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  • REVIEW
    CHEN Yang1,2, FU Binhai1,2 , WU Mingkang1, SUN Xueqin1,2, ZHANG Jianfang1,2, CUI Yeqian1,2, WANG Shaobo1
    China Medical Devices. 2024, 39(8): 146-151. https://doi.org/10.3969/j.issn.1674-1633.2024.08.023
    The effect of radiotherapy in the treatment of head and neck tumors is very significant, but the current difficulty of radiotherapy lies in the complicated anatomy of head and neck and the large positioning, which must achieve accurate positioning. With the continuous improvement and innovation of the fixtures, it provides a good fixing effect for patients and improves the accuracy of radiotherapy positioning. This paper reviewed the application status, advantages and disadvantages and future development direction of various head and neck fixtures, aiming to provide reference for the selection of head and neck radiotherapy fixtures, so as to solve the difficult problems in the treatment process and improve the radiotherapy quality.
  • REVIEW
    GU Xiaofang, HE Liping, YANG Pengfei, WANG Ying
    China Medical Devices. 2024, 39(8): 152-158. https://doi.org/10.3969/j.issn.1674-1633.2024.08.024
    Boron neutron capture therapy (BNCT) is a new method to treat tumors, and it has outstanding advantages in the treatment of recurrent head and neck tumor, glioma and malignant melanoma at present. This paper described the development status of BNCT technology from the aspects of its principle, development history, boron-containing drugs, side effects of treatment, neutron generation mode and neutron sources, approval for marketing domestically and internationally, and provided future prospects for this treatment technology, and provided a review of the current development status of BNCT technology, in order to enhance the understanding of medical personnel, research and development personnel, regulatory personnel, and other relevant industries on BNCT. It aims to provide reference for the development of BNCT technology, the establishment of relevant technical guidelines, or specifications in China, so as to promote the early service of Chinese BNCT for the vast number of tumor patients.
  • REVIEW
    YU Wenyuan1,2, XU Xiao2, CHEN Zhenggang2
    China Medical Devices. 2024, 39(8): 159-164. https://doi.org/10.3969/j.issn.1674-1633.2024.08.025
    With active exploration of the etiological mechanism behind infantile hemangiomas (IH) and the progressive replacement of treatment methods, propranolol has replaced traditional surgical therapy as a first-line medication. Since IH are mostly located in the face and neck, with patients being young and having high aesthetic requirements, it is necessary to actively seek various alternative therapies to meet the growing clinical needs of patients. Laser serves as a crucial supplementary means to treat IH, characterized by minimal trauma and short treatment periods. Pulsed dye laser and Nd:YAG laser, in particular, hold significant clinical value. This paper provided an overview and future perspectives on the industrial situation, therapeutic mechanism, classification, applications, and research outcomes related to medical lasers for IH, aiming to enhance attention on laser treatment for IH while offering multiple techniques and new ideas for medical lasers applications.
  • REVIEW
    YANG Jiamin1, LIU Xiaolin1,2
    China Medical Devices. 2024, 39(8): 165-170. https://doi.org/10.3969/j.issn.1674-1633.2024.08.026
    Coronary microcirculation dysfunction (CMD) is a clinical syndrome of myocardial ischemia caused by abnormal structure or function of coronary arterioles under the joint action of a variety of pathogenic factors. Patients with CMD have significantly increased risk of adverse cardiovascular events. Myocardial perfusion imaging is an important noninvasive method to evaluate myocardial microcirculation and to determine the prognosis and adverse events of cardiovascular diseases. At present, the commonly used imaging techniques include computed tomography, cardiac magnetic resonance, single photon emission computed tomography, positron emission computed tomography, transthoracic Doppler ultrasound and other methods, which have high accuracy in the evaluation of myocardial ischemia. With the continuous development of imaging technology, imaging omics has played an increasingly important role in clinical diagnosis, which provides the possibility for early prediction and prognosis of diseases. This article reviewed the application of different imaging techniques in the diagnosis of CMD, discussed their different roles in clinical diagnosis, and looked forward to the potential value of radiomics in the evaluation of CMD. Through comparative analysis, it aimed to provide a more comprehensive diagnostic strategy for CMD in clinical practice and provide reference for future research directions.
  • REVIEW
    WU Yunheng, LI Weijia, ZHANG Lei
    China Medical Devices. 2024, 39(8): 171-176. https://doi.org/10.3969/j.issn.1674-1633.2024.08.027
    As Chinese medical technology continues to advance, the introduction of medical equipment in various medical structures has increased year by year, and the management problems of medical equipment have also become prominent. Under the background that the new medical reform puts forward higher requirements for the standardized management of medical institutions, how to improve the scientific management of medical equipment has become one of the urgent problems to be solved. This paper undertook an analysis of the current state of medical equipment management in medical institutions, identified potential issues, and proposed feasible solutions by drawing on both domestic and international experiences. The objective was to bolster the management proficiency of medical equipment to meet the requirements of ongoing medical and health care reform.
