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Application of artificial intelligence in surgery

Xiao-Yun Zhou, Yao Guo, Mali Shen, Guang-Zhong Yang

《医学前沿（英文）》 2020年第14卷第4期页码 417-430 doi: 10.1007/s11684-020-0770-0

摘要： Artificial intelligence (AI) is gradually changing the practice of surgery with technological advancements in imaging, navigation, and robotic intervention. In this article, we review the recent successful and influential applications of AI in surgery from preoperative planning and intraoperative guidance to its integration into surgical robots. We conclude this review by summarizing the current state, emerging trends, and major challenges in the future development of AI in surgery.

关键词： artificial intelligence surgical autonomy medical robotics deep learning

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Surgical robotics: A look-back of latest advancement and bio-inspired ways to tackle existing challenges

Yang LIU, Jing LIU

《机械工程前沿（英文）》 2012年第7卷第4期页码 376-384 doi: 10.1007/s11465-012-0352-1

摘要：

This article is dedicated to present a review on existing challenges and latest developments in surgical robotics in attempts to overcome the obstacles lying behind. Rather than to perform an exhaustive evaluation, we would emphasize more on the new insight by digesting the emerging bio-inspired surgical technologies with potentials to revolutionize the field. Typical approaches, possible applications, advantages and technical challenges were discussed. Evolutions of surgical robotics and future trends were analyzed. It can be found that, the major difficulties in the field of surgical robots may not be properly addressed by only using conventional approaches. As an alternative, bio-inspired methods or materials may shed light on new innovations. While endeavors to deal with existing strategies still need to be made, attentions should be paid to also borrow ideas from nature.

关键词： minimally invasive surgery surgical robotics haptic feedback miniaturization bio-inspiration bionics

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Introduction to the special issue on the “IFToMM International Symposium on Robotics and Mechatronics

I-Ming CHEN, Feng GAO

《机械工程前沿（英文）》 2012年第7卷第2期页码 99-99 doi: 10.1007/s11465-012-0319-2

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基于超声引导的高精度机器人辅助HIFU 乳腺癌治疗系统 Article

Tianhan Tang,Takashi Azuma,Toshihide Iwahashi,Hideki Takeuchi,Etsuko Kobayashi,Ichiro Sakuma

《工程（英文）》 2018年第4卷第5期页码 702-713 doi: 10.1016/j.eng.2018.07.008

摘要：

乳腺癌是女性中最常见的癌症。高强度聚焦超声（波）（HIFU）是一种很有前景的非介入式治疗方法。为了提高HIFU 治疗的精确度和降低治疗成本，开发了一套基于超声引导（US）的五自由度辅助HIFU 系统。搭建了一套功能齐全的样机，它可以轻松地实现三维超声图像重建、目标分割、治疗路径生成和HIFU 自动照射等功能。利用线模型实现点定位，并且在异构组织模型上对凝固区域进行评估。在超声引导下，HIFU 治疗区域的中心偏离目标治疗区域中心不到2 mm。规划治疗区域周围出现的超调值远低于在临床使用的允许值。对于乳腺癌的治疗，本系统有足够的准确性。

关键词： HIFU 乳腺癌超声引导医疗机器人准确性评估

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A literature review of perishable medical resource management

《工程管理前沿（英文）》页码 710-726 doi: 10.1007/s42524-023-0278-9

摘要： In recent decades, healthcare providers have faced mounting pressure to effectively manage highly perishable and limited medical resources. This article offers a comprehensive review of supply chain management pertaining to such resources, which include transplantable organs and healthcare products. The review encompasses 93 publications from 1990 to 2022, illustrating a discernible upward trajectory in annual publications. The surveyed literature is categorized into three levels: Strategic, tactical, and operational. Key problem attributes and methodologies are analyzed through the assessment of pertinent publications for each problem level. Furthermore, research on service innovation, decision analytics, and supply chain resilience elucidates potential areas for future research.

