TY - JOUR. T1 - Intraoperative radiation therapy for breast cancer patients. T2 - Current perspectives. AU - Dutta, Sunil W.. AU - Showalter, Shayna L.. AU - Showalter, Timothy N.. AU - Libby, Bruce. AU - Trifiletti, Daniel M.. PY - 2017/4/18. Y1 - 2017/4/18. N2 - Accelerated partial breast irradiation (APBI) provides an attractive alternative to whole breast irradiation (WBI) through normal tissue radiation exposure and reduced treatment duration. Intraoperative radiation therapy (IORT) is a form of APBI with the shortest time interval, as it delivers the entirety of a planned radiation course at the time of breast surgery. However, faster is not always better, and IORT has been met with healthy skepticism. Patients treated with IORT have an increased compliance and overall satisfaction when compared to patients treated with WBI. However, early randomized trial results demonstrated an increased rate of recurrence after IORT, slowing its widespread adoption. Despite these controversies, IORT ...

Intraoperative radiation therapy, or IORT, is the application of therapeutic levels of radiation to the tumor bed while the area is exposed during surgery. IORT is typically a component in the multidisciplinary treatment of locally advanced and recurrent cancer, in combination with external beam radiation, surgery and chemotherapy. As a growing trend in recent years, IORT can also be used in earlier stage cancers such as prostate and breast cancer. IORT was found to be useful and feasible in the multidisciplinary management of many solid tumors but further studies are needed to determine the benefit more precisely. Single-institution experiences have suggested a role of IORT e.g. in brain tumors and cerebral metastases, locally advanced and recurrent rectal cancer, skin cancer, retroperitoneal sarcoma, pancreatic cancer and selected gynaecologic and genitourinary malignancies. For local recurrences, irradiation with IORT is, besides brachytherapy, the only radiotherapeutic option if repeated ...

A novel, noninvasive imaging technique for intraoperative assessment of parathyroid glands: confocal reflectance microscopy. Surgery. 2000 Dec; 128(6):1088-1100; discussion 1100-1 ...

Touch spray mass spectrometry using medical swabs is an ambient ionization technique (ionization of unprocessed sample in the open air) that has potential intraoperative application in quickly ide ...

TY - JOUR. T1 - Intraoperative ultrasound in spinal tumor surgery. AU - Prada, Francesco. AU - Vetrano, Ignazio G.. AU - Filippini, Assunta. AU - Del Bene, Massimiliano. AU - Perin, Alessandro. AU - Casali, Cecilia. AU - Legnani, Federico. AU - Saini, Marco. AU - DiMeco, Francesco. PY - 2014. Y1 - 2014. N2 - Purpose: Intraoperative ultrasound (ioUS) has become increasingly widespread in brain tumor surgery but it is not yet a standard procedure in spinal surgery. We analyzed intraoperative ultrasonographic findings of different spinal tumors and their influence on the surgical strategy. Methods: We evaluated patients who underwent surgery for spinal tumor (extradural, intradural extramedullary, intradural intramedullary) removal, with ultrasound (US) guidance. Intraoperative standard B-mode images were acquired using a 3-11 MHz linear US probe. Before tumor removal the lesion was identified on the two axes and measured and defined as hyperechoic, isoechoic or hypoechoic. Other characteristics of ...

The report estimates that in 2017, nearly 1,275 units of 0.2T systems were sold across the global Intraoperative MRI Equipment Market. Towards the end of the forecast period, 0.2T systems are assessed to reflect a global market volume share of approximately 40%. On the other hand, 3.0T systems will showcase rapid volume growth at 9% CAGR over the forecast period. Increasing complexities in neurosurgeries will drive the demand for high-field intraoperative MRI equipment, and nearly 895 units of 3.0T systems will be adopted worldwide by the end of 2026.. Request for Sample of this Global Market Research Report Here - https://www.factmr.com/connectus/sample?flag=S&rep_id=519. High Demand for 0.2T Systems to Reflect the Growing Need for Low-field Intraoperative MRI Equipment. Detailed improvements in the images generated by 0.2T systems is driving their sales in the global market for intraoperative MRI equipment. Small read-out gradients are made visible and the 0.2T intraoperative MRI equipment ...

This study is the first to examine the implementation of an intraoperative ultrasonography/hydrogel clip protocol for breast lumpectomies across a large, integrated health care system, in contrast to the single-surgeon and/or single-institution reports published in the literature.11-13 Most surgeons in this study had some previous experience with ultrasonography, although the level of training ranged from no formal training to breast ultrasonography certification. For those with less experience, proficiency was achieved in a short time. The surgeon who had the least initial experience in breast ultrasonography was able to move completely away from WL for ultrasound-visible lesions within 5 months of starting the protocol. The combination of intraoperative ultrasonography and hydrogel clips reduced the need for WL in patients with ultrasound-visible, nonpalpable lesions, so that more than 70% of these patients did not need WL. We found no significant difference in lesion size, volume of tissue ...