  • REVIEW
    WANG Jingjing1a, FU Yang1b, ZHAO Xiao2, LIU Wei1b,1c
    China Medical Devices. 2024, 39(7): 142-146. https://doi.org/10.3969/j.issn.1674-1633.2024.07.024
    The digital central monitoring system is an important part of the smart medical system, which can carry out comprehensive real-time monitoring of patients’ conditions, realize the co-creation of medical care and patient value, extend medical services, and promote the high-quality development of hospitals. Starting from the background of “smart medical” era, this paper introduced the application and development of digital central monitoring system in the construction of smart medical care in detail, analyzed the advantages and limitations of central monitoring system in daily treatment work, and pointed out the development trend of central monitoring system in the future, so as to provide new ideas for relevant research teams and medical institutions in the construction of smart medical care system. Finally, it is pointed out that the construction of regional diagnosis and treatment center based on the digital central monitoring system can jointly promote the high-quality development of regional medical level.
  • REVIEW
    LIN Yinguanga,b, SU Juanb, QIN Qiua, WU Honga, HUANG Xianglianb, LI Chuanhuaa
    China Medical Devices. 2024, 39(7): 147-152. https://doi.org/10.3969/j.issn.1674-1633.2024.07.025
    Radiation therapy is an important method in the comprehensive treatment of breast cancer. Postoperative radiotherapy can reduce the recurrence rate and improve the long-term survival rate of breast cancer, but it also inevitably leads to the irradiation of organs at risk. These exposures reduce organ function or increase the risk of related diseases, and become more prominent with the prolongation of patient survival, which has become the main factor affecting the long-term survival of patients. Therefore, it is of great significance to protect the organs at risk of breast cancer radiotherapy patients for their quality of life. In recent years, with the rapid development of radiotherapy equipment and various technologies, the way of treatment is constantly updated, and the treatment concept of precision, efficiency and safety continues to highlight the role of protecting patients’ organs at risk. This paper reviewed the techniques and measures of reducing the risk organ dose of breast cancer radiotherapy patients, so as to provide a reference for improving the treatment of breast cancer and the protection of organs at risk.
  • REVIEW
    SONG Wenxiu1, BIAN Chuanzhen2, SUN Lei1
    China Medical Devices. 2024, 39(7): 153-156. https://doi.org/10.3969/j.issn.1674-1633.2024.07.026
    Sodium magnetic resonance imaging (MRI) is the only noninvasive imaging technique that enables the absolute spatial quantification of sodium concentration in living tissues, it can provide physiological and biochemical information related to cell viability and survival ability. Sodium MRI can detect biological information representing cell membrane integrity and vitality before macroscopic changes occur in tissue cells. It can also provide a basis for evaluating the efficacy of disease treatment and provide help for early diagnosis of disease, which is impossible to achieve by hydrogen MRI alone. However, compared to traditional hydrogen MRI, sodium MRI still faces a series of problems such as low signal to noise ratio and long data acquisition time even in ultra-high fields. Compressed sensing (CS) imaging technology can recover images with sparse characteristics in the known transform domain from the incoherent under sampled k-space data through nonlinear iterative reconstruction, which can greatly save the imaging time and improve the image quality, at present, CS has been applied to sodium MRI in various parts of the human body. This paper reviewed the current status and research progress of CS in sodium MRI in various parts of the human body, so as to promote the clinical application of CS imaging technology.
  • REVIEW
    LU Zilin1, LIU Xianfei2, ZHOU Jian2
    China Medical Devices. 2024, 39(7): 157-163. https://doi.org/10.3969/j.issn.1674-1633.2024.07.027
    Lower limb atherosclerotic disease is a prevalent peripheral arterial disease in clinic. Currently, the most commonly used imaging diagnostic methods in clinic are ultrasound, computed tomography, and arteriography, but these methods can only observe morphological changes in the lower limb arteries, which limits the evaluation of intra arterial lesions (such as the nature of atherosclerotic plaque). With the maturation of intravascular ultrasound (IVUS) technology and ongoing investigations into the pathogenesis of lower extremity atherosclascular disease, enabling better ascular selection of clinical therapies. This paper reviewed the latest application progress of IVUS in the auxiliary diagnosis of lower limb atherosclerotic diseases, so as to promote the clinical application of IVUS technology.
  • REVIEW
    YAN Yang1, ZHANG Xinhua1,2
    China Medical Devices. 2024, 39(7): 164-169. https://doi.org/10.3969/j.issn.1674-1633.2024.07.028
    Periodontitis is a common oral disease that often leads to the destruction of supporting tissues such as the periodontium. Traditional methods for periodontal tissue regeneration therapy have limitations in achieving optimal outcomes. In recent years, three-dimensional bioprinting has emerged as a promising regenerative medical technology, and widely used in many fields, showcasing significant potential through its high precision and efficiency in constructing specific arrangements and interacting microstructures. This paper reviewed the research progress of three-dimensional bioprinting in the application of periodontal tissue regeneration and provided an outlook on its future development trends, so as to promote its clinical application.
