Feasibility of the PSCOPE hybrid model for predicting post-left ventricular assist device hemodynamics: Three patient-specific cases.

Burns are complex injuries with devastating long-term impacts. Despite advancements in burn care, infections remain the leading cause of morbidity and mortality. Early and accurate detection of bacterial burden is critical for effective intervention, yet traditional diagnostic methods have limitations. Fluorescence imaging has emerged as an effective tool to enhance bacterial detection and guide infection management in burn wound management. This scoping review summarizes current evidence on fluorescence imaging-guided detection of bacterial loads in burn wounds and explores its potential role across different stages of burn care. A comprehensive literature search was conducted in PubMed using the inclusion and exclusion terms ("fluorescence" OR "autofluorescence") AND ("burn" OR "burns") AND "imaging" AND "bacteria" NOT "microscopy." This search yielded 30 publications, which were further filtered to exclude preclinical studies, review articles, or articles that were not specific to burns. A total of 6 articles investigating the diagnostic accuracy of fluorescence imaging (MolecuLight) in patients with burn injuries were identified. This evidence suggests that fluorescence imaging improves the accuracy of bacterial detection in burns compared to clinical assessment alone, facilitating targeted wound sampling and debridement, enhancing antimicrobial stewardship, and guiding timely interventions. In addition, burn wound surgical planning may be optimized by fluorescence imaging-guided identification of areas requiring excision and grafting. Fluorescence imaging shows promise in enhancing bacterial detection in burn wounds, aiding clinical decision-making and infection management. However, further statistically powered studies are needed to evaluate its impact on patient with burn injury outcomes.

Augmented and Virtual Reality in Open Neurovascular Surgery: A Systematic Review of the Literature.

Observational evaluation of AI-assisted measurements and reporting for enhanced workflow efficiency in leg and foot radiographs.

Multidisciplinary early care in a newborn with palatolabioschisis: Emphasizing feeding intervention and surgical planning

Regional-aware and sequence-informed multi-decoder network for robust brain glioma segmentation in multi-parametric MRI.

Unplanned return to theater (URTT) following head and neck cancer reconstruction presents significant clinical and economic challenges. Identifying risk factors for URTT can aid in surgical planning and patient risk stratification. This study evaluates preoperative and intraoperative factors associated with URTT in patients undergoing free flap reconstruction after head and neck tumor resection. A retrospective cohort study was conducted on patients undergoing head and neck tumor resection with free flap reconstruction between July 2015 and January 2024. Demographic, clinical, and operative data were analyzed using univariable and multivariable logistic regression. Of 609 patients included, 199 (32.7%) experienced URTT within 90 days postoperatively. Common indications for URTT included infected collections (33.7%), hematoma (24.6%), and flap dehiscence (16.1%). On univariable analysis, preoperative PEG tube use (unadjusted odds ratio (OR) 1.78 [95% confidence interval (CI) 1.03-3.07], p = 0.04), higher frailty index scores (1.27 [1.03-1.58], p = 0.03), longer operative duration (1.15 [1.06-1.24], p < 0.001), use of bony free flaps (2.08 [1.44-3.01], p < 0.001), and tracheostomy (2.09 [1.22-3.56], p = 0.01) were associated with URTT. Yet, on multivariable analysis, only higher frailty index score (adjusted OR 1.32, 95% CI 1.03-1.70, p = 0.03) and use of bony free flaps (adjusted OR 1.92, 95% CI 1.19-3.11, p < 0.01) retained statistical significance. The findings of this study suggest that frailty and the use of bony free flaps are key risk factors for URTT among reconstructive head and neck cancer patients. These findings support patient risk stratification preoperatively and targeted interventions to reduce the risk of URTT and improve resource utilization in head and neck cancer surgery.

Frequency-dependent assessment of eardrum lesions using multisine OCT vibrometry.