This book represents a head-to-toe guide for clinicians who are interested in applying real-time NIR imaging for their patients. Expert surgeons from around the globe share their experience with NIR imaging, most commonly performed using indocyanine green (ICG) fluorescence.

abstract from The Journal of Veterinary Internal Medicine.. The purpose of this retrospective study was to 1) describe the intraoperative appearance of various canine pathological spinal conditions, and 2) to investigate how intraoperative ultrasonography assisted in modification of surgical and postoperative treatment plans.. Twenty five dogs undergoing spinal surgery received intraoperative ultrasound examination. Presenting neurological signs included spinal pain, ataxia. paraparesis. paraplegia, tetraparesis and root signature. The surgical procedures included continuous dorsal laminectomies (10), hemilaminec-tomies (20). and one dorsal laminectomy. Final neurological diagnoses were Hansen type II discs (8), Hansen type I disc (7), caudal cervical vertebral instability and malformation (9), spinal cord neoplasia (astrocytoma in one dog and anaplastic neoplasia in another dog), discospondylitis (1), granulomatous meningoencephalitis (1) and a nerve sheath mass (1). There was one normal lumbar ...

Purpose: Although intraoperative radiotherapy (IORT) is known to be a method that can reduce local recurrence in locally advanced colorectal cancer, it is not widely used. The aim of this study was to report our experience with IORT for locally advanced rectal cancer. Methods: From 1991 to 1994, nine patients with locally advanced rectal cancer received IORT. External beam radiotherapy was given postoperatively in five patients and preoperatively in three. Seven patients received chemotherapy. IORT was done with 6-MeV or 9-MeV electrons, and 12 Gy was irradiated at the tumor bed. The median follow-up period was 84 months (range, 15 to 208 months). Results: The median age of patients was 51 years (range, 42 to 73 years). All patients had advanced clinical T-stage (cT3/4)cancer. The overall and the disease-free survival rates were 66.7% and 66.7% at 5 years, respectively. One patient developed a local recurrence near the anastomosis site, which was out of the IORT field. Four patients died before ...

Breast IORT is radiation treatment delivered as a single radiation dose at the time of breast conserving surgery (lumpectomy). IORT is a form of brachytherapy, where radiation is delivered within the surgical cavity.

Lifetime cost-effectiveness analysis reveals $630 million annual cost savings, less radiation exposure and better quality of life for patients.

Ellsmere, J., Kane, R. & Jones, D.B. Reply to: Re: Intraoperative ultrasonography during planned liver resections remains an important surgical tool ((2007) 21: 1280-1283). Surg Endosc 22, 1913 (2008). https://doi.org/10.1007/s00464-008-9942-8. Download ...

Currently available investigating modalities like CT scans, MRI etc although have a high accuracy in staging of gastrointestinal(GI) tract malignancies, are not correct in all cases . The aim of this study is to assess the role of intraoperative ultrasound as a modality to increase the staging accuracy of GI tract ...

immediate identification and evaluation of blood flows intraoperatively.. The essential and cost effective intraoperative microvascular instrument that provides you with the sound information you need.. The VTI 20 MHz Microvascular Doppler System was specifically designed for use by surgeons who have a need to interrogate the microvascular vessels. This audio blood flow detector allows for real-time, intraoperative assessment of vessels in a wide variety of surgical specialties.. The System is ideal for intraoperative use in neurosurgical procedures. Combining a miniature probe tip with a high operating frequency, the system emits a tightly focused signal with a shallow depth of signal penetration, imparting a level of precision essential for the neurosurgeon. The sterile- out-of-the-package, single-use probes - optimize patient safety and eliminate probe failure due to reprocessing. ...

Over the last 2 centuries, surgeons have depended on 2 tools in the operating room to detect disease-their eyes to look for suspicious masses and their hands to feel for abnormal tissue (23). Surgeons make subjective decisions based on experience of anatomical tissue planes and tumor spread in deciding where to excise tumors to obtain disease-free margins. However, this is historically inaccurate, especially in complex fields including those with prior radiation, infection, or trauma. For example, at University of Miami, one experienced urologist carried out 100 consecutive radical prostatectomies and recorded intraoperatively if he suspected the tumor margins were positive or negative based on visual clues and palpation (24). Despite his intraoperative decision that the surgical margins were negative in all 100 patients, the true pathologic margins were positive in 39% of cases. The intraoperative assessment of the margin status had a high false-negative rate and a sensitivity of only 7%. The ...

Critical Care Research and Practice is a peer-reviewed, Open Access journal that offers a forum for physicians and health professionals work in the area of health services research in critical care. The journal publishes original research articles, review articles, and clinical studies related to anesthesiology, perioperative and critical care medicine, as well as the integration of intraoperative management in preparation for postoperative critical care management and recovery.