  • REVIEW
    JIANG Ninga, WANG Taob, LIN Yanchaoa, XU Peiguoa
    China Medical Devices. 2024, 39(7): 170-175. https://doi.org/10.3969/j.issn.1674-1633.2024.07.029
    With the artificial intelligence (AI) boom triggered by ChatGPT, AI has become one of the hot topics in medical research for assisting in the diagnosis and treatment of cardiovascular surgical diseases. A series of assisted systems based on AI and deep learning technologies have been developed, including disease prediction, risk stratification, diagnosis, and treatment planning. These advancements offer new avenues and methods for improving clinical efficiency and accuracy, reducing errors, minimizing healthcare resource wastage, and addressing resource scarcity issues. This paper first summarized and analyzed the commonalities between cardiovascular surgery and AI. It then provided examples of AI applications in vascular and cardiac surgeries, thoroughly analyzed their similarities and differences, as well as the interrelationships among various applications. Finally, it explored the guiding significance and research progress of AI technology in the field of cardiovascular surgical diseases, so as to provide references for the development of next-generation AI-assisted diagnostic and treatment planning software and its practical implementation and widespread application in cardiovascular surgical clinical practice.
  • REVIEW
    LIU Shuai1, XU Liancheng1, DONG Guozhao1, TANG Xiaoying1, LIAO Hongen2, FAN Yingwei1
    China Medical Devices. 2024, 39(6): 143-155. https://doi.org/10.3969/j.issn.1674-1633.2024.06.023
    Abstract (53) PDF (198)   Knowledge map   Save
    Minimally invasive treatment for early gastrointestinal cancer is currently a research hotspot. Surgery is currently an effective treatment method for gastrointestinal tumors. However, due to the dependence of surgery on doctor experience, difficulties in intelligent characterization during early gastrointestinal cancer surgery, and difficulties in dynamic monitoring of treatment effects, advanced new equipment is urgently needed to innovate the current diagnosis and treatment mode. Therefore, the development of intelligent minimally invasive theranostics systems has become an urgent key challenge to overcome. Aiming at the core problems of intelligent diagnosis and treatment such as gastrointestinal tumors, the development of intelligent minimally invasive diagnosis and treatment instruments is of great significance, and can provide important solutions for the current theranostics of tumors. This article introduced the research and clinical applications of optical technology based imaging methods, intelligent precise diagnosis schemes, image guided surgical treatment, robot assisted intelligent treatment, and other aspects for early gastrointestinal cancer. It discussed and proposed possible future development directions in these areas, and pointed out the key issues of integrated invasive intelligent multimodal optical minimally invasive theranostics to be studied in the future, so as to provide reference suggestions for the research on the key issues of minimally invasive diagnosis and treatment integration of gastrointestinal and the development of intelligent diagnosis and treatment instruments.
  • REVIEW
    LIU Yan, CUI Shujun, WANG Bu, TIAN Long, ZHAO Xin
    China Medical Devices. 2024, 39(6): 156-160. https://doi.org/10.3969/j.issn.1674-1633.2024.06.024
    Fiducial marker (FM) has been widely used in image guided radiotherapy (IGRT) for prostate cancer. The image matching and calibration technology based on FM has improved the accuracy of target location in prostate cancer IGRT. The technology above enables patients to achieve higher treatment gains. The accurate identification of FM in prostate cancer IGRT is an important prerequisite for achieving its clinical value. The identification method is mainly X-ray imaging technology. In the identification of FM mainly based on CT imaging technology, the type of FM is gradually developed from solid to liquid, and the level of identification automation and accuracy is gradually improved. In the identification of FM assisted by C-arm X-ray imaging technology, the identification results can meet the clinical need. The identification of liquid FM based on CT has the maximum advantage and the minimum limitation. This technology will become the focus of future research and application in prostate cancer IGRT. This paper reviewed the advantages, disadvantages, and application progress of FM identification based on CT and C-arm X-ray machine, so as to provide theoretical and practical references for medical professionals in related fields such as medical imaging, radiotherapy, and urology.
  • REVIEW
    ZHOU Qiaoqiao1,2, LU Jing1,2
    China Medical Devices. 2024, 39(6): 161-167. https://doi.org/10.3969/j.issn.1674-1633.2024.06.025
    Abstract (83) PDF (103)   Knowledge map   Save
    Unique device identification (UDI) is a coding method that is gradually being adopted by global medical device regulatory authorities and is a powerful tool for managing medical devices. However, there are still problems in the application process, such as applying UDI codes to low value consumables. This paper introduced the concept of UDI for medical devices, including its definition and implementation both domestically and internationally, and pointed out that the implementation of UDI can bring beneficial effects in the production, circulation, use and supervision of medical devices. Building intelligent Internet of Things through UDI coding can realize information management such as full traceability of medical devices, expiration date of consumables, inventory and adverse event reporting. Finally, this paper briefly introduced the current medical device logistics management mode of our hospital and the use of hospital code combined with UDI code, so that the hospital medical device information can be managed more effectively, and it is expected to establish a standardized medical device traceability system and scientific management mode, which can provide a reference for other medical institutions to manage medical devices.
