Sample records for laparoscopic image display

  1. Rapid display of radiographic images (United States)

    Cox, Jerome R., Jr.; Moore, Stephen M.; Whitman, Robert A.; Blaine, G. James; Jost, R. Gilbert; Karlsson, L. M.; Monsees, Thomas L.; Hassen, Gregory L.; David, Timothy C.


    The requirements for the rapid display of radiographic images exceed the capabilities of widely available display, computer, and communications technologies. Computed radiography captures data with a resolution of about four megapixels. Large-format displays are available that can present over four megapixels. One megapixel displays are practical for use in combination with large-format displays and in areas where the viewing task does not require primary diagnosis. This paper describes an electronic radiology system that approximates the highest quality systems, but through the use of several interesting techniques allows the possibility of its widespread installation throughout hospitals. The techniques used can be grouped under three major system concepts: a local, high-speed image server, one or more physician's workstations each with one or more high-performance auxiliary displays specialized to the radiology viewing task, and dedicated, high-speed communication links between the server and the displays. This approach is enhanced by the use of a progressive transmission scheme to decrease the latency for viewing four megapixel images. The system includes an image server with storage for over 600 4-megapixel images and a high-speed link. A subsampled megapixel image is fetched from disk and transmitted to the display in about one second followed by the full resolution 4-megapixel image in about 2.5 seconds. Other system components include a megapixel display with a 6-megapixel display memory space and frame-rate update of image roam, zoom, and contrast. Plans for clinical use are presented.

  2. Image Descriptors for Displays (United States)


    hypothetical televison display. The viewing distance is 4 picture heights, and the bandwidth limitation has been set by the U.S. Monochrome Standards...significantly influence the power spectrum over most of the video frequency range. A large dc component and a small random component provide another scene... influences . It was Illuminated with natural light to a brightness of over 300 ft-L. The high brightness levels were chosen so as to nearly reproduce the

  3. Imaging of the complications of laparoscopic cholecystectomy

    Energy Technology Data Exchange (ETDEWEB)

    Lohan, Derek; Walsh, Sinead; McLoughlin, Raymond; Murphy, Joseph [University College Hospital, Department of Radiology, Galway (Ireland)


    Laparoscopic cholecystectomy has, in recent years, emerged as the gold standard therapeutic option for the management of uncomplicated symptomatic cholelithiasis. Each year, up to 700,000 of these procedures are performed in the United States alone. While the relative rate of post-procedural complications is low, the popularity of this method of gallbladder removal is such that this entity is not uncommonly clinically encountered, and therefore must be borne in mind by the investigating physician. By way of pictorial review, we explore the radiological appearances of a variety of potential complications of laparoscopic cholecystectomy. The radiological appearances of each shall be illustrated in turn using several imaging modalities, including ultrasound, computed tomography, MR cholangiography and radio-isotope scintigraphy. From calculus retention to portal vein laceration, bile duct injury to infected dropped calculi, we illustrate numerous potential complications of this procedure, as well as indicating the most suitable imaging modalities available for the detection of these adverse outcomes. As one of the most commonly performed intra-abdominal surgeries, laparoscopic cholecystectomy and the complications thereof are not uncommonly encountered. Awareness of the possible presence of these numerous complications, including their radiological appearances, makes early detection more likely, with resultant improved patient outcome. (orig.)

  4. Colour displays for categorical images

    NARCIS (Netherlands)

    Glasbey, C.; Heijden, van der G.W.A.M.; Toh, V.F.K.; Gray, A.J.


    We propose a method for identifying a set of colours for displaying 2D and 3D categorical images when the categories are unordered labels. The principle is to find maximally distinct sets of colours. We either generate colours sequentially, to maximize the dissimilarity or distance between a new col

  5. Virtual CT laparoscopic imaging using intravenous cholangiography with helical CT

    Energy Technology Data Exchange (ETDEWEB)

    Uchida, Masafumi; Ishibashi, Masatoshi; Nishimura, Hiroshi; Hayabuchi, Naofumi [Kurume Univ., Fukuoka (Japan). School of Medicine


    Laparoscopic cholecystectomy is a reatively new technology that allows for minimally invasive treatment of cholelithiasis. The purpose of this paper is to demonstrate the feasibility of virtual laparoscopic imaging using helical CT cholangiography with volume rendering technique. We used the technique with ten patients with suspected gallbladder abnormalities. Our imaging sets produced high quality 3D images with excellent visualization in 70% (7/10) of all cases. Virtual laparoscopic imaging was also compared with other imaging techniques and imaging using helical scans can proved useful in preoperative imaging. Furthermore, virtual laparoscopic imaging using helical scans can in surgical planning and serve as a visual aid in discussions between radiologists, surgeons, and patients. (author)

  6. Future Directions for Astronomical Image Display (United States)

    Mandel, Eric


    In the "Future Directions for Astronomical Image Displav" project, the Smithsonian Astrophysical Observatory (SAO) and the National Optical Astronomy Observatories (NOAO) evolved our existing image display program into fully extensible. cross-platform image display software. We also devised messaging software to support integration of image display into astronomical analysis systems. Finally, we migrated our software from reliance on Unix and the X Window System to a platform-independent architecture that utilizes the cross-platform Tcl/Tk technology.

  7. Three-dimensional Imaging, Visualization, and Display

    CERN Document Server

    Javidi, Bahram; Son, Jung-Young


    Three-Dimensional Imaging, Visualization, and Display describes recent developments, as well as the prospects and challenges facing 3D imaging, visualization, and display systems and devices. With the rapid advances in electronics, hardware, and software, 3D imaging techniques can now be implemented with commercially available components and can be used for many applications. This volume discusses the state-of-the-art in 3D display and visualization technologies, including binocular, multi-view, holographic, and image reproduction and capture techniques. It also covers 3D optical systems, 3D display instruments, 3D imaging applications, and details several attractive methods for producing 3D moving pictures. This book integrates the background material with new advances and applications in the field, and the available online supplement will include full color videos of 3D display systems. Three-Dimensional Imaging, Visualization, and Display is suitable for electrical engineers, computer scientists, optical e...

  8. Display of nuclear medicine imaging studies

    CERN Document Server

    Singh, B; Samuel, A M


    Nuclear medicine imaging studies involve evaluation of a large amount of image data. Digital signal processing techniques have introduced processing algorithms that increase the information content of the display. Nuclear medicine imaging studies require interactive selection of suitable form of display and pre-display processing. Static imaging study requires pre-display processing to detect focal defects. Point operations (histogram modification) along with zoom and capability to display more than one image in one screen is essential. This album mode of display is also applicable to dynamic, MUGA and SPECT data. Isometric display or 3-D graph of the image data is helpful in some cases e.g. point spread function, flood field data. Cine display is used on a sequence of images e.g. dynamic, MUGA and SPECT imaging studies -to assess the spatial movement of tracer with time. Following methods are used at the investigator's discretion for inspection of the 3-D object. 1) Display of orthogonal projections, 2) Disp...

  9. Interventional multi-spectral photoacoustic imaging in laparoscopic surgery (United States)

    Hill, Emma R.; Xia, Wenfeng; Nikitichev, Daniil I.; Gurusamy, Kurinchi; Beard, Paul C.; Hawkes, David J.; Davidson, Brian R.; Desjardins, Adrien E.


    Laparoscopic procedures can be an attractive treatment option for liver resection, with a shortened hospital stay and reduced morbidity compared to open surgery. One of the central challenges of this technique is visualisation of concealed structures within the liver, particularly the vasculature and tumourous tissue. As photoacoustic (PA) imaging can provide contrast for haemoglobin in real time, it may be well suited to guiding laparoscopic procedures in order to avoid inadvertent trauma to vascular structures. In this study, a clinical laparoscopic ultrasound probe was used to receive ultrasound for PA imaging and to obtain co-registered B-mode ultrasound (US) images. Pulsed excitation light was delivered to the tissue via a fibre bundle in dark-field mode. Monte Carlo simulations were performed to optimise the light delivery geometry for imaging targets at depths of 1 cm, 2 cm and 3 cm, and 3D-printed mounts were used to position the fibre bundle relative to the transducer according to the simulation results. The performance of the photoacoustic laparoscope system was evaluated with phantoms and tissue models. The clinical potential of hybrid PA/US imaging to improve the guidance of laparoscopic surgery is discussed.

  10. Imaging findings of biliary and nonbiliary complications following laparoscopic surgery

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Jin-Young; Kim, Joo Hee; Lim, Joon Seok; Oh, Young Taik; Kim, Ki Whang [Yonsei University College of Medicine, Department of Diagnostic Radiology, Seoul (Korea); Yonsei University College of Medicine, Research Institute of Radiological Science, Seoul (Korea); Kim, Myeong-Jin [Yonsei University College of Medicine, Department of Diagnostic Radiology, Seoul (Korea); Yonsei University College of Medicine, Brain Korea 21 Project for Medical Science, Seoul (Korea); Yonsei University College of Medicine, Research Institute of Radiological Science, Seoul (Korea); Yonsei University College of Medicine, Institute of Gastroenterology, Seoul (Korea); Park, Mi-Suk [Yonsei University College of Medicine, Department of Diagnostic Radiology, Seoul (Korea)


    Laparoscopic techniques are evolving for a wide range of surgical procedures although they were initially confined to cholecystectomy and exploratory laparoscopy. Recently, surgical procedures performed with a laparoscope include splenectomy, adrenalectomy, gastrectomy, and myomectomy. In this article, we review the spectrum of complications and illustrate imaging features of biliary and nonbiliary complications after various laparoscopic surgeries. Biliary complications following laparoscopic cholecystectomy include bile ductal obstruction, bile leak with bile duct injury, dropped stones in the peritoneal cavity, retained CBD stone, and port-site metastasis. Nonbiliary complications are anastomotic leakage after partial gastrectomy, gangrenous cholecystitis after gastrectomy, hematoma at the anastomotic site following gastrectomy, gastric infarction after gastrectomy, port-site metastasis after gastrectomy, hematoma after splenectomy, renal infarction after adrenalectomy, and active bleeding after myomectomy of the uterus. (orig.)

  11. Real Image Visual Display System (United States)


    cylindrical lenses, each being a plano convex lens, see Figure 8. The lenticular sheet is transparent, the front face presents Figure 8. Lenticular screen...two mutually perpendicular line images are formed. Reflected rays in the tangential plane focus at a point t and the reflected rays in the sagital plane...perpendicular to the tangential plane) focus at a point s. In the ODD the sagital rays focus at the image plane therefore the sagital astigmatism is

  12. Comprehensive evaluation of latest 2D/3D monitors and comparison to a custom-built 3D mirror-based display in laparoscopic surgery (United States)

    Wilhelm, Dirk; Reiser, Silvano; Kohn, Nils; Witte, Michael; Leiner, Ulrich; Mühlbach, Lothar; Ruschin, Detlef; Reiner, Wolfgang; Feussner, Hubertus


    Though theoretically superior, 3D video systems did not yet achieve a breakthrough in laparoscopic surgery. Furthermore, visual alterations, such as eye strain, diplopia and blur have been associated with the use of stereoscopic systems. Advancements in display and endoscope technology motivated a re-evaluation of such findings. A randomized study on 48 test subjects was conducted to investigate whether surgeons can benefit from using most current 3D visualization systems. Three different 3D systems, a glasses-based 3D monitor, an autostereoscopic display and a mirror-based theoretically ideal 3D display were compared to a state-of-the-art 2D HD system. The test subjects split into a novice and an expert surgeon group, which high experience in laparoscopic procedures. Each of them had to conduct a well comparable laparoscopic suturing task. Multiple performance parameters like task completion time and the precision of stitching were measured and compared. Electromagnetic tracking provided information on the instruments path length, movement velocity and economy. The NASA task load index was used to assess the mental work load. Subjective ratings were added to assess usability, comfort and image quality of each display. Almost all performance parameters were superior for the 3D glasses-based display as compared to the 2D and the autostereoscopic one, but were often significantly exceeded by the mirror-based 3D display. Subjects performed the task at average 20% faster and with a higher precision. Work-load parameters did not show significant differences. Experienced and non-experienced laparoscopists profited equally from 3D. The 3D mirror system gave clear evidence for additional potential of 3D visualization systems with higher resolution and motion parallax presentation.

  13. MR-compatible laparoscope with a distally mounted CCD for MR image-guided surgery

    Energy Technology Data Exchange (ETDEWEB)

    Yasunaga, Takefumi; Konishi, Kozo; Yamaguchi, Shohei; Okazaki, Ken; Hong, Jae-sung; Nakashima, Hideaki [Kyushu University, Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Fukuoka (Japan); Ieiri, Satoshi; Tanoue, Kazuo [Kyushu University Hospital, Department of Advanced Medicine and Innovative Technology, Fukuoka (Japan); Fukuyo, Tsuneo [Shinko Optical Co. Ltd, Bunkyo-ku, Tokyo (Japan); Hashizume, Makoto [Kyushu University, Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Fukuoka (Japan); Kyushu University Hospital, Department of Advanced Medicine and Innovative Technology, Fukuoka (Japan)


    Objects We have developed a new MR-compatible laparoscope that incorporates a distally mounted charge-coupled device (CCD). The MR-compatibility and feasibility of laparoscopy using the new laparoscope were evaluated during MR image-guided laparoscopic radiofrequency ablation therapy (RFA). Materials and methods MR compatibility of the laparoscope was investigated in terms of MR image artifact caused by electromagnetic interference (EMI) and susceptibility. MR images were obtained using spin echo and gradient echo pulse sequences with a 0.3 T open MRI unit. We performed an in vivo experiment with MR image-guided laparoscopic RFA on three pigs; near real-time MR images and 3-D navigation were possible using intraoperative MR images. Agarose gel was injected into the pigs' livers as puncture targets; the diameter of each target was approximately 20 mm. Results Artifacts resulting from EMI were not found in phantom experiments. MR image-guided laparoscopic RFA was successfully performed in all procedures. Both the laparoscopic vision and near real-time MR images were clear. No artifact was detected on the MR images and the surgeon was able to confirm the true position of the probe and target during treatment using the near real-time MR images. Conclusion Laparoscopic surgery is feasible under intraoperative MR image-guidance using a newly developed MR-compatible laparoscope with a distally mounted CCD. (orig.)

  14. Perceived image quality assessment for color images on mobile displays (United States)

    Jang, Hyesung; Kim, Choon-Woo


    With increase in size and resolution of mobile displays and advances in embedded processors for image enhancement, perceived quality of images on mobile displays has been drastically improved. This paper presents a quantitative method to evaluate perceived image quality of color images on mobile displays. Three image quality attributes, colorfulness, contrast and brightness, are chosen to represent perceived image quality. Image quality assessment models are constructed based on results of human visual experiments. In this paper, three phase human visual experiments are designed to achieve credible outcomes while reducing time and resources needed for visual experiments. Values of parameters of image quality assessment models are estimated based on results from human visual experiments. Performances of different image quality assessment models are compared.

  15. Laparoscopic optical coherence tomographic imaging of human ovarian cancer (United States)

    Hariri, Lida P.; Bonnema, Garret T.; Schmidt, Kathy; Korde, Vrushali; Winkler, Amy M.; Hatch, Kenneth; Brewer, Molly; Barton, Jennifer K.


    Ovarian cancer is the fourth leading cause of cancer-related death among women. If diagnosed at early stages, 5-year survival rate is 94%, but drops to 68% for regional disease and 29% for distant metastasis; only 19% of cases are diagnosed at early, localized stages. Optical coherence tomography is a recently emerging non-destructive imaging technology, achieving high axial resolutions (10-20 µm) at imaging depths up to 2 mm. Previously, we studied OCT in normal and diseased human ovary ex vivo. Changes in collagen were suggested with several images that correlated with changes in collagen seen in malignancy. Areas of necrosis and blood vessels were also visualized using OCT, indicative of an underlying tissue abnormality. We recently developed a custom side-firing laparoscopic OCT (LOCT) probe fabricated for in vivo imaging. The LOCT probe, consisting of a 38 mm diameter handpiece terminated in a 280 mm long, 4.6 mm diameter tip for insertion into the laparoscopic trocar, is capable of obtaining up to 9.5 mm image lengths at 10 µm axial resolution. In this pilot study, we utilize the LOCT probe to image one or both ovaries of 17 patients undergoing laparotomy or transabdominal endoscopy and oophorectomy to determine if OCT is capable of differentiating normal and neoplastic ovary. We have laparoscopically imaged the ovaries of seventeen patients with no known complications. Initial data evaluation reveals qualitative distinguishability between the features of undiseased post-menopausal ovary and the cystic, non-homogenous appearance of neoplastic ovary such as serous cystadenoma and endometroid adenocarcinoma.

  16. Digital radiography image quality: image processing and display. (United States)

    Krupinski, Elizabeth A; Williams, Mark B; Andriole, Katherine; Strauss, Keith J; Applegate, Kimberly; Wyatt, Margaret; Bjork, Sandra; Seibert, J Anthony


    This article on digital radiography image processing and display is the second of two articles written as part of an intersociety effort to establish image quality standards for digital and computed radiography. The topic of the other paper is digital radiography image acquisition. The articles were developed collaboratively by the ACR, the American Association of Physicists in Medicine, and the Society for Imaging Informatics in Medicine. Increasingly, medical imaging and patient information are being managed using digital data during acquisition, transmission, storage, display, interpretation, and consultation. The management of data during each of these operations may have an impact on the quality of patient care. These articles describe what is known to improve image quality for digital and computed radiography and to make recommendations on optimal acquisition, processing, and display. The practice of digital radiography is a rapidly evolving technology that will require timely revision of any guidelines and standards.

  17. Improved Image-Guided Laparoscopic Prostatectomy (United States)


    are then used to estimate tissue motion. For some elasticity methods the final resulting image maps physical parameters, like Youngs modulus and...vol. 213, pp. 195–202, 1999. [18] S . F. Levinson, M. Shinagawa, and T. Sato, “Sonoelastic determination of human skeletal muscle elasticity,” Journal...GRANT NUMBER W81XWH-10-1-0562 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT NUMBER Ioana Fleming 5e. TASK NUMBER E-Mail

  18. Indications of laparoscopic cholecystectomy based on preoperative imaging findings

    Energy Technology Data Exchange (ETDEWEB)

    Wakizaka, Yoshitaka; Sano, Syuichi; Nakanishi, Yoshimi; Koike, Yoshinobu; Ozaki, Susumu; Iwanaga, Rikizo (Sapporo City General Hospital (Japan)); Uchino, Junichi


    We studied the indications for laparoscopic cholecystectomy (LC) and values of preoperative imaging findings in 82 patients who underwent preoperative imaging diagnostic tests (abdominal echogram, abdominal CAT scan, ERCP). We analyzed mainly patients who were considered to be indicated for LC but whose gallbladders could be removed by open laparotomy, or whose gallbladders were removed by open laparotomy but were considered indicated for LC from retrospective study. We found the following results. LC could be easily performed in patients with a history of severe acute cholecystitis if they had no findings of a thickened wall or negative gallbladder signs. Abdominal echogram and CAT scan were the best preoperative imaging tests for determining the gallbladder's state, especially for obstruction of the cystic duct. These results are important today when the operative indications of LC are extremely indefinite because of the accumulation of operative experience and technological improvements. (author).

  19. Progress in 3D imaging and display by integral imaging (United States)

    Martinez-Cuenca, R.; Saavedra, G.; Martinez-Corral, M.; Pons, A.; Javidi, B.


    Three-dimensionality is currently considered an important added value in imaging devices, and therefore the search for an optimum 3D imaging and display technique is a hot topic that is attracting important research efforts. As main value, 3D monitors should provide the observers with different perspectives of a 3D scene by simply varying the head position. Three-dimensional imaging techniques have the potential to establish a future mass-market in the fields of entertainment and communications. Integral imaging (InI), which can capture true 3D color images, has been seen as the right technology to 3D viewing to audiences of more than one person. Due to the advanced degree of development, InI technology could be ready for commercialization in the coming years. This development is the result of a strong research effort performed along the past few years by many groups. Since Integral Imaging is still an emerging technology, the first aim of the "3D Imaging and Display Laboratory" at the University of Valencia, has been the realization of a thorough study of the principles that govern its operation. Is remarkable that some of these principles have been recognized and characterized by our group. Other contributions of our research have been addressed to overcome some of the classical limitations of InI systems, like the limited depth of field (in pickup and in display), the poor axial and lateral resolution, the pseudoscopic-to-orthoscopic conversion, the production of 3D images with continuous relief, or the limited range of viewing angles of InI monitors.

  20. Illumination, color and imaging evaluation and optimization of visual displays

    CERN Document Server

    Bodrogi , P


    This comprehensive and modern reference on display technology, Illumination, color and imaging focuses on visual effects and how displayed images are best matched to the human visual system. It teaches how to exploit the knowledge of color information processing to design usable, ergonomic, and visually pleasing displays and display environments. The contents describe design principles and methods to optimize self-luminous visual technologies for the user using modern still and motion image displays and the whole range of indoor light sources. Design principles and methods are derived from

  1. Laparoscopic splenectomy: color Doppler flow imaging for preoperative evaluation

    Institute of Scientific and Technical Information of China (English)

    XU Wei-li; LI Suo-lin; WANG Yan; SHI Bao-jun; LI Meng; LI Ying-chao; ZHONG Zhi-yong; LI Zhen-dong


    Background Laparoscopic splenectomy (LS) is currently the standard approach for resection of a normal-sized spleen.However, this method becomes technical challenge in cases of splenomegaly due to intraoperative hemorrhage. A complete understanding of the splenic vessel anatomy is important to facilitate the difficult laparoscopic procedure. In this retrospective study, we examined the role of color Doppler flow imaging (CDFI) in splenic vessel anatomy and evaluated its value for LS.Methods Forty-eight patients who underwent splenectomy for various hematologic and autoimmune disorders from May 2004 to December 2007 were enrolled in this study. Twenty-three patients underwent preoperative CDFI examination that included examination of the anatomic type of splenic pedicle, the adjacent relationship between the splenic vessel and pancreas, and spleen size (CDFI group). In the remaining 25 patients, ultrasonic inspections of the splenic vessel were not performed (non-CDFI group). Laparoscopic splenectomies in the CDFI group were performed in accordance with the information provided by the preoperative CDFI in each patient. In the non-CDFI group, LS was performed according to the conventional method. In the CDFI group, the constituent ratios of the above-mentioned parameters by CDFI were compared with those recorded during LS using the chi square test. The effectiveness of the technique on surgery in both groups was compared with an independent sample Student's ttest.Results All laparoscopic splenectomies in both groups were performed successfully. However, 2 cases in the non-CDFI group were converted to LS with the assistance of micro-incision because the branches of the splenic vein were inadvertently torn. Two anatomic types of splenic pedicle and four different adjacent relationships between the splenic vessel and pancreas were detected by CDFI. About 80% of spleens fit the criteria of megalosplenia. There were no statistically significant differences between the

  2. Full Parallax Integral 3D Display and Image Processing Techniques

    Directory of Open Access Journals (Sweden)

    Byung-Gook Lee


    Full Text Available Purpose – Full parallax integral 3D display is one of the promising future displays that provide different perspectives according to viewing direction. In this paper, the authors review the recent integral 3D display and image processing techniques for improving the performance, such as viewing resolution, viewing angle, etc.Design/methodology/approach – Firstly, to improve the viewing resolution of 3D images in the integral imaging display with lenslet array, the authors present 3D integral imaging display with focused mode using the time-multiplexed display. Compared with the original integral imaging with focused mode, the authors use the electrical masks and the corresponding elemental image set. In this system, the authors can generate the resolution-improved 3D images with the n×n pixels from each lenslet by using n×n time-multiplexed display. Secondly, a new image processing technique related to the elemental image generation for 3D scenes is presented. With the information provided by the Kinect device, the array of elemental images for an integral imaging display is generated.Findings – From their first work, the authors improved the resolution of 3D images by using the time-multiplexing technique through the demonstration of the 24 inch integral imaging system. Authors’ method can be applied to a practical application. Next, the proposed method with the Kinect device can gain a competitive advantage over other methods for the capture of integral images of big 3D scenes. The main advantage of fusing the Kinect and the integral imaging concepts is the acquisition speed, and the small amount of handled data.Originality / Value – In this paper, the authors review their recent methods related to integral 3D display and image processing technique.Research type – general review.

  3. Interactive display system having a digital micromirror imaging device

    Energy Technology Data Exchange (ETDEWEB)

    Veligdan, James T.; DeSanto, Leonard; Kaull, Lisa; Brewster, Calvin


    A display system includes a waveguide optical panel having an inlet face and an opposite outlet face. A projector cooperates with a digital imaging device, e.g. a digital micromirror imaging device, for projecting an image through the panel for display on the outlet face. The imaging device includes an array of mirrors tiltable between opposite display and divert positions. The display positions reflect an image light beam from the projector through the panel for display on the outlet face. The divert positions divert the image light beam away from the panel, and are additionally used for reflecting a probe light beam through the panel toward the outlet face. Covering a spot on the panel, e.g. with a finger, reflects the probe light beam back through the panel toward the inlet face for detection thereat and providing interactive capability.

  4. 3D augmented reality with integral imaging display (United States)

    Shen, Xin; Hua, Hong; Javidi, Bahram


    In this paper, a three-dimensional (3D) integral imaging display for augmented reality is presented. By implementing the pseudoscopic-to-orthoscopic conversion method, elemental image arrays with different capturing parameters can be transferred into the identical format for 3D display. With the proposed merging algorithm, a new set of elemental images for augmented reality display is generated. The newly generated elemental images contain both the virtual objects and real world scene with desired depth information and transparency parameters. The experimental results indicate the feasibility of the proposed 3D augmented reality with integral imaging.

  5. Displaying Photographic Images On Computer Monitors With Limited Colour Resolution (United States)

    McFall, John D.; Mitchell, Joan L.; Pennebaker, William B.


    In this paper we address the problem of displaying continuous tone photographic colour images on CRT monitors on which only a limited number of colours can be displayed simultaneously. An algorithm is presented which generates a palette of a limited number of colours, and a method is given for the actual display of a full colour image using such a palette and its associated tables.

  6. Secrets of high-performance image display (United States)

    Desormeaux, David A.


    Medical imaging companies have traditionally supplied the industry with image visualization solutions based on their own custom hardware designs. Today, more and more systems are being deployed using only off-the-shelf workstations. Two major factors are driving this change. First, workstations are delivering the functionality and performance required to replace custom hardware for an ever increasing subset of visualization techniques, while continuing to come down in cost. Second, cost pressures are forcing medical imaging companies to OEM the hardware platform and focus on what they do best -- delivering solutions to health care providers. This industry shift is challenging the workstation vendors to deliver the maximum inherent performance in their computer systems to medical imaging applications without locking the application into a specific vendor's hardware. Since extracting the maximum performance from a workstation is not always intuitively obvious and often requires vendor-specific tricks, the best way to deliver performance to an application is through an application programmer's interface (API). The Hewlett-Packard Image Visualization Library (HP-IVL) is such an API. It transparently delivers the maximum possible imaging performance on Hewlett-Packard workstations, while allowing significant portability between platforms. This paper describes the performance tricks and trade-offs made in the software implementation of HP's Image Visualization Library and how the HP Image Visualization Accelerator (HP-IVX) fits into the overall architecture.

  7. Augmented reality 3D display based on integral imaging (United States)

    Deng, Huan; Zhang, Han-Le; He, Min-Yang; Wang, Qiong-Hua


    Integral imaging (II) is a good candidate for augmented reality (AR) display, since it provides various physiological depth cues so that viewers can freely change the accommodation and convergence between the virtual three-dimensional (3D) images and the real-world scene without feeling any visual discomfort. We propose two AR 3D display systems based on the theory of II. In the first AR system, a micro II display unit reconstructs a micro 3D image, and the mciro-3D image is magnified by a convex lens. The lateral and depth distortions of the magnified 3D image are analyzed and resolved by the pitch scaling and depth scaling. The magnified 3D image and real 3D scene are overlapped by using a half-mirror to realize AR 3D display. The second AR system uses a micro-lens array holographic optical element (HOE) as an image combiner. The HOE is a volume holographic grating which functions as a micro-lens array for the Bragg-matched light, and as a transparent glass for Bragg mismatched light. A reference beam can reproduce a virtual 3D image from one side and a reference beam with conjugated phase can reproduce the second 3D image from other side of the micro-lens array HOE, which presents double-sided 3D display feature.

  8. Evaluation of stereoscopic 3D displays for image analysis tasks (United States)

    Peinsipp-Byma, E.; Rehfeld, N.; Eck, R.


    In many application domains the analysis of aerial or satellite images plays an important role. The use of stereoscopic display technologies can enhance the image analyst's ability to detect or to identify certain objects of interest, which results in a higher performance. Changing image acquisition from analog to digital techniques entailed the change of stereoscopic visualisation techniques. Recently different kinds of digital stereoscopic display techniques with affordable prices have appeared on the market. At Fraunhofer IITB usability tests were carried out to find out (1) with which kind of these commercially available stereoscopic display techniques image analysts achieve the best performance and (2) which of these techniques achieve a high acceptance. First, image analysts were interviewed to define typical image analysis tasks which were expected to be solved with a higher performance using stereoscopic display techniques. Next, observer experiments were carried out whereby image analysts had to solve defined tasks with different visualization techniques. Based on the experimental results (performance parameters and qualitative subjective evaluations of the used display techniques) two of the examined stereoscopic display technologies were found to be very good and appropriate.

  9. Real-time image guidance in laparoscopic liver surgery

    DEFF Research Database (Denmark)

    Kenngott, Hannes G.; Wagner, Martin; Gondan, Matthias


    . This study aims to evaluate the feasibility of a commercially available augmented reality (AR) guidance system employing intraoperative robotic C-arm cone-beam computed tomography (CBCT) for laparoscopic liver surgery. Methods: A human liver-like phantom with sixteen target fiducials was used to evaluate......Background: Laparoscopic liver surgery is particularly challenging owing to restricted access, risk of bleeding and lack of haptic feedback. Navigation systems have the potential to improve information on the exact position of intrahepatic tumors, and thus facilitate oncological resection.......49 mm. The patient successfully underwent the operation and showed no post-operative complications. Conclusion: The use of intraoperative CBCT and AR for laparoscopic liver resection is feasible and could be considered an option for future liver surgery in complex cases....

  10. Real-time Image Generation for Compressive Light Field Displays (United States)

    Wetzstein, G.; Lanman, D.; Hirsch, M.; Raskar, R.


    With the invention of integral imaging and parallax barriers in the beginning of the 20th century, glasses-free 3D displays have become feasible. Only today—more than a century later—glasses-free 3D displays are finally emerging in the consumer market. The technologies being employed in current-generation devices, however, are fundamentally the same as what was invented 100 years ago. With rapid advances in optical fabrication, digital processing power, and computational perception, a new generation of display technology is emerging: compressive displays exploring the co-design of optical elements and computational processing while taking particular characteristics of the human visual system into account. In this paper, we discuss real-time implementation strategies for emerging compressive light field displays. We consider displays composed of multiple stacked layers of light-attenuating or polarization-rotating layers, such as LCDs. The involved image generation requires iterative tomographic image synthesis. We demonstrate that, for the case of light field display, computed tomographic light field synthesis maps well to operations included in the standard graphics pipeline, facilitating efficient GPU-based implementations with real-time framerates.

  11. Displaying Images and Their Characteristics from Websites on Users Computers

    Directory of Open Access Journals (Sweden)

    Goran Bidjovski


    Full Text Available The subject of the research in this scientific paper are images on the websites, with special emphasis on displaying images chosen by the Web designer, along with its characteristic, on computers of various users. In addition, users can have different operating systems, different browsers, and different preferences in terms of their computers settings. An overall direction for using images and their characteristics when designing web pages, as well as some advice and opinions on the same topic are presented here. After that, several problems which arise from displaying images on the web pages of the computer of users are analyzed, for which a few solutions for the problems, as well as recommendations on which solution when to be chosen are also given in this text. A problem with a speed for loading web pages in correlation with size of images on those pages is studied as well. Then, problems with a speed for loading web pages in correlation with number of images on the page, problems with loading speed of second image on rollover, problems with a speed for loading web pages in correlation with size of background image, problems with texture in vertical bars used for background in web pages, and problems with users monitor size and background image are also analyzed. Finally, the problem with displaying the page without specifying image height and width is also considered.

  12. Light field display and 3D image reconstruction (United States)

    Iwane, Toru


    Light field optics and its applications become rather popular in these days. With light field optics or light field thesis, real 3D space can be described in 2D plane as 4D data, which we call as light field data. This process can be divided in two procedures. First, real3D scene is optically reduced with imaging lens. Second, this optically reduced 3D image is encoded into light field data. In later procedure we can say that 3D information is encoded onto a plane as 2D data by lens array plate. This transformation is reversible and acquired light field data can be decoded again into 3D image with the arrayed lens plate. "Refocusing" (focusing image on your favorite point after taking a picture), light-field camera's most popular function, is some kind of sectioning process from encoded 3D data (light field data) to 2D image. In this paper at first I show our actual light field camera and our 3D display using acquired and computer-simulated light field data, on which real 3D image is reconstructed. In second I explain our data processing method whose arithmetic operation is performed not in Fourier domain but in real domain. Then our 3D display system is characterized by a few features; reconstructed image is of finer resolutions than density of arrayed lenses and it is not necessary to adjust lens array plate to flat display on which light field data is displayed.

  13. AMOEBA clustering revisited. [cluster analysis, classification, and image display program (United States)

    Bryant, Jack


    A description of the clustering, classification, and image display program AMOEBA is presented. Using a difficult high resolution aircraft-acquired MSS image, the steps the program takes in forming clusters are traced. A number of new features are described here for the first time. Usage of the program is discussed. The theoretical foundation (the underlying mathematical model) is briefly presented. The program can handle images of any size and dimensionality.

  14. Laparoscopic ultrasound imaging in colorectal cancer resection may increase the detection rate of small liver metastases

    DEFF Research Database (Denmark)

    Ellebæk, Signe Bremholm; Fristrup, Claus Wilki; Mortensen, Michael Bau


    Up to 20% of the patients with colorectal cancer (CRC) will have liver metastases at the time of the diagnosis, and some of these metastases may be missed during preoperative evaluation. While intraoperative ultrasound is considered the gold standard for liver evaluation during primary open CRC...... surgery, laparoscopic ultrasound (LUS) is not performed routinely during laparoscopic CRC surgery. Based on the available literature LUS had a higher detection rate for especially small liver metastases compared to preoperative imaging modalities, but better prospective trials are needed....

  15. FELIX 3D display: an interactive tool for volumetric imaging (United States)

    Langhans, Knut; Bahr, Detlef; Bezecny, Daniel; Homann, Dennis; Oltmann, Klaas; Oltmann, Krischan; Guill, Christian; Rieper, Elisabeth; Ardey, Goetz


    The FELIX 3D display belongs to the class of volumetric displays using the swept volume technique. It is designed to display images created by standard CAD applications, which can be easily imported and interactively transformed in real-time by the FELIX control software. The images are drawn on a spinning screen by acousto-optic, galvanometric or polygon mirror deflection units with integrated lasers and a color mixer. The modular design of the display enables the user to operate with several equal or different projection units in parallel and to use appropriate screens for the specific purpose. The FELIX 3D display is a compact, light, extensible and easy to transport system. It mainly consists of inexpensive standard, off-the-shelf components for an easy implementation. This setup makes it a powerful and flexible tool to keep track with the rapid technological progress of today. Potential applications include imaging in the fields of entertainment, air traffic control, medical imaging, computer aided design as well as scientific data visualization.

  16. Imaging in laparoscopic cholecystectomy—What a radiologist needs to know

    Energy Technology Data Exchange (ETDEWEB)

    Desai, Naman S., E-mail: [Department of Radiology, Brigham and Women' s Hospital, Harvard Medical School, 75 Francis street, Boston, MA, 02115 (United States); Khandelwal, Ashish, E-mail: [Department of Radiology, Brigham and Women' s Hospital, Harvard Medical School, 75 Francis street, Boston, MA, 02115 (United States); Virmani, Vivek, E-mail: [Department of Radiology, Dr. Everett Chalmers Hospital, Priestman St, Fredericton, 700, NB E3B 5N5 (Canada); Kwatra, Neha S., E-mail: [Department of Radiology, Brigham and Women' s Hospital, Harvard Medical School, 75 Francis street, Boston, MA, 02115 (United States); Ricci, Joseph A., E-mail: [Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA 02114 (United States); Saboo, Sachin S., E-mail: [Department of Radiology, Brigham and Women' s Hospital, Harvard Medical School, 75 Francis street, Boston, MA, 02115 (United States)


    Laparoscopic cholecystectomy is the gold standard treatment option for cholelithiasis. In order to properly assess for the complications related to the procedure, an understanding of the normal biliary anatomy, its variants and the normal postoperative imaging is essential. Radiologist must be aware of benefits and limitations of multiple imaging modalities in characterizing the complications of this procedure as each of these modalities have a critical role in evaluating a symptomatic post-cholecystectomy patient. The purpose of this article is describe the multi-modality imaging of normal biliary anatomy and its variants, as well as to illustrate the imaging features of biliary, vascular, cystic duct, infectious as well as miscellaneous complications of laparoscopic cholecystectomy. We focus on the information that the radiologist needs to know about the radiographic manifestations of potential complications of this procedure.

  17. Image quality of a mobile display under different illuminations. (United States)

    Lin, Po-Hung; Kuo, Wen-Hung


    This study constructed the image quality models for a small mobile display under different ambient illumination levels using Group Method and Data Handling (GMDH) and described the relationship between perceived image quality and physical measurements. 33 college students took part in this experiment and were asked to evaluate the image quality under 1500 lux (typical indoor office illumination) and 7000 lux (simulated outdoor environment) in Stage One and Stage Two, respectively. In each stage, the participants had to evaluate 21 images. 17 sets of the data as a training set were used to build the model and four sets of the data as a testing set were used to verify the model. The results indicated that the effects of luminance, contrast, correlated color temperature (CCT), and resolution were significant on perceived image quality under 1500 lux. However, color temperature was not a significant physical characteristic, and an interaction between luminance and contrast was found below 7000 lux. From the results of the experiment, it is considered that the outdoor environment (7000 lux) is not suitable for using mobile displays. Finally, once a valid image quality model is built, the subjective image quality can be established when the measurements of significant physical characteristics are provided. The results of subjective ratings can also be provided for mobile display manufacturers to improve the product quality so that their products can meet customers' requirements.

  18. Ultra-realistic imaging: a new beginning for display holography (United States)

    Bjelkhagen, Hans I.; Brotherton-Ratcliffe, David


    Recent improvements in key foundation technologies are set to potentially transform the field of Display Holography. In particular new recording systems, based on recent DPSS and semiconductor lasers combined with novel recording materials and processing, have now demonstrated full-color analogue holograms of both lower noise and higher spectral accuracy. Progress in illumination technology is leading to a further major reduction in display noise and to a significant increase of the clear image depth and brightness of such holograms. So too, recent progress in 1-step Direct-Write Digital Holography (DWDH) now opens the way to the creation of High Virtual Volume Displays (HVV) - large format full-parallax DWDH reflection holograms having fundamentally larger clear image depths. In a certain fashion HVV displays can be thought of as providing a high quality full-color digital equivalent to the large-format laser-illuminated transmission holograms of the sixties and seventies. Back then, the advent of such holograms led to much optimism for display holography in the market. However, problems with laser illumination, their monochromatic analogue nature and image noise are well cited as being responsible for their failure in reality. Is there reason for believing that the latest technology improvements will make the mark this time around? This paper argues that indeed there is.

  19. Optical Displays: A Tutorial on Images and Image Formation (United States)


    Patterson Air Force Base, Ohio 45433-6573 (NTIS A043 632) Martin, W. L. (Editor), L. V. Genco , A. P. Ginsburg, H. C. Self, H. L. Task, R. Lee, R. W...San Francisco, ,959. Wallace, F. L., "Head-up Displays... Some Unanswered Questicons," 15th Alnha Air Safety Forum, July 1968. Warren, R., L. V. Genco

  20. Displaying perfusion MRI images as color intensity projections

    CERN Document Server

    Hoefnagels, Friso; Sanchez, Ester; Lagerwaard, Frank J


    Dynamic susceptibility-weighted contrast-enhanced (DSC) MRI or perfusion-MRI plays an important role in the non-invasive assessment of tumor vascularity. However, the large number of images provided by the method makes display and interpretation of the results challenging. Current practice is to display the perfusion information as relative cerebral blood volume maps (rCBV). Color intensity projections (CIPs) provides a simple, intuitive display of the perfusion-MRI data so that regional perfusion characteristics are intrinsically integrated into the anatomy structure the T2 images. The ease of use and quick calculation time of CIPs should allow it to be easily integrated into current analysis and interpretation pipelines.

  1. Software windows for the display of CT-images

    Energy Technology Data Exchange (ETDEWEB)

    Gell, G.; Sager, W.D.; Toelly, E.


    Software windows are a flexible and general method for defining arbitrary functions for the mapping of Hounsfield-numbers of CT-scans on to the grey levels of the display image. The method which is illustrated with the aid of a few examples has been implemented on an EMI viewing console.

  2. Input Device with Three-Dimensional Image Display

    DEFF Research Database (Denmark)


    The present invention relates to an input device (2), such as a keyboard, comprising plurality of activation parts (4) for depression, at least one registration part (6) for individual registration of depression of activation parts, and at least one image displaying part (8), where depression...

  3. VIDA: an environment for multidimensional image display and analysis (United States)

    Hoffman, Eric A.; Gnanaprakasam, Daniel; Gupta, Krishanu B.; Hoford, John D.; Kugelmass, Steven D.; Kulawiec, Richard S.


    Since the first dynamic volumetric studies were done in the early 1980s on the dynamic spatial reconstructor (DSR), there has been a surge of interest in volumetric and dynamic imaging using a number of tomographic techniques. Knowledge gained in handling DSR image data has readily transferred to the current use of a number of other volumetric and dynamic imaging modalities including cine and spiral CT, MR, and PET. This in turn has lead to our development of a new image display and quantitation package which we have named VIDATM (volumetric image display and analysis). VIDA is written in C, runs under the UNIXTM operating system, and uses the XView toolkit to conform to the Open LookTM graphical user interface specification. A shared memory structure has been designed which allows for the manipulation of multiple volumes simultaneously. VIDA utilizes a windowing environment and allows execution of multiple processes simultaneously. Available programs include: oblique sectioning, volume rendering, region of interest analysis, interactive image segmentation/editing, algebraic image manipulation, conventional cardiac mechanics analysis, homogeneous strain analysis, tissue blood flow evaluation, etc. VIDA is a built modularly, allowing new programs to be developed and integrated easily. An emphasis has been placed upon image quantitation for the purpose of physiological evaluation.

  4. Application of single-image camera calibration for ultrasound augmented laparoscopic visualization (United States)

    Liu, Xinyang; Su, He; Kang, Sukryool; Kane, Timothy D.; Shekhar, Raj


    Accurate calibration of laparoscopic cameras is essential for enabling many surgical visualization and navigation technologies such as the ultrasound-augmented visualization system that we have developed for laparoscopic surgery. In addition to accuracy and robustness, there is a practical need for a fast and easy camera calibration method that can be performed on demand in the operating room (OR). Conventional camera calibration methods are not suitable for the OR use because they are lengthy and tedious. They require acquisition of multiple images of a target pattern in its entirety to produce satisfactory result. In this work, we evaluated the performance of a single-image camera calibration tool (rdCalib; Percieve3D, Coimbra, Portugal) featuring automatic detection of corner points in the image, whether partial or complete, of a custom target pattern. Intrinsic camera parameters of a 5-mm and a 10-mm standard Stryker® laparoscopes obtained using rdCalib and the well-accepted OpenCV camera calibration method were compared. Target registration error (TRE) as a measure of camera calibration accuracy for our optical tracking-based AR system was also compared between the two calibration methods. Based on our experiments, the single-image camera calibration yields consistent and accurate results (mean TRE = 1.18 ± 0.35 mm for the 5-mm scope and mean TRE = 1.13 ± 0.32 mm for the 10-mm scope), which are comparable to the results obtained using the OpenCV method with 30 images. The new single-image camera calibration method is promising to be applied to our augmented reality visualization system for laparoscopic surgery.

  5. Content dependent selection of image enhancement parameters for mobile displays (United States)

    Lee, Yoon-Gyoo; Kang, Yoo-Jin; Kim, Han-Eol; Kim, Ka-Hee; Kim, Choon-Woo


    Mobile devices such as cellular phones and portable multimedia player with capability of playing terrestrial digital multimedia broadcasting (T-DMB) contents have been introduced into consumer market. In this paper, content dependent image quality enhancement method for sharpness and colorfulness and noise reduction is presented to improve perceived image quality on mobile displays. Human visual experiments are performed to analyze viewers' preference. Relationship between the objective measures and the optimal values of image control parameters are modeled by simple lookup tables based on the results of human visual experiments. Content dependent values of image control parameters are determined based on the calculated measures and predetermined lookup tables. Experimental results indicate that dynamic selection of image control parameters yields better image quality.

  6. How to display science since images have no mass

    CERN Document Server

    Chevrier, Joel; Marchi, Florence; Jones, Gail


    Education, science, in fact the whole society, extensively use images. Between us and the world are the visual displays. Screens, small and large, individual or not, are everywhere. Images are increasingly the 2D substrate of our virtual interaction with reality. However images will never support a complete representation of the reality. Three-dimensional representations will not change that. Images are primarily a spatial representation of our world dedicated to our sight. Key aspects such as energy and the associated forces are not spatially materialized. In classical physics, interaction description is based on Newton equations with trajectory and force as the dual central concepts. Images can in real time show all aspects of trajectories but not the associated dynamical aspects described by forces and energies. Contrary to the real world, the world of images opposes no constrain, nor resistance to our actions. Only the physical quantities, that do not contain mass in their dimension can be satisfactory re...

  7. Reduce volume of head-up display by image stitching (United States)

    Chiu, Yi-Feng; Su, Guo-Dung J.


    Head-up Display (HUD) is a safety feature for automobile drivers. Although there have been some HUD systems in commercial product already, their images are too small to show assistance information. Another problem, the volume of HUD is too large. We proposed a HUD including micro-projectors, rear-projection screen, microlens array (MLA) and the light source is 28 mm x 14 mm realized a 200 mm x 100 mm image in 3 meters from drivers. We want to use the MLA to reduce the volume by virtual image stitching. We design the HUD's package dimensions is 12 cm x 12 cm x 9 cm. It is able to show speed, map-navigation and night vision information. We used Liquid Crystal Display (LCD) as our image source due to its brighter image output required and the minimum volume occupancy. The MLA is a multi aperture system. The proposed MLA consists of many optical channels each transmitting a segment of the whole field of view. The design of the system provides the stitching of the partial images, so that we can see the whole virtual image.

  8. RGB imaging volumes alignment method for color holographic displays (United States)

    Zaperty, Weronika; Kozacki, Tomasz; Gierwiało, Radosław; Kujawińska, Małgorzata


    Recent advances in holographic displays include increased interest in multiplexing techniques, which allow for extension of viewing angle, hologram resolution increase, or color imaging. In each of these situations, the image is obtained by a composition of a several light wavefronts and therefore some wavefront misalignment occurs. In this work we present a calibration method, that allows for correction of these misalignments by a suitable numerical manipulation of holographic data. For this purpose, we have developed an automated procedure that is based on a measurement of positions of reconstructed synthetic hologram of a target object with focus at two different reconstruction distances. In view of relatively long reconstruction distances in holographic displays, we focus on angular deviations of light beams, which result in a noticeable mutual lateral shift and inclination of the component images in space. A method proposed in this work is implemented in a color holographic display unit (single Spatial Light Modulator - SLM) utilizing Space- Division Method (SDM). In this technique, also referred as Aperture Field Division (AFD) method, a significant wavefront inclination is introduced by a color filter glass mosaic plate (mask) placed in front of the SLM. It is verified that an accuracy of the calibration method, obtained for reconstruction distance 700mm, is 34.5 μm and 0.02°, for the lateral shift and for the angular compensation, respectively. In the final experiment the presented method is verified through real-world object color image reconstruction.

  9. Three-dimensional integral imaging display system via off-axially distributed image sensing (United States)

    Piao, Yongri; Qu, Hongjia; Zhang, Miao; Cho, Myungjin


    In this paper, we propose a three-dimensional integral imaging display system with a multiple recorded images using off-axially distributed image sensing. First, the depth map of the 3D objects is extracted from the off-axially recorded multi-perspective 2D images by using profilometry technique. Then, the elemental image array is computationally synthesized using the extracted depth map based on ray mapping model. Finally, the 3D images are optically displayed in integral imaging system. To show the feasibility of the proposed method, the optical experiments for 3D objects are carried out and presented in this paper.

  10. A virtual image chain for perceived image quality of medical display (United States)

    Marchessoux, Cédric; Jung, Jürgen


    This paper describes a virtual image chain for medical display (project VICTOR: granted in the 5th framework program by European commission). The chain starts from raw data of an image digitizer (CR, DR) or synthetic patterns and covers image enhancement (MUSICA by Agfa) and both display possibilities, hardcopy (film on viewing box) and softcopy (monitor). Key feature of the chain is a complete image wise approach. A first prototype is implemented in an object-oriented software platform. The display chain consists of several modules. Raw images are either taken from scanners (CR-DR) or from a pattern generator, in which characteristics of DR- CR systems are introduced by their MTF and their dose-dependent Poisson noise. The image undergoes image enhancement and comes to display. For soft display, color and monochrome monitors are used in the simulation. The image is down-sampled. The non-linear response of a color monitor is taken into account by the GOG or S-curve model, whereas the Standard Gray-Scale-Display-Function (DICOM) is used for monochrome display. The MTF of the monitor is applied on the image in intensity levels. For hardcopy display, the combination of film, printer, lightbox and viewing condition is modeled. The image is up-sampled and the DICOM-GSDF or a Kanamori Look-Up-Table is applied. An anisotropic model for the MTF of the printer is applied on the image in intensity levels. The density-dependent color (XYZ) of the hardcopy film is introduced by Look-Up-tables. Finally a Human Visual System Model is applied to the intensity images (XYZ in terms of cd/m2) in order to eliminate nonvisible differences. Comparison leads to visible differences, which are quantified by higher order image quality metrics. A specific image viewer is used for the visualization of the intensity image and the visual difference maps.

  11. Suspected uncomplicated cecal diverticulitis diagnosed by imaging:Initial antibiotics vs laparoscopic treatment

    Institute of Scientific and Technical Information of China (English)

    Hyoung-Chul; Park; Bong; Hwa; Lee


    AIM:To compare the recurrence rate following initial antibiotic management to that following laparoscopic treatment for suspected uncomplicated cecal diverticulitis. METHODS: We examined the records of 132 patients who were diagnosed with uncomplicated cecal diverticulitis and a first attack during an 8-year period. The diagnosis of uncomplicated diverticulitis was made based on imaging findings, such as inflamed diverticulum or a phlegmon with cecal wall thickening. Concurrent appendiceal dilatation from 8...

  12. Image Capture and Display Based on Embedded Linux (United States)

    Weigong, Zhang; Suran, Di; Yongxiang, Zhang; Liming, Li

    For the requirement of building a highly reliable communication system, SpaceWire was selected in the integrated electronic system. There was a need to test the performance of SpaceWire. As part of the testing work, the goal of this paper is to transmit image data from CMOS camera through SpaceWire and display real-time images on the graphical user interface with Qt in the embedded development platform of Linux & ARM. A point-to-point mode of transmission was chosen; the running result showed the two communication ends basically reach a consensus picture in succession. It suggests that the SpaceWire can transmit the data reliably.

  13. Application of a three-dimensional display in diagnostic imaging. (United States)

    Baxter, B; Hitchner, L E; Anderson, R E


    An autostereoscopic viewing device for tomographic scans that allows a physician to examine multiple computed tomography sections with each section properly positioned in three dimensions has been constructed and tested. Images produced on the device allow the observer to utilize both motion parallax and stereoscopic depth cues as if viewing a real three-dimensional (3D) object. These 3D images can be very striking because of the ease with which one can form a true impression of depth relationships. We describe operating principles of the viewing device and the appearance of images produced on it. Stereo photographs made from 3D images displayed on the device are included to illustrate potential applications and problems.

  14. Use of natural user interfaces for image navigation during laparoscopic surgery: initial experience. (United States)

    Sánchez-Margallo, Francisco M; Sánchez-Margallo, Juan A; Moyano-Cuevas, José L; Pérez, Eva María; Maestre, Juan


    Surgical environments require special aseptic conditions for direct interaction with the preoperative images. We aim to test the feasibility of using a set of gesture control sensors combined with voice control to interact in a sterile manner with preoperative information and an integrated operating room (OR) during laparoscopic surgery. Two hepatectomies and two partial nephrectomies were performed by three experienced surgeons in a porcine model. The Kinect, Leap Motion, and MYO armband in combination with voice control were used as natural user interfaces (NUIs). After surgery, surgeons completed a questionnaire about their experience. Surgeons required <10 min training with each NUI. They stated that NUIs improved the access to preoperative patient information and kept them more focused on the surgical site. The Kinect system was reported as the most physically demanding NUI and the MYO armband in combination with voice commands as the most intuitive and accurate. The need to release one of the laparoscopic instruments in order to use the NUIs was identified as the main limitation. The presented NUIs are feasible to directly interact in a more intuitive and sterile manner with the preoperative images and the integrated OR functionalities during laparoscopic surgery.

  15. Emulation of the laparoscopic environment for image-guided liver surgery via an abdominal phantom system with anatomical ligamenture (United States)

    Heiselman, Jon S.; Collins, Jarrod A.; Clements, Logan W.; Weis, Jared A.; Simpson, Amber L.; Geevarghese, Sunil K.; Jarnagin, William R.; Miga, Michael I.


    In order to rigorously validate techniques for image-guided liver surgery (IGLS), an accurate mock representation of the intraoperative surgical scene with quantifiable localization of subsurface targets would be highly desirable. However, many attempts to reproduce the laparoscopic environment have encountered limited success due to neglect of several crucial design aspects. The laparoscopic setting is complicated by factors such as gas insufflation of the abdomen, changes in patient orientation, incomplete organ mobilization from ligaments, and limited access to organ surface data. The ability to accurately represent the influences of anatomical changes and procedural limitations is critical for appropriate evaluation of IGLS methodologies such as registration and deformation correction. However, these influences have not yet been comprehensively integrated into a platform usable for assessment of methods in laparoscopic IGLS. In this work, a mock laparoscopic liver simulator was created with realistic ligamenture to emulate the complexities of this constrained surgical environment for the realization of laparoscopic IGLS. The mock surgical system reproduces an insufflated abdominal cavity with dissectible ligaments, variable levels of incline matching intraoperative patient positioning, and port locations in accordance with surgical protocol. True positions of targets embedded in a tissue-mimicking phantom are measured from CT images. Using this setup, image-to-physical registration accuracy was evaluated for simulations of laparoscopic right and left lobe mobilization to assess rigid registration performance under more realistic laparoscopic conditions. Preliminary results suggest that non-rigid organ deformations and the region of organ surface data collected affect the ability to attain highly accurate registrations in laparoscopic applications.

  16. Single-image hard copy display of musculoskeletal digital radiographs (United States)

    Legendre, Kevin; Steller Artz, Dorothy E.; Freedman, Matthew T.; Mun, Seong K.


    Screen film radiography often fails to optimally display all regions of anatomy on muskuloskeletal exams due to the wide latitude of tissue densities present. Various techniques of image enhancement have been applied to such exams using computerized radiography but with limited success in improving visualization of structures whose final optical density lies at the extremes of the interpretable range of the film. An existing algorithm for compressing optical density extremes known as dynamic range compression has been used to increase the radiodensity of the retrocardiac region of the chest or to decrease the radiodensity of the edge of the breast in digital mammography. In the skeletal system, there are regions where a single image may contain both areas of decreased exposure that result in light images and areas of higher exposure that result in dark regions of the image. Faced with this problem, the senior author asked Fuji to formulate a modification of the DRC process that incorporates a combination of the curves used for chest and breast images. The newly designed algorithm can thus simultaneously lower the optical density of dark regions of the image and increase the optical density of the less exposed regions. The results of this modification of the DRC algorithm are presented in this paper.

  17. 360 degree realistic 3D image display and image processing from real objects (United States)

    Luo, Xin; Chen, Yue; Huang, Yong; Tan, Xiaodi; Horimai, Hideyoshi


    A 360-degree realistic 3D image display system based on direct light scanning method, so-called Holo-Table has been introduced in this paper. High-density directional continuous 3D motion images can be displayed easily with only one spatial light modulator. Using the holographic screen as the beam deflector, 360-degree full horizontal viewing angle was achieved. As an accompany part of the system, CMOS camera based image acquisition platform was built to feed the display engine, which can take a full 360-degree continuous imaging of the sample at the center. Customized image processing techniques such as scaling, rotation, format transformation were also developed and embedded into the system control software platform. In the end several samples were imaged to demonstrate the capability of our system.

  18. 360 degree realistic 3D image display and image processing from real objects (United States)

    Luo, Xin; Chen, Yue; Huang, Yong; Tan, Xiaodi; Horimai, Hideyoshi


    A 360-degree realistic 3D image display system based on direct light scanning method, so-called Holo-Table has been introduced in this paper. High-density directional continuous 3D motion images can be displayed easily with only one spatial light modulator. Using the holographic screen as the beam deflector, 360-degree full horizontal viewing angle was achieved. As an accompany part of the system, CMOS camera based image acquisition platform was built to feed the display engine, which can take a full 360-degree continuous imaging of the sample at the center. Customized image processing techniques such as scaling, rotation, format transformation were also developed and embedded into the system control software platform. In the end several samples were imaged to demonstrate the capability of our system.

  19. Consistent image presentation implemented using DICOM grayscale standard display function (United States)

    Kump, Kenneth S.; Omernick, Jon; French, John


    In this paper, we evaluate our ability to achieve consistent image presentation across a wide range of output devices, focusing on digital x-ray radiography for chest applications. In particular we focus on dry versus wet printers of hardcopy prints. In this evaluation, we review the expected theoretical variability using the DICOM grayscale standard display function (GSDF). The GSDF maps DICOM presentation values to luminance values that are perceived by a human. We present our methodology for calibrating devices as evaluated on sixteen printers. Seven devices were selected for a human observer study to determine if there are perceptible differences in the presentation of a given image, focusing on differences between wet and dry processes. It was found that wet printers were preferred, however, there may be other logistical and practical reasons whey dry printers may be used.

  20. Application of integral imaging autostereoscopic display to medical training equipment (United States)

    Nagatani, Hiroyuki


    We applied an autostereoscopic display based on the integral imaging method (II method) to training equipment for medical treatment in an attempt to recover the binocular vision performance of strabismus or amblyopia (lazy eye) patients. This report summarizes the application method and results. The point of the training is to recognize the parallax using both eyes. The strabismus or amblyopia patients have to recognize the information on both eyes equally when they gaze at the display with parallax and perceive the stereo depth of the content. Participants in this interactive training engage actively with the image. As a result, they are able to revive their binocular visual function while playing a game. Through the training, the observers became able to recognize the amount of parallax correctly. In addition, the training level can be changed according to the eyesight difference between a right eye and a left eye. As a result, we ascertained that practical application of the II method for strabismus or amblyopia patients would be possible.

  1. Computed Tomography Perfusion, Magnetic Resonance Imaging, and Histopathological Findings After Laparoscopic Renal Cryoablation: An In Vivo Pig Model

    DEFF Research Database (Denmark)

    Nielsen, Tommy Kjærgaard; Østraat, Øyvind; Graumann, Ole;


    The present study investigates how computed tomography perfusion scans and magnetic resonance imaging correlates with the histopathological alterations in renal tissue after cryoablation. A total of 15 pigs were subjected to laparoscopic-assisted cryoablation on both kidneys. After intervention...... with the microscopic examinations revealing of fibrotic scar tissue formation in the peripheral zone of the cryolesion. On T2 magnetic resonance imaging sequences, a thin hypointense rim surrounded the cryolesion, separating it from the adjacent renal parenchyma. Microscopic examinations revealed hemorrhage and later...... of coagulative necrosis 1 week after laparoscopic-assisted cryoablation, which was partially replaced by fibrotic scar tissue 4 weeks following laparoscopic-assisted cryoablation. Both computed tomography perfusion and magnetic resonance imaging found the renal collecting system to be involved at all 3 stages...

  2. Patterns of prolapse in women with symptoms of pelvic floor weakness: magnetic resonance imaging and laparoscopic treatment. (United States)

    Steiner, R A; Healy, J C


    Magnetic resonance imaging represents a new method of imaging the pelvic viscera and pelvic floor musculature. Rapid sequences allow us to perform magnetic resonance imaging dynamically during straining or pelvic floor contraction, which can elegantly demonstrate the patterns of pelvic floor prolapse. The technique is relatively quick, noninvasive, and does not use ionizing radiation. The principle of the laparoscopic approach is to imitate the conventional abdominal or vaginal techniques. Laparoscopic sacrospinous fixation or sacral colpopexy using a graft as well as the laparoscopic repair of enteroceles and rectoceles may offer some advantages over the classic approach. As comparative prospective studies are still missing, the role of laparoscopy in the management of pelvic floor defects remains to be defined.

  3. Computed radiographic image post-processing for automatic optimal display in picture archiving and communication system (United States)

    Zhang, Jianguo; Zhou, Zheng; Zhuang, Jun; Huang, H. K.


    This paper presents the key post-processing algorithms and their software implementing for CR image automatic optimal display in picture archiving and communication system, which compliant with DICOM model of the image acquisition and presentation chain. With the distributed implementation from the acquisition to the display, we achieved the effects of better image visual quality, fast image communication and display, as well as data integrity of archived CR images in PACS.

  4. Nosocomial rapidly growing mycobacterial infections following laparoscopic surgery: CT imaging findings

    Energy Technology Data Exchange (ETDEWEB)

    Volpato, Richard [Cassiano Antonio de Moraes University Hospital, Department of Diagnostic Radiology, Vitoria, ES (Brazil); Campi de Castro, Claudio [University of Sao Paulo Medical School, Department of Radiology, Cerqueira Cesar, Sao Paulo (Brazil); Hadad, David Jamil [Cassiano Antonio de Moraes University Hospital, Nucleo de Doencas Infecciosas, Department of Internal Medicine, Vitoria, ES (Brazil); Silva Souza Ribeiro, Flavya da [Laboratorio de Patologia PAT, Department of Diagnostic Radiology, Unit 1473, Vitoria, ES (Brazil); Filho, Ezequiel Leal [UNIMED Diagnostico, Department of Diagnostic Radiology, Unit 1473, Vitoria, ES (Brazil); Marcal, Leonardo P. [The University of Texas M D Anderson Cancer Center, Department of Diagnostic Radiology, Unit 1473, Houston, TX (United States)


    To identify the distribution and frequency of computed tomography (CT) findings in patients with nosocomial rapidly growing mycobacterial (RGM) infection after laparoscopic surgery. A descriptive retrospective study in patients with RGM infection after laparoscopic surgery who underwent CT imaging prior to initiation of therapy. The images were analyzed by two radiologists in consensus, who evaluated the skin/subcutaneous tissues, the abdominal wall, and intraperitoneal region separately. The patterns of involvement were tabulated as: densification, collections, nodules (≥1.0 cm), small nodules (<1.0 cm), pseudocavitated nodules, and small pseudocavitated nodules. Twenty-six patients met the established criteria. The subcutaneous findings were: densification (88.5 %), small nodules (61.5 %), small pseudocavitated nodules (23.1 %), nodules (38.5 %), pseudocavitated nodules (15.4 %), and collections (26.9 %). The findings in the abdominal wall were: densification (61.5 %), pseudocavitated nodules (3.8 %), and collections (15.4 %). The intraperitoneal findings were: densification (46.1 %), small nodules (42.3 %), nodules (15.4 %), and collections (11.5 %). Subcutaneous CT findings in descending order of frequency were: densification, small nodules, nodules, small pseudocavitated nodules, pseudocavitated nodules, and collections. The musculo-fascial plane CT findings were: densification, collections, and pseudocavitated nodules. The intraperitoneal CT findings were: densification, small nodules, nodules, and collections. (orig.)

