scholarly journals 3D endoscopy shows enhanced anatomical details and depth perception vs 2D: a multicentre study

Author(s):  
Peter Valentin Tomazic ◽  
Fabian Sommer ◽  
Andreas Treccosti ◽  
Hans Rudolf Briner ◽  
Andreas Leunig

Abstract Purpose The current standard endoscopic technique is a high resolution visualisation up to Full HD and even 4 K. A recent development are 3D endoscopes providing a 3-dimensional picture, which supposedly gives additional information of depth, anatomical details and orientation in the surgical field. Since the 3D-endoscopic technique is new, little scientific evidence is known whether the new technique provides advantages for the surgeon compared to the 2D-endoscopic standard technique in FESS. This study compares the standard 2D-endoscopic surgical technique with the new commercially available 3D-endoscopic technique. Methods The prospective randomized interventional multicenter study included a total of 80 referred patients with chronic rhinosinusitis with and without polyps without prior surgery. A bilateral FESS procedure was performed, one side with the 2D-endoscopic technique, the other side with the 3D-endoscopic technique. The time of duration was measured. Additionally, a questionnaire containing 20 items was completed by 4 different surgeons judging subjective impression of visualisation and handling. Results 2D imaging was superior to 3D apart from “recognition of details”, “depth perception” and “3D effect”. For usability properties 2D was superior to 3D apart from “weight of endoscopes”. Mean duration for surgery was 26.1 min for 2D and 27.4 min. for 3D without statistical significance (P = 0.219). Conclusion Three-dimensional endoscopy features improved depth perception and recognition of anatomic details but worse overall picture quality. It is useful for teaching purposes, yet 2D techniques provide a better outcome in terms of feasibility for routine endoscopic approaches.

Author(s):  
J. K. Samarabandu ◽  
R. Acharya ◽  
D. R. Pareddy ◽  
P. C. Cheng

In the study of cell organization in a maize meristem, direct viewing of confocal optical sections in 3D (by means of 3D projection of the volumetric data set, Figure 1) becomes very difficult and confusing because of the large number of nucleus involved. Numerical description of the cellular organization (e.g. position, size and orientation of each structure) and computer graphic presentation are some of the solutions to effectively study the structure of such a complex system. An attempt at data-reduction by means of manually contouring cell nucleus in 3D was reported (Summers et al., 1990). Apart from being labour intensive, this 3D digitization technique suffers from the inaccuracies of manual 3D tracing related to the depth perception of the operator. However, it does demonstrate that reducing stack of confocal images to a 3D graphic representation helps to visualize and analyze complex tissues (Figure 2). This procedure also significantly reduce computational burden in an interactive operation.


2021 ◽  
pp. 002581722110183
Author(s):  
MA Kislov ◽  
M Chauhan ◽  
SN Zakharov ◽  
SV Leonov ◽  
YP Shakiryanova

Worldwide advances in computer techniques are not yet recognised in the practice of forensic medicine. A promising application is their use in making a three-dimensional reconstruction of the crime scene. This study analyses this technique in a homicide by firearm. Queries regarding the direction and number of shots, position of the victim inside the car when shot at and presence of the accused at the crime scene were answered by a scientific model. Similar reconstruction of the scene, nailing the accused in a heinous crime, has not previously been reported as a study or a case. The paper anticipates impetus to the growth of literature in criminology and forensic sciences. It will also expedite the delivery of justice based on scientific evidence in controversial causes of death.


2017 ◽  
Vol 31 (5) ◽  
pp. 323-327 ◽  
Author(s):  
Giancarlo Pecorari ◽  
Giuseppe Riva ◽  
Francesca Antonella Bianchi ◽  
Giovanni Cavallo ◽  
Francesca Revello ◽  
...  

Background Because nasal function and shape are so closely intertwined, quantitative assessments can better define their relationship and how they are affected by septorhinoplasty. Objective The aim of this prospective study was to perform an analysis of the nasal airflow resistances and a three-dimensional (3D) evaluation of the soft-tissue changes after closed septorhinoplasty. Methods Before surgery (TO) and 6 months after closed septorhinoplasty (Tl), 30 patients underwent symptoms evaluation by means of the Italian version of the Nasal Obstruction Symptom Evaluation scale, endoscopic fiberoptic nasal examination, and visual analog scale for subjective assessment of nasal obstruction. Nasal airflow resistances were investigated with active anterior active rhinomanometry. A 3D laser scanner was used to evaluate facial soft-tissues, with specific nasal points and angles. Results Subjective nasal obstruction decreased. Anterior active rhinomanometry demonstrated a reduction in total inspiratory and expiratory resistances between T0 and T1 but without statistical significance. The significance was still absent after decongestion, excluding turbinate hypertrophy as a cause of failed objective amelioration of nasal resistance. Facial laser scanning showed statistically significant reduction of the superior nasal width and superior alar angle, and a weak negative correlation between the superior alar angle and nasal resistances. Conclusion The absence of objective reduction of nasal airflow resistances could be the result of concurrent surgery on nasal septum and nasal valve. In particular, the ameliorating effect on nasal airflow resistances is counterbalanced by the worsening effect of the narrowing of nasal valve.


