (CXRs) and computed tomography (CT) scans are widely used, their effectiveness can be limited by subjective interpretation and variability in the detection of subtle lesions. Recent advancements in deep learning (DL) have shown the potential to enhance the accuracy and reliability of lung cancer diagnosis through medical image analysis. This review provides a comprehensive overview of current DL approaches applied to CXRs and CT scans for lung cancer detection. Various DL techniques and their ability are explored to address challenges such as data scarcity, imbalanced datasets, and overfitting. The current state of research, including the most utilized datasets and popular DL training methods, is also examined. Future directions for integrating DL into clinical practice are discussed. The findings are based on a review of peer-reviewed literature published between January 2023 and July 2024, aiming to offer insights into the evolving landscape of DL in lung cancer detection and to outline potential pathways for future research and clinical implementation.
肺癌仍然是最致命的癌症,主要是由于诊断较晚。因此,早期发现肺癌对改善患者预后至关重要。虽然传统的方法,如胸部x射线(CXRs)和计算机断层扫描(CT)扫描被广泛使用,但它们的有效性可能受到主观解释和细微病变检测的可变性的限制。深度学习(DL)的最新进展显示出通过医学图像分析提高肺癌诊断准确性和可靠性的潜力。这篇综述提供了目前应用于cxr和CT扫描肺癌检测的DL方法的全面概述。探讨了各种深度学习技术及其能力,以解决诸如数据稀缺、数据集不平衡和过拟合等挑战。目前的研究状况,包括最常用的数据集和流行的深度学习训练方法,也进行了检查。讨论了将深度学习纳入临床实践的未来方向。该研究结果基于对2023年1月至2024年7月间发表的同行评议文献的回顾,旨在深入了解DL在肺癌检测中的发展前景,并概述未来研究和临床实施的潜在途径。
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引用次数: 0
期刊
Biomedical engineering advances
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