  5. The MITK image guided therapy toolkit and its application for augmented reality in laparoscopic prostate surgery (United States)

    Baumhauer, Matthias; Neuhaus, Jochen; Fritzsche, Klaus; Meinzer, Hans-Peter


    Image Guided Therapy (IGT) faces researchers with high demands and efforts in system design, prototype implementation, and evaluation. The lack of standardized software tools, like algorithm implementations, tracking device and tool setups, and data processing methods escalate the labor for system development and sustainable system evaluation. In this paper, a new toolkit component of the Medical Imaging and Interaction Toolkit (MITK), the MITK-IGT, and its exemplary application for computer-assisted prostate surgery are presented. MITK-IGT aims at integrating software tools, algorithms and tracking device interfaces into the MITK toolkit to provide a comprehensive software framework for computer aided diagnosis support, therapy planning, treatment support, and radiological follow-up. An exemplary application of the MITK-IGT framework is introduced with a surgical navigation system for laparos-copic prostate surgery. It illustrates the broad range of application possibilities provided by the framework, as well as its simple extensibility with custom algorithms and other software modules.

  6. Cosmesis and body image after single-port laparoscopic or conventional laparoscopic cholecystectomy: a multicenter double blinded randomised controlled trial (SPOCC-trial

    Directory of Open Access Journals (Sweden)

    Vonlanthen René


    Full Text Available Abstract Background Emerging attempts have been made to reduce operative trauma and improve cosmetic results of laparoscopic cholecystectomy. There is a trend towards minimizing the number of incisions such as natural transluminal endoscopic surgery (NOTES and single-port laparoscopic cholecystectomy (SPLC. Many retrospective case series propose excellent cosmesis and reduced pain in SPLC. As the latter has been confirmed in a randomized controlled trial, patient's satisfaction on cosmesis is still controversially debated. Methods/Design The SPOCC trial is a prospective, multi-center, double blinded, randomized controlled study comparing SPLC with 4-port conventional laparoscopic cholecystectomy (4PLC in elective surgery. The hypothesis and primary objective is that patients undergoing SPLC will have a better outcome in cosmesis and body image 12 weeks after surgery. This primary endpoint is assessed using a validated 8-item multiple choice type questionnaire on cosmesis and body image. The secondary endpoint has three entities: the quality of life 12 weeks after surgery assessed by the validated Short-Form-36 Health Survey questionnaire, postoperative pain assessed by a visual analogue scale and the use of analgesics. Operative time, surgeon's experience with SPLC and 4PLC, use of additional ports, conversion to 4PLC or open cholecystectomy, length of stay, costs, time of work as well as intra- and postoperative complications are further aspects of the secondary endpoint. Patients are randomly assigned either to SPLC or to 4PLC. Patients as well as treating physicians, nurses and assessors are blinded until the 7th postoperative day. Sample size calculation performed by estimating a difference of cosmesis of 20% (alpha = 0.05 and beta = 0.90, drop out rate of 10% resulted in a number of 55 randomized patients per arm. Discussion The SPOCC-trial is a prospective, multi-center, double-blind, randomized controlled study to assess cosmesis and body

  7. Display of travelling 3D scenes from single integral-imaging capture (United States)

    Martinez-Corral, Manuel; Dorado, Adrian; Hong, Seok-Min; Sola-Pikabea, Jorge; Saavedra, Genaro


    Integral imaging (InI) is a 3D auto-stereoscopic technique that captures and displays 3D images. We present a method for easily projecting the information recorded with this technique by transforming the integral image into a plenoptic image, as well as choosing, at will, the field of view (FOV) and the focused plane of the displayed plenoptic image. Furthermore, with this method we can generate a sequence of images that simulates a camera travelling through the scene from a single integral image. The application of this method permits to improve the quality of 3D display images and videos.

  8. Displaying radiologic images on personal computers: image storage and compression--Part 2. (United States)

    Gillespy, T; Rowberg, A H


    This is part 2 of our article on image storage and compression, the third article of our series for radiologists and imaging scientists on displaying, manipulating, and analyzing radiologic images on personal computers. Image compression is classified as lossless (nondestructive) or lossy (destructive). Common lossless compression algorithms include variable-length bit codes (Huffman codes and variants), dictionary-based compression (Lempel-Ziv variants), and arithmetic coding. Huffman codes and the Lempel-Ziv-Welch (LZW) algorithm are commonly used for image compression. All of these compression methods are enhanced if the image has been transformed into a differential image based on a differential pulse-code modulation (DPCM) algorithm. The LZW compression after the DPCM image transformation performed the best on our example images, and performed almost as well as the best of the three commercial compression programs tested. Lossy compression techniques are capable of much higher data compression, but reduced image quality and compression artifacts may be noticeable. Lossy compression is comprised of three steps: transformation, quantization, and coding. Two commonly used transformation methods are the discrete cosine transformation and discrete wavelet transformation. In both methods, most of the image information is contained in a relatively few of the transformation coefficients. The quantization step reduces many of the lower order coefficients to 0, which greatly improves the efficiency of the coding (compression) step. In fractal-based image compression, image patterns are stored as equations that can be reconstructed at different levels of resolution.

  9. Computed Tomography Perfusion, Magnetic Resonance Imaging, and Histopathological Findings After Laparoscopic Renal Cryoablation: An In Vivo Pig Model

    DEFF Research Database (Denmark)

    Nielsen, Tommy Kjærgaard; Østraat, Øyvind; Graumann, Ole


    The present study investigates how computed tomography perfusion scans and magnetic resonance imaging correlates with the histopathological alterations in renal tissue after cryoablation. A total of 15 pigs were subjected to laparoscopic-assisted cryoablation on both kidneys. After intervention......, each animal was randomized to a postoperative follow-up period of 1, 2, or 4 weeks, after which computed tomography perfusion and magnetic resonance imaging scans were performed. Immediately after imaging, open bilateral nephrectomy was performed allowing for histopathological examination...... of the cryolesions. On computed tomography perfusion and magnetic resonance imaging examinations, rim enhancement was observed in the transition zone of the cryolesion 1week after laparoscopic-assisted cryoablation. This rim enhancement was found to subside after 2 and 4 weeks of follow-up, which was consistent...

  10. Design and evaluation of web-based image transmission and display with different protocols (United States)

    Tan, Bin; Chen, Kuangyi; Zheng, Xichuan; Zhang, Jianguo


    There are many Web-based image accessing technologies used in medical imaging area, such as component-based (ActiveX Control) thick client Web display, Zerofootprint thin client Web viewer (or called server side processing Web viewer), Flash Rich Internet Application(RIA) ,or HTML5 based Web display. Different Web display methods have different peformance in different network environment. In this presenation, we give an evaluation on two developed Web based image display systems. The first one is used for thin client Web display. It works between a PACS Web server with WADO interface and thin client. The PACS Web server provides JPEG format images to HTML pages. The second one is for thick client Web display. It works between a PACS Web server with WADO interface and thick client running in browsers containing ActiveX control, Flash RIA program or HTML5 scripts. The PACS Web server provides native DICOM format images or JPIP stream for theses clients.

  11. Electromagnetic organ tracking allows for real-time compensation of tissue shift in image-guided laparoscopic rectal surgery

    DEFF Research Database (Denmark)

    Wagner, Martin; Gondan, Matthias; Zöllner, Christian


    Background. Laparoscopic resection is a minimally invasive treatment option for rectal cancer but requires highly experienced surgeons. Computer-aided technologies could help to improve safety and efficiency by visualizing risk structures during the procedure. The prerequisite for such an image-g....... In laparoscopic rectal surgery the combination of electromagnetic organ tracking and preoperative imaging is a promising approach to compensate for intraoperative tissue shift in real-time.......Background. Laparoscopic resection is a minimally invasive treatment option for rectal cancer but requires highly experienced surgeons. Computer-aided technologies could help to improve safety and efficiency by visualizing risk structures during the procedure. The prerequisite for such an image...... regressions with increasing level of complexity to compute the deformation (C1–C5). For evaluation 14 targets and an EMT organ sensor were fit into a silicone-molded rectum of the OpenHELP phantom. Following a computed tomography, the image-guidance was initiated and the rectum was deformed in the same way...

  12. Modeling LCD Displays with Local Backlight Dimming for Image Quality Assessment

    DEFF Research Database (Denmark)

    Korhonen, Jari; Burini, Nino; Forchhammer, Søren


    (LCD) using light emitting diode (LED) backlight with local dimming, we present the essential considerations and guidelines for modeling the characteristics of displays with high dynamic range (HDR) and locally adjustable backlight segments. The representation of the image generated by the model can...... for evaluating the signal quality distortion related directly to digital signal processing, such as compression. However, the physical characteristics of the display device also pose a significant impact on the overall perception. In order to facilitate image quality assessment on modern liquid crystaldisplays...... the visual results produced by the model against respective images displayed on a real display with locally controlled backlight units....

  13. 77 FR 74220 - Certain Digital Photo Frames and Image Display Devices and Components Thereof; Commission... (United States)


    ... COMMISSION Certain Digital Photo Frames and Image Display Devices and Components Thereof; Commission... importation of certain digital photo frames and image display devices and components thereof by reason of... likely to do so. For background, see In the Matter of Certain Devices for Connecting Computers via...

  14. A novel stereoscopic projection display system for CT images of fractures. (United States)

    Liu, Xiujuan; Jiang, Hong; Lang, Yuedong; Wang, Hongbo; Sun, Na


    The present study proposed a novel projection display system based on a virtual reality enhancement environment. The proposed system displays stereoscopic images of fractures and enhances the computed tomography (CT) images. The diagnosis and treatment of fractures primarily depend on the post-processing of CT images. However, two-dimensional (2D) images do not show overlapping structures in fractures since they are displayed without visual depth and these structures are too small to be simultaneously observed by a group of clinicians. Stereoscopic displays may solve this problem and allow clinicians to obtain more information from CT images. Hardware with which to generate stereoscopic images was designed. This system utilized the conventional equipment found in meeting rooms. The off-axis algorithm was adopted to convert the CT images into stereo image pairs, which were used as the input for a stereo generator. The final stereoscopic images were displayed using a projection system. Several CT fracture images were imported into the system for comparison with traditional 2D CT images. The results showed that the proposed system aids clinicians in group discussions by producing large stereoscopic images. The results demonstrated that the enhanced stereoscopic CT images generated by the system appear clearer and smoother, such that the sizes, displacement and shapes of bone fragments are easier to assess. Certain fractures that were previously not visible on 2D CT images due to vision overlap became vividly evident in the stereo images. The proposed projection display system efficiently, economically and accurately displayed three-dimensional (3D) CT images. The system may help clinicians improve the diagnosis and treatment of fractures.

  15. System and Device with Three-Dimensional Image Display

    DEFF Research Database (Denmark)


    The present invention relates to a binocular device (44) and a system (40) including a binocular device (44) configured for displaying one or more labels for an input device (2), such as a keyboard or a control panel, comprising a plurality of parts (4, 6) configured for activation and registration...

  16. Introduction to grayscale calibration and related aspects of medical imaging grade liquid crystal displays. (United States)

    Fetterly, Kenneth A; Blume, Hartwig R; Flynn, Michael J; Samei, Ehsan


    Consistent presentation of digital radiographic images at all locations within a medical center can help ensure a high level of patient care. Currently, liquid crystal displays (LCDs) are the electronic display technology of choice for viewing medical images. As the inherent luminance (and thereby perceived contrast) properties of different LCDs can vary substantially, calibration of the luminance response of these displays is required to ensure that observer perception of an image is consistent on all displays. The digital imaging and communication in medicine (DICOM) grayscale standard display function (GSDF) defines the luminance response of a display such that an observer's perception of image contrast is consistent throughout the pixel value range of a displayed image. The main purpose of this work is to review the theoretical and practical aspects of calibration of LCDs to the GSDF. Included herein is a review of LCD technology, principles of calibration, and other practical aspects related to calibration and observer perception of images presented on LCDs. Both grayscale and color displays are considered, and the influence of ambient light on calibration and perception is discussed.

  17. Retina-like sensor image coordinates transformation and display (United States)

    Cao, Fengmei; Cao, Nan; Bai, Tingzhu; Song, Shengyu


    For a new kind of retina-like senor camera, the image acquisition, coordinates transformation and interpolation need to be realized. Both of the coordinates transformation and interpolation are computed in polar coordinate due to the sensor's particular pixels distribution. The image interpolation is based on sub-pixel interpolation and its relative weights are got in polar coordinates. The hardware platform is composed of retina-like senor camera, image grabber and PC. Combined the MIL and OpenCV library, the software program is composed in VC++ on VS 2010. Experience results show that the system can realizes the real-time image acquisition, coordinate transformation and interpolation.

  18. Full optical characterization of autostereoscopic 3D displays using local viewing angle and imaging measurements (United States)

    Boher, Pierre; Leroux, Thierry; Bignon, Thibault; Collomb-Patton, Véronique


    Two commercial auto-stereoscopic 3D displays are characterized a using Fourier optics viewing angle system and an imaging video-luminance-meter. One display has a fixed emissive configuration and the other adapts its emission to the observer position using head tracking. For a fixed emissive condition, three viewing angle measurements are performed at three positions (center, right and left). Qualified monocular and binocular viewing spaces in front of the display are deduced as well as the best working distance. The imaging system is then positioned at this working distance and crosstalk homogeneity on the entire surface of the display is measured. We show that the crosstalk is generally not optimized on all the surface of the display. Display aspect simulation using viewing angle measurements allows understanding better the origin of those crosstalk variations. Local imperfections like scratches and marks generally increase drastically the crosstalk, demonstrating that cleanliness requirements for this type of display are quite critical.

  19. Tests of a new paper display for radiology images (United States)

    Patt, Richard H.; Freedman, Matthew T.; Steller Artz, Dorothy E.; Rajan, Sunder S.; Collmann, Jeff R.; Mun, Seong K.


    Distributing a radiographic image with the verbal report would help to avoid misunderstanding and would aid the referring physician in understanding better the severity of the disease described. With magnetic resonance imaging it is customary in our practice to distribute a copy of the examination to the referring physician. Distributing a film copy of the image is expensive. Based on our initial experience with the Scitex paper printer, we believe that this system provides a paper image of sufficient quality that it would be acceptable as a referrer's copy. Paper copies are cheaper to produce and can be more easily filed with the remainder of the patient's paper based medical record. This presentation discusses the printing method employed by the Scitex printer, demonstrates comparisons between Scitex and laser print images, and discusses the current problems of interfacing the printer to image acquisition devices. As we develop our image management and communication system (IMAC), we anticipate that a need for hard copy images will remain. We discuss the role that we believe this paper printer serves in an IMAC film independent system.

  20. Human Visual Performance and Flat Panel Display Image Quality (United States)


    In0.42Ga0.58 amber 617 SiC yellow 590 GaN blue 440 GaN green 515 GaAs:Si with green 550 YF3YbEr GaAs:Si with blue 470 YF3:Yb:Tn InSe yellow 590 3.0...nm, from a neon gas. Other gases , and their discharge colors, which have been used in gas dis- charge displays incude argon (blue), cadmium (red

  1. Floating image device with autostereoscopic display and viewer-tracking technology (United States)

    Chen, Chang-Ying; Tseng, Kun-Lung; Wang, Chy-Lin; Tsai, Chao-Hsu


    Now, numerous types of 3D display have been developed or under-developing. However, most of them present stereoscopic images in a space with limited distance from the physical screen. A display which can deliver stereoscopic images in the free space and satisfies the touching sense of viewers is always expected. As a result, we proposed a floating image device with auto-stereoscopic display and viewer tracking technology. The key technology includes that the optical projected lenses with wide view angle which exceeds 30 degrees, the optimized parameters of 2 views auto-stereoscopic display which fits the viewing specifications and the viewer tracking technology which can update the corresponding image of the particular view angle in real time. The novel display is the other choice for consumers especially for product exhibition, user interface of kiosk and a kind of apparatus of video conference, etc.

  2. [Current situations and problems of quality control for medical imaging display systems]. (United States)

    Shibutani, Takayuki; Setojima, Tsuyoshi; Ueda, Katsumi; Takada, Katsumi; Okuno, Teiichi; Onoguchi, Masahisa; Nakajima, Tadashi; Fujisawa, Ichiro


    Diagnostic imaging has been shifted rapidly from film to monitor diagnostic. Consequently, Japan medical imaging and radiological systems industries association (JIRA) have recommended methods of quality control (QC) for medical imaging display systems. However, in spite of its need by majority of people, executing rate is low. The purpose of this study was to validate the problem including check items about QC for medical imaging display systems. We performed acceptance test of medical imaging display monitors based on Japanese engineering standards of radiological apparatus (JESRA) X-0093*A-2005 to 2009, and performed constancy test based on JESRA X-0093*A-2010 from 2010 to 2012. Furthermore, we investigated the cause of trouble and repaired number. Medical imaging display monitors had 23 inappropriate monitors about visual estimation, and all these monitors were not criteria of JESRA about luminance uniformity. Max luminance was significantly lower year-by-year about measurement estimation, and the 29 monitors did not meet the criteria of JESRA about luminance deviation. Repaired number of medical imaging display monitors had 25, and the cause was failure liquid crystal panel. We suggested the problems about medical imaging display systems.

  3. Analysis of the format and the TVGA display of the TIFF image file. (United States)

    Xing, Shiying

    The structure of the TIFF image file is introduced in this article. The method for restoring an image in the light of the TIFF format and the installation and display of the image on the various palettes of TVGA are also introduced.

  4. Binocular and multi-view parallax images acquisition for three dimensional stereoscopic displays (United States)

    Ge, Hongsheng; Sang, Xinzhu; Zhao, Tianqi; Yuan, Jinhui; Leng, Junmin; Zhang, Ying; Yan, Binbin


    It is important to acquire the proper parallax images for the stereoscopic display system. By setting the proper distance between the cameras and the location of the convergent point in this capturing configuration, the displayed 3D scene with the appropriate stereo depth and the expected effect in front of and behind the display screen can be obtained directly. The quantitative relationship between the parallax and the parameters of the capturing configuration with two cameras is presented. The capturing system with multiple cameras for acquiring equal parallaxes between the adjacent captured images for the autostereoscopic display system is also discussed. The proposed methods are demonstrated by the experimental results. The captured images with the calculated parameters for the 3D display system shows the expected results, which can provide the viewers the better immersion and visual comfort without any extra processing.

  5. Technical and radiological image quality comparison of different liquid crystal displays for radiology

    Directory of Open Access Journals (Sweden)

    Dams FE


    Full Text Available Francina EM Dams,2 KY Esther Leung,1 Pieter HM van der Valk,2 Marc CJM Kock,2 Jeroen Bosman,1 Sjoerd P Niehof1 1Medical Physics and Technology, 2Department of Radiology, Albert Schweitzer Hospital, Dordrecht, The Netherlands Background: To inform cost-effective decisions in purchasing new medical liquid crystal displays, we compared the image quality in displays made by three manufacturers. Methods: We recruited 19 radiologists and residents to compare the image quality of four liquid crystal displays, including 3-megapixel Barco®, Eizo®, and NEC® displays and a 6-megapixel Barco display. The evaluators were blinded to the manufacturers' names. Technical assessments were based on acceptance criteria and test patterns proposed by the American Association of Physicists in Medicine. Radiological assessments were performed on images from the American Association of Physicists in Medicine Task Group 18. They included X-ray images of the thorax, knee, and breast, a computed tomographic image of the thorax, and a magnetic resonance image of the brain. Image quality was scored on an analog scale (range 0–10. Statistical analysis was performed with repeated-measures analysis of variance. Results: The Barco 3-megapixel display passed all acceptance criteria. The Eizo and NEC displays passed the acceptance criteria, except for the darkest pixel value in the grayscale display function. The Barco 6-megapixel display failed criteria for the maximum luminance response and the veiling glare. Mean radiological assessment scores were 7.8±1.1 (Barco 3-megapixel, 7.8±1.2 (Eizo, 8.1±1.0 (NEC, and 8.1±1.0 (Barco 6-megapixel. No significant differences were found between displays. Conclusion: According to the tested criteria, all the displays had comparable image quality; however, there was a three-fold difference in price between the most and least expensive displays. Keywords: data display, humans, radiographic image enhancement, user-computer interface

  6. Three-dimensional electro-floating display system using an integral imaging method. (United States)

    Min, Sung-Wook; Hahn, Minsoo; Kim, Joohwan; Lee, Byoungho


    A new-type of three-dimensional (3D) display system based on two different techniques, image floating and integral imaging, is proposed. The image floating is an antiquated 3D display technique, in which a large convex lens or a concave mirror is used to display the image of a real object to observer. The electro-floating system, which does not use a real object, requires a volumetric display part in order to present 3D moving pictures. Integral imaging is an autostereoscopic technique consisting of a lens array and a two-dimensional display device. The integral imaging method can be adapted for use in an electro-floating display system because the integrated image has volumetric characteristics within the viewing angle. The proposed system combines the merits of the two techniques such as an impressive feel of depth and the facility to assemble. In this paper, the viewing characteristics of the two techniques are defined and analyzed for the optimal design of the proposed system. The basic experiments for assembling the proposed system were performed and the results are presented. The proposed system can be successfully applied to many 3D applications such as 3D television.

  7. Display MTF measurements based on scanning and imaging technologies and its importance in the application space (United States)

    Kaur, Balvinder; Olson, Jeff; Flug, Eric A.


    Measuring the Modulation Transfer Function (MTF) of a display monitor is necessary for many applications such as: modeling end-to-end systems, conducting perception experiments, and performing targeting tasks in real-word scenarios. The MTF of a display defines the resolution properties and quantifies how well the spatial frequencies are displayed on a monitor. Many researchers have developed methods to measure display MTFs using either scanning or imaging devices. In this paper, we first present methods to measure display MTFs using two separate technologies and then discuss the impact of a display MTF on a system's performance. The two measurement technologies were scanning with a photometer and imaging with a CMOS based camera. To estimate a true display MTF, measurements made with the photometer were backed out for the scanning optics aperture. The developed methods were applied to measure MTFs of the two types of monitors, Cathode Ray Tube (CRT) and Liquid Crystal Display (LCD). The accuracy of the measured MTFs was validated by comparing MTFs measured with the two systems. The methods presented here are simple and can be easily implemented employing either a Prichard photometer or an imaging device. In addition, the impact of a display MTF on the end-to-end performance of a system was modeled using NV-IPM.

  8. Modeling the Color Image and Video Quality on Liquid Crystal Displays with Backlight Dimming

    DEFF Research Database (Denmark)

    Korhonen, Jari; Mantel, Claire; Burini, Nino


    Objective image and video quality metrics focus mostly on the digital representation of the signal. However, the display characteristics are also essential for the overall Quality of Experience (QoE). In this paper, we use a model of a backlight dimming system for Liquid Crystal Display (LCD...

  9. Dia de los Muertos: Images, Art, and Altar on display at Squires Student Center


    Broughton, Sandra S.


    Dia de los Muertos: Images, Art, and Altar, an exhibition featuring photographs from Mexico, artifacts from the festival, and both traditional and contemporary altars, will be on display at the Perspective Gallery in Squires Student Center through Saturday, Nov. 8.

  10. Scirrhous hepatocellular carcinoma displaying atypical findings on imaging studies

    Institute of Scientific and Technical Information of China (English)

    Soo Ryang Kim; Susumu Imoto; Taisuke Nakajima; Kenji Ando; Keiji Mita; Katsumi Fukuda; Ryo Nishikawa; Yu-ichiro Koma; Toshiyuki Matsuoka; Masatoshi Kudo; Yoshitake Hayashi


    We describe a 15-mm scirrhous hepatocellular carcinoma (HCC) in a 60-year-old man with B-type cirrhosis. Ultrasound disclosed a 15-mm hypoechoic nodule in segment 7. Contrast-enhanced US revealed heterogeneous, not diffuse, hypervascularity in the early phase and a defect in the Kupffer phase. Contrast-enhanced computed tomography (CT) revealed a heterogeneous hypervascular nodule in the early phase and a low-density area in the late phase. Magnetic resonance imaging (MRI) revealed iso- to hypointensity at T1 and high intensity at T2-weighted sequences. Contrast-enhanced MRI also revealed a heterogeneous hypervascular nodule in the early phase and washout in the late phase. Super-paramagnetic iron oxide-MRI revealed a hyperintense nodule. CT during hepatic arteriography and CT during arterial portography revealed heterogeneous hyperattenuation and a perfusion defect, respectively. Based on these imaging findings the nodule was diagnosed as a mixed well-differentiated and moderately-differentiated HCC. Histologically, the nodule was moderately-differentiated HCC characterized by typical cytological and structural atypia with dense fibrosis. Immunohistochemically, the nodule was positive for heterochromatin protein 1 and alpha-smooth muscle actin, and negative for cytokeratin 19. From the above findings, the nodule was diagnosed as scirrhous HCC. Clinicians engaged in hepatology should exercise caution with suspected scirrhous HCC when imaging studies reveal atypical findings, as shown in our case on the basis of chronic liver disease.

  11. 3D integral imaging display by smart pseudoscopic-to-orthoscopic conversion (SPOC). (United States)

    Navarro, H; Martínez-Cuenca, R; Saavedra, G; Martínez-Corral, M; Javidi, B


    Previously, we reported a digital technique for formation of real, non-distorted, orthoscopic integral images by direct pickup. However the technique was constrained to the case of symmetric image capture and display systems. Here, we report a more general algorithm which allows the pseudoscopic to orthoscopic transformation with full control over the display parameters so that one can generate a set of synthetic elemental images that suits the characteristics of the Integral-Imaging monitor and permits control over the depth and size of the reconstructed 3D scene.

  12. Air-touch interaction system for integral imaging 3D display (United States)

    Dong, Han Yuan; Xiang, Lee Ming; Lee, Byung Gook


    In this paper, we propose an air-touch interaction system for the tabletop type integral imaging 3D display. This system consists of the real 3D image generation system based on integral imaging technique and the interaction device using a real-time finger detection interface. In this system, we used multi-layer B-spline surface approximation to detect the fingertip and gesture easily in less than 10cm height from the screen via input the hand image. The proposed system can be used in effective human computer interaction method for the tabletop type 3D display.

  13. [Development of a Text-Data Based Learning Tool That Integrates Image Processing and Displaying]. (United States)

    Shinohara, Hiroyuki; Hashimoto, Takeyuki


    We developed a text-data based learning tool that integrates image processing and displaying by Excel. Knowledge required for programing this tool is limited to using absolute, relative, and composite cell references and learning approximately 20 mathematical functions available in Excel. The new tool is capable of resolution translation, geometric transformation, spatial-filter processing, Radon transform, Fourier transform, convolutions, correlations, deconvolutions, wavelet transform, mutual information, and simulation of proton density-, T1-, and T2-weighted MR images. The processed images of 128 x 128 pixels or 256 x 256 pixels are observed directly within Excel worksheets without using any particular image display software. The results of image processing using this tool were compared with those using C language and the new tool was judged to have sufficient accuracy to be practically useful. The images displayed on Excel worksheets were compared with images using binary-data display software. This comparison indicated that the image quality of the Excel worksheets was nearly equal to the latter in visual impressions. Since image processing is performed by using text-data, the process is visible and facilitates making contrasts by using mathematical equations within the program. We concluded that the newly developed tool is adequate as a computer-assisted learning tool for use in medical image processing.

  14. Revolving lantern display using holographic 3D images with 1/f fluctuation (United States)

    Uchida, Koji; Fukuda, Hiroyuki; Sakamoto, Kunio


    The authors developed the revolving lantern using images of the holographic display. Our revolving lantern playbacks the virtual images which are floating in the air. These spatial images have unexpected motions and changes. The prototype imaging unit consists of the hologram, turn table and illumination system which can change the light with 1/f fluctuation so as to reconstruct various spatial images. In this paper, we describe the spatial imaging with a holographic technology and the reconstruction system which playbacks the rotating motion and various images. A hologram playbacks images. These reconstructions are generally static images. The rotating image like a revolving lantern can be produced when a hologram is spinning on the turn table. A hologram can record and reconstruct various images using the different illumination. When the illumination system changes the illumination light, a hologram reconstructs other images.

  15. A novel technique combining laparoscopic and endovascular approaches using image fusion guidance for anterior embolization of type II endoleak

    Directory of Open Access Journals (Sweden)

    M. Mujeeb Zubair, MD


    Full Text Available Type II endoleak (T2E leading to aneurysm sac enlargement is one of the challenging complications associated with endovascular aneurysm repair. Recent guidelines recommend embolization of T2E associated with aneurysmal sac enlargement. Various percutaneous and endovascular techniques have been reported for embolization of T2E. We report a novel technique for T2E embolization combining laparoscopic and endovascular approaches using preoperative image fusion. We believe our technique provides a more direct access to the lumbar feeding vessels that is typically challenging with transarterial or translumbar embolization techniques.

  16. Reduction of image blurring in an autostereoscopic multilayer liquid crystal display (United States)

    Gotoda, Hironobu


    A multilayer liquid crystal display (LCD) is a display device constructed by stacking multiple liquid crystal layers on top of a light source. As shown in a previous study, a multilayer LCD can deliver varying images depending on the viewers'eye positions, and can be used for auto-stereoscopic 3D viewing. However, undesirable blurring is sometimes observed in the images that a viewer receives from the display. Such blurring is notable especially around objects in the scene that are far away from the viewer. To address this problem, we propose to put a convex lens in front of the layers of liquid crystal. The lens refracts the beams of light, thus bringing the effects of moving the objects to nearer positions. Through a simulation-based study, we show that an optimal choice exists for the focal length of the lens, which reduces the local image blurring while not compromising the overall image quality.

  17. Image-quality assessment of monochrome monitors for medical soft copy display (United States)

    Weibrecht, Martin; Spekowius, Gerhard; Quadflieg, Peter; Blume, Hartwig R.


    Soft-copy presentation of medical images is becoming part of the medical routine as more and more health care facilities are converted to digital filmless hospital and radiological information management. To provide optimal image quality, display systems must be incorporated when assessing the overall system image quality. We developed a method to accomplish this. The proper working of the method is demonstrated with the analysis of four different monochrome monitors. We determined display functions and veiling glare with a high-performance photometer. Structure mottle of the CRT screens, point spread functions and images of stochastic structures were acquired by a scientific CCD camera. The images were analyzed with respect to signal transfer characteristics and noise power spectra. We determined the influence of the monitors on the detective quantum efficiency of a simulated digital x-ray imaging system. The method follows a physical approach; nevertheless, the results of the analysis are in good agreement with the subjective impression of human observers.

  18. Imaging acquisition display performance: an evaluation and discussion of performance metrics and procedures. (United States)

    Silosky, Michael S; Marsh, Rebecca M; Scherzinger, Ann L


    When The Joint Commission updated its Requirements for Diagnostic Imaging Services for hospitals and ambulatory care facilities on July 1, 2015, among the new requirements was an annual performance evaluation for acquisition workstation displays. The purpose of this work was to evaluate a large cohort of acquisition displays used in a clinical environment and compare the results with existing performance standards provided by the American College of Radiology (ACR) and the American Association of Physicists in Medicine (AAPM). Measurements of the minimum luminance, maximum luminance, and luminance uniformity, were performed on 42 acquisition displays across multiple imaging modalities. The mean values, standard deviations, and ranges were calculated for these metrics. Additionally, visual evaluations of contrast, spatial resolution, and distortion were performed using either the Society of Motion Pictures and Television Engineers test pattern or the TG-18-QC test pattern. Finally, an evaluation of local nonuniformities was performed using either a uniform white display or the TG-18-UN80 test pattern. Displays tested were flat panel, liquid crystal displays that ranged from less than 1 to up to 10 years of use and had been built by a wide variety of manufacturers. The mean values for Lmin and Lmax for the displays tested were 0.28 ± 0.13 cd/m2 and 135.07 ± 33.35 cd/m2, respectively. The mean maximum luminance deviation for both ultrasound and non-ultrasound displays was 12.61% ± 4.85% and 14.47% ± 5.36%, respectively. Visual evaluation of display performance varied depending on several factors including brightness and contrast settings and the test pattern used for image quality assessment. This work provides a snapshot of the performance of 42 acquisition displays across several imaging modalities in clinical use at a large medical center. Comparison with existing performance standards reveals that changes in display technology and the move from cathode ray

  19. Defragmented image based autostereoscopic 3D displays with dynamic eye tracking (United States)

    Kim, Sung-Kyu; Yoon, Ki-Hyuk; Yoon, Seon Kyu; Ju, Heongkyu


    We studied defragmented image based autostereoscopic 3D displays with dynamic eye tracking. Specifically, we examined the impact of parallax barrier (PB) angular orientation on their image quality. The 3D display system required fine adjustment of PB angular orientation with respect to a display panel. This was critical for both image color balancing and minimizing image resolution mismatch between horizontal and vertical directions. For evaluating uniformity of image brightness, we applied optical ray tracing simulations. The simulations took effects of PB orientation misalignment into account. The simulation results were then compared with recorded experimental data. Our optimal simulated system produced significantly enhanced image uniformity at around sweet spots in viewing zones. However this was contradicted by real experimental results. We offer quantitative treatment of illuminance uniformity of view images to estimate misalignment of PB orientation, which could account for brightness non-uniformity observed experimentally. Our study also shows that slight imperfection in the adjustment of PB orientation due to practical restrictions of adjustment accuracy can induce substantial non-uniformity of view images' brightness. We find that image brightness non-uniformity critically depends on misalignment of PB angular orientation, for example, as slight as ≤ 0.01 ° in our system. This reveals that reducing misalignment of PB angular orientation from the order of 10-2 to 10-3 degrees can greatly improve the brightness uniformity.

  20. The Implementation of an Experimental Teleteaching System with Enhanced Document Image Display

    Institute of Scientific and Technical Information of China (English)


    This paper describes a flexible experimental teleteaching system, which is established by integrating an additional document camera with desktop H.320 system to present high resolution document image to remote student site. Special software architechture has been designed to manage the document image processing part, as well as the communication with the videoconferencing part. Based on the idea of Content-based representation, the document image and video image are synthesized into a single display, which is composed of two Video Object Planes (VOP) with different resolutions. Automatic change detection is used for document image processing, which makes efficient use of the transmission channel. Experimental results demonstrate the performance of the system.

  1. Monocular 3D display unit using soft actuator for parallax image shift (United States)

    Sakamoto, Kunio; Kodama, Yuuki


    The human vision system has visual functions for viewing 3D images with a correct depth. These functions are called accommodation, vergence and binocular stereopsis. Most 3D display system utilizes binocular stereopsis. The authors have developed a monocular 3D vision system with accommodation mechanism, which is useful function for perceiving depth. This vision unit needs an image shift optics for generating monocular parallax images. But conventional image shift mechanism is heavy because of its linear actuator system. To improve this problem, we developed a light-weight 3D vision unit for presenting monocular stereoscopic images using a soft linear actuator made of a polypyrrole film.

  2. Super multi-view windshield display for long-distance image information presentation. (United States)

    Takaki, Yasuhiro; Urano, Yohei; Kashiwada, Shinji; Ando, Hiroshi; Nakamura, Koji


    A three-dimensional (3D) windshield display can display driving information in the vicinity of objects in the driver's front scene. We propose a super multi-view windshield display that can present the information in a wide depth range. The super multi-view display technique provides a smooth motion parallax. Motion parallax is the only physiological cue for perceiving the depths of 3D images displayed at far distances; these cannot be perceived by other physiological cues such as vergence, binocular disparity, and accommodation. A prototype system, which generates 36 viewing zones with a horizontal interval of 3.61 mm, was constructed. The smoothness of the motion parallax and the accuracy of the depth perception were evaluated.

  3. Navigation of a robot-integrated fluorescence laparoscope in preoperative SPECT/CT and intraoperative freehand SPECT imaging data: a phantom study (United States)

    van Oosterom, Matthias Nathanaël; Engelen, Myrthe Adriana; van den Berg, Nynke Sjoerdtje; KleinJan, Gijs Hendrik; van der Poel, Henk Gerrit; Wendler, Thomas; van de Velde, Cornelis Jan Hadde; Navab, Nassir; van Leeuwen, Fijs Willem Bernhard


    Robot-assisted laparoscopic surgery is becoming an established technique for prostatectomy and is increasingly being explored for other types of cancer. Linking intraoperative imaging techniques, such as fluorescence guidance, with the three-dimensional insights provided by preoperative imaging remains a challenge. Navigation technologies may provide a solution, especially when directly linked to both the robotic setup and the fluorescence laparoscope. We evaluated the feasibility of such a setup. Preoperative single-photon emission computed tomography/X-ray computed tomography (SPECT/CT) or intraoperative freehand SPECT (fhSPECT) scans were used to navigate an optically tracked robot-integrated fluorescence laparoscope via an augmented reality overlay in the laparoscopic video feed. The navigation accuracy was evaluated in soft tissue phantoms, followed by studies in a human-like torso phantom. Navigation accuracies found for SPECT/CT-based navigation were 2.25 mm (coronal) and 2.08 mm (sagittal). For fhSPECT-based navigation, these were 1.92 mm (coronal) and 2.83 mm (sagittal). All errors remained below the robot-integrated fluorescence laparoscope is feasible and may aid fluorescence-guided surgery procedures.

  4. Mixed reality orthognathic surgical simulation by entity model manipulation and 3D-image display (United States)

    Shimonagayoshi, Tatsunari; Aoki, Yoshimitsu; Fushima, Kenji; Kobayashi, Masaru


    In orthognathic surgery, the framing of 3D-surgical planning that considers the balance between the front and back positions and the symmetry of the jawbone, as well as the dental occlusion of teeth, is essential. In this study, a support system for orthodontic surgery to visualize the changes in the mandible and the occlusal condition and to determine the optimum position in mandibular osteotomy has been developed. By integrating the operating portion of a tooth model that is to determine the optimum occlusal position by manipulating the entity tooth model and the 3D-CT skeletal images (3D image display portion) that are simultaneously displayed in real-time, the determination of the mandibular position and posture in which the improvement of skeletal morphology and occlusal condition is considered, is possible. The realistic operation of the entity model and the virtual 3D image display enabled the construction of a surgical simulation system that involves augmented reality.

  5. High-resolution three-dimensional holographic display using dense ray sampling from integral imaging. (United States)

    Wakunami, Koki; Yamaguchi, Masahiro; Javidi, Bahram


    We present a high-resolution three-dimensional (3D) holographic display using a set of elemental images obtained by passive sensing integral imaging (II). Hologram calculations using a high-density ray-sampling plane are achieved from the elemental images captured by II. In II display, ray sampling by lenslet array and light diffraction limits the achievable resolution. Our approach can improve the resolution since target objects are captured in focus and then light-ray information is interpolated and resampled with higher density on ray-sampling plane located near the object to be converted into the wavefront. Numerical experimental results show that the 3D scene, composed of plural objects at different depths from the display, can be reconstructed with order of magnitude higher resolution by the proposed technique.

  6. POW: A Tcl/Tk Plotting and Image Display Interface Tool for GUIs (United States)

    Brown, L. E.; Angelini, L.

    We present a new Tcl/Tk based GUI interface tool which features plotting of curve and image data and allows for user input via return of regions or specific cursor positions. The package is accessible from C, Tcl, or \\fortran. POW operates on data arrays, passed to it as pointers. Each data array sent to POW is treated as either an Image object or a Vector object. Vectors are combined to form Curves. Curves and Images may then be combined to form a displayed Graph. Several Graphs can be displayed in a single Tk top-level window. The Graphs can be rearranged, magnified, and zoomed to regions of interest by the user. Individual graph axes can be ``linked'' to implement a ``multiple y-axis'' (or x-axis) plot. The POW display can be written out in PostScript, for printing.

  7. Laparoscopic hysterectomy in the overweight and obese: does 3D imaging make a change? (United States)

    Berlit, Sebastian; Hornemann, Amadeus; Sütterlin, Marc; Weiss, Christel; Tuschy, Benjamin


    To evaluate the influence of three-dimensional (3D) high-definition (HD) visualisation in laparoscopic hysterectomy in normal weight, overweight and obese women. A retrospective analysis of 180 patients undergoing total laparoscopic hysterectomy (TLH: n = 90) or laparoscopic supracervical hysterectomy (LASH: n = 90) was performed. The study collective consisted of 90 women (TLH: n = 45, LASH: n = 45), who underwent laparoscopic hysterectomy with a 3D HD laparoscopic system. Ninety matched (uterine weight, previous surgeries) women with hysterectomy (TLH: n = 45, LASH: n = 45) performed by the same surgeon with conventional two-dimensional laparoscopy formed the control group. Statistical analysis was accomplished stratifying patients according to body mass index (BMI) (≤24.9, 25-29.9, ≥30.0 kg/m(2)). In each BMI, collective subtypes of surgery (TLH, LASH) as well as hysterectomies as a whole were analysed. Demographic data and surgical parameters were evaluated. In all BMI subgroups, there were no significant differences concerning demographic parameters. Number of trocar site incisions needed was significantly less in women undergoing 3D compared to 2D laparoscopy independent of BMI. Furthermore, a significantly lower blood loss was revealed using 3D visualisation in LASH subgroups of the normal and overweight collectives. Three-dimensional laparoscopy was additionally associated with a significantly shorter duration of surgery in the TLH subgroup in overweight patients and a lower haemoglobin drop in the LASH subgroup of the obese. The need of less trocar site incisions concerning all weight groups as well.

  8. Variational Formulation of the Template-Based Quasi-Conformal Shape-from-Motion from Laparoscopic Images

    Directory of Open Access Journals (Sweden)

    Abed Malti


    Full Text Available One of the current limits of laparosurgery is the absence of a 3D sensing facility for standard monocular laparoscopes. Significant progress has been made to acquire 3D from a single camera using Visual SLAM (Simultaneous Localization And Mapping, however most of the current approaches rely on the assumption that the observed tissue is rigid or undergoes periodic deformations. In laparoscopic surgery, these assumptions do not apply due to the unpredictable and elastic deformation of the tissues. We propose a new sequential 3D reconstruction method adapted to reconstructing organs in the abdominal cavity. We draw on recent computer vision methods exploiting a known 3D view of the environment at rest position called a template. However, no such method has ever been attempted in-vivo. State-of-the-art methods assume that the environment can be modeled as an isometric developable surface: one which deforms isometrically to a plane. While this assumption holds for paper and cloth-like surfaces, it certainly does not fit human organs and tissue in general. Our method tackles these limits: it uses a nondevelopable template and copes with natural 3D deformations by introducing quasi-conformal prior. Our method adopts a new two-phase approach. First the 3D template is reconstructed invivo using RSfM (Rigid Shape-from-Motion while the surgeon is exploring – but not deforming – structures in the abdominal cavity. Second, the surgeon manipulates and deforms the environment. Here, the 3D template is quasi-conformally deformed to match the 2D image data provided by the monocular laparoscope. This second phase only relies on a single image. Therefore it copes with both sequential processing and self-recovery from tracking failures. The proposed approach has been validated using: (i in-vivo animal data with ground-truth, and (ii in-vivo laparoscopic videos of a real patient’s uterus. Our experimental results illustrate the ability of our method to

  9. Advances in three-dimensional integral imaging: sensing, display, and applications [Invited]. (United States)

    Xiao, Xiao; Javidi, Bahram; Martinez-Corral, Manuel; Stern, Adrian


    Three-dimensional (3D) sensing and imaging technologies have been extensively researched for many applications in the fields of entertainment, medicine, robotics, manufacturing, industrial inspection, security, surveillance, and defense due to their diverse and significant benefits. Integral imaging is a passive multiperspective imaging technique, which records multiple two-dimensional images of a scene from different perspectives. Unlike holography, it can capture a scene such as outdoor events with incoherent or ambient light. Integral imaging can display a true 3D color image with full parallax and continuous viewing angles by incoherent light; thus it does not suffer from speckle degradation. Because of its unique properties, integral imaging has been revived over the past decade or so as a promising approach for massive 3D commercialization. A series of key articles on this topic have appeared in the OSA journals, including Applied Optics. Thus, it is fitting that this Commemorative Review presents an overview of literature on physical principles and applications of integral imaging. Several data capture configurations, reconstruction, and display methods are overviewed. In addition, applications including 3D underwater imaging, 3D imaging in photon-starved environments, 3D tracking of occluded objects, 3D optical microscopy, and 3D polarimetric imaging are reviewed.

  10. A 3D integral imaging optical see-through head-mounted display. (United States)

    Hua, Hong; Javidi, Bahram


    An optical see-through head-mounted display (OST-HMD), which enables optical superposition of digital information onto the direct view of the physical world and maintains see-through vision to the real world, is a vital component in an augmented reality (AR) system. A key limitation of the state-of-the-art OST-HMD technology is the well-known accommodation-convergence mismatch problem caused by the fact that the image source in most of the existing AR displays is a 2D flat surface located at a fixed distance from the eye. In this paper, we present an innovative approach to OST-HMD designs by combining the recent advancement of freeform optical technology and microscopic integral imaging (micro-InI) method. A micro-InI unit creates a 3D image source for HMD viewing optics, instead of a typical 2D display surface, by reconstructing a miniature 3D scene from a large number of perspective images of the scene. By taking advantage of the emerging freeform optical technology, our approach will result in compact, lightweight, goggle-style AR display that is potentially less vulnerable to the accommodation-convergence discrepancy problem and visual fatigue. A proof-of-concept prototype system is demonstrated, which offers a goggle-like compact form factor, non-obstructive see-through field of view, and true 3D virtual display.

  11. Quality assessment of images displayed on LCD screen with local backlight dimming

    DEFF Research Database (Denmark)

    Mantel, Claire; Burini, Nino; Korhonen, Jari


    This paper presents a subjective experiment collecting quality assessment of images displayed on a LCD with local backlight dimming using two methodologies: absolute category ratings and paired-comparison. Some well-known objective quality metrics are then applied to the stimuli and their respect......This paper presents a subjective experiment collecting quality assessment of images displayed on a LCD with local backlight dimming using two methodologies: absolute category ratings and paired-comparison. Some well-known objective quality metrics are then applied to the stimuli...

  12. Vergence and accommodation to multiple-image-plane stereoscopic displays: 'Real world' responses with practical image-plane separations? (United States)

    MacKenzie, K. J.; Dickson, R. A.; Watt, S. J.


    Conventional stereoscopic displays present images on a single focal plane. The resulting mismatch between the stimuli to the eyes' focusing response (accommodation) and to convergence causes fatigue and poor stereo performance. One promising solution is to distribute image intensity across a number of relatively widely spaced image planes - a technique referred to as depth filtering. Previously, we found this elicits accurate, continuous monocular accommodation responses with image-plane separations as large as 1.1 Diopters, suggesting that a relatively small (i.e. practical) number of image planes is sufficient to eliminate vergence-accommodation conflicts over a large range of simulated distances. However, accommodation responses have been found to overshoot systematically when the same stimuli are viewed binocularly. Here, we examined the minimum image-plane spacing required for accurate accommodation to binocular depth-filtered images. We compared accommodation and vergence responses to step changes in depth for depth-filtered stimuli, using image-plane separations of 0.6-1.2 D, and equivalent real stimuli. Accommodation responses to real and depth-filtered stimuli were equivalent for image-plane separations of ~0.6-0.9 D, but inaccurate thereafter. We conclude that depth filtering can be used to precisely match accommodation and vergence demand in a practical stereoscopic display, using a relatively small number of image planes.

  13. Three-dimensional display based on integral imaging using light shaping diffusor (United States)

    Jiang, Xiaoyu; Yan, Zhiqiang; Yan, Xingpeng; Su, Jian; Gao, Hui


    Integral imaging is known as a promising 3D display method for its ability to reconstruct the light field of the scene. However, integral imaging suffers from low spatial resolution and narrow viewing angle due to the limited spatial bandwidth product of LCD, which prevents its commercial application. In conventional integral imaging display, spatial resolution and viewing angle are two vital factors that should be considered, and many previous research focuses on the two factors. A novel integral imaging 3D display system with large viewing angle about 35° and high spatial resolution for HVS is presented. The method is composed of a high definition 5K LCD panel, a macro lens array and a light shaping diffusor. One point of the method different from conventional integral imaging in which micro lens array is used, a macro lens array with elemental lens diameter 1cm is employed in our method to ensure a large viewing angle, however, this may result in low spatial resolution for HVS. And the other point is a light shaping diffusor is placed in front of the lens array with proper distance, and lifelike 3D reconstruction is obtained. Experimental results with full parallax, large viewing angle and high resolution 3D images are shown to verify the validity of the proposed system.

  14. Application of real image display and generation technique in space optical system (United States)

    He, Ruicong; Lin, Li


    In space optical system, image display and generation can be influenced by various factors such as stray light, space distance, orbit parameters and so on. To acquire accurate and clear image, these factors should be considered. Before acquiring the real image, simulation is necessary. Through comparing the simulated image with the real one, accuracy can be proved. This paper focuses on building a three-dimensional (3D) model of a satellite and simulating its orbit according to the real data. The 3D images of the satellite should be acquired in specific positions and postures from a camera on another satellite. 3D Studio Max is the software used in the process to build models, simulate and generate images. It is a 3D computer graphics program for making 3D animations, models, and images. Also in the paper, stray light relevant to the satellite surfaces is analyzed. Tracepro is the software used in the stray light analyze to trace the light on the surfaces. It is an optical engineering software program for designing and analyzing optical and illumination systems. Stray light analyzing result is addicted to the 3D images, so that the images are more precise. Therefore, the final images can be complete images including light intensity information of the satellite surfaces which makes the images more real.

  15. Intraoperative augmented reality for laparoscopic colorectal surgery by intraoperative near-infrared fluorescence imaging and optical coherence tomography. (United States)

    Cahill, R A; Mortensen, N J


    Advances in imaging quality and capability have been the major driver of the laparoscopic revolution that has dramatically impacted upon operative strategies and surgical patient care in recent years. Increasingly now the technological capacity is becoming available to supraselect or extend the useful clinical range of the electromagnetic spectrum beyond visible or white light. This has markedly broadened the intraprocedural optical information available at intraluminal endoscopy and there is likely to be considerable similar benefit for laparoscopy. Rather than narrow band or ultraviolet imaging however, it is the near infrared (NIR) spectrum that seems of most potential to exploit during intra-abdominal endoscopy in particular as this energy range is capable of penetrating relatively deeply into tissues such as the mesentery and bowel wall without inducing thermal damage due to heat dissipation or indeed the intracellular effects associated with higher energy, shorter wavelength energies. By incorporating the NIR spectrum alongside more conventional laparoscopic imaging, a greater appreciation of tissue architecture, character and quality is possible in particular with respect to lymphatic and vascular channel anatomy and flow dynamics and also real-time optical histology (by NIR optical coherence tomography). Such a facility may significantly aid critical intraoperative decision making during colorectal operations by informing the surgeon regarding the most biologically relevant lymphatic basin and lymph nodes for any target area of interest (especially important if considering tailored operative extent for colorectal neoplasia), the sufficiency and quality of arterial supply (and hence inform re the perfusion of stapled intestinal ends prior to reanastomosis) and perhaps even in situ pathological assessment. This article provides a state of art overview of the fascinating potential of this emergent technological capability.

  16. Vergence and accommodation to multiple-image-plane stereoscopic displays: ``real world'' responses with practical image-plane separations? (United States)

    MacKenzie, Kevin J.; Dickson, Ruth A.; Watt, Simon J.


    Conventional stereoscopic displays present images on a single focal plane. The resulting mismatch between the stimuli to the eyes' focusing response (accommodation) and to convergence causes fatigue and poor stereo performance. One solution is to distribute image intensity across a number of widely spaced image planes--a technique referred to as depth filtering. Previously, we found this elicits accurate, continuous monocular accommodation responses with image-plane separations as large as 1.1 Diopters (D, the reciprocal of distance in meters), suggesting that a small number of image planes could eliminate vergence-accommodation conflicts over a large range of simulated distances. Evidence exists, however, of systematic differences between accommodation responses to binocular and monocular stimuli when the stimulus to accommodation is degraded, or at an incorrect distance. We examined the minimum image-plane spacing required for accurate accommodation to binocular depth-filtered images. We compared accommodation and vergence responses to changes in depth specified by depth filtering, using image-plane separations of 0.6 to 1.2 D, and equivalent real stimuli. Accommodation responses to real and depth-filtered stimuli were equivalent for image-plane separations of ~0.6 to 0.9 D, but differed thereafter. We conclude that depth filtering can be used to precisely match accommodation and vergence demand in a practical stereoscopic display.

  17. Synthetic phase holograms for auto-stereoscopic image displays using a modified IFTA (United States)

    Choi, Kyongsik; Kim, Hwi; Lee, Byoungho


    A Fourier-transformed synthetic phase hologram for an auto-stereoscopic image display system is proposed and implemented. The system uses a phase-only spatial light modulator and a simple projection lens module. A modified iterative Fresnel transform algorithm method, for the reconstruction of gray-level quantized stereo images with fast convergence, high diffraction efficiency and large signal-to-noise ratio is also described. Using this method, it is possible to obtain a high diffraction efficiency(~90%), an excellent signal-to-noise ratio(> 9.6dB), and a short calculation time(~3min). Experimentally, the proposed auto-stereoscopic display system was able to generate stereoscopic 3D images very well.

  18. Image size invariant visual cryptography for general access structures subject to display quality constraints. (United States)

    Lee, Kai-Hui; Chiu, Pei-Ling


    Conventional visual cryptography (VC) suffers from a pixel-expansion problem, or an uncontrollable display quality problem for recovered images, and lacks a general approach to construct visual secret sharing schemes for general access structures. We propose a general and systematic approach to address these issues without sophisticated codebook design. This approach can be used for binary secret images in non-computer-aided decryption environments. To avoid pixel expansion, we design a set of column vectors to encrypt secret pixels rather than using the conventional VC-based approach. We begin by formulating a mathematic model for the VC construction problem to find the column vectors for the optimal VC construction, after which we develop a simulated-annealing-based algorithm to solve the problem. The experimental results show that the display quality of the recovered image is superior to that of previous papers.


    Institute of Scientific and Technical Information of China (English)


    To furtherly reduce the subxiphoid port site pain,improve the cosmetic result and patient satisfaction,and increase the safety for patients underwent laparoscopic cholecystectomy by advanced laparoscopic knotting skill.Methods:Among our 1500 patients underwent laparoscopic cholecystectomy since 1991,120 cases of modified laparoscopic cholecystectomy (MLC) were performed with three 5-mm ports and one 10-mm port(for laparoscope and sepcien withdrawn).There were 25 male and 95 female patients with an average age of 55 years (24~77years).The indications for MLC included polypoid lesions of gallbladder (21),simple cholecystitis(3),cholecystolithiasisi with chronic cholecystitis(84),with acute suppurative cholecystitis(7),with atrophic cholecystitis(5).Results:There were 5 patients underwent combined laparoscopic appendectomy(3),fenestration of hepatic cyst(1),and drainge for liver abscess(1).The average operative time for MLC was 55 minutes(30~150min),blood loss was 10ml(3~50ml),and postoperative stay was 3 days(1~5days).There were no conversion from MLC to either LC or open surgery,without mortality.Complications were limited to two patients(1.7%).One was retained common bile duct stone and another was port site bleeding after operation.They were treated by transduodenal endoscopic stone retrieval and simple suture ligation,respecrtively.Conclusions:The advantages of MLC conducted mainly by advanced laparoscopic knotting techniques were no more laparoscope (either 2-mm or 5-mm)needed,no sacrifice of good illumination and laproscopic image.Most of all,its costeffective and operative safety were all improved furtherly.

  20. Enhancement display of veins distribution based on binocular vision and image fusion technology (United States)

    Liu, Peng; Di, Si; Jin, Jian; Bai, Liping


    The capture and display of veins distribution is an important issue for some applications, such as medical diagnosis and identification. Therefore, it has become a popular topic in the field of biomedical imaging. Usually, people capture the veins distribution by infrared imaging, but the display result is similar with that of a gray picture and the color and details of skin cannot be remained. To some degree, it is unreal for doctors. In this paper, we develop a binocular vision system to carry out the enhancement display of veins under the condition of keeping actual skin color. The binocular system is consisted of two adjacent cameras. A visible band filter and an infrared band filter are placed in front of the two lenses, respectively. Therefore, the pictures of visible band and infrared band can be captured simultaneously. After that, a new fusion process is applied to the two pictures, which related to histogram mapping, principal component analysis (PCA) and modified bilateral filter fusion. The final results show that both the veins distribution and the actual skin color of the back of the hand can be clearly displayed. Besides, correlation coefficient, average gradient and average distortion are selected as the parameters to evaluate the image quality. By comparing the parameters, it is evident that our novel fusion method is prior to some popular fusion methods such as Gauss filter fusion, Intensity-hue-saturation (HIS) fusion and bilateral filter fusion.

  1. 77 FR 21994 - Certain Digital Photo Frames and Image Display Devices and Components Thereof; Notice of Request... (United States)


    ... COMMISSION Certain Digital Photo Frames and Image Display Devices and Components Thereof; Notice of Request... importation of certain digital photo frames and image display devices and components thereof by reason of... of Certain Devices for Connecting Computers via Telephone Lines, Inv. No. 337-TA-360, USITC Pub. No...

  2. 76 FR 59737 - In the Matter of Certain Digital Photo Frames and Image Display Devices and Components Thereof... (United States)


    ... COMMISSION In the Matter of Certain Digital Photo Frames and Image Display Devices and Components Thereof... after importation of certain digital photo frames and image display devices and components thereof that..., the sale for importation, and the sale within the United States after importation of certain digital...

  3. Pico Lantern: Surface reconstruction and augmented reality in laparoscopic surgery using a pick-up laser projector. (United States)

    Edgcumbe, Philip; Pratt, Philip; Yang, Guang-Zhong; Nguan, Christopher; Rohling, Robert


    The Pico Lantern is a miniature projector developed for structured light surface reconstruction, augmented reality and guidance in laparoscopic surgery. During surgery it will be dropped into the patient and picked up by a laparoscopic tool. While inside the patient it projects a known coded pattern and images onto the surface of the tissue. The Pico Lantern is visually tracked in the laparoscope's field of view for the purpose of stereo triangulation between it and the laparoscope. In this paper, the first application is surface reconstruction. Using a stereo laparoscope and an untracked Pico Lantern, the absolute error for surface reconstruction for a plane, cylinder and ex vivo kidney, is 2.0 mm, 3.0 mm and 5.6 mm, respectively. Using a mono laparoscope and a tracked Pico Lantern for the same plane, cylinder and kidney the absolute error is 1.4 mm, 1.5 mm and 1.5 mm, respectively. These results confirm the benefit of the wider baseline produced by tracking the Pico Lantern. Virtual viewpoint images are generated from the kidney surface data and an in vivo proof-of-concept porcine trial is reported. Surface reconstruction of the neck of a volunteer shows that the pulsatile motion of the tissue overlying a major blood vessel can be detected and displayed in vivo. Future work will integrate the Pico Lantern into standard and robot-assisted laparoscopic surgery.

  4. Imaging sequences for intraoperative MR-guided laparoscopic liver resection in 1.0-T high field open MRI

    Energy Technology Data Exchange (ETDEWEB)

    Chopra, S.S.; Schmidt, S.C.; Schumacher, G. [University Medicine Berlin, Department of General, Visceral and Transplantation Surgery, Charite Campus Virchow Clinic, Berlin (Germany); Rump, J.; Streitparth, F.; Teichgraeber, U. [University Medicine Berlin, Department of Radiology, Charite Campus Mitte, Berlin (Germany); Seebauer, C. [University Medicine Berlin, Department of Trauma Surgery, Charite Campus Virchow Clinic, Berlin (Germany); Voort, I.V. der [University Medicine Berlin, Department of Gastroenterology, Charite Campus Virchow Clinic, Berlin (Germany)


    The aim of this study was to identify suitable interactive (dynamic) magnetic resonance (MR) sequences for real-time MR-guided liver dissection in a 1.0-T high field open MRI system. Four dynamic sequences encompassing balanced steady state free precession (bSSFP), T1W gradient echo (GRE), T2W GRE and T2W fast spin echo (FSE) were analysed regarding the image quality, artefact susceptibility and the performance of SNR and CNR. The T2W FSE sequence (1.5 s/image) was considered superior because of an intraoperative SNR of 6.9 ({+-}0.7) and CNR (vessel to parenchyma) of 5.6 ({+-}1.7) in the interventional setting. As a proof of concept, MR-guided laparoscopic liver resection was performed in two healthy domestic pigs by using the T2W FSE sequence. The additional MR images offered simultaneous multiplanar real-time visualisation of the liver vessels during the intervention and thereby increased the anatomical orientation of the surgeon. (orig.)

  5. Designing Websites for Displaying Large Data Sets and Images on Multiple Platforms (United States)

    Anderson, A.; Wolf, V. G.; Garron, J.; Kirschner, M.


    The desire to build websites to analyze and display ever increasing amounts of scientific data and images pushes for web site designs which utilize large displays, and to use the display area as efficiently as possible. Yet, scientists and users of their data are increasingly wishing to access these websites in the field and on mobile devices. This results in the need to develop websites that can support a wide range of devices and screen sizes, and to optimally use whatever display area is available. Historically, designers have addressed this issue by building two websites; one for mobile devices, and one for desktop environments, resulting in increased cost, duplicity of work, and longer development times. Recent advancements in web design technology and techniques have evolved which allow for the development of a single website that dynamically adjusts to the type of device being used to browse the website (smartphone, tablet, desktop). In addition they provide the opportunity to truly optimize whatever display area is available. HTML5 and CSS3 give web designers media query statements which allow design style sheets to be aware of the size of the display being used, and to format web content differently based upon the queried response. Web elements can be rendered in a different size, position, or even removed from the display entirely, based upon the size of the display area. Using HTML5/CSS3 media queries in this manner is referred to as "Responsive Web Design" (RWD). RWD in combination with technologies such as LESS and Twitter Bootstrap allow the web designer to build web sites which not only dynamically respond to the browser display size being used, but to do so in very controlled and intelligent ways, ensuring that good layout and graphic design principles are followed while doing so. At the University of Alaska Fairbanks, the Alaska Satellite Facility SAR Data Center (ASF) recently redesigned their popular Vertex application and converted it from a

  6. The Design and Evaluation of the Lighting Imaging Sensor Data Applications Display (LISDAD) (United States)

    Boldi, B.; Hodanish, S.; Sharp, D.; Williams, E.; Goodman, Steven; Raghavan, R.; Matlin, A.; Weber, M.