2021 ◽  
Vol 11 (15) ◽  
pp. 7110
Author(s):  
Marco Serafin ◽  
Luca Esposito ◽  
Viviana Conti ◽  
Rosamaria Fastuca ◽  
Manuel Lagravère ◽  
...  

The aim of this study was to compare the three-dimensional dentoskeletal effects of Haas-type and Hyrax-type expanders using primary teeth as anchorage for rapid palatal expansion (RPE). Thirty-four subjects in mixed dentition were divided according to their expander’s type: Hyrax (n = 16; 6F, 10M; mean age 8 ± 3 years) or Haas (n = 18; 14F, 4M; mean age 8 ± 2 years). Each patient underwent CBCTs before (T0) and after RPE (T1). Dentoskeletal changes were collected. A paired sample t-test and independent t-test were used to compare each variable within the same group and between groups, respectively, with a 5% significance. The Hyrax group showed an increase in all dentoskeletal parameters; skeletal expansion was significantly increased anteriorly (1.76 mm) and posteriorly (1.93 mm). The greatest dental expansion was observed in the anchorage unit (6.47 mm), about twice as much as permanent molars (3.42 mm). The same statistical significance of Haas group measurements was observed; anteriorly skeletal expansion (2.97 mm) was greater than posteriorly (1.93 mm) and dental expansion was greater on anchored teeth (6.80 mm) than non-anchored teeth (4.57 mm). No statistical significance was observed between Hyrax and Hass groups. CBCT analysis showed that, in RPE, the dental expansion was greater than skeletal expansion. No significant or clinical changes were observed between Hyrax and Haas appliances anchored to primary teeth.


2009 ◽  
Vol 64 (suppl_5) ◽  
pp. ons288-ons295 ◽  
Author(s):  
Abtin Tabaee ◽  
Vijay K. Anand ◽  
Justin F. Fraser ◽  
Seth M. Brown ◽  
Ameet Singh ◽  
...  

Abstract OBJECTIVE We describe a novel 3-dimensional (3-D) stereoendoscope and discuss our early experience using it to provide improved depth perception during transsphenoidal pituitary surgery. METHODS Thirteen patients underwent endonasal endoscopic transsphenoidal surgery. A 6.5-, 4.9-, or 4.0-mm, 0- and 30-degree rigid 3-D stereoendoscope (Visionsense, Ltd., Petach Tikva, Israel) was used in all cases. The endoscope is based on “compound eye” technology, incorporating a microarray of lenses. Patients were followed prospectively and compared with a matched group of patients who underwent endoscopic surgery with a 2-dimensional (2-D) endoscope. Surgeon comfort and/or complaints regarding the endoscope were recorded. RESULTS The 3-D endoscope was used as the sole method of visualization to remove 10 pituitary adenomas, 1 cystic xanthogranuloma, 1 metastasis, and 1 cavernous sinus hemangioma. Improved depth perception without eye strain or headache was noted by the surgeons. There were no intraoperative complications. All patients without cavernous sinus extension (7of 9 patients) had gross tumor removal. There were no significant differences in operative time, length of stay, or extent of resection compared with cases in which a 2-D endoscope was used. Subjective depth perception was improved compared with standard 2-D scopes. CONCLUSION In this first reported series of purely 3-D endoscopic transsphenoidal pituitary surgery, we demonstrate subjectively improved depth perception and excellent outcomes with no increase in operative time. Three-dimensional endoscopes may become the standard tool for minimal access neurosurgery.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257158
Author(s):  
Wei-Ting Chou ◽  
Chuan-Chung Chuang ◽  
Yi-Bing Wang ◽  
Hsien-Chung Chiu