Objective:To analyze the surgical efficacy of drug-induced sleep endoscopy（DISE） localization-assisted treatment for obstructive sleep apnea-hypopnea syndrome（OSAHS）, and to explore the guiding role of DISE in multi-plane surgery for OSAHS. Methods:A retrospective analysis was conducted on patients with OSAHS who underwent surgical treatment in the Department of Otorhinolaryngology Head and Neck Surgery of the Second Hospital of Jilin University from January 2020 to October 2023. All patients underwent DISE examination and electronic nasopharyngoscopy combined with Müller examination（ENMM）, and surgical plans were formulated based on the results of each examination. Among them, a total of 103 patients received surgical plans guided by DISE and were named the DISE group; a total of 93 patients received surgical plans guided by ENMM and were named the ENMM group. Both groups of patients underwent palatopharyngeal and/or tongue root level surgeries simultaneously. Before the operation, all cases underwent polysomnography（PSG）, Epworth Sleepiness Scale（ESS）, and snoring scale（SS） scoring. At 6 months after the operation, all patients returned to the hospital for re-examination of the above-mentioned examinations and scales to observe the status of body mass index（BMI）, apnea-hypopnea index（AHI）, lowest blood oxygen saturation（LSaO2）, and scale scores. Propensity score matching was used to match the two groups of patients at a 1∶1 ratio, and the subjective symptoms, objective indicators, and total effective rate of treatment before and after the operation were compared and analyzed. Results:After propensity score matching, 80 cases were included in each group. There were no significant differences in age, gender, disease duration, smoking history, whether hypertension was present, preoperative BMI, AHI, LSaO2, and ESS between the two groups（P>0.05）. During preoperative examinations, the severity of lingual root obstruction found in the DISE group was higher than that in the ENMM group. At 6 months after surgery, both groups showed improvements in ESS, SS, BMI, AHI, and LSaO2 compared to before surgery. The ESS score and improvement in LSaO2 in the DISE group were more significant, and these differences were statistically significant（P<0.05）. Conclusion:DISE has significant advantages in identifying severe tongue root obstruction. When conducting concurrent multi-plane surgeries for OSAHS patients under the guidance of DISE, the treatment effect is excellent, further confirming the practical value of DISE in the assessment and treatment of OSAHS.

Practical Approach to Imaging of Orbital Tumors.

Central tarsal bone (CTB) fractures are challenging to diagnose, and cross-sectional imaging is required for definitive characterization and surgical planning. This retrospective case series aims to provide the first description of high-field (3-T) MRI characteristics of CTB fractures, concurrent pathology, and clinical presentation in 8 performance horses. 8 horses (9 limbs) diagnosed with a CTB fracture on high-field MRI at one tertiary referral hospital between 2013 and 2023 were identified via electronic medical records search. Quarter Horses (6 of 8) used for Western performance disciplines, a Lusitano (1 of 8) used for Dressage, and a Thoroughbred (1 of 8) used for polo, with ages ranging from 3 to 20 years (mean, 8.4 years), were included. Lameness onset was chronic in the majority of cases (5 of 8), with grades ranging from 3/5 to 4/5. Lameness was localized to the proximal metatarsus (4 of 6), distal tarsal joints (1 of 6), or tarsocrural joint (1 of 6). A suspected CTB fracture was identified on radiographs prior to MRI in only 1 limb. Fractures were complete (6 of 9) or incomplete (3 of 9) with a dorsomedial to plantarolateral orientation occurring from 36° to 62° medial to the sagittal plane (mean, 52°). There was severe sclerosis (9 of 9) and mild (4 of 9), moderate (4 of 9), or severe (1 of 9) bone edema-like signal associated with all fractures. High-field MRI enabled diagnosis and detailed evaluation of CTB fracture configuration and concurrent bone and soft tissue pathology. Dorsomedial-plantarolateral oblique radiographic projections at approximately 50° medial to the sagittal plane may improve initial CTB fracture identification in performance horses.

Differences between image-based and imageless robotics for total knee arthroplasty - an overview.

Lister's tubercle revisited: Anatomical variants and tendon relationships on wrist MRI.

Five-year outcomes of anatomic total shoulder arthroplasty with Aequalis Perform+ posterior augmented glenoid implants in Walch B2 and B3 glenoids.

Comparison of periarticular knee anatomy between patients with knee osteoarthritis and normal adults.

Self-supervised learning and hybrid deep models for predicting the progression of Fuchs' endothelial corneal dystrophy after cataract surgery.