    The design and evaluation of the Lightning Imaging Sensor Data Applications Display (LISDAD). The ultimate goal of the LISDAD system is to quantify the utility of total lightning information in short-term, severe-weather forecasting operations. To this end, scientists from NASA, NWS, and MIT organized an effort to study the relationship of lightning and severe-weather on a storm-by-storm, and even cell-by-cell basis for as many storms as possible near Melbourne, Florida. Melbourne was chosen as it offers a unique combination of high probability of severe weather and proximity to major relevant sensors - specifically: NASA's total lightning mapping system at Kennedy Space Center (the LDAR system at KSC); a NWS/NEXRAD radar (at Melbourne); and a prototype Integrated Terminal Weather System (ITWS, at Orlando), which obtains cloud-to-ground lightning Information from the National Lightning Detection Network (NLDN), and also uses NSSL's Severe Storm Algorithm (NSSL/SSAP) to obtain information about various storm-cell parameters. To assist in realizing this project's goal, an interactive, real-time data processing system (the LISDAD system) has been developed that supports both operational short-term weather forecasting and post facto severe-storm research. Suggestions have been drawn from the operational users (NWS/Melbourne) in the design of the data display and its salient behavior. The initial concept for the users Graphical Situation Display (GSD) was simply to overlay radar data with lightning data, but as the association between rapid upward trends in the total lightning rate and severe weather became evident, the display was significantly redesigned. The focus changed to support the display of time series of storm-parameter data and the automatic recognition of cells that display rapid changes in the total-lightning flash rate. The latter is calculated by grouping discrete LDAR radiation sources into lightning flashes using a time-space association algorithm

  7. Liquid-crystal displays for medical imaging: a discussion of monochrome versus color (United States)

    Wright, Steven L.; Samei, Ehsan


    A common view is that color displays cannot match the performance of monochrome displays, normally used for diagnostic x-ray imaging. This view is based largely on historical experience with cathode-ray tube (CRT) displays, and does not apply in the same way to liquid-crystal displays (LCDs). Recent advances in color LCD technology have considerably narrowed performance differences with monochrome LCDs for medical applications. The most significant performance advantage of monochrome LCDs is higher luminance, a concern for use under bright ambient conditions. LCD luminance is limited primarily by backlight design, yet to be optimized for color LCDs for medical applications. Monochrome LCDs have inherently higher contrast than color LCDs, but this is not a major advantage under most conditions. There is no practical difference in luminance precision between color and monochrome LCDs, with a slight theoretical advantage for color. Color LCDs can provide visualization and productivity enhancement for medical applications, using digital drive from standard commercial graphics cards. The desktop computer market for color LCDs far exceeds the medical monitor market, with an economy of scale. The performance-to-price ratio for color LCDs is much higher than monochrome, and warrants re-evaluation for medical applications.

  8. Biliary tract visualization using near-infrared imaging with indocyanine green during laparoscopic cholecystectomy: results of a systematic review. (United States)

    Vlek, S L; van Dam, D A; Rubinstein, S M; de Lange-de Klerk, E S M; Schoonmade, L J; Tuynman, J B; Meijerink, W J H J; Ankersmit, M


    Near-infrared imaging with indocyanine green (ICG) has been extensively investigated during laparoscopic cholecystectomy (LC). However, methods vary between studies, especially regarding patient selection, dosage and timing. The aim of this systematic review was to evaluate the potential of the near-infrared imaging technique with ICG to identify biliary structures during LC. A comprehensive systematic literature search was performed. Prospective trials examining the use of ICG during LC were included. Primary outcome was biliary tract visualization. Risk of bias was assessed using ROBINS-I. Secondly, a meta-analysis was performed comparing ICG to intraoperative cholangiography (IOC) for identification of biliary structures. GRADE was used to assess the quality of the evidence. Nineteen studies were included. Based upon the pooled data from 13 studies, cystic duct (Lusch et al. in J Endourol 28:261-266, 2014) visualization was 86.5% (95% CI 71.2-96.6%) prior to dissection of Calot's triangle with a 2.5-mg dosage of ICG and 96.5% (95% CI 93.9-98.4%) after dissection. The results were not appreciably different when the dosage was based upon bodyweight. There is moderate quality evidence that the CD is more frequently visualized using ICG than IOC (RR 1.16; 95% CI 1.00-1.35); however, this difference was not statistically significant. This systematic review provides equal results for biliary tract visualization with near-infrared imaging with ICG during LC compared to IOC. Near-infrared imaging with ICG has the potential to replace IOC for biliary mapping. However, methods of near-infrared imaging with ICG vary. Future research is necessary for optimization and standardization of the near-infrared ICG technique.

  9. Novel application of simultaneous multi-image display during complex robotic abdominal procedures. (United States)

    Woo, Yanghee; Choi, Gi Hong; Min, Byung Soh; Hyung, Woo Jin


    The surgical robot offers the potential to integrate multiple views into the surgical console screen, and for the assistant's monitors to provide real-time views of both fields of operation. This function has the potential to increase patient safety and surgical efficiency during an operation. Herein, we present a novel application of the multi-image display system for simultaneous visualization of endoscopic views during various complex robotic gastrointestinal operations. All operations were performed using the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) with the assistance of Tilepro, multi-input display software, during employment of the intraoperative scopes. Three robotic operations, left hepatectomy with intraoperative common bile duct exploration, low anterior resection, and radical distal subtotal gastrectomy with intracorporeal gastrojejunostomy, were performed by three different surgeons at a tertiary academic medical center. The three complex robotic abdominal operations were successfully completed without difficulty or intraoperative complications. The use of the Tilepro to simultaneously visualize the images from the colonoscope, gastroscope, and choledochoscope made it possible to perform additional intraoperative endoscopic procedures without extra monitors or interference with the operations. We present a novel use of the multi-input display program on the da Vinci Surgical System to facilitate the performance of intraoperative endoscopies during complex robotic operations. Our study offers another potentially beneficial application of the robotic surgery platform toward integration and simplification of combining additional procedures with complex minimally invasive operations.

  10. Radiological interpretation of images displayed on tablet computers: a systematic review. (United States)

    Caffery, L J; Armfield, N R; Smith, A C


    To review the published evidence and to determine if radiological diagnostic accuracy is compromised when images are displayed on a tablet computer and thereby inform practice on using tablet computers for radiological interpretation by on-call radiologists. We searched the PubMed and EMBASE databases for studies on the diagnostic accuracy or diagnostic reliability of images interpreted on tablet computers. Studies were screened for inclusion based on pre-determined inclusion and exclusion criteria. Studies were assessed for quality and risk of bias using Quality Appraisal of Diagnostic Reliability Studies or the revised Quality Assessment of Diagnostic Accuracy Studies tool. Treatment of studies was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). 11 studies met the inclusion criteria. 10 of these studies tested the Apple iPad(®) (Apple, Cupertino, CA). The included studies reported high sensitivity (84-98%), specificity (74-100%) and accuracy rates (98-100%) for radiological diagnosis. There was no statistically significant difference in accuracy between a tablet computer and a digital imaging and communication in medicine-calibrated control display. There was a near complete consensus from authors on the non-inferiority of diagnostic accuracy of images displayed on a tablet computer. All of the included studies were judged to be at risk of bias. Our findings suggest that the diagnostic accuracy of radiological interpretation is not compromised by using a tablet computer. This result is only relevant to the Apple iPad and to the modalities of CT, MRI and plain radiography. The iPad may be appropriate for an on-call radiologist to use for radiological interpretation.

  11. Single-image hard-copy display of the spine utilizing digital radiography (United States)

    Artz, Dorothy S.; Janchar, Timothy; Milzman, David; Freedman, Matthew T.; Mun, Seong K.


    Regions of the entire spine contain a wide latitude of tissue densities within the imaged field of view presenting a problem for adequate radiological evaluation. With screen/film technology, the optimal technique for one area of the radiograph is sub-optimal for another area. Computed radiography (CR) with its inherent wide dynamic range, has been shown to be better than screen/film for lateral cervical spine imaging, but limitations are still present with standard image processing. By utilizing a dynamic range control (DRC) algorithm based on unsharp masking and signal transformation prior to gradation and frequency processing within the CR system, more vertebral bodies can be seen on a single hard copy display of the lateral cervical, thoracic, and thoracolumbar examinations. Examinations of the trauma cross-table lateral cervical spine, lateral thoracic spine, and lateral thoracolumbar spine were collected on live patient using photostimulable storage phosphor plates, the Fuji FCR 9000 reader, and the Fuji AC-3 computed radiography reader. Two images were produced from a single exposure; one with standard image processing and the second image with the standard process and the additional DRC algorithm. Both sets were printed from a Fuji LP 414 laser printer. Two different DRC algorithms were applied depending on which portion of the spine was not well visualized. One algorithm increased optical density and the second algorithm decreased optical density. The resultant image pairs were then reviewed by a panel of radiologists. Images produced with the additional DRC algorithm demonstrated improved visualization of previously 'under exposed' and 'over exposed' regions within the same image. Where lung field had previously obscured bony detail of the lateral thoracolumbar spine due to 'over exposure,' the image with the DRC applied to decrease the optical density allowed for easy visualization of the entire area of interest. For areas of the lateral cervical spine

  12. Dynamic real-time 4D cardiac MDCT image display using GPU-accelerated volume rendering. (United States)

    Zhang, Qi; Eagleson, Roy; Peters, Terry M


    Intraoperative cardiac monitoring, accurate preoperative diagnosis, and surgical planning are important components of minimally-invasive cardiac therapy. Retrospective, electrocardiographically (ECG) gated, multidetector computed tomographical (MDCT), four-dimensional (3D + time), real-time, cardiac image visualization is an important tool for the surgeon in such procedure, particularly if the dynamic volumetric image can be registered to, and fused with the actual patient anatomy. The addition of stereoscopic imaging provides a more intuitive environment by adding binocular vision and depth cues to structures within the beating heart. In this paper, we describe the design and implementation of a comprehensive stereoscopic 4D cardiac image visualization and manipulation platform, based on the opacity density radiation model, which exploits the power of modern graphics processing units (GPUs) in the rendering pipeline. In addition, we present a new algorithm to synchronize the phases of the dynamic heart to clinical ECG signals, and to calculate and compensate for latencies in the visualization pipeline. A dynamic multiresolution display is implemented to enable the interactive selection and emphasis of volume of interest (VOI) within the entire contextual cardiac volume and to enhance performance, and a novel color and opacity adjustment algorithm is designed to increase the uniformity of the rendered multiresolution image of heart. Our system provides a visualization environment superior to noninteractive software-based implementations, but with a rendering speed that is comparable to traditional, but inferior quality, volume rendering approaches based on texture mapping. This retrospective ECG-gated dynamic cardiac display system can provide real-time feedback regarding the suspected pathology, function, and structural defects, as well as anatomical information such as chamber volume and morphology.

  13. Laparoscopic Surgery (United States)

    ... surgeon’s perspective, laparoscopic surgery may allow for easier dissection of abdominal scar tissue (adhesions), less surgical trauma, ... on Facebook About ACG ACG Store ACG Patient Education & Resource Center Home GI Health and Disease Recursos ...

  14. A liquid crystal display with consistent moving image quality regardless of viewing angles (United States)

    Kim, Jong-Man; Kim, Seung-Ryul; Kim, Jongbin; Kim, Minkoo; Lee, Seung-Woo


    This paper proposes a new overdrive (OD) technology to precisely compensate for the viewing angle dependent characteristics of LCDs. This paper reports that optical response of liquid crystal displays (LCDs) is considerably dependent on viewing angles for the first time. The new OD technology applies different OD look-up tables (LUTs) depending on the viewing angles. In addition, we combine a new OD technology with an eye tracker that is usually adopted for autostereoscopic 3D LCD systems. The application results show that a new OD technology improves the motion image quality perfectly regardless of viewing angles. We expect that our proposed method will definitely enable the LCD products to have consistent motion image quality regardless of viewing angles.

  15. Structure of the brachial plexus root and adjacent regions displayed by ultrasound imaging

    Institute of Scientific and Technical Information of China (English)

    Zhengyi Li; Xun Xia; Xiaoming Rong; Yamei Tang; Dachuan Xu


    Brachial plexuses of 110 healthy volunteers were examined using high resolution color Doppler ultrasound. Ultrasonic characteristics and anatomic variation in the intervertebral foramen, interscalene, supraclavicular and infraclavicular, as well as the axillary brachial plexus were investigated. Results confirmed that the normal brachial plexus on cross section exhibited round or elliptic hypoechoic texture. Longitudinal section imaging showed many parallel linear hypo-moderate echoes, with hypo-echo. The transverse processes of the seventh cervical vertebra, the scalene space, the subclavian artery and the deep cervical artery are important markers in an examination. The display rates for the interscalene, and supraclavicular and axillary brachial plexuses were 100% each, while that for the infraclavicular brachial plexus was 97%. The region where the normal brachial plexus root traversed the intervertebral foramen exhibited a regular hypo-echo. The display rate for the C5-7 nerve roots was 100%, while those for C8 and T1 were 83% and 68%, respectively. A total of 20 of the 110 subjects underwent cervical CT scan. High-frequency ultrasound can clearly display the outline of the transverse processes of the vertebrae, which were consistent with CT results. These results indicate that high-frequency ultrasound provides a new method for observing the morphology of the brachial plexus. The C7 vertebra is a marker for identifying the position of brachial plexus nerve roots.

  16. Sentinel Lymph Node Mapping With Near-Infrared Fluorescent Imaging Using Indocyanine Green: A New Tool for Laparoscopic Platform in Patients With Endometrial and Cervical Cancer. (United States)

    Buda, Alessandro; Bussi, Beatrice; Di Martino, Giampaolo; Di Lorenzo, Paolo; Palazzi, Sharon; Grassi, Tommaso; Milani, Rodolfo


    Indocyanine green (ICG) represents a feasible alternative to the more traditional methods of sentinel lymph node (SLN) mapping, and interest in this promising tracer is growing. This report outlines our experience with ICG in a minimally invasive laparoscopic approach in women with endometrial cancer and cervical cancer using the Storz SPIES ICG near-infrared fluorescence imaging technology. A total of 49 patients with clinical stage I endometrial cancer (n = 40) or stage I cervical cancer (n = 9) were retrospectively reviewed. All patients had undergone simple or radical laparoscopic hysterectomy with pelvic and/or aortic lymphadenectomy and SLN mapping by means of an intracervical injection of ICG dye at the 3 o'clock and 9 o'clock locations after the induction of general anesthesia. The detection rate of ICG was 100% (49 of 49). The rate of bilateral SLN detection was 86% (42 of 49). Positive lymph nodes were found in 6 patients (12%), with at least 1 positive SLN. The sensitivity and negative predictive value of SLN detection were 100%. All procedures were successfully completed without conversion to open laparotomy, and no intraoperative or postoperative complications occurred. In our preliminary experience, ICG showed a high overall detection rate, and bilateral mapping appears to be a feasible alternative to the more traditional methods of SLN mapping in patients with endometrial cancer and cervical cancer. Laparoscopic SLN mapping with ICG appears to be safe, easy, and reproducible, with a positive impact on patient management.

  17. Does the choice of display system influence perception and visibility of clinically relevant features in digital pathology images? (United States)

    Kimpe, Tom; Rostang, Johan; Avanaki, Ali; Espig, Kathryn; Xthona, Albert; Cocuranu, Ioan; Parwani, Anil V.; Pantanowitz, Liron


    Digital pathology systems typically consist of a slide scanner, processing software, visualization software, and finally a workstation with display for visualization of the digital slide images. This paper studies whether digital pathology images can look different when presenting them on different display systems, and whether these visual differences can result in different perceived contrast of clinically relevant features. By analyzing a set of four digital pathology images of different subspecialties on three different display systems, it was concluded that pathology images look different when visualized on different display systems. The importance of these visual differences is elucidated when they are located in areas of the digital slide that contain clinically relevant features. Based on a calculation of dE2000 differences between background and clinically relevant features, it was clear that perceived contrast of clinically relevant features is influenced by the choice of display system. Furthermore, it seems that the specific calibration target chosen for the display system has an important effect on the perceived contrast of clinically relevant features. Preliminary results suggest that calibrating to DICOM GSDF calibration performed slightly worse than sRGB, while a new experimental calibration target CSDF performed better than both DICOM GSDF and sRGB. This result is promising as it suggests that further research work could lead to better definition of an optimized calibration target for digital pathology images resulting in a positive effect on clinical performance.

  18. Design of Programmable LED Controller with a Variable Current Source for 3D Image Display

    Directory of Open Access Journals (Sweden)

    Kyung-Ryang Lee


    Full Text Available Conventional fluorescent light sources, as well as incandescent light sources are gradually being replaced by Light Emitting Diodes (LEDs for reducing power consumption in the image display area for multimedia application. An LED light source requires a controller with a low-power operation. In this paper, a low-power technique using adiabatic operation is applied for the implementation of LED controller with a stable constant-current, a low-power and low-heat function. From the simulation result, the power consumption of the proposed LED controller using adiabatic operation was reduced to about 87% in comparison with conventional operation with a constant VDD. The proposed circuit is expected to be an alternative LED controller which is sensitive to external conditions such as heat.

  19. 75 FR 8115 - In the Matter of Certain Electronic Devices Having Image Capture or Display Functionality and... (United States)


    .... 5,995,767, 5,774,131, and 6,281,895. 74 FR 14157 (2009). The complainant named Eastman Kodak Company... COMMISSION In the Matter of Certain Electronic Devices Having Image Capture or Display Functionality and... sale within the United States after importation of certain electronic devices having image capture...

  20. Dynamics of laser-imploded core plasmas observed by ultrafast two-dimensional x-ray imaging with animation display

    Energy Technology Data Exchange (ETDEWEB)

    Heya, Manabu; Shiraga, Hiroyuki; Shimada, Kyoko; Miyanaga, Noriaki; Takabe, Hideaki; Yamanaka, Tatsuhiko; Mima, Kunioki [Osaka Univ., Inst. of Laser Engineering, Suita, Osaka (Japan)


    In order to observe time-resolved, two-dimensional (2D) spatial distribution of x rays emitted from core plasmas at the final stage of the implosion, we have developed a multi-imaging x-ray streak camera (MIXS) and a multi-channel MIXS (McMIXS) methods as new ultrafast 2D x-ray imaging techniques. The observed time-resolved 2D x-ray and electron-temperature images of core plasmas, which are sequentially changing with time, have been displayed by using an animation method. Temporal evolutions of nonuniform structures, including shape, size, and movement of core plasmas can be observed instinctively with the animated display. The ultrafast 2D x-ray imaging with the animation display is a new powerful tool for understanding the dynamics of laser-imploded core plasmas. (author)

  1. Split-screen display system and standardized methods for ultrasound image acquisition and multi-frame data processing (United States)

    Selzer, Robert H. (Inventor); Hodis, Howard N. (Inventor)


    A standardized acquisition methodology assists operators to accurately replicate high resolution B-mode ultrasound images obtained over several spaced-apart examinations utilizing a split-screen display in which the arterial ultrasound image from an earlier examination is displayed on one side of the screen while a real-time "live" ultrasound image from a current examination is displayed next to the earlier image on the opposite side of the screen. By viewing both images, whether simultaneously or alternately, while manually adjusting the ultrasound transducer, an operator is able to bring into view the real-time image that best matches a selected image from the earlier ultrasound examination. Utilizing this methodology, dynamic material properties of arterial structures, such as IMT and diameter, are measured in a standard region over successive image frames. Each frame of the sequence has its echo edge boundaries automatically determined by using the immediately prior frame's true echo edge coordinates as initial boundary conditions. Computerized echo edge recognition and tracking over multiple successive image frames enhances measurement of arterial diameter and IMT and allows for improved vascular dimension measurements, including vascular stiffness and IMT determinations.


    Institute of Scientific and Technical Information of China (English)

    Bittner R; Leibl BJ; Kraft K; Schmedt CG


    @@ The first steps in laparoscopic hemioplastic surgery were performed by gynaecologists in the 1980′s[ 1, 2]. However the essentials of transabdominal technique with preperitoneal placement of polypropylene mesh (TAPP) and totally extraperitoneal (TEP) repair were first described in the beginning of the 1990′s by Arregui[3] and Mc Keman respectively[4].

  3. Pancreatic insulinomas:laparoscopic management

    Institute of Scientific and Technical Information of China (English)

    Pantelis; T; Antonakis; Hutan; Ashrafian; Alberto; Martinez-Isla


    Insulinomas are rare pancreatic neuroendocrine tumors that are most commonly benign,solitary,and intrapancreatic. Uncontrolled insulin overproduction from the tumor produces neurological and adrenergic symptoms of hypoglycemia. Biochemical diagnosis is confirmed by the presence of Whipple’s triad,along with corroborating measurements of blood glucose,insulin,proinsulin,C-peptide,β-hydroxybutyrate,and negative tests for hypoglycemic agents during a supervised fasting period. This is accompanied by accurate preoperative localization using both invasive and non-invasive imaging modalities. Following this,careful preoperative planning is required,with the ensuing procedure being preferably carried out laparoscopically. An integral part of the laparoscopic approach is the application of laparoscopic intraoperative ultrasound,which is indispensable for accurate intraoperative localization of the lesion in the pancreatic region. The extent of laparoscopic resection is dependent on preoperative and intraoperative findings,but most commonly involves tumor enucleation or distal pancreatectomy. When performed in an experienced surgical unit,laparoscopic resection is associated with minimal mortality and excellent long-term cure rates. Furthermore,this approach confers equivalent safety and efficacy rates to open resection,while improving cosmesis and reducing hospital stay. As such,laparoscopic resection should be considered in all cases of benign insulinoma where adequate surgical expertise is available.

  4. Use of personal digital assistants for retrieval of medical images and data on high-resolution flat panel displays. (United States)

    Ratib, Osman; McCoy, J Michael; McGill, D Ric; Li, Minglin; Brown, Allen


    For its new acute care hospital, the University of California at Los Angeles is evaluating innovative technology involving high-resolution flat panel display devices configured as "network appliances" that can be wall mounted for use in the retrieval and display of medical images and data. Physicians and healthcare providers can log on with wireless handheld computers, which can serve as an identification device as well as a navigational tool for selecting patient records and data. These data are displayed and manipulated on the flat panel display without the need for a keyboard or mouse. A prototype was developed with commercially available image display software, which was modified to allow the remote control of software functions from a handheld device through an infrared communication port. The system also allows navigation through the patient data in a World Wide Web-based electronic patient record. This prototype illustrates the evolution of radiologic facilities toward "shareable" high-quality display devices that allow more convenient and cost-effective access to medical images and related data in complex clinical environments, resulting in a paradigm shift in data navigation and accessibility.

  5. A new approach of building 3D visualization framework for multimodal medical images display and computed assisted diagnosis (United States)

    Li, Zhenwei; Sun, Jianyong; Zhang, Jianguo


    As more and more CT/MR studies are scanning with larger volume of data sets, more and more radiologists and clinician would like using PACS WS to display and manipulate these larger data sets of images with 3D rendering features. In this paper, we proposed a design method and implantation strategy to develop 3D image display component not only with normal 3D display functions but also with multi-modal medical image fusion as well as compute-assisted diagnosis of coronary heart diseases. The 3D component has been integrated into the PACS display workstation of Shanghai Huadong Hospital, and the clinical practice showed that it is easy for radiologists and physicians to use these 3D functions such as multi-modalities' (e.g. CT, MRI, PET, SPECT) visualization, registration and fusion, and the lesion quantitative measurements. The users were satisfying with the rendering speeds and quality of 3D reconstruction. The advantages of the component include low requirements for computer hardware, easy integration, reliable performance and comfortable application experience. With this system, the radiologists and the clinicians can manipulate with 3D images easily, and use the advanced visualization tools to facilitate their work with a PACS display workstation at any time.

  6. Display of Dynamic, Volume Graphic Images by Holographic Voxel Projection. Initial Investigation (United States)


    REFERENCE S 1. Veron, H., D. Southard, J. Leger, and J. Conway, " 3D Displays for Battle Management," The MITRE Corporation, Bedford, MA, 01730...published as RADC-TR-90-46 (April 1990). 2. Wilson, A., "At SID, Lasers Put New Spin on 3D Displays," ESD: The Electronic System Design Magazine, August...34Electronic Display System for Computational Holography," SPIE, Vol 1212, pp. 325-333, (January 1990). 5. Meacham, G., " Autostereoscopic Displays - Past

  7. Fluorescent Imaging With Indocyanine Green During Laparoscopic Cholecystectomy in Patients at Increased Risk of Bile Duct Injury

    NARCIS (Netherlands)

    Ankersmit, M.; Dam, D.A. van; Rijswijk, A.S. van; Tuynman, J.B.; Meijerink, W.J.H.J.


    BACKGROUND: Although rare, injury to the common bile duct (CBD) during laparoscopic cholecystectomy (LC) can be reduced by better intraoperative visualization of the cystic duct (CD) and CBD. The aim of this study was to establish the efficacy of early visualization of the CD and the added value of

  8. Stereoscopic uncooled thermal imaging with autostereoscopic 3D flat-screen display in military driving enhancement systems (United States)

    Haan, H.; Münzberg, M.; Schwarzkopf, U.; de la Barré, R.; Jurk, S.; Duckstein, B.


    Thermal cameras are widely used in driver vision enhancement systems. However, in pathless terrain, driving becomes challenging without having a stereoscopic perception. Stereoscopic imaging is a well-known technique already for a long time with understood physical and physiological parameters. Recently, a commercial hype has been observed, especially in display techniques. The commercial market is already flooded with systems based on goggle-aided 3D-viewing techniques. However, their use is limited for military applications since goggles are not accepted by military users for several reasons. The proposed uncooled thermal imaging stereoscopic camera with a geometrical resolution of 640x480 pixel perfectly fits to the autostereoscopic display with a 1280x768 pixels. An eye tracker detects the position of the observer's eyes and computes the pixel positions for the left and the right eye. The pixels of the flat panel are located directly behind a slanted lenticular screen and the computed thermal images are projected into the left and the right eye of the observer. This allows a stereoscopic perception of the thermal image without any viewing aids. The complete system including camera and display is ruggedized. The paper discusses the interface and performance requirements for the thermal imager as well as for the display.

  9. Influence of limited random-phase of objects on the image quality of 3D holographic display (United States)

    Ma, He; Liu, Juan; Yang, Minqiang; Li, Xin; Xue, Gaolei; Wang, Yongtian


    Limited-random-phase time average method is proposed to suppress the speckle noise of three dimensional (3D) holographic display. The initial phase and the range of the random phase are studied, as well as their influence on the optical quality of the reconstructed images, and the appropriate initial phase ranges on object surfaces are obtained. Numerical simulations and optical experiments with 2D and 3D reconstructed images are performed, where the objects with limited phase range can suppress the speckle noise in reconstructed images effectively. It is expected to achieve high-quality reconstructed images in 2D or 3D display in the future because of its effectiveness and simplicity.

  10. Image quality performance of liquid crystal display systems: influence of display resolution, magnification and window settings on contrast-detail detection. (United States)

    Bacher, Klaus; Smeets, Peter; De Hauwere, An; Voet, Tony; Duyck, Philippe; Verstraete, Koenraad; Thierens, Hubert


    The aim of this study was to investigate the combined effects of liquid crystal display (LCD) resolution, image magnification and window/level adjustment on the low-contrast performance in soft-copy image interpretation in digital radiography and digital mammography. In addition, the effect of a new LCD noise reduction mechanism on the low-contrast detectability was studied. Digital radiographs and mammograms of two dedicated contrast-detail phantoms (CDRAD 2.0 and CDMAM 3.4) were scored on five LCD devices with varying resolutions (1-3- and 5-megapixel) and one dedicated 5-megapixel cathode ray tube monitor. Two 5-megapixel LCDs were included. The first one was a standard 5-megapixel LCD and the second had a new (Per Pixel Uniformity) noise reduction mechanism. A multi-variate analysis of variance revealed a significant influence of LCD resolution, image magnification and window/level adjustment on the image quality performance assessed with both the CDRAD 2.0 and the CDMAM 3.4 phantoms. The interactive adjustment of brightness and contrast of digital images did not affect the reading time, whereas magnification to full resolution resulted in a significantly slower soft-copy interpretation. For digital radiography applications, a 3-megapixel LCD is comparable with a 5-megapixel CRT monitor in terms of low-contrast performance as well as in reading time. The use of a 2-megapixel LCD is only warranted when radiographs are analysed in full resolution and when using the interactive window/level adjustment. In digital mammography, a 5-megapixel monitor should be the first choice. In addition, the new PPU noise reduction system in the 5-megapixel LCD devices provides significantly better results for mammography reading as compared to a standard 5-magapixel LCD or CRT. If a 3-megapixel LCD is used in mammography setting, a very time-consuming magnification of the digital mammograms would be necessary.

  11. Image quality performance of liquid crystal display systems: Influence of display resolution, magnification and window settings on contrast-detail detection

    Energy Technology Data Exchange (ETDEWEB)

    Bacher, Klaus [Department of Medical Physics and Radiation Protection, Ghent University, Proeftuinstraat 86, B-9000 Gent (Belgium)]. E-mail:; Smeets, Peter [Department of Radiology, Ghent University Hospital, De Pintelaan 185, B-9000 Gent (Belgium); De Hauwere, An [Department of Medical Physics and Radiation Protection, Ghent University, Proeftuinstraat 86, B-9000 Gent (Belgium); Voet, Tony [Department of Radiology, Ghent University Hospital, De Pintelaan 185, B-9000 Gent (Belgium); Duyck, Philippe [Department of Radiology, Ghent University Hospital, De Pintelaan 185, B-9000 Gent (Belgium); Verstraete, Koenraad [Department of Radiology, Ghent University Hospital, De Pintelaan 185, B-9000 Gent (Belgium); Thierens, Hubert [Department of Medical Physics and Radiation Protection, Ghent University, Proeftuinstraat 86, B-9000 Gent (Belgium)


    The aim of this study was to investigate the combined effects of liquid crystal display (LCD) resolution, image magnification and window/level adjustment on the low-contrast performance in soft-copy image interpretation in digital radiography and digital mammography. In addition, the effect of a new LCD noise reduction mechanism on the low-contrast detectability was studied. Digital radiographs and mammograms of two dedicated contrast-detail phantoms (CDRAD 2.0 and CDMAM 3.4) were scored on five LCD devices with varying resolutions (1-3- and 5-megapixel) and one dedicated 5-megapixel cathode ray tube monitor. Two 5-megapixel LCDs were included. The first one was a standard 5-megapixel LCD and the second had a new (Per Pixel Uniformity) noise reduction mechanism. A multi-variate analysis of variance revealed a significant influence of LCD resolution, image magnification and window/level adjustment on the image quality performance assessed with both the CDRAD 2.0 and the CDMAM 3.4 phantoms. The interactive adjustment of brightness and contrast of digital images did not affect the reading time, whereas magnification to full resolution resulted in a significantly slower soft-copy interpretation. For digital radiography applications, a 3-megapixel LCD is comparable with a 5-megapixel CRT monitor in terms of low-contrast performance as well as in reading time. The use of a 2-megapixel LCD is only warranted when radiographs are analysed in full resolution and when using the interactive window/level adjustment. In digital mammography, a 5-megapixel monitor should be the first choice. In addition, the new PPU noise reduction system in the 5-megapixel LCD devices provides significantly better results for mammography reading as compared to a standard 5-magapixel LCD or CRT. If a 3-megapixel LCD is used in mammography setting, a very time-consuming magnification of the digital mammograms would be necessary.

  12. A head-mounted display-based personal integrated-image monitoring system for transurethral resection of the prostate. (United States)

    Yoshida, Soichiro; Kihara, Kazunori; Takeshita, Hideki; Fujii, Yasuhisa


    The head-mounted display (HMD) is a new image monitoring system. We developed the Personal Integrated-image Monitoring System (PIM System) using the HMD (HMZ-T2, Sony Corporation, Tokyo, Japan) in combination with video splitters and multiplexers as a surgical guide system for transurethral resection of the prostate (TURP). The imaging information obtained from the cystoscope, the transurethral ultrasonography (TRUS), the video camera attached to the HMD, and the patient's vital signs monitor were split and integrated by the PIM System and a composite image was displayed by the HMD using a four-split screen technique. Wearing the HMD, the lead surgeon and the assistant could simultaneously and continuously monitor the same information displayed by the HMD in an ergonomically efficient posture. Each participant could independently rearrange the images comprising the composite image depending on the engaging step. Two benign prostatic hyperplasia (BPH) patients underwent TURP performed by surgeons guided with this system. In both cases, the TURP procedure was successfully performed, and their postoperative clinical courses had no remarkable unfavorable events. During the procedure, none of the participants experienced any HMD-wear related adverse effects or reported any discomfort.

  13. Laparoscopic pyeloplasty.

    LENUS (Irish Health Repository)

    Cheema, I A


    We report our results and short term follow up of transperitoneal laparoscopic pyeloplasty for pelvi-ureteric junction (PUJ) obstruction. We have prospectively maintained a database to document our initial experience of 54 laparoscopic pyeloplasty. All procedures were carried out by one surgeon through a transperitoneal approach. The data extends from April 2005 to September 2008 and reports operative time, blood loss, complications, hospital stay, short term follow-up on symptomatic and radiological outcome. Fifty-four procedures were performed during the study period. Mean patient age was 29 years. Mean operating time was 133 minutes (range 65-300 minutes), and mean blood loss was 45 ml (range 20-300 ml). No intra operative complication occurred. Neither blood transfusion nor conversion to open surgery was required. Postoperative mean hospital stay was 3.4 days (range 3-14 days). There were 3 anastomotic leakages; 2 in the immediate postoperative period and 1 following removal of stent. They all required percutaneous drainage and prolonged stenting. Overall 47 (87%) patients have symptomatic relief and resolution of obstruction on renogram. Four (7%) patients developed recurrence. Three (5.5%) patients had symptomatic relief but have a persistent obstructive renogram. Laparoscopic pyeloplasty is an effective alternative treatment for symptomatic pelvi-ureteric junction obstruction. The results appear comparable to open pyeloplasty with decreased postoperative morbidity.

  14. [Laparoscopic choledochoduodenostomy]. (United States)

    Baĭramov, N Iu; Zeĭnalov, N A; Pashadze, V A


    The article presents the results of laparoscopic choledoch-duodenostomy (CDS) applied to 23 patients with benign strictures of distal part of common bile duct (CBD). 21 patients had cholelithiasis in combination with the CBD stricture. The rest 2 patients had acalculous postcholecystectomy stricture. The laparoscopic CDS was executed by 5 trocars: 4 were placed in standard cholecystectomy positions and the 5th was placed by the right pararectal line at the umbilicus level and was used for traction of duodenum and continuous aspiration. 2 sm long side-to-side CDS was performed with interrupted sutures. The mean operative time was 128±36 (90-205) min. There was no conversion. The mean hospital stay was 4.5 (3-9) days. There was no mortality. 2 patients developed an anastomosis bile leakage: one received the relaparoscopy and T-draining of the CDS, in another patient the leakage seased spontaneously. 82.7% of patients showed excellent and good long term results. 3 patients reported bad outcome and very bad result was registered in 1 patient. In conclusion, the laparoscopic CDS gives good outcomes in experienced hands and could be considered as an alternative to endoscopic sphincterotomy in patients with distal CBD stenosis.

  15. Holographic display system of a three-dimensional image with distortion-free magnification and zero-order elimination (United States)

    Zhang, Hao; Tan, Qiaofeng; Jin, Guofan


    We propose a three-dimensional (3-D) holographic display system which consists of a phase-only spatial light modulator (SLM) and a modified 4-f system. The 3-D scene is generated from OpenGL, and the point source algorithm with anti-aliasing technique is used to generate the Fresnel hologram. A modified 4-f system is proposed to produce distortion-free magnification of the 3-D image and eliminate the zero-order interruption of the 3-D holographic imaging system. This method can make efficient utilization of the space-bandwidth product of the SLM, which promises the image quality and keeps the 3-D imaging zone unchanged. Numerical simulations and optical experiments are performed, and the results show that our proposed method can reconstruct enlarged 3-D optical image with correct magnification factor and low image noise.

  16. Image quality affected by diffraction of aperture structure arrangement in transparent active-matrix organic light-emitting diode displays. (United States)

    Tsai, Yu-Hsiang; Huang, Mao-Hsiu; Jeng, Wei-de; Huang, Ting-Wei; Lo, Kuo-Lung; Ou-Yang, Mang


    Transparent display is one of the main technologies in next-generation displays, especially for augmented reality applications. An aperture structure is attached on each display pixel to partition them into transparent and black regions. However, diffraction blurs caused by the aperture structure typically degrade the transparent image when the light from a background object passes through finite aperture window. In this paper, the diffraction effect of an active-matrix organic light-emitting diode display (AMOLED) is studied. Several aperture structures have been proposed and implemented. Based on theoretical analysis and simulation, the appropriate aperture structure will effectively reduce the blur. The analysis data are also consistent with the experimental results. Compared with the various transparent aperture structure on AMOLED, diffraction width (zero energy position of diffraction pattern) of the optimize aperture structure can be reduced 63% and 31% in the x and y directions in CASE 3. Associated with a lenticular lens on the aperture structure, the improvement could reach to 77% and 54% of diffraction width in the x and y directions. Modulation transfer function and practical images are provided to evaluate the improvement of image blurs.

  17. Integration of real-time 3D image acquisition and multiview 3D display (United States)

    Zhang, Zhaoxing; Geng, Zheng; Li, Tuotuo; Li, Wei; Wang, Jingyi; Liu, Yongchun


    Seamless integration of 3D acquisition and 3D display systems offers enhanced experience in 3D visualization of the real world objects or scenes. The vivid representation of captured 3D objects displayed on a glasses-free 3D display screen could bring the realistic viewing experience to viewers as if they are viewing real-world scene. Although the technologies in 3D acquisition and 3D display have advanced rapidly in recent years, effort is lacking in studying the seamless integration of these two different aspects of 3D technologies. In this paper, we describe our recent progress on integrating a light-field 3D acquisition system and an autostereoscopic multiview 3D display for real-time light field capture and display. This paper focuses on both the architecture design and the implementation of the hardware and the software of this integrated 3D system. A prototype of the integrated 3D system is built to demonstrate the real-time 3D acquisition and 3D display capability of our proposed system.

  18. Multispectral Fluorescence Imaging During Robot-assisted Laparoscopic Sentinel Node Biopsy: A First Step Towards a Fluorescence-based Anatomic Roadmap. (United States)

    van den Berg, Nynke S; Buckle, Tessa; KleinJan, Gijs H; van der Poel, Henk G; van Leeuwen, Fijs W B


    During (robot-assisted) sentinel node (SN) biopsy procedures, intraoperative fluorescence imaging can be used to enhance radioguided SN excision. For this combined pre- and intraoperative SN identification was realized using the hybrid SN tracer, indocyanine green-(99m)Tc-nanocolloid. Combining this dedicated SN tracer with a lymphangiographic tracer such as fluorescein may further enhance the accuracy of SN biopsy. Clinical evaluation of a multispectral fluorescence guided surgery approach using the dedicated SN tracer ICG-(99m)Tc-nanocolloid, the lymphangiographic tracer fluorescein, and a commercially available fluorescence laparoscope. Pilot study in ten patients with prostate cancer. Following ICG-(99m)Tc-nanocolloid administration and preoperative lymphoscintigraphy and single-photon emission computed tomograpy imaging, the number and location of SNs were determined. Fluorescein was injected intraprostatically immediately after the patient was anesthetized. A multispectral fluorescence laparoscope was used intraoperatively to identify both fluorescent signatures. Multispectral fluorescence imaging during robot-assisted radical prostatectomy with extended pelvic lymph node dissection and SN biopsy. (1) Number and location of preoperatively identified SNs. (2) Number and location of SNs intraoperatively identified via ICG-(99m)Tc-nanocolloid imaging. (3) Rate of intraoperative lymphatic duct identification via fluorescein imaging. (4) Tumor status of excised (sentinel) lymph node(s). (5) Postoperative complications and follow-up. Near-infrared fluorescence imaging of ICG-(99m)Tc-nanocolloid visualized 85.3% of the SNs. In 8/10 patients, fluorescein imaging allowed bright and accurate identification of lymphatic ducts, although higher background staining and tracer washout were observed. The main limitation is the small patient population. Our findings indicate that a lymphangiographic tracer can provide additional information during SN biopsy based on ICG-(99m

  19. Second laparoscopic resection for recurrent hepatocellular carcinoma after initial laparoscopic

    Institute of Scientific and Technical Information of China (English)

    LIANG Xiao; CAI Xiu-jun; YU Hong; WANG Yi-fan; LIANG Yue-long


    @@ With the development of laparoscopic techniques,laparoscopic hepatectomy is feasible for hepatocellular carcinoma as reported in recent years.Although several reports have been published on laparoscopic surgery for metastatic liver cancer,1,2 few of them deals with second laparoscopic resection of recurrent hepatocellular carcinoma. We report a case of second laparoscopic resection for recurrent hepatocellular carcinoma after initial laparoscopic hepatectomy.

  20. Real-time dynamic display of registered 4D cardiac MR and ultrasound images using a GPU (United States)

    Zhang, Q.; Huang, X.; Eagleson, R.; Guiraudon, G.; Peters, T. M.


    In minimally invasive image-guided surgical interventions, different imaging modalities, such as magnetic resonance imaging (MRI), computed tomography (CT), and real-time three-dimensional (3D) ultrasound (US), can provide complementary, multi-spectral image information. Multimodality dynamic image registration is a well-established approach that permits real-time diagnostic information to be enhanced by placing lower-quality real-time images within a high quality anatomical context. For the guidance of cardiac procedures, it would be valuable to register dynamic MRI or CT with intraoperative US. However, in practice, either the high computational cost prohibits such real-time visualization of volumetric multimodal images in a real-world medical environment, or else the resulting image quality is not satisfactory for accurate guidance during the intervention. Modern graphics processing units (GPUs) provide the programmability, parallelism and increased computational precision to begin to address this problem. In this work, we first outline our research on dynamic 3D cardiac MR and US image acquisition, real-time dual-modality registration and US tracking. Then we describe image processing and optimization techniques for 4D (3D + time) cardiac image real-time rendering. We also present our multimodality 4D medical image visualization engine, which directly runs on a GPU in real-time by exploiting the advantages of the graphics hardware. In addition, techniques such as multiple transfer functions for different imaging modalities, dynamic texture binding, advanced texture sampling and multimodality image compositing are employed to facilitate the real-time display and manipulation of the registered dual-modality dynamic 3D MR and US cardiac datasets.

  1. Multilevel Wavelet Feature Statistics for Efficient Retrieval, Transmission, and Display of Medical Images by Hybrid Encoding (United States)

    Yang, Shuyu; Mitra, Sunanda; Corona, Enrique; Nutter, Brian; Lee, DJ


    Many common modalities of medical images acquire high-resolution and multispectral images, which are subsequently processed, visualized, and transmitted by subsampling. These subsampled images compromise resolution for processing ability, thus risking loss of significant diagnostic information. A hybrid multiresolution vector quantizer (HMVQ) has been developed exploiting the statistical characteristics of the features in a multiresolution wavelet-transformed domain. The global codebook generated by HMVQ, using a combination of multiresolution vector quantization and residual scalar encoding, retains edge information better and avoids significant blurring observed in reconstructed medical images by other well-known encoding schemes at low bit rates. Two specific image modalities, namely, X-ray radiographic and magnetic resonance imaging (MRI), have been considered as examples. The ability of HMVQ in reconstructing high-fidelity images at low bit rates makes it particularly desirable for medical image encoding and fast transmission of 3D medical images generated from multiview stereo pairs for visual communications.

  2. Determination of the optimal energy level in spectral CT imaging for displaying abdominal vessels in pediatric patients

    Energy Technology Data Exchange (ETDEWEB)

    Hu, Di, E-mail: [Beijing Children' s Hospital, Capital Medical University, Imaging Center, No. 56, Nanlishi Road, Xicheng District, Beijing 100045 (China); Yu, Tong, E-mail: [Beijing Children' s Hospital, Capital Medical University, Imaging Center, No. 56, Nanlishi Road, Xicheng District, Beijing 100045 (China); Duan, Xiaomin, E-mail: [Beijing Children' s Hospital, Capital Medical University, Imaging Center, No. 56, Nanlishi Road, Xicheng District, Beijing 100045 (China); Peng, Yun, E-mail: [Beijing Children' s Hospital, Capital Medical University, Imaging Center, No. 56, Nanlishi Road, Xicheng District, Beijing 100045 (China); Zhai, Renyou, E-mail: [Beijing Chaoyang Hospital, Capital Medical University, Imaging Center, No. 8, Gongti South Road, Chaoyang District, Beijing 100020 (China)


    Purpose: To determine the optimal energy level in contrast-enhanced spectral CT imaging for displaying abdominal vessels in pediatric patients. Materials and methods: This retrospective study was institutional review board approved. 15 children (8 males and 7 females, age range, 6–15 years, mean age 10.1 ± 3.1 years) underwent contrast-enhanced spectral CT imaging for diagnosing solid tumors in abdomen and pelvic areas were included. A single contrast-enhanced scan was performed using a dual energy spectral CT mode with a new split contrast injection scheme (iodixanol at 1–1.5 ml/kg dose. 2/3 first, 1/3 at 7–15 s after the first injection). 101 sets of monochromatic images with photon energies of 40–140 keV with 1 keV interval were reconstructed. Contrast-noise-ratio (CNR) for hepatic portal or vein were generated and compared at every energy level to determine the optimal energy level to maximize CNR. 2 board-certified radiologists interpreted the selected image sets independently for image quality scores. Results: CT values and CNR for the vessels increased as photon energy decreased from 140 to 40 keV: (CT value: 48.29–570.12 HU, CNR: 0.08–14.90) in the abdominal aorta, (58.48–369.73 HU, 0.64–5.87) in the inferior vena cava, and (58.48–369.73 HU, 0.06–6.96) in the portal vein. Monochromatic images at 40–50 keV (average 42.0 ± 4.67 keV) could display vessels above three levels clearly, and with excellent image quality scores of 3.17 ± 0.58 (of 4) (k = 0.50). The CNR values at the optimal energy level were significantly higher than those at 70 keV, an average energy corresponding to the conventional 120 kVp for abdominal CT imaging. Conclusion: Spectral CT imaging provides a set of monochromatic images to optimize image quality and enhance vascular visibility, especially in the hepatic portal and vein systems. The best CNR for displaying abdominal vessels in children was obtained at 42 keV photon energy level.

  3. More than the Verbal Stimulus Matters: Visual Attention in Language Assessment for People with Aphasia Using Multiple-Choice Image Displays (United States)

    Heuer, Sabine; Ivanova, Maria V.; Hallowell, Brooke


    Purpose: Language comprehension in people with aphasia (PWA) is frequently evaluated using multiple-choice displays: PWA are asked to choose the image that best corresponds to the verbal stimulus in a display. When a nontarget image is selected, comprehension failure is assumed. However, stimulus-driven factors unrelated to linguistic…

  4. New method for identifying features of an image on a digital video display (United States)

    Doyle, Michael D.


    The MetaMap process extends the concept of direct manipulation human-computer interfaces to new limits. Its specific capabilities include the correlation of discrete image elements to relevant text information and the correlation of these image features to other images as well as to program control mechanisms. The correlation is accomplished through reprogramming of both the color map and the image so that discrete image elements comprise unique sets of color indices. This process allows the correlation to be accomplished with very efficient data storage and program execution times. Image databases adapted to this process become object-oriented as a result. Very sophisticated interrelationships can be set up between images text and program control mechanisms using this process. An application of this interfacing process to the design of an interactive atlas of medical histology as well as other possible applications are described. The MetaMap process is protected by U. S. patent #4


    Institute of Scientific and Technical Information of China (English)


    Objective. To investigate the indications, surgical techniques and complications of laparoscopic myomectomy. Materials and methods. A retrospective study was carried out in 74 patients with fibroids >3cm from March, 1995 until May,2000 at PUMC Hospital. Indications for surgery were symptomatic fibroids( 20 cases) , mainly pain or urine frequency ; progressively increasing fibroid size (7 cases); coexistent adnexal pathology( 26 cases) and infertility( 21 cases) . Results. The number of fibroids of each patient varied from 1 to 4 with single fibroid of 62 cases (83.7% ).The fibroids were located in anterior wall (30 cases), posterior wall (23 cases) and fundus (21 cases). A total of 93 fibroids were removed from these patients including 16 intramural fibroids and 77 subserous fibroids. The size of dominant fibroids ranged from 3~ 8 cm (mean 4.8 cm). In 19 cases (25.6% ),the uterine wall was sutured in one layer. Mean duration of operation was 73 minutes and mean blood loss was 82 ml. Longer operating time and more blood loss were observed in patients with fibroids≥ 4cm than those with fibroids <4cm. The difference was statistically significant (P< 0.05). Mean postoperative hospital stay was 3.2 days and overall complication rate was 1.4% . The average postoperative follow-up period was 22 months (1~ 62 months). All the patients with symptoms showed remission of their complaints at 2-month follow-up. Recurrence of fibroid occurred in 1 case 1 year after initial operation and second laparoscopic myomectomy was given to her successfully. Five patients became pregnant. The pregnancy was uneventful and proceeded to selective caesarean section at term pregnancy in 4 cases. One miscarriage occured at 8 weeks in the 5th case. No adhesions at myomectomy site were found in these 5 patients. Conclusions. Our study suggests the feasibility of laparoscopic myomectomy in selected patients, which leads to effectiveness, low complication rate and

  6. Laparoscopic hemicolectomy in a patient with situs inversus totalis

    Institute of Scientific and Technical Information of China (English)


    As among persons with normal anatomy, occasional patients with situs inversus develop malignant tumors. Recently, several laparoscopic operations have been reported in patients with situs inversus.We describe laparoscopic hemicolectomy with radical lymphadenectomy in such a patient. Careful consideration of the mirror-image anatomy permitted safe operation using techniques not otherwise differing from those in ordinary cases. Thus, curative laparoscopic surgery for colon cancer in the presence of situs inversus is feasible and safe.

  7. Laparoscopic Spleen Removal (Splenectomy) (United States)

    ... Laparoscopic Appendectomy Surgery Patient Information from SAGES Laparoscopic Colon Resection Surgery Patient Information from ... and Endoscopic Surgeons 11300 W. OIympic Blvd Suite 600 Los Angeles, CA 90064 USA Tel: (310) 437- ...

  8. Laparoscopic Adrenal Gland Removal (United States)

    ... Laparoscopic Appendectomy Surgery Patient Information from SAGES Laparoscopic Colon Resection Surgery Patient Information from ... and Endoscopic Surgeons 11300 W. OIympic Blvd Suite 600 Los Angeles, CA 90064 USA Tel: (310) 437- ...

  9. Laparoscopic Spine Surgery (United States)

    ... Exhibit Opportunities Sponsorship Opportunities Log In Laparoscopic Spine Surgery Patient Information from SAGES Download PDF Find a SAGES Surgeon Laparoscopic Spine Surgery Your spine surgeon has determined that you need ...

  10. Computer-assisted orthognathic surgery: waferless maxillary positioning, versatility, and accuracy of an image-guided visualisation display. (United States)

    Zinser, Max J; Mischkowski, Robert A; Dreiseidler, Timo; Thamm, Oliver C; Rothamel, Daniel; Zöller, Joachim E


    There may well be a shift towards 3-dimensional orthognathic surgery when virtual surgical planning can be applied clinically. We present a computer-assisted protocol that uses surgical navigation supplemented by an interactive image-guided visualisation display (IGVD) to transfer virtual maxillary planning precisely. The aim of this study was to analyse its accuracy and versatility in vivo. The protocol consists of maxillofacial imaging, diagnosis, planning of virtual treatment, and intraoperative surgical transfer using an IGV display. The advantage of the interactive IGV display is that the virtually planned maxilla and its real position can be completely superimposed during operation through a video graphics array (VGA) camera, thereby augmenting the surgeon's 3-dimensional perception. Sixteen adult class III patients were treated with by bimaxillary osteotomy. Seven hard tissue variables were chosen to compare (ΔT1-T0) the virtual maxillary planning (T0) with the postoperative result (T1) using 3-dimensional cephalometry. Clinically acceptable precision for the surgical planning transfer of the maxilla (orthognathic planning.

  11. Augmented reality and image overlay navigation with OsiriX in laparoscopic and robotic surgery: not only a matter of fashion. (United States)

    Volonté, Francesco; Pugin, François; Bucher, Pascal; Sugimoto, Maki; Ratib, Osman; Morel, Philippe


    New technologies can considerably improve preoperative planning, enhance the surgeon's skill and simplify the approach to complex procedures. Augmented reality techniques, robot assisted operations and computer assisted navigation tools will become increasingly important in surgery and in residents' education. We obtained 3D reconstructions from simple spiral computed tomography (CT) slides using OsiriX, an open source processing software package dedicated to DICOM images. These images were then projected on the patient's body with a beamer fixed to the operating table to enhance spatial perception during surgical intervention (augmented reality). Changing a window's deepness level allowed the surgeon to navigate through the patient's anatomy, highlighting regions of interest and marked pathologies. We used image overlay navigation for laparoscopic operations such cholecystectomy, abdominal exploration, distal pancreas resection and robotic liver resection. Augmented reality techniques will transform the behaviour of surgeons, making surgical interventions easier, faster and probably safer. These new techniques will also renew methods of surgical teaching, facilitating transmission of knowledge and skill to young surgeons.

  12. Three-dimensional imaging with simultaneous reproduction of two image elements in one display pixel by information-dependent polarization coding. (United States)

    Ezhov, Vasily


    Information-dependent (active) polarization encoding can be used to simultaneously present two image-resolvable elements [elements of left and right views of a three-dimensional (3D) scene] in a single display pixel. Polarization decoding, with the help of passive polarization filters, makes it possible to separate elements of left and right views and to observe them independently by left and right eyes. In this paper the basic theory of such 3D displays is developed. The relevant solutions of the general equation of light elliptical polarization are obtained in all important cases: cases of controlled birefringence and/or optical activity as three basic controlled polarization encoders. The obtained formulas are essentially the forms of signals that should control the values of birefringence and optical activity to realize the required polarization encoding. Optical schemes of flat-panel direct-view stereoscopic and autostereoscopic displays with the use of liquid crystal polarization encoding matrices are considered.

  13. Imaging of Ultraweak Spontaneous Photon Emission from Human Body Displaying Diurnal Rhythm


    Masaki Kobayashi; Daisuke Kikuchi; Hitoshi Okamura


    The human body literally glimmers. The intensity of the light emitted by the body is 1000 times lower than the sensitivity of our naked eyes. Ultraweak photon emission is known as the energy released as light through the changes in energy metabolism. We successfully imaged the diurnal change of this ultraweak photon emission with an improved highly sensitive imaging system using cryogenic charge-coupled device (CCD) camera. We found that the human body directly and rhythmically emits light. T...

  14. LCD and CRT display of storage phosphor plate and limited cone beam computed tomography images for the evaluation of root canal fillings. (United States)

    Baksi, B Güniz; Soğur, Elif; Gröndahl, Hans-Göran


    The aim was to compare quality of liquid crystal display (LCD) and high resolution cathode ray tube (CRT) screens for the evaluation of length and homogeneity of root canal fillings in storage phosphor plate (SPP) and limited cone beam computed tomography (LCBCT) images. Endodontic treatment was performed to 17 extracted permanent lower incisor teeth. Images of each tooth positioned in a dried mandible were obtained with Digora SPP and Accu-I-Tomo LCBCT systems. Six observers scored the quality of all images on CRT and LCD screens. Results were compared using McNemar's and Cochran's Q tests (p LCD displays (p > 0.05). Agreement among observers' scores was higher with CRT display. Within the limits of this ex vivo study, differences between LCD and CRT monitors for the evaluation of root canal fillings are clinically insignificant independent on whether conventional radiographs, captured by means of image plates, or cone beam images are being displayed.

  15. Application of AI techniques to a voice-actuated computer system for reconstructing and displaying magnetic resonance imaging data (United States)

    Sherley, Patrick L.; Pujol, Alfonso, Jr.; Meadow, John S.


    To provide a means of rendering complex computer architectures languages and input/output modalities transparent to experienced and inexperienced users research is being conducted to develop a voice driven/voice response computer graphics imaging system. The system will be used for reconstructing and displaying computed tomography and magnetic resonance imaging scan data. In conjunction with this study an artificial intelligence (Al) control strategy was developed to interface the voice components and support software to the computer graphics functions implemented on the Sun Microsystems 4/280 color graphics workstation. Based on generated text and converted renditions of verbal utterances by the user the Al control strategy determines the user''s intent and develops and validates a plan. The program type and parameters within the plan are used as input to the graphics system for reconstructing and displaying medical image data corresponding to that perceived intent. If the plan is not valid the control strategy queries the user for additional information. The control strategy operates in a conversation mode and vocally provides system status reports. A detailed examination of the various AT techniques is presented with major emphasis being placed on their specific roles within the total control strategy structure. 1.

  16. Displaying gray shades in liquid crystal displays

    Indian Academy of Sciences (India)

    T N Ruckmongathan


    Quality of image in a display depends on the contrast, colour, resolution and the number of gray shades. A large number of gray shades is necessary to display images without any contour lines. These contours are due to limited number of gray shades in the display causing abrupt changes in grayness of the image, while the original image has a gradual change in brightness. Amplitude modulation has the capability to display a large number of gray shades with minimum number of time intervals [1,2]. This paper will cover the underlying principle of amplitude modulation, some variants and its extension to multi-line addressing. Other techniques for displaying gray shades in passive matrix displays are reviewed for the sake of comparison.

  17. Imaging of ultraweak spontaneous photon emission from human body displaying diurnal rhythm. (United States)

    Kobayashi, Masaki; Kikuchi, Daisuke; Okamura, Hitoshi


    The human body literally glimmers. The intensity of the light emitted by the body is 1000 times lower than the sensitivity of our naked eyes. Ultraweak photon emission is known as the energy released as light through the changes in energy metabolism. We successfully imaged the diurnal change of this ultraweak photon emission with an improved highly sensitive imaging system using cryogenic charge-coupled device (CCD) camera. We found that the human body directly and rhythmically emits light. The diurnal changes in photon emission might be linked to changes in energy metabolism.

  18. Imaging of ultraweak spontaneous photon emission from human body displaying diurnal rhythm.

    Directory of Open Access Journals (Sweden)

    Masaki Kobayashi

    Full Text Available The human body literally glimmers. The intensity of the light emitted by the body is 1000 times lower than the sensitivity of our naked eyes. Ultraweak photon emission is known as the energy released as light through the changes in energy metabolism. We successfully imaged the diurnal change of this ultraweak photon emission with an improved highly sensitive imaging system using cryogenic charge-coupled device (CCD camera. We found that the human body directly and rhythmically emits light. The diurnal changes in photon emission might be linked to changes in energy metabolism.

  19. Curved computational integral imaging reconstruction technique for resolution-enhanced display of three-dimensional object images. (United States)

    Hyun, Joo-Bong; Hwang, Dong-Choon; Shin, Dong-Hak; Kim, Eun-Soo


    A novel curved computational integral imaging reconstruction (C-CIIR) technique for the virtually curved integral imaging (VCII) system is proposed, and its performances are analyzed. In the C-CIIR model, an additional virtual large-aperture lens is included to provide a multidirectional curving effect in the reconstruction process, and its effect is analyzed in detail by using the ABCD matrix. With this method, resolution-enhanced 3D object images can be computationally reconstructed from the picked-up elemental images of the VCII system. To confirm the feasibility of the proposed model, some experiments are carried out. Experiments revealed that the sampling rate in the VCII system could be kept at a maximum value within some range of the distance z, whereas in the conventional integral imaging system it linearly decreased as the distance z increased. It is also shown that resolutions of the object images reconstructed by the C-CIIR method have been significantly improved compared with those of the conventional CIIR method.

  20. A Compressive Superresolution Display

    KAUST Repository

    Heide, Felix


    In this paper, we introduce a new compressive display architecture for superresolution image presentation that exploits co-design of the optical device configuration and compressive computation. Our display allows for superresolution, HDR, or glasses-free 3D presentation.

  1. Are Contemporary Media Images Which Seem to Display Women as Sexually Empowered Actually Harmful to Women? (United States)

    Halliwell, Emma; Malson, Helen; Tischner, Irmgard


    There has been a shift in the depiction of women in advertising from objectifying representations of women as passive sex objects to agentic sexual representations where the women appear powerful and in control (Gill, 2007a, 2008), and there is substantial evidence that these representations have a negative impact on women's body image. However,…

  2. Oblique synoptic images, produced from digital data, display strong evidence of a "new" caldera in southwestern Guatemala (United States)

    Duffield, W.; Heiken, G.; Foley, D.; McEwen, A.


    The synoptic view of broad regions of the Earth's surface as displayed in Landsat and other satellite images has greatly aided in the recognition of calderas, ignimbrite plateaus and other geologic landforms. Remote-sensing images that include visual representation of depth are an even more powerful tool for geologic interpretation of landscapes, but their use has been largely restricted to the exploration of planets other than Earth. By combining Landsat images with digitized topography, we have generated regional oblique views that display compelling evidence for a previously undocumented late-Cenozoic caldera within the active volcanic zone of southwestern Guatemala. This "new" caldera, herein called Xela, is a depression about 30 km wide and 400-600 m deep, which includes the Quezaltenango basin. The caldera depression is breached only by a single river canyon. The caldera outline is broadly circular, but a locally scalloped form suggests the occurrence of multiple caldera-collapse events, or local slumping of steep caldera walls, or both. Within its northern part, Xela caldera contains a toreva block, about 500 m high and 2 km long, that may be incompletely foundered pre-caldera bedrock. Xela contains several post-caldera volcanoes, some of which are active. A Bouguer gravity low, tens of milligals in amplitude, is approximately co-located with the proposed caldera. The oblique images also display an extensive plateau that dips about 2?? away from the north margin of Xela caldera. We interpret this landform to be underlain by pyroclastic outflow from Xela and nearby Atitla??n calderas. Field mapping by others has documented a voluminous rhyolitic pumiceous fallout deposit immediately east of Xela caldera. We speculate that Xela caldera was the source of this deposit. If so, the age of at least part of the caldera is between about 84 ka and 126 ka, the ages of deposits that stratigraphically bracket this fallout. Most of the floor of Xela caldera is covered

  3. Three-dimensional integral imaging displays using a quick-response encoded elemental image array: an overview (United States)

    Markman, A.; Javidi, B.


    Quick-response (QR) codes are barcodes that can store information such as numeric data and hyperlinks. The QR code can be scanned using a QR code reader, such as those built into smartphone devices, revealing the information stored in the code. Moreover, the QR code is robust to noise, rotation, and illumination when scanning due to error correction built in the QR code design. Integral imaging is an imaging technique used to generate a three-dimensional (3D) scene by combining the information from two-dimensional (2D) elemental images (EIs) each with a different perspective of a scene. Transferring these 2D images in a secure manner can be difficult. In this work, we overview two methods to store and encrypt EIs in multiple QR codes. The first method uses run-length encoding with Huffman coding and the double-random-phase encryption (DRPE) to compress and encrypt an EI. This information is then stored in a QR code. An alternative compression scheme is to perform photon-counting on the EI prior to compression. Photon-counting is a non-linear transformation of data that creates redundant information thus improving image compression. The compressed data is encrypted using the DRPE. Once information is stored in the QR codes, it is scanned using a smartphone device. The information scanned is decompressed and decrypted and an EI is recovered. Once all EIs have been recovered, a 3D optical reconstruction is generated.