Critical Care Research and Practice is a peer-reviewed, Open Access journal that offers a forum for physicians and health professionals work in the area of health services research in critical care. The journal publishes original research articles, review articles, and clinical studies related to anesthesiology, perioperative and critical care medicine, as well as the integration of intraoperative management in preparation for postoperative critical care management and recovery.

Touch spray mass spectrometry using medical swabs is an ambient ionization technique (ionization of unprocessed sample in the open air) that has potential intraoperative application in quickly identifying the disease state of tissue and in better characterizing the resection margin. To explore this potential, we studied 29 human brain tumor specimens and obtained evidence that this technique can provide diagnostic molecular information that is relevant to brain cancer. Touch spray using medical swabs involves the physical sampling of tissue using a medical swab on a spatial scale of a few mm(2) with subsequent ionization occurring directly from the swab tip upon addition of solvent and application of a high voltage ...

Intraoperative MRI Market analysis is provided for global market including development trends by regions, competitive analysis of the Intraoperative MRI ma

NASHUA, N.H.--(BUSINESS WIRE)--Feb 19, 2013--iCAD (Nasdaq: ICAD), an industry-leading provider of advanced image analysis, workflow solutions and radiation therapy for the early identification and treatment of cancer, today reported financial results for the three and twelve months ended December 31, 2012.. During the fourth quarter we posted strong revenue growth, maintained adjusted EBITDA profitability and generated positive cash flow, said Ken Ferry, President and CEO of iCAD. This considerable progress can be attributed to continued strong growth of our therapy solutions, a much stronger quarter in cancer detection coupled with on-going disciplined expense management. For the full year, therapy revenue was particularly strong as we more than doubled new systems and applicator sales compared with 2011. We were pleased that the U.S. Centers for Medicare & Medicaid Services (CMS) issued an improved payment policy for the delivery of Intraoperative Radiation Therapy (IORT). The payment ...

Patients will be classified at week 52 as having (1) disappearance of the treated lesion (i.e., complete response), (2) at least 30% decrease in the diameter of the treated lesion (i.e., partial response), (3) at least 20% increase in the diameter of the treated lesion (i.e., progressive disease), or (4) Neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease (i.e., stable disease ...

Purpose This study was designed to evaluate the effect of preoperative pregabalin on intraoperative neurophysiological monitoring in adolescents undergoing surgery for spinal deformities.

OBJECTIVE: Postoperative delirium is a common complication in the elderly after surgery but few papers have reported after spinal surgery. We analyzed various risk factors for postoperative delirium after spine surgery. METHODS: Between May 2012 and September 2013, 70 patients over 60 years of age were examined. The patients were divided into two groups : Group A with delirium and Group B without delirium. Cognitive function was examined with the Mini-Mental State Examination-Korea (MMSE-K), Clinical Dementia Rating (CDR) and Global Deterioration Scale (GDS). Information was also obtained on the patients education level, underlying diseases, duration of hospital stay and laboratory findings. Intraoperative assessment included Bispectral index (BIS), type of surgery or anesthesia, blood pressure, fluid balance, estimated blood loss and duration of surgery. RESULTS: Postoperative delirium developed in 17 patients. The preoperative scores for the MMSE, CDR, and GDS in Group A were 19.1+/-5.4, ...

Advanced fluid optimization has been an increasing perioperative focus around the world. Initiatives to incorporate intraoperative fluid management (IOFM) and enhanced recovery after surgery (ERAS) protocols have highlighted the need for an accurate means of monitoring fluid and medication administration.. ...

PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.

Cho, K.J., Vinik, A.I., Thompson, N.W., Schieids, J.J., Porter, D.J., Brady, T.M., Cadavid, G., Fajans, S.S.: Localization of the source of hyperinsulinism: Percutaneous transhepatic portal and pancreatic vein catheterization with hormone assay. Am. J. Roentgenol.139:237, ...

Fact.MR predicts a robust growth in demand for intraoperative MRI equipment in the global healthcare marketplace. By the end of 2026, the global

Marcus Neuroscience Institute Uses Intraoperative MRI to Treat First Brain Tumor Case Sophisticated technology provides optimal accuracy, results BOCA RATON, FL

We included 19 studies (1756 participants). We selected only randomized, placebo-controlled, double-blinded studies to minimize inclusion of poor quality studies. However, the risk of bias in the included studies was not formally assessed. Children receiving a single intraoperative dose of dexamethasone (dose range = 0.15 to 1.0 mg/kg) were half as likely to vomit in the first 24 hours compared to children receiving placebo (risk ratio (RR) 0.49; 95% confidence interval (CI) 0.41 to 0.58; P , 0.00001). Routine use in five children would be expected to result in one less patient experiencing post-tonsillectomy emesis (risk difference (RD) -0.24; 95% CI -0.32 to -0.15; P , 0.00001). Children receiving dexamethasone were also more likely to advance to a soft/solid diet on post-tonsillectomy day one (RR 1.45; 95% CI 1.15 to 1.83; P = 0.001) than those receiving placebo. Finally, postoperative pain was improved in children receiving dexamethasone as measured by a visual analog scale (VAS, 0 to 10) ...