  • REVIEW
    ZHANG Jing1,2, YE Saiqing1,2, WANG Qian1,2
    China Medical Devices. 2024, 39(6): 168-172. https://doi.org/10.3969/j.issn.1674-1633.2024.06.026
    Scoliosis is a three-dimensional spinal deformity that can lead to a range of problems, such as pain, limited mobility, and changes in gait patterns, which can cause significant family and social burdens. Depending on factors such as patient’s Cobb angle and the presence of exacerbation risk, the current evidence-based correction modalities are spinal orthoses and surgical treatment. The 3D gait assessment technology can provide biomechanical evaluation data for scoliosis rehabilitation through objectively quantified spatiotemporal parameters, kinematics and kinetic data. This paper reviewed the use of 3D gait assessment techniques in the treatment of scoliosis orthoses and surgery, so as to provide biomechanical data support for scoliosis orthosis and surgical treatment, and provide a research basis for the application of 3D gait analysis technology.
  • REVIEW
    MA Wen
    China Medical Devices. 2024, 39(6): 173-177. https://doi.org/10.3969/j.issn.1674-1633.2024.06.027
    Abstract (91) PDF (170)   Knowledge map   Save
    Ambulatory electrocardiograph has an important data support role in the pre-diagnosis of cardiovascular diseases, and has been applied in China for decades, driven by information technology and medicine, its outlook, acquisition method and electrocardiographic analysis technology have experienced far-reaching changes, and the application fields of ambulatory electrocardiographic technology have been expanded. This paper introduced the working principle, technical development and application areas of ambulatory electrocardiograph, summarized the shortcomings of ambulatory electrocardiography, and looked forward to the development prospects. In the future, many forms of ambulatory electrocardiography monitoring equipment will be developed and popularized for application, and will play a greater role in the clinical diagnosis of cardiovascular diseases, health monitoring and rehabilitation and elderly care.
  • REVIEW
    LI Chujiaa, WANG Jialua, HUANG Juyingb
    China Medical Devices. 2024, 39(5): 142-147. https://doi.org/10.3969/j.issn.1674-1633.2024.05.024
    In recent years, with the advancement of science and technology, the technique of screw placement technique in surgery for atlantoaxial dislocation has been developing. In this paper, the commonly used and important nailing techniques for atlantoaxial dislocation in the past ten years were summarized, which could be divided into manual screw placement technique and new robot screw placement technique. This paper introduced the principles and equipment of free-hand screw placement technology and robot screw placement technology, and explained their advantages and disadvantages. Finally, a comparison and summary of the literature were performed and the limitations of current clinical and research screw placement techniques were presented to promote future development of screw placement techniques.
  • REVIEW
    PAN Jiangen1,2, LI Peipei2, LI Qian2, CAO Liangcai1
    China Medical Devices. 2024, 39(5): 148-154. https://doi.org/10.3969/j.issn.1674-1633.2024.05.025
    Abstract (41) PDF (157)   Knowledge map   Save
    Pulsed optical radiation sources are widely and rapidly applied in the medical cosmetology, and the associated issue of optical radiation safety has attracted significant attention of consumers as well as practitioners in the industry. Recently, multiple photobiological safety standards involve the measurement and evaluation of pulsed optical radiation sources, but the specific requirements of these standards differ from each other. As a result, the classification of product safety levels obtained according to different standards may vary greatly. In this paper, the measurement and evaluation methods of pulsed optical radiation sources were compared and analyzed based on the development and theoretical basis of the standards. A hair removal machine was taken as an example, measured data were utilized to analyze and calculate its hazard level classification under different standards. The research of the measurement and analysis can provide a reference for continuously improving the evaluation standards of medical cosmetology products and further regulating the management of the related medical devices.
  • REVIEW
    QIN Tian1, LIANG Baohui1, WANG Mengting1, WANG Jing2, WANG Fan3
    China Medical Devices. 2024, 39(5): 155-161. https://doi.org/10.3969/j.issn.1674-1633.2024.05.026
    Abstract (72) PDF (152)   Knowledge map   Save
    Energy spectrum CT provides richer information for imaging clinical diseases with its unique spectrum analysis tool. Based on the differences in the principles and performance of various energy spectrum CTs, this paper reviewed the radiation dose, image quality and relationship between the two of various energy spectrum CTs, as well as their differences in clinical applications such as quantitative analysis of iodine-based maps, demetalization and hardening artifacts, separation and identification of material components, display of fine structures and virtual plain scan, to provide a reference for clinical imaging workers to select energy spectrum CT according to different clinical needs, so as to maximize clinical benefits.
  • REVIEW
    ZHANG Xiao1, ZHANG Kuixing2, LI Yanjun2
    China Medical Devices. 2024, 39(5): 162-168. https://doi.org/10.3969/j.issn.1674-1633.2024.05.027
    Abstract (86) PDF (335)   Knowledge map   Save
    Emotion is the subjective experience and corresponding behavioral response of people’s attitude towards objective external things, which reflects the relationship between the subject’s needs and objective external things. Electroencephalogram signals are closely related to brain activity, so the emotional changes of subjects can be judged by electroencephalogram signals. Meanwhile, there are increasing research on emotion recognition using traditional machine learning and deep learning algorithms. This paper introduced the emotion model, data set and commonly used machine learning and deep learning algorithms in recent years, and summarized the recent research progress on emotion recognition, so as to provide a quickly understanding of this field for beginners and serve as reference for subsequent research.