    Directory of Open Access Journals (Sweden)

    I. O. Zharinov


    Full Text Available Subject of Research.We consider the problem of evaluation of chromaticity coordinates shift for image displayed on liquid crystal panels with various properties on color reproduction. A mathematical model represents the color reproduction characteristics. The spread of the color characteristics of the screens has a statistical nature. Differences of color reproduction for screens are perceived by the observer in the form of different colors and shades that are displayed on the same type of commercially available screens. Color differences are characterized by numerical measure of the difference of colors and can be mathematically compensated. The solution of accounting problem of the statistical nature of the color characteristics spread for the screens has a particular relevance to aviation instrumentation. Method. Evaluation of chromaticity coordinates shift of the image is based on the application of the Grassmann laws of color mixing.Basic data for quantitative calculation of shift are the profiles of two different liquid crystal panels defined by matrixes of scales for components of primary colors (red, green, blue. The calculation is based on solving the system of equations and calculating the color difference in the XY-plane. In general, the calculation can be performed in other color spaces: UV, Lab. The statistical nature of the spread of the color characteristics for the screens is accounted for in the proposed mathematical model based on the interval setting of coordinate values of the color gamut triangle vertices on the set of commercially available samples. Main Results. Carried outresearches result in the mathematical expressions allowing to recalculate values of chromaticity coordinates of the image displayed on various samples of liquid crystal screens. It is shown that the spread of the color characteristics of the screens follows bivariate normal distribution law with the accuracy sufficient for practice. The results of

  5. Fabrication of Large-Scale Microlens Arrays Based on Screen Printing for Integral Imaging 3D Display. (United States)

    Zhou, Xiongtu; Peng, Yuyan; Peng, Rong; Zeng, Xiangyao; Zhang, Yong-Ai; Guo, Tailiang


    The low-cost large-scale fabrication of microlens arrays (MLAs) with precise alignment, great uniformity of focusing, and good converging performance are of great importance for integral imaging 3D display. In this work, a simple and effective method for large-scale polymer microlens arrays using screen printing has been successfully presented. The results show that the MLAs possess high-quality surface morphology and excellent optical performances. Furthermore, the microlens' shape and size, i.e., the diameter, the height, and the distance between two adjacent microlenses of the MLAs can be easily controlled by modifying the reflowing time and the size of open apertures of the screen. MLAs with the neighboring microlenses almost tangent can be achieved under suitable size of open apertures of the screen and reflowing time, which can remarkably reduce the color moiré patterns caused by the stray light between the blank areas of the MLAs in the integral imaging 3D display system, exhibiting much better reconstruction performance.

  6. Multi-wavelength sensitive holographic polymer dispersed liquid crystal grating applied within image splitter for autostereoscopic display (United States)

    Zheng, Jihong; Wang, Kangni; Gao, Hui; Lu, Feiyue; Sun, Lijia; Zhuang, Songlin


    Multi-wavelength sensitive holographic polymer dispersed liquid crystal (H-PDLC) grating and its application within image splitter for autostereoscopic display are reported in this paper. Two initiator systems consisting of photoinitiator, Methylene Blue and coinitiator, p-toluenesulfonic acid as well as photoinitiator, Rose Bengal and coinitiator, Nphenylglycine are employed. We demonstrate that Bragg gratings can be formed in this syrup polymerized under three lasers simultaneously including 632.8nm from He-Ne laser, 532nm from Verdi solid state laser, and 441.6nm from He- Cd laser. The diffraction efficiency of three kinds of gratings with different exposure wavelength are 57%, 75% and 33%, respectively. The threshold driving voltages of those gratings are 2.8, 3.05, and 2.85 V/μm, respectively. We also present the results for the feasibility of this proposed H-PDLC grating applied into image splitter without color dispersion for autostereoscopic display according to experimental splitting effect.

  7. America on Display: Constructing and Containing Images of the United States

    Directory of Open Access Journals (Sweden)

    Ted Hovet


    Full Text Available America’s identity in the nineteenth century was commonly located in the grand features of its landscape and its abundant natural resources. This essay investigates how these ideas were reproduced and exploited in two popular American exhibitions that toured England during the middle and later parts of the century: John Banvard’s 'moving panorama' of the Mississippi River, first displayed in 1848, and Buffalo Bill’s Wild West Show, which debuted in 1887. I will show how the responses to these exhibitions in the British popular press reveal particular strategies undertaken to manage the implications of America’s prodigious features. It was through the enthusiastic and often exaggerated promotion of America’s remarkable size and natural resources that America’s potential as an equal - or superior - cultural and political entity was safely contained, ultimately reducing America, however big, to little more than a fascinating but harmless spectacle. The very packaging of these spectacles allowed viewers to imagine that the awe-inspiring landscape was still what most profoundly defined America. Yet the recreation of these landscapes through virtual technologies anticipated the means by which America would come to be understood in the twentieth century, an America whose power had nothing to do with the mere size of its landscape, but was industrial, cultural, and commercial.

  8. 城市DSM的快速获取及其三维显示的研究%Fast Acquiring Urban DSM Image and Displaying 3D Image

    Institute of Scientific and Technical Information of China (English)

    尤红建; 刘彤; 苏林; 刘少创; 郭冠军; 李树楷


    城市数字表面模型(DSM)作为城市的重要信息有着十分广泛的应用,机载三维成像仪可以快速获取DSM数据,而无需地面控制点。该文介绍了利用三维成像仪快速获取城市DSM图像的数据处理技术,阐述了基于城市DSM影像显示城市三维模型的原理,着重分析了显示城市DSM图像奇异表面的方法和侧面处理思想。最后通过珠海、澳门地区飞行数据的处理和三维鸟瞰显示,说明了方法的可行性。%As an important urban information, urban digital surface models(DSM) are widely used in many fields. Airborne 3D imager which is developed by the Institute of Remote Sensing Applications, Chinese Academy of Sciences can acquire DSM in quasi-real-time without any ground control points. The data processing technology to acquire urban DSM by 3D imager is presented in this paper. How to display urban DSM which is different from natural surface in 3D is discussed in detail. An example of data processing and 3D displaying of urban DSM is given at the end. According to the fly test the efficiency of 3D imager is several times higher than that of traditional methods to acquire urban DSM, and the method to display urban DSM in 3D is feasible.

  9. 4D megahertz optical coherence tomography (OCT): imaging and live display beyond 1 gigavoxel/sec (Conference Presentation) (United States)

    Huber, Robert A.; Draxinger, Wolfgang; Wieser, Wolfgang; Kolb, Jan Philip; Pfeiffer, Tom; Karpf, Sebastian N.; Eibl, Matthias; Klein, Thomas


    Over the last 20 years, optical coherence tomography (OCT) has become a valuable diagnostic tool in ophthalmology with several 10,000 devices sold today. Other applications, like intravascular OCT in cardiology and gastro-intestinal imaging will follow. OCT provides 3-dimensional image data with microscopic resolution of biological tissue in vivo. In most applications, off-line processing of the acquired OCT-data is sufficient. However, for OCT applications like OCT aided surgical microscopes, for functional OCT imaging of tissue after a stimulus, or for interactive endoscopy an OCT engine capable of acquiring, processing and displaying large and high quality 3D OCT data sets at video rate is highly desired. We developed such a prototype OCT engine and demonstrate live OCT with 25 volumes per second at a size of 320x320x320 pixels. The computer processing load of more than 1.5 TFLOPS was handled by a GTX 690 graphics processing unit with more than 3000 stream processors operating in parallel. In the talk, we will describe the optics and electronics hardware as well as the software of the system in detail and analyze current limitations. The talk also focuses on new OCT applications, where such a system improves diagnosis and monitoring of medical procedures. The additional acquisition of hyperspectral stimulated Raman signals with the system will be discussed.

  10. Ergonomics in Laparoscopic Surgery


    Supe Avinash; Kulkarni Gaurav; Supe Pradnya


    Laparoscopic surgery provides patients with less painful surgery but is more demanding for the surgeon. The increased technological complexity and sometimes poorly adapted equipment have led to increased complaints of surgeon fatigue and discomfort during laparoscopic surgery. Ergonomic integration and suitable laparoscopic operating room environment are essential to improve efficiency, safety, and comfort for the operating team. Understanding ergonomics can not only make life of surgeon comf...

  11. Ergonomics in laparoscopic surgery

    Directory of Open Access Journals (Sweden)

    Supe Avinash


    Full Text Available Laparoscopic surgery provides patients with less painful surgery but is more demanding for the surgeon. The increased technological complexity and sometimes poorly adapted equipment have led to increased complaints of surgeon fatigue and discomfort during laparoscopic surgery. Ergonomic integration and suitable laparoscopic operating room environment are essential to improve efficiency, safety, and comfort for the operating team. Understanding ergonomics can not only make life of surgeon comfortable in the operating room but also reduce physical strains on surgeon.

  12. Single incision laparoscopic surgery

    Institute of Scientific and Technical Information of China (English)

    Arun; Prasad


    As a complement to standard laparoscopic surgery and a safe alternative to natural orifice transluminal endoscopic surgery,single incision laparoscopic surgery is gaining popularity.There are expensive ports,disposable hand instruments and flexible endoscopes that have been suggested to do this surgery and would increase the cost of operation.For a simple surgery like laparoscopic cholecystectomy,these extras are not needed and the surgery can be performed using standard ports,instruments and telescopes.Tri...

  13. Pocket-size solid-state iPOD and flash drives for gigabyte storage, display and transfer of digital medical images: Review and work initiated

    Directory of Open Access Journals (Sweden)

    Sankaran A


    Full Text Available A locally assembled image viewer system with pocket-size iPOD (80 GB and flash (2 GB drives for gigabyte storage, display and transfer of digital medical images, oriented towards training purposes, is described. Both the iPOD and flash drive enable storage of thousands of images from diverse medical-imaging equipments. The iPOD, in addition, can display with sufficient resolution any of these images and serves as a transportable preview device. Through the use of a computer, these devices can access/ store/ display the images/ photos from a CD, digital camera or the internet. A TV image viewing unit is also provided. The operational features and the advantages of these devices are discussed in detail. The quality assurance (QA of the displays has been successfully carried out with standard test patterns. The image quality has been tested with dynamic and static medical images. The system will be highly useful for storage and remote display of multitude of images from several modalities in the hospital, as well as other images, from the point of view of education and training. It has good potential for use in clinical diagnosis as well. Other recent advancements using iPHONE and improved but expensive computers, integrated with picture archiving and communication system (PACS as well as radiology and hospital information system (RHIS for versatile applications in modern radiology, are also highlighted.This system, assembled with indigenous equipments, is much less expensive and specially suited for teaching radiologists, physicists and technologists, particularly in developing countries.

  14. Pocket-size solid-state iPOD and flash drives for gigabyte storage, display and transfer of digital medical images: Review and work initiated. (United States)

    Sankaran, A


    A locally assembled image viewer system with pocket-size iPOD (80 GB) and flash (2 GB) drives for gigabyte storage, display and transfer of digital medical images, oriented towards training purposes, is described. Both the iPOD and flash drive enable storage of thousands of images from diverse medical-imaging equipments. The iPOD, in addition, can display with sufficient resolution any of these images and serves as a transportable preview device. Through the use of a computer, these devices can access/ store/ display the images/ photos from a CD, digital camera or the internet. A TV image viewing unit is also provided. The operational features and the advantages of these devices are discussed in detail. The quality assurance (QA) of the displays has been successfully carried out with standard test patterns. The image quality has been tested with dynamic and static medical images. The system will be highly useful for storage and remote display of multitude of images from several modalities in the hospital, as well as other images, from the point of view of education and training. It has good potential for use in clinical diagnosis as well. Other recent advancements using iPHONE and improved but expensive computers, integrated with picture archiving and communication system (PACS) as well as radiology and hospital information system (RHIS) for versatile applications in modern radiology, are also highlighted.This system, assembled with indigenous equipments, is much less expensive and specially suited for teaching radiologists, physicists and technologists, particularly in developing countries.

  15. Laparoscopic splenectomy and infection

    Directory of Open Access Journals (Sweden)

    Seyyit Kuş


    Full Text Available Partial laparoscopic splenectomy is performed commonly in hereditary spherocytosis. Vaccination against capsulatedbacteria is essential before undergoing splenectomy. Hand-assisted laparoscopic splenectomy is known to be effectiveand convenient in the removal of a spleen larger than 20 cm in size. Laparoscopic splenectomy provides less hemorrhage,reduced surgical trauma and pain, shorter duration of hospital stay, and early recovery. Laparoscopic approachwas particularly effective in reducing the infectious complication rate compared with the open surgery. Infectious complicationsof splenectomy were observed to be wound infection, subphrenic abscess, and sometimes pulmonary infection.J Microbiol Infect Dis 2013; 3(1: 1-2Key words: Laparoscopy, splenectomy, infection

  16. Laparoscopic Partial Nephrectomy

    Directory of Open Access Journals (Sweden)

    Ender Özden


    Full Text Available Patients with renal tumors <7 cm and those at risk for a significant loss of renal function should be managed with a partial nephrectomy if it is technically feasible. Partial nephrectomy (PN results in similar oncologic outcomes with radical nephrectomy. With advent of the technology and increase utilization of laparoscopic surgery, laparoscopic approach is considered as one of the option for partial nephrectomy. However laparoscopic partial nephrectomy is technically very difficult procedure and should be performed only by physicians with extensive experience using this approach. In this section, we aimed to present the technical steps of laparoscopic partial nephrectomy

  17. Availability of color calibration for consistent color display in medical images and optimization of reference brightness for clinical use (United States)

    Iwai, Daiki; Suganami, Haruka; Hosoba, Minoru; Ohno, Kazuko; Emoto, Yutaka; Tabata, Yoshito; Matsui, Norihisa


    Color image consistency has not been accomplished yet except the Digital Imaging and Communication in Medicine (DICOM) Supplement 100 for implementing a color reproduction pipeline and device independent color spaces. Thus, most healthcare enterprises could not check monitor degradation routinely. To ensure color consistency in medical color imaging, monitor color calibration should be introduced. Using simple color calibration device . chromaticity of colors including typical color (Red, Green, Blue, Green and White) are measured as device independent profile connection space value called u'v' before and after calibration. In addition, clinical color images are displayed and visual differences are observed. In color calibration, monitor brightness level has to be set to quite lower value 80 cd/m2 according to sRGB standard. As Maximum brightness of most color monitors available currently for medical use have much higher brightness than 80 cd/m2, it is not seemed to be appropriate to use 80 cd/m2 level for calibration. Therefore, we propose that new brightness standard should be introduced while maintaining the color representation in clinical use. To evaluate effects of brightness to chromaticity experimentally, brightness level is changed in two monitors from 80 to 270cd/m2 and chromaticity value are compared with each brightness levels. As a result, there are no significant differences in chromaticity diagram when brightness levels are changed. In conclusion, chromaticity is close to theoretical value after color calibration. Moreover, chromaticity isn't moved when brightness is changed. The results indicate optimized reference brightness level for clinical use could be set at high brightness in current monitors .

  18. Computer simulation for ergonomic improvements in laparoscopic surgery. (United States)

    Marcos, Patricia; Seitz, T; Bubb, H; Wichert, A; Feussner, H


    It is the aim of this study to reduce the stress and strain of the medical staff during laparoscopic operations, and, simultaneously, to increase the safety and efficiency of an integrated operation room (OR) by an ergonomic redesign. This was attempted by a computer simulation approach using free modelling of the OR and 3D human models (manikins). After defining ergonomically "ideal" postures, optimal solutions for key elements of an ergonomic design of the OR (position and height of the image displays, height of the OR table and the Mayo stand) could be evaluated with special regard to the different individual body size of each member of the team. These data should be useful for the development of team adapted, user friendly integrated OR suites of the future.

  19. Clinical results with acridine orange using a novel confocal laparoscope (United States)

    Tanbakuchi, Anthony A.; Rouse, Andrew R.; Hatch, Kenneth D.; Gmitro, Arthur F.


    We previously reported on the development of a multi-spectral confocal laparoscope for clinical imaging. In this paper we present current results using the system to image ovaries with a new laparoscope design using the contrast agent acridine orange. This new laparoscope integrates computer controlled systems for focus, depth scans, and localized contrast agent delivery. Precise axial position control is accomplished with tiny stepper motors integrated inside the laparoscope handle. Ergonomic handle controls allow for data acquisition, deliver of contrast agents, and adjustment of imaging depth during procedures by the surgeon. We have approval to use acridine orange in our clinical trials to image ovaries in vivo during oophorectomies. We present in vivo results using both acridine orange and fluorescein as the topically administered contrast agent.

  20. The Effect of NEXRAD Image Looping and National Convective Weather Forecast Product on Pilot Decision Making in the Use of a Cockpit Weather Information Display (United States)

    Burgess, Malcolm A.; Thomas, Rickey P.


    This experiment investigated improvements to cockpit weather displays to better support the hazardous weather avoidance decision-making of general aviation pilots. Forty-eight general aviation pilots were divided into three equal groups and presented with a simulated flight scenario involving embedded convective activity. The control group had access to conventional sources of pre-flight and in-flight weather products. The two treatment groups were provided with a weather display that presented NEXRAD mosaic images, graphic depiction of METARs, and text METARs. One treatment group used a NEXRAD image looping feature and the second group used the National Convective Weather Forecast (NCWF) product overlaid on the NEXRAD display. Both of the treatment displays provided a significant increase in situation awareness but, they provided incomplete information required to deal with hazardous convective weather conditions, and would require substantial pilot training to permit their safe and effective use.

  1. Laparoscopic Surgery - What Is It? (United States)

    ... Surgery - What is it? Laparoscopic Surgery - What is it? Laparoscopic Surgery - What is it? | ASCRS WHAT IS LAPAROSCOPIC SURGERY? Laparoscopic or “minimally ... information about the management of the conditions addressed. It should be recognized that these brochures should not ...

  2. Correlation of the same fields imaged in the TEM, confocal, LM, and microCT by image registration: from specimen preparation to displaying a final composite image. (United States)

    Keene, Douglas R; Tufa, Sara F; Wong, Melissa H; Smith, Nicholas R; Sakai, Lynn Y; Horton, William A


    Correlated imaging is the process of imaging a specimen with two complementary modalities and then registering and overlaying the fields obtained in each modality to create a composite view. One of the images is made somewhat transparent, allowing detail in the underlying image to be visible and assisting in the registration of the two images. As an example, an image localizing a specific tissue component by fluorescence may be overlaid atop a TEM image of the same field. The resulting composite image would demonstrate specific ultrastructural features in the high-resolution TEM field, which are colorized in the overlay. Other examples include composites from MicroCT or soft X-ray images overlaid atop light microscopy or TEM images. Automated image registration may be facilitated by a variety of sophisticated computer programs utilized by high-throughput laboratories. This chapter is meant for the more occasional user wishing to align images manually. ImageJ is a public domain, image processing program developed at the National Institutes of Health and is available to anyone as a free download. ImageJ performs marvelously well for the purpose of image registration; therefore, step-by-step instructions are included here. Specimen handling, including fixation and choice of embedding media, is not straightforward for correlative imaging. A step-by-step description of the protocols which work in our laboratory is included for simultaneous localization in LM, EM and micro-CT, as well as maintaining GFP emission in tissue embedded for TEM. © 2014 Elsevier Inc. All rights reserved.

  3. Investigation of optimal display size for viewing T1-weighted MR images of the brain using a digital contrast-detail phantom. (United States)

    Fujita, Hideki; Kuwahata, Nao; Hattori, Hiroyuki; Kinoshita, Hiroshi; Fukuda, Haruyuki


    We clarified the relationship between the display size of MRI images and observer performance using a digital contrast-detail (d-CD) phantom. The d-CD phantom was developed using Microsoft Visual Basic 2010 Express. It had a 512 × 512 matrix in size and a total of 100 holes, whose diameter increased stepwise from 4 to 40 pixels with a 4-pixel interval in the vertical direction; the contrast varied stepwise in the horizontal direction. The digital driving level (DDL) of the back-ground, the width of the DDL, and the contrast were adjustable. These parameters were determined on the basis of the actual T1-weighted magnetic resonance (MR) images of the brain. In this study, the DDL, width, and contrast were set to 85, 20, and 1, respectively. The observer performance study was performed for three different display sizes (30 cm × 30 cm as the enlarged size, 16 cm × 16 cm as the original size, and 10 cm × 10 cm as the reduced size) using a 2-megapixel color liquid crystal display monitor, and it was analyzed using Friedman and Wilcoxon statistical tests. The observer performances for the original display (p sizes (p size, whereas there was no significant difference between the original display and reduced display sizes (p = 0.31). Evaluation with the digital phantom simulating MR imaging also revealed that the original and reduced display sizes were superior to the enlarged display size in observer performance. The d-CD phantom enables a short-term evaluation of observer performance and is useful in analyzing relation-ship between display size and observer performance.

  4. Development of subliminal persuasion system to improve the upper limb posture in laparoscopic training: a preliminary study. (United States)

    Zhang, Di; Sessa, Salvatore; Kong, Weisheng; Cosentino, Sarah; Magistro, Daniele; Ishii, Hiroyuki; Zecca, Massimiliano; Takanishi, Atsuo


    Current training for laparoscopy focuses only on the enhancement of manual skill and does not give advice on improving trainees' posture. However, a poor posture can result in increased static muscle loading, faster fatigue, and impaired psychomotor task performance. In this paper, the authors propose a method, named subliminal persuasion, which gives the trainee real-time advice for correcting the upper limb posture during laparoscopic training like the expert but leads to a lower increment in the workload. A 9-axis inertial measurement unit was used to compute the upper limb posture, and a Detection Reaction Time device was developed and used to measure the workload. A monitor displayed not only images from laparoscope, but also a visual stimulus, a transparent red cross superimposed to the laparoscopic images, when the trainee had incorrect upper limb posture. One group was exposed, when their posture was not correct during training, to a short (about 33 ms) subliminal visual stimulus. The control group instead was exposed to longer (about 660 ms) supraliminal visual stimuli. We found that subliminal visual stimulation is a valid method to improve trainees' upper limb posture during laparoscopic training. Moreover, the additional workload required for subconscious processing of subliminal visual stimuli is less than the one required for supraliminal visual stimuli, which is processed instead at the conscious level. We propose subliminal persuasion as a method to give subconscious real-time stimuli to improve upper limb posture during laparoscopic training. Its effectiveness and efficiency were confirmed against supraliminal stimuli transmitted at the conscious level: Subliminal persuasion improved upper limb posture of trainees, with a smaller increase on the overall workload.

  5. Laparoscopic approach to hysterectomy

    Directory of Open Access Journals (Sweden)

    Hakan Nazik


    Full Text Available Modern laparoscopic surgery is widely used throughout the world as it offers greater advantages than open procedures. The laparoscopic approach to hysterectomy has evolved over the last 20 years. Hysterectomies are performed abdominally, vaginally, laparoscopically or, more recently, with robotic assistance. Indications for a total laparoscopic hysterectomy are similar to those for total abdominal hysterectomy, and most commonly include uterine leiomyomata, pelvic organ prolapse, and abnormal uterine bleeding. When hysterectomy is going to be performed, the surgeon should decide which method is safer and more cost-effective. This paper aims to make a review of the indications, techniques and advantages of laparoscopic hysterectomy as well as the criteria to be used for appropriate patient selection.

  6. Comparison of a new glasses-free three-dimensional screen, a passive-glasses three-dimensional screen, and a two-dimensional imaging system for use in laparoscopic surgery (United States)

    Salimpour, Pedram; Kim, Cadence A.; LaMorte, Wayne; Birkett, Desmond H.; Babayan, Richard K.


    New video imaging technologies have significantly improved the development of minimally invasive surgical and laparoscopic procedures. The next step in this evolution, the advent of more complex procedures performed under minimally invasive conditions, demands a greater need for accurate depth perception; further improvements in imaging technology as well as instrumentation are needed for the surgeon to perform difficult manipulative tasks with the same skill, accuracy, and speed as in open surgery. Two different techniques are currently available to produce 3-dimensional image: the 'with glasses' technique and the 'glasses-free' technique. The purpose of this experiment is twofold. First, to objectively compare the 3-D images created by the 'glasses-free' monitor, the passive glasses 3-D system, and a 2-D monitor. The second objective was to subjectively assess the quality of each screen as perceived by the operator.

  7. Display System Image Quality (United States)


    windecreen movement table and an optical angular deviation measurement device (Task, Genco , Smith, and Dabbs, 1983). For most HUDs, the spectral...ASD(ENA)-TR-83-5019, Dec 1983, pp 11-19. Task, H.L., Genco , L.V., Smith, K., and Dabbs, G., "System for measuring angular deviation in a tranparency

  8. Image Descriptors for Displays (United States)


    13, 274 (1969). 15. E. E. Smith and K. T. Spoehr, ’The Perception of Printea inglish," in SB. Kantowitz , ed., ihumr Information Processing: Tutorials...Processing Research," in B. Kantowitz , ed., Human Information Processing: Tutorials in Performance and Cognition (Halsted Press, New York, 1974). 26. J. J

  9. Automatic localization of endoscope in intraoperative CT image: A simple approach to augmented reality guidance in laparoscopic surgery. (United States)

    Bernhardt, Sylvain; Nicolau, Stéphane A; Agnus, Vincent; Soler, Luc; Doignon, Christophe; Marescaux, Jacques


    The use of augmented reality in minimally invasive surgery has been the subject of much research for more than a decade. The endoscopic view of the surgical scene is typically augmented with a 3D model extracted from a preoperative acquisition. However, the organs of interest often present major changes in shape and location because of the pneumoperitoneum and patient displacement. There have been numerous attempts to compensate for this distortion between the pre- and intraoperative states. Some have attempted to recover the visible surface of the organ through image analysis and register it to the preoperative data, but this has proven insufficiently robust and may be problematic with large organs. A second approach is to introduce an intraoperative 3D imaging system as a transition. Hybrid operating rooms are becoming more and more popular, so this seems to be a viable solution, but current techniques require yet another external and constraining piece of apparatus such as an optical tracking system to determine the relationship between the intraoperative images and the endoscopic view. In this article, we propose a new approach to automatically register the reconstruction from an intraoperative CT acquisition with the static endoscopic view, by locating the endoscope tip in the volume data. We first describe our method to localize the endoscope orientation in the intraoperative image using standard image processing algorithms. Secondly, we highlight that the axis of the endoscope needs a specific calibration process to ensure proper registration accuracy. In the last section, we present quantitative and qualitative results proving the feasibility and the clinical potential of our approach.

  10. Electromagnetic image guidance in gynecology: prospective study of a new laparoscopic imaging and targeting technique for the treatment of symptomatic uterine fibroids


    Galen, Donald I.


    Background Uterine fibroids occur singly or as multiple benign tumors originating in the myometrium. Because they vary in size and location, the approach and technique for their identification and surgical management vary. Reference images, such as ultrasound images, magnetic resonance images, and sonohystograms, do not provide real-time intraoperative findings. Methods Electromagnetic image guidance, as incorporated in the Acessa Guidance System, has been cleared by the FDA to facilitate tar...

  11. The Visual Display of Quantitative Information; Envisioning Information; Visual Explanations: Images and Quantities, Evidence and Narrative (by Edward R. Tufte) (United States)

    Harris, Harold H.


    The Visual Display of Quantitative Information Edward R. Tufte. Graphics Press: Cheshire, CT, 1983. 195 pp. ISBN 0-961-39210-X. 40.00. Envisioning Information Edward R. Tufte. Graphics Press: Cheshire, CT, 1990. 126 pp. ISBN 0-961-39211-8. 48.00. Visual Explanations: Images and Quantities, Evidence and Narrative Edward R. Tufte. Graphics Press: Cheshire, CT, 1997. 156 pp. ISBN 0-9613921-2-6. $45.00. Visual Explanations: Images and Quantities, Evidence and Narrative is the most recent of three books by Edward R. Tufte about the expression of information through graphs, charts, maps, and images. The most important of all the practical advice in these books is found on the first page of the first book, The Visual Display of Quantitative Information. Quantitative graphics should: Show the data Induce the viewer to think about the substance rather than the graphical design Avoid distorting what the data have to say Present many numbers in a small space Make large data sets coherent Encourage the eye to compare data Reveal the data at several levels of detail Serve a clear purpose: description, exploration, tabulation, or decoration Be closely integrated with the statistical and verbal descriptions of a data set Tufte illustrates these principles through all three books, going to extremes in the care with which he presents examples, both good and bad. He has designed the books so that the reader almost never has to turn a page to see the image, graph, or table that is being described in the text. The books are set in Monotype Bembo, a lead typeface designed so that smaller sizes open the surrounding white space, producing a pleasing balance. Some of the colored pages were put through more than 20 printing steps in order to render the subtle shadings required. The books are printed on heavy paper stock, and the fact that contributing artists, the typeface, the printing company, and the bindery are all credited on one of the back flyleaves is one indication of how

  12. In-line positioning of ultrasound images using wireless remote display system with tablet computer facilitates ultrasound-guided radial artery catheterization. (United States)

    Tsuchiya, Masahiko; Mizutani, Koh; Funai, Yusuke; Nakamoto, Tatsuo


    Ultrasound-guided procedures may be easier to perform when the operator's eye axis, needle puncture site, and ultrasound image display form a straight line in the puncture direction. However, such methods have not been well tested in clinical settings because that arrangement is often impossible due to limited space in the operating room. We developed a wireless remote display system for ultrasound devices using a tablet computer (iPad Mini), which allows easy display of images at nearly any location chosen by the operator. We hypothesized that the in-line layout of ultrasound images provided by this system would allow for secure and quick catheterization of the radial artery. We enrolled first-year medical interns (n = 20) who had no prior experience with ultrasound-guided radial artery catheterization to perform that using a short-axis out-of-plane approach with two different methods. With the conventional method, only the ultrasound machine placed at the side of the head of the patient across the targeted forearm was utilized. With the tablet method, the ultrasound images were displayed on an iPad Mini positioned on the arm in alignment with the operator's eye axis and needle puncture direction. The success rate and time required for catheterization were compared between the two methods. Success rate was significantly higher (100 vs. 70 %, P = 0.02) and catheterization time significantly shorter (28.5 ± 7.5 vs. 68.2 ± 14.3 s, P method as compared to the conventional method. An ergonomic straight arrangement of the image display is crucial for successful and quick completion of ultrasound-guided arterial catheterization. The present remote display system is a practical method for providing such an arrangement.

  13. Laparoscopic total pancreatectomy (United States)

    Wang, Xin; Li, Yongbin; Cai, Yunqiang; Liu, Xubao; Peng, Bing


    Abstract Rationale: Laparoscopic total pancreatectomy is a complicated surgical procedure and rarely been reported. This study was conducted to investigate the safety and feasibility of laparoscopic total pancreatectomy. Patients and Methods: Three patients underwent laparoscopic total pancreatectomy between May 2014 and August 2015. We reviewed their general demographic data, perioperative details, and short-term outcomes. General morbidity was assessed using Clavien–Dindo classification and delayed gastric emptying (DGE) was evaluated by International Study Group of Pancreatic Surgery (ISGPS) definition. Diagnosis and Outcomes: The indications for laparoscopic total pancreatectomy were intraductal papillary mucinous neoplasm (IPMN) (n = 2) and pancreatic neuroendocrine tumor (PNET) (n = 1). All patients underwent laparoscopic pylorus and spleen-preserving total pancreatectomy, the mean operative time was 490 minutes (range 450–540 minutes), the mean estimated blood loss was 266 mL (range 100–400 minutes); 2 patients suffered from postoperative complication. All the patients recovered uneventfully with conservative treatment and discharged with a mean hospital stay 18 days (range 8–24 days). The short-term (from 108 to 600 days) follow up demonstrated 3 patients had normal and consistent glycated hemoglobin (HbA1c) level with acceptable quality of life. Lessons: Laparoscopic total pancreatectomy is feasible and safe in selected patients and pylorus and spleen preserving technique should be considered. Further prospective randomized studies are needed to obtain a comprehensive understanding the role of laparoscopic technique in total pancreatectomy. PMID:28099344

  14. 基于OpenGL的SAR实时图像显示%OpenGL based SAR real-time image display

    Institute of Scientific and Technical Information of China (English)

    张娟; 刘国霞; 陈光辉


    Since imaging radar needs to display massive image data and can present many graphic details in practical opera⁃tion,the requirements in the aspects of displayed authenticity and real⁃time capacity are very high. When image is scrolling in display screen,the image data consists the entered original image data and new entered image data. The two sets of image data are displayed in the same plane. It is noticed that when image data displays,it also requires to overlay the relevant flight⁃parameter information and time information. To satisfy the display requirements of imaging radar,dual⁃cache technology and fusion technology of OpenGL system were adopted in VxWorks operating system,by which the smooth,complete,dynamic and real⁃time anima⁃tion effect can be obtained.%成像雷达在实际的操作中显示的图像数据量颇大,并且能呈现出图形的许多细节,因此,对显示的现实性、实时性要求很高。图像在屏面空间滚动时,数据中会包含已经输入的原始图像数据,同时也会滚动显示新录入的图像数据,两组图像数据在同一平面显示,而且要注意到在进行图像数据显示时,还要求在其空间上叠加相应的飞参信息和时间信息。因此,为满足成像雷达的显示需求,在VxWorks操作系统下通过采用OpenGL系统具有的双缓存技术和融合技术,可以获得平滑的、完整的、动感的、实时的动画效果。

  15. Laparoscopic Renal Cryoablation (United States)

    Schiffman, Marc; Moshfegh, Amiel; Talenfeld, Adam; Del Pizzo, Joseph J.


    In light of evidence linking radical nephrectomy and consequent suboptimal renal function to adverse cardiovascular events and increased mortality, research into nephron-sparing techniques for renal masses widely expanded in the past two decades. The American Urological Association (AUA) guidelines now explicitly list partial nephrectomy as the standard of care for the management of T1a renal tumors. Because of the increasing utilization of cross-sectional imaging, up to 70% of newly detected renal masses are stage T1a, making them more amenable to minimally invasive nephron-sparing therapies including laparoscopic and robotic partial nephrectomy and ablative therapies. Cryosurgery has emerged as a leading option for renal ablation, and compared with surgical techniques it offers benefits in preserving renal function with fewer complications, shorter hospitalization times, and allows for quicker convalescence. A mature dataset exists at this time, with intermediate and long-term follow-up data available. Cryosurgical recommendations as a first-line therapy are made at this time in limited populations, including elderly patients, patients with multiple comorbidities, and those with a solitary kidney. As more data emerge on oncologic efficacy, and technical experience and the technology continue to improve, the application of this modality will likely be extended in future treatment guidelines. PMID:24596441

  16. Spilled gallstones mimicking a retroperitoneal sarcoma following laparoscopic cholecystectomy. (United States)

    Kim, Bum-Soo; Joo, Sun-Hyung; Kim, Hyun-Cheol


    Laparoscopic cholecystectomy has become a standard treatment of symptomatic gallstone disease. Although spilled gallstones are considered harmless, unretrieved gallstones can result in intra-abdominal abscess. We report a case of abscess formation due to spilled gallstones after laparoscopic cholecystectomy mimicking a retroperitoneal sarcoma on radiologic imaging. A 59-year-old male with a surgical history of a laparoscopic cholecystectomy complicated by gallstones spillage presented with a 1 mo history of constant right-sided abdominal pain and tenderness. Computed tomography and magnetic resonance imaging demonstrated a retroperitoneal sarcoma at the sub-hepatic space. On open exploration a 5 cm × 5 cm retroperitoneal mass was excised. The mass contained purulent material and gallstones. Final pathology revealed abscess formation and foreign body granuloma. Vigilance concerning the possibility of lost gallstones during laparoscopic cholecystectomy is important. If possible, every spilled gallstone during surgery should be retrieved to prevent this rare complication.

  17. Laparoscopic management of acute appendicitis in situs inversus

    Directory of Open Access Journals (Sweden)

    Golash Vishwanath


    Full Text Available Situs inversus is often detected incidentally in adults during imaging for a acute surgical emergency. We present a case of acute appendicitis in an adult who was previously unaware about his situs anomaly. A laparoscopic approach is helpful to deal with this condition. A 40 year old man was admitted with history of acute left lower abdominal pain, with uncontrolled diabetic keto-acidosis. Clinically, he was diagnosed as acute diverticulitis with localized peritonitis. Subsequent imaging studies and laparoscopy confirmed the diagnosis of situs inversus and acute left- sided appendicitis. He successfully underwent laparoscopic appendectomy. His postoperative recovery was uneventful. Although technically more challenging because of the reverse laparoscopic view of the anatomy, the laparoscopic diagnosis and management of acute appendicitis is indicated in situs inversus.

  18. Polyplanar optic display

    Energy Technology Data Exchange (ETDEWEB)

    Veligdan, J.; Biscardi, C.; Brewster, C.; DeSanto, L. [Brookhaven National Lab., Upton, NY (United States). Dept. of Advanced Technology; Beiser, L. [Leo Beiser Inc., Flushing, NY (United States)


    The Polyplanar Optical Display (POD) is a unique display screen which can be used with any projection source. This display screen is 2 inches thick and has a matte black face which allows for high contrast images. The prototype being developed is a form, fit and functional replacement display for the B-52 aircraft which uses a monochrome ten-inch display. The new display uses a 100 milliwatt green solid state laser (532 nm) as its optical source. In order to produce real-time video, the laser light is being modulated by a Digital Light Processing (DLP{trademark}) chip manufactured by Texas Instruments, Inc. A variable astigmatic focusing system is used to produce a stigmatic image on the viewing face of the POD. In addition to the optical design, the authors discuss the electronic interfacing to the DLP{trademark} chip, the opto-mechanical design and viewing angle characteristics.

  19. Laparoscopic Colon Resection (United States)

    ... thorough evaluation by a surgeon qualified in laparoscopic colon resection in consultation with your primary ... Olympic Blvd., Suite 600 Los Angeles, CA 90064 Tel: (310) 437-0544 Fax: (310) 437- ...

  20. The pitfalls of laparoscopic surgery: challenges for robotics and telerobotic surgery. (United States)

    Ballantyne, Garth H


    After its debut in 1988, laparoscopic cholecystectomy rapidly became the standard of care for cholelithiasis, yet very few surgeons use minimally invasive techniques for other abdominal operations. Why do most surgeons continue to perform traditional open gastrointestinal operations? We believe that the answer to this question lies in the fact that advanced laparoscopic operations are difficult to learn, perform, and master. A number of inherent pitfalls of laparoscopy hinder the performance of these operations even after the surgeon has accumulated years of experience. These pitfalls include an unstable video camera platform, limited motion (degrees of freedom) of straight laparoscopic instruments, two-dimensional imaging, and poor ergonomics for the surgeon. Inexperienced or bored laparoscopic camera-holders move the camera frequently and rotate it away from the horizon. The long, straight laparoscopic instruments are limited in their motion by the fixation enforced by the abdominal wall trocars. Similarly, the standard two-dimensional video imaging used in most laparoscopic operations impedes the surgeon's depth perception, compounding the limitations of laparoscopic instruments. In addition, surgeons are forced to assume ergonomically awkward stances in performing many laparoscopic operations. These four factors hinder a surgeon's efforts to learn and to perform advanced laparoscopic operations, significantly lengthening the learning curve. The articles presented in this issue suggest that robotics and telerobotics offer solutions to these nagging pitfalls of laparoscopic surgery.

  1. Development of Computerized Scheme for Adjustment of Display Grayscale in Brain Diffusion-Weighted Magnetic Resonance Images with Acute Ischemic Stroke (United States)

    Nagashima, Hiroyuki; Harakawa, Tetsumi; Doi, Kunio

    We developed a computerized scheme for proper adjustment of display grayscale in brain diffusion-weighted magnetic resonance images (DWI) with acute ischemic stroke by using thalamic signal intensity on concurrent images (b0 image). In our computerized scheme, the gray level of b0 image was first normalized, and the brain region was segmented using thresholding and labeling techniques. The lateral inclination in b0 image was then corrected semi-automatically by rotating and shifting. Each of the thalamic positions was determined by using the coordinate information in the brain region. The average signal intensity of the thalamus was measured on the region of interest (ROI) selected, and the thalamus in one side with the low signal intensity was selected. The display grayscale in DWI was finally adjusted by using the signal intensity of the selected thalamus. The thalamus positions in all cases were confirmed to be included in the thalamic outline. In 30 training cases, the average error between the thalamic signal intensity obtained from the manual selection and the computerized scheme were 1.8%±1.5, and in 30 testing cases, 1.3%±1.2. Our computerized scheme has a potential in the determination of the display grayscale of brain DWI, and would be useful to radiologists in decision-making for radiological diagnosis.

  2. Laparoscopic Distal Pancreatectomy (United States)

    Melotti, Gianluigi; Butturini, Giovanni; Piccoli, Micaela; Casetti, Luca; Bassi, Claudio; Mullineris, Barbara; Lazzaretti, Maria Grazia; Pederzoli, Paolo


    Objective: To describe the clinical characteristics, indications, technical procedures, and outcome of a consecutive series of laparoscopic distal pancreatic resections performed by the same surgical team. Summary Background Data: Laparoscopic distal pancreatic resection has increasingly been described as a feasible and safe procedure, although accompanied by a high rate of conversion and morbidity. Methods: A consecutive series of patients affected by solid and cystic tumors were selected prospectively to undergo laparoscopic distal pancreatectomy performed by the same surgical team. Clinical characteristics as well as diagnostic preoperative assessment and intra- and postoperative data were prospectively recorded. A follow-up of at least 3 months was available for all patients. Results: Fifty-eight patients underwent laparoscopic resection between May 1999 and November 2005. All procedures were successfully performed laparoscopically, and no patient required intraoperative blood transfusion. Splenic vessel preservation was possible in 84.4% of spleen-preserving procedures. There were no mortalities. The overall median hospital stay was 9 days, while it was 10.5 days for patients with postoperative pancreatic fistulae (27.5% of all cases). Follow-up was available for all patients. Conclusions: Our experience in 58 consecutive patients was characterized by the lack of conversions and by acceptable rates of postoperative pancreatic fistulae and morbidity. Laparoscopy proved especially beneficial in patients with postoperative complications as they had a relatively short hospital stay. Solid and cystic tumors of the distal pancreas represent a good indication for laparoscopic resection whenever possible. PMID:17592294

  3. 红外图像显示算法研究及其实现%Research and Realization of infrared image display algorithm

    Institute of Scientific and Technical Information of China (English)

    魏挺; 苗毅; 鹿琦


    通过对直方图显示变换算法的分析、研究,最终选取平台直方图法并结合Visual C++6.0编程语言开发了红外图像格式转换软件,使得在红外图像的处理过程中提高图像显示质量的同时,还摆脱了原有软件狗的限制。%Through display of histogram transform algorithm analysis and research,and ultimately selected platform histogram method and infrared image format conversion software is developed with Visual C + + 6.0 programming language,making in infrared image processing to improve the image display quality at the same time,also placed off limits of the original software dog.

  4. JAVA Stereo Display Toolkit (United States)

    Edmonds, Karina


    This toolkit provides a common interface for displaying graphical user interface (GUI) components in stereo using either specialized stereo display hardware (e.g., liquid crystal shutter or polarized glasses) or anaglyph display (red/blue glasses) on standard workstation displays. An application using this toolkit will work without modification in either environment, allowing stereo software to reach a wider audience without sacrificing high-quality display on dedicated hardware. The toolkit is written in Java for use with the Swing GUI Toolkit and has cross-platform compatibility. It hooks into the graphics system, allowing any standard Swing component to be displayed in stereo. It uses the OpenGL graphics library to control the stereo hardware and to perform the rendering. It also supports anaglyph and special stereo hardware using the same API (application-program interface), and has the ability to simulate color stereo in anaglyph mode by combining the red band of the left image with the green/blue bands of the right image. This is a low-level toolkit that accomplishes simply the display of components (including the JadeDisplay image display component). It does not include higher-level functions such as disparity adjustment, 3D cursor, or overlays all of which can be built using this toolkit.

  5. Laparoscopic repair of left lumbar hernia after laparoscopic left nephrectomy. (United States)

    Gagner, Michel; Milone, Luca; Gumbs, Andrew; Turner, Patricia


    Lumbar hernias, rarely seen in clinical practice, can be acquired after open or laparoscopic flank surgery. We describe a successful laparoscopic preperitoneal mesh repair of multiple trocar-site hernias after extraperitoneal nephrectomy. All the key steps including creating a peritoneal flap, reducing the hernia contents, and fixation of the mesh are described. A review of the literature on this infrequent operation is presented. Laparoscopic repair of lumbar hernias has all the advantages of laparoscopic ventral hernia repair.

  6. Using a laparoscope manipulator (LAPMAN) in laparoscopic gynecological surgery. (United States)

    Polet, Roland; Donnez, Jaques


    The LAPMAN (Medsys, Gembloux, BELGIUM) is a dynamic laparoscope holder guided by a joystick clipped onto the laparoscopic instruments under the index finger of the operator. It confers optimal control of the visual field while operating, ensures stable and smooth displacement of the laparoscope, and allows the operator to work in conditions of restricted surgical assistance, due to either unavailability of staff or economic constraints. It has been tested successfully in pilot studies in laparoscopic gynecologic surgery.

  7. [A technic for laparoscopic gastrostomy]. (United States)

    Kala, Z; Vomela, J; Hanke, I


    The authors describe the technique of laparoscopic gastrostomy and laparoscopic assisted gastrostomy. It is an alternative method for patients, when PEG (percutaneous endoscopic gastronomy) or other more physiologic way of food administration is not possible to perform.

  8. Multi-thread Programming for Image Display of Navigational Radar%导航雷达图像显示的多线程编程

    Institute of Scientific and Technical Information of China (English)

    祝宏涛; 姚萌; 蔡天艳; 项凌云


    The software of displaying the navigational radar images on SoPC platform was designed. The task of code was divided according to the system running engineering and radar image display task which includes radar circle and character data. The divided code task includes hardware initialization, data sampling, range set, window display and system shutdown.Corresponding to the divided task, a method af multi-thread programming in Windows OS was taken to compile the software for the radar image display. The results of the software ruuning on the SoPC platform indicates that it can meet the needs of the navigational radar image display.%设计了导航雷达图像在SoPC硬件平台上显示的软件系统,根据雷达图像显示任务和系统的运行工程对代码的任务进行划分,雷达图像显示任务包括雷达圆和文字数据两部分,划分后的代码任务包括硬件初始化、开始数据接收处理、量程设置、窗口显示、关机等5个任务,对应划分后的任务采用了Windows下的多线程方法编写雷达图像显示的软件系统.经过在SoPC硬件平台上调试运行,效果显示能够满足导航雷达图像显示的各项要求.

  9. Laparoscopic repair of femoral hernia


    Yang, Xue-Fei; Liu, Jia-Lin


    Laparoscopic repair of inguinal hernia is mini-invasive and has confirmed effects. Femoral hernia could be repaired through the laparoscopic procedures for inguinal hernia. These procedures have clear anatomic view in the operation and preoperatively undiagnosed femoral hernia could be confirmed and treated. Lower recurrence ratio was reported in laparoscopic procedures compared with open procedures for repair of femoral hernia. The technical details of laparoscopic repair of femoral hernia, ...

  10. Technical feasibility and safety of image-guided parieto-occipital ventricular catheter placement with the assistance of a wearable head-up display. (United States)

    Yoon, Jang W; Chen, Robert E; ReFaey, Karim; Diaz, Roberto J; Reimer, Ronald; Komotar, Ricardo J; Quinones-Hinojosa, Alfredo; Brown, Benjamin L; Wharen, Robert E


    Wearable technology is growing in popularity as a result of its ability to interface with normal human movement and function. Using proprietary hardware and software, neuronavigation images were captured and transferred wirelessly via a password-encrypted network to the head-up display. The operating surgeon wore a loupe-mounted wearable head-up display during image-guided parieto-occipital ventriculoperitoneal shunt placement in two patients. The shunt placement was completed successfully without complications. The tip of the catheter ended well within the ventricles away from the ventricular wall. The wearable device allowed for continuous monitoring of neuronavigation images in the right upper corner of the surgeon's visual field without the need for the surgeon to turn his head to view the monitors. The adaptable nature of this proposed system permits the display of video data to the operating surgeon without diverting attention away from the operative task. This technology has the potential to enhance image-guided procedures. Copyright © 2017 John Wiley & Sons, Ltd.

  11. [Evaluation of image quality using the normalized-rank approach for primary class liquid-crystal display (LCD) monitors with different colors and resolution]. (United States)

    Kuroki, Hidefumi; Katayama, Reiji; Sakaguchi, Taro; Maeda, Takashi; Morishita, Junji; Hayabuchi, Naofumi


    The purposes of this study were to evaluate the image quality of five types of liquid-crystal display (LCD) monitors by utilizing the normalized-rank approach and to investigate the effect of LCD monitor specifications, such as display colors, luminance, and resolution, on the evaluators' ranking. The LCD monitors used in this study were 2, 3 and 5 mega-pixel monochrome LCD monitors, and 2 and 3 mega-pixel color LCD monitors (Eizo Nanao Corporation). All LCD monitors were calibrated to the grayscale standard display function (GSDF) with different maximum luminance (recommended luminance) settings. Also, four kinds of radiographs were used for observer study based on the normalized-rank approach: three adult chest radiographs, three pediatric chest radiographs, three ankle joint radiographs, and four double-contrasted upper gastrointestinal radiographs. Ten radiological technologists participated in the observer study. Monochrome LCD monitors exhibited superior ranking with statistically significant differences (pLCD monitors in all kinds of radiographs. The major difference between monochrome and color monitors was luminance. Therefore, it is considered that the luminance of LCD monitors affects observers' evaluations based on image quality. Moreover, in the case of radiographs that include high frequency image components, the monitor resolution also affects the evaluation. In clinical practice, it is necessary to optimize the luminance and choose appropriate LCD monitors for diagnostic images.

  12. Laparoscopic reintervention in colorectal surgery.

    NARCIS (Netherlands)

    Broek, RP Ten; Goor, H. van


    Laparoscopic colorectal surgery has developed in the 1990's and beginning of 2000. The favourable results and great progress in the development of laparoscopic techniques have expanded the indications of laparoscopic colorectal surgery. More and more complicated colorectal cases are treated laparosc

  13. Sex differences in laparoscopic cholecystectomy

    DEFF Research Database (Denmark)

    Thesbjerg, Simon E; Harboe, Kirstine Moll; Bardram, Linda


    Conversion from laparoscopic to open cholecystectomy may not be desirable due to the increased complication rate and prolonged convalescence. In Denmark, nationwide data show that 7.7% of the laparoscopic cholecystectomies are converted to open surgery. This article aims to document...... the relationship of gender to conversion rate and length of hospital stay after laparoscopic cholecystectomy in a national cohort of patients....

  14. Impact of Scoliosis on Laparoscopic Nissen Fundoplication. (United States)

    Ishimaru, Tetsuya; Sugiyama, Masahiko; Arai, Mari; Satoh, Kaori; Uotani, Chizue; Takahashi, Masataka; Takami, Shohei; Fujishiro, Jun; Iwanaka, Tadashi


    Scoliosis, which is often associated with neurological impairment in children, sometimes makes it difficult to perform laparoscopic procedures. This study assessed the impact of scoliosis on performing laparoscopic Nissen fundoplication. Medical records and radiographic examinations of patients who underwent laparoscopic Nissen fundoplication at a single institution from 2006 to 2015 were reviewed retrospectively. Patients' data on age at surgery, height, weight, duration of pneumoperitoneum, and amount of bleeding were collected. The Cobb angle was measured using X-rays, and the direction (right or left) of the scoliotic curve was recorded. The chest compression ratio was calculated using computed tomography axial images. Eighty-five patients were included and analyzed in this study, of which 89% were neurologically impaired. Median age, height, and weight were 120 months, 110 cm, and 17 kg, respectively. A positive correlation between age and the Cobb angle (ρ = 0.64) and a negative correlation between age and the chest compression ratio (ρ = -0.56) were observed. The right-curved scoliotic group showed significantly more bleeding than the nonscoliotic (scoliosis and chest compression were. Right-curved or severe scoliosis could be risk factors for intraoperative bleeding in laparoscopic Nissen fundoplication.

  15. Laparoscopic pancreatic resection. (United States)

    Harrell, K N; Kooby, D A


    Though initially slow to gain acceptance, the minimally invasive approach to pancreatic resection grew during the last decade and pancreatic operations such as the distal pancreatectomy and pancreatic enucleation are frequently performed laparoscopically. More complex operations such as the pancreaticoduodenectomy may also confer benefits with a minimally invasive approach but are less widely utilized. Though most research to date comparing open and laparoscopic pancreatectomy is retrospective, the current data suggest that compared with open, a laparoscopic procedure may afford postoperative benefits such as less blood loss, shorter hospital stay, and fewer wound complications. Regarding oncologic considerations, despite initial concerns, laparoscopic resection appears to be non-inferior to an open procedure in terms of lymph node retrieval, negative margin rates, and long-term survival. New technologies, such as robotics, are also gaining acceptance. Data show that while the laparoscopic approach incurs higher cost in the operating room, the resulting shorter hospital stay appears to be associated with an equivalent or lower overall cost. The minimally invasive approach to pancreatic resection can be safe and appropriate with significant patient benefits and oncologic non-inferiority based on existing data.

  16. Correcting Reflux Laparoscopically

    Directory of Open Access Journals (Sweden)

    Eric C Poulin


    Full Text Available Most operations in the abdominal cavity and chest can be performed using minimally invasive techniques. As yet it has not been determined which laparoscopic procedures are preferable to the same operations done through conventional laparotomy. However, most surgeons who have completed the learning curves of these procedures believe that most minimally invasive techniques will be scientifically recognized soon. The evolution, validation and justification of advanced laparoscopic surgical methods seem inevitable. Most believe that the trend towards procedures that minimize or eliminate the trauma of surgery while adhering to accepted surgical principles is irreversible. The functional results of laparoscopic antireflux surgery in the seven years since its inception have been virtually identical to the success curves generated with open fundoplication in past years. Furthermore, overall patient outcomes with laparoscopic procedures have been superior to outcomes with the traditional approach. Success is determined by patient selection and operative technique. Patient evaluation should include esophagogastroduodenoscopy, barium swallow, 24 h pH study and esophageal motility study. Gastric emptying also should be evaluated. Patients who have abnormal propulsion in the esophagus should not receive a complete fundoplication (Nissen because it adds a factor of obstruction. Dor or Toupet procedures are adequate alternatives. Prokinetic agents, dilation or pyloroplasty are used for pyloric obstruction ranging from little to more severe. Correcting reflux laparoscopically is more difficult in patients with obesity, peptic strictures, paraesophageal hernias, short esophagus, or a history of previous upper abdominal or antireflux surgery.

  17. 腹腔镜超声影像技术引导机器人辅助腹部手术的临床应用%Clinical effects of laparoscopic ultrasound imaging in robot-assisted abdominal surgery

    Institute of Scientific and Technical Information of China (English)

    姜朋; 牟培源; 周宁新; 白媛媛


    AIM: To explore the clinical effects of laparo-scopic ultrasound imaging technique in robot-assisted abdominal surgery. METHODS: Twenty-eight patients (including three with intrahepatic bile duct stones, three with calculous cholecystitis, eight with hepatic tumor, seven with hilar cholangiocarcinoma, four with pancreatic tumor, and three with hypersplenism) who underwent laparoscopic ultrasound-guided robot-assisted abdominal surgery in our hospital were included in our study. Laparoscopic ultrasound was used to determine the location of lesions and their relation with nearby tissue, choose the optimal surgical method, guide the pathway and evaluate the effects during surgery. The clinical effects were evaluated by ultrasound, contrast-enhanced CT, MRCP and biochemical assays after surgery. RESULTS: All surgical procedures were performed successfully, and no serious intraopera-tive or postoperative complications occurred. Biochemical parameters returned or approached -to normal levels. In RFA regions, color Doppler ultrasound imaging showed no color signal and contrast-enhanced CT showed no enhancement. Ultrasonography, CT or MRCP detected no abnormity in the bile duct. The volume of the entire spleen and damaged part of the spleen from RFA regions were measured by enhanced CT, and the percentages of damaged part of the spleen were 43%, 45% and 49%. CONCLUSION: Laparoscopic ultrasound can not only determine the lesion and guide the operative route but also help surgeons to select the operative strategy. With the development of robot-assisted surgical system, laparoscopic ultrasound will become an indispensable part of this surgery.%目的:探讨腹腔镜超声影像技术引导机器人辅助腹部手术的临床应用效果.方法:对28例患者(肝内胆管结石3例,结石性胆囊炎3例,肝占位8例,肝门部胆管癌7例,胰腺占位4例,脾功能亢进3例)实施腹腔镜超声引导机器人辅助腹部手术治疗,手术过程中应用腹腔镜超声探

  18. Hand-Assisted Laparoscopic Hepatectomy for Primary Clear Cell Hepatocellular Carcinoma of the Liver

    Directory of Open Access Journals (Sweden)

    Kazutoshi Kida


    Full Text Available We report a case of primary clear cell hepatocellular carcinoma of the liver (PCCCL for which we performed hand-assisted laparoscopic hepatectomy. A 71-year-old female with hepatitis C infection and diabetes mellitus was admitted to our department for a hepatic tumor with gallstone. Abdominal computed tomography revealed a tumor 25 mm in diameter on the surface in segment 5 of the liver. The imaging results suggested small hepatocellular carcinoma located on the surface in segment 5 of the liver, and we performed laparoscopic surgery aiming at a minimally invasive procedure. We performed laparoscopic cholecystectomy and hand-assisted laparoscopic hepatectomy. Histopathological findings showed moderately differentiated hepatocellular carcinoma, and as the proportion of clear cells was 75%, the tumor was diagnosed as PCCCL. This is the first report of hand-assisted laparoscopic hepatectomy for PCCCL. Laparoscopic hepatectomy is a useful minimally invasive surgical procedure when the tumor is located on the surface of the liver.

  19. Three-dimensional display of peripheral nerves in the wrist region based on MR diffusion tensor imaging and maximum intensity projection post-processing

    Energy Technology Data Exchange (ETDEWEB)

    Ding, Wen Quan, E-mail: [Department of Hand Surgery, Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, Jiangsu (China); Zhou, Xue Jun, E-mail: [Department of Radiology, Affiliated Hospital of Nantong University, Nantong, Jiangsu (China); Tang, Jin Bo, E-mail: [Department of Hand Surgery, Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, Jiangsu (China); Gu, Jian Hui, E-mail: [Department of Hand Surgery, Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, Jiangsu (China); Jin, Dong Sheng, E-mail: [Department of Radiology, Jiangsu Province Official Hospital, Nanjing, Jiangsu (China)


    Highlights: • 3D displays of peripheral nerves can be achieved by 2 MIP post-processing methods. • The median nerves’ FA and ADC values can be accurately measured by using DTI6 data. • Adopting 6-direction DTI scan and MIP can evaluate peripheral nerves efficiently. - Abstract: Objectives: To achieve 3-dimensional (3D) display of peripheral nerves in the wrist region by using maximum intensity projection (MIP) post-processing methods to reconstruct raw images acquired by a diffusion tensor imaging (DTI) scan, and to explore its clinical applications. Methods: We performed DTI scans in 6 (DTI6) and 25 (DTI25) diffusion directions on 20 wrists of 10 healthy young volunteers, 6 wrists of 5 patients with carpal tunnel syndrome, 6 wrists of 6 patients with nerve lacerations, and one patient with neurofibroma. The MIP post-processing methods employed 2 types of DTI raw images: (1) single-direction and (2) T{sub 2}-weighted trace. The fractional anisotropy (FA) and apparent diffusion coefficient (ADC) values of the median and ulnar nerves were measured at multiple testing sites. Two radiologists used custom evaluation scales to assess the 3D nerve imaging quality independently. Results: In both DTI6 and DTI25, nerves in the wrist region could be displayed clearly by the 2 MIP post-processing methods. The FA and ADC values were not significantly different between DTI6 and DTI25, except for the FA values of the ulnar nerves at the level of pisiform bone (p = 0.03). As to the imaging quality of each MIP post-processing method, there were no significant differences between DTI6 and DTI25 (p > 0.05). The imaging quality of single-direction MIP post-processing was better than that from T{sub 2}-weighted traces (p < 0.05) because of the higher nerve signal intensity. Conclusions: Three-dimensional displays of peripheral nerves in the wrist region can be achieved by MIP post-processing for single-direction images and T{sub 2}-weighted trace images for both DTI6 and DTI25

  20. Real-time 3D display system based on computer-generated integral imaging technique using enhanced ISPP for hexagonal lens array. (United States)

    Kim, Do-Hyeong; Erdenebat, Munkh-Uchral; Kwon, Ki-Chul; Jeong, Ji-Seong; Lee, Jae-Won; Kim, Kyung-Ah; Kim, Nam; Yoo, Kwan-Hee


    This paper proposes an open computer language (OpenCL) parallel processing method to generate the elemental image arrays (EIAs) for hexagonal lens array from a three-dimensional (3D) object such as a volume data. Hexagonal lens array has a higher fill factor compared to the rectangular lens array case; however, each pixel of an elemental image should be determined to belong to the single hexagonal lens. Therefore, generation for the entire EIA requires very large computations. The proposed method reduces processing time for the EIAs for a given hexagonal lens array. By using the proposed image space parallel processing (ISPP) method, it can enhance the processing speed that generates the 3D display of real-time interactive integral imaging for hexagonal lens array. In our experiment, we implemented the EIAs for hexagonal lens array in real-time and obtained a good processing time for a large of volume data for multiple cases of lens arrays.

  1. Back-to-back optical coherence tomography-ultrasound probe for co-registered three-dimensional intravascular imaging with real-time display (United States)

    Li, Jiawen; Ma, Teng; Jing, Joseph; Zhang, Jun; Patel, Pranav M.; Shung, K. Kirk; Zhou, Qifa; Chen, Zhongping


    We have developed a novel integrated optical coherence tomography (OCT)-intravascular ultrasound (IVUS) probe, with a 1.5 mm-long rigid-part and 0.9 mm outer diameter, for real-time intracoronary imaging of atherosclerotic plaques and guiding interventional procedures. By placing the OCT ball lens and IVUS 45MHz single element transducer back-to-back at the same axial position, this probe can provide automatically co-registered, co-axial OCT-IVUS imaging. To demonstrate its capability, 3D OCT-IVUS imaging of a pig's coronary artery in real-time displayed in polar coordinates, as well as images of two major types of advanced plaques in human cadaver coronary segments, was obtained using this probe and our upgraded system. Histology validation is also presented.

  2. Laparoscopic radical prostatectomy

    Directory of Open Access Journals (Sweden)

    Lipke Michael


    Full Text Available Millions of men are diagnosed annually with prostate cancer worldwide. With the advent of PSA screening, there has been a shift in the detection of early prostate cancer, and there are increased numbers of men with asymptomatic, organ confined disease. Laparoscopic radical prostatectomy is the latest, well accepted treatment that patients can select. We review the surgical technique, and oncologic and functional outcomes of the most current, large series of laparoscopic radical prostatectomy published in English. Positive margin rates range from 2.1-6.9% for pT2a, 9.9-20.6% for pT2b, 24.5-42.3% for pT3a, and 22.6-54.5% for pT3b. Potency rates after bilateral nerve sparing laparoscopic radical prostatectomy range from 47.1 to 67%. Continence rates at 12 months range from 83.6 to 92%.