The data shown below were compiled from readership statistics for 10 Mendeley readers of this research output. Click here to see the associated Mendeley record. ...

During surgery, surgeons often work under stressful conditions, which could affect patient safety. Reducing intraoperative stress for surgeons could benefit surgeons and subsequently patients. It is difficult to study stress and stress relief in real life situations due to the multitude of confounding factors. The aim of this study was to evaluate simulated intraoperative stressors on surgeons stress levels and the effect of an intervention (pause including a sugar-containing drink) during standardized experiments (simulated operations). An experimental interventional study was conducted using a simulator. The healthy surgeon volunteers were randomized to intervention and control in a cross-over design. Primary endpoint was salivary cortisol difference between a pause including a sugar containing drink (intervention) and controls. Secondary endpoints were change in heart rate, change in self-perceived stress measured by the State Trait Anxiety Inventory (STAI), and experience of the intraoperative

The intraoperative neurophysiological monitoring industry is now experiencing a period of rapid growth. This growth is majorly attributed to factors such as; rising number of spinal, cranial procedures, technological advancements, cost effectiveness, among others. The IONM techniques are widely adopted in developed countries, but due to low level of awareness, this technology is still in infancy in various developing nations. This can create opportunity for various market players to invest in such countries to achieve greater benefits.. Globally the market for intraoperative neurophysiological monitoring was valued at $1.1 billion and anticipated to grow at a CAGR of 8.9% from 2016-2027.. Get a Copy of Sample Report @ https://www.marketresearchfuture.com/sample_request/729 .. Intraoperative neurophysiologic monitoring (IONM) as the name suggests is a monitoring technique which refers to a group of procedures used during surgery to monitor neural pathways during high-risk neurosurgical, ...

Principal Investigator：FUJIWARA Takashi, Project Period (FY)：1994 - 1995, Research Category：Grant-in-Aid for General Scientific Research (C), Research Field：Thoracic surgery

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Intraoperative cholangiogram (IOC) can define biliary ductal anatomy. Routine IOC has been proposed previously. However, current surgeon IOC utilization practice patterns and outcomes are unclear. Nat

When you get your gallbladder removed, your doctor might use a type of imaging called an intraoperative cholangiogram. WebMD explains what it is, how it can help, how its done, and what the risks are.

IMRIS Inc. has announced that University Hospital Tübingen neurosurgeons in Germany, are reporting success toward their objectives of limiting patient ris

Journal of Intraoperative Neurophysiology는 수술중신경계감시 및 관련분야에 종사하는 의사, 보건의료인 및 기초 연구자들을 대상으로 하며, 수술중신경계감시와 관련분야의 모든 연구 결과 및 최신 소견 등을 게재한다. 타 학회지에 이미 게재된 내용의 원고는 게재하지 않으며, 본 학회지에 게재된 것을 임의로 다른 잡지에 게재할 수 없음을 원칙을 한다

CPT® 2012 revises intraoperative neurophysiologic monitoring code usage for surgery. By Gloria Galloway, MD, FAAN Use of intraoperative neurophysiologic

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Neuro Alerts extensively trained surgical neurophysiologists are the leading providers of intraoperative neurophysiological monitoring (IONM) services.

Typically, when treating breast cancer, some type of surgery is performed to remove the tumor. After breast-preserving surgery, external beam radiatio...

Pre- and intraoperative mitomycin C for recurrent pterygium associated with symblepharon Isyaku MohammedDepartment of Ophthalmology, Aminu Kano Teaching Hospital, Kano, NigeriaBackground: Treatment of recurrent pterygium associated with symblepharon usually involves the use of tissue grafting and/or the intraoperative application of mitomycin C (MMC). For the graft, a conjunctival/limbal autograft and/or amniotic membrane may be used. This generally requires extra technical skills and assistance, an increase in the cost and duration of surgery, and a more extensive anesthesia (a complete eye block or general anesthesia). Although widely used, safety concerns have been raised over MMC in the treatment of pterygia.Objective: The objective of this case report is to report the successful use of preoperative subconjunctival injection of low-dose (0.02%) MMC one month before bare sclera excision of a multirecurrent pterygium, as well as the concomitant intraoperative application of MMC to the conjunctival

Intraoperative radiation therapy (IORT) has been customarily performed either in a shielded operating suite located in the operating room (OR) or in a shielded treatment room located within the Department of Radiation Oncology. In both cases, this cancer treatment modality uses stationary linear accelerators. With the development of new technology, mobile linear accelerators have recently become available for IORT. Mobility offers flexibility in treatment location and is leading to a renewed interest in IORT. These mobile accelerator units, which can be transported any day of use to almost any location within a hospital setting, are assembled in a nondedicated environment and used to deliver IORT. Numerous aspects of the design of these new units differ from that of conventional linear accelerators. The scope of this Task Group (TG-72) will focus on items that particularly apply to mobile IORT electron systems. More specifically, the charges to this Task Group are to: i) identify the key ...