  • REVIEW
    SUN Yuping1,2a, CHEN Liming1,2a, FU Zhuohui2a, BAI Jingjing1,2b, TANG Ye1,2a
    China Medical Devices. 2024, 39(5): 169-174. https://doi.org/10.3969/j.issn.1674-1633.2024.05.028
    Abstract (51) PDF (106)   Knowledge map   Save
    With the rapid development of digital technology, navigation technology has been widely used in dental implantology. In recent years, scholars at home and abroad have applied this technique to the treatment of endodontic diseases, which provides a new treatment mode for severe root canal calcification and root canal anatomical variation. At the same time, it provides technical support for minimally invasive endodontic treatment, and greatly improves the retention rate of natural teeth in the mouth. This paper reviewed the clinical process, research status, and technical deficiencies of navigation technology in endodontic treatment, so as to provide a certain reference for the application of navigation technology in endodontic treatment.
  • REVIEW
    DUAN Heli1,2, NIU Yifan1, WANG Ruiqi1, MA Xiaojuan2
    China Medical Devices. 2024, 39(5): 175-180. https://doi.org/10.3969/j.issn.1674-1633.2024.05.029
    Abstract (51) PDF (128)   Knowledge map   Save
    Graves disease and Hashimoto’s thyroiditis are prone to misdiagnosis due to the lack of typical clinical symptoms. Timely diagnosis is crucial for improving the quality of life of patients. Ultrasound is the primary imaging method for evaluating thyroid diseases. In recent years, with the emergence of new technologies such as superb microvascular imaging, shear wave elastography, computer-aided diagnosis, contrast-enhanced ultrasound, multimodal ultrasound diagnosis has developed rapidly, and a large number of scholars have conducted research on diffuse thyroid lesions. This paper reviewed the domestic and international status and problems faced by multimodal ultrasound in the differential diagnosis of Graves disease and Hashimoto’s thyroiditis, so as to provide a theoretical basis for maximizing the technical advantages of multimodal ultrasound imaging in clinical diagnosis and treatment, and accurately distinguishing Graves disease and Hashimoto’s thyroiditis in the early stage.
  • REVIEW
    YANG Yi1, LIU Zhuo2
    China Medical Devices. 2024, 39(4): 137-141. https://doi.org/10.3969/j.issn.1674-1633.2024.04.023
    Abstract (47) PDF (211)   Knowledge map   Save
    The application of artificial intelligence medical equipment in the field of medical diagnosis, treatment and rehabilitation is becoming more and more widespread. While bringing technical breakthroughs to traditional clinical diagnosis and treatment, it also comes with some ethical risks and challenges, ethical issues in the application of artificial intelligence medical equipment are receiving increasing attention. This paper reviewed the positive impact of the current application of artificial intelligence medical equipment, analyzed the ethical problems arising from the application of artificial intelligence medical equipment and found out the countermeasures to solve the problems, so as to promote the application and development of artificial intelligence medical equipment.
  • REVIEW
    YAN Shan1a,1b,2, LIU Guangdi1c,2, LIU Yiwen1d,2, TANG Menglin1e,2
    China Medical Devices. 2024, 39(4): 142-146. https://doi.org/10.3969/j.issn.1674-1633.2024.04.024
    Abstract (68) PDF (163)   Knowledge map   Save
    Seldinger technique is a widely used interventional procedure in the field of medicine. It realizes the safety and effectiveness of endovascular intubation through the steps of puncture, guide wire insertion and catheter insertion. The Seldinger technique has important applications in various fields, such as central venous catheterization, arterial catheter insertion, vascular interventions, and organ puncture for catheter placement. It offers advantages such as ease of use, low risk of complications, and procedural flexibility. This paper reviewed the historical development, current applications, and advantages and disadvantages of the Seldinger technique, both domestically and internationally, as so to serve as a reference for the application of this technique in medical interventional procedures.
  • REVIEW
    LIU Mingyue1, MA Lijun2, SU Ning2, XING Zhengyu2
    China Medical Devices. 2024, 39(4): 147-153. https://doi.org/10.3969/j.issn.1674-1633.2024.04.025
    Abstract (50) PDF (159)   Knowledge map   Save
    Prostate disease is a common disease affecting elderly male health and quality of life, in addition to benign diseases such as benign prostatic hyperplasia and prostatitis. The incidence of prostate cancer is rising year by year, most patients are often in the late stage, therefore, early diagnosis and treatment of prostate cancer is of great significance. MRI is currently recognized as the best imaging method for the diagnosis of prostate disease, which can clearly show the structure and lesions of the prostate gland. Multiparameter magnetic resonance uses multi-parameter, multi-sequence and multi-angle imaging to provide the basis for the diagnosis of prostate disease, and is the standard imaging method for the diagnosis of prostate disease. In recent years, various imaging techniques such as magnetic resonance diffusion imaging, quantitative imaging, molecular imaging and radiomics, have been applied in the diagnosis of prostate cancer, which can provide more abundant diagnostic information for diagnosis. This paper reviewed and prospected the current status of various magnetic resonance imaging techniques in prostate cancer diagnosis.