  3. GUI for Coordinate Measurement of an Image for the Estimation of Geometric Distortion of an Opto-electronic Display System (United States)

    Saini, Surender Singh; Sardana, Harish Kumar; Pattnaik, Shyam Sundar


    Conventional image editing software in combination with other techniques are not only difficult to apply to an image but also permits a user to perform some basic functions one at a time. However, image processing algorithms and photogrammetric systems are developed in the recent past for real-time pattern recognition applications. A graphical user interface (GUI) is developed which can perform multiple functions simultaneously for the analysis and estimation of geometric distortion in an image with reference to the corresponding distorted image. The GUI measure, record, and visualize the performance metric of X/Y coordinates of one image over the other. The various keys and icons provided in the utility extracts the coordinates of distortion free reference image and the image with geometric distortion. The error between these two corresponding points gives the measure of distortion and also used to evaluate the correction parameters for image distortion. As the GUI interface minimizes human interference in the process of geometric correction, its execution just requires use of icons and keys provided in the utility; this technique gives swift and accurate results as compared to other conventional methods for the measurement of the X/Y coordinates of an image.

  4. GUI for Coordinate Measurement of an Image for the Estimation of Geometric Distortion of an Opto-electronic Display System (United States)

    Saini, Surender Singh; Sardana, Harish Kumar; Pattnaik, Shyam Sundar


    Conventional image editing software in combination with other techniques are not only difficult to apply to an image but also permits a user to perform some basic functions one at a time. However, image processing algorithms and photogrammetric systems are developed in the recent past for real-time pattern recognition applications. A graphical user interface (GUI) is developed which can perform multiple functions simultaneously for the analysis and estimation of geometric distortion in an image with reference to the corresponding distorted image. The GUI measure, record, and visualize the performance metric of X/Y coordinates of one image over the other. The various keys and icons provided in the utility extracts the coordinates of distortion free reference image and the image with geometric distortion. The error between these two corresponding points gives the measure of distortion and also used to evaluate the correction parameters for image distortion. As the GUI interface minimizes human interference in the process of geometric correction, its execution just requires use of icons and keys provided in the utility; this technique gives swift and accurate results as compared to other conventional methods for the measurement of the X/Y coordinates of an image.

  5. 集成成像立体显示技术研究进展%Progress in Integral Imaging Display Technology

    Institute of Scientific and Technical Information of China (English)

    夏军; 曲笛; 周学超; 缪陈峰


    Integral imaging is a three-dimensional display technology that can provide both horizontal and vertical motion parallax. In this paper the problems of current integral imaging technology, such as depth of view, viewing angle, pseudoscopic image, have been discussed. And the methods that developed to solve these problems are reviewed. The progress in computational integral imaging reconstruction is also introduced. Recent progress indicates that a 2D and 3D convertible integral imaging display is a promising technology for a super-slim real-3D auto-stereoscopic display in the future.%集成成像立体显示是一种水平和垂直方向同时具有运动视差的真三维立体显示技术.本文概述了集成成像立体显示在显示三维图像时存在的景深范围小,视角范围窄,赝像等问题,介绍了提升景深范围、扩大视角、消除赝像的技术方法.介绍了利用子图像阵列进行计算机三维虚拟重建的最新研究进展.通过研究指出,具有二维和三维显示模式转换功能的集成成像立体显示技术是超薄型真三维立体显示器的重要发展方向.

  6. Handbook of Visual Display Technology

    CERN Document Server

    Cranton, Wayne; Fihn, Mark


    The Handbook of Visual Display Technology is a unique work offering a comprehensive description of the science, technology, economic and human interface factors associated with the displays industry. An invaluable compilation of information, the Handbook will serve as a single reference source with expert contributions from over 150 international display professionals and academic researchers. All classes of display device are covered including LCDs, reflective displays, flexible solutions and emissive devices such as OLEDs and plasma displays, with discussion of established principles, emergent technologies, and particular areas of application. The wide-ranging content also encompasses the fundamental science of light and vision, image manipulation, core materials and processing techniques, display driving and metrology.

  7. Ergonomic design criteria for a novel laparoscopic tool handle with tactile feedback. (United States)

    Mårvik, R; Nesbakken, R; Langø, T; Yavuz, Y; Vanhauwaert Bjelland, H; Ottermo, M V; Stavdahl, O


    Laparoscopic surgery has many ergonomic disadvantages often not considered in the design of instruments. The poorly designed surgical tools produce inconveniences in both functional and cognitive aspects; including tactile sensation and visual-motor space coordination. The aim of this article is to find out how laparoscopic handle design can be improved by combining classical ergonomic guidelines with tactile feedback related to handle design. The article briefly discusses how the human hand and hand-held tools are used to perform tasks. An ergonomic handle for laparoscopic grasping, with a built-in tactile sensation display, is presented. Our review of laparoscopic instruments reveals important aspects for handle design. It is concluded that there is a need for greater awareness of ergonomic guidelines for users' sensory requirements when designing and manufacturing laparoscopic instruments.

  8. Projection displays (United States)

    Chiu, George L.; Yang, Kei H.


    Projection display in today's market is dominated by cathode ray tubes (CRTs). Further progress in this mature CRT projector technology will be slow and evolutionary. Liquid crystal based projection displays have gained rapid acceptance in the business market. New technologies are being developed on several fronts: (1) active matrix built from polysilicon or single crystal silicon; (2) electro- optic materials using ferroelectric liquid crystal, polymer dispersed liquid crystals or other liquid crystal modes, (3) micromechanical-based transducers such as digital micromirror devices, and grating light valves, (4) high resolution displays to SXGA and beyond, and (5) high brightness. This article reviews the projection displays from a transducer technology perspective along with a discussion of markets and trends.

  9. Laparoscopic and robotic nephroureterectomy

    DEFF Research Database (Denmark)

    Azawi, Nessn H; Berg, Kasper Drimer; Thamsborg, Andreas Key Milan


    nephroureterectomy between January 2008 and December 2014 was conducted. Outcome measures were OS and CSM. RESULTS: In total, 298 patients underwent robot-assisted or laparoscopic radical nephroureterectomy with a final histological diagnosis of UTUC. LND was performed in 46 (15.4%). One hundred and seventy...

  10. Laparoscopic lumbar hernia repair. (United States)

    Madan, Atul K; Ternovits, Craig A; Speck, Karen E; Pritchard, F Elizabeth; Tichansky, David S


    Lumbar hernias are rare clinical entities that often pose a challenge for repair. Because of the surrounding anatomy, adequate surgical herniorraphy is often difficult. Minimally invasive surgery has become an option for these hernias. Herein, we describe two patients with lumbar hernias (one with a recurrent traumatic hernia and one with an incisional hernia). Both of these hernias were successfully repaired laparoscopically.

  11. Visual merchandising window display

    Directory of Open Access Journals (Sweden)

    Opris (Cas. Stanila M.


    Full Text Available Window display plays a major part in the selling strategies; it does not only include the simple display of goods, nowadays it is a form of art, also having the purpose of sustaining the brand image. This article wants to reveal the tools that are essential in creating a fabulous window display. Being a window designer is not an easy job, you have to always think ahead trends, to have a sense of colour, to know how to use light to attract customers in the store after only one glance at the window. The big store window displays are theatre scenes: with expensive backgrounds, special effects and high fashion mannequins. The final role of the displays is to convince customers to enter the store and trigger the purchasing act which is the final goal of the retail activity.

  12. Military display performance parameters (United States)

    Desjardins, Daniel D.; Meyer, Frederick


    The military display market is analyzed in terms of four of its segments: avionics, vetronics, dismounted soldier, and command and control. Requirements are summarized for a number of technology-driving parameters, to include luminance, night vision imaging system compatibility, gray levels, resolution, dimming range, viewing angle, video capability, altitude, temperature, shock and vibration, etc., for direct-view and virtual-view displays in cockpits and crew stations. Technical specifications are discussed for selected programs.

  13. Graphics Processing Unit (GPU) implementation of image processing algorithms to improve system performance of the Control, Acquisition, Processing, and Image Display System (CAPIDS) of the Micro-Angiographic Fluoroscope (MAF). (United States)

    Vasan, S N Swetadri; Ionita, Ciprian N; Titus, A H; Cartwright, A N; Bednarek, D R; Rudin, S


    We present the image processing upgrades implemented on a Graphics Processing Unit (GPU) in the Control, Acquisition, Processing, and Image Display System (CAPIDS) for the custom Micro-Angiographic Fluoroscope (MAF) detector. Most of the image processing currently implemented in the CAPIDS system is pixel independent; that is, the operation on each pixel is the same and the operation on one does not depend upon the result from the operation on the other, allowing the entire image to be processed in parallel. GPU hardware was developed for this kind of massive parallel processing implementation. Thus for an algorithm which has a high amount of parallelism, a GPU implementation is much faster than a CPU implementation. The image processing algorithm upgrades implemented on the CAPIDS system include flat field correction, temporal filtering, image subtraction, roadmap mask generation and display window and leveling. A comparison between the previous and the upgraded version of CAPIDS has been presented, to demonstrate how the improvement is achieved. By performing the image processing on a GPU, significant improvements (with respect to timing or frame rate) have been achieved, including stable operation of the system at 30 fps during a fluoroscopy run, a DSA run, a roadmap procedure and automatic image windowing and leveling during each frame.

  14. Graphics processing unit (GPU) implementation of image processing algorithms to improve system performance of the control acquisition, processing, and image display system (CAPIDS) of the micro-angiographic fluoroscope (MAF) (United States)

    Swetadri Vasan, S. N.; Ionita, Ciprian N.; Titus, A. H.; Cartwright, A. N.; Bednarek, D. R.; Rudin, S.


    We present the image processing upgrades implemented on a Graphics Processing Unit (GPU) in the Control, Acquisition, Processing, and Image Display System (CAPIDS) for the custom Micro-Angiographic Fluoroscope (MAF) detector. Most of the image processing currently implemented in the CAPIDS system is pixel independent; that is, the operation on each pixel is the same and the operation on one does not depend upon the result from the operation on the other, allowing the entire image to be processed in parallel. GPU hardware was developed for this kind of massive parallel processing implementation. Thus for an algorithm which has a high amount of parallelism, a GPU implementation is much faster than a CPU implementation. The image processing algorithm upgrades implemented on the CAPIDS system include flat field correction, temporal filtering, image subtraction, roadmap mask generation and display window and leveling. A comparison between the previous and the upgraded version of CAPIDS has been presented, to demonstrate how the improvement is achieved. By performing the image processing on a GPU, significant improvements (with respect to timing or frame rate) have been achieved, including stable operation of the system at 30 fps during a fluoroscopy run, a DSA run, a roadmap procedure and automatic image windowing and leveling during each frame.

  15. Development of a vision integration framework for laparoscopic surgical robot. (United States)

    Shin, Jung W; Park, Jun W; Lee, Chul H; Hong, Soyoung; Jo, Yungho; Choi, Jaesoon


    In order to realize intelligent laparoscopic surgical robot, a vision integrated system constitutes one of the fundamental components. The authors have constructed a vision framework in the current version of NCC (National Cancer Center) laparoscopic surgical robot controlled on a real-time OS (RTLinux-Pro, FSMLabs Inc., U.S.A.). Adding vision framework, we have been applying and testing image processing algorithms- edge detection of object for positioning surgical tool, Watersheds for recognizing object. This paper documents the implementation of the framework and preliminary results of the image segmentation using Watersheds algorithm. Finally the real-time processing capability of our vision system is discussed.

  16. Systematic Video Documentation in Laparoscopic Colon Surgery Using a Checklist: A Feasibility and Compliance Pilot Study. (United States)

    O'Mahoney, Paul R A; Trencheva, Koiana; Zhuo, Changhua; Shukla, Parul J; Lee, Sang W; Sonoda, Toyooki; Milsom, Jeffrey W


    High-quality images can be readily captured during laparoscopic colon surgery, but there are no guidelines for documentation of these video data or how to best measure surgical quality from an operative video. This study evaluates the feasibility and compliance in documenting key steps during laparoscopic right hemicolectomy and sigmoid colectomy. A retrospective review of previously recorded videos of patients undergoing laparoscopic right hemicolectomy or sigmoid colectomy from September to December 2011 in a single institution was performed. Patients' demographics, intraoperative features, postoperative complications, and variables for video recording and editing were collected. Compliance of key surgical steps was assessed using a checklist by two independent surgeons. Sixteen laparoscopic operations (seven right hemicolectomies and nine sigmoid colectomies) were recorded. Twelve (75%) were laparoscopic-assisted, and four (25%) were hand-assisted laparoscopic operations. Compliance with key surgical steps in laparoscopic right hemicolectomy and sigmoid colectomy was demonstrated in the majority of patients, with steps ranging in compliance from 42.9% to 100% and from 77.8% to 100%, respectively. The edited video had a median duration of 3 minutes 47 seconds (range, 1 minute 44 seconds-5 minutes 38 seconds) with a production time of nearly 1 hour and a resolution of 1440 × 1080 pixels. Key surgical steps during laparoscopic right hemicolectomy and sigmoid colectomy can be documented and edited into a short representative video. Standardization of this process should allow video documentation to improve quality in laparoscopic colon surgery.

  17. Study on radiation dose in the medical image data display method-focus on the DICOM standard

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jung Su [Dept. of Radio-technology, Health Welfare, Wonkwang Health Science University, Iksan (Korea, Republic of)


    DICOM (Digital Imaging and Communications in Medicine) standards are generally introduced as de facto and de jure standards in modern medical imaging devices to store and to transmit medical image information. DICOM Dose Structured Report (DICOM dose SR) is implemented to report radiation exposure information in image acquiring process. and DIOCM Modality Performed Procedure Step (DICOM MPPS) is also partly used to report this exposure with the information in its DICOM tag. This article is focused on three type of radiation exposure information of DICOM standards, 1) DICOM dose SR, 2) DICOM MPPS and 3) Radiation Exposure Monitoring(REM) profile by Integrating the Healthcare Enterprise(IHE), to study on radiation exposure reporting. Healthcare facility and its staff of medical imaging related to radiation exposure should have a deep understanding of radiation exposure, and it required a standards to enhance the quality control of medical imaging and the safety of patients and staffs. Staff member have to pay attention on radiation exposures and controlling processes from the purchasing stage of X-ray devices.

  18. Laparoscopic Management of a Complex Adrenal Cyst

    Directory of Open Access Journals (Sweden)

    Koichi Kodama


    Full Text Available Adrenal cysts are rare, and their clinical management remains controversial. We report a case involving an adrenal cyst with a complicated appearance on radiological studies. Unenhanced computed tomography revealed a unilocular, noncalcified, hypoattenuating mass with a thin wall in the left adrenal gland. The lesion gradually increased in size from 10 to 50 mm at two-year follow-up. On contrast-enhanced magnetic resonance imaging, a mural nodule with contrast enhancement was observed. The entire adrenal gland was excised en bloc via a lateral transperitoneal laparoscopic approach without violating the principles of surgical oncology. The pathological diagnosis was an adrenal pseudocyst. Laparoscopic adrenalectomy is a safe option for the treatment of complex adrenal cysts, while maintaining the benefits of minimal invasiveness.


    Directory of Open Access Journals (Sweden)

    B. Ya. Alekseev


    Full Text Available The wide use of current diagnostic techniques, such as ultrasound study, computed tomography, and magnetic resonance imaging, has led to significantly increased detection rates for disease in its early stages. This gave rise to a change in the standards for the treatment of locally advanced renal cell carcinoma (RCC. Laparoscopic nephrectomy (LN has recently become the standard treatment of locally advanced RCC in the clinics having much experience with laparoscopic surgery. The chief drawback of LN is difficulties in maintaining intraoperative hemostasis and a need for creating renal tissue ischemia. The paper gives the intermediate results of application of the new procedure of LN using radiofrequency thermal ablation in patients with non-ischemic early-stage RCC.

  20. A very simple, robust and fast method for estimating and displaying average time constants of T2 decays from multiecho MRI images using color intensity projections

    CERN Document Server

    Cover, Keith S


    While the multiexponential nature of T2 decays measured in vivo is well known, characterizing T2 decays by a single time constant is still very useful when differentiating among structures and pathologies in MRI images. A novel, robust, fast and very simple method is presented for both estimating and displaying the average time constant for the T2 decay of each pixel from a multiecho MRI sequence. The average time constant is calculated from the average of the values measured from the T2 decay over many echoes. For a monoexponential decay, the normalized decay average varies monotonically with the time constant. Therefore, it is simple to map any normalized decay average to an average time constant. This method takes advantage of the robustness of the normalized decay average to both artifacts and multiexponential decays. Color intensity projections (CIPs) were used to display 32 echoes acquired at a 10ms spacing as a single color image. The brightness of each pixel in each color image was determined by the i...

  1. Polyplanar optical display electronics

    Energy Technology Data Exchange (ETDEWEB)

    DeSanto, L.; Biscardi, C. [Brookhaven National Lab., Upton, NY (United States). Dept. of Advanced Technology


    The Polyplanar Optical Display (POD) is a unique display screen which can be used with any projection source. The prototype ten inch display is two inches thick and has a matte black face which allows for high contrast images. The prototype being developed is a form, fit and functional replacement display for the B-52 aircraft which uses a monochrome ten-inch display. In order to achieve a long lifetime, the new display uses a 100 milliwatt green solid-state laser (10,000 hr. life) at 532 nm as its light source. To produce real-time video, the laser light is being modulated by a Digital Light Processing (DLP{trademark}) chip manufactured by Texas Instruments. In order to use the solid-state laser as the light source and also fit within the constraints of the B-52 display, the Digital Micromirror Device (DMD{trademark}) circuit board is removed from the Texas Instruments DLP light engine assembly. Due to the compact architecture of the projection system within the display chassis, the DMD{trademark} chip is operated remotely from the Texas Instruments circuit board. The authors discuss the operation of the DMD{trademark} divorced from the light engine and the interfacing of the DMD{trademark} board with various video formats (CVBS, Y/C or S-video and RGB) including the format specific to the B-52 aircraft. A brief discussion of the electronics required to drive the laser is also presented.

  2. [Laparoscopic operation for colovesical fistula]. (United States)

    Tvedskov, Tove H Filtenborg; Ovesen, Henrik; Seiersen, Michael


    Since 2005 the surgical department of Roskilde County Hospital has treated selected patients with colovesical fistulas laparoscopically. We describe two patients with symptoms of pneumaturia and urinary tract infections. CT scanning, cystoscopy and sigmoideoscopy showed colovesical fistula and laparoscopic operation was performed. The operating times were 280 and 285 minutes and the length of their hospital stays was four and three days without complications. We suggest that laparoscopic operation for colovesical fistula can be a good alternative to open operation on selected patients.

  3. Image Acquisition and VGA Display Based on OV7620 and FPGA%基于FPGA和OV7620的图像采集及VGA显示

    Institute of Scientific and Technical Information of China (English)

    宋海吒; 唐立军; 谢新辉


    In order to complete Video image processing system,design of image acquisition and display system. In this system, FPGA is used as control kernel, through the SCCB bus initialization OV7620 digital image sensor for image acquisition and image data stored; The control signal were synthesized according to the VGA interface protocol and scheduling of THS8133, and the horizontal and vertical synchronization signalswere synthesized according to the VGA interface standard using Verilog HDL. Test shows that the system design is reasonable, simple and easy to implement hardware and can achieve real-time data acquisition and outcome of the aquisition VGA display. This system has been proved to be well designed and highly practical.%为完成视频图像处理系统,设计了图像采集显示系统.系统以FPGA为控制核心,通过SCCB总线初始化OV7620数字图像传感器,实现图像的采集和图像数据的存储;用Verilog HDL编写了对THS8133的控制信号和VGA显示的行同步和场同步信号,完成VGA接口协议.试验表明,系统设计合理,硬件电路简洁且实现容易,能够实现数据的实时采集和采集结果的VGA显示,具有较高的实用价值.

  4. Effect of stimulation by foliage plant display images on prefrontal cortex activity: a comparison with stimulation using actual foliage plants. (United States)

    Igarashi, Miho; Song, Chorong; Ikei, Harumi; Miyazaki, Yoshifumi


    Natural scenes like forests and flowers evoke neurophysiological responses that can suppress anxiety and relieve stress. We examined whether images of natural objects can elicit neural responses similar to those evoked by real objects by comparing the activation of the prefrontal cortex during presentation of real foliage plants with a projected image of the same foliage plants. Oxy-hemoglobin concentrations in the prefrontal cortex were measured using time-resolved near-infrared spectroscopy while the subjects viewed the real plants or a projected image of the same plants. Compared with a projected image of foliage plants, viewing the actual foliage plants significantly increased oxy-hemoglobin concentrations in the prefrontal cortex. However, using the modified semantic differential method, subjective emotional response ratings ("comfortable vs. uncomfortable" and "relaxed vs. awakening") were similar for both stimuli. The frontal cortex responded differently to presentation of actual plants compared with images of these plants even when the subjective emotional response was similar. These results may help explain the physical and mental health benefits of urban, domestic, and workplace foliage. © 2014 The Authors. Journal of Neuroimaging published by the American Society of Neuroimaging.

  5. US-CT 3D dual imaging by mutual display of the same sections for depicting minor changes in hepatocellular carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Fukuda, Hiroyuki, E-mail: [International HIFU Center, Sanmu Medical Center Hospital, Naruto 167, Sanbu-shi, Chiba 289-1326 (Japan); Ito, Ryu; Ohto, Masao; Sakamoto, Akio [International HIFU Center, Sanmu Medical Center Hospital, Naruto 167, Sanbu-shi, Chiba 289-1326 (Japan); Otsuka, Masayuki; Togawa, Akira; Miyazaki, Masaru [Department of General Surgery, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuo-ku, Chiba-shi, Chiba 260-0856 (Japan); Yamagata, Hitoshi [Toshiba Medical Systems Corporation, Otawara 324-0036 (Japan)


    The purpose of this study was to evaluate the usefulness of ultrasound-computed tomography (US-CT) 3D dual imaging for the detection of small extranodular growths of hepatocellular carcinoma (HCC). The clinical and pathological profiles of 10 patients with single nodular type HCC with extranodular growth (extranodular growth) who underwent a hepatectomy were evaluated using two-dimensional (2D) ultrasonography (US), three-dimensional (3D) US, 3D computed tomography (CT) and 3D US-CT dual images. Raw 3D data was converted to DICOM (Digital Imaging and Communication in Medicine) data using Echo to CT (Toshiba Medical Systems Corp., Tokyo, Japan), and the 3D DICOM data was directly transferred to the image analysis system (ZioM900, ZIOSOFT Inc., Tokyo, Japan). By inputting the angle number (x, y, z) of the 3D CT volume data into the ZioM900, multiplanar reconstruction (MPR) images of the 3D CT data were displayed in a manner such that they resembled the conventional US images. Eleven extranodular growths were detected pathologically in 10 cases. 2D US was capable of depicting only 2 of the 11 extranodular growths. 3D CT was capable of depicting 4 of the 11 extranodular growths. On the other hand, 3D US was capable of depicting 10 of the 11 extranodular growths, and 3D US-CT dual images, which enable the dual analysis of the CT and US planes, revealed all 11 extranodular growths. In conclusion, US-CT 3D dual imaging may be useful for the detection of small extranodular growths.

  6. Laparoscopic en bloc kidney transplantation

    Directory of Open Access Journals (Sweden)

    Pranjal Modi


    Full Text Available Laparoscopic donor nephrectomy is well establish procedure and having advantages over open donor nephrectomy in terms of having less pain, early ambulation and rapid post operative recovery. To extend the advantages of laparoscopic surgery to the recipient, recently we have performed laparoscopic kidney transplantations when kidney was procured from deceased donors. As a further extension of the procedure, here we present a case of laparoscopic en bloc kidney transplantation in obese diabetic recipient who received kidneys from 70 year old non-heart beating donor.

  7. Metaphorical Images of Schooling: Beliefs about Teaching and Learning among Prospective Teachers from the United States Displaying Different Motivational Profiles (United States)

    Thomson, Margareta Maria


    This study focused on investigating the types of schooling beliefs (teaching and learning) expressed through metaphorical images by prospective teachers (PTs) from the United States. Participants (N = 215) rated 10 schooling metaphors illustrating the "student-school-teacher" relationships (i.e. "Passenger-Bus-Driver"; Student…

  8. Latest development of display technologies (United States)

    Gao, Hong-Yue; Yao, Qiu-Xiang; Liu, Pan; Zheng, Zhi-Qiang; Liu, Ji-Cheng; Zheng, Hua-Dong; Zeng, Chao; Yu, Ying-Jie; Sun, Tao; Zeng, Zhen-Xiang


    In this review we will focus on recent progress in the field of two-dimensional (2D) and three-dimensional (3D) display technologies. We present the current display materials and their applications, including organic light-emitting diodes (OLEDs), flexible OLEDs quantum dot light emitting diodes (QLEDs), active-matrix organic light emitting diodes (AMOLEDs), electronic paper (E-paper), curved displays, stereoscopic 3D displays, volumetric 3D displays, light field 3D displays, and holographic 3D displays. Conventional 2D display devices, such as liquid crystal devices (LCDs) often result in ambiguity in high-dimensional data images because of lacking true depth information. This review thus provides a detailed description of 3D display technologies.

  9. A method for evaluating image quality of monochrome and color displays based on luminance by use of a commercially available color digital camera

    Energy Technology Data Exchange (ETDEWEB)

    Tokurei, Shogo, E-mail:, E-mail: [Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, Fukuoka 812-8582, Japan and Department of Radiology, Yamaguchi University Hospital, 1-1-1 Minamikogushi, Ube, Yamaguchi 755-8505 (Japan); Morishita, Junji, E-mail:, E-mail: [Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, Fukuoka 812-8582 (Japan)


    Purpose: The aim of this study is to propose a method for the quantitative evaluation of image quality of both monochrome and color liquid-crystal displays (LCDs) using a commercially available color digital camera. Methods: The intensities of the unprocessed red (R), green (G), and blue (B) signals of a camera vary depending on the spectral sensitivity of the image sensor used in the camera. For consistent evaluation of image quality for both monochrome and color LCDs, the unprocessed RGB signals of the camera were converted into gray scale signals that corresponded to the luminance of the LCD. Gray scale signals for the monochrome LCD were evaluated by using only the green channel signals of the camera. For the color LCD, the RGB signals of the camera were converted into gray scale signals by employing weighting factors (WFs) for each RGB channel. A line image displayed on the color LCD was simulated on the monochrome LCD by using a software application for subpixel driving in order to verify the WF-based conversion method. Furthermore, the results obtained by different types of commercially available color cameras and a photometric camera were compared to examine the consistency of the authors’ method. Finally, image quality for both the monochrome and color LCDs was assessed by measuring modulation transfer functions (MTFs) and Wiener spectra (WS). Results: The authors’ results demonstrated that the proposed method for calibrating the spectral sensitivity of the camera resulted in a consistent and reliable evaluation of the luminance of monochrome and color LCDs. The MTFs and WS showed different characteristics for the two LCD types owing to difference in the subpixel structure. The MTF in the vertical direction of the color LCD was superior to that of the monochrome LCD, although the WS in the vertical direction of the color LCD was inferior to that of the monochrome LCD as a result of luminance fluctuations in RGB subpixels. Conclusions: The authors

  10. Defense display market assessment (United States)

    Desjardins, Daniel D.; Hopper, Darrel G.


    This paper addresses the number, function and size of principal military displays and establishes a basis to determine the opportunities for technology insertion in the immediate future and into the next millennium. Principal military displays are defined as those occupying appreciable crewstation real-estate and/or those without which the platform could not carry out its intended mission. DoD 'office' applications are excluded from this study. The military displays market is specified by such parameters as active area and footprint size, and other characteristics such as luminance, gray scale, resolution, angle, color, video capability, and night vision imaging system (NVIS) compatibility. Funded, future acquisitions, planned and predicted crewstation modification kits, and form-fit upgrades are taken into account. This paper provides an overview of the DoD niche market, allowing both government and industry a necessary reference by which to meet DoD requirements for military displays in a timely and cost-effective manner. The aggregate DoD market for direct-view and large-area military displays is presently estimated to be in excess of 242,000. Miniature displays are those which must be magnified to be viewed, involve a significantly different manufacturing paradigm and are used in helmet mounted displays and thermal weapon sight applications. Some 114,000 miniature displays are presently included within Service weapon system acquisition plans. For vendor production planning purposes it is noted that foreign military sales could substantially increase these quantities. The vanishing vendor syndrome (VVS) for older display technologies continues to be a growing, pervasive problem throughout DoD, which consequently must leverage the more modern display technologies being developed for civil- commercial markets.

  11. Laparoscopic assisted cholecystostomy. (United States)

    Grecu, F


    Laparoscopic assisted cholecystostomy (LAC) is a safe method for external biliary drainage in jaundiced patients with distal common bile duct obstruction. It consists of the retrieval of the fundus of the gallbladder through the trocar, thus through abdominal wall followed by suture to the skin. This technique could be an option for surgeons who manage a patients with jaundice by distal common bile duct obstruction.

  12. Peritonitis: laparoscopic approach

    Directory of Open Access Journals (Sweden)

    Agresta Ferdinando


    Full Text Available Abstract Background Laparoscopy has became as the preferred surgical approach to a number of different diseases because it allows a correct diagnosis and treatment at the same time. In abdominal emergencies, both components of treatment – exploration to identify the causative pathology and performance of an appropriate operation – can often be accomplished via laparoscopy. There is still a debate of peritonitis as a contraindication to this kind of approach. Aim of the present work is to illustrate retrospectively the results of a case-control experience of laparoscopic vs. open surgery for abdominal peritonitis emergencies carried out at our institution. Methods From January 1992 and January 2002 a total of 935 patients (mean age 42.3 ± 17.2 years underwent emergent and/or urgent surgery. Among them, 602 (64.3% were operated on laparoscopically (of whom 112 -18.7% – with peritonitis, according to the presence of a surgical team trained in laparoscopy. Patients with a history of malignancy, more than two previous major abdominal surgeries or massive bowel distension were not treated Laparoscopically. Peritonitis was not considered contraindication to Laparoscopy. Results The conversion rate was 23.2% in patients with peritonitis and was mainly due to the presence of dense intra-abdominal adhesions. Major complications ranged as high as 5.3% with a postoperative mortality of 1.7%. A definitive diagnosis was accomplished in 85.7% (96 pat. of cases, and 90.6% (87 of these patients were treated successfully by Laparoscopy. Conclusion Even if limited by its retrospective feature, the present experience let us to consider the Laparoscopic approach to abdominal peritonitis emergencies a safe and effective as conventional surgery, with a higher diagnostic yield and allows for lesser trauma and a more rapid postoperative recovery. Such features make Laparoscopy a challenging alternative to open surgery in the management algorithm for abdominal

  13. Symptomatic simple renal cyst managed by laparoscopic unroofing in a child

    Directory of Open Access Journals (Sweden)

    Mete Kaya


    Full Text Available Simple renal cysts (SRC in children are uncommon, usually asymptomatic, and discovered incidentally during investigation for other urinary or abdominal symptoms. The management of SRC in children depends on the symptoms and imaging. Patients can be followed by ultrasonography or other imaging or may be decided an intervention. The available procedures for the treatment of symptomatic cysts are percutaneous aspiration with or without sclerotherapy and open or laparoscopic approaches of the lesions. Only a few small series have been published SRC in children, and is not sufficient data available regarding laparoscopic approach. In this case report, we present a case of symptomatic SRC who underwent laparoscopic unroofing

  14. Additive and subtractive transparent depth displays

    NARCIS (Netherlands)

    Kooi, F.L.; Toet, A.


    Image fusion is the generally preferred method to combine two or more images for visual display on a single screen. We demonstrate that perceptual image separation may be preferable over perceptual image fusion for the combined display of enhanced and synthetic imagery. In this context image separat

  15. Laparoscopic donor nephrectomy

    Directory of Open Access Journals (Sweden)

    Gupta Nitin


    Full Text Available Of the various options for patients with end stage renal disease, kidney transplantation is the treatment of choice for a suitable patient. The kidney for transplantation is retrieved from either a cadaver or a live donor. Living donor nephrectomy has been developed as a method to address the shortfall in cadaveric kidneys available for transplantation. Laparoscopic living donor nephrectomy (LLDN, by reducing postoperative pain, shortening convalescence, and improving the cosmetic outcome of the donor nephrectomy, has shown the potential to increase the number of living kidney donations further by removing some of the disincentives inherent to donation itself. The technique of LLDN has undergone evolution at different transplant centers and many modifications have been done to improve donor safety and recipient outcome. Virtually all donors eligible for an open surgical procedure may also undergo the laparoscopic operation. Various earlier contraindications to LDN, such as right donor kidney, multiple vessels, anomalous vasculature and obesity have been overcome with increasing experience. Laparoscopic live donor nephrectomy can be done transperitoneally or retroperitoneally on either side. The approach is most commonly transperitoneal, which allows adequate working space and easy dissection. A review of literature and our experience with regards to standard approach and the modifications is presented including a cost saving model for the developing countries. An assessment has been made, of the impact of LDN on the outcome of donor and the recipient.

  16. Laparoscopic radical trachelectomy. (United States)

    Rendón, Gabriel J; Ramirez, Pedro T; Frumovitz, Michael; Schmeler, Kathleen M; Pareja, Rene


    The standard treatment for patients with early-stage cervical cancer has been radical hysterectomy. However, for women interested in future fertility, radical trachelectomy is now considered a safe and feasible option. The use of minimally invasive surgical techniques to perform this procedure has recently been reported. We report the first case of a laparoscopic radical trachelectomy performed in a developing country. The patient is a nulligravid, 30-y-old female with stage IB1 adenocarcinoma of the cervix who desired future fertility. She underwent a laparoscopic radical trachelectomy and bilateral pelvic lymph node dissection. The operative time was 340 min, and the estimated blood loss was 100mL. There were no intraoperative or postoperative complications. The final pathology showed no evidence of residual disease, and all pelvic lymph nodes were negative. At 20 mo of follow-up, the patient is having regular menses but has not yet attempted to become pregnant. There is no evidence of recurrence. Laparoscopic radical trachelectomy with pelvic lymphadenectomy in a young woman who desires future fertility may also be an alternative technique in the treatment of early cervical cancer in developing countries.

  17. Laparoscopic liver resection: Experience based guidelines

    Institute of Scientific and Technical Information of China (English)


    Laparoscopic liver resection (LLR) has been progressivelydeveloped along the past two decades. Despiteinitial skepticism, improved operative results madelaparoscopic approach incorporated to surgical practiceand operations increased in frequency and complexity.Evidence supporting LLR comes from case-series,comparative studies and meta-analysis. Despite lack oflevel 1 evidence, the body of literature is stronger andexisting data confirms the safety, feasibility and benefitsof laparoscopic approach when compared to openresection. Indications for LLR do not differ from thosefor open surgery. They include benign and malignant(both primary and metastatic) tumors and living donorliver harvesting. Currently, resection of lesions locatedon anterolateral segments and left lateral sectionectomyare performed systematically by laparoscopy in hepatobiliaryspecialized centers. Resection of lesions locatedon posterosuperior segments (1, 4a, 7, 8) and majorliver resections were shown to be feasible but remaintechnically demanding procedures, which should bereserved to experienced surgeons. Hand-assisted andlaparoscopy-assisted procedures appeared to increasethe indications of minimally invasive liver surgery andare useful strategies applied to difficult and majorresections. LLR proved to be safe for malignant lesionsand offers some short-term advantages over openresection. Oncological results including resection marginstatus and long-term survival were not inferior to openresection. At present, surgical community expects highquality studies to base the already perceived betteroutcomes achieved by laparoscopy in major centers'practice. Continuous surgical training, as well as newtechnologies should augment the application of lap-aroscopic liver surgery. Future applicability of newtechnologies such as robot assistance and image-guidedsurgery is still under investigation.

  18. MR图像中附加图信息提取及图像显示实现%Implementation of Both Additional Information Extraction and Image Display from MR Image

    Institute of Scientific and Technical Information of China (English)

    万遂人; 顾翠艳; 孙钰


    MR图像中的附加图信息(overlay)可以为磁共振波谱(MRS)提供指导,同时能帮助医生定位病灶,从而准确显示附加图信息,对辅助医学影像诊断具有非常重要的意义.然而常用的一些DICOM浏览工具在显示DICOM医学图像时往往会丢失对于磁共振波谱研究有重要意义的附加信息.基于此种情况,本文采用江苏省人民医院提供的磁共振波谱数据,对像素的提取方法和附加信息进行仔细研究,同时在DICOM图像上显示实验,并在Eclipse开发环境中,利用Java语言和开源包dcm4che-2.0.23进行DICOM显示程序dicomreader的开发.实验结果证明,本文的Java程序dicomreader软件可以快速将DICOM转换显示为图像并精确显示出附加信息,并且提取出来的附加信息可以用于研究人员定位脑肿瘤等病变组织、对脑组织进行三维重建、对MRI图像进行分割或是根据波谱信息进行临床诊断等相关研究.%Additional figure information in MR images is able to provide guidance for Magnetic Resonance Spectrum (MRS),helping located lesions,and it has certain clinical application significance.While several free Digital Imaging and Communication in Medicine (DICOM) Viewers are able to display DICOM image files and key information,however it still has some shortages in the applications to the area of scientific research.First at all,their major basic function is just to display images.In some extent,they could only give the assistance to the research of magnetic resonance data.And then they are unable to completely display some special kinds of DICOM images,such as Siemens/GE magnetic resonance imaging.The location information of MRI images would be often lost in it.Above all,a program named dicomreader that displays DICOM image properly is developed by using Java and the open source toolkit of dcm4che.The process for extracting overlay pixels and displaying additional information on the DICOM images is also proposed

  19. Sex differences in laparoscopic cholecystectomy

    DEFF Research Database (Denmark)

    Thesbjerg, Simon E; Harboe, Kirstine Moll; Bardram, Linda


    Conversion from laparoscopic to open cholecystectomy may not be desirable due to the increased complication rate and prolonged convalescence. In Denmark, nationwide data show that 7.7% of the laparoscopic cholecystectomies are converted to open surgery. This article aims to document the relations...

  20. Laparoscopic hernioplasty of hiatal hernia (United States)

    Yang, Xuefei; Hua, Rong; He, Kai; Shen, Qiwei


    Laparoscopic surgery is a good choice for surgical treatment of hiatal hernia because of its mini-invasive nature and intraperitoneal view and operating angle. This article will talk about the surgical procedures, technical details, precautions and complications about laparoscopic hernioplasty of hiatal hernia. PMID:27761447

  1. Laparoscopic liver resection: Experience based guidelines. (United States)

    Coelho, Fabricio Ferreira; Kruger, Jaime Arthur Pirola; Fonseca, Gilton Marques; Araújo, Raphael Leonardo Cunha; Jeismann, Vagner Birk; Perini, Marcos Vinícius; Lupinacci, Renato Micelli; Cecconello, Ivan; Herman, Paulo


    Laparoscopic liver resection (LLR) has been progressively developed along the past two decades. Despite initial skepticism, improved operative results made laparoscopic approach incorporated to surgical practice and operations increased in frequency and complexity. Evidence supporting LLR comes from case-series, comparative studies and meta-analysis. Despite lack of level 1 evidence, the body of literature is stronger and existing data confirms the safety, feasibility and benefits of laparoscopic approach when compared to open resection. Indications for LLR do not differ from those for open surgery. They include benign and malignant (both primary and metastatic) tumors and living donor liver harvesting. Currently, resection of lesions located on anterolateral segments and left lateral sectionectomy are performed systematically by laparoscopy in hepatobiliary specialized centers. Resection of lesions located on posterosuperior segments (1, 4a, 7, 8) and major liver resections were shown to be feasible but remain technically demanding procedures, which should be reserved to experienced surgeons. Hand-assisted and laparoscopy-assisted procedures appeared to increase the indications of minimally invasive liver surgery and are useful strategies applied to difficult and major resections. LLR proved to be safe for malignant lesions and offers some short-term advantages over open resection. Oncological results including resection margin status and long-term survival were not inferior to open resection. At present, surgical community expects high quality studies to base the already perceived better outcomes achieved by laparoscopy in major centers' practice. Continuous surgical training, as well as new technologies should augment the application of laparoscopic liver surgery. Future applicability of new technologies such as robot assistance and image-guided surgery is still under investigation.

  2. Image Display and Manipulation System (IDAMS) program documentation, Appendixes A-D. [including routines, convolution filtering, image expansion, and fast Fourier transformation (United States)

    Cecil, R. W.; White, R. A.; Szczur, M. R.


    The IDAMS Processor is a package of task routines and support software that performs convolution filtering, image expansion, fast Fourier transformation, and other operations on a digital image tape. A unique task control card for that program, together with any necessary parameter cards, selects each processing technique to be applied to the input image. A variable number of tasks can be selected for execution by including the proper task and parameter cards in the input deck. An executive maintains control of the run; it initiates execution of each task in turn and handles any necessary error processing.

  3. Intraoperative radioguidance with a portable gamma camera: a novel technique for laparoscopic sentinel node localisation in urological malignancies

    Energy Technology Data Exchange (ETDEWEB)

    Vermeeren, L.; Valdes Olmos, R.A.; Vogel, W.V.; Sivro, F.; Hoefnagel, C.A. [Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Department of Nuclear Medicine, Amsterdam (Netherlands); Meinhardt, W.; Bex, A.; Poel, H.G. van der; Horenblas, S. [Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Department of Urology, Amsterdam (Netherlands)


    Our aim was to assess the feasibility of intraoperative radioguidance with a portable gamma camera during laparoscopic sentinel node (SN) procedures in urological malignancies. We evaluated the use of the intraoperative portable gamma camera in 20 patients: 16 patients with prostate carcinoma (PCC), 2 patients with renal cell carcinoma (RC) and 2 patients with testicular cancer (TC). Intra/peritumoural injection of {sup 99m}Tc-nanocolloid ({sup 99m}Tc) was followed by planar lymphoscintigraphy, SPECT/CT and marking of SN levels. Before laparoscopy a {sup 125}I seed was fixed on the laparoscopic gamma probe as a pointer of SN seeking. The portable gamma camera was set to display the {sup 99m}Tc signal for SN localisation and the {sup 125}I signal for SN seeking. Matching of these signals on screen indicated exact SN localisation, and consequently this SN was removed. The mean injected dose was 218 MBq in PCC, 228 MBq in RC and 88 MBq in TC. Pelvic SN were visualised in all PCC patients, with uncommonly located SN in seven patients. SN metastases were found in seven patients (one in a uncommonly located SN). Both RC patients and TC patients had para-aortic SN, which were all tumour free. A total of 59 SN were removed. The portable gamma camera enabled real-time SN display/identification in 18 patients (90%). The use of a portable gamma camera in combination with a laparoscopic gamma probe incorporates intraoperative real-time imaging with improved SN identification in urological malignancies. This procedure might also be useful for SN identification of other deep draining malignancies. (orig.)

  4. Laparoscopic Appendicectomy: The Ideal Procedure for Laparoscopic Skill Training for Surgical Registrars

    Directory of Open Access Journals (Sweden)

    Mahadevan D. Tata


    CONCLUSION: We conclude that laparoscopic appendicectomy is a safe laparoscopic training tool for registrars with basic laparoscopic knowledge who have had a proper apprenticeship, and can be done in a clinical setting.

  5. Visual enhancement of laparoscopic nephrectomies using the 3-CCD camera (United States)

    Crane, Nicole J.; Kansal, Neil S.; Dhanani, Nadeem; Alemozaffar, Mehrdad; Kirk, Allan D.; Pinto, Peter A.; Elster, Eric A.; Huffman, Scott W.; Levin, Ira W.


    Many surgical techniques are currently shifting from the more conventional, open approach towards minimally invasive laparoscopic procedures. Laparoscopy results in smaller incisions, potentially leading to less postoperative pain and more rapid recoveries . One key disadvantage of laparoscopic surgery is the loss of three-dimensional assessment of organs and tissue perfusion. Advances in laparoscopic technology include high-definition monitors for improved visualization and upgraded single charge coupled device (CCD) detectors to 3-CCD cameras, to provide a larger, more sensitive color palette to increase the perception of detail. In this discussion, we further advance existing laparoscopic technology to create greater enhancement of images obtained during radical and partial nephrectomies in which the assessment of tissue perfusion is crucial but limited with current 3-CCD cameras. By separating the signals received by each CCD in the 3-CCD camera and by introducing a straight forward algorithm, rapid differentiation of renal vessels and perfusion is accomplished and could be performed real time. The newly acquired images are overlaid onto conventional images for reference and comparison. This affords the surgeon the ability to accurately detect changes in tissue oxygenation despite inherent limitations of the visible light image. Such additional capability should impact procedures in which visual assessment of organ vitality is critical.

  6. Good results after laparoscopic marsupialisation of simple liver cysts

    DEFF Research Database (Denmark)

    Nørregaard, Christian Lolle; Ainsworth, Alan Patrick


    INTRODUCTION: Large simple liver cysts often tend to be symptomatic with pain being the most common symptom. MATERIAL AND METHODS: This was a retrospective study of patients who had intended laparoscopic surgery for liver cysts between December 2007 and December 2012 at a single institution...... imaging (MRI) in one (3%). Indication for surgery was upper abdominal pain (n = 27) and abdominal discomfort (n = 4). The laparoscopic approach was successful in 29 patients (94%). The two conversions to open surgery were necessary due to peritoneal adherences. The median postoperative hospital stay...

  7. Laparoscopic Distal Pancreatectomy with or without Preservation of the Spleen for Solid Pseudopapillary Neoplasm

    Directory of Open Access Journals (Sweden)

    Tomohide Hori


    Full Text Available Solid pseudopapillary neoplasm (SPN is a rare tumor of the pancreas. Laparoscopic distal pancreatectomy (DP is a feasible and safe procedure, and successful spleen preservation rates are higher using a laparoscopic approach. We hypothesized that certain patients with SPN would be good candidates for laparoscopic surgery; however, few surgeons have reported laparoscopic DP for SPN. We discuss the preoperative assessment and surgical simulation for two SPN cases. A simulation was designed because we consider that a thorough preoperative understanding of the procedure based on three-dimensional image analysis is important for successful laparoscopic DP. We also discuss the details of the actual laparoscopic DP with or without splenic preservation that we performed for our two SPN cases. It is critical to use appropriate instruments at appropriate points in the procedure; surgical instruments are numerous and varied, and surgeons should maximize the use of each instrument. Finally, we discuss the key techniques and surgical pitfalls in laparoscopic DP with or without splenic preservation. We conclude that experience alone is inadequate for successful laparoscopic surgery.

  8. Design of image vibrotactile display system for the blind%用于盲人的图像振动触觉显示系统设计

    Institute of Scientific and Technical Information of China (English)

    吴涓; 宋振中; 吴伟雄; 李莅圆; 宋爱国


    In order to help the visually impaired perceive images with vibrotactile device, a tactile image display system is designed. It consists of a camera and an 8 × 8 tactor array based on an embedded system. In this system, the image is acquired from the camera, and then a 2-D image outline is captured. And the tactor array is automatically numbered into a linked list, producing dynamic vibrotactile stimuli, through which users can perceive image outline. The experimental results show that the vibrotactile display system has advantages in timeliness and portability. The dynamic vibrating coding is consistent with human tactile perception characters. Using this device, subjects with close contours can be identified more effectively.%为了帮助视觉障碍者以振动触觉方式感知图像信息,设计了一个能自动采集图像信息并将图像轮廓转换为振动触觉刺激的触觉显示系统.该系统主要由摄像头和基于嵌入式系统的8x8振动触觉刺激阵列组成.系统能通过摄像头采集图片信息,提取物体二维轮廓特征,并以顺时针链表形式依次触发振动电机,产生动态振动触觉刺激,让佩戴者通过触觉刺激感知图像中物体轮廓特征.实验表明,该原理样机系统具有实时性好、携带方便的优点.动态振动触觉编码的方法符合人的触觉感知特性,对封闭轮廓物体形状的触觉提示识别率较高.

  9. Panoramic endoluminal display with minimal image distortion using circumferential radial ray-casting for primary three-dimensional interpretation of CT colonography

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Seung Soo; Park, Seong Ho; Kim, Namkug; Lee, Jeongjin; Kim, Ah Young; Ha, Hyun Kwon [University of Ulsan College of Medicine, Asan Medical Center, Department of Radiology and Research Institute of Radiology, Seoul (Korea); Kim, Jin Kook [INFINITT Co., Ltd., Seoul (Korea); Park, Beom Jin [Korea University College of Medicine, Department of Radiology, Seoul (Korea); Kim, Young Jun [Konkuk University School of Medicine, Konkuk University Hospital, Department of Radiology, Seoul (Korea); Lee, Min Woo [Konkuk University School of Medicine, Konkuk University Hospital, Department of Radiology, Seoul (Korea); Samsung Medical Center, Sungkyunkwan University School of Medicine, Department of Radiology, Seoul (Korea)


    The purpose of this study was to develop a panoramic endoluminal display technique, the band view, which causes minimal image distortion, and to determine its feasibility as a time-efficient primary three-dimensional review method of CT colonography (CTC). Image distortion was compared between the band view and four other three-dimensional review modes using ten 10-mm and ten 20-mm electronically generated polyps. Diagnostic performance and interpretation time were compared between the band view and the conventional endoluminal view by two independent readers in 52 patients who underwent CTC and colonoscopy on the same day. Mean image distortion index values, in which 1 indicates no distortion and the larger value represents greater distortion, were significantly smaller with the band view (1.03 and 1.01 for 10-mm and 20-mm polyps, respectively) than with the filet view (1.65 and 1.55) or the virtual colon dissection (3.27 and 3.85) (P{<=}0.004). The sensitivity and specificity for detecting adenomatous polyps {>=}6 mm did not differ, but the mean interpretation time was significantly shorter with the band view than with the conventional endoluminal view by 1.8 and 4.5 minutes in readers 1 and 2, respectively (P<0.0001). The band view can be a time-efficient alternative for primary three-dimensional review of CTC. (orig.)

  10. Laparoscopic cholecystectomy in a patient with situs inversus totalis

    Institute of Scientific and Technical Information of China (English)

    Unal Aydin; Omer Unalp; Pinar Yazici; Baris Gurcu; Murat Sozbilen; Ahmet Coker


    Currently, laparoscopic cholecystectomy is an undoubtfully optimal treatment of cholelithiasis. What about performing this procedure on a patient with situs inversus totalis and what are the difficulties of this operation for a right-handed surgeon? We presented a 35-year-old man with unknown situs inversus totalis who was admitted with epigastric pain and digestive problems. Ultrasonography and computed tomography of the abdomen confirmed the diagnosis of a gallstone.Besides, the liver and gallbladder were on the left side and the spleen was on the right. All systems were left-right reversal as mirror image in all diagnostic studies.Laparoscopic cholecystectomy was safely performed,despite of difficulties of situs inversus. The patient was discharged on postoperative day 1.It should be considered that existence of other anomalies may easily cause uninvited injuries. In the patients with situs inversus, laparoscopic cholecystectomy can be safely managed by an experienced surgeon through laparoscopy, and also hepatobiliary surgery.

  11. Laparoscopic gastric partitioning gastrojejunostomy for an unresectable duodenal malignant tumor

    Directory of Open Access Journals (Sweden)

    Matsumoto Toshifumi


    Full Text Available As a palliative bypass for unresectable gastric or periampullary cancer, gastrojejunostomy (GJ is sometimes associated with postoperative delayed gastric emptying. We report the successful laparoscopic application of this procedure in a 78-year-old man with duodenal obstruction. Computed tomography revealed a mass in the duodenum along with multiple masses in the liver. A radiological image showed an ulcerative tumour in the third portion of the duodenum occluding the lumen. He was diagnosed as having an unresectable duodenal cancer with multiple liver metastases. He needed palliative bypass surgery. Laparoscopically, the stomach was partially divided using an endoscopic autosuture device, and end-to-side GJ was performed successfully. He was given a normal diet on the fourth postoperative day, and there was no delayed gastric emptying. Laparoscopic gastric partitioning GJ is a feasible and safe procedure to prevent postoperative delayed gastric emptying in case of malignant duodenal obstruction.

  12. Good results after laparoscopic marsupialisation of simple liver cysts

    DEFF Research Database (Denmark)

    Nørregaard, Christian Lolle; Ainsworth, Alan Patrick


    imaging (MRI) in one (3%). Indication for surgery was upper abdominal pain (n = 27) and abdominal discomfort (n = 4). The laparoscopic approach was successful in 29 patients (94%). The two conversions to open surgery were necessary due to peritoneal adherences. The median postoperative hospital stay......INTRODUCTION: Large simple liver cysts often tend to be symptomatic with pain being the most common symptom. MATERIAL AND METHODS: This was a retrospective study of patients who had intended laparoscopic surgery for liver cysts between December 2007 and December 2012 at a single institution......- up, 26 patients (84%) were symptom-free. Of the five patients with re-occurrence of symptoms, three had a re-operation. The remaining two refrained from new surgery. CONCLUSION: Laparoscopic marsupialisation of simple liver cysts has a high success rate in terms of pain relief, and it is a safe...

  13. Reconstruction, Enhancement, Visualization, and Ergonomic Assessment for Laparoscopic Surgery (United States)


    drape and stand rearrangement and time consumption. Given such difficulties, ergonomic factors warrant further analysis to determine if a standard...3. The laparoscope used in this installation is a Stryker 888, a 3- chip CCD camera which only has analog NTSC video outputs. The calibration camera is...analog signal must be digitized, applied to the DLP chip and then displayed) the time difference between the two clocks shown should give the latency of

  14. Laparoscopic management of tumor in supernumerary ovary (United States)

    Prakash, Ved; Kant, Anita; Parashar, Abha; Rani, Uma


    Laparoscopic management of most of the adnexal masses has become feasible in the present era of advancing endoscopic techniques. A postmenopausal lady presented with lump in the abdomen, appeared to be a solid ovarian mass on ultrasound, and magnetic resonance imaging. On laparoscopy, both the ovaries were normal and the mass was not connected to uterus or adnexa. The mass was removed and histopathology confirmed it to be ovarian tissue thus confirming it to be a tumor in a supernumerary ovary. Examples of supernumerary ovary are among the rarest of gynecological abnormalities. PMID:27134478

  15. Laparoscopic management of neonatal ovarian cysts

    Directory of Open Access Journals (Sweden)

    Oak Sanjay


    Full Text Available The first prenatal detection of an ovarian cyst was by Valenti in 1975. Since then antenatal and neonatal ovarian cysts are encountered more frequently due to the improvement of imaging techniques as well as routine antenatal ultrasound scanning. We discuss here the laparoscopic management of three cases of neonatal ovarian cysts. This approach is well tolerated by neonates, and it may overcome the controversy between the ′wait and see′ policy and early surgical intervention, as laparoscopy has both diagnostic and therapeutic value with minimal morbidity, and ovarian salvage whenever possible.

  16. Laparoscopic management of tumor in supernumerary ovary

    Directory of Open Access Journals (Sweden)

    Ved Prakash


    Full Text Available Laparoscopic management of most of the adnexal masses has become feasible in the present era of advancing endoscopic techniques. A postmenopausal lady presented with lump in the abdomen, appeared to be a solid ovarian mass on ultrasound, and magnetic resonance imaging. On laparoscopy, both the ovaries were normal and the mass was not connected to uterus or adnexa. The mass was removed and histopathology confirmed it to be ovarian tissue thus confirming it to be a tumor in a supernumerary ovary. Examples of supernumerary ovary are among the rarest of gynecological abnormalities.

  17. Septate gallbladder in the laparoscopic era

    Directory of Open Access Journals (Sweden)

    Patel Nitin


    Full Text Available The anatomy facing a surgeon during cholecystectomy is challenging as it involves complex relationship between the gallbladder, hepatic artery and extra-hepatic billiary tree. We report a case of septate gall bladder which was successfully treated with laparoscopic cholecystectomy. In this paper, we also discuss the embryology and characteristics of this rare anomaly. Lack of awareness, non-specific symptoms, signs and inadequacy of imaging methods are possible reasons for the reported problem of overlooking of this entity. Complete identification and removal of gallbladder is mandatory, as a remnant may result in recurrence of symptoms or stones.

  18. [Laparoscopic therapy of diverticulitis]. (United States)

    Petropoulos, P; Nassiopoulos, K; Chanson, C


    The aim of this work is a critical analysis of our results with primary laparoscopic resection and anastomosis of the colon for diverticulitis. From October 1993 to October 1997, 171 patients with a mean age of 60 years (97 males, 74 females) have been operated laparoscopically. 95 patients were operated electively after many episodes of acute diverticulitis and 76 patients in the acute phase, of whom 11 patients presented a colovesical fistula. 6 left hemicolectomies and 165 sigmoid resections were performed. Among the sigmoid resections 11 patients with simultaneous resection of a colovesical fistula are included. The operating time for elective cases was between 130 and 280 minutes with a mean of 180 minutes, for acute cases the time was between 75 and 410 minutes with a mean of 205 minutes. The conversion-rate was 10.5%: problems with the instruments n = 2, impossibility to pass the stapler n = 4, severe diverticulitis n = 7, iatrogenic lesion of the ureter n = 1, perforation of the transverse colon by the trocar n = 1, extended adhesions n = 2, hemorrhage n = 1. The morbidity was 10%: abdominal wall hematoma n = 1, intraabdominal hematomas n = 2, wound abscesses treated surgically n = 2, conservatively treated intraabdominal abscesses n = 2, anastomotic leaks treated with open procedure n = 2, anastomotic leaks with fistulization n = 4, treated once with laparotomy and 3 times conservatively, sepsis 3 times treated conservatively. As late complications (3.5%) we experienced: a bowel obstruction in 2 patients treated with open procedure, herniation at the trocar sites in 3 cases corrected surgically and an anastomotic stenosis, that had to be reoperated after an unsuccesful dilatation. Analgetic requests have been decreased to the half in comparison to the classically operated patients. The mortality: 1 patient (0.6%) died due to a fasciitis. The duration of the hospitalisation was 8.4 days in average (3-32 days). We can conclude that laparoscopic colon

  19. Laparoscopic Heller's cardiomyotomy.

    LENUS (Irish Health Repository)

    Doodnath, R


    Achalasia is a rare motility disorder which causes failure of relaxation of the lower oesophageal sphincter (LES) and is thought to affect 0.31\\/100,000 children per year in Ireland. The classic presentation is difficulty swallowing and vomiting undigested food, and children can often present with chest pain. In some instances, these symptoms can lead to considerable weight loss. In this report, we present 2 cases of patients with achalasia who have also been the first 2 cases of laparoscopic Heller\\'s cardiomyotomy performed in children in the Republic of Ireland.

  20. Effect analysis of three-dimensional and two-dimensional imaging systems in laparoscopic radical resection of rectal cancer%3D与2D腹腔镜直肠癌根治术的疗效分析

    Institute of Scientific and Technical Information of China (English)

    费秉元; 姜俊男; 房学东; 季福建


    Objective To compare the clinical effect of three-dimensional(3D)and two-dimensional(2D)imaging systems in laparoscopic radical resection of rectal cancer.Methods The retrospective cohort study was adopted.The clinical data of the 97 patients who underwent laparoscopic radical resection of rectal cancer at the Xinmin Branch of the China-Japan Union Hospital of Jilin University between May 2012 and December 2014 were collected.Of 97 patients,47 undergoing 3D laparoscopic radical resection of rectal cancer were allocated into the 3D group and 50 undergoing 2D laparoscopic radical resection of rectal cancer were allocated into the 2D group.The operation followed strictly tumor-free and total mesorectal excision principles.Observation indicators included:(1)surgical situations:operation time,time of deep lymph nodes dissected,volume of intraoperative blood loss,bleeding volume of obturator lymph nodes dissected,number of lymph nodes dissected,postoperative complications and duration of hospital stay.(2)Follow-up situations:follow-up using outpatient examination and telephone interview was performed to detect the survival of patients and tumor recurrence and metastasis up to December 2015.Measurement data with normal distribution were presented as-x±s and comparison between groups was analyzed using the t test.Count data were analyzed using the chi-square test.Results(1)Surgical situations:all the patients underwent successful laparoscopic radical resection of rectal cancer,without conversion to open surgery.Operation time,time of deep lymph nodes dissected,volume of intraoperative blood loss,bleeding volume of obturator lymph nodes dissected,number of lymph nodes dissected and duration of postoperative hospital stay were(134.6±18.5)minutes,(21.2±2.7)minutes,(65±20)mL,(16±3)mL,23.6±3.5,(8.2±2.3)days in the 3D group and(157.4±17.8)minutes,(25.2±2.5)minutes,(89±27)mL,(23±5)mL,20.5±2.8,(9.4±2.1)days in the 2D group,respectively,with statistically significant

  1. The Ultimate Display

    CERN Document Server

    Fluke, C J


    Astronomical images and datasets are increasingly high-resolution and multi-dimensional. The vast majority of astronomers perform all of their visualisation and analysis tasks on low-resolution, two-dimensional desktop monitors. If there were no technological barriers to designing the ultimate stereoscopic display for astronomy, what would it look like? What capabilities would we require of our compute hardware to drive it? And are existing technologies even close to providing a true 3D experience that is compatible with the depth resolution of human stereoscopic vision? We consider the CAVE2 (an 80 Megapixel, hybrid 2D and 3D virtual reality environment directly integrated with a 100 Tflop/s GPU-powered supercomputer) and the Oculus Rift (a low- cost, head-mounted display) as examples at opposite financial ends of the immersive display spectrum.

  2. Research on color restoration of color image display%彩色图像显示系统的色彩还原技术研究

    Institute of Scientific and Technical Information of China (English)

    王欢; 陈向宁; 姜明勇


    图像从输入设备到显示器观察,再到输出设备或最终的图像文件的流程中,由于不同设备的呈色机理、呈色特性、所采用的呈色空间不同,造成颜色信息在不同的设备间传递时出现了偏差,要维护原始的色彩是非常困难的。借助PCS空间,通过多项式分区回归的方法进行色彩空间转换。实验结果表明,这种方法能够实现彩色图像显示系统的色彩还原且精度较高。%In the course of image processing, an image enters the input device, experiences observation in the monitor, and arrives at the output device or the final image file. In this process, due to the different coloring mechanism, colorimetric characteristics and colorimetric space of different devices, there occurs color distortion when color information passes between different devices, so it is rather difficult to maintain the original color. With the PCS space, this paper converts color spaces by the method of polynomial zone regression. The result shows that this method can achieve color reproduc-tion for color image display system with high precision.

  3. The VLT Real Time Display (United States)

    Herlin, T.; Brighton, A.; Biereichel, P.

    The VLT Real-Time Display (RTD) software was developed in order to support image display in real-time, providing a tool for users to display video like images from a camera or detector as fast as possible on an X-Server. The RTD software is implemented as a package providing a Tcl/Tk image widget written in C++ and an independent image handling library and can be used as a building block, adding display capabilities to dedicated VLT control applications. The RTD widget provides basic image display functionality like: panning, zooming, color scaling, colormaps, intensity changes, pixel query, overlaying of line graphics. A large set of assisting widgets, e.g., colorbar, zoom window, spectrum plot are provided to enable the building of image applications. The support for real-time is provided by an RTD image event mechanism used for camera or detector subsystems to pass images to the RTD widget. Image data are passed efficiently via shared memory. This paper describes the architecture of the RTD software and summarizes the features provided by RTD.