Mucinous ovarian cancer (MOC) is a rare epithelial ovarian cancer subtype with poor prognosis, particularly in advanced stages. Differentiating MOC from mucinous borderline ovarian tumor (MBT) remains clinically challenging, often leading to delayed or inadequate treatment. Accurate preoperative diagnosis is crucial for guiding surgical strategies and improving patient outcomes. This study evaluated preoperative clinical factors that can distinguish MOC from MBT. We retrospectively analyzed 46 ovarian mucinous tumors diagnosed between 2017 and 2021, including 15 MOC and 31 MBT cases confirmed by histopathology. Patient age, tumor laterality, tumor size, tumor markers (CA125, CA19-9, CA72-4, CEA), and tumor volume were assessed. Tumor size was measured as the maximum magnetic resonance imaging diameter, whereas volume was calculated using three-dimensional imaging. Statistical analyses included the Mann-Whitney U test and receiver operating characteristic curve analysis, with AUC as a measure of diagnostic accuracy. Among the tumor markers, CA72-4 exhibited the highest diagnostic accuracy (area under the curve [AUC]: 0.834), with significantly higher levels in MOC than in MBT (p < 0.001). Tumor size alone was an unreliable discriminator (AUC: 0.42). The tumor volume tended to be larger in MBT than in MOC (median: 2 362 878 cm3 vs. 1 262 436 cm3; p = 0.77). However, the combination of CA72-4 and tumor volume improved the diagnostic performance (AUC: 0.875). The combination of CA72-4 levels and tumor volume enhances preoperative differentiation between MOC and MBT. This combined approach may optimize surgical planning and improve patient outcomes.

Adult spinal deformity is a multifaceted condition increasingly encountered in aging populations, often complicated by coexisting hip and knee osteoarthritis. It is important to present an integrated review of biomechanical, surgical, and technologic advances shaping modern adult spinal deformity management. First, the hip-spine-lower extremity relationship and how lower limb pathology impairs compensatory mechanisms, alters spinopelvic alignment, and influences surgical outcomes should be examined. Next, the evolution of classification systems and alignment philosophies-ranging from the Scoliosis Research Society-Schwab classification to patient-specific, age-adjusted models-should be outlined alongside technologic innovations such as artificial intelligence, three-dimensional planning, and robotics. The role of minimally invasive surgery is rising, and its benefits, limitations, and patient selection criteria should be evaluated. Critical topics include frailty-adjusted surgical planning, prevention of proximal junctional kyphosis or failure, and multidisciplinary strategies to improve functional outcomes and reduce complications. Collectively, there is a paradigm shift toward personalized, precision-driven care in adult spinal deformity surgery.

This research aims to investigate femoral neck anteversion (FNA) on the less involved side in unilateral cerebral palsy (CP) and examine its impact on hip rotation during gait. Sixty-nine patients with unilateral CP, with a mean of 21 years, were included study. Static and dynamic hip rotation ranges were quantified via physical examination and three-dimensional motion analysis. Patients were stratified into five levels of involvement according to modified Winters' classification. FNA differences between modified Winters' classification types and correlation with static and dynamic hip rotation were analyzed. Hip morphology was classified based on the Melbourne Cerebral Palsy Hip Classification Scale E&R. Regarding FNA, our analysis suggested a moderate correlation ( r = 0.61, P < 0.05) between both sides. Hip dysplasia was found in 20.5 and 23.1% of the less involved and more involved sides, respectively, in 39 patients. Increased FNA was associated with increased static hip internal and decreased external rotation for both sides ( P < 0.05). A positive correlation was observed between FNA and dynamic hip rotation on the more involved side ( P < 0.05). Conversely, on the less involved side, FNA showed no significant correlation with pelvic, hip, or knee rotation. This study demonstrates that in unilateral CP, the less involved side is also significantly affected, a moderate correlation exists between the two sides, and both hips may exhibit dysplasia. These findings underscore the necessity for a comprehensive bilateral clinical assessment. Long-term surveillance of both hips and consideration of the less involved side for surgical planning may be warranted.

Predictors of prolonged length of hospital stay and 30-Day readmission following surgical resection of spinal Chordomas: A retrospective national cancer database analysis.