New York-Presbyterian/Columbia University Medical Center is one of the first institutions in the New York metropolitan area to offer intraoperative radiation therapy (IORT), which entails a single dose of radiation therapy that is administered immediately after lumpectomy. This innovative breast cancer therapy became available at the BreastCenter during the summer of 2013.

TY - JOUR. T1 - Managing placenta previa/accreta. AU - Catanzarite, Val A.. AU - Stance, Lorraine M.. AU - Schrimmer, David B. AU - Conroy, Christine. PY - 1996. Y1 - 1996. N2 - Cesarean hysterectomy for these conditions is more technically challenging than obstetric hysterectomy for atony. Anticipation, preparation, and careful perioperative and intraoperative management steps are key.. AB - Cesarean hysterectomy for these conditions is more technically challenging than obstetric hysterectomy for atony. Anticipation, preparation, and careful perioperative and intraoperative management steps are key.. UR - http://www.scopus.com/inward/record.url?scp=0002701574&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0002701574&partnerID=8YFLogxK. M3 - Article. AN - SCOPUS:0002701574. VL - 41. SP - 66. EP - 95. JO - Contemporary Ob/Gyn. JF - Contemporary Ob/Gyn. SN - 0090-3159. IS - 5. ER - ...

We present a case of extreme hemodilution in which appropriately crossmatched blood was not available. A 53-year-old man was admitted to our hospital because of hemorrhagic shock due to multiple stab wounds. His blood type was B, Rh negative, and his intravascular fluid volume was maintained with ba …

Imprint is a touch preparation in which the cut surface of the tissue is touched gently on a glass slide which leaves behind its impression in the form of cells. Touch imprint cytology is an important diagnostic tool in surgical oncology. It is reliable and economical providing excellent cellular details. The simplicity, speed and cost effectiveness along with the ability to maximize cell recovery even from a tiny tissue makes imprint cytology a valuable resource in diagnostic medicine. Renal tumors have distinct cytological features that facilitate diagnosis on touch imprint cytology. In the present study, correlation of imprint cytology with histopathological diagnosis was done in three cases of renal tumors. DOI: 10.21276/APALM.1268 ...

16 January 2017. Maximum safety for patients with kidney cancer.. A partial nephrectomy procedure using the da Vinci® robotic system in combination with high-resolution laparoscopic intraoperative ultrasound offer significant benefits to patients suffering from kidney cancer.. In the last 6 years, a multitude of robot-assisted partial nephrectomy procedures have been performed at HYGEIA Hospital with the aid of laparoscopic intraoperative ultrasound and the contribution of the Hospitals Ultrasound Department.. As noted by Dr. Emanuel Panagiotou, Director of the HYGEIA Hospital 2nd Urology Clinic, Nowadays, for tumors measuring 5, 6 or even 7 centimeters, only the tumor is removed (partial nephrectomy) and the rest of the organ (kidney) is preserved. The magnification is 15-20 times greater, allowing for finer robotic arm movements and resection of small or larger tumors on healthy margins. In the case of partially exophytic or completely endophytic (enclosed inside the kidney) renal tumors, ...

TY - JOUR. T1 - Intraoperative use of ketorolac or diclofenac is associated with improved disease-free survival and overall survival in conservative breast cancer surgery. AU - Forget, P.. AU - Bentin, C.. AU - Machiels, J.-P.. AU - Berliere, M.. AU - Coulie, P.G.. AU - De Kock, M.. N1 - Funding This work was supported by the Fondation Saint-Luc, the Departments of Anesthesiology, Gynecology and Oncology, Saint-Luc Hospital, the Commission du Patrimoine of the Universite catholique de Louvain and the Belgian Society of Anaesthesia and Resuscitation.. PY - 2014. Y1 - 2014. N2 - Background. An association between the use of non-steroidal anti-inflammatory drugs (NSAIDs) and better outcome after mastectomy and lung surgery for cancer has been recently suggested. In a retrospective analysis, we investigated the association between intraoperative NSAIDs use in conservative breast cancer surgery and breast cancer disease-free survival (DFS). Similarly, we also evaluated the association between breast ...

Tan, Jennifer, Heriot, Alexander G, Mackay, Jack, Van Dyk, Sylvia, Bressel, Mathias Ab, Fox, Chris D, Hui, Andrew C, Lynch, A Craig, Leong, Trevor and Ngan, Samuel Y (2013) Prospective single-arm study of intraoperative radiotherapy for locally advanced or recurrent rectal cancer. Journal of Medical Imaging and Radiation Oncology, 57 (5). pp. 617-25. ISSN 1754-9485 Full text not available from this repository. (Request a copy ...