  4. Obesity in laparoscopic surgery. (United States)

    Afors, K; Centini, G; Murtada, R; Castellano, J; Meza, C; Wattiez, A


    Since the 1980s, minimally invasive techniques have been applied to an increasing number and variety of surgical procedures with a gradual increase in the complexity of procedures being successfully performed laparoscopically. In the past, obesity was considered a contraindication to laparoscopy due to the higher risk of co-morbid conditions such as diabetes, hypertension, coronary artery disease and venous thromboembolism. Performing laparoscopic gynaecological procedures in morbidly obese patients is no longer a rare phenomenon; however, it does necessitate changes in clinical practice patterns. Understanding of the physiological changes induced by laparoscopy, particularly in obese patients, is important so that these may be counteracted and adverse outcomes avoided. Laparoscopy in obese patients confers certain advantages such as shorter hospital stay, less post-operative pain and fewer wound infections. In addition to these benefits, minimal-access surgery has been demonstrated as safe and effective in obese patients; however, specific surgical strategies and operative techniques may need to be adopted. Copyright © 2015 Elsevier Ltd. All rights reserved.

  5. Experimental laparoscopic aortobifemoral bypass. (United States)

    Dion, Y M; Chin, A K; Thompson, T A


    The goal of the present study is to develop a technique for laparoscopic aortobifemoral bypass. Piglets weighing between 60 and 78 kg were anesthetized with halothane. The lateral retroperitoneal approach was preferred to the more familiar anterior transperitoneal approach and was successfully completed in 19 piglets. The piglets were placed in the right lateral decubitus position. The first port (2 cm) was inserted halfway between the tip of the 12th rib and the iliac crest. Four other trocars were placed in the retroperitoneum after balloon inflation had allowed creation of a space which permitted visualization of the aorta from the left renal artery down to the aorto-iliac junction. After evacuation of the retropneumoperitoneum, the cavity was maintained using an abdominal lift device and a retractor. Using this approach, we performed four aorto-bifemoral bypasses (end-to-end aortic anastomosis) after conventional intravenous heparinization (100 IU/kg) in less than 4 h. Blood loss did not exceed 250 ml and the hematocrit remained stable. Postmortem evaluation of the grafts revealed they were positioned as in a conventional bypass, their limbs having followed in the created retroperitoneal tunnels along the path of the native arteries. No mortality occurred before sacrifice of the animals. We believe that this first performed series of totally retroperitoneal laparoscopic aortobifemoral bypasses in the porcine model is useful in preparation for human application due to the anatomical similarities in the periaortic region.

  6. Ten inch Planar Optic Display

    Energy Technology Data Exchange (ETDEWEB)

    Beiser, L. [Beiser (Leo) Inc., Flushing, NY (United States); Veligdan, J. [Brookhaven National Lab., Upton, NY (United States)


    A Planar Optic Display (POD) is being built and tested for suitability as a high brightness replacement for the cathode ray tube, (CRT). The POD display technology utilizes a laminated optical waveguide structure which allows a projection type of display to be constructed in a thin (I to 2 inch) housing. Inherent in the optical waveguide is a black cladding matrix which gives the display a black appearance leading to very high contrast. A Digital Micromirror Device, (DMD) from Texas Instruments is used to create video images in conjunction with a 100 milliwatt green solid state laser. An anamorphic optical system is used to inject light into the POD to form a stigmatic image. In addition to the design of the POD screen, we discuss: image formation, image projection, and optical design constraints.

  7. Sobre uma metodologia de apresentação de imagem médica About a method for displaying medical images

    Directory of Open Access Journals (Sweden)

    Biancamano Pellegrinetti


    Full Text Available Este trabalho demonstra os resultados preliminares, parciais, da experimentação e aceitação de uma metodologia para apresentação de imagens médicas, que utiliza programas simples, sem custo por serem "freewares", que podem ser utilizados em plataformas computacionais medianas, normalmente subutilizadas, não sendo necessários programas extensos, de alto custo, aprendizado dificultado pela sofisticação, tornando mais simples e acessível a possibilidade de visualização, apresentação, impressão, documentação, arquivamento, transmissão eletrônica e disponibilidade para consulta de uma gama de imagens médicas.We present the preliminary results of testing and acceptance of a method for displaying medical images that employs simple computer freewares that can be run in unsophisticated computational platforms, which are commonly underutilized. This method allows easy and accessible visualization, printing, documenting, archiving, consulting and electronic transmission of a wide range of medical images without the need of expensive, complex and difficult to learn softwares.

  8. Mini-laparoscopic versus laparoscopic approach to appendectomy

    Directory of Open Access Journals (Sweden)

    Kercher Kent W


    Full Text Available Abstract Background The purpose of this clinical study is to evaluate the feasibility of using 2-mm laparoscopic instruments to perform an appendectomy in patients with clinically suspected acute appendicitis and compare the outcome of this mini-laparoscopic or "needlescopic" approach to the conventional laparoscopic appendectomy. Methods Two groups of patients undergoing appendectomy over 24 months were studied. In the first group, needlescopic appendectomy was performed in 15 patients by surgeons specializing in advanced laparoscopy. These patients were compared with the second or control group that included 21 consecutive patients who underwent laparoscopic appendectomy. We compared the patients' demographic data, operative findings, complications, postoperative pain medicine requirements, length of hospital stay, and recovery variables. Differences were considered statistically significant at a p-value Results Patient demographics, history of previous abdominal surgery, and operative findings were similar in both groups. There was no conversion to open appendectomy in either group. No postoperative morbidity or mortality occurred in either group. The needlescopic group had a significantly shorter mean operative time (p = 0.02, reduced postoperative narcotics requirements (p = 0.05, shorter hospital stay (p = 0.04, and quicker return to work (p = 0.03 when compared with the laparoscopic group. Conclusions We conclude that the needlescopic technique is a safe and effective approach to appendectomy. When performed by experienced laparoscopic surgeons, the needlescopic technique results in significantly shorter postoperative convalescence and a prompt recovery.


    Institute of Scientific and Technical Information of China (English)

    Reinhard Bittner


    @@ 1 Introduction The feasibility of colon resection using the laparoscope was demonstrated as early as 1991[1~3]. It was shown one year later that it is also possible to use the laparoscope in abdominoperineal resection of the rectum for rectal carcinoma[4, 5]. One year after this, the first study was reported in which the results of anterior resection with the laparoscope were compared with the conventional operation in a small number of patients with carcinoma of the rectum[6]. The first reports on the feasibility of total excision of the mesorectum in patients with carcinoma of the middle or lower third of the rectum were first published at the start of this century[7~9]. It can be stated in summary that resection of the colon or rectum using the laparoscope is not of disadvantage to the patient, given that the surgeon has appropriate experience and the patient has been properly selected.

  10. Laparoscopic Management of Sigmoidorectal Intussusception


    Greenley, C. Travis; Ahmed, Bestoun; Friedman, Lee; Deitte, Lori; Awad, Ziad T.


    Adult intussusception is an uncommon entity. Surgical resection is required because of the high incidence of pathological lead point. We report a case of sigmoidorectal intussusception caused by a large tubulovillous adenoma. The patient underwent laparoscopic sigmoidectomy.

  11. Laparoscopic management of sigmoidorectal intussusception. (United States)

    Greenley, C Travis; Ahmed, Bestoun; Friedman, Lee; Deitte, Lori; Awad, Ziad T


    Adult intussusception is an uncommon entity. Surgical resection is required because of the high incidence of pathological lead point. We report a case of sigmoidorectal intussusception caused by a large tubulovillous adenoma. The patient underwent laparoscopic sigmoidectomy.

  12. Laparoscopic common bile duct exploration. (United States)

    Stoker, M E; Leveillee, R J; McCann, J C; Maini, B S


    Operative common bile duct exploration, performed in conjunction with cholecystectomy, has been considered the treatment of choice for choledocholithiasis in the presence of an intact gallbladder. With the advent of laparoscopic cholecystectomy, the management of common bile duct stones has been affected. More emphasis is being placed on endoscopic sphincterotomy and options other than operative common duct exploration. Because of this increasing demand, we have developed a new technique for laparoscopic common bile duct exploration performed in the same operative setting as laparoscopic cholecystectomy. A series of five patients who successfully underwent common bile duct exploration, flexible choledochoscopy with stone extraction, and T-tube drainage, all using laparoscopic technique, is reported. Mean postoperative length of hospital stay was 4.6 days. Outpatient T-tube cholangiography was performed in all cases and revealed normal ductal anatomy with no retained stones. Follow-up ranged from 6 weeks to 4 months, and all patients were asymptomatic and had normal liver function tests.

  13. Laparoscopic treatment of perforated appendicitis (United States)

    Lin, Heng-Fu; Lai, Hong-Shiee; Lai, I-Rue


    The use of laparoscopy has been established in improving perioperative and postoperative outcomes for patients with simple appendicitis. Laparoscopic appendectomy is associated with less wound pain, less wound infection, a shorter hospital stay, and faster overall recovery when compared to the open appendectomy for uncomplicated cases. In the past two decades, the use of laparoscopy for the treatment of perforated appendicitis to take the advantages of minimally invasiveness has increased. This article reviewed the prevalence, approaches, safety disclaimers, perioperative and postoperative outcomes of the laparoscopic appendectomy in the treatment of patients with perforated appendicitis. Special issues including the conversion, interval appendectomy, laparoscopic approach for elderly or obese patient are also discussed to define the role of laparoscopic treatment for patients with perforated appendicitis. PMID:25339821

  14. Universal Numeric Segmented Display

    CERN Document Server

    Azad, Md Abul kalam; Kamruzzaman, S M


    Segmentation display plays a vital role to display numerals. But in today's world matrix display is also used in displaying numerals. Because numerals has lots of curve edges which is better supported by matrix display. But as matrix display is costly and complex to implement and also needs more memory, segment display is generally used to display numerals. But as there is yet no proposed compact display architecture to display multiple language numerals at a time, this paper proposes uniform display architecture to display multiple language digits and general mathematical expressions with higher accuracy and simplicity by using a 18-segment display, which is an improvement over the 16 segment display.

  15. Laparoscopic reversal of Hartmann's procedure

    DEFF Research Database (Denmark)

    Svenningsen, Peter Olsen; Bulut, Orhan; Jess, Per


    A change in procedure from open to laparoscopic reversal of Hartmann's colostomy was implemented at our department between May 2005 and December 2008. The aim of the study was to investigate if this change was beneficial for the patients.......A change in procedure from open to laparoscopic reversal of Hartmann's colostomy was implemented at our department between May 2005 and December 2008. The aim of the study was to investigate if this change was beneficial for the patients....

  16. Laparoscopic Nephrectomy for Wilms Tumor


    Andolfi C; Randi B; Ruggeri G.; Lima M.


    Wilms tumor is the most frequent primary renal malignancy in children. The surgical resection is traditionally performed through laparotomy. The advent of laparoscopic surgery for benign renal lesions has led the surgeon to use a minimal invasive approach for the nephroblastoma. We describe a 9-months-old girl who presented with a left renal mass. A laparoscopic resection of the tumor with left radical nephroureterectomy was performed. The specimens were removed in an endoscopic bag through a...

  17. Laparoscopic herniorrhaphy in children

    Directory of Open Access Journals (Sweden)

    Mirko Bertozzi


    Full Text Available The authors report their experience in laparoscopic repair of inguinal hernias in children. From May 2010 to November 2013, 122 patients with inguinal hernia underwent laparoscopic herniorrhaphy (92 males and 30 females. Telescope used was 5 mm, while trocars for the operative instruments were 3 or 2 mm. After introducing the camera at the umbilical level and trocars in triangulation, a 4-0 nonabsorbable monofilament suture was inserted directly through the abdominal wall. The internal inguinal ring was then closed by N or double N suture. All operations were performed in one-day surgery setting. In the case of association of inguinal and umbilical hernia an original technique was performed for positioning and fixing the umbilical trocar and for the primary closure of the abdominal wall defect. The postoperative follow-up consisted of outpatient visits at 1 week and 1, 3, and 6 months. The mean age of patients was 38.5 months. Of all patients, 26 were also suffering from umbilical hernia (19 males and 7 females. A total of 160 herniorrhaphies were performed; 84 were unilateral (66 inguinal hernia, 18 inguinal hernia associated with umbilical hernia, 38 bilateral (30 inguinal hernia, 8 inguinal hernia associated with umbilical hernia. Nine of 122 patients (6 males and 3 females were operated in emergency for incarcerated hernia. A pre-operative diagnosis of unilateral inguinal hernia was performed in 106 cases. Of these patients, laparoscopy revealed a controlateral open internal inguinal ring in 22 cases (20.7%. The mean operative time was 29.9±15.9 min for the monolateral herniorrhaphies, while in case of bilateral repair the mean operative time was 41.5±10.4 min. The mean operative time for the repair of unilateral inguinal hernia associated with umbilical hernia was 30.1±7.4 while for the correction of bilateral inguinal hernia associated with umbilical hernia 39.5±10.6 min. There were 3 recurrences (1.8%: 2 cases in unilateral repair and

  18. Pure Laparoscopic Augmentation Ileocystoplasty

    Directory of Open Access Journals (Sweden)

    Rafael B. Rebouças


    Full Text Available Introduction Guillain-Barre syndrome is an acute neuropathy that rarely compromises bladder function. Conservative management including clean intermittent catheterization and pharmacotherapy is the primary approach for hypocompliant contracted bladder. Surgical treatment may be used in refractory cases to improve bladder compliance and capacity in order to protect the upper urinary tract. We describe a case of pure laparoscopic augmentation ileocystoplasty in a patient affected by Guillain-Barre syndrome. Presentation A 15-year-old female, complaining of voiding dysfunction, recurrent urinary tract infection and worsening renal function for three months. A previous history of Guillain-Barre syndrome on childhood was related. A voiding cystourethrography showed a pine-cone bladder with moderate post-void residual urine. The urodynamic demonstrated a hypocompliant bladder and small bladder capacity (190mL with high detrusor pressure (54 cmH2O. Nonsurgical treatments were attempted, however unsuccessfully. The patient was placed in the exaggerated Trendelenburg position. A four-port transperitoneal technique was used. A segment of ileum approximately 15-20cm was selected and divided with its pedicle. The ileal anastomosis and creation of ileal U-shaped plate were performed laparoscopically, without staplers. Bladder mobilization and longidutinal cystotomy were performed. Enterovesical anastomosis was done with continuous running suture. A suprapubic cystostomy was placed through a 5mm trocar. Results The total operative time was 335 min. The blood loss was minimal. The patient developed ileus in the early days, diet acceptance after the fourth day and was discharged on the seventh postoperative day. The urethral catheter was removed after 2 weeks. At 6-month follow-up, a cystogram showed a significant improvement in bladder capacity. The patient adhered well to clean intermittent self-catheterization and there was no report for febrile infections

  19. Laparoscopic adrenalectomy: Single centre experience.

    LENUS (Irish Health Repository)

    O'Farrell, N J


    BACKGROUND: Laparoscopic adrenalectomy is an attractive alternative to the traditional open approach in the surgical excision of an adrenal gland. It has replaced open adrenalectomy in our institution and we review our experience to date. METHODS: All cases of laparoscopic adrenalectomies in our hospital over eight years (from 2001 to May 2009) were retrospectively reviewed. Patient demographics, diagnosis, length of hospital stay, histology and all operative and post-operative details were evaluated. RESULTS: Fifty-five laparoscopic adrenalectomies (LA) were performed on 51 patients over eight years. The mean age was 48 years (Range 16-86 years) with the male: female ratio 1:2. Twenty-three cases had a right adrenalectomy, 24 had a left adrenalectomy and the remaining four patients had bilateral adrenalectomies. 91% were successfully completed laparoscopically with five converted to an open approach. Adenomas (functional and non functional) were the leading indication for LA, followed by phaeochromocytomas. Other indications for LA included Cushing\\'s disease, adrenal malignancies and rarer pathologies. There was one mortality from necrotising pancreatitis following a left adrenalectomy for severe Cushing\\'s disease, with subsequent death 10 days later. CONCLUSION: Laparoscopic adrenalectomy is effective for the treatment of adrenal tumours, fulfilling the criteria for the ideal minimally invasive procedure. It has replaced the traditional open approach in our centre and is a safe and effective alternative. However, in the case of severe Cushing\\'s disease, laparoscopic adrenalectomy has the potential for significant adverse outcomes and mortality.

  20. [Laparoscopic surgery for esophageal achalasia]. (United States)

    Ozawa, S; Ando, N; Ohgami, M; Kitagawa, Y; Kitajima, M


    Laparoscopic surgery for esophageal achalasia was first reported by Shimi et al. in 1991. Subsequently the procedure has been performed all over the world and laparoscopic Heller myotomy and Dor fundoplication (Heller and Dor operation) is now thought to be the operation of first choice. It is indicated for patients who are resistant to medical therapy (calcium blocker etc.) or have pneumatic dilatation and those with frequent aspiration at night. As Csendes et al. reported that surgical treatment was better than pneumatic dilatation and as laparoscopic surgery is less invasive, the indications for the laparoscopic Heller and Dor operation can include all achalasia patients except those who respond to medical therapy, do not accept surgery, or cannot tolerate surgery. We successfully performed the laparoscopic Heller and Dor operation on 22 patients, all of whom had an uneventful postoperative course. Manometric evaluation, endoscopic examination, and 24-hour pH monitoring showed good results. There are six important technical points: 1) flexible laparoscopy; 2) pneumoperitoneum; 3) gauze in the abdominal cavity to absorb blood; 4) laparosonic coagulating shears; 5) extracorporeal knot-tying technique; and 6) intracorporeal knot-tying technique. If an experienced surgeon is in charge, the laparoscopic Heller and Dor operation is an ideal, minimally invasive treatment for esophageal achalasia.

  1. Lumbar incisional hernia of the kidney after laparoscopic adrenalectomy in a patient with Cushing's syndrome. (United States)

    Miyazato, Minoru; Yamada, Shigeyuki; Kaiho, Yasuhiro; Ito, Akihiro; Ishidoya, Shigeto; Arai, Yoichi


    We report a first case of lumbar herniation of a kidney after laparoscopic adrenalectomy in a patient with Cushing's syndrome. A 59-year-old woman underwent separate laparoscopic adrenalectomies for right adrenal Cushing's syndrome and left primary aldosteronism. She consulted our department with a 6-month history of intermittent left back pain, starting 8 months after the second operation. Magnetic resonance imaging showed herniation of the left kidney through a defect of the lumbodorsal fascia.

  2. Three-dimensional display technologies. (United States)

    Geng, Jason


    The physical world around us is three-dimensional (3D), yet traditional display devices can show only two-dimensional (2D) flat images that lack depth (i.e., the third dimension) information. This fundamental restriction greatly limits our ability to perceive and to understand the complexity of real-world objects. Nearly 50% of the capability of the human brain is devoted to processing visual information [Human Anatomy & Physiology (Pearson, 2012)]. Flat images and 2D displays do not harness the brain's power effectively. With rapid advances in the electronics, optics, laser, and photonics fields, true 3D display technologies are making their way into the marketplace. 3D movies, 3D TV, 3D mobile devices, and 3D games have increasingly demanded true 3D display with no eyeglasses (autostereoscopic). Therefore, it would be very beneficial to readers of this journal to have a systematic review of state-of-the-art 3D display technologies.

  3. A design for eliminating display rotation of image-watching-aiming-system based on FPGA%一种基于FPGA的图像观瞄系统消像旋设计

    Institute of Scientific and Technical Information of China (English)

    冉欢欢; 刘建高; 高升久; 黄自力


    针对现代武器观瞄系统显示图像旋转干扰操作手瞄准的问题,提出了一种基于FPGA的消像旋设计方案.该方案根据从平台姿态传感器获得的旋转姿态信息,对显示图像进行反向旋转,从而消除显示图像的旋转,方便操作手瞄准.该方案同时扩展了无极变焦功能,解决了操杆与显示分辨力不一致的问题,提高了武器观瞄系统的瞄准精确度.%To tackle with the problem that the rotation of displaying image disturbs the operator in modern weapon aiming system, this article proposes a kind of design for eliminating display rotation of image-watching-aiming-system based on Field Programmable Gate Array(FPCA). This scheme obtains rotation carriage information from the plat roof carriage sensor, rotates the displaying image reversely,eliminates the rotation of displaying image, and convemences the aiming of operators. This scheme also expands the ability of changeable focus successively, solves the inconsistence of resolution ratio between the displaying and the operational stick, and improves the perfect precision of aiming.

  4. Sleep after laparoscopic cholecystectomy

    DEFF Research Database (Denmark)

    Rosenberg-Adamsen, S; Skarbye, M; Wildschiødtz, G


    The sleep pattern and oxygenation of 10 patients undergoing laparoscopic cholecystectomy were studied on the night before operation and the first night after operation. Operations were performed during general anaesthesia and postoperative analgesia was achieved without the administration...... of opioids. There were no significant changes in the total time awake or the number of arousals on the postoperative night compared with the night before operation. During the postoperative night, we found a decrease (P = 0.02) in slow wave sleep (SWS) with a corresponding increase in stage 2 sleep (P = 0.......01). SWS was absent in four of the patients after operation, whereas in six patients it was within the normal range (5-20% of the night). The proportion of rapid eye movement (REM) sleep was not significantly changed after operation. There were no changes in arterial oxygen saturation on the postoperative...

  5. Pure laparoscopic augmentation ileocystoplasty. (United States)

    Rebouças, Rafael B; Monteiro, Rodrigo C; Souza, Thiago N S de; Aragão, Augusto J de; Burity, Camila R T; Nóbrega, Júlio C de A; Oliveira, Natália S C de; Abrantes, Ramon B; Dantas Júnior, Luiz B; Cartaxo Filho, Ricardo; Negromonte, Gustavo R P; Sampaio, Rafael da C R; Britto, Cesar A


    Guillain-Barre syndrome is an acute neuropathy that rarely compromises bladder function. Conservative management including clean intermittent catheterization and pharmacotherapy is the primary approach for hypocompliant contracted bladder. Surgical treatment may be used in refractory cases to improve bladder compliance and capacity in order to protect the upper urinary tract. We describe a case of pure laparoscopic augmentation ileocystoplasty in a patient affected by Guillain-Barre syndrome. A 15-year-old female, complaining of voiding dysfunction, recurrent urinary tract infection and worsening renal function for three months. A previous history of Guillain-Barre syndrome on childhood was related. A voiding cystourethrography showed a pine-cone bladder with moderate post-void residual urine. The urodynamic demonstrated a hypocompliant bladder and small bladder capacity (190 mL) with high detrusor pressure (54 cmH2O). Nonsurgical treatments were attempted, however unsuccessfully.

  6. Laparoscopic ovariectomy in rabbits

    Directory of Open Access Journals (Sweden)

    M. S. Al-Badrany


    Full Text Available A comparative evaluation of three different techniques of laparoscopic ovariectomy was carried out in 33 healthy female in rabbits, which included resection and removal of ovary after clip application, electrocautery of the ovary, then resection, and pulling ovary outside abdomen, ligation by silk, then ovary was removed. The ovaries and associated structures were better visualized by laparoscopy and all three techniques were carried out perfectly. All rabbits after operation were healthy and they were monitored for one month after operation. However, 3 of them died after operation, two of them died due to bleeding and the other of them died due to unknown causes. General anesthesia by using ketamine-xylazine i.m., was suitable for this technique, and the anesthesia provided good analgesia and good muscle relaxation. CO2 was used to establish pneumoperitoneum. In conclusion, resection and removal of the ovaries after clip application technique was found superior to the other two techniques.

  7. Laparoscopic stereoscopic augmented reality: toward a clinically viable electromagnetic tracking solution. (United States)

    Liu, Xinyang; Kang, Sukryool; Plishker, William; Zaki, George; Kane, Timothy D; Shekhar, Raj


    The purpose of this work was to develop a clinically viable laparoscopic augmented reality (AR) system employing stereoscopic (3-D) vision, laparoscopic ultrasound (LUS), and electromagnetic (EM) tracking to achieve image registration. We investigated clinically feasible solutions to mount the EM sensors on the 3-D laparoscope and the LUS probe. This led to a solution of integrating an externally attached EM sensor near the imaging tip of the LUS probe, only slightly increasing the overall diameter of the probe. Likewise, a solution for mounting an EM sensor on the handle of the 3-D laparoscope was proposed. The spatial image-to-video registration accuracy of the AR system was measured to be [Formula: see text] and [Formula: see text] for the left- and right-eye channels, respectively. The AR system contributed 58-ms latency to stereoscopic visualization. We further performed an animal experiment to demonstrate the use of the system as a visualization approach for laparoscopic procedures. In conclusion, we have developed an integrated, compact, and EM tracking-based stereoscopic AR visualization system, which has the potential for clinical use. The system has been demonstrated to achieve clinically acceptable accuracy and latency. This work is a critical step toward clinical translation of AR visualization for laparoscopic procedures.

  8. Pain characteristics after laparoscopic inguinal hernia repair

    DEFF Research Database (Denmark)

    Tolver, Mette A; Strandfelt, Pernille; Rosenberg, Jacob;


    Previous studies have shown different pain characteristics in different types of laparoscopic operations, but pain pattern has not been studied in detail after laparoscopic inguinal hernia repair. To optimise preoperative patient information and postoperative analgesic treatment the present study...

  9. Content-based retrieval in videos from laparoscopic surgery (United States)

    Schoeffmann, Klaus; Beecks, Christian; Lux, Mathias; Uysal, Merih Seran; Seidl, Thomas


    In the field of medical endoscopy more and more surgeons are changing over to record and store videos of their endoscopic procedures for long-term archival. These endoscopic videos are a good source of information for explanations to patients and follow-up operations. As the endoscope is the "eye of the surgeon", the video shows the same information the surgeon has seen during the operation, and can describe the situation inside the patient much more precisely than an operation report would do. Recorded endoscopic videos can also be used for training young surgeons and in some countries the long-term archival of video recordings from endoscopic procedures is even enforced by law. A major challenge, however, is to efficiently access these very large video archives for later purposes. One problem, for example, is to locate specific images in the videos that show important situations, which are additionally captured as static images during the procedure. This work addresses this problem and focuses on contentbased video retrieval in data from laparoscopic surgery. We propose to use feature signatures, which can appropriately and concisely describe the content of laparoscopic images, and show that by using this content descriptor with an appropriate metric, we are able to efficiently perform content-based retrieval in laparoscopic videos. In a dataset with 600 captured static images from 33 hours recordings, we are able to find the correct video segment for more than 88% of these images.


    Directory of Open Access Journals (Sweden)

    Haridarshan Sira


    Full Text Available BACKGROUND Laparoscopic surgery has undergone several modifications since its advent. There has been a shift from a standard multiport approach to more minimalistic approaches. SILS is a major step in this evolutionary process. We present our experience with SILS using conventional laparoscopic instruments and without the need for a SILS port. METHODS 211 patients in Fortis Hospitals, Bangalore, India, who underwent SILS for various abdominal conditions from May 2009 to May 2011 were included in the study. Variables such as operating time, conversion to multi-port laparoscopy or open surgery, complications, analgesia requirements and hospital stay were included. RESULTS 211 patients underwent SILS using conventional laparoscopic instruments for Gallstones, Appendicitis, Morbid Obesity, Gynaecological conditions and Renal cysts. Average age group was 48.5 years; mean duration of hospital stay was 46.5 hours; 166 Laparoscopic cholecystectomies were done, out of which 47 were acute cholecystitis. There were no cases converted to open surgeries. CONCLUSION Single Incision Laparoscopic surgery is technically feasible and as effective as conventional laparoscopic surgery. It is a safe procedure and provides an advantage with regards to analgesia requirement, length of hospital stay and early return to work. Cosmetically, it is superior to multiport laparoscopy.

  11. Augmenting digital displays with computation (United States)

    Liu, Jing

    As we inevitably step deeper and deeper into a world connected via the Internet, more and more information will be exchanged digitally. Displays are the interface between digital information and each individual. Naturally, one fundamental goal of displays is to reproduce information as realistically as possible since humans still care a lot about what happens in the real world. Human eyes are the receiving end of such information exchange; therefore it is impossible to study displays without studying the human visual system. In fact, the design of displays is rather closely coupled with what human eyes are capable of perceiving. For example, we are less interested in building displays that emit light in the invisible spectrum. This dissertation explores how we can augment displays with computation, which takes both display hardware and the human visual system into consideration. Four novel projects on display technologies are included in this dissertation: First, we propose a software-based approach to driving multiview autostereoscopic displays. Our display algorithm can dynamically assign views to hardware display zones based on multiple observers' current head positions, substantially reducing crosstalk and stereo inversion. Second, we present a dense projector array that creates a seamless 3D viewing experience for multiple viewers. We smoothly interpolate the set of viewer heights and distances on a per-vertex basis across the arrays field of view, reducing image distortion, crosstalk, and artifacts from tracking errors. Third, we propose a method for high dynamic range display calibration that takes into account the variation of the chrominance error over luminance. We propose a data structure for enabling efficient representation and querying of the calibration function, which also allows user-guided balancing between memory consumption and the amount of computation. Fourth, we present user studies that demonstrate that the ˜ 60 Hz critical flicker fusion

  12. Breath-hold gadolinium-enhanced three-dimensional MR thoracic aortography. Higher spatial resolution imaging with phased-array coil and three-dimensional surface display

    Energy Technology Data Exchange (ETDEWEB)

    Nakanishi, Tadashi; Hata, Ryoichiro; Tamura, Akihisa; Kohata, Minako; Miyasaka, Kenji; Kajima, Toshio; Fukuoka, Haruhito; Ito, Katsuhide [Hiroshima Univ. (Japan). School of Medicine


    The aim of this study was to examine signal intensities of data sets from MR thoracic aortography and to evaluate three-dimensional surface display (3DSD) for postprocessing. Twenty-five patients were imaged with gadolinium-enhanced 3D fast gradient echo sequence. The intensity at the aortic arch was significantly higher than that at the mediastinal fat (p<0.0001). The signal-to-noise ratio was lower at the aortic arch than at the ascending and descending aorta, whereas the contrast-to-noise ratio was fairly high at the aortic arch. Although in one case (4%) the intensity at the arch was smaller than that at the mediastinal fat, 3DSD was successfully performed in all cases. Superiority of 3DSD over maximum intensity projection was obtained in 67% of the cases. 3DSD was evaluated to be superior to maximum intensity projection in all cases of thoracic aortic aneurysm and coarctation of aorta. Higher resolution MR thoracic aortography could be successfully performed with phased-array coil and 3DSD. (author)

  13. Display Apple M7649Zm

    CERN Multimedia


    It was Designed for the Power Mac G4. This Apple studio display gives you edge-to-edge distortion-free images. With more than 16.7 million colors and 1,280 x 1,024 dpi resolution, you view brilliant and bright images on this Apple 17-inch monitor.

  14. Toward real-time remote processing of laparoscopic video. (United States)

    Ronaghi, Zahra; Duffy, Edward B; Kwartowitz, David M


    Laparoscopic surgery is a minimally invasive surgical technique where surgeons insert a small video camera into the patient's body to visualize internal organs and use small tools to perform surgical procedures. However, the benefit of small incisions has a drawback of limited visualization of subsurface tissues, which can lead to navigational challenges in the delivering of therapy. Image-guided surgery uses the images to map subsurface structures and can reduce the limitations of laparoscopic surgery. One particular laparoscopic camera system of interest is the vision system of the daVinci-Si robotic surgical system (Intuitive Surgical, Sunnyvale, California). The video streams generate approximately 360 MB of data per second, demonstrating a trend toward increased data sizes in medicine, primarily due to higher-resolution video cameras and imaging equipment. Processing this data on a bedside PC has become challenging and a high-performance computing (HPC) environment may not always be available at the point of care. To process this data on remote HPC clusters at the typical 30 frames per second (fps) rate, it is required that each 11.9 MB video frame be processed by a server and returned within 1/30th of a second. The ability to acquire, process, and visualize data in real time is essential for the performance of complex tasks as well as minimizing risk to the patient. As a result, utilizing high-speed networks to access computing clusters will lead to real-time medical image processing and improve surgical experiences by providing real-time augmented laparoscopic data. We have performed image processing algorithms on a high-definition head phantom video (1920 × 1080 pixels) and transferred the video using a message passing interface. The total transfer time is around 53 ms or 19 fps. We will optimize and parallelize these algorithms to reduce the total time to 30 ms.

  15. A single-imager stereoscopic endoscope (United States)

    Keller, Kurtis; State, Andrei


    We have developed a 5.5mm and 10mm dual optical channel laparoscope that combines both exit channels into a single, standard, endoscopic eye cup which attaches directly to a single, conventional HD camera head. We have also developed image processing software that auto-calibrates, aligns, enhances and processes the image so that it can be displayed on a stereo/3D display to achieve a true 3D effect. The advantages to the end user for such a 3D system are that they do not have to purchase a new camera system, all of their existing scopes are still available to use, as are all integrated OR features. They will be able to add 3D capability to current HD system by purchasing only stereo scopes and a small video processing computer box and adding a 2D/3D HD capable monitor.

  16. Laparoscopic adrenalectomy for adrenal tumors. (United States)

    Chuan-Yu, Sun; Yat-Faat, Ho; Wei-Hong, Ding; Yuan-Cheng, Gou; Qing-Feng, Hu; Ke, Xu; Bin, Gu; Guo-Wei, Xia


    Objective. To evaluate the indication and the clinical value of laparoscopic adrenalectomy of different types of adrenal tumor. Methods. From 2009 to 2014, a total of 110 patients were diagnosed with adrenal benign tumor by CT scan and we performed laparoscopic adrenalectomy. The laparoscopic approach has been the procedure of choice for surgery of benign adrenal tumors, and the upper limit of tumor size was thought to be 6 cm. Results. 109 of 110 cases were successful; only one was converted to open surgery due to bleeding. The average operating time and intraoperative blood loss of pheochromocytoma were significantly more than the benign tumors (P < 0.05). After 3 months of follow-up, the preoperative symptoms were relieved and there was no recurrence. Conclusions. Laparoscopic adrenalectomy has the advantages of minimal invasion, less blood loss, fewer complications, quicker recovery, and shorter hospital stay. The full preparation before operation can decrease the average operating time and intraoperative blood loss of pheochromocytomas. Laparoscopic adrenalectomy should be considered as the first choice treatment for the resection of adrenal benign tumor.

  17. Military display market segment: helicopters (United States)

    Desjardins, Daniel D.; Hopper, Darrel G.


    The military display market is analyzed in terms of one of its segments: helicopter displays. Parameters requiring special consideration, to include luminance ranges, contrast ratio, viewing angles, and chromaticity coordinates, are examined. Performance requirements for rotary-wing displays relative to several premier applications are summarized. Display sizes having aggregate defense applications of 5,000 units or greater and having DoD applications across 10 or more platforms, are tabulated. The issue of size commonality is addressed where distribution of active area sizes across helicopter platforms, individually, in groups of two through nine, and ten or greater, is illustrated. Rotary-wing displays are also analyzed by technology, where total quantities of such displays are broken out into CRT, LCD, AMLCD, EM, LED, Incandescent, Plasma and TFEL percentages. Custom, versus Rugged commercial, versus commercial off-the-shelf designs are contrasted. High and low information content designs are identified. Displays for several high-profile military helicopter programs are discussed, to include both technical specifications and program history. The military display market study is summarized with breakouts for the helicopter market segment. Our defense-wide study as of March 2004 has documented 1,015,494 direct view and virtual image displays distributed across 1,181 display sizes and 503 weapon systems. Helicopter displays account for 67,472 displays (just 6.6% of DoD total) and comprise 83 sizes (7.0% of total DoD) in 76 platforms (15.1% of total DoD). Some 47.6% of these rotary-wing applications involve low information content displays comprising just a few characters in one color; however, as per fixed-wing aircraft, the predominant instantiation involves higher information content units capable of showing changeable graphics, color and video.

  18. Single incision laparoscopic hepatectomy: Advances in laparoscopic liver surgery

    Directory of Open Access Journals (Sweden)

    Tayar Claude


    Full Text Available Background: Laparoscopic liver surgery is now an established practice in many institutions. It is a safe and feasible approach in experienced hands. Single incision laparoscopic surgery (SILS has been performed for cholecystectomies, nephrectomies, splenectomies and obesity surgery. However, the use of SILS in liver surgery has been rarely reported. We report our initial experience in seven patients on single incision laparoscopic hepatectomy (SILH. Patients and Methods: From October 2010 to September 2012, seven patients underwent single-incision laparoscopic liver surgery. The abdomen was approached through a 25 mm periumbilical incision. No supplemental ports were required. The liver was transected using a combination of LigaSure TM (Covidien-Valleylab. Boulder. USA, Harmonic Scalpel and Ligaclips (Ethicon Endo-Surgery, Inc.. Results: Liver resection was successfully completed for the seven patients. The procedures consisted of two partial resections of segment three, two partial resections of segment five and three partial resections of segment six. The mean operative time was 98.3 min (range: 60-150 min and the mean estimated blood loss was 57 ml (range: 25-150 ml. The postoperative courses were uneventful and the mean hospital stay was 5.1 days (range: 1-13 days. Pathology identified three benign and four malignant liver tumours with clear margins. Conclusion: SILH is a technically feasible and safe approach for wedge resections of the liver without oncological compromise and with favourable cosmetic results. This surgical technique requires relatively advanced laparoscopic skills. Further studies are needed to determine the potential advantages of this technique, apart from the better cosmetic result, compared to the conventional laparoscopic approach.

  19. Design and preliminary in vivo validation of a robotic laparoscope holder for minimally invasive surgery. (United States)

    Herman, Benoît; Dehez, Bruno; Duy, Khanh Tran; Raucent, Benoît; Dombre, Etienne; Krut, Sébastien


    Manual manipulation of the camera is a major source of difficulties encountered by surgeons while performing minimally invasive laparoscopic surgery. A survey of laparoscopic procedures and a review of existing active and passive holders were conducted. Based on these analyses, essential requirements were highlighted for such devices. Pursuant to this, a novel active laparoscope manipulator was designed, paying particular attention to ergonomics and ease of use. Several trials on the pelvitrainer and a first in vivo procedure were performed to validate the original design of our device. Phantom experiments demonstrated ease of use of the robot and advantages of the intuitive joystick with omnidirectional displacements and speed control. The compactness of the device and image stability were appreciated during the surgical trial. A novel robotic laparoscope holder has been developed and produced. An in vivo trial proved its value in clinical practice, enabling surgeons to work more comfortably.

  20. Laparoscopic cholecystectomy for cholelithiasis in children

    Directory of Open Access Journals (Sweden)

    Gowda Deepak


    Full Text Available Aim: To evaluate the role of laparoscopic cholecystectomy (LC in the management of cholelithiasis in children. Methods: A retrospective review of our experience with LC for cholelithiasis at our institution, between April 2006 and November 2008, was done. Data included patient demographics, clinical history, hematological investigations, imaging studies, operative technique, postoperative complications, postoperative recovery, and final histopathological diagnosis. Results: During the study period of 32 months, 18 children (8 males and 10 females with cholelithiasis were treated by LC. The mean age was 9.4 years (range 3-18. Seventeen children had symptoms of biliary tract disease and 1 child had incidentally detected cholelithiasis during an ultrasonography of abdomen for unrelated cause. Only 5 (27.8% children had definitive etiological risk factors for cholelithiasis and the remaining 13 (75.2% cases were idiopathic. Sixteen cases had pigmented gallstones and 2 had cholesterol gallstones. All the 18 patients underwent LC, 17 elective, and 1 emergency LC. The mean operative duration was 74.2 min (range 50-180. Postoperative complications occurred in 2 (11.1% patients. The average duration of hospital stay was 4.1 days (range 3-6. Conclusion: Laparoscopic chloecystectomy is a safe and efficacious treatment for pediatric cholelithiasis. The cause for increased incidence of pediatric gallstones and their natural history needs to be further evaluated.

  1. Laparoscopic cholecystectomy in situs inversus totalis: a case report

    Directory of Open Access Journals (Sweden)

    Blake Geoffrey


    Full Text Available Abstract Background Laparoscopic cholecystectomy is one of the commonest surgical procedures carried out in the world today. Occasionally patients present with undiagnosed situs inversus and acute cholecystitis. We discuss one such case and outline how the diagnosis was made and the pitfalls encountered during surgery and how they were overcome. Case presentation A 32 year old female presented to our department with epigastric pain radiating through to the back. A diagnosis of acute cholecystitis in a patient with situs inversus totalis was made following clinical examination and radiological investigation. Laparoscopic cholecystectomy was subsequently performed and the patient made an uneventful recovery. Conclusion Situs inversus presenting with acute cholecystitis is very rare. The surgeon must appreciate that care should be taken to set up the operating theatre in the mirror image of the normal set-up for cholecystectomy, and that right handed surgeons must modify their technique to adapt to the mirror image anatomy.

  2. Superpixel-based structure classification for laparoscopic surgery (United States)

    Bodenstedt, Sebastian; Görtler, Jochen; Wagner, Martin; Kenngott, Hannes; Müller-Stich, Beat Peter; Dillmann, Rüdiger; Speidel, Stefanie


    Minimally-invasive interventions offers multiple benefits for patients, but also entails drawbacks for the surgeon. The goal of context-aware assistance systems is to alleviate some of these difficulties. Localizing and identifying anatomical structures, maligned tissue and surgical instruments through endoscopic image analysis is paramount for an assistance system, making online measurements and augmented reality visualizations possible. Furthermore, such information can be used to assess the progress of an intervention, hereby allowing for a context-aware assistance. In this work, we present an approach for such an analysis. First, a given laparoscopic image is divided into groups of connected pixels, so-called superpixels, using the SEEDS algorithm. The content of a given superpixel is then described using information regarding its color and texture. Using a Random Forest classifier, we determine the class label of each superpixel. We evaluated our approach on a publicly available dataset for laparoscopic instrument detection and achieved a DICE score of 0.69.

  3. Dysphagia after laparoscopic Nissen fundoplication

    DEFF Research Database (Denmark)

    Funch-Jensen, Peter; Jacobsen, Bo


    OBJECTIVE: To investigate the frequency and severity of dysphagia during the first 8 weeks after laparoscopic Nissen fundoplication for gastro-oesophageal reflux disease. So far, there have been no studies reporting data on day-to-day occurrence of dysphagia after laparoscopic fundoplication...... in a consecutive series of patients. This may explain why the frequency of dysphagia varies greatly in the literature (4-100%). MATERIAL AND METHODS: Forty consecutive patients, undergoing elective laparoscopic Nissen fundoplication, completed a standard dysphagia registration diary each day during the first 8...... weeks after surgery. Patients who preoperatively had suffered from dysphagia were excluded. Thus, none of the patients had dysphagia in the 2-month period before surgery. Ten patients undergoing elective cholecystectomy served as controls. Data were quantified, and a score value of 4 or more...

  4. Therapy of umbilical hernia during laparoscopic cholecystectomy. (United States)

    Zoricić, Ivan; Vukusić, Darko; Rasić, Zarko; Schwarz, Dragan; Sever, Marko


    The aim of this study is to show our experience with umbilical hernia herniorrhaphy and laparoscopic cholecystectomy, both in the same act. During last 10 years we operated 89 patients with cholecystitis and pre-existing umbilical hernia. In 61 of them we performed standard laparoscopic cholecystectomy and additional sutures of abdominal wall, and in 28 patients we performed in the same act laparoscopic cholecystectomy and herniorrhaphy of umbilical hernia. We observed incidence of postoperative herniation, and compared patients recovery after herniorrhaphy combined with laparoscopic cholecystectomy in the same act, and patients after standard laparoscopic cholecystectomy and additional sutures of abdominal wall. Patients, who had in the same time umbilical hernia herniorrhaphy and laparoscopic cholecystectomy, shown better postoperative recovery and lower incidence of postoperative umbilical hernias then patients with standard laparoscopic cholecystectomy and additional abdominal wall sutures.

  5. Single Incision Laparoscopic Splenectomy: Our First Experiences

    Directory of Open Access Journals (Sweden)

    Umut Barbaros


    Full Text Available Objective: Most laparoscopic surgeons have attempted to reduce incisional morbidity and improve cosmetic outcomes by using less and smaller trocars. Single incision laparoscopic splenectomy is a new laparoscopic procedure. Herein we would like to present our experiences.Material and Methods: Between January 2009 and June 2009, data of the 7 patients who underwent single incision laparoscopic splenectomy were evaluated retrospectively.Results: There were 7 patients (5 females and 2 males with a mean age of 29.9 years. The most common splenectomy indication was idiopathic thrombocytopenic purpura. Single incision laparoscopic splenectomy was performed successfully in 6 patients. In one patient the operation was converted to an open procedure.Conclusion: With surgeons experienced in minimally invasive surgery, single incision laparoscopic splenectomy could be performed successfully. However, in order to demonstrate the differneces between standard laparoscopic splenectomy and SILS splenetomy, prospective randomized comparative studies are required.

  6. [Peritoneum and laparoscopic environment]. (United States)

    Canis, Michel; Matsuzaki, Sachiko; Bourdel, Nicolas; Jardon, Kris; Cotte, Benjamin; Botchorishvili, Revaz; Rabischong, Benoit; Mage, Gérard


    Laparoscopic surgery takes place in a closed environment, the peritoneal cavity distended by the pneumoperitoneum whose parameters, such as pressure, composition, humidity and temperature of the gas, may be changed and adapted to influence the intra and postoperative surgical processes. Such changes were impossible in the "open" environment. This review includes recent data on peritoneal physiology, which are relevant for surgeons, and on the effects of the pneumoperitoneum on the peritoneal membrane. The ability to work in a new surgical environment, which may be adapted to each situation, opens a new era in endoscopic surgery. Using nebulizers, the pneumoperitoneum may become a new way to administer intraoperative treatments. Most of the current data on the consequences of the pneumoperitoneum were obtained using poor animal models so that it remains difficult to estimate the progresses, which will be brought to the operative theater by this new concept. However this revolution will likely be used by thoracic or cardiac surgeon who are also working in a serosa. This approach may even appear essential to all the surgeons who are using endoscopy in a retroperitoneal space such as urologists or endocrine surgeons.

  7. Towards real-time remote processing of laparoscopic video (United States)

    Ronaghi, Zahra; Duffy, Edward B.; Kwartowitz, David M.


    Laparoscopic surgery is a minimally invasive surgical technique where surgeons insert a small video camera into the patient's body to visualize internal organs and small tools to perform surgical procedures. However, the benefit of small incisions has a drawback of limited visualization of subsurface tissues, which can lead to navigational challenges in the delivering of therapy. Image-guided surgery (IGS) uses images to map subsurface structures and can reduce the limitations of laparoscopic surgery. One particular laparoscopic camera system of interest is the vision system of the daVinci-Si robotic surgical system (Intuitive Surgical, Sunnyvale, CA, USA). The video streams generate approximately 360 megabytes of data per second, demonstrating a trend towards increased data sizes in medicine, primarily due to higher-resolution video cameras and imaging equipment. Processing this data on a bedside PC has become challenging and a high-performance computing (HPC) environment may not always be available at the point of care. To process this data on remote HPC clusters at the typical 30 frames per second (fps) rate, it is required that each 11.9 MB video frame be processed by a server and returned within 1/30th of a second. The ability to acquire, process and visualize data in real-time is essential for performance of complex tasks as well as minimizing risk to the patient. As a result, utilizing high-speed networks to access computing clusters will lead to real-time medical image processing and improve surgical experiences by providing real-time augmented laparoscopic data. We aim to develop a medical video processing system using an OpenFlow software defined network that is capable of connecting to multiple remote medical facilities and HPC servers.

  8. Effective color design for displays (United States)

    MacDonald, Lindsay W.


    Visual communication is a key aspect of human-computer interaction, which contributes to the satisfaction of user and application needs. For effective design of presentations on computer displays, color should be used in conjunction with the other visual variables. The general needs of graphic user interfaces are discussed, followed by five specific tasks with differing criteria for display color specification - advertising, text, information, visualization and imaging.

  9. Contribution of laparoscopic training to robotic proficiency. (United States)

    Angell, Jordan; Gomez, Michael S; Baig, Mirza M; Abaza, Ronney


    Robotic surgical technology has been adopted by surgeons with and without previous standard laparoscopic experience. The necessity or benefit of prior training and experience in laparoscopic surgery is unknown. We hypothesized that laparoscopic training enhances performance in robotic surgery. Fourteen medical students with no surgical experience were instructed to incise a spiral using the da Vinci(®) surgical robot with time to completion and errors recorded. Each student was then trained for 1 month in standard laparoscopy, but with no further robotic exposure. Training included a validated laparoscopic training program, including timed and scored parameters. After completion of the month-long training, the students repeated the cutting exercise using the da Vinci robot as well as with standard laparoscopic instruments and were scored within the same parameters. The mean time to completely incise the spiral robotically before training was 16.72 min with a mean of 6.21 errors. After 1 month of validated laparoscopic training, the mean robotic time fell to 9:03 min (p=0.0002) with 3.57 errors (p=0.02). Laparoscopic performance after 1 month of validated laparoscopic training was 13.95 min with 6.14 errors, which was no better than pretraining robotic performance (p=0.20) and worse than post-training robotic performance (p=0.01). Formal laparoscopic training improved the performance of a complex robotic task. The initial robotic performance without any robotic or laparoscopic training was equivalent to standard laparoscopic performance after extensive training. Additionally, after laparoscopic training, the robot allowed significantly superior speed and precision of the task. Laparoscopic training may improve the proficiency in operation of the robot. This may explain the perceived ease with which robotics is adopted by laparoscopically trained surgeons and may be important in training future robotic surgeons.

  10. Laparoscopic reversal of Hartmann's procedure

    DEFF Research Database (Denmark)

    Svenningsen, Peter Olsen; Bulut, Orhan; Jess, Per


    INTRODUCTION: A change in procedure from open to laparoscopic reversal of Hartmann's colostomy was implemented at our department between May 2005 and December 2008. The aim of the study was to investigate if this change was beneficial for the patients. MATERIAL AND METHODS: The medical records...... of all patients who underwent reversal of a colostomy after a primary Hartmann's procedure during the period May 2005 to December 2008 were reviewed retrospectively in a case-control study. RESULTS: A total of 43 patients were included. Twenty-one had a laparoscopic and 22 an open procedure. The two...

  11. Laparoscopic Repair of Morgagni Hernia

    Directory of Open Access Journals (Sweden)

    ilker murat arer


    Full Text Available Morgagni hernia is a congenital herniation of abdominal contents into the thoracic cavity through a retrosternal diaphragmatic defect and make up about 1 % - 5 % of all types of congenital diaphragmatic hernias. Surgical repair of Morgagni hernias is usually indicated when patients are symptomatic and have a high risk of strangulation or incarceration of the contained viscera. 71-year-old male patient admitted to emergency department with a 2-day history of abdominal pain, vomiting and obstipation. Laparoscopic repair for Morgagni hernia was performed. Laparoscopic repair for Morgagni hernia with mesh repair is secure, satisfactory and easily performed. [Cukurova Med J 2015; 40(Suppl 1: 71-74

  12. Laparoscopic Partial Hepatectomy: Animal Experiments

    Directory of Open Access Journals (Sweden)

    Haruhiro Inoue


    Full Text Available As a first step in firmly establishing laparoscopic hepatectomy, we introduce a porcine model of laparoscopic partial hepatectomy. This procedure has been successfully performed under the normal-pressure or low-pressure pneumoperitoneum condition supported by the full-thickness abdominal wall lifting technique. An ultrasonic dissector combined with electrocautery, newly developed by Olympus Optical Corporation (Japan was effectively utilized in facilitating safe and smooth incisions into the liver parenchyma. Although indications for this procedure seem to be limited only to peripheral lesions and not to central lesions, clinical application of this method may be useful for some patients in the near future.

  13. Surgical packages for laparoscopic surgery

    Directory of Open Access Journals (Sweden)

    Bhattacharya K


    Full Text Available ′Packages′ are in fashion today for most surgical procedures in various corporate hospitals and this has included laparoscopic procedures too. A package system enables the hospitals to get cost settlements done more easily. Also, it is more convenient for the patients who are aware upfront of the charges. The principal disadvantages seems to be for the surgeon, who may face displeasure of the patient, hospital or insurance agencies apart from forfeiting his personal charges if (a he is a novice in laparoscopic surgery and takes extra time to complete a procedure, (b unforeseen problems occur during surgery, or (c new pathologies are discovered on exploration.

  14. Laparoscopic repair of incisional hernia. (United States)

    Lau, H; Lee, F; Patil, N G


    A 75-year-old man developed an incisional hernia over the upper abdomen following a wedge resection of a gastric stromal tumour in 1996. This is the first published report of a successful repair of an incisional hernia via a laparoscopic intraperitoneal on-lay technique using GORE-TEX DualMesh material in Hong Kong. Compared with conventional open repair of incisional hernia, long incisions and wound tension are avoided using the laparoscopic approach. This translates into a reduced risk of wound-related complications and facilitates recovery. In selected cases, minimally invasive surgery is a safe technique for the repair of incisional hernias.

  15. Laparoscopic Nephrectomy for Wilms Tumor

    Directory of Open Access Journals (Sweden)

    Andolfi C


    Full Text Available Wilms tumor is the most frequent primary renal malignancy in children. The surgical resection is traditionally performed through laparotomy. The advent of laparoscopic surgery for benign renal lesions has led the surgeon to use a minimal invasive approach for the nephroblastoma. We describe a 9-months-old girl who presented with a left renal mass. A laparoscopic resection of the tumor with left radical nephroureterectomy was performed. The specimens were removed in an endoscopic bag through a low suprapubic incision. The patient had an uncomplicated recovery. Minimally invasive techniques may be considered for resection of nephroblastoma if oncologic principles are carefully followed.

  16. Use of augmented reality in laparoscopic gynecology to visualize myomas. (United States)

    Bourdel, Nicolas; Collins, Toby; Pizarro, Daniel; Debize, Clement; Grémeau, Anne-Sophie; Bartoli, Adrien; Canis, Michel


    To report the use of augmented reality (AR) in gynecology. AR is a surgical guidance technology that enables important hidden surface structures to be visualized in endoscopic images. AR has been used for other organs, but never in gynecology and never with a very mobile organ like the uterus. We have developed a new AR approach specifically for uterine surgery and demonstrated its use for myomectomy. Tertiary university hospital. Three patients with one, two, and multiple myomas, respectively. AR was used during laparoscopy to localize the myomas. Three-dimensional (3D) models of the patient's uterus and myomas were constructed before surgery from T2-weighted magnetic resonance imaging. The intraoperative 3D shape of the uterus was determined. These models were automatically aligned and "fused" with the laparoscopic video in real time. The live fused video made the uterus appear semitransparent, and the surgeon can see the location of the myoma in real time while moving the laparoscope and the uterus. With this information, the surgeon can easily and quickly decide on how best to access the myoma. We developed an AR system for gynecologic surgery and have used it to improve laparoscopic myomectomy. Technically, the software we developed is very different to approaches tried for other organs, and it can handle significant challenges, including image blur, fast motion, and partial views of the organ. Copyright © 2016 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  17. HPC enabled real-time remote processing of laparoscopic surgery (United States)

    Ronaghi, Zahra; Sapra, Karan; Izard, Ryan; Duffy, Edward; Smith, Melissa C.; Wang, Kuang-Ching; Kwartowitz, David M.


    Laparoscopic surgery is a minimally invasive surgical technique. The benefit of small incisions has a disadvantage of limited visualization of subsurface tissues. Image-guided surgery (IGS) uses pre-operative and intra-operative images to map subsurface structures. One particular laparoscopic system is the daVinci-si robotic surgical system. The video streams generate approximately 360 megabytes of data per second. Real-time processing this large stream of data on a bedside PC, single or dual node setup, has become challenging and a high-performance computing (HPC) environment may not always be available at the point of care. To process this data on remote HPC clusters at the typical 30 frames per second rate, it is required that each 11.9 MB video frame be processed by a server and returned within 1/30th of a second. We have implement and compared performance of compression, segmentation and registration algorithms on Clemson's Palmetto supercomputer using dual NVIDIA K40 GPUs per node. Our computing framework will also enable reliability using replication of computation. We will securely transfer the files to remote HPC clusters utilizing an OpenFlow-based network service, Steroid OpenFlow Service (SOS) that can increase performance of large data transfers over long-distance and high bandwidth networks. As a result, utilizing high-speed OpenFlow- based network to access computing clusters with GPUs will improve surgical procedures by providing real-time medical image processing and laparoscopic data.

  18. Three-dimensional hologram display system (United States)

    Mintz, Frederick (Inventor); Chao, Tien-Hsin (Inventor); Bryant, Nevin (Inventor); Tsou, Peter (Inventor)


    The present invention relates to a three-dimensional (3D) hologram display system. The 3D hologram display system includes a projector device for projecting an image upon a display medium to form a 3D hologram. The 3D hologram is formed such that a viewer can view the holographic image from multiple angles up to 360 degrees. Multiple display media are described, namely a spinning diffusive screen, a circular diffuser screen, and an aerogel. The spinning diffusive screen utilizes spatial light modulators to control the image such that the 3D image is displayed on the rotating screen in a time-multiplexing manner. The circular diffuser screen includes multiple, simultaneously-operated projectors to project the image onto the circular diffuser screen from a plurality of locations, thereby forming the 3D image. The aerogel can use the projection device described as applicable to either the spinning diffusive screen or the circular diffuser screen.

  19. Totally laparoscopic bypass surgery for aortoiliac occlusive disease in China

    Institute of Scientific and Technical Information of China (English)

    GUO Lian-rui; GU Yong-quan; QI Li-xing; TONG Zhu; WU Xin; GUO Jian-ming; ZHANG Jian


    Background Totally laparoscopic aortic surgery is still in its infancy in China.One of the factors preventing adoption of this technique is its steep learning curve.The objective of this study was to evaluate the feasibility and safety of laparoscopic surgery for aortoiliac occlusive disease (AIOD).Methods From November 2008 to November 2012,12 patients were treated for severe AIOD with a totally laparoscopic bypass surgery at our university hospital.The demographic data,operative data,postoperative recovery data,morbidity and mortality were analyzed and compared with those of conventional open approach.Results Twelve totally laparoscopic aortic surgery procedures,including two iliofemoral bypasses (IFB),three unilateral aortofemoral bypasses (UAFB),and seven aortobifemoral bypasses (ABFB),were performed.Conversion to open procedures was required in three patients.The mean operation time was 518 (range,325-840) minutes,mean blood loss was 962 (range,400-2500) ml,and mean aortic anastomosis time was 75 (range,40-150) minutes.Compared with conventional open approach for aortofemoral bypasses performed concomitantly during this period,laparoscopic patients required fewer narcotics and a shorter in-hospital stay and earlier recovery.Postoperative complications developed in four patients,including a single patient with transient left hydronephrosis,ischemic colonic fistula and pneumonia,residual aortic stenosis proximal to the anastomotic site,and asymptomatic partial left renal infarction.All patients recovered and were discharged on postoperative Days 7-14 except one patient that died of respiratory failure on Day 46.All grafts were patent with follow-up imaging performed by Duplex examination,with a mean follow-up time of 10.7 (range,2-61) months.Conclusion Totally laparoscopic bypass surgery is a feasible and safe procedure forAIOD,but attention needs to be paid to improve laparoscopic skills of vascular surgery in order to minimize morbidity during the learning

  20. 裸眼3D LCD动静态图像显示的设计研究%Design and research on displaying images and texts on naked-eye 3 D LCD

    Institute of Scientific and Technical Information of China (English)

    宋凡; 梁发云; 刘敏; 许鹏; 王兴鹏


    The naked-eye 3 D LCD could be applied to various image display device and can also be used to display the 2D and 3D graphics . ×ith the continuous improvement of the TFT LCD resolution,it needed better hardware technology to display the full image correctly. According to the actual demand of displaying images and texts ,the LCD driving interfaces were designed in this paper based on FPGA. And the circuital timing sequence was generated by the hardware logic algorithm to send pixel data correctly through the RGB line. The results showed that the design could achieve stably performance and acquire a dynamic display of images and texts by online de-bugging .%裸眼3D LCD能够应用到多种图像显示器件中,满足二维及三维图形显示。在TFT LCD的分辨率不断提高的情况下,也对正确显示完整图像的硬件技术提出了更高的要求。根据图像与文字显示的现实需求,使用FP-GA来驱动液晶屏接口。并用硬件逻辑算法产生LCD驱动的时序电路,配合RGB数据线完成像素的正确传送。在线调试结果表明该设计能达到稳定的显示效果,实现了图像和字符的动态显示。

  1. Paravesical gossypiboma following inguinal herniorrhaphy: Laparoscopic retrieval

    Directory of Open Access Journals (Sweden)

    Chao-Chun Huang


    Full Text Available Retained surgical sponge (gossypiboma following an inguinal herniorrhaphy is a rare condition and may cause medicolegal problems. Differential diagnosis for the lesion should be made meticulously. We report a case of a 45-year-old man who had a herniorrhaphy about 8 years previously. He presented one episode of painless gross hematuria. Laboratory and imaging studies excluded any significant lesion in the urological organs. Abdominal CT scan demonstrated a heterogeneous neoplasm of 4 cm in size in the left paravesical area that was retrieved laparoscopically. Abdominal CT and clinical suspicion are helpful for diagnosis. Laparoscopy may be used to confirm the diagnosis and to remove the retained surgical gauze, and considered as an alternative therapy for some selected patients.

  2. Updated defense display market assessment (United States)

    Desjardins, Daniel D.; Hopper, Darrel G.


    This paper addresses the number, function and size of principal military displays and establishes a basis to determine the opportunities for technology insertion in the immediate future and into the next millennium. Principal military displays are defined as those occupying appreciable crewstation real-estate and/or those without which the platform could not carry out its intended mission. DoD 'office' applications are excluded from this study. The military displays market is specified by such parameters as active area and footprint size, and other characteristics such as luminance, gray scale, resolution, angle, color, video capability, and night vision imaging system compatibility. Funded, future acquisitions, planned and predicted crewstation modification kits, and form-fit upgrades are taken into account. This paper provides an overview of the DoD niche market, allowing both government and industry a necessary reference by which to meet DoD requirements for military displays in a timely and cost-effective manner. The aggregate DoD installed base for direct-view and large-area military displays is presently estimated to be in excess of 313,000. Miniature displays are those which must be magnified to be viewed, involve a significantly different manufacturing paradigm and are used in helmet mounted displays and thermal weapon sight applications. Some 114,000 miniature displays are presently included within future weapon system acquisition plans. For vendor production planning purposes it is noted that foreign military sales could substantially increase these quantities. The vanishing vendor syndrome (VVS) for older display technologies continues to be a growing, pervasive problem throughout DoD, which consequently must leverage the more modern, especially flat panel, display technologies being developed to replace older, especially cathode ray tube, technology for civil-commercial markets. Total DoD display needs (FPD, HMD) are some 427,000.