关键词： perishable medical resources organ transplant healthcare products decision analytics operations management

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人工智能与机器人辅助医学发展研究

韩晓光,朱小龙,姜宇桢,何达,刘文勇,段星光,田伟

《中国工程科学》 2023年第25卷第5期页码 43-54 doi: 10.15302/J-SSCAE-2023.07.031

摘要： AI in medical imaging informatics: Current challenges and future directions [J]‍.Medical robotics—Regulatory, ethical, and legal considerations for increasing levels of autonomy [J]‍Science Robotics , 2017 , 2 4 : eaam8638 ‍.Autonomy in rehabilitation robotics: An intersection [J]‍.Annual Review of Control, Robotics, and Autonomous Systems , 2018 , 1 : 441 ‒ 463 ‍.

关键词：智慧医疗；人工智能；手术机器人；康复和护理机器人；辅助远程医疗中

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Effectiveness of preventive medicine education and its determinants among medical students in Malaysia

null

《医学前沿（英文）》 2016年第10卷第1期页码 91-100 doi: 10.1007/s11684-016-0428-0

摘要：

Preventive medicine has been incorporated in the medical school curriculum, but its effectiveness and the factors that affect it are yet to be widely looked into in the context of Malaysia. We aimed to measure the familiarity with, perception about the importance to learn, and the ability to practice preventive medicine as well as its determinants among the medical students in Malaysia. Thus, a cross sectional study was conducted through an anonymous online survey among 387 randomly selected final year medical students of four large public medical schools in Malaysia from March to September 2014. Of the total sample, only 340 (response rate 87.8%) gave a written informed consent and took part in the survey. The familiarity of the sample with preventive medicine was measured in 19 preventive medicine areas, and their perception about the importance of preventive medicine and their ability to practice it were gauged on a Likert scale (low score indicates disagreement and high indicates agreement). Descriptive statistical analysis was performed, followed by logistic regression. The mean age of the respondents was 23.7 (SD 0.77) years, and 61.2% (n = 208) of them were females. Results showed that 22.9% of the sample (n= 78) had a low familiarity with preventive medicine, whereas 76.8% (n = 261) had a high familiarity. The study sample specified that among all the preventive medicine subjects, screening and control as well as smoking cessation and immunization are “extremely important to learn.” In univariable analysis, being a female, medical school, family size, and perception about the importance to learn preventive medicine were associated with the ability to practice it. In multivariable analysis, the perception towards the importance to learn preventive medicine was the only significant determinant: aOR (adjusted odds ratio) for those who “agreed” 17.28 (95% CI aOR 4.44 – 67.26, P<0.001) and for “strongly agreed” 35.87 (95% CI aOR 8.04 – 159.87, P<0.001). Considering these findings, the familiarity of medical students with preventive medicine should be increased. The perception about the importance to learn preventive medicine is a strong determinant for the ability to practice it.

关键词： preventive medicine medical school medical students

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Attitude toward preventive counseling and healthy practices among medical students at a Colombian university

null

《医学前沿（英文）》 2015年第9卷第2期页码 251-259 doi: 10.1007/s11684-015-0393-z

摘要：

Unhealthy behaviors of medical students influence their attitudes toward preventive counseling. The burden of chronic diseases is continually growing in developing countries, emphasizing the need for the increased role of general practitioners in preventive counseling. The objective of this study was to describe the effect of medical training on the risk profiles and attitudes of medical students toward preventive counseling in a Colombian university. Students in their first and fifth years of training were surveyed using the “Healthy Doctor= Healthy Patient” questionnaire to assess counseling attitudes; personal practices, such as risky drinking, smoking, inadequate nutrition, and non-compliance with physical activity recommendations; and the university environment. The association among these components was estimated, as well as the effect of the university environment. Risky drinking and smoking decreased from first to fifth year (59.3% vs. 37.1%, P = 0.021 and 31.5% vs. 25.9%, P = 0.51, respectively), whereas inadequate nutrition and non-compliance with physical activity recommendations increased. Physical activity (PA) was associated with positive counseling attitude (ORs: nutrition 7.6; alcohol 5.2; PA 10.6). Areas governed by institutional policies that are emphasized in the curriculum positively affected student practices. PA promoted preventive counseling and healthy lifestyles most effectively. Universities should therefore strengthen their preventive medicine curricula and modify social determinants.