The risk of morbidity and mortality is higher in surgical patients with anemia. However, previous studies have shown mixed results regarding the efficacy of blood transfusion in reducing these risks. This retrospective study of the National Surgical Quality database evaluated the association between blood transfusion and 30-day outcomes in patients undergoing general, vascular, or orthopedic surgeries. More than 10,000 patient records were reviewed and the rate of transfusion varied as a function of baseline hematocrit (figure). Compared with patients who did not receive intraoperative blood transfusion, patients who did receive a transfusion had an increased risk of death, and pulmonary, septic wound, or thromboembolic complications. Overall intraoperative blood transfusion was associated with increased risk of mortality and morbidity, however; this study did not address if this was a direct result of the transfusion or the increased blood loss. See the accompanying Editorial View on page 234 ...

Hinta: 69,50 €. sidottu, 2016. Lähetetään 2‑5 arkipäivässä.. Osta kirja Intraoperative Ultrasound (Ious) in Neurosurgery: From Standard B-Mode to Elastosonography Francesco Prada, Luigi Solbiati, Alberto Martegani (ISBN 9783319252667) osoitteesta Adlibris.fi. Ilmainen toimitus

Read Online or Download Intraoperative Ultrasound (ious) In Neurosurgery: From Standard B-mode To Elastosonography by Francesco Prada In PDF. More Medicine Books on My TxT!

Evaluation of lymph node (LN) status is an important factor for detecting metastasis and thereby staging breast cancer. Currently utilized clinical techniques involve the surgical disruption and resection of lymphatic structure, whether nodes or axillary contents, for histological examination. While reasonably effective at detection of macrometastasis, the majority of the resected lymph nodes are histologically negative. Improvements need to be made to better detect micrometastasis, minimize or eliminate lymphatic disruption complications, and provide immediate and accurate intraoperative feedback for in vivo cancer staging to better guide surgery. We evaluated the use of optical coherence tomography (OCT), a high-resolution, real-time, label-free imaging modality for the intraoperative assessment of human LNs for metastatic disease in patients with breast cancer. We assessed the sensitivity and specificity of double-blinded trained readers who analyzed intraoperative OCT LN images for presence of

From August 2014 until August 2015, IORT was considered in 124 patients; 82 patients actually underwent IORT and were enrolled in the phase 2 study. Among the 42 patients who did not undergo IORT, the reasons of IORT cancellation were either preoperative decisions in multidisciplinary conference, including presence of a huge primary mass or multicentric tumor nodules (n = 4); neoadjuvant chemotherapy (n = 3); definitive axillary, supraclavicular, or internal mammary lymph node metastasis (n = 3); and tumor close to the skin (n = 9); and intraoperative decisions including persistent positive resection margins (n = 9), conversion to total mastectomy (n = 8), and shape of tumor cavity unsuitable for IORT (n = 6). Among the 82 patients treated with IORT, 55 patients who underwent a minimum follow-up period of 1 month after WBI were included in the analysis. Follow-up after IORT ranged from 12.7 weeks to 50.3 weeks with a median follow-up of 25.9 weeks. The median patient age was 52 years (range, 32 ...

BACKGROUND: The presence of tumor cells at the margins of breast lumpectomy specimens is associated with an increased risk of ipsilateral tumor recurrence. Twenty to 30 % of patients undergoing breast-conserving surgery require second procedures to achieve negative margins. This study evaluated the adjunctive use of the MarginProbe device (Dune Medical Devices Ltd, Caesarea, Israel) in providing real-time intraoperative assessment of lumpectomy margins. METHODS: This multicenter randomized trial enrolled patients with nonpalpable breast malignancies. The study evaluated MarginProbe use in addition to standard intraoperative methods for margin assessment. After specimen removal and inspection, patients were randomized to device or control arms. In the device arm, MarginProbe was used to examine the main lumpectomy specimens and direct additional excision of positive margins. Intraoperative imaging was used in both arms; no intraoperative pathology assessment was permitted. RESULTS: In total, 596 patients

In this issue of Anesthesia & Analgesia, investigators from the Department of Anesthesiology at Duke University present 2 articles focusing on the topic of enhanced recovery after surgery (ERAS). The first article by Miller et al.1 shows that implementation of an ERAS protocol in patients undergoing colorectal surgery leads to a decreased length of stay (LOS) in the hospital. The second article by Waldron et al.2 demonstrates that intraoperative fluid management strategies based on the concept of perioperative goal-directed therapy can be facilitated by using a noninvasive and operator-independent cardiac output monitoring system (NICOM, Cheetah Medical, Vancouver, WA). Because intraoperative goal-directed fluid management is considered as one of the key components of ERAS,3,4 this finding is significant since it may facilitate implementation of this approach in routine clinical practice.5,6 These investigators should be congratulated on helping our community to learn what is the value ...