This experimental study aimed to compare the internal fit (marginal fit and internal discrepancy) of metal crowns fabricated by traditional casting and digital methods (computer numerically controlled (CNC) milling and three-dimensional [3D] printing). Thirty standard master abutment models were fabricated using a 3D printing technique with digital software. Metal crowns were fabricated by traditional casting, CNC milling, and 3D printing. The silicon replica method was used to measure the marginal and internal fit. A thin layer of low-viscosity polyvinyl siloxane material was placed inside each crown and on the die (like a seat) until the material was set. Replicas were examined at four reference points under a microscope: the central pit (M1), cusp tip (M2), axial wall (M3), and margin (M4). The measured data were analyzed using a one-way analysis of variance (ANOVA) to verify statistical significance, which was set at p < 0.05. In the traditional casting group, the minimum distance measured was at M3 (90.68 ± 14.4 μm) and the maximum distance measured was at M1 (145.12 ± 22 μm). In the milling group, the minimum distance measured was at M3 (71.85 ± 23.69 μm) and the maximum distance measured was at M1 (108.68 ± 10.52 μm). In the 3D printing group, the minimum distance measured was at M3 (100.59 ± 9.26 μm) and the maximum distance measured was at M1 (122.33 ± 7.66 μm). The mean discrepancy for the traditional casting, CNC milling, and 3D printing groups was 120.20, 92.15, and 111.85 μm, respectively, showing significant differences (P < 0.05). All three methods of metal crown fabrication, that is, traditional casting, CNC milling, and 3D printing, had values within the clinically acceptable range. The marginal and internal fit of the crown was far superior in the CNC milling method.


2020 ◽  
Vol 19 (6) ◽  
pp. 38-49
Author(s):  
D. M. Kuz’min ◽  
◽  
A. A. Fedotova ◽  

The main priority of middle ear surgery is to create a safe and optimal view of the surgical field, as well as the most accurate visualization of anatomical structures, which is a driving factor in the evolution of otosurgery. The additional information provided by three-dimensional (3D) images has been proven to improve understanding of the temporal bone anatomy and improve the operator’s ability to assess associated diseases, thereby optimizing surgical management. In the presented experimental research work, a new technique for visualizing the surgical field is described, which improves the quality of the operator’s work and expands the possibilities of middle ear surgery. On the basis of the Chair of Otorhinolaryngology of the Mechnikov North-Western State Medical University a remote adapter for an endoscopic tube was created, which allows you to broadcast the video image received from its distal end to virtual reality glasses. For a detailed understanding of the principle of information transmission in a new three-dimensional reality, we used concepts such as disparity and stereopsis. All research results were evaluated according to the NASA Task Load Index scale. Analyzing the results of the experiment, in the conditions of three-dimensional visualization of the surgical field, a lower level of subjective workload was revealed, which was regarded as a positive effect of the realization of the phenomenon of stereopsis, when performing manipulations on the middle ear.


1990 ◽  
Vol 26 (Supplement) ◽  
pp. 248-249
Author(s):  
Am CHO ◽  
Kageyu NORO ◽  
Shinya KOSHIE ◽  
Atsuko HONDO ◽  
Sakae YAMAMOTO

2019 ◽  
Vol 76 (11) ◽  
pp. 3455-3484 ◽  
Author(s):  
Carsten Abraham ◽  
Adam H. Monahan

Abstract The atmospheric nocturnal stable boundary layer (SBL) can be classified into two distinct regimes: the weakly SBL (wSBL) with sustained turbulence and the very SBL (vSBL) with weak and intermittent turbulence. A hidden Markov model (HMM) analysis of the three-dimensional state-variable space of Reynolds-averaged mean dry static stability, mean wind speed, and wind speed shear is used to classify the SBL into these two regimes at nine different tower sites, in order to study long-term regime occupation and transition statistics. Both Reynolds-averaged mean data and measures of turbulence intensity (eddy variances) are separated in a physically meaningful way. In particular, fluctuations of the vertical wind component are found to be much smaller in the vSBL than in the wSBL. HMM analyses of these data using more than two SBL regimes do not result in robust results across measurement locations. To identify which meteorological state variables carry the information about regime occupation, the HMM analyses are repeated using different state-variable subsets. Reynolds-averaged measures of turbulence intensity (such as turbulence kinetic energy) at any observed altitude hold almost the same information as the original set, without adding any additional information. In contrast, both stratification and shear depend on surface information to capture regime transitions accurately. Use of information only in the bottom 10 m of the atmosphere is sufficient for HMM analyses to capture important information about regime occupation and transition statistics. It follows that the commonly measured 10-m wind speed is potentially a good indicator of regime occupation.


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