关键词： lifestyle medical students preventive medicine counseling universities schools medical

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增材制造技术的医疗应用进展 Review

李春旭, Dario Pisignano, 赵宇, 薛佳佳

《工程（英文）》 2020年第6卷第11期页码 1222-1231 doi: 10.1016/j.eng.2020.02.018

摘要：

在过去的几十年间，增材制造（additive manufacturing, AM）技术可低成本、高效益地制造几何外形复杂的物体，在医疗行业得到了快速的发展和广泛的应用。在本文中，我们讨论了AM技术在制药学、医用植入物和医疗器械领域中的最新应用进展。口服和透皮给药的药物可以通过多种AM技术制备，不同类型的软硬医用植入物也可通过AM技术实现组织工程结构的制作。此外，利用AM技术还发明了用于诊断和治疗各种病理情况的医疗器械。越来越多的研究揭示了AM技术在医疗应用中的巨大潜力。本文目的是阐述AM技术在医学领域的应用进展以及目前的局限性。

关键词：增材制造医疗应用制药学医用植入物医疗器械

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Methodological challenges to human medical study

null

《医学前沿（英文）》 2014年第8卷第3期页码 328-336 doi: 10.1007/s11684-014-0359-6

摘要：

With the transformation of modern medicinal pattern, medical studies are confronted with methodological challenges. By analyzing two methodologies existing in the study of physical matter system and information system, the article points out that traditional Chinese medicine (TCM), especially the treatment based on syndrome differentiation, embodies information conception of methodological positions, while western medicine represents matter conception of methodological positions. It proposes a new way of thinking about combination of TCM and western medicine by combinating two kinds of methodological methods.

关键词： medical paradigm traditional Chinese medicine western medicine scientific view scientific methodology

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Primary health care for all by 2020: The systematic reform of the medical and health system in China

《医学前沿（英文）》 2010年第4卷第1期页码 3-7 doi: 10.1007/s11684-010-0024-7

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机器人技术——从自动化到智能系统

Eduardo Nebot

《工程（英文）》 2018年第4卷第4期页码 446-448 doi: 10.1016/j.eng.2018.07.018

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Stiffness analysis and experimental validation of robotic systems

Giuseppe CARBONE

《机械工程前沿（英文）》 2011年第6卷第2期页码 182-196 doi: 10.1007/s11465-011-0221-3

摘要：

Stiffness can be considered of primary importance in order to guarantee the successful use of any robotic system for a given task. Therefore, this paper proposes procedures for carrying out both numerical and experimental estimations of stiffness performance for multibody robotic systems. The proposed numerical procedure is based on models with lumped parameters for deriving the Cartesian stiffness matrix. Stiffness performance indices are also proposed for comparing stiffness performance. Then, an experimental procedure for the evaluation stiffness performance is proposed as based on a new measuring system named as Milli-CATRASYS (Milli Cassino Tracking System) and on a trilateration technique. Cases of study are reported to show the soundness and engineering feasibility of both the proposed numerical formulation for stiffness analysis and experimental validation of stiffness performance.

关键词： robotics stiffness performance numerical and experimental estimations

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Thanks to all medical workers fighting against COVID-19

Xiao-ping Chen

《医学前沿（英文）》 2020年第14卷第2期页码 249-250 doi: 10.1007/s11684-020-0789-2

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Learning from biological attachment devices: applications of bioinspired reversible adhesive methods in robotics

《机械工程前沿（英文）》 2022年第17卷第3期 doi: 10.1007/s11465-022-0699-x

摘要： Many organisms have attachment organs with excellent functions, such as adhesion, clinging, and grasping, as a result of biological evolution to adapt to complex living environments. From nanoscale to macroscale, each type of adhesive organ has its own underlying mechanisms. Many biological adhesive mechanisms have been studied and can be incorporated into robot designs. This paper presents a systematic review of reversible biological adhesive methods and the bioinspired attachment devices that can be used in robotics. The study discussed how biological adhesive methods, such as dry adhesion, wet adhesion, mechanical adhesion, and sub-ambient pressure adhesion, progress in research. The morphology of typical adhesive organs, as well as the corresponding attachment models, is highlighted. The current state of bioinspired attachment device design and fabrication is discussed. Then, the design principles of attachment devices are summarized in this article. The following section provides a systematic overview of climbing robots with bioinspired attachment devices. Finally, the current challenges and opportunities in bioinspired attachment research in robotics are discussed.

关键词： adhesion bioinspired attachment biomimetic gripper climbing robot