Fingerprint Dive into the research topics of The influence of intraoperative autotransfusion on postoperative hematocrit after cardiac surgery: A cross-sectional study. Together they form a unique fingerprint. ...

Introduction: The estimation of blood loss rate during surgery for prediction of transfusion of blood or blood products requirement is important for surgeon and anesthesiologist. In regard to various results and lack of definite index for start of transfusion in operating rooms, the assessment of blood loss reduction is necessary. The aim of study was evaluation of hemoglobin (Hb) value and hemorrhage estimation rate. Methods and materials: 48 cases underwent major orthopedic surgery with high probability of intraoperative blood loss rate was included in study. Hb, hematocrit (Hct) and basic vital signs were measured preoperatively and blood loss rate was estimated by using of blood volume in suction, bloody gases and blood loss in operation field and recorded. The blood sample per 100 mL blood loss was sent to laboratory. For transfusion deciding based on Hb, we did not any intervention. Results: 26 males and 22 females were included in study. Our results showed that Hb value of males was higher

Comorbidities were organized into independent risk factors according to cardiovascular (hypertension, angina, ischemic heart disease, heart failure, cardiomyopathy, valve disease, or arrhythmia), respiratory (chronic obstructive pulmonary disease, pulmonary edema, pleural effusion, atelectasis, or pneumonia), and hepatic (hepatitis or liver cirrhosis) diseases. Patients with a present illness of acute kidney injury or chronic kidney disease with or without dialysis before surgery were defined as having the risk factor renal failure. Preoperative cognitive dysfunction (dementia or Parkinsons disease) and delirium were identified using psychiatric consultation records and medical history. In addition, the duration of anesthesia (min), events of hypothermia (, 36.0℃), amount of intraoperative bleeding (ml), amount of infused fluid (ml), volume of intraoperative blood transfusion (ml), and frequency of pressor agent administration (5 mg bolus of ephedrine intravenously or 50 μg bolus of ...

Over the last 2 centuries, surgeons have depended on 2 tools in the operating room to detect disease-their eyes to look for suspicious masses and their hands to feel for abnormal tissue (23). Surgeons make subjective decisions based on experience of anatomical tissue planes and tumor spread in deciding where to excise tumors to obtain disease-free margins. However, this is historically inaccurate, especially in complex fields including those with prior radiation, infection, or trauma. For example, at University of Miami, one experienced urologist carried out 100 consecutive radical prostatectomies and recorded intraoperatively if he suspected the tumor margins were positive or negative based on visual clues and palpation (24). Despite his intraoperative decision that the surgical margins were negative in all 100 patients, the true pathologic margins were positive in 39% of cases. The intraoperative assessment of the margin status had a high false-negative rate and a sensitivity of only 7%. The ...

If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patients written consent to publication and send them to the editorial office before submitting your response [Patient consent forms] ...

The Department of Anesthesia and Perioperative Care at UCSF was established in 1958 by Stuart Cullen MD. Since then, it has risen to become one of the preeminent Departments in the world. We are enormously proud of our tradition of outstanding patient care, research, and education. UCSF has a storied history of innovation in anesthesia, critical care, and pain medicine. The Department has been ranked in the top ten nationally in NIH-funded research, for the last 10+ years. Important discoveries by the Department include the first use of CPAP in premature infants, key contributions to the pharmacology of muscle relaxants and inhaled anesthetics, first demonstration of intraoperative transesophageal echocardiography, and many others. We have robust research programs, spanning the range from ion channel structure and function, to clinical and translational research.. Our trainees have become leaders across the country. We are particularly proud of our residency program, which provides unequalled ...

|div id=teaser class=fragment teaser ||div class=p|Everything NICE has said on preventing and managing inadvertent perioperative hypothermia in adults having surgery in an interactive flowchart|/div||/div|

The global Autotransfusion Systems Market is poised to reach USD 505 million by 2024. Autotransfusion Products Market Report provides crucial industry insights that will help your business grow.

The Washington University and Barnes-Jewish Comprehensive Epilepsy Center uses intraoperative MRI (iMRI) for better outcomes when treating epilepsy through surgery.

臺大位居世界頂尖大學之列，為永久珍藏及向國際展現本校豐碩的研究成果及學術能量，圖書館整合機構典藏（NTUR）與學術庫（AH）不同功能平台，成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。. To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of NTU Repository with Academic Hub to form NTU Scholars.. ...

Results: Patients demographic data were not different in both groups. The operation time was longer in the intraoperative colonoscopy group than in preoperative tattooing group (187.1 ±54.1 vs. 157.4 ±45.0, p=0.001), and the time to first postoperative flatus was shorter in the preoperative tattooing group than in the intraoperative colonoscopy group (1.9 ± 0.9 vs. 2.7 ± 1.2, p=0.001). The inaccurate tattooing was observed during the operation in 10 patients (9.6%), and intraoperative colonoscopic localizations were done in these patients. The type of tattooing inks was the significant factor for ten inaccurate preoperative tattooing for tumor localization (p=0.019). ...

