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Dimytri A. Siqueira MD PHD Matheus Simonato MD Auristela A. Ramos MD PhD Tiago Bignoto MD PhD David Le Bihan MD PhD Rodrigo B. M. Barreto MD PhD Tiago Senra MD PhD Ibraim M. Pinto MD PhD Antonio M. Kambara MD PhD Magaly A. Santos MD PhD Renata Viana MD Amanda G. M. R. Sousa MD PhD Alexandre A. C. Abizaid MD PhD 《Catheterization and cardiovascular interventions》2021,97(1):167-174
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Victor Lopez-Lopez Ricardo Robles-Campos Dario García-Calderon Hauke Lang Esteban Cugat Santos Jiménez-Galanes Jose Manuel Férnandez-Cebrian Victor Sánchez-Turrión José Manuel Fernández-Fernández Manuel Ángel Barrera-Gómez Juan de la Cruz Asunción Lopez-Conesa Roberto Brusadin Beatriz Gomez-Perez Pascual Parrilla-Paricio 《HPB : the official journal of the International Hepato Pancreato Biliary Association》2021,23(5):675-684
BackgroundHepatobiliary resections are challenging due to the complex liver anatomy. Three-dimensional printing (3DP) has gained popularity due to its ability to produce anatomical models based on the characteristics of each patient.MethodsA multicenter study was conducted on complex hepatobiliary tumours. The endpoint was to validate 3DP model accuracy from original image sources for application in the teaching, patient-communication, and planning of hepatobiliary surgery.ResultsThirty-five patients from eight centers were included. Process testing between 3DP and CT/MRI presented a considerable degree of similarity in vascular calibers (0.22 ± 1.8 mm), and distances between the tumour and vessel (0.31 ± 0.24 mm). The Dice Similarity Coefficient was 0.92, with a variation of 2%. Bland–Altman plots also demonstrated an agreement between 3DP and the surgical specimen with the distance of the resection margin (1.15 ± 1.52 mm). Professionals considered 3DP at a positive rate of 0.89 (95%CI; 0.73–0.95). According to student's distribution a higher success rate was reached with 3DP (median:0.9, IQR: 0.8–1) compared with CT/MRI or 3D digital imaging (P = 0.01).Conclusion3DP hepatic models present a good correlation compared with CT/MRI and surgical pathology and they are useful for education, understanding, and surgical planning, but does not necessarily affect the surgical outcome. 相似文献
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Délia Chaves Moreira dos Santos Marselle Leite Silvério de Souza Eliane Morais Teixeira Líndicy Leidicy Alves José Mário Carneiro Vilela Margareth Andrade 《Journal of drug targeting》2018,26(4):357-364
This work aimed to optimise a new nanoemulsion (NE) formulation loaded with Amphotericin B (AmB) and to evaluate its in vivo antileishmanial activity and in vitro haemolytic toxicity. The influence of gradual increases in pressure, using a high-pressure homogeniser, was evaluated. The NE was characterised for droplet size, polydispersity index, zeta potential and encapsulation efficiency (EE). For antileishmanial activity studies, AmB-NE was administered intravenously in mice infected by Leishmania infantum chagasi, which causes Visceral Leishmaniasis (VL). When the NE was submitted to gradual increases in pressure, the PI values and droplet size decreased. The droplet size (~145?nm) was lower than that obtained in previous studies. The zeta potential was negative and the EE was almost 100%. The haemolytic toxicity, evaluated on human red blood cells, for AmB-loaded NE was lower than that observed for the conventional AmB (C-AmB). C-AmB at 2?mg/kg was very toxic. In contrast, administration of the AmB-loaded NE, at same dose, did not result in any sign of acute toxicity, promoting a significant reduction in parasite burden as compared to the C-AmB. These findings suggest that this new AmB-loaded NE constitutes an attractive alternative for the treatment of VL due to improved efficacy and lower toxicity. 相似文献
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Frol Senta Šabovič Mišo Popovič Katarina Šurlan Oblak Janja Pretnar 《Journal of thrombosis and thrombolysis》2021,51(1):194-202
Journal of Thrombosis and Thrombolysis - Successful revascularization therapy is of paramount importance in patients suffering acute ischemic stroke (AIS). However, there is currently only limited... 相似文献
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