  • REVIEW
    WANG Yuanhao, LU Ji
    China Medical Devices. 2024, 39(4): 154-158. https://doi.org/10.3969/j.issn.1674-1633.2024.04.026
    Breast cancer is the most common cancer in the world, and has become the main cause of cancer death in women. Whether the axillary lymph nodes of breast cancer patients have metastasis or not is of great significance to the prognosis judgment, tumor staging, treatment choice and so on. Radiomics as an emerging technology has been widely used in the diagnosis, differential diagnosis and prognosis evaluation of breast cancer, and it has great potential in predicting axillary lymph node metastasis of breast cancer. Therefore, this paper reviewed the research progress of MRI based radiomics in the evaluation of axillary lymph node metastasis in breast cancer, so as to provide reference value for its clinical application.
  • REVIEW
    DU Mengying, YANG Feng
    China Medical Devices. 2024, 39(4): 159-163. https://doi.org/10.3969/j.issn.1674-1633.2024.04.027
    Abstract (47) PDF (117)   Knowledge map   Save
    In recent years, the incidence rate of thymoma in China has been increasing gradually. Early preoperative accurate judgment of the risk classification of thymoma can affect the treatment plan and improve the clinical prognosis, as well as predict the risk of postoperative recurrence. The traditional imaging diagnosis is based on the morphological basis and the clinical experience of the diagnostician, and it is difficult to accurately distinguish tumor risk classification and cannot meet the standards of precision imaging medicine for biological individuals. Radiomics is the extraction of high-throughput characteristic spatial data information from medical images, and the construction of prediction models focusing on clinical problems, so as to noninvasively quantify tumor heterogeneity, aiming to tailor treatment plans according to the characteristics of individual patients and their tumors. This paper reviewed the research and application of radiomics in thymomas.
  • REVIEW
    LU Zhengda, MA Xianli, DU Mengnan, LIANG Jian, SU Pengcheng, WANG Jinzhi, ZHONG Hui, CHENG Dingsheng
    China Medical Devices. 2024, 39(4): 164-168. https://doi.org/10.3969/j.issn.1674-1633.2024.04.028
    Abstract (36) PDF (158)   Knowledge map   Save
    With the innovation of medical technology, the performance and quality of medical ultrasound are constantly improving, and it has become a routine equipment for clinical diagnosis and treatment. Therefore, it is very important to ensure ultrasonic clinical diagnosis and treatment through ultrasonic quality control. This paper reviewed the status quo, content, standards and specifications of medical ultrasound quality control and management system mode, and discussed the current status of ultrasonic quality control, in order to provide reference for the quality control work of ultrasonic equipment at all levels of medical institutions, and effectively guarantee clinical diagnosis and treatment.
  • REVIEW
    TIAN Ziwei, JIA Yunfang
    China Medical Devices. 2024, 39(3): 146-153. https://doi.org/10.3969/j.issn.1674-1633.2024.03.025
    Abstract (75) PDF (217)   Knowledge map   Save
    The pulse diagnosis detects the circulation status of Qi and blood in human body with the help of pulse so as to guide disease diagnosis and treatment, prediction of the disease and health care. However, the bottleneck problem in the development of pulse instruments is how to extract pulse information from weak pulse signals. This paper reviewed recent studies about used basic machine learning (ML) algorithms, neural network algorithms, and ensemble learning algorithms to build a pulse classification models, starting with issues such as the characteristics of pulse signals, classification of pulse conditions in traditional Chinese medicine, and the challenges they face. The purpose is to explore the feasibility and effectiveness of establishing models to classify pulse phases based on ML algorithms by comparing the performances of different ML algorithms and experimental protocols from the view point of the classification accuracy of different pulse phases, aims to provide a reference for the development of pulse instruments.
  • REVIEW
    SUN Wenhui1,2, CHEN Fuming1, ZHANG Yipeng1,2, LI Chuantao3, LI Nan1
    China Medical Devices. 2024, 39(3): 154-159. https://doi.org/10.3969/j.issn.1674-1633.2024.03.026
    Abstract (96) PDF (217)   Knowledge map   Save
    Auscultation is the most effective method to diagnose cardiovascular and respiratory diseases. In order to achieve accurate diagnosis, the equipment must be able to identify cardiopulmonary sounds in various clinical situations. However, the recorded chest sound is usually a mixed signal of heart-lung sound. Therefore, it is very important for doctors to separate the mixed signals of heart and lung sounds. This paper introduced the frequency range and signal characteristics of heart sound signal and lung sound signal, summarized the research progress of heart-lung sound separation methods at present, and the advantages and disadvantages of various existing heart-lung sound separation methods, and pointed out the significance of choosing an appropriate heart-lung sound separation algorithm to separate heart-lung sound for auxiliary medical care.