  3. Laparoscopic and open surgery for pheochromocytoma

    Directory of Open Access Journals (Sweden)

    Mala Tom


    Full Text Available Abstract Backround Laparoscopic adrenalectomy is a promising alternative to open surgery although concerns exist in regard to laparoscopic treatment of pheocromocytoma. This report compares the outcome of laparoscopic and conventional (open resection for pheocromocytoma particular in regard to intraoperative hemodynamic stability and postoperative patient comfort. Methods Seven patients laparoscopically treated (1997–2000 and nine patients treated by open resection (1990–1996 at the National Hospital (Rikshospitalet, Oslo. Peroperative hemodynamic stability including need of vasoactive drugs was studied. Postoperative analgesic medication, complications and hospital stay were recorded. Results No laparoscopic resections were converted to open procedure. Patients laparoscopically treated had fewer hypertensive episodes (median 1 vs. 2 and less need of vasoactive drugs peroperatively than patients conventionally operated. There was no difference in operative time between the two groups (median 110 min vs. 125 min for adrenal pheochromocytoma and 235 vs. 210 min for paraganglioma. Postoperative need of analgesic medication (1 vs. 9 patients and hospital stay (median 3 vs. 6 days were significantly reduced in patients laparoscopically operated compared to patients treated by the open technique. Conclusion Surgery for pheochromocytoma can be performed laparoscopically with a safety comparable to open resection. However, improved hemodynamic stability peroperatively and less need of postoperative analgesics favour the laparoscopic approach. In experienced hands the laparoscopic technique is concluded to be the method of choice also for pheocromocytoma.

  4. Revisional laparoscopic parastomal hernia repair. (United States)

    Zacharakis, Emmanouil; Shalhoub, Joseph; Selvapatt, Nowlan; Darzi, Ara; Ziprin, Paul


    We herein report a laparoscopically performed re-do operation on a patient who had previously undergone a laparoscopic parastomal hernia repair. We describe the case of a 71-year-old patient who presented within 3 months of her primary laparoscopic parastomal hernia repair with recurrence. On relaparoscopy, dense adhesions to the mesh were found, and the mesh had migrated into the hernia sac. This had allowed loops of small bowel to herniate into the sac. The initial part of the procedure involved the lysis of adhesions. A piece of Gore-Tex DualMesh with a central keyhole and a radial slit was cut so that it could provide at least 3 cm to 5 cm of overlap of the fascial defect. The tails of the mesh were wrapped around the bowel, and the mesh was secured to the margins of the hernia with circumferential metal tacking and 4 transfascial sutures. The patient remains in satisfactory condition and no recurrence or any surgery-related problem has been observed during 8 months of follow-up. Revisional laparoscopic repair of parastomal hernias seems feasible and has been shown to be safe and effective in this case. The success of this approach depends on longer follow-up reports and standardization of the technical elements.

  5. Robot assisted transperitoneal laparoscopic pyeloplasty

    Institute of Scientific and Technical Information of China (English)


    @@ Nowadays,with laparoscope techniques increasingly developed its indications are covering more complicated medical fields.Moreover,as a camera holder,the robotic system of an automated endoscopic system for optimal positioning (AESOP) can be controlled directly by the surgeon's voice.

  6. [Laparoscopic surgery in ectopic pregnancy]. (United States)

    Rachev, E; Novachkov, V


    The authors present two cases of women with unruptured tubal pregnancies who were treated by methods of laparoscopic surgery. A salpingotomy as well as an aspiration of the pregnancy was performed. The operations reported are the first in gynaecological practice in Bulgaria and the operative technique is described.

  7. Deep residual networks for automatic segmentation of laparoscopic videos of the liver (United States)

    Gibson, Eli; Robu, Maria R.; Thompson, Stephen; Edwards, P. Eddie; Schneider, Crispin; Gurusamy, Kurinchi; Davidson, Brian; Hawkes, David J.; Barratt, Dean C.; Clarkson, Matthew J.


    Motivation: For primary and metastatic liver cancer patients undergoing liver resection, a laparoscopic approach can reduce recovery times and morbidity while offering equivalent curative results; however, only about 10% of tumours reside in anatomical locations that are currently accessible for laparoscopic resection. Augmenting laparoscopic video with registered vascular anatomical models from pre-procedure imaging could support using laparoscopy in a wider population. Segmentation of liver tissue on laparoscopic video supports the robust registration of anatomical liver models by filtering out false anatomical correspondences between pre-procedure and intra-procedure images. In this paper, we present a convolutional neural network (CNN) approach to liver segmentation in laparoscopic liver procedure videos. Method: We defined a CNN architecture comprising fully-convolutional deep residual networks with multi-resolution loss functions. The CNN was trained in a leave-one-patient-out cross-validation on 2050 video frames from 6 liver resections and 7 laparoscopic staging procedures, and evaluated using the Dice score. Results: The CNN yielded segmentations with Dice scores >=0.95 for the majority of images; however, the inter-patient variability in median Dice score was substantial. Four failure modes were identified from low scoring segmentations: minimal visible liver tissue, inter-patient variability in liver appearance, automatic exposure correction, and pathological liver tissue that mimics non-liver tissue appearance. Conclusion: CNNs offer a feasible approach for accurately segmenting liver from other anatomy on laparoscopic video, but additional data or computational advances are necessary to address challenges due to the high inter-patient variability in liver appearance.

  8. Evaluation of haptic teaching approaches for laparoscopic surgery training. (United States)

    Kato, Toma; Tagawa, Kazuyoshi; Marutani, Takafumi; Tanaka, Hiromi; Komori, Masaru; Kurumi, Yoshimasa; Morikawa, Shigehiro


    Laparoscopic surgery, one type of minimally invasive surgery (MIS) is a very important surgery technique which requires advanced surgical technique. At present, expert one-on-one teaching mainly supports the training of these advanced surgical techniques. However, time constraints prevent experts spending the amount of time desired for this training. Therefore, we aim to support training using a VR-based laparoscopic surgery simulator equipped with a guidance force display. This increases the amount of training a trainee can avail of while at the same time allow the expert and the trainee to increase the quality of the limited one-to-one time together. The first step of our research is to investigate approaches that displays the guidance force to teach experts hand movements. In this study, we used two guidance force-display approaches: Instrument-guiding approach and Hand-guiding approach. Through evaluative experiments, we found that the Hand-guiding approach is more suitable for skill transfer than the Instrument-guiding approach in particular tasks. The results are described below.

  9. Laparoscopic repair for vesicouterine fistulae

    Directory of Open Access Journals (Sweden)

    Rafael A. Maioli


    Full Text Available ABSTRACT Objective: The purpose of this video is to present the laparoscopic repair of a VUF in a 42-year-old woman, with gross hematuria, in the immediate postoperative phase following a cesarean delivery. The obstetric team implemented conservative management, including Foley catheter insertion, for 2 weeks. She subsequently developed intermittent hematuria and cystitis. The urology team was consulted 15 days after cesarean delivery. Cystoscopy indicated an ulcerated lesion in the bladder dome of approximately 1.0cm in size. Hysterosalpingography and a pelvic computed tomography scan indicated a fistula. Materials and Methods: Laparoscopic repair was performed 30 days after the cesarean delivery. The patient was placed in the lithotomy position while also in an extreme Trendelenburg position. Pneumoperitoneum was established using a Veress needle in the midline infra-umbilical region, and a primary 11-mm port was inserted. Another 11-mm port was inserted exactly between the left superior iliac spine and the umbilicus. Two other 5-mm ports were established under laparoscopic guidance in the iliac fossa on both sides. The omental adhesions in the pelvis were carefully released and the peritoneum between the bladder and uterus was incised via cautery. Limited cystotomy was performed, and the specific sites of the fistula and the ureteral meatus were identified; thereafter, the posterior bladder wall was adequately mobilized away from the uterus. The uterine rent was then closed using single 3/0Vicryl sutures and two-layer watertight closure of the urinary bladder was achieved by using 3/0Vicryl sutures. An omental flap was mobilized and inserted between the uterus and the urinary bladder, and was fixed using two 3/0Vicryl sutures, followed by tube drain insertion. Results: The operative time was 140 min, whereas the blood loss was 100ml. The patient was discharged 3 days after surgery, and the catheter was removed 12 days after surgery

  10. Laparoscopic Reconstruction in Post-Tubercular Urinary Tract Strictures: Technical Challenges. (United States)

    Ghosh, Bastab; Sridhar, Kartik; Pal, Dilip Kumar


    Genitourinary tuberculosis still continues to plague developing countries and is a significant cause of morbidity as well as mortality in the developing world. At present, nearly 55% of the patients of genitourinary tuberculosis (GUTB) need surgical management. Owing to the presence of dense adhesions and loss of normal anatomical planes, GUTB was considered to be a contraindication to laparoscopic surgery. However, recent literature shows laparoscopy to be feasible in GUTB. Our study aimed at identifying the challenges in laparoscopic urinary tract reconstructive surgery in genitourinary tuberculosis-related urinary tract obstruction. The details of 6 patients who underwent different types of laparoscopic reconstructive surgery for genitourinary tuberculosis-related urinary tract obstruction from January 2014 to December 2015 were reviewed. Baseline characteristics, indications of surgery, type of surgery, operative duration, blood loss, and follow-up details were noted. All patients received antitubercular treatment before surgery as per the direct observed treatment short-course regimen followed in our country. We performed one bilateral laparoscopic pyeloplasty, one unilateral laparoscopic pyeloplasty, two laparoscopic ureteroneocystostomies, and two ureteroureterostomies. Difficulty was encountered during dissection owing to the presence of adhesions, but conversion to open surgery was not done in five cases. Dense adhesions adjacent to the common iliac vessels necessitated conversion to open surgery in one of the ureteroureterostomies. Stenting was done in all the patients. All patients had uneventful postoperative recovery. Functional imaging following stent removal showed unobstructed tracer flow, showing successful operative outcome. Our study showed that laparoscopic reconstructive surgery is feasible in genitourinary tuberculosis despite the presence of adhesions that may pose a challenge to dissection. This is in contrast to the previous studies which

  11. Non-invasive monitoring of tissue oxygenation during laparoscopic donor nephrectomy

    Directory of Open Access Journals (Sweden)

    Kirk Allan D


    Full Text Available Abstract Background Standard methods for assessment of organ viability during surgery are typically limited to visual cues and tactile feedback in open surgery. However, during laparoscopic surgery, these processes are impaired. This is of particular relevance during laparoscopic renal donation, where the condition of the kidney must be optimized despite considerable manipulation. However, there is no in vivo methodology to monitor renal parenchymal oxygenation during laparoscopic surgery. Methods We have developed a method for the real time, in vivo, whole organ assessment of tissue oxygenation during laparoscopic nephrectomy to convey meaningful biological data to the surgeon during laparoscopic surgery. We apply the 3-CCD (charge coupled device camera to monitor qualitatively renal parenchymal oxygenation with potential real-time video capability. Results We have validated this methodology in a porcine model across a range of hypoxic conditions, and have then applied the method during clinical laparoscopic donor nephrectomies during clinically relevant pneumoperitoneum. 3-CCD image enhancement produces mean region of interest (ROI intensity values that can be directly correlated with blood oxygen saturation measurements (R2 > 0.96. The calculated mean ROI intensity values obtained at the beginning of the laparoscopic nephrectomy do not differ significantly from mean ROI intensity values calculated immediately before kidney removal (p > 0.05. Conclusion Here, using the 3-CCD camera, we qualitatively monitor tissue oxygenation. This means of assessing intraoperative tissue oxygenation may be a useful method to avoid unintended ischemic injury during laparoscopic surgery. Preliminary results indicate that no significant changes in renal oxygenation occur as a result of pneumoperitoneum.

  12. Laparoscopic retrograde (fundus first cholecystectomy

    Directory of Open Access Journals (Sweden)

    Kelly Michael D


    Full Text Available Abstract Background Retrograde ("fundus first" dissection is frequently used in open cholecystectomy and although feasible in laparoscopic cholecystectomy (LC it has not been widely practiced. LC is most simply carried out using antegrade dissection with a grasper to provide cephalad fundic traction. A series is presented to investigate the place of retrograde dissection in the hands of an experienced laparoscopic surgeon using modern instrumentation. Methods A prospective record of all LCs carried out by an experienced laparoscopic surgeon following his appointment in Bristol in 2004 was examined. Retrograde dissection was resorted to when difficulties were encountered with exposure and/or dissection of Calot's triangle. Results 1041 LCs were carried out including 148 (14% emergency operations and 131 (13% associated bile duct explorations. There were no bile duct injuries although conversion to open operation was required in six patients (0.6%. Retrograde LC was attempted successfully in 11 patients (1.1%. The age ranged from 28 to 80 years (mean 61 and there were 7 males. Indications were; fibrous, contracted gallbladder 7, Mirizzi syndrome 2 and severe kyphosis 2. Operative photographs are included to show the type of case where it was needed and the technique used. Postoperative stay was 1/2 to 5 days (mean 2.2 with no delayed sequelae on followup. Histopathology showed; chronic cholecystitis 7, xanthogranulomatous cholecystitis 3 and acute necrotising cholecystitis 1. Conclusions In this series, retrograde laparoscopic dissection was necessary in 1.1% of LCs and a liver retractor was needed in 9 of the 11 cases. This technique does have a place and should be in the armamentarium of the laparoscopic surgeon.


    Directory of Open Access Journals (Sweden)



    Full Text Available ABSTRACT : BACKGROUND: There has been a rapid worldwide adoption of laparoscopic procedures across many surgical specialt ies, most notably in Gynaecology. Unfortunately, the increased adoption of laparoscopic surgery has also been accompanied by a corresponding rise in the rates and types of complications reported. AIMS : To audit the different types of laparoscopic surgerie s and their complications and comparison with other routes of surgery. METHODS & MATERIALS : We have retrospectively analysed 285 laparoscopic surgeries and 306 other routes of surgery which were done at our institute from July 2011 to April 2013.We admit t he patients 1 - 2 days prior to surgery and a complete medical work - up of the patient is done for elective laparoscopic surgery .We defer laparoscopy for malignant conditions, uterine size more than 20 weeks, cervix flushed to the vagina or with history of m ore than 2 pelvic surgeries. Sub - fertile women, after an initial workup, are subjected to diagnostic laparoscopy with chromopertubation. For laparoscopic cystectomies, patients with ultrasono graphy findings suggestive of benign tumours are selected. RESULT S : We have performed 285 laparoscopic procedures over this time period till date. Majority of these cases are Laparoscopic Assisted Vaginal Hysterectomies (LAVH [111 – 38.9%], followed by laparoscopic surgeries for various benign ovarian conditions ( BOC [62 – 21%] and Diagnostic Laparoscopies ( DL with or without laparoscopic ovarian drilling ( LOD [59 cases – 20.7%]. Out of 111 LAVH, 3 patients had bladder injury [2.7%] ; Out of 285 cases that underwent laparoscopic procedures, 5 [1.75%] required conversi on to laparotomy. Overall operative complications including major and minor, are significantly higher in the abdominal surgery group as compared to the laparoscopic group ( p value= 0.001 CONCLUSION : Laparoscopy is a safe route for conventional surgery, with lesser intraoperative, immediate post

  14. Music Experience Influences Laparoscopic Skills Performance


    Boyd, Tanner; Jung, Inkyung; Van Sickle, Kent; Schwesinger, Wayne; Michalek, Joel; Bingener, Juliane


    Background: Music education affects the mathematical and visuo-spatial skills of school-age children. Visuo-spatial abilities have a significant effect on laparoscopic suturing performance. We hypothesize that prior music experience influences the performance of laparoscopic suturing tasks. Methods: Thirty novices observed a laparoscopic suturing task video. Each performed 3 timed suturing task trials. Demographics were recorded. A repeated measures linear mixed model was used to examine the ...

  15. [Laparoscopic distal resection of the pancreas]. (United States)

    Gürlich, R; Sixta, B; Oliverius, M; Kment, M; Rusina, R; Spicák, J; Sváb, J


    During the last two years, reports on laparoscopic procedures of the pancreas have been on increase. Laparoscopic resection of the pancreatic cauda is indicated, primarily, for benign cystic lesions of the cauda of the pancreas and for neuroendocrine tumors of the pancreas (mainly insulinomas). We have not recorded any report on the above procedure in the Czech literature. Therefore, in our case review, we have described laparoscopic distal resection of the pancreas with splenectomy for a pseudopapillary tumor of the pancreas.

  16. Color speckle in laser displays (United States)

    Kuroda, Kazuo


    At the beginning of this century, lighting technology has been shifted from discharge lamps, fluorescent lamps and electric bulbs to solid-state lighting. Current solid-state lighting is based on the light emitting diodes (LED) technology, but the laser lighting technology is developing rapidly, such as, laser cinema projectors, laser TVs, laser head-up displays, laser head mounted displays, and laser headlamps for motor vehicles. One of the main issues of laser displays is the reduction of speckle noise1). For the monochromatic laser light, speckle is random interference pattern on the image plane (retina for human observer). For laser displays, RGB (red-green-blue) lasers form speckle patterns independently, which results in random distribution of chromaticity, called color speckle2).

  17. Update on Robotic Laparoscopic Radical Prostatectomy

    Directory of Open Access Journals (Sweden)

    Garrett S. Matsunaga


    Full Text Available The da Vinci surgical robot has been shown to help shorten the learning curve for laparoscopic radical prostatectomy (LRP for both laparoscopically skilled and na surgeons[1,2]. This approach has shown equal or superior outcomes to conventional laparoscopic prostatectomy with regard to ease of learning, initial complication rates, conversion to open, blood loss, complications, continence, potency, and margin rates. Although the data are immature to compare oncologic and functional outcomes to open prostatectomy, preliminary data are promising.Herein, we review the technique and outcomes of robotic-assisted laparoscopic radical prostatectomy (RALP.

  18. Laparoscopic stentless pyeloplasty: An early experience

    Directory of Open Access Journals (Sweden)

    Vikas Kumar


    Conclusions : Though the need for postoperative stenting is high in smaller children, stentless laparoscopic pyeloplasty can be considered in adult patients with primary ureteropelvic junction obstruction.

  19. Laparoscopic Colorectal Resection in the Obese Patient (United States)

    Martin, Sean T.; Stocchi, Luca


    Laparoscopic colorectal surgery is an accepted alternative to conventional open resection in the surgical approach of both benign and malignant diseases of the colon and rectum. Well-described benefits of laparoscopic surgery include accelerated recovery of bowel function, decreased post-operative pain and shorter hospital stay; these advantages could be particularly beneficial to high-risk patient groups, such as obese patients. At present, data regarding the application of the laparoscopic approach to colorectal resection in the obese is equivocal. We evaluate the available evidence to support laparoscopic colorectal resection in the obese patient population. PMID:23204942

  20. Visual tracking of da Vinci instruments for laparoscopic surgery (United States)

    Speidel, S.; Kuhn, E.; Bodenstedt, S.; Röhl, S.; Kenngott, H.; Müller-Stich, B.; Dillmann, R.


    Intraoperative tracking of laparoscopic instruments is a prerequisite to realize further assistance functions. Since endoscopic images are always available, this sensor input can be used to localize the instruments without special devices or robot kinematics. In this paper, we present an image-based markerless 3D tracking of different da Vinci instruments in near real-time without an explicit model. The method is based on different visual cues to segment the instrument tip, calculates a tip point and uses a multiple object particle filter for tracking. The accuracy and robustness is evaluated with in vivo data.

  1. Are tiled display walls needed for astronomy?

    CERN Document Server

    Meade, Bernard F; Manos, Steven; Sinnott, Richard O


    Clustering commodity displays into a Tiled Display Wall (TDW) provides a cost-effective way to create an extremely high resolution display, capable of approaching the image sizes now gen- erated by modern astronomical instruments. Astronomers face the challenge of inspecting single large images, many similar images simultaneously, and heterogeneous but related content. Many research institutions have constructed TDWs on the basis that they will improve the scientific outcomes of astronomical imagery. We test this concept by presenting sample images to astronomers and non- astronomers using a standard desktop display (SDD) and a TDW. These samples include standard English words, wide field galaxy surveys and nebulae mosaics from the Hubble telescope. These experiments show that TDWs provide a better environment for searching for small targets in large images than SDDs. It also shows that astronomers tend to be better at searching images for targets than non-astronomers, both groups are generally better when em...

  2. Surface reconstruction of abdominal organs using laparoscopic structured light for augmented reality (United States)

    Ackerman, Jeremy D.; Keller, Kurtis; Fuchs, Henry


    Creation of accurate surface models of abdominal organs is essential for many developing technologies in medicine and surgery. One application we are working towards is augmented reality (AR) visualization for laparoscopic surgery. Our current system meets some, but not all, of the requirements. We use two custom built laparoscopes, a custom built miniature projector, a standard camera, and a standard video capture and processing card to implement a laparoscopic structured light range acquisition system. We will briefly show the custom hardware but will emphasize the structured light depth extraction techniques used for the unique properties of surfaces inside the body, particularly dealing with specular reflections. In early experiments, we studied the effectiveness of our algorithm in highly specular environments by creating range images acquired from fresh animal organs. These experiments used a large projector, open abdomens, and offline image processing. We report the results of experiments using our miniature projector, and on line processing.

  3. Laparoscopic power morcellation of presumed fibroids. (United States)

    Brolmann, Hans A; Sizzi, Ornella; Hehenkamp, Wouter J; Rossetti, Alfonso


    Uterine leiomyoma is a highly prevalent benign gynecologic neoplasm that affects women of reproductive age. Surgical procedures commonly employed to treat symptomatic uterine fibroids include myomectomy or total or sub-total hysterectomy. These procedures, when performed using minimally invasive techniques, reduce the risks of intraoperative and postoperative morbidity and mortality; however, in order to remove bulky lesions from the abdominal cavity through laparoscopic ports, a laparoscopic power morcellator must be used, a device with rapidly spinning blades to cut the uterine tissue into fragments so that it can be removed through a small incision. Although the minimal invasive approach in gynecological surgery has been firmly established now in terms of recovery and quality of life, morcellation is associated with rare but sometimes serious adverse events. Parts of the morcellated specimen may be spread into the abdominal cavity and enable implantation of cells on the peritoneum. In case of unexpected sarcoma the dissemination may upstage disease and affect survival. Myoma cells may give rise to 'parasitic' fibroids, but also implantation of adenomyotic cells and endometriosis has been reported. Finally the morcellation device may cause inadvertent injury to internal structures, such as bowel and vessels, with its rotating circular knife. In this article it is described how to estimate the risk of sarcoma in a presumed fibroid based on epidemiologic, imaging and laboratory data. Furthermore the first literature results of the in-bag morcellation are reviewed. With this procedure the specimen is contained in an insufflated sterile bag while being morcellated, potentially preventing spillage of tissue but also making direct morcellation injuries unlikely to happen.

  4. Invisible Display in Aluminum

    DEFF Research Database (Denmark)

    Prichystal, Jan Phuklin; Hansen, Hans Nørgaard; Bladt, Henrik Henriksen


    for an integrated display in a metal surface is often ruled by design and functionality of a product. The integration of displays in metal surfaces requires metal removal in order to clear the area of the display to some extent. The idea behind an invisible display in Aluminum concerns the processing of a metal...

  5. [Laparoscopic treatment of retroperitoneal fibrosis]. (United States)

    Joual, Abdenbi; Rabii, Redouane; El Mejjad, Amine; Fekak, Hamid; Debbagh, Adil; El Mrini, Mohamed


    The authors report a case of idiopathic retroperitoneal fibrosis (RPF) in a 38-year-old man presenting with obstructive acute renal failure. The initial management consisted of urinary diversion by bilateral double-J ureteric stenting. After restoration of normal renal function, CT urography demonstrated retroperitoneal fibrosis surrounding the two ureters. Surgical treatment was performed by laparoscopy using four trocars. The operation consisted of detachment of the ascending and descending colon followed by release of the ureters from the lumbar segment to the pelvic segment and finally intraperitonealization of the ureters. The operating time was six hours, the postoperative course was uneventful and the double-J stents were removed at the third week. Laparoscopic treatment of RPF is a treatment option providing all of the benefits of minimally invasive surgery. In the light of this case and a review of the literature, the authors describe the laparoscopic treatment of idiopathic retroperitoneal fibrosis.

  6. Laparoscopic approach to retrorectal cyst

    Institute of Scientific and Technical Information of China (English)

    Petra Gunkova; Lubomir Martinek; Jan Dostalik; Igor Gunka; Petr Vavra; Miloslav Mazur


    Retrorectal cysts are rare benign lesions in the presacral space which are frequently diagnosed in middle-aged females. We report here our experience with two symptomatic female patients who were diagnosed as having a retrorectal cyst and managed using a laparoscopic approach. The two patients were misdiagnosed as having an ovarian cystic lesion after abdominal ultrasonography. Computer tomograghy (CT) scan was mandatory to establish the diagnosis. The trocar port site was the same in both patients. An additional left oophorectomy was done for a coexisting ovarian cystic lesion in one patient in the same setting. There was no postoperative morbidity or mortality and the two patients were discharged on the 5th and 6th post operative days, respectively. Our cases show that laparoscopic management of retrorectal cysts is a safe approach. It reduces surgical trauma and offers an excellent tool for perfect visualization of the deep structures in the presacral space.

  7. [Laparoscopic approach of Dielt's syndrome]. (United States)

    Estébanez Zarranz, J; Anta Román, A; Amón Sesmero, J; Camacho Parejo, J; Conde Redondo, C; Martínez-Sagarra Oceja, J M


    Dielt's syndrome is generally known as nephritic colic due to the dilation of the urinary tract that results from a renal ptosis. In spite of renal ptosis being a commonly seen occurrence, sometimes it can be the cause of a serious painful clinical manifestation. This paper presents one case successfully treated through laparoscopic nephropexy. It also includes a discussion on the various diagnostic and therapeutical techniques.

  8. Real-time image processing and display in object size detection based on VC + +%基于VC++物体尺寸检测中的实时图像处理与显示

    Institute of Scientific and Technical Information of China (English)

    翟亚宇; 潘晋孝; 刘宾; 陈平


    Real-time detection for object size has now become a hot topic in the testing field and image processing is the core algorithm .This paper focuses on the processing and display of the collected dynamic images to achieve a real-time image pro-cessing for the moving objects .Firstly ,the median filtering ,gain calibration ,image segmentation ,image binarization ,cor-ner detection and edge fitting are employed to process the images of the moving objects to make the image close to the real object .Then ,the processed images are simultaneously displayed on a real-time basis to make it easier to analyze ,understand and identify them ,and thus it reduces the computation complexity .Finally ,human-computer interaction (HCI)-friendly in-terface based on VC + + is designed to accomplish the digital logic transform ,image processing and real-time display of the objects .The experiment shows that the proposed algorithm and software design have better real-time performance and accu-racy which can meet the industrial needs .%图像处理是尺寸检测算法的关键技术之一。本文主要讨论动态图像的处理与显示,完成运动物体的实时图像处理。首先,为使图像更接近实际物体,对运动物体的图像进行中值滤波、增益校正、图像分割与二值化、角点检测和边缘拟合处理,同时将处理完成的图像实时显示出来,便于图像分析、理解和识别并减少计算量。最后,利用VC ++编制人机交互界面,实现数字逻辑变换以及物体图像处理与实时显示。实验证明,本文提出的算法和软件的设计具有良好的实时性、精确性,能够满足工业需求。

  9. Monocular display unit for 3D display with correct depth perception (United States)

    Sakamoto, Kunio; Hosomi, Takashi


    A study of virtual-reality system has been popular and its technology has been applied to medical engineering, educational engineering, a CAD/CAM system and so on. The 3D imaging display system has two types in the presentation method; one is a 3-D display system using a special glasses and the other is the monitor system requiring no special glasses. A liquid crystal display (LCD) recently comes into common use. It is possible for this display unit to provide the same size of displaying area as the image screen on the panel. A display system requiring no special glasses is useful for a 3D TV monitor, but this system has demerit such that the size of a monitor restricts the visual field for displaying images. Thus the conventional display can show only one screen, but it is impossible to enlarge the size of a screen, for example twice. To enlarge the display area, the authors have developed an enlarging method of display area using a mirror. Our extension method enables the observers to show the virtual image plane and to enlarge a screen area twice. In the developed display unit, we made use of an image separating technique using polarized glasses, a parallax barrier or a lenticular lens screen for 3D imaging. The mirror can generate the virtual image plane and it enlarges a screen area twice. Meanwhile the 3D display system using special glasses can also display virtual images over a wide area. In this paper, we present a monocular 3D vision system with accommodation mechanism, which is useful function for perceiving depth.

  10. Autostereoscopic display with eye tracking (United States)

    Tomono, Takao; Hoon, Kyung; Ha, Yong Soo; Kim, Sung-Sik; Son, Jung-Young


    Auto-stereoscopic 21-inch display with eye tracking having wide viewing zone and bright image was fabricated. The image of display is projected to retinal through several optical components. We calculated optical system for wider viewing zone by using Inverse-Ray Trace Method. The viewing zone of first model is 155mm (theoretical value: 161mm). We could widen viewing zone by controlling paraxial radius of curvature of spherical mirror, the distance between lenses and so on. The viewing zone of second model is 208mm. We used two spherical mirrors to obtain twice brightness. We applied eye-tracking system to the display system. Eye recognition is based on neural network card based on ZICS technology. We fabricated Auto-stereoscopic 21-inch display with eye tracking. We measured viewing zone based on illumination area. The viewing zone was 206mm, which was close to theoretical value. We could get twice brightness also. We could see 3D image according to position without headgear.

  11. Laparoscopic Splenectomy for Traumatic Splenic Injury after Screening Colonoscopy

    Directory of Open Access Journals (Sweden)

    Salim Abunnaja


    Full Text Available Colonoscopy is a widespread diagnostic and therapeutic procedure. The most common complications include bleeding and perforation. Splenic rupture following colonoscopy is rarely encountered and is most likely secondary to traction on the splenocolic ligament. Exploratory laparotomy and splenectomy is the most commonly employed therapeutic intervention for this injury reported in the literature. We present the case of a patient with this potentially fatal complication who was treated successfully at our institution. To our knowledge it is the first report in the literature of laparoscopic splenectomy as a successful minimally invasive treatment of splenic rupture following colonoscopy. The patient was a 62-year-old female who underwent screening colonoscopy with polypectomies at the cecum, descending colon and rectum. Immediately following the procedure she developed abdominal pain and had a syncopal episode. Clinical, laboratory and imaging findings were suggestive of hemoperitoneum and a ruptured spleen. A diagnostic laparoscopy was emergently performed and revealed a grade IV splenic laceration and hemoperitoneum. Laparoscopic splenectomy was completed safely and effectively. The patient’s postoperative recovery was uneventful. We conclude that splenic rupture after colonoscopy is a rare but dangerous complication. A high index of suspicion is required to recognize it early. Awareness of this potential complication can lead to optimal patient outcome. Laparoscopic splenectomy may be a feasible treatment option.

  12. A case of laparoscopic cystogastrostomy for pancreatic abscess

    Institute of Scientific and Technical Information of China (English)

    FAN Hua; ZHANG Dong; ZHAO Xin; PAN Fei; JIN Zhong-kui


    To the Editor:Open surgery is considered the gold standard for pancreatic abscess.1 With the development of laparoscopic ultrasound and laparoscopic skills,laparoscopic internal drainage for pancreatic abscess becomes feasible.We report a successful application of the laparoscopic cystogastrostomy for pancreatic abscess in a patient.

  13. Computational multi-projection display. (United States)

    Moon, Seokil; Park, Soon-Gi; Lee, Chang-Kun; Cho, Jaebum; Lee, Seungjae; Lee, Byoungho


    A computational multi-projection display is proposed by employing a multi-projection system combining with compressive light field displays. By modulating the intensity of light rays from a spatial light modulator inside a single projector, the proposed system can offer several compact views to observer. Since light rays are spread to all directions, the system can provide flexible positioning of viewpoints without stacking projectors in vertical direction. Also, if the system is constructed properly, it is possible to generate view images with inter-pupillary gap and satisfy the super multi-view condition. We explain the principle of the proposed system and verify its feasibility with simulations and experimental results.

  14. Peritoneal changes due to laparoscopic surgery.

    NARCIS (Netherlands)

    Brokelman, W.J.; Lensvelt, M.M.A.; Borel Rinkes, I.H.; Klinkenbijl, J.H.G.; Reijnen, M.M.P.J.


    BACKGROUND: Laparoscopic surgery has been incorporated into common surgical practice. The peritoneum is an organ with various biologic functions that may be affected in different ways by laparoscopic and open techniques. Clinically, these alterations may be important in issues such as peritoneal met

  15. Laparoscopic correction of right transverse colostomy prolapse. (United States)

    Gundogdu, Gokhan; Topuz, Ufuk; Umutoglu, Tarik


    Colostomy prolapse is a frequently seen complication of transverse colostomy. In one child with recurrent stoma prolapse, we performed a loop-to-loop fixation and peritoneal tethering laparoscopically. No prolapse had recurred at follow-up. Laparoscopic repair of transverse colostomy prolapse seems to be a less invasive method than other techniques.

  16. Force feedback and basic laparoscopic skills

    NARCIS (Netherlands)

    Chmarra, M.K.; Dankelman, J.; Van den Dobbelsteen, J.J.; Jansen, F.W.


    Background - Not much is known about the exact role offorce feedback in laparoscopy. This study aimed to determine whether force feedback influences movements of instruments during training in laparoscopic tasks and whether force feedback is required for training in basic laparoscopic force applicat

  17. Day-case laparoscopic Nissen fundoplication.

    LENUS (Irish Health Repository)

    Khan, S A


    For day-case laparoscopic surgery to be successful, patient selection is of the utmost importance. This study aimed to assess the feasibility of day-case laparoscopic Nissen fundoplication and to identify factors that may lead to readmission and overstay.

  18. Laparoscopic partial nephrectomy for endophytic hilar tumors

    DEFF Research Database (Denmark)

    Di Pierro, G B; Tartaglia, N; Aresu, L


    To analyze feasibility and outcomes of laparoscopic partial nephrectomy (LPN) for endophytic hilar tumors in low-intermediate (ASA I-II) risk patients.......To analyze feasibility and outcomes of laparoscopic partial nephrectomy (LPN) for endophytic hilar tumors in low-intermediate (ASA I-II) risk patients....

  19. Acceptable outcome after laparoscopic appendectomy in children

    DEFF Research Database (Denmark)

    Stilling, Nicolaj M; Fristrup, Claus; Gabers, Torben;


    An increasing proportion of childhood -appendicitis is being treated with laparoscopic appendectomy (LA). We wanted to elucidate the outcome of childhood appendicitis treated primarily by residents in a university hospital.......An increasing proportion of childhood -appendicitis is being treated with laparoscopic appendectomy (LA). We wanted to elucidate the outcome of childhood appendicitis treated primarily by residents in a university hospital....

  20. Laparoscopic hysterectomy : predictors of quality of surgery

    NARCIS (Netherlands)

    Twijnstra, Andries Roelof Huig


    Although hospitals increasingly opt for the laparoscopic over the conventional approach and the decline in diagnostic procedures is well compensated by an increase in numbers of all types of therapeutic procedures, the implementation of laparoscopic hysterectomy in the Netherlands seems to be hamper

  1. Peritoneal changes due to laparoscopic surgery.

    NARCIS (Netherlands)

    Brokelman, W.J.; Lensvelt, M.M.A.; Borel Rinkes, I.H.; Klinkenbijl, J.H.G.; Reijnen, M.M.P.J.


    BACKGROUND: Laparoscopic surgery has been incorporated into common surgical practice. The peritoneum is an organ with various biologic functions that may be affected in different ways by laparoscopic and open techniques. Clinically, these alterations may be important in issues such as peritoneal

  2. Coagulation and fibrinolysis during laparoscopic cholecystectomy

    DEFF Research Database (Denmark)

    Rahr, H B; Fabrin, K; Larsen, J F


    Laparoscopic surgery appears to be less traumatic to the patient than open surgery, but its influence upon coagulation and fibrinolysis is incompletely elucidated. Our aim was to measure markers of coagulation and fibrinolysis before, during. and after laparoscopic cholecystectomy (LC). Blood...

  3. Pain characteristics after laparoscopic inguinal hernia repair

    DEFF Research Database (Denmark)

    Tolver, Mette A; Strandfelt, Pernille; Rosenberg, Jacob;


    Previous studies have shown different pain characteristics in different types of laparoscopic operations, but pain pattern has not been studied in detail after laparoscopic inguinal hernia repair. To optimise preoperative patient information and postoperative analgesic treatment the present study...... investigated postoperative pain in terms of time course, pain intensity and individual pain components during the first 4 days after transabdominal preperitoneal hernia repair (TAPP)....

  4. Capturing and displaying microscopic images used in medical diagnostics and forensic science using 4K video resolution - an application in higher education. (United States)

    Maier, Hans; de Heer, Gert; Ortac, Ajda; Kuijten, Jan


    To analyze, interpret and evaluate microscopic images, used in medical diagnostics and forensic science, video images for educational purposes were made with a very high resolution of 4096 × 2160 pixels (4K), which is four times as many pixels as High-Definition Video (1920 × 1080 pixels). The unprecedented high resolution makes it possible to see details that remain invisible to any other video format. The images of the specimens (blood cells, tissue sections, hair, fibre, etc.) are recorded using a 4K video camera which is attached to a light microscope. After processing, this resulted in very sharp and highly detailed images. This material was then used in education for classroom discussion. Spoken explanation by experts in the field of medical diagnostics and forensic science was also added to the high-resolution video images to make it suitable for self-study.

  5. Xanthogranulomatous cholecystitis: challenges in management & feasibility of laparoscopic surgery

    Directory of Open Access Journals (Sweden)

    Vikram Singh Chauhan


    Full Text Available Objective: Xanthogranulomatous cholecystitis (XGC is a rare, unusual and destructive form of chronic cholecystitis. It is clinically indistinguishable from other forms of cholecystitis and hence difficult to diagnose. Due to its propensity to form dense adhesions with stuctures surrounding the gall bladder and mimic malignancy of gall bladder intra-operatively, it’s difficult to manage. This retrospective study was conducted with the aim to review the clinico-pathologic presentation of XGC and the possibility of its laparoscopic management. Patient and methods: All cases of histo-pathologically diagnosed XGC from January 2008 to December 2012 at Sharda Hospital, School of Medical Sciences & Research, Greater Noida were analyzed retrospectively. Results: Sixty two cases of biopsy proved XGC were studied.The mean age at presentation was 56.4 ± 14.3 years (range 30 – 72 years, with a male: female ratio of 1.6:1. Gall bladder wall thickening on ultrasonography was seen in 91.9% cases and all (100% had cholelithiasis. Laparoscopic cholecystectomy was possible in 18 (29% cases, with a high conversion rate of 71% to open surgery. Two cases of carcinoma gall bladder accompanying XGC were documented. Both the mean operative time and hospital stay for laparoscopic surgery were longer for cases with XGC (105 minutes & 4.2 days respectively. No mortality occurred during the study period. Conclusion: XGC is difficult to diagnose preoperatively due to lack of distinguishing clinical features and imaging study results. Due to dense peri-cholecystic adhesions laparoscopic surgery though feasible in some cases is difficult to perform with a high conversion rate. Overall morbidity is also increased due to same reasons.

  6. Laparoscopic versus open hepatectomy with or without synchronous colectomy for colorectal liver metastasis: a meta-analysis.

    Directory of Open Access Journals (Sweden)

    MingTian Wei

    Full Text Available BACKGROUND: To compare short-term and long-term results of colorectal patients undergoing laparoscopic and open hepatectomy. Moreover, outcomes of laparoscopic versus open procedures for simultaneous primary colorectal tumor and liver metastasis resection were compared. METHODS: A systematic search was conducted in the PubMed and EmBase databases (until Oct. 22. 2013 with no limits. Bibliographic citation management software (EndNote X6 was used for extracted literature management. Quality assessment was performed according to a modification of the Newcastle-Ottawa Scale. The data were analyzed using Review Manager (Version 5.1, and sensitivity analysis was performed by sequentially omitting each study. RESULTS: Finally, 14 studies, including a total of 975 CLM (colorectal liver metastasis patients, compared laparoscopic with open hepatectomy. 3 studies of them, including a total of 107 CLM patients, compared laparoscopic with open procedures for synchronous hepatectomy and colectomy. Laparoscopic hepatectomy was associated with a significantly less blood loss, shorter hospitalization time, and less operative transfusion rate. In addition, lower hospital morbidity rate (OR=0.57, 95%CI:0.42-0.78, P=0.0005 and better R0 resection (OR=2.44, 95%CI:1.21-4.94, P=0.01 were observed in laparoscopic hepatectomy. For long-term outcomes, there were no significant differences between two surgical procedures on recurrence and overall survival. In comparison of synchronous hepatectomy and colectomy, laparoscopic procedure displayed shorter hospitalization (MD = -3.40, 95%CI:-4.37-2.44, P<0.00001 than open procedure. Other outcomes, including surgical time, estimated blood loss, hospital morbidity, and overall survival did not differ significantly in the comparison. CONCLUSIONS: Laparoscopic hepatectomy with or without synchronous colectomy are acceptable for selective CLM patients. We suggest standard inclusion criteria of CLM patients be formulated.

  7. Handbook of display technology

    CERN Document Server

    Castellano, Joseph A


    This book presents a comprehensive review of technical and commercial aspects of display technology. It provides design engineers with the information needed to select proper technology for new products. The book focuses on flat, thin displays such as light-emitting diodes, plasma display panels, and liquid crystal displays, but it also includes material on cathode ray tubes. Displays include a large number of products from televisions, auto dashboards, radios, and household appliances, to gasoline pumps, heart monitors, microwave ovens, and more.For more information on display tech

  8. Intraoperative laparoscope augmentation for port placement and resection planning in minimally invasive liver resection. (United States)

    Feuerstein, Marco; Mussack, Thomas; Heining, Sandro M; Navab, Nassir


    In recent years, an increasing number of liver tumor indications were treated by minimally invasive laparoscopic resection. Besides the restricted view, two major intraoperative issues in laparoscopic liver resection are the optimal planning of ports as well as the enhanced visualization of (hidden) vessels, which supply the tumorous liver segment and thus need to be divided (e.g., clipped) prior to the resection. We propose an intuitive and precise method to plan the placement of ports. Preoperatively, self-adhesive fiducials are affixed to the patient's skin and a computed tomography (CT) data set is acquired while contrasting the liver vessels. Immediately prior to the intervention, the laparoscope is moved around these fiducials, which are automatically reconstructed to register the patient to its preoperative imaging data set. This enables the simulation of a camera flight through the patient's interior along the laparoscope's or instruments' axes to easily validate potential ports. Intraoperatively, surgeons need to update their surgical planning based on actual patient data after organ deformations mainly caused by application of carbon dioxide pneumoperitoneum. Therefore, preoperative imaging data can hardly be used. Instead, we propose to use an optically tracked mobile C-arm providing cone-beam CT imaging capability intraoperatively. After patient positioning, port placement, and carbon dioxide insufflation, the liver vessels are contrasted and a 3-D volume is reconstructed during patient exhalation. Without any further need for patient registration, the reconstructed volume can be directly augmented on the live laparoscope video, since prior calibration enables both the volume and the laparoscope to be positioned and oriented in the tracking coordinate frame. The augmentation provides the surgeon with advanced visual aid for the localization of veins, arteries, and bile ducts to be divided or sealed.

  9. 基于EZ—USBFX2的LED图文显示系统%LED image-text display system base on EZ-USB FX2

    Institute of Scientific and Technical Information of China (English)

    杨晶菁; 张浩


    以USB2.0接口芯片CY7C68013A为核心,分别采用74HC138和74HC595构成行列控制电路驱动16x64LED显示屏,实现高速、动态的显示图文信息。详细介绍了硬件电路、固件程序和应用程序的设计。实验结果表明,通过调用不同的字库,本系统可以动态地显示HZK16中的汉字、ASC16中的字符和对应尺寸的自定义图片。%This system based on the USB2.0 interface chip CYTC68013A, uses 74HC138 and 74HC595 to form ranks control cir- cuit to drive the 16x64 LED display. This system displays graphic information at high speed and dynamically. This paper introduces the design of hardware circuit, firmware program and application program. The experiment results shaw that by calling different library files,the system can dynamically display Chinese characters in HZK16, characters in ASC16 and the size of custom picture.

  10. Autostereoscopic three-dimensional viewer evaluation through comparison with conventional interfaces in laparoscopic surgery. (United States)

    Silvestri, Michele; Simi, Massimiliano; Cavallotti, Carmela; Vatteroni, Monica; Ferrari, Vincenzo; Freschi, Cinzia; Valdastri, Pietro; Menciassi, Arianna; Dario, Paolo


    In the near future, it is likely that 3-dimensional (3D) surgical endoscopes will replace current 2D imaging systems given the rapid spreading of stereoscopy in the consumer market. In this evaluation study, an emerging technology, the autostereoscopic monitor, is compared with the visualization systems mainly used in laparoscopic surgery: a binocular visor, technically equivalent from the viewer's point of view to the da Vinci 3D console, and a standard 2D monitor. A total of 16 physicians with no experience in 3D interfaces performed 5 different tasks, and the execution time and accuracy of the tasks were evaluated. Moreover, subjective preferences were recorded to qualitatively evaluate the different technologies at the end of each trial. This study demonstrated that the autostereoscopic display is equally effective as the binocular visor for both low- and high-complexity tasks and that it guarantees better performance in terms of execution time than the standard 2D monitor. Moreover, an unconventional task, included to provide the same conditions to the surgeons regardless of their experience, was performed 22% faster when using the autostereoscopic monitor than the binocular visor. However, the final questionnaires demonstrated that 60% of participants preferred the user-friendliness of the binocular visor. These results are greatly heartening because autostereoscopic technology is still in its early stages and offers potential improvement. As a consequence, the authors expect that the increasing interest in autostereoscopy could improve its friendliness in the future and allow the technology to be widely accepted in surgery.

  11. Crosstalk in stereoscopic displays: a review (United States)

    Woods, Andrew J.


    Crosstalk, also known as ghosting or leakage, is a primary factor in determining the image quality of stereoscopic three dimensional (3D) displays. In a stereoscopic display, a separate perspective view is presented to each of the observer's two eyes in order to experience a 3D image with depth sensation. When crosstalk is present in a stereoscopic display, each eye will see a combination of the image intended for that eye, and some of the image intended for the other eye-making the image look doubled or ghosted. High levels of crosstalk can make stereoscopic images hard to fuse and lack fidelity, so it is important to achieve low levels of crosstalk in the development of high-quality stereoscopic displays. Descriptive and mathematical definitions of these terms are formalized and summarized. The mechanisms by which crosstalk occurs in different stereoscopic display technologies are also reviewed, including micropol 3D liquid crystal displays (LCDs), autostereoscopic (lenticular and parallax barrier), polarized projection, anaglyph, and time-sequential 3D on LCDs, plasma display panels and cathode ray tubes. Crosstalk reduction and crosstalk cancellation are also discussed along with methods of measuring and simulating crosstalk.

  12. Clinical–radiologic evaluation of the complications of laparoscopic sleeve gastrectomy: Value of multidetector CT

    Directory of Open Access Journals (Sweden)

    Tamir A. Hassan


    Conclusions: As LSG is performed increasingly and frequently, it is essential for radiologists to recognize the normal postoperative anatomy and identify the complications of this procedure. CT is an important imaging tool to diagnose suspected complications of laparoscopic sleeve gastrectomy procedure to ensure accurate diagnosis.

  13. Laser-driven polyplanar optic display

    Energy Technology Data Exchange (ETDEWEB)

    Veligdan, J.T.; Biscardi, C.; Brewster, C.; DeSanto, L. [Brookhaven National Lab., Upton, NY (United States). Dept. of Advanced Technology; Beiser, L. [Leo Beiser Inc., Flushing, NY (United States)


    The Polyplanar Optical Display (POD) is a unique display screen which can be used with any projection source. This display screen is 2 inches thick and has a matte-black face which allows for high contrast images. The prototype being developed is a form, fit and functional replacement display for the B-52 aircraft which uses a monochrome ten-inch display. The new display uses a 200 milliwatt green solid-state laser (532 nm) as its optical source. In order to produce real-time video, the laser light is being modulated by a Digital Light Processing (DLP) chip manufactured by Texas Instruments, Inc. A variable astigmatic focusing system is used to produce a stigmatic image on the viewing face of the POD. In addition to the optical design, the authors discuss the DLP chip, the optomechanical design and viewing angle characteristics.

  14. Dual multispectral and 3D structured light laparoscope (United States)

    Clancy, Neil T.; Lin, Jianyu; Arya, Shobhit; Hanna, George B.; Elson, Daniel S.


    Intraoperative feedback on tissue function, such as blood volume and oxygenation would be useful to the surgeon in cases where current clinical practice relies on subjective measures, such as identification of ischaemic bowel or tissue viability during anastomosis formation. Also, tissue surface profiling may be used to detect and identify certain pathologies, as well as diagnosing aspects of tissue health such as gut motility. In this paper a dual modality laparoscopic system is presented that combines multispectral reflectance and 3D surface imaging. White light illumination from a xenon source is detected by a laparoscope-mounted fast filter wheel camera to assemble a multispectral image (MSI) cube. Surface shape is then calculated using a spectrally-encoded structured light (SL) pattern detected by the same camera and triangulated using an active stereo technique. Images of porcine small bowel were acquired during open surgery. Tissue reflectance spectra were acquired and blood volume was calculated at each spatial pixel across the bowel wall and mesentery. SL features were segmented and identified using a `normalised cut' algoritm and the colour vector of each spot. Using the 3D geometry defined by the camera coordinate system the multispectral data could be overlaid onto the surface mesh. Dual MSI and SL imaging has the potential to provide augmented views to the surgeon supplying diagnostic information related to blood supply health and organ function. Future work on this system will include filter optimisation to reduce noise in tissue optical property measurement, and minimise spot identification errors in the SL pattern.

  15. Three-Port Laparoscopic Cholecystectomy in a Brazilian Amazon Woman with Situs Inversus Totalis: Surgical Approach

    Directory of Open Access Journals (Sweden)

    Mauro Neiva Fernandes


    Full Text Available Situs inversus totalis (SIT is an uncommon anomaly characterized by transposition of organs to the opposite side of the body in a mirror image of normal. We report on an adult woman, born and resident in Brazilian Amazonia, presenting acute pain located at the left hypochondrium and epigastrium. During clinical and radiological evaluation, the patient was found to have SIT and multiple stones cholelithiasis. Laparoscopic cholecystectomy was safely performed with the three-port technique in a reverse fashion. In conclusion, this case confirms that three-port laparoscopic cholecystectomy is a safe and feasible surgical approach to treat cholelithiasis even in rare and challenging conditions like SIT.

  16. Three-port laparoscopic cholecystectomy in a brazilian Amazon woman with situs inversus totalis: surgical approach. (United States)

    Fernandes, Mauro Neiva; Neiva, Ivan Nazareno Campos; de Assis Camacho, Francisco; Meguins, Lucas Crociati; Fernandes, Marcelo Neiva; Meguins, Emília Maíra Crociati


    Situs inversus totalis (SIT) is an uncommon anomaly characterized by transposition of organs to the opposite side of the body in a mirror image of normal. We report on an adult woman, born and resident in Brazilian Amazonia, presenting acute pain located at the left hypochondrium and epigastrium. During clinical and radiological evaluation, the patient was found to have SIT and multiple stones cholelithiasis. Laparoscopic cholecystectomy was safely performed with the three-port technique in a reverse fashion. In conclusion, this case confirms that three-port laparoscopic cholecystectomy is a safe and feasible surgical approach to treat cholelithiasis even in rare and challenging conditions like SIT.

  17. Design and calibration of a new high-definition three-dimensional laparoscopic system

    Institute of Scientific and Technical Information of China (English)

    Jia TANG; Li-qiang WANG‡; Bo YUAN; Hong JIANG; Qi-ming ZHU


    We present a high-definition (HD) 3D laparoscopic system including a dual channel optical system, two cameras, a camera control unit (CCU), and an HD 3D monitor. This laparoscopic system is capable of outputting dual high-definition videos and providing vivid 3D images. A modified pinhole camera model is used for camera calibration and a new method of depth measurement to improve precision. The average error of depth measurement measured by experiment (about 1.13 mm) was small in proportion to the large range in distance of the system (10–150 mm). The new method is applicable to any calibrated binocular vision system.

  18. Laparoscopic cholecystectomy in situs inversus totalis with "inferior" cystic artery:A case report

    Institute of Scientific and Technical Information of China (English)

    Sumihiro Kamitani; Yosihiro Tsutamoto; Kazuyoshi Hanasawa; Tohru Tani


    A 76-year-old man with known situs inversus totalis presented with left-sided discomfort. Abdominal ultrasonography and CT scan confirmed the diagnosis of a gallstone, as well as,situs inversus; the liver and gallbladder on the left side and the spleen on the right. The biliary system was thought to be left-right reversal, mirror image in the view of drip infusion cholangiogram and MRI. Laparoscopic cholecy stectomywas safely performed, despite of unexpected aberrant cystic artery running inferior to cystic duct of situs inversus.Laparoscopic surgeon should be careful for view of reversed relationships and also existence of other anomalies.

  19. Lunar Sample Display Locations (United States)

    National Aeronautics and Space Administration — NASA provides a number of lunar samples for display at museums, planetariums, and scientific expositions around the world. Lunar displays are open to the public....

  20. BES Monitoring & Displaying System

    Institute of Scientific and Technical Information of China (English)

    MengWANG; BingyunZHANG; 等


    BES1 Monitoring & Displaying System(BESMDS)is projected to monitor and display the running status of DAQ and Slow Control systems of BES through the Web for worldwide accessing.It provides a real-time remote means of monitoring as well as an approach to study the environmental influence upon physical data taking.The system collects real-time data separately from BES online subsystems by network sockets and stores the data into a database.People can access the system through its web site.which retrieves data on request from the database and can display results in dynamically created images.Its web address in http:// besmds,

  1. Monitors display of radiological images: quality control and response of the observer; Monitores de visualizacion de imagenes radiologicas: control de calidad y respuesta del observador

    Energy Technology Data Exchange (ETDEWEB)

    Cesares Magaz, O.; Catalan Acosta, A.; Hernandez Armas, O. C.; Gonzalez Martin, A. E.; Hernandez Armas, J.


    This thesis is aimed to determine the possible change experienced by a human reader response to the qualification of a test image on a monitor diagnostic radiographic image when observed before and after calibration of the monitor following the provisions of the AAPM TG18 protocol. It also quantified the change experienced by the monitor as a result of the calibration, by measuring the luminance response as set out in the protocol.

  2. Laser Based 3D Volumetric Display System (United States)


    Literature, Costa Mesa, CA July 1983. 3. "A Real Time Autostereoscopic Multiplanar 3D Display System", Rodney Don Williams, Felix Garcia, Jr., Texas...8217 .- NUMBERS LASER BASED 3D VOLUMETRIC DISPLAY SYSTEM PR: CD13 0. AUTHOR(S) PE: N/AWIU: DN303151 P. Soltan, J. Trias, W. Robinson, W. Dahlke 7...laser generated 3D volumetric images on a rotating double helix, (where the 3D displays are computer controlled for group viewing with the naked eye

  3. Three-dimensional scene capturing for the virtual reality display (United States)

    Dong, Jingsheng; Sang, Xinzhu; Guo, Nan; Chen, Duo; Yan, Binbin; Wang, Kuiru; Dou, Wenhua; Xiao, Liquan


    A virtual reality shooting and display system based on multiple degrees of freedom camera is designed and demonstrated. Three-dimensional scene display and the wide angle display can be achieved easily and quickly through the construction with the proposed system. The range of the viewing scene can be broaden with the image stitching process, and the display in the demonstrated system can achieve the effect of wide angle for applications of image mosaic. In the meantime, the system can realize 3D scene display, which can effectively reduce the complexity of the 3D scene generation, and provide a foundation for adding interactive characteristics for the 3D scene in the future. The system includes an adjustable bracket, computer software, and a virtual reality device. Multiple degrees of freedom of the adjustable bracket are developed to obtain 3D scene source images and mosaic source images easily. 5 degrees of freedom are realized, including rotation, lifting, translation, convergence and pitching. To realize the generation and display of three-dimensional scenes, two cameras are adjusted into a parallel state. With the process of image distortion eliminating and calibration, the image is transferred to the virtual reality device for display. In order to realize wide angle display, the cameras are adjusted into "V" type. The preprocessing includes image matching and fusion to realize image stitching. The mosaic image is transferred for virtual reality display with its image reading and display functions. The wide angle 3D scene display is realized by adjusting different states.

  4. [Simultaneous Resection of Sigmoid Colon Cancer and Synchronous Liver Metastasis by Laparoscopic Surgery]. (United States)

    Kamiya, Junichiro; Takeuchi, Dan; Yoshimura, Kotaro; Kaneko, Takaaki; Miura, Seiki; Ashizawa, Yosuke; Miyahara, Yoji; Otsuka, Yuichiro; Kaneko, Hironori; Takagi, Sumito; Ogata, Akira


    We report the case of a patient with sigmoid colon cancer with synchronous liver metastasis who underwent simultaneous sigmoid colectomy and partial hepatectomy by laparoscopic surgery. A 70-year-old man with positive fecal occult blood was diagnosed with sigmoid colon cancer and referred to our hospital. Staging computed tomography (CT) revealed a solitary liver metastasis in segment 6, confirmed by magnetic resonance imaging (MRI). He underwent simultaneous laparoscopic sigmoid colectomy and partial hepatectomy. The patient's postoperative recovery was uneventful and he was discharged 12 days later. The patient was alive without recurrence 4 months after surgery. Laparoscopic surgery is an accepted mode of treatment for colorectal cancer. However, the use of laparoscopy in liver surgery is still limited. There have only been few case reports of combined laparoscopic colorectal and liver resection. Simultaneous laparoscopic colectomy and hepatectomy is feasible for selected colorectal cancer patients with liver metastases. It may provide significant decrease in morbidity, length of hospitalization time, and intraoperative blood loss, without compromising curability or increasing mortality. Further studies are needed to confirm the feasibility of this approach.

  5. Laparoscopic Partial Splenectomy for Giant Hemangioma Misdiagnosed as Splenic Cyst: a Case Report

    Institute of Scientific and Technical Information of China (English)

    Jin Wang; Jian-chun Yu; Wei-ming Kang; Zhi-qiang Ma


    @@ ALTHOUGH unusual, hemangioma is the most common type of primary splenic neoplasm.1 Usually, splenic hemangioma appears as solid mass, but sometimes it presents cystic corn-ponent as well, which is difficult to discriminate from some other lesions, such as abscess, simple cyst, parasitic cyst, and lymphangioma.2 Preoperative diagnosis of splenic hemangioma mainly depends on imaging study (e.g. Ultra-sonography, CT, MRI). As the laparoscopic technique de-velops, laparoscopic splenectomy is becoming the standard treatment for benign tumor of the spleen. Compared with that procedure, laparoscopic partial splenectomy (LPS) has some unique advantages except for higher requirements for surgical skills. We described in this report a successful LPS in a patient who was misdiagnosed as splenic cyst initially.

  6. Laparoscopic Nissen fundoplication in situs inversus totalis: Technical and ergonomic issues

    Directory of Open Access Journals (Sweden)

    Khandelwal Radha


    Full Text Available We report a laparoscopic Nissen fundoplication for gastroesophageal reflux disease (GERD in a patient with situs inversus totalis (SIT. A 34-year-old man was diagnosed with SIT on performing chest X-ray and abdominal sonography as a routine preoperative investigations. He presented with chronic gastro-esophageal reflux disease (GERD inadequately controlled by medications. The laparoscopic procedure was performed using five ports placed in a mirror-image configuration and with the patient in the modified lithotomy position. Few technical difficulties were encountered during the operation. The position of the primary surgeon, working between the lower limbs of the patient as in case of standard fundoplication, was considered most prudent position to the success of this case. In SIT, this position provides the least visual disorientation from the reversed abdominal organs. We recommend that preoperative detection of SIT is essential to understand the symptomatology of the patient and for planning of any upper abdominal laparoscopic procedure.

  7. Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy

    Directory of Open Access Journals (Sweden)

    Natalie E. Cookson


    Full Text Available Background. Laparoscopic cholecystectomy represents the gold standard approach for treatment of symptomatic gallstones. Surgery-associated complications include bleeding, bile duct injury, and retained stones. Migration of surgical clips after cholecystectomy is a rare complication and may result in gallstone formation “clip cholelithiasis”. Case Report. We report a case of a 55-year-old female patient who presented with right upper quadrant pain and severe sepsis having undergone an uncomplicated laparoscopic cholecystectomy 10 years earlier. Computed tomography (CT imaging revealed hyperdense material in the common bile duct (CBD compatible with retained calculus. Endoscopic retrograde cholangiopancreatography (ERCP revealed appearances in keeping with a migrated surgical clip within the CBD. Balloon trawl successfully extracted this, alleviating the patient’s jaundice and sepsis. Conclusion. Intraductal clip migration is a rarely encountered complication after laparoscopic cholecystectomy which may lead to choledocholithiasis. Appropriate management requires timely identification and ERCP.

  8. 彩色多普勒超声对急性胆囊炎LC难度的预测价值%Role of color Doppler flow imaging in predicting difficulties of laparoscopic cholecystectomy

    Institute of Scientific and Technical Information of China (English)

    陈秀华; 韩秀婕; 郭发金; 周新平


    目的 探讨彩色多普勒超声(color Doppler flow imaging, CDFI)检查对急性胆囊炎LC难度的预测价值.方法 99例因急性胆囊炎行LC的患者,根据术前CDFI检查的指标(胆囊容积、胆囊壁厚度及血流信号、胆囊腔、胆囊床和肝内外胆管的情况)评分分为容易组和困难组;根据术中难度评分分为手术容易组和手术困难组,评估其对手术难度的预测价值.结果 术前CDFI预测容易组和困难组分别为67例和32例;根据术中难度评分,手术容易组和手术困难组分别为61例和38例.术前CDFI预测困难组与容易组比较,胆囊容积增大[(39.5±13.2)cm3 vs(32.6±10.4)cm3],胆囊壁增厚[(10.1±4.0)mm vs(3.8±0.9)mm],胆囊颈结石嵌顿、胆囊壁血流信号丰富和胆囊粘连的患者多于容易组,差异有统计学意义(t=-2.820,-12.318,-3.952,x2=33.548,19.461,P<0.05).以胆囊容积、胆囊壁厚度、胆囊颈结石嵌顿、胆囊周围粘连情况为预测指标,急性胆囊炎术前CDFI预测LC难度准确率为94%(93/99).结论 术前CDFI检查有助于掌握急性胆囊炎LC适应证,对手术难度预测具有指导价值.%Objective To evaluate the color Doppler flow imaging (CDFI) findings in predicting possible difficulties of laparoscopic cholecystectomy (LC). Methods A total of 99 patients with acute cholecystitis received CDFI examination, and were divided into easy LC group (n=67) and difficult LC group (n=32) according to the indexes including the volume of gallbladder, the thickness of gallbladder wall, the condition of arterial flow in the gallbladder wall, the condition of gallbladder cavity and fossa, and of the intra-and extra-hepatic bile duct. After LC, all the patients were redivided into easy LC group and difficult LC group according to a difficulty scoring system of LC. The relationship among imaging results, operation difficulties and operation findings was investigated. Results According to the final score of difficulty scoring system

  9. Volumetric Three-Dimensional Display Systems (United States)

    Blundell, Barry G.; Schwarz, Adam J.