Abstract: Objective Our objective is to use the area of the motor evoked potential (MEP) as a diagnostic tool for intraoperative radicular injury. Methods We analyzed the intraoperative neurophysiological monitoring data and clinical outcomes of 203 patients treated for dorsolumbar spine deformity. The decrease in amplitude was compared with the reduction in the MEP area. Results In 11 cases, new intraoperative injuries occurred, nine of them were lumbar radiculopathies. Our new criteria, a decrease MEP area of 70%, yielded a sensitivity and specificity of 1, since it detected all the radicular injuries, with no false positive cases. Using a 70% amplitude decrease criteria, we obtained a sensitivity of 0,89 and a specificity of 0,99. A lower threshold (65% amplitude reduction) yielded a higher number of false positives, whereas a higher threshold (75 and 80%) gave rise to a higher number of false negatives. Conclusions The measurement of the MEP area gave evidence to be more reliable and ...

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The present study was conducted to assess error rates with diagnosis using intra-operative frozen sections, and to indicate ways to increase overall performance. Over a period of two years, 227 cases were biopsied intra-operatively. Errors were observed in 14 cases. Four of these were sampling errors, one by a pathologist and three by surgeons. In seven cases incorrect interpretations were made. Epithelial dysplasia was observed on definitive histology in two cases which was not reported intra-operatively. One case was of ectopic thyroid. In cases of oral cancer where sentinel lymph nodes were sampled, immunohistochemistry for cytokeratin was performed to facilitate identification of micrometastasis. Only single case displayed tumor deposits which was not evident morphologically. Resection margins were reported in seventy eight cases. Some 18% (14/50) benefited from revision of margins; overall sensitivity of intra-operative frozen sections for marginal status was 71.4%, with a specificity of 90.3%.

Background: This study aims to investigate the distribution of morbidity in diabetic and non-diabetic patients who were subjected to conservative glycemic control during coronary artery bypass graft (CABG) surgery and to determine the efficacy of this strategy according to currently recommended target intraoperative blood glucose value. ...

PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.

Intra-operative magnetic resonance imaging (iMRI) has been shown to increase rates of gross total resection and overall survival in glioblastoma (GBM) in a seri

Since the brain can shift during surgery, brain-mapping techniques and intraoperative MRI create accurate pictures of the brain that guide the neurosurgeon in effectively removing only the tumor and avoiding any functional brain tissue, to preserve hearing, language and other important brain functions.. ...

CATSmart Continuous Autotransfusion System-Fresenius Kabi https://www.catsmart.us. The CATSmart Continuous Autotransfusion System is the only continuous autotransfusion system working on the principle of the continuous flow centrifuge. CATSmart technology is simple to operate, has high PRC Quality, and is engineered to fit into your OR and the way you work. Ref: 0101 CATSM-01-12/19 ...

A Comparison of Intraoperative Metrics between the Infiniti with and the Centurion without Intelligent Phacoemulsification Systems, Ataka S, Ogawa S, Mi

H59.123 is a billable code used to specify a medical diagnosis of intraoperative hemorrhage and hematoma of eye and adnexa complicating other procedure, bilateral. Code valid for the fiscal year 2021

Physiologic Assessment Services LLC offers leading Intraoperative Monitoring Services to over 330 hospitals nationwide. Contact us today to learn more.

Intraoperative photograph showing cutting of the malar eminence (ME) using a diamond-coated threadwire saw (a), and postoperative three-dimensional bone compute

To install a popular screen saver, select the desired screen saver from the screen saver website, and then download the screen saver by clicking on the Download button. Click on the executable screen...

Система для реинфузии аутологичной эритроцитарной массы АutoLog собирает и обрабатывает кровь из операционной раны, в результате чего формируется отмытая эритроцитарная масса для последующего введения пациенту ...

Intra-operative frozen section is pathological laboratory test, frozen tissue test ensures no part of cancer is left behind & Dr. Shiva Kumar offers best test for Cancer in Bangalore, India.

Germany-based Ziehm Imaging and BrainLAB, makers of medical x-ray imaging products and image-guided systems, announced they are partnering to make Vis

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code J95.62 and a single ICD9 code, 998.12 is an approximate match for comparison and conversion purposes. ...

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If an Intra-Operative Consult (IOC) is required, submit the specimen fresh. For more information, see Intra-Operative Consult Request.. If an IOC is not required, submit the specimen in 10% Formalin (NBF) in an appropriate sized plastic container. There should be 10 times the volume of fixative to the volume of tissue and the fixative must cover the specimen. Label the container according to CLS requirements. Containers must be securely tightened to eliminate leakage ...

Neuro monitoring a k a neurophysiologic intraoperative monitoring may be one of the most exciting and important old innovations to come into spine and neuro surgery in decades think of...