  • REVIEW
    LI Yingtao1, LIU Yao1,2, REN Junru1, SHEN Bin3, GUO Zhanling3
    China Medical Devices. 2024, 39(3): 160-169. https://doi.org/10.3969/j.issn.1674-1633.2024.03.027
    Abstract (58) PDF (234)   Knowledge map   Save
    The main function of a ventricular assist devices (VAD) is to replace or assist the heart in supplying blood to the aorta, used for patients with heart failure or awaiting heart transplantation. With the increasing incidence and mortality rate of cardiovascular diseases, as well as the high uncertainty of heart transplantation, VAD is receiving more and more attention. This paper provided a comprehensive review of the research progress on VAD both domestically and internationally. It primarily analyzed the development history and current status of VAD, as well as the core components of the device and the in vitro simulated circulatory system for testing purposes. This paper focused on the exploring the types and causes of complications caused by VAD, so as to provide the directions for future research and development of VAD.
  • REVIEW
    ZHAO Chaoyue, TIAN Long
    China Medical Devices. 2024, 39(3): 170-173. https://doi.org/10.3969/j.issn.1674-1633.2024.03.028
    Ultrasonography (USG) technology has been widely used in image guided radiotherapy (IGRT) for prostate cancer (PCa) based on its advantages, including guiding the placement of gold reference markers and calibration of target location. The mature USG technologies that have been applied included trans-abdominal ultrasound (TAUS), trans-rectal ultrasound (TRUS), and transperineal ultrasound (TPUS). This paper reviewed the application of three USG technologies above in PCa IGRT. Among them, TAUS had the simplest application process, unclear advantages, and many limitations. TRUS had relatively complex application process, obvious advantages but many limitations. TPUS had the most complex application process, obvious advantages and minimal limitations. TRUS and TPUS would become application and research hotspot in PCa IGRT. The two USG technologies would further improve the treatment gain.
  • REVIEW
    QIN Guanlun1,2, DING Yumei2
    China Medical Devices. 2024, 39(3): 174-180. https://doi.org/10.3969/j.issn.1674-1633.2024.03.029
    Abstract (36) PDF (157)   Knowledge map   Save
    In order to understand the blood status of patients more quickly and accurately, the application of thromboelastography (TEG) and rotational thromboelastography (ROTEM) in clinical practice is becoming increasingly widespread. TEG and ROTEM are a dynamic method that can monitor the formation process of blood clots. They have the advantages of short detection time, simple operation and real reflection of blood status. TEG and ROTEM have their own characteristics due to their different operating characteristics. This article focused on the comparative introduction of the principle and parameters of TEG and ROTEM, perioperative blood transfusion guidance, the influence of gender on TEG and ROTEM, and the monitoring of the efficacy of different types of drugs. At present, domestic researches mainly focuses on TEG, and there are few literatures on the clinical application of ROTEM. Clinical studies using TEG and ROTEM as controls provide reference for its further clinical application.
  • REVIEW
    SUN Xuefeng1, WANG Yidan1, LIU Ping1, SHI Congcong2, ZHANG Hongshi1
    China Medical Devices. 2024, 39(2): 154-158. https://doi.org/10.3969/j.issn.1674-1633.2024.02.026
    Abstract (107) PDF (644)   Knowledge map   Save
    Brain-computer interface technology (BCIT) is a new human-computer interaction technology with multidisciplinary integration, which has made significant progress in areas such as limb function rehabilitation, mental state monitoring and recognition. However, current brain-computer interface rehabilitation system is still in the experimental stage, with bottlenecks in neural mechanism, theoretical technology, hardware equipment and interaction design. This paper elaborated the basic principle and classification of BCIT, summarized the current situation of BCIT at home and abroad, and provided the specific application of BCIT in the field of rehabilitation in diagnosis, treatment and evaluation. By integrating rehabilitation, brain-computer interfaces, and nursing, this article organized and evaluated the advantages and challenges of BCIT in clinical applications, practical design, and research, aiming to promote the clinical application and research of BCIT.
  • REVIEW
    SONG Meihua, LIN Jinqi, ZHANG Jinghao, LIU Bingbing, MO Zhong
    China Medical Devices. 2024, 39(2): 159-163. https://doi.org/10.3969/j.issn.1674-1633.2024.02.027
    Abstract (89) PDF (331)   Knowledge map   Save
    Sleep apnea hypopnea syndrome (SAHS) is a highly prevalent but poorly understood dysfunctional disorder that includes central sleep apnea syndrome and obstructive sleep apnea hypopnea syndrome. At present, more and more experts and scholars try to study the detection of SAHS from different angles, put forward a variety of sleep apnea detection algorithms, and expect algorithms to simplify the complexity of polysomnography (PSG) monitoring, and develop a variety of new SAHS monitoring devices to reduce the need for time-consuming traditional PSG monitoring. This paper reviewed SAHS detection methods and illustrated the advantages and limitations of different monitoring devices used in SAHS detection, analyzed the application status of software algorithms in the detection of sleep apnea, and put forward prospects for its future research and development.