    A comprehensive study of approaches to three-dimensional visualization by volumetric display systems This groundbreaking volume provides an unbiased and in-depth discussion on a broad range of volumetric three-dimensional display systems. It examines the history, development, design, and future of these displays, and considers their potential for application to key areas in which visualization plays a major role. Drawing substantially on material that was previously unpublished or available only in patent form, the authors establish the first comprehensive technical and mathematical formalization of the field, and examine a number of different volumetric architectures. System level design strategies are presented, from which proposals for the next generation of high-definition predictable volumetric systems are developed. To ensure that researchers will benefit from work already completed, they provide: * Descriptions of several recent volumetric display systems prepared from material supplied by the teams that created them * An abstract volumetric display system design paradigm * An historical summary of 90 years of development in volumetric display system technology * An assessment of the strengths and weaknesses of many of the systems proposed to date * A unified presentation of the underlying principles of volumetric display systems * A comprehensive bibliography Beautifully supplemented with 17 color plates that illustrate volumetric images and prototype displays, Volumetric Three-Dimensional Display Systems is an indispensable resource for professionals in imaging systems development, scientific visualization, medical imaging, computer graphics, aerospace, military planning, and CAD/CAE.

  10. Laser-based displays: a review. (United States)

    Chellappan, Kishore V; Erden, Erdem; Urey, Hakan


    After the invention of lasers, in the past 50 years progress made in laser-based display technology has been very promising, with commercial products awaiting release to the mass market. Compact laser systems, such as edge-emitting diodes, vertical-cavity surface-emitting lasers, and optically pumped semiconductor lasers, are suitable candidates for laser-based displays. Laser speckle is an important concern, as it degrades image quality. Typically, one or multiple speckle reduction techniques are employed in laser displays to reduce speckle contrast. Likewise, laser safety issues need to be carefully evaluated in designing laser displays under different usage scenarios. Laser beam shaping using refractive and diffractive components is an integral part of laser displays, and the requirements depend on the source specifications, modulation technique, and the scanning method being employed in the display. A variety of laser-based displays have been reported, and many products such as pico projectors and laser televisions are commercially available already.

  11. Characterization of the rotating display. (United States)

    Keyes, J W; Fahey, F H; Harkness, B A; Eggli, D F; Balseiro, J; Ziessman, H A


    The rotating display is a useful method for reviewing single photon emission computed tomography (SPECT) data. This study evaluated the requirements for a subjectively pleasing and useful implementation of this technique. Twelve SPECT data sets were modified and viewed by several observers who recorded the minimum framing rates for apparent smooth rotation, 3D effect, effects of image size, and other parameters. The results showed that a minimum of 16 frames was needed for a useful display. Smaller image sizes and more frames were preferred. The recommended minimal framing rate for a 64-frame study is 16-17 frames per second and for a 32-frame study, 12-13 frames per second. Other enhancements also were useful.

  12. Compressive multi-mode superresolution display

    KAUST Repository

    Heide, Felix


    Compressive displays are an emerging technology exploring the co-design of new optical device configurations and compressive computation. Previously, research has shown how to improve the dynamic range of displays and facilitate high-quality light field or glasses-free 3D image synthesis. In this paper, we introduce a new multi-mode compressive display architecture that supports switching between 3D and high dynamic range (HDR) modes as well as a new super-resolution mode. The proposed hardware consists of readily-available components and is driven by a novel splitting algorithm that computes the pixel states from a target high-resolution image. In effect, the display pixels present a compressed representation of the target image that is perceived as a single, high resolution image. © 2014 Optical Society of America.

  13. White constancy method for mobile displays (United States)

    Yum, Ji Young; Park, Hyun Hee; Jang, Seul Ki; Lee, Jae Hyang; Kim, Jong Ho; Yi, Ji Young; Lee, Min Woo


    In these days, consumer's needs for image quality of mobile devices are increasing as smartphone is widely used. For example, colors may be perceived differently when displayed contents under different illuminants. Displayed white in incandescent lamp is perceived as bluish, while same content in LED light is perceived as yellowish. When changed in perceived white under illuminant environment, image quality would be degraded. Objective of the proposed white constancy method is restricted to maintain consistent output colors regardless of the illuminants utilized. Human visual experiments are performed to analyze viewers'perceptual constancy. Participants are asked to choose the displayed white in a variety of illuminants. Relationship between the illuminants and the selected colors with white are modeled by mapping function based on the results of human visual experiments. White constancy values for image control are determined on the predesigned functions. Experimental results indicate that propsed method yields better image quality by keeping the display white.

  14. The comparative study of the performance of display devices in medical imaging system%医学成像系统显示器性能的对比研究

    Institute of Scientific and Technical Information of China (English)

    唐峰; 谢晋东; 赵雷; 张桂芳; 马芳芳


    目的 通过对不同医学成像系统显示器性能的研究,定量分析显示器性能在显示临床图像时对图像解读的影响.方法 使用亮度及照度测量器L100和美国医学物理师协会(AAPM)所提供的显示器性能测试图对3种类型显示器(球面、纯平、液晶显示器)的亮度响应进行测试,并与AAPM所提供的评价标准比较.管电流为100 mA,管电压为80 kVp,曝光时间分别为6、10、12、16 ms的条件下使用数字X线摄影系统(DR)对CDRAD 2.0对比度细节体模进行模拟胸部的曝光,记录体模表面入射剂量,计算其图像质量因子,应用ANOVA检验方法 进行统计学分析.结果 球面显示器亮度最大值为170 cd/m2,亮度比为257.纯平显示器亮度最大值为59.305 cd/m2,亮度比为99.液晶显示器亮度最大值为231.73 cd/m2,亮度比为350.3种显示器的亮度响应和亮度对比响应均超出AAPM所设定的允许偏差范围.液晶显示器上显示图像所获得的图像质量因子(IQF)值与其他2种显示器上获得的IQF值之间差异有统计学意义(P<0.05).结论 测试性能好的液晶显示器所显示的图像质量相对好些.%Objective To analyze the effects of three different display devices on the interpretation of imaging data in medieal imaging system.Methods The luminance-meter L100 and the test patterns provided by the American Association of Physicists in Medicine(AAPM)were used to assess the performance of three display devices(the spherical,flat panel and liquid crystal display devices).The corresponding luminance response was compared with the reference criteria provided by AAPM Task Group 18(AAPM TG18).DR chest photography was taken on CDRAD2.0 contrast-detail phantom using the following experimental parameters:100 mA,80 kVp,and the exposure times for 6,10,12,and 16 ms.After each exposure,the surface dose of phantom was recorded and the image quality factor(IQF)was calculated.Statistical analysis of IQF was performed

  15. Cholecystoenteric Fistule and Laparoscopic Repair

    Directory of Open Access Journals (Sweden)

    Temel Bulut


    Full Text Available Gallbladder stones are an endemic disease of hepatobiliary system.Whereas, cholecystoenteric fistules which develop by depending on gallbladder stone are rarely seen complications. A diagnosis is usually established during an operation. As is seen in our case too, in view of acute-stoned cholecystitis, laparoscopy has been carried out and a diagnosis of cholecystoduodenal fistule has been established during laparoscopy. Our case to whom laparoscopic duodenography and cholecystectomy has been applied is a rarely seen disease in literature. So, we aimed at sharing this information.

  16. Laparoscopic interventions in children on peritoneal dialysis

    Directory of Open Access Journals (Sweden)

    Maria Szczepańska


    Full Text Available Introduction: The benefits of peritoneal dialysis (PD are multiple. However, it is connected with the risk of numerouscomplications, both infectious and non-infectious. Laparoscopic interventions in children on PD have seldom been presented.Aim: To analyse laparoscopic interventions in 23 children (mean age 10.2 ±5.2 years treated with PD.Performed procedures (30 included: diagnostic (explorative laparoscopy, laparoscopic replacement of thecatheter and laparoscopic recanalisation of occluded catheter.Results: In 29 cases laparoscopy with reduced invasive procedures was completed. During surgery 5 catheters wereremoved. In 16 cases of catheter malfunction, omental wrap releasing, recanalization and/or reposition was done,including omentectomy in 9 cases. In 6 cases of acute abdomen symptoms, 3 adhesiolysis procedures in bowelobstruction, 2 appendectomies and in 1 case laparoscopic reduction of intussusception were done. There were nointraoperative complications. After surgery PD was continued in 19 children. Catheter survival rate was 261 ±297 days.Conclusion: Laparoscopic surgery had no influence on peritoneal permeability or adequacy of PD treatment.Laparoscopic technique is highly effective in children on PD especially related to catheter malfunction. Itis an excellent option that enables restarting of PD shortly after the surgery.

  17. Short bowel syndrome after laparoscopic procedures. (United States)

    McBride, Corrigan L; Oleynikov, Dmitry; Sudan, Debra; Thompson, Jon S


    Short bowel syndrome (SBS) is a potential postoperative complication after intra-abdominal procedures. Whether the laparoscopic approach is as likely to result in SBS or the causative mechanisms are similar to open procedures is unknown. Our aim was to evaluate potential mechanisms of SBS after laparoscopic procedures. The records of 175 adult patients developing SBS as a postoperative complication were reviewed. One hundred forty-seven patients had open procedures and 28 laparoscopic. Colectomy (39%), hysterectomy (11%), and appendectomy (11%) were the most common open procedures. SBS followed laparoscopic gastric bypass (46%) and cholecystectomy (32%) most frequently. The mechanisms of SBS were different: adhesive obstruction (57 vs 22%, P < 0.05) was more common in the open group, whereas volvulus (18 vs 46%, P < 0.05) was more common after laparoscopy. Overall, ischemia (25 vs 32%) was similar but significantly more laparoscopic patients had postoperative hypoperfusion (32 vs 67%, P < 0.05). Eleven of the 13 laparoscopic bariatric procedures had internal hernias and volvulus. Of the nine patients undergoing cholecystectomy, four developed ischemia early postoperatively presumably secondary to pneumoperitoneum. SBS is an increasingly recognized complication of laparoscopic procedures. The mechanisms of intestinal injury differ from open procedures with a higher incidence of volvulus and more frequent ischemia from hypoperfusion.

  18. Laparoscopic versus open left lateral segmentectomy

    Directory of Open Access Journals (Sweden)

    Rela Mohamed


    Full Text Available Abstract Background Laparoscopic liver surgery is becoming increasingly common. This cohort study was designed to directly compare perioperative outcomes of the left lateral segmentectomy via laparoscopic and open approach. Methods Between 2002 and 2006 43 left lateral segmentectomies were performed at King's College Hospital. Those excluded from analysis included previous liver resections, polycystic liver disease, liver cirrhosis and synchronous operations. Of 20 patients analysed, laparoscopic (n = 10 were compared with open left lateral segmentectomy (n = 10. Both groups had similar patient characteristics. Results Morbidity rates were similar with no wound or chest infection in either group. The conversion rate was 10% (1/10. There was no difference in operating time between the groups (median time 220 minutes versus 179 minutes, p = 0.315. Surgical margins for all lesions were clear. Less postoperative opiate analgesics were required in the laparoscopic group (median 2 days versus 5 days, p = 0.005. The median postoperative in-hospital stay was less in the laparoscopic group (6 days vs 9 days, p = 0.005. There was no mortality. Conclusion Laparoscopic left lateral segmentectomy is safe and feasible. Laparoscopic patients may benefit from requiring less postoperative opiate analgesia and a shorter post-operative in-hospital stay.

  19. Tiled large-screen three-dimensional display consisting of frameless multi-view display modules. (United States)

    Takaki, Yasuhiro; Tokoro, Masayuki; Hirabayashi, Kenji


    To realize large-screen three-dimensional (3D) displays, frameless multi-view display modules are arranged two-dimensionally. This paper proposes a multi-view display module in which a multi-view flat-panel display is projected onto a screen of the module to provide a frameless screen. The display module consists of a multi-view flat-panel display, an imaging lens, an aperture, a screen lens, and a vertical diffuser. Prototype display modules were constructed having a screen size of 27.3 in., a 3D resolution of 320 × 200, and 144 viewpoints. Four modules were tiled vertically to provide a screen size of 62.4 in. Distortions in the screen imaging and viewpoint generation were corrected.

  20. Hand-assisted laparoscopic surgery using Gelport

    Directory of Open Access Journals (Sweden)

    Gupta Puneet


    Full Text Available Introduction: Minimally invasive surgery has revolutionized general surgery during the past 10 years. However, for more advanced surgical procedures, the acceptance of the minimally invasive approach has been slower than expected. Advanced laparoscopic surgery is complex and time-consuming. The major drawbacks of laparoscopic surgery are two-dimensional view, lack of depth perception and loss of tactile sensation. This has led to the innovation of hand-assisted laparoscopic surgery (HALS. The objective of the present study was to determine that safety of HALS. Materials and Methods: We preformed 18 HALS procedures in our department between July 2003 and January 2005 on patients who had given their informed consent for the use of Gelport. Out of these, 15 were colectomy, 2 nephrectomy and 1 splenectomy. Out of the 18 patients, 13 were males and 5 were females with the age group ranging from 44 to 72 years. Results: Hand-assisted laparoscopic surgery could be completed in 17 patients maintaining all the oncological principals of surgery. The mean operating times were 120 min for right haemicolectomy, 135 min for left colectomy, 150 min for splenectomy, and 150 min for nephrectomy. The patient undergoing radical nephrectomy by HALS had to be converted to open surgery. As the tumour was large and adherent to the spleen and posterior peritoneal wall. Postoperative recovery was excellent with an average hospital stay of 5 days. Histopathology report showed wide clearance and till date we have a good follow up of 30-380 days. Conclusion: Hand-assisted laparoscopic surgery allows tactile sensation and depth perception thereby may simplify the complex procedures. This may result in reduction of operating time and conversion rates at the same time maintaining all the oncological principles. Hand-assisted laparoscopic surgery strikes a perfect balance between an extended open laparotomy incision and an excessively tedious laparoscopic exercise. Hand

  1. Puppets on a String in a Theatre of Display? Interactions of Image, Text, Material, Space and Motion in "The Family of Man" (ca. 1950s-1960s) (United States)

    Priem, Karin; Thyssen, Geert


    In the past few decades, increasing attention has been devoted within various disciplines to aspects previously considered trivial, among which are images, material objects and spaces. While the visual, the material and the spatial are receiving ever more consideration and the myriad issues surrounding them are being tackled, their convergence in…

  2. Driving Method for Compensating Reliability Problem of Hydrogenated Amorphous Silicon Thin Film Transistors and Image Sticking Phenomenon in Active Matrix Organic Light-Emitting Diode Displays (United States)

    Shin, Min-Seok; Jo, Yun-Rae; Kwon, Oh-Kyong


    In this paper, we propose a driving method for compensating the electrical instability of hydrogenated amorphous silicon (a-Si:H) thin film transistors (TFTs) and the luminance degradation of organic light-emitting diode (OLED) devices for large active matrix OLED (AMOLED) displays. The proposed driving method senses the electrical characteristics of a-Si:H TFTs and OLEDs using current integrators and compensates them by an external compensation method. Threshold voltage shift is controlled a using negative bias voltage. After applying the proposed driving method, the measured error of the maximum emission current ranges from -1.23 to +1.59 least significant bit (LSB) of a 10-bit gray scale under the threshold voltage shift ranging from -0.16 to 0.17 V.

  3. Transparent 3D display for augmented reality (United States)

    Lee, Byoungho; Hong, Jisoo


    Two types of transparent three-dimensional display systems applicable for the augmented reality are demonstrated. One of them is a head-mounted-display-type implementation which utilizes the principle of the system adopting the concave floating lens to the virtual mode integral imaging. Such configuration has an advantage in that the threedimensional image can be displayed at sufficiently far distance resolving the accommodation conflict with the real world scene. Incorporating the convex half mirror, which shows a partial transparency, instead of the concave floating lens, makes it possible to implement the transparent three-dimensional display system. The other type is the projection-type implementation, which is more appropriate for the general use than the head-mounted-display-type implementation. Its imaging principle is based on the well-known reflection-type integral imaging. We realize the feature of transparent display by imposing the partial transparency to the array of concave mirror which is used for the screen of reflection-type integral imaging. Two types of configurations, relying on incoherent and coherent light sources, are both possible. For the incoherent configuration, we introduce the concave half mirror array, whereas the coherent one adopts the holographic optical element which replicates the functionality of the lenslet array. Though the projection-type implementation is beneficial than the head-mounted-display in principle, the present status of the technical advance of the spatial light modulator still does not provide the satisfactory visual quality of the displayed three-dimensional image. Hence we expect that the head-mounted-display-type and projection-type implementations will come up in the market in sequence.

  4. Rectus sheath abscess after laparoscopic appendicectomy

    Directory of Open Access Journals (Sweden)

    Golash Vishwanath


    Full Text Available Port site wound infection, abdominal wall hematoma and intraabdominal abscess formation has been reported after laparoscopic appendicectomy. We describe here a rectus sheath abscess which occurred three weeks after the laparoscopic appendicectomy. It was most likely the result of secondary infection of the rectus sheath hematoma due to bleeding into the rectus sheath from damage to the inferior epigastric arteries or a direct tear of the rectus muscle. As far as we are aware this complication has not been reported after laparoscopic appendicectomy.

  5. Laparoscopic repair of postoperative perineal hernia.

    LENUS (Irish Health Repository)

    Ryan, Stephen


    Perineal hernias are infrequent complications following abdominoperineal operations. Various approaches have been described for repair of perineal hernias including open transabdominal, transperineal or combined abdominoperineal repairs. The use of laparoscopic transabdominal repair of perineal hernias is not well-described. We present a case report demonstrating the benefits of laparoscopic repair of perineal hernia following previous laparoscopic abdominoperineal resection (APR) using a nonabsorbable mesh to repair the defect. We have demonstrated that the use of laparoscopy with repair of the pelvic floor defect using a non absorbable synthetic mesh offers an excellent alternative with many potential advantages over open transabdominal and transperineal repairs.


    ABAID, Rafael Antoniazzi; CECCONELLO, Ivan; ZILBERSTEIN, Bruno


    Background Laparoscopic cholecystectomy has traditionally been performed with four incisions to insert four trocars, in a simple, efficient and safe way. Aim To describe a simplified technique of laparoscopic cholecystectomy with two incisions, using basic conventional instrumental. Technique In one incision in the umbilicus are applied two trocars and in epigastrium one more. The use of two trocars on the same incision, working in "x" does not hinder the procedure and does not require special instruments. Conclusion Simplified laparoscopic cholecystectomy with two incisions is feasible and easy to perform, allowing to operate with ergonomy and safety, with good cosmetic result. PMID:25004296

  7. Safe laparoscopic colorectal surgery performed by trainees

    DEFF Research Database (Denmark)

    Langhoff, Peter Koch; Schultz, Martin; Harvald, Thomas


    for the technique to spread. We routinely plan all operations as laparoscopic procedures and most cases are done by supervised trainees. The present study therefore presents the results of operations performed by trainees compared with results obtained by experienced laparoscopic surgeons.......Laparoscopic surgery for colorectal cancer is safe, but there have been hesitations to implement the technique in all departments. One of the reasons for this may be suboptimal learning possibilities since supervised trainees have not been allowed to do the operations to an adequate extent...

  8. Features of laparoscopic surgery in children

    Directory of Open Access Journals (Sweden)

    M. О. Makarova


    Full Text Available Aim. In order to determine contemporary opportunities, efficacy and safety of laparoscopic surgery in children, literature overview regarding this topic was conducted. Methods and results. Among the advantages of minimally invasive surgical techniques there are: stress reduction, good cosmetic results, reduced need for postoperative pain relief, fewer postoperative complications, shorter duration of hospital stay. The article highlights some of the issues of laparoscopic treatment of appendicitis, inguinal hernia, ureterohydronephrosis and other pathologies. Considering the physiological effects resulting from the laparoscopic techniques usage, the attention to the peculiarities of anesthesia was drawn.

  9. 一种用WinDrive实现生物图像采集、显示的可视化系统%A Viewdata and Display System of Biologic Image by WinDriver

    Institute of Scientific and Technical Information of China (English)

    吴鸿修; 叶进洲; 张川


    This paper introduces a viewdata and display system of biologic image by WinDriver, which mainly includes a data acquistion card of image, the ASIC design of its control and an introduction of a method to drive I/O of PC.%介绍一种用于生物图像的数据采集、显示的可视化系统,主要包括图像的数据采集卡及其控制部分的ASIC(专用集成电路)设计,并介绍使用WinDriver驱动PC机硬件I/O的方法。

  10. Invisible Display in Aluminum

    DEFF Research Database (Denmark)

    Prichystal, Jan Phuklin; Hansen, Hans Nørgaard; Bladt, Henrik Henriksen


    Bang & Olufsen a/s has been working with ideas for invisible integration of displays in metal surfaces. Invisible integration of information displays traditionally has been possible by placing displays behind transparent or semitransparent materials such as plastic or glass. The wish for an integ...... be obtained by shining light from the backside of the workpiece. When there is no light from the backside, the front surface seems totally untouched. This was achieved by laser ablation with ultra-short pulses.......Bang & Olufsen a/s has been working with ideas for invisible integration of displays in metal surfaces. Invisible integration of information displays traditionally has been possible by placing displays behind transparent or semitransparent materials such as plastic or glass. The wish...... for an integrated display in a metal surface is often ruled by design and functionality of a product. The integration of displays in metal surfaces requires metal removal in order to clear the area of the display to some extent. The idea behind an invisible display in Aluminum concerns the processing of a metal...

  11. Testing Instrument for Flight-Simulator Displays (United States)

    Haines, Richard F.


    Displays for flight-training simulators rapidly aligned with aid of integrated optical instrument. Calibrations and tests such as aligning boresight of display with respect to user's eyes, checking and adjusting display horizon, checking image sharpness, measuring illuminance of displayed scenes, and measuring distance of optical focus of scene performed with single unit. New instrument combines all measurement devices in single, compact, integrated unit. Requires just one initial setup. Employs laser and produces narrow, collimated beam for greater measurement accuracy. Uses only one moving part, double right prism, to position laser beam.

  12. Abdominal lift for laparoscopic cholecystectomy. (United States)

    Gurusamy, Kurinchi Selvan; Koti, Rahul; Davidson, Brian R


    Laparoscopic cholecystectomy (key-hole removal of the gallbladder) is now the most often used method for treatment of symptomatic gallstones. Several cardiopulmonary changes (decreased cardiac output, pulmonary compliance, and increased peak airway pressure) occur during pneumoperitoneum, which is now introduced to allow laparoscopic cholecystectomy. These cardiopulmonary changes may not be tolerated in individuals with poor cardiopulmonary reserve. To assess the benefits and harms of abdominal wall lift compared to pneumoperitoneum in patients undergoing laparoscopic cholecystectomy. We searched the Cochrane Hepato-Biliary Group Controlled Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library, MEDLINE, EMBASE, and Science Citation Index Expanded until February 2013. We included all randomised clinical trials comparing abdominal wall lift (with or without pneumoperitoneum) versus pneumoperitoneum. We calculated the risk ratio (RR), rate ratio (RaR), or mean difference (MD) with 95% confidence intervals (CI) based on intention-to-treat analysis with both the fixed-effect and the random-effects models using the Review Manager (RevMan) software. For abdominal wall lift with pneumoperitoneum versus pneumoperitoneum, a total of 130 participants (all with low anaesthetic risk) scheduled for elective laparoscopic cholecystectomy were randomised in five trials to abdominal wall lift with pneumoperitoneum (n = 53) versus pneumoperitoneum only (n = 52). One trial which included 25 people did not state the number of participants in each group. All five trials had a high risk of bias. There was no mortality or conversion to open cholecystectomy in any of the participants in the trials that reported these outcomes. There was no significant difference in the rate of serious adverse events between the two groups (two trials; 2/29 events (0.069 events per person) versus 2/29 events (0.069 events per person); rate ratio 1.00; 95% CI 0

  13. Laparoscopic partial nephrectomy: Newer trends

    Directory of Open Access Journals (Sweden)

    Monish Aron


    Full Text Available Objectives: To report the advances in laparoscopic partial nephrectomy (LPN for renal masses with emphasis on technically challenging cases. Methods: Literature in the English language was reviewed using the National Library of Medicine database using the key words kidney, renal, tumor, nephron sparing surgery, and laparoscopic partial nephrectomy, for the period between 1993 and 2009. Over 500 articles were identified. A total of 50 articles were selected for this review based on their relevance to the evolution of the technique and outcomes, as well as expanding indications for LPN. Results: In expert hands, LPN is safe and effective for central tumors, completely intrarenal tumors, hilar tumors, tumor in a solitary kidney, large tumors requiring heminephrectomy, cystic tumors, multiple tumors, obese patients, and even incidental stage ≥ pT2 tumors. Perioperative outcomes and 5-year oncologic outcomes after LPN are comparable to open partial nephrectomy (OPN. Conclusions: In experienced hands indications for LPN have expanded significantly. In 2009, advanced LPN remains a skill-intensive procedure that can nevertheless provide excellent outcomes for patients with renal tumors.

  14. Laparoscopic colonic and rectal resection. (United States)

    Velez, P M


    The technology that has permitted the rapid advance of minimal access surgery has now made it feasible to perform laparoscopically assisted colon resections safely. As the instrumentation improves, specimen removal problems are solved, surgeons' sewing skills improve, and other anastomotic methods are devised, an increasing amount of colonic surgery will be done using laparoscopy. It is clear that the techniques now in use are evolving, and will be substantially different a few years hence. Previously accepted surgical principles may continue to be challenged by new techniques, which must be evaluated under strict protocol before being widely accepted. These operations should be performed by surgeons who are able to achieve the same level of radical operation that they would achieve through a laparotomy. Special training in advanced laparoscopic techniques including microsurgical suturing is a distinct advantage in performing these operations successfully. It may be best for surgeons to start with palliative procedures or operations for benign diseases of the colon, to avoid the risk of jeopardizing an operation for cancer.

  15. Display Sharing: An Alternative Paradigm (United States)

    Brown, Michael A.


    The current Johnson Space Center (JSC) Mission Control Center (MCC) Video Transport System (VTS) provides flight controllers and management the ability to meld raw video from various sources with telemetry to improve situational awareness. However, maintaining a separate infrastructure for video delivery and integration of video content with data adds significant complexity and cost to the system. When considering alternative architectures for a VTS, the current system's ability to share specific computer displays in their entirety to other locations, such as large projector systems, flight control rooms, and back supporting rooms throughout the facilities and centers must be incorporated into any new architecture. Internet Protocol (IP)-based systems also support video delivery and integration. IP-based systems generally have an advantage in terms of cost and maintainability. Although IP-based systems are versatile, the task of sharing a computer display from one workstation to another can be time consuming for an end-user and inconvenient to administer at a system level. The objective of this paper is to present a prototype display sharing enterprise solution. Display sharing is a system which delivers image sharing across the LAN while simultaneously managing bandwidth, supporting encryption, enabling recovery and resynchronization following a loss of signal, and, minimizing latency. Additional critical elements will include image scaling support, multi -sharing, ease of initial integration and configuration, integration with desktop window managers, collaboration tools, host and recipient controls. This goal of this paper is to summarize the various elements of an IP-based display sharing system that can be used in today's control center environment.

  16. Transperitoneal laparoscopic pyeloplasty: Brazilian initial experience with 55 cases

    Directory of Open Access Journals (Sweden)

    Marco T. C. Lasmar


    Full Text Available PURPOSE: To evaluate prospectively the results obtained in 55 patients undergoing laparoscopic pyeloplasty through transperitoneal access. MATERIALS AND METHODS: From January 2005 to July 2009, fifty-five patients between 13 and 64 years old, were treated for ureteropelvic junction (UPJ stenosis via a transperitoneal laparoscopy. All patients had clinical symptoms of high urinary obstruction and hydronephrosis confirmed by imaging methods. Anderson-Hynes dismembered pyeloplasty was performed in 51 patients and Fenger technique in the other 4 cases. Patients were clinically and imaging evaluated in the postoperative period at 3 and 6 months and then followed-up annually. RESULTS: The operative time ranged from 95 to 270 min. The mean hospital stay was 2 days. The average blood loss was 170 mL. The time to return to normal activities ranged from 10 to 28 days. Anomalous vessels were identified in 27 patients, intrinsic stenosis in 23 patients and 5 patients had high implantation of the ureter. Laparoscopic pyelolithotomy was successfully performed in 6 patients with associated renal stones. That series monitoring ranged from 1 to 55 months. One patient had longer urinary fistula (11 days, 3 patients had portal infection and 6 patients had prolonged ileus. There was one conversion due to technical difficulties. From the later postoperative complications, 2 patients had re-stenosis, one determined by Anderson-Hynes technique and the other by Fenger technique. The success rate was 95.65%. CONCLUSIONS: Laparoscopic pyeloplasty has functional results comparable to conventional open technique. It offers less morbidity, with aesthetic and post-operative convalescence benefits and lower complication rates.

  17. Images and knowledge base display devices for information retrieval; Immagine e la conoscenza : interfacce visive per la consultazione di banche dati

    Energy Technology Data Exchange (ETDEWEB)

    Bargellini, M.; Fontana, F. [ENEA, Centro Ricerche Casaccia, Rome (Italy). Dip. Innovazione; Bernardelli, C. E.; Levialdi, S. [Rome Univ. `La Sapienza (Italy), Dip. di Scienze dell`Informazione; Ferrara, F.M. [GESI- Gestione Sistemi Informatici, Rome (Italy)


    The paper gives an overview on the role of the image in the human knowledge process. The mental representation in the visual communication is presented in detailed The Icon is studied and classified for the informatic applications. Emphasis is placed on ENEA activities to realized access interface to Data Bases. These are aimed at the Information Dissemination and Technological Transfer. The research level and the future perspective of the visual interface in the communication field are analyzed.

  18. 2D/3D switchable displays (United States)

    Dekker, T.; de Zwart, S. T.; Willemsen, O. H.; Hiddink, M. G. H.; IJzerman, W. L.


    A prerequisite for a wide market acceptance of 3D displays is the ability to switch between 3D and full resolution 2D. In this paper we present a robust and cost effective concept for an auto-stereoscopic switchable 2D/3D display. The display is based on an LCD panel, equipped with switchable LC-filled lenticular lenses. We will discuss 3D image quality, with the focus on display uniformity. We show that slanting the lenticulars in combination with a good lens design can minimize non-uniformities in our 20" 2D/3D monitors. Furthermore, we introduce fractional viewing systems as a very robust concept to further improve uniformity in the case slanting the lenticulars and optimizing the lens design are not sufficient. We will discuss measurements and numerical simulations of the key optical characteristics of this display. Finally, we discuss 2D image quality, the switching characteristics and the residual lens effect.

  19. Free-hand 3D reconstruction and tumor segmentation of Laparoscopic Ultrasounds for pancreatic MIS interventions


    Fernández Pena, A.; Viana Matesanz, M.; Rodríguez Vila, Borja; Oropesa García, Ignacio; Sánchez González, Patricia; Sánchez Margallo, Juan Antonio; Moyano García-Cuevas, J.L.; Sánchez Margallo, Francisco Miguel; Gómez Aguilera, Enrique J.


    Pancreatic cancer's treatment dilemma comes while trying to determine the precise nature of the lesion. The best approach is defined by diagnose of the tumor cells' staging. This paper presents a fast approach towards acquiring an estimation of the tumor positioning and size through laparoscopic ultrasound (LUS) images. The method segments 2D images of pancreas and lesions before reconstructing the extracted tumors into a full 3D volume. The whole method is integrated into a visualization and...

  20. Laparoscopic manipulation of a probe-based confocal laser endomicroscope using a steerable intravascular catheter. (United States)

    Schneider, Crispin; Desjardins, Adrien E; Gurusamy, Kurinchi; Hawkes, David J; Davidson, Brian R


    Probe-based confocal laser endomicroscopy is an emerging imaging modality that enables visualization of histologic details during endoscopy and surgery. A method of guiding the probe with millimeter accuracy is required to enable imaging in all regions of the abdomen accessed during laparoscopy. On the basis of a porcine model of laparoscopic liver resection, we report our experience of using a steerable intravascular catheter to guide a probe-based confocal laser endomicroscope.

  1. OLED displays and lighting

    CERN Document Server

    Koden, Mitsuhiro


    Organic light-emitting diodes (OLEDs) have emerged as the leading technology for the new display and lighting market. OLEDs are solid-state devices composed of thin films of organic molecules that create light with the application of electricity. OLEDs can provide brighter, crisper displays on electronic devices and use less power than conventional light-emitting diodes (LEDs) or liquid crystal displays (LCDs) used today. This book covers both the fundamentals and practical applications of flat and flexible OLEDs.

  2. Scalable Resolution Display Walls

    KAUST Repository

    Leigh, Jason


    This article will describe the progress since 2000 on research and development in 2-D and 3-D scalable resolution display walls that are built from tiling individual lower resolution flat panel displays. The article will describe approaches and trends in display hardware construction, middleware architecture, and user-interaction design. The article will also highlight examples of use cases and the benefits the technology has brought to their respective disciplines. © 1963-2012 IEEE.

  3. Hydro-dissection - A simple Solution in Difficult Laparoscopic Cholecystectomy. (United States)

    Lubna, H; Masoom, M R


    This Quasi-experimental study was done to assess the effectiveness of hydro-dissection in difficult laparoscopic cholecystectomies in Hamdard University Hospital, Karachi, Pakistan, from April 2012 to March 2014. All consecutive patients who presented with cholelithiasis and planned for laparoscopic cholecystectomy were enrolled in this study. Per-operatively the degree of difficulty of the operation was assessed by Cuschieri's scale after grading; Grade II, III and IV cholecystectomies were included in this study. Hydro dissection with saline jet through 5mm simple irrigation and suction probe was used, Operative findings and the total number of patients, in whom anatomy of calot's triangle was clearly displayed with hydro-dissection, was recorded. A total 55 patients were included in the study after assessing the degree of difficulty per operatively by Cuschieri Scale. Thirty one (31) patients were in Group II, 22 in Group III and 02 were included in group IV of Cuschieri scale in which hydro-dissection was used. This method cleared the obscure anatomy in all patients in Group II but in 3 patients of Group III, dense adhesions required sharp dissection to clear the operative field. Two patients, in whom conversion was required, were grouped in Cuschieri's scale IV. Methods of dissection in difficult cholecystectomies are of paramount importance to avoid iatrogenic injuries. Hydro-dissection using suction irrigation probe is a safe and effective technique to clear the difficult anatomy.

  4. Display depth analyses with the wave aberration for the auto-stereoscopic 3D display (United States)

    Gao, Xin; Sang, Xinzhu; Yu, Xunbo; Chen, Duo; Chen, Zhidong; Zhang, Wanlu; Yan, Binbin; Yuan, Jinhui; Wang, Kuiru; Yu, Chongxiu; Dou, Wenhua; Xiao, Liquan


    Because the aberration severely affects the display performances of the auto-stereoscopic 3D display, the diffraction theory is used to analyze the diffraction field distribution and the display depth through aberration analysis. Based on the proposed method, the display depth of central and marginal reconstructed images is discussed. The experimental results agree with the theoretical analyses. Increasing the viewing distance or decreasing the lens aperture can improve the display depth. Different viewing distances and the LCD with two lens-arrays are used to verify the conclusion.

  5. Avaliação de quatro métodos de visualização de imagens digitais em odontologia =Evaluation of four methods of digital image display in dentistry

    Directory of Open Access Journals (Sweden)

    Mazziero, Ênio Tonani


    Full Text Available Baseado nos grandes benefícios que a utilização das imagens digitais pode proporcionar a Odontologia, o objetivo deste trabalho foi comparar a qualidade de quatro métodos de visualização de imagens em Odontologia. Foram selecionados quatro slides 35 mm de pacientes da Faculdade de Odontologia da Pontifícia Universidade Católica de Minas Gerais. Os diapositivos foram digitalizados por quatro recursos e, posteriormente, as imagens foram processadas para serem visualizadas por quatro métodos: (1 revelação digital em papel fotográfico; (2 impressão em papel fotográfico com impressora jato de tinta amadora; (3 tela de computador e (4 projetor de multimídia. Posteriormente, essas imagens foram submetidas à avaliação de quinze indivíduos, sorteados aleatoriamente, divididos em cinco grupos. Para cada imagem avaliada, os examinadores julgavam se estas eram aceitáveis ou não do ponto de vista clínico e científico e analisavam quatro variáveis: (a brilho e contraste; (b definição e nitidez; (c fidelidade e reprodução de cores e (d nota geral, aferindo uma nota de zero a cinco para cada quesito. Encontrou-se um alto grau de aceitabilidade de 82,9% das imagens sem diferença estatisticamente significante entre elas. Foi identificado que o grupo de imagens impressas em impressora amadora em todos os quesitos posicionou-se no grupo com valores inferiores, enquanto o grupo de imagens visualizadas na tela de computador apresentou resultados superiores na maioria dos quesitos (p Since the use of digital images in Dentistry discloses a lot of advantages, this paper intended to evaluate four methods of image visualization in Dentistry. Four 35 mm slides with different quality were selected from the archive of the Minas Gerais Pontifical Catholic University Dental School. The slides were digitally converted by four methods and all images were prepared to be displayed by four methods: (1 digital print done in professional lab; (2 printed

  6. Does playing video games improve laparoscopic skills? (United States)

    Ou, Yanwen; McGlone, Emma Rose; Camm, Christian Fielder; Khan, Omar A


    A best evidence topic in surgery was written according to a structured protocol. The question addressed was whether playing video games improves surgical performance in laparoscopic procedures. Altogether 142 papers were found using the reported search, of which seven represented the best evidence to answer the clinical question. The details of the papers were tabulated including relevant outcomes and study weaknesses. We conclude that medical students and experienced laparoscopic surgeons with ongoing video game experience have superior laparoscopic skills for simulated tasks in terms of time to completion, improved efficiency and fewer errors when compared to non-gaming counterparts. There is some evidence that this may be due to better psycho-motor skills in gamers, however further research would be useful to demonstrate whether there is a direct transfer of skills from laparoscopic simulators to the operating table.

  7. Acceptable outcome after laparoscopic appendectomy in children

    DEFF Research Database (Denmark)

    Stilling, Nicolaj M; Fristrup, Claus; Gabers, Torben


    An increasing proportion of childhood -appendicitis is being treated with laparoscopic appendectomy (LA). We wanted to elucidate the outcome of childhood appendicitis treated primarily by residents in a university hospital....

  8. Laparoscopic surgery for early endometrial cancer

    DEFF Research Database (Denmark)

    Bennich, Gitte; Rudnicki, M.; Lassen, P. D.


    IntroductionThe purpose of the present study was to evaluate learning curves and short-term outcomes following laparoscopic surgery for early endometrial cancer in women of different body mass index (BMI) classes. Material and methodsData from 227 women planned for laparoscopic surgery for presumed...... stage I endometrial cancer were collected retrospectively from a Danish gynecologic oncology unit. Surgery included laparoscopic hysterectomy and bilateral salpingo-oophorectomy with or without pelvic lymphadenectomy (PLA). ResultsMedian length of operations was 60 min (range, 30-197) and 120 min (range...... peri- and postoperative outcomes were independent of BMI classes. ConclusionsOur data suggest that laparoscopic surgery for early endometrial cancer is feasible and safe. With increasing surgeon's experience there is a significant decrease in operative time and increase in the number of lymph nodes...

  9. Convalescence after laparoscopic inguinal hernia repair

    DEFF Research Database (Denmark)

    Tolver, Mette Astrup; Rosenberg, Jacob; Bisgaard, Thue


    BACKGROUND: Duration of convalescence after inguinal hernia repair is of major socio-economic interest and an often reported outcome measure. The primary aim was to perform a critical analysis of duration of convalescence from work and activity and secondary to identify risk factors for unexpected...... prolonged convalescence after laparoscopic inguinal hernia repair. METHODS: A qualitative systematic review was conducted. PubMed, Embase and the Cochrane database were searched for trials reporting convalescence after laparoscopic inguinal hernia repair in the period from January 1990 to January 2016...... factors for prolonged convalescence extending more than a few days after laparoscopic inguinal hernia repair. CONCLUSIONS: Patients should be recommended a duration of 1-2 days of convalescence after laparoscopic inguinal hernia repair. Short and non-restrictive recommendations may reduce duration...

  10. Laparoscopically assisted pyeloplasty for ureteropelvic junction ...

    African Journals Online (AJOL)

    junction obstruction: a transperitoneal versus a retroperitoneal approach ... laparoscopic-assisted dismembered pyeloplasty (TLADP) ... to an open technique for two patients of the TLADP group; ... Annals of Pediatric Surgery 2012, 8:29–31.

  11. Radiologic investigation after laparoscopic inguinal hernia repair

    Energy Technology Data Exchange (ETDEWEB)

    Larmark, Martin; Ekberg, Olle [Department of Diagnostic Radiology, Malmoe University Hospital, 205 02, Malmoe (Sweden); Montgomery, Agneta [Department of Surgery, Malmoe University Hospital, 205 02, Malmoe (Sweden)


    Laparoscopic instead of open surgical repair of inguinal hernias is becoming more frequent. Radiologists may expect different postoperative findings depending on the technique used. We studied how radiology had been used postoperatively and what findings were encountered after laparoscopic herniorraphy. Postoperative radiologic examinations related to hernia repair of all consecutive patients that had had laparoscopic herniorraphy in Malmoe University hospital between 1992 and 1998 were retrospectively evaluated. A total of 538 groins were included, 3.9% (n=21) of these were postoperatively examined with ultrasound (n=10), herniography (n=7), plain abdominal films (n=2), CT (n=1), or fistulography (n=1). Significant findings were found in five groins, namely, one sinus tract, two hematomas, one small bowel obstruction, and one recurrence of hernia. Four insignificant seromas were found. The characteristics of the findings and pitfalls are described. Symptoms resulting in radiologic examination are rare after laparoscopic herniorraphy. The radiologist must be familiar with the spectrum of such findings. (orig.)

  12. Comparing laparoscopic appendectomy to open appendectomy in ...

    African Journals Online (AJOL)

    Comparing laparoscopic appendectomy to open appendectomy in managing ... South African Journal of Surgery ... Alternatively, you can download the PDF file directly to your computer, from where it can be opened using a PDF reader.

  13. An overview of laparoscopic colorectal surgery

    Institute of Scientific and Technical Information of China (English)


    Laparoscopic skills has been widely applied in colorectal surgery. The definition, indications and contraindications, the oncologic principles, port side recurrence, and the newer advances are reported in this article .

  14. Laparoscopic Anti-Reflux (GERD) Surgery (United States)

    ... Sponsorship Opportunities Log In Laparoscopic Anti-Reflux (GERD) Surgery Patient Information from SAGES Download PDF Find a SAGES Surgeon Surgery for “Heartburn” If you suffer from moderate to ...

  15. Surface Chemistry Manipulation of Gold Nanorods Displays High Cellular Uptake In Vitro While Preserving Optical Properties for Bio-Imaging and Photo-Thermal Applications (United States)


    signature of the GNRs were analyzed before use with UV − Vis spectrometry on a Bio TEK Synergy HT (Winooski, VT, USA) instrument. For evaluation of...1.1 nm and a length of 104 ± 1.2 nm on average. UV − Vis analysis confirmed predicted SPR peaks based on calculated AR (Figure 1D & H) (Jun et al...characterization. Representative TEM images of A. MTAB, B. MTAB-TA and C. Silica; D. UV - Vis absorption spectra of MTAB (gold), MTAB-TA (light blue) and

  16. Emphysematous cholecystitis successfully treated by laparoscopic surgery (United States)

    Katagiri, Hideki; Yoshinaga, Yasuo; Kanda, Yukihiro; Mizokami, Ken


    Emphysematous cholecystitis (EC) is an uncommon variant of acute cholecystitis, which is caused by secondary infection of the gallbladder wall with gas-forming organisms. The mortality rate of EC is still as high as 25%. Emergency surgical intervention is indicated. Open cholecystectomy has been traditionally accepted as a standard treatment for EC. We present a case of EC successfully treated by laparoscopic surgery. Laparoscopic cholecystectomy for EC is considered to be safe and effective when indicated. PMID:24876461

  17. Laparoscopic surgery for intestinal and urinary endometriosis. (United States)

    Redwine, D B; Sharpe, D R


    Intestinal and urinary tract involvement by endometriosis may be symptomatic, particularly when invasive disease is present. Even in expert hands, complete excision of all invasive disease cannot be accomplished laparoscopically in every case. The practitioner must balance enthusiasm for the advantages of a laparoscopic approach with limitations of time and skill. Laparoscopy should be abandoned in a particular case if a better job can be performed by laparotomy. Hysterectomy with castration may not relieve symptoms due to invasive disease.

  18. A Training Module for Laparoscopic Urology



    Objectives: A fellowship training model in laparoscopic urological surgery has been established for interested urologists to help them proceed from the pelvic trainer/ animal laboratory environment to safe clinical practice. The objective of the model is to provide trainees with clinical experience under direct mentor supervision before embarking on independent laparoscopic urological surgery at their own base hospitals. Methods: The fellowship model incorporates 9 fluid phases: Phase 1 to co...

  19. Laparoscopic dissection of the pararectal space

    Directory of Open Access Journals (Sweden)

    Sami M Walid


    Full Text Available Pelvic adhesions affecting the uterine adnexa or cul-de-sacs are a common finding in gynaecological surgery. We present a referred patient with a history of laparoscopic hysterectomy and right salpingo-oophorectomy and an unresected left ovarian mass causing ovarian retention syndrome. The left ovarian complex was hidden in the left pararectal space. The laparoscopic technique for dealing with such a rare case is explained.



    Anmol; Lakshminarayan; Manohar; Avadhani Geeta; Abinash


    : Laparoscopic cholecystectomy has rapidly become established as the popular alternative to open cholecystectomy, but it should have a safety profile similar to or better than that of open procedure. The aim of this study was to compare conventional cholecystectomy and laparoscopic cholecystectomy with respect to duration of procedure, complications, postoperative pain, analgesic requirement, antibiotic requirement, resumption of normal diet and period of hospital stay.50 ...

  1. Procedural specificity in laparoscopic simulator training

    DEFF Research Database (Denmark)

    Bjerrum, Flemming; Sørensen, Jette Led; Konge, Lars


    proficiency level on a virtual reality laparoscopy simulator. Upon reaching proficiency, the participants are randomised to either the intervention group, which practices two procedures (an appendectomy followed by a salpingectomy) or to the control group, practicing only one procedure (a salpingectomy...... of procedural practice in laparoscopic simulator training. METHODS/DESIGN: A randomised single-centre educational superiority trial. Participants are 96 surgical novices (medical students) without prior laparoscopic experience. Participants start by practicing a series of basic skills tasks to a predefined...

  2. Laparoscopic management of multiple gallstone ileus. (United States)

    Behrens, Carola; Amson, Bradley


    Gallstone ileus is an uncommon cause of small bowel obstruction, occurring when one or more large gallstones erode through the gallbladder and into the intestinal lumen. The presentation is often nonspecific with intermittent symptoms, confounding diagnosis, and delaying treatment. The traditional treatment is through open enterolithotomy. Thus far only 30 of over 400 case reports on MEDLINE describe laparoscopic enterolithotomy. In this article we describe a successful total laparoscopic approach to the treatment of gallstone ileus.

  3. Multiview synthesis for autostereoscopic displays (United States)

    Dane, Gökçe.; Bhaskaran, Vasudev


    Autostereoscopic (AS) displays spatially multiplex multiple views, providing a more immersive experience by enabling users to view the content from different angles without the need of 3D glasses. Multiple views could be captured from multiple cameras at different orientations, however this could be expensive, time consuming and not applicable to some applications. The goal of multiview synthesis in this paper is to generate multiple views from a stereo image pair and disparity map by using various video processing techniques including depth/disparity map processing, initial view interpolation, inpainting and post-processing. We specifically emphasize the need for disparity processing when there is no depth information is available that is associated with the 2D data and we propose a segmentation based disparity processing algorithm to improve disparity map. Furthermore we extend the texture based 2D inpainting algorithm to 3D and further improve the hole-filling performance of view synthesis. The benefit of each step of the proposed algorithm is demonstrated with comparison to state of the art algorithms in terms of visual quality and PSNR metric. Our system is evaluated in an end-to-end multi view synthesis framework where only stereo image pair is provided as input to the system and 8 views are outputted and displayed in 8-view Alioscopy AS display.

  4. Measurement of Contrast Ratios for 3D Display (United States)


    stereoscopic, autostereoscopic , 3D , display ABSTRACT 3D image display devices have wide applications in medical and entertainment areas. Binocular (stereoscopic...and system crosstalk. In many 3D display systems viewer’ crosstalk is an important issue for good performance, especial in autostereoscopic display...UNCLASSIFIED Defense Technical Information Center Compilation Part Notice ADPO 11343 TITLE: Measurement of Contrast Ratios for 3D Display

  5. Pilot performance with a simulated ILS independence pictorial display (United States)

    Palmer, E.; Wempe, T.


    As part of a general investigation of the effectiveness of pictorial displays for manual control and monitoring of aircraft approaches and landings, a simulator study was conducted in which pilot performance with three pictorial displays was evaluated. These displays differed in the type of guidance symbology added to the basic perspective runway display. The effect of decreased resolution and update rate of the runway image on pilot performance was also determined. The results indicate that for pictorial displays with added guidance symbology, there was a marked improvement in pilot performance compared to results of a previous study in which the display consisted of only a runway image and aircraft attitude.

  6. Hepatectomia direita por videolaparoscopia Laparoscopic right hepatectomy

    Directory of Open Access Journals (Sweden)

    Marcel Autran C. Machado


    Full Text Available The first application of laparoscopic liver surgery consisted of wedge liver biopsies or resection of peripheral lesions, mostly benign. More recently, reports of anatomic left and right hepatectomy have been seen in the literature. Expertise in some centers has evolved to such an extent that even living related donor hepatectomy has been performed. The aim of this paper is to report a laparoscopic right hepatectomy and describe in detail the surgical technique employed. To our knowledge this is the first case performed in Brazil totally laparoscopically. The surgery followed four distinct phases: complete mobilization of the liver; hilum dissection with encircling of right portal vein and right hepatic artery, caval dissection using linear vascular stapler to divide right hepatic vein and parenchymal transection with harmonic shears and firings of linear staplers are used to divide segmental 5 and 8 branches of middle hepatic vein. The liver specimen was removed by Pfannenstiel incision. Intraoperative blood loss was estimated in 120 ml with no need for blood transfusion. Hospital stay was 5 days. Laparoscopic right hepatectomy is feasible, technically demanding but can be safely accomplished by surgeons who have experience in advanced laparoscopic procedures and open hepatic surgery. In Brazil laparoscopic liver surgery is still in its first years and there is a lack of technical description of this complex procedure.

  7. Standardizing visual display quality

    NARCIS (Netherlands)

    Besuijen, Ko; Spenkelink, Gerd P.J.


    The current ISO 9241–3 standard for visual display quality and the proposed user performance tests are reviewed. The standard is found to be more engineering than ergonomic and problems with system configuration, software applications, display settings, user behaviour, wear and physical environment

  8. Helmet-Mounted Displays (HMD) (United States)

    Federal Laboratory Consortium — The Helmet-Mounted Display labis responsible for monocular HMD day display evaluations; monocular HMD night vision performance processes; binocular HMD day display...

  9. 68Ga-labeled phage-display selected peptides as tracers for positron emission tomography imaging of Staphylococcus aureus biofilm-associated infections

    DEFF Research Database (Denmark)

    Nielsen, Karin M; Kyneb, Majbritt H; Alstrup, Aage K O


    , while the in vivo plasma stability was analyzed in mice and pigs. Additionally, the whole-body distribution kinetics of (68)Ga-A9-K-DOTA was measured in vivo by PET imaging of pigs and ex vivo in excised mice tissues. RESULTS: The (68)Ga-A9-K-DOTA and (68)Ga-A11-GSGK-DOTA remained stable in product...... formulation, whereas (68)Ga-A8-K-DOTA was unstable. The S. aureus binding of (68)Ga-A11-GSGK-DOTA and (68)Ga-A9-K-DOTA was observed in vitro, though blocking of the binding was not possible by excess of cold peptide. The (68)Ga-A9-K-DOTA was degraded slowly in vitro, while the combined in vivo evaluation...

  10. Augmented versus virtual reality laparoscopic simulation : What is the difference? A comparison of the ProMIS augmented reality laparoscopic simulator versus LapSim virtual reality laparoscopic simulator

    NARCIS (Netherlands)

    Botden, Sanne M. B. I.; Buzink, Sonja N.; Schijven, Marlies P.; Jakimowicz, Jack J.


    Background: Virtual reality (VR) is an emerging new modality for laparoscopic skills training; however, most simulators lack realistic haptic feedback. Augmented reality (AR) is a new laparoscopic simulation system offering a combination of physical objects and VR simulation. Laparoscopic instrument

  11. Laparoscopic repair of vesicovaginal fistula

    Directory of Open Access Journals (Sweden)

    Miłosz Wilczyński


    Full Text Available A vesicovaginal fistula is one of the complications that a gynaecologist is bound to face after oncological operations, especially in postmenopausal women. Over the years there have been introduced many techniques of surgical treatment of this entity, including transabdominal and transvaginal approaches.We present a case of a 46-year-old patient who suffered from urinary leakage via the vagina due to the presence of a vesicovaginal fistula that developed after radical abdominal hysterectomy and subsequent radiotherapy. The decision was made to repair it laparoscopically due to retracted, fibrous and scarred tissue in the vaginal apex that precluded a transvaginal approach. A small cystotomy followed by an excision of fistula borders was performed. After six-month follow-up no recurrence of the disease has been noted.We conclude that laparoscopy is an interesting alternative to traditional approaches that provides comparable results.

  12. Gallstone ileus after laparoscopic cholecystectomy. (United States)

    Ivanov, I; Beuran, M; Venter, M D; Iftimie-Nastase, I; Smarandache, R; Popescu, B; Boştină, R


    Gallstone ileus represents a rare complication (0,3-0,5%) of a serious, but common disease-gallstones, which affect around 10% of the population in the USA and Western Europe. Associated diseases (usually severe), elderly patients, delayed diagnosis and therapy due to late presentation to the hospital, account for the morbidity and mortality rates described in literature. We present the case of a patient with partial colon obstruction due to a large gallstone that was "lost" during an emergency laparoscopic cholecystectomy. The calculus eroded the intestinal wall, partially occluding the lumen, triggering recurrent Kerwsky-like, subocclusive episodes. The intraperitoneal abscess has spontaneously drained through the subhepatic drain and once the tube has been removed, a persistent intermittent fistula became obvious.

  13. Single-port laparoscopic surgery. (United States)

    Tsai, Anthony Y; Selzer, Don J


    Laparoscopic surgery performed through a single-incision is gaining popularity. The demand from the public for even less invasive procedures will motivate surgeons, industry, and academic centers to explore the possibilities and refine the technology. Although the idea seems quite attractive, there are several technological obstacles that are yet to be conquered by improved technology or additional training. The question of safety has yet to be answered and will require well-designed randomized control trials. Opponents to the approach argue that the size of the single incision (see Table 1) is frequently larger than all the standard laparoscopy incisions combined. On the other hand, proponents remember a similar argument from traditional open surgeons during the initial development of laparoscopy. That argument was quickly discredited when the immediate benefits oflaparoscopy were compared with patients undergoing surgery with small laparotomy incisions. During the development of a new technique, the learning curve exposes patients to risk and society to expense. LESS pioneers appear to have reached a level of comfort with technology and techniques that paves the way for scientific scrutiny. Perhaps, the surgical community will capitalize on this situation with randomized, controlled studies and sound evidence to support or refute the benefits of LESS. If we do not seize this opportunity, patient demand and industry's dual edge message of financial success versus fear of losing referrals will lead to a scenario similar to the development of laparoscopic cholecystectomy in the 1990s. Regardless of its future, the surgical community will still benefit from a renewed excitement as surgeons aim to continually reduce the amount of pain and trauma our patients must endure. In addition, technological advances on instrumentation will benefit the field of laparoscopy and improve patient care.

  14. Laparoscopic splenectomy using conventional instruments

    Directory of Open Access Journals (Sweden)

    Dalvi A


    Full Text Available INTRODUCTION : Laparoscopic splenectomy (LS is an accepted procedure for elective splenectomy. Advancement in technology has extended the possibility of LS in massive splenomegaly [Choy et al., J Laparoendosc Adv Surg Tech A 14(4, 197-200 (2004], trauma [Ren et al., Surg Endosc 15(3, 324 (2001; Mostafa et al., Surg Laparosc Endosc Percutan Tech 12(4, 283-286 (2002], and cirrhosis with portal hypertension [Hashizume et al., Hepatogastroenterology 49(45, 847-852 (2002]. In a developing country, these advanced gadgets may not be always available. We performed LS using conventional and reusable instruments in a public teaching the hospital without the use of the advanced technology. The technique of LS and the outcome in these patients is reported. MATERIALS AND METHODS : Patients undergoing LS for various hematological disorders from 1998 to 2004 were included. Electrocoagulation, clips, and intracorporeal knotting were the techniques used for tackling short-gastric vessels and splenic pedicle. Specimen was delivered through a Pfannensteil incision. RESULTS : A total of 26 patients underwent LS. Twenty-two (85% of patients had spleen size more than 500 g (average weight being 942.55 g. Mean operative time was 214 min (45-390 min. The conversion rate was 11.5% ( n = 3. Average duration of stay was 5.65 days (3-30 days. Accessory spleen was detected and successfully removed in two patients. One patient developed subphrenic abscess. There was no mortality. There was no recurrence of hematological disease. CONCLUSION : Laparoscopic splenectomy using conventional equipment and instruments is safe and effective. Advanced technology has a definite advantage but is not a deterrent to the practice of LS.

  15. Laparoscopic treatment of genitourinary fistulae. (United States)

    Garza Cortés, Roberto; Clavijo, Rafael; Sotelo, Rene


    We present the laparoscopic management of genitourinary fistulae, mainly five types of fistulae, vesicovaginal, ureterovaginal, vesicouterine, rectourethral and rectovesical fistula. Vesicovaginal fistula (VVF) is mostly secondary to urogynecologic procedures in developed countries, abdominal hysterectomy being the main cause of this condition; they represent 84.9% of the genitourinary fistulae (1).Management has been described for this type of fistula, where low success rate (7-12%) has been reported. Ureterovaginal fistulas may occur following pelvic surgery, particularly gynecological procedures, or as a result of vaginal foreign bodies or stone fragments after shock wave lithotripsy, patients typically present with global and persistent urine leakage through the vagina, this causes patient discomfort, distress, and typically protection is used to stay dry, the initial management is often conservative but typically fails. Vesicouterine fistula is a rare condition that only occurs in 1 to 4% of genitourinary fistulas, the primary cause is low segment cesareansection, and clinically presents in three different forms, which will be described. Treatment of this type of fistulae has been conservative,with hormone therapy and surgery, depending on the presenting symptoms. Recto-urinary (rectovesical and rectourethral) fistulae (RUF) are uncommon and can be difficult to manage clinically. Although they may develop in patients with inflammatory bowel disease and perirectal abscesses, rectourethral fistula frequently result as an iatrogenic complication of extirpative or ablative prostate procedures. Rectovesical fistula usually develops following radical prostatectomy, and occurs along the vesicourethral anastomotic line or along the suture line of a posterior "racquet-handle" closure of the bladder. Conservative management consisting of urinary diversion, broad-spectrum antibiotics and parenteral nutrition is often initially attempted but these measures often fail

  16. Laparoscopic myomectomy in Kenya : A 15 year retrospective review

    African Journals Online (AJOL)

    Laparoscopic myomectomy in Kenya : A 15 year retrospective review. ... offers all the advantages of laparoscopic surgery including less haemorrhage, quicker recovery ... The fertility outcomes are comparable to open myomectomy with better ...

  17. Comparison of anaesthetic cost in open and laparoscopic ...

    African Journals Online (AJOL)


    Apr 4, 2014 ... appendectomy operations conducted as open and laparoscopically, changes may occur in time in market conditions of drugs, patent rights, legal ..... Schirmer BD, Dix J. Cost effectiveness of laparoscopic cholecystectomy.

  18. Display Developer for Firing Room Applications (United States)

    Bowman, Elizabeth A.


    The firing room at Kennedy Space Center (KSC) is responsible for all NASA human spaceflight launch operations, therefore it is vital that all displays within the firing room be properly tested, up-to-date, and user-friendly during a launch. The Ground Main Propulsion System (GMPS) requires a number of remote displays for Vehicle Integration and Launch (VIL) Operations at KSC. My project is to develop remote displays for the GMPS using the Display Services and Framework (DSF) editor. These remote displays will be based on model images provided by GMPS through PowerPoint. Using the DSF editor, the PowerPoint images can be recreated with active buttons associated with the correct Compact Unique Identifiers (CUIs). These displays will be documented in the Software Requirements and Design Specifications (SRDS) at the 90% GMPS Design Review. In the future, these remote displays will be available for other developers to improve, edit, or add on to so that the display may be incorporated into the firing room to be used for launches.

  19. Pure laparoscopic and robot-assisted laparoscopic reconstructive surgery in congenital megaureter: a single institution experience.

    Directory of Open Access Journals (Sweden)

    Weijun Fu

    Full Text Available To report our experience of pure laparoscopic and robot-assisted laparoscopic reconstructive surgery in congenital megaureter, seven patients (one bilateral with symptomatic congenital megaureter underwent pure laparoscopic or robot-assisted laparoscopic surgery. The megaureter was exposed at the level of the blood vessel and was isolated to the bladder narrow area. Extreme ureter trim and submucosal tunnel encapsulation or papillary implantations and anti-reflux ureter bladder anastomosis were performed intraperitoneally by pure laparoscopic or robot-assisted laparoscopic surgery. The clinical data of seven patients after operation were analyzed, including the operation time, intraoperative complications, intraoperative bleeding volumes, postoperative complications, postoperative hospitalization time and pathological results. All of the patients were followed. The operation was successfully performed in seven patients. The mean operation times for pure laparoscopic surgery and robotic-assistant laparoscopic surgery were 175 (range: 150-220 and 187 (range: 170-205 min, respectively, and the mean operative blood loss volumes were 20 (range: 10-30 and 28.75 (range: 15-20 ml, respectively. There were no intraoperative complications. The postoperative drainage time was 5 (range: 4-6 and 5.75 (range: 5-6 d, respectively, and the indwelling catheter time was 6.33 (range: 4-8 d and 7 (range: 7-7 d, respectively. The postoperative hospitalization time was 7.67 (range: 7-8 d and 8 (range: 7-10 d, respectively. There was no obvious pain, no secondary bleeding and no urine leakage after the operation. Postoperative pathology reports revealed chronic urothelial mucosa inflammation. The follow-up results confirmed that all patients were relieved of their symptoms. Both pure laparoscopic and robot-assisted laparoscopic surgery using different anti-reflux ureter bladder anastomoses are safe and effective approaches in the minimally invasive treatment of

  20. Panoramic projection avionics displays (United States)

    Kalmanash, Michael H.


    Avionics projection displays are entering production in advanced tactical aircraft. Early adopters of this technology in the avionics community used projection displays to replace or upgrade earlier units incorporating direct-view CRT or AMLCD devices. Typical motivation for these upgrades were the alleviation of performance, cost and display device availability concerns. In these systems, the upgraded (projection) displays were one-for-one form / fit replacements for the earlier units. As projection technology has matured, this situation has begun to evolve. The Lockheed-Martin F-35 is the first program in which the cockpit has been specifically designed to take advantage of one of the more unique capabilities of rear projection display technology, namely the ability to replace multiple small screens with a single large conformal viewing surface in the form of a panoramic display. Other programs are expected to follow, since the panoramic formats enable increased mission effectiveness, reduced cost and greater information transfer to the pilot. Some of the advantages and technical challenges associated with panoramic projection displays for avionics applications are described below.