  • REVIEW
    LIN Zhouxing1, ZHANG Xuejian2, DENG Yue1,2
    China Medical Devices. 2024, 39(2): 164-170. https://doi.org/10.3969/j.issn.1674-1633.2024.02.028
    Abstract (81) PDF (368)   Knowledge map   Save
    With the development of artificial intelligence and digital technology in the field of stomatology, robotic-assisted implant surgery has effectively improved the accuracy and achieved the purpose of protheses-orientation, so as to acquired reliable long-term results. Compared with traditional digital implant surgery, robotic-assisted surgery system not only combined with the advantages of dynamic navigation technology, which gives the real-time feedback for surgeon to adjust surgical planning in time, but also developed and applied 6-DOF robotic arm for effectively avoiding hands tremor, thus changes the traditional digital surgical methods to achieve a more minimally invasive, safe and predictable therapeutic effect. This paper reviewed the composition and structure, clinical operation process, research and application status at home and abroad, as well as its advantages and disadvantages of dental implant robots, aims to provide reference for the clinical application.
  • REVIEW
    WANG Guojie
    China Medical Devices. 2024, 39(2): 171-178. https://doi.org/10.3969/j.issn.1674-1633.2024.02.029
    Abstract (106) PDF (202)   Knowledge map   Save
    With the rapid development of new MRI technology and the further recognition of the diagnosis, treatment, and prognostic value of central nervous system diseases, especially in recent years, diffusion tensor imaging (DTI) technology has been widely studied and clinically applied. Clinicians are increasingly aware of the importance of new MRI technology. This article first discussed the advantages and limitations of DTI technology, and then summarized the relevant research of DTI technology in traumatic brain injury, stroke, brain tumors, neurodegenerative diseases, development disorders, neuropsychiatric disorders, movement disorders, and neurogenetic developmental disorders at home and abroad. Finally, it provided a prospect of future development of DTI technology in this field.
  • REVIEW
    REN Xin1,2, ZHANG Jiayu1,2, ZHANG Meixia2
    China Medical Devices. 2024, 39(1): 144-149. https://doi.org/10.3969/j.issn.1674-1633.2024.01.025
    Abstract (66) PDF (337)   Knowledge map   Save
    Remote electrocardiogram (ECG) monitoring technology has been widely used in patients with coronary heart disease because of its intelligent and real-time monitoring. This paper summarizes the development of remote ECG monitoring at home and abroad, summarizes the application and progress of remote ECG monitoring technology in patients with coronary heart disease from three aspects: prehospital diagnosis, out-of-hospital monitoring and long-term out-of-hospital rehabilitation, aims to provide reference for clinical medical staff to carry out remote ECG monitoring in patients with coronary heart disease.
  • REVIEW
    BAI Jingjing1,2, WU Guozhu2
    China Medical Devices. 2024, 39(1): 150-155. https://doi.org/10.3969/j.issn.1674-1633.2024.01.026
    Abstract (63) PDF (205)   Knowledge map   Save
    Rectal cancer is a high incidence cancer in the world, and its morbidity and mortality are high in all cancers. At present, the treatment of rectal cancer is mainly surgical resection or surgical resection after neoadjuvant treatment. However, different treatment methods may lead to high recurrence rate and poor prognosis due to different anatomical locations of rectal cancer. Therefore, accurate preoperative evaluation is particularly important for determining the treatment mode. Circumferential resection margin (CRM) of rectal cancer is a key factor for preoperative evaluation. This paper comprehensively analyzed the imaging examination methods such as intrarectal ultrasound, CT, MRI, and introduced the application progress of these examination methods and their new technologies and methods to evaluate the CRM of rectal cancer, aims to provide a basis for selecting appropriate treatment methods in clinical practice.
  • REVIEW
    WU Miao1,2, FENG Qingmin1, LIU Shenglin1, LU Xuesong2
    China Medical Devices. 2024, 39(1): 156-160. https://doi.org/10.3969/j.issn.1674-1633.2024.01.027
    Abstract (76) PDF (447)   Knowledge map   Save
    As a widely used efficient and accurate energy instrument, the ultrasonic scalpel has the advantages of simultaneous cutting hemostasis, small thermal damage, nearly no smoke, and strong self-cleaning ability. However, due to the constraints of the existing ultrasonic scalpel structure, the lack of freedom of motion limits the flexibility of its application in robot operation. After the continuous optimization and improvement of the structure of scientific researchers, by adding flexible structure on the basis of the original rigid ultrasonic scalpel, the flexible ultrasonic scalpel with multiple degrees of freedom is developed. This paper reviews the development of rigid ultrasonic scalpel and the existing design scheme of flexible ultrasonic scalpel. The study of rigid ultrasonic knife mainly focus on the lightness of structure and the improvement of working performance. In terms of the design of flexible ultrasonic knife, it is divided into two categories: the miniaturized ultrasonic transducer is placed at the handle end and placed at the end of the execution. The specific structure of these two design schemes is analyzed respectively, and their advantages and limitations are discussed. Finally, the future development trend of multi-degree flexible ultrasound scalpel in minimally invasive surgery is prospected.