Flexible endoscopic instrument for diagnosis and treatment of early gastric cancer
Gastric cancer is a common cancer endangering human life and health worldwide. Early detection and diagnosis of gastric cancer that is normally performed by flexible endoscope can significantly improve the survival rate of patients. However, current endoscopic instruments have some problems, such as...
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| Veröffentlicht in: | Medical & biological engineering & computing 2023-11, Vol.61 (11), p.2815-2828 |
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| creator | Zhang, Chi Huang, Weihao Xu, Xingfeng Zuo, Siyang |
| description | Gastric cancer is a common cancer endangering human life and health worldwide. Early detection and diagnosis of gastric cancer that is normally performed by flexible endoscope can significantly improve the survival rate of patients. However, current endoscopic instruments have some problems, such as limitation of degrees of freedom (DOFs) and lack of surgical triangulation. Meanwhile, the lack of an intraoperative technique for the real-time evaluation of early gastric cancer is also a serious problem. To solve these problems, we have developed a dual-bending flexible endoscopic instrument for the diagnosis and treatment of early gastric cancer. This instrument has a compact structure with a maximum outer diameter of 3 mm and an insertion length of 1220 mm. It has 5 DOFs with a dual-bending function, which can form a surgical operation triangulation to easily perform the endoscopic procedure. Apart from the surgical forceps, the end of the instrument can be equipped with different endoscopic devices to meet the needs of diagnosis and treatment, such as endomicroscopic probes, electrosurgical knives, and laser ablation optical fibers. It is verified that the instrument can carry these devices to complete corresponding tasks, demonstrating the great potential of this instrument in clinical applications.
Graphical Abstract |
| doi_str_mv | 10.1007/s11517-023-02911-1 |
| format | Article |
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Graphical Abstract</description><identifier>ISSN: 0140-0118</identifier><identifier>EISSN: 1741-0444</identifier><identifier>DOI: 10.1007/s11517-023-02911-1</identifier><identifier>PMID: 37608080</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Bending ; Biomedical and Life Sciences ; Biomedical Engineering and Bioengineering ; Biomedicine ; Cancer ; Computer Applications ; Cutlery ; Diagnosis ; Endoscopes ; Endoscopy ; Endoscopy - instrumentation ; Gastric cancer ; Human Physiology ; Humans ; Imaging ; Knives ; Laser ablation ; Medical diagnosis ; Medical instruments ; Optical fibers ; Radiology ; Review Article ; Stomach Neoplasms - diagnosis ; Stomach Neoplasms - surgery ; Surgical Instruments ; Survival ; Triangulation</subject><ispartof>Medical & biological engineering & computing, 2023-11, Vol.61 (11), p.2815-2828</ispartof><rights>International Federation for Medical and Biological Engineering 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. International Federation for Medical and Biological Engineering.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-d586d57afc36d4e3f71132812a2e54c5d2e6c799eb5319b1025d9039ed6b4a773</citedby><cites>FETCH-LOGICAL-c375t-d586d57afc36d4e3f71132812a2e54c5d2e6c799eb5319b1025d9039ed6b4a773</cites><orcidid>0000-0003-4257-7978</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11517-023-02911-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11517-023-02911-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37608080$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Chi</creatorcontrib><creatorcontrib>Huang, Weihao</creatorcontrib><creatorcontrib>Xu, Xingfeng</creatorcontrib><creatorcontrib>Zuo, Siyang</creatorcontrib><title>Flexible endoscopic instrument for diagnosis and treatment of early gastric cancer</title><title>Medical & biological engineering & computing</title><addtitle>Med Biol Eng Comput</addtitle><addtitle>Med Biol Eng Comput</addtitle><description>Gastric cancer is a common cancer endangering human life and health worldwide. Early detection and diagnosis of gastric cancer that is normally performed by flexible endoscope can significantly improve the survival rate of patients. However, current endoscopic instruments have some problems, such as limitation of degrees of freedom (DOFs) and lack of surgical triangulation. Meanwhile, the lack of an intraoperative technique for the real-time evaluation of early gastric cancer is also a serious problem. To solve these problems, we have developed a dual-bending flexible endoscopic instrument for the diagnosis and treatment of early gastric cancer. This instrument has a compact structure with a maximum outer diameter of 3 mm and an insertion length of 1220 mm. It has 5 DOFs with a dual-bending function, which can form a surgical operation triangulation to easily perform the endoscopic procedure. Apart from the surgical forceps, the end of the instrument can be equipped with different endoscopic devices to meet the needs of diagnosis and treatment, such as endomicroscopic probes, electrosurgical knives, and laser ablation optical fibers. It is verified that the instrument can carry these devices to complete corresponding tasks, demonstrating the great potential of this instrument in clinical applications.
Graphical Abstract</description><subject>Bending</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Biomedicine</subject><subject>Cancer</subject><subject>Computer Applications</subject><subject>Cutlery</subject><subject>Diagnosis</subject><subject>Endoscopes</subject><subject>Endoscopy</subject><subject>Endoscopy - instrumentation</subject><subject>Gastric cancer</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Imaging</subject><subject>Knives</subject><subject>Laser ablation</subject><subject>Medical diagnosis</subject><subject>Medical instruments</subject><subject>Optical fibers</subject><subject>Radiology</subject><subject>Review Article</subject><subject>Stomach Neoplasms - diagnosis</subject><subject>Stomach Neoplasms - surgery</subject><subject>Surgical Instruments</subject><subject>Survival</subject><subject>Triangulation</subject><issn>0140-0118</issn><issn>1741-0444</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kMtKxDAUhoMoOo6-gAspuHFTzcmlaZci3kAQRNchTU6HSicZkxb07Y0zXsCFhJDF-f7_hI-QI6BnQKk6TwASVEkZz7cBKGGLzEAJKKkQYpvMKAhaUoB6j-yn9EIpA8nELtnjqqJ1PjPyeD3gW98OWKB3Idmw6m3R-zTGaYl-LLoQC9ebhQ-pT4XxrhgjmnE9C12BJg7vxcJkPues8RbjAdnpzJDw8Oudk-frq6fL2_L-4ebu8uK-tFzJsXSyrpxUprO8cgJ5pwA4q4EZhlJY6RhWVjUNtpJD0wJl0jWUN-iqVhil-JycbnpXMbxOmEa97JPFYTAew5Q0q2WVk1B9oid_0JcwRZ9_lylVQwW1FJliG8rGkFLETq9ivzTxXQPVn8b1xrjOxvXauIYcOv6qntolup_It-IM8A2Q8sgvMP7u_qf2A5CQivA</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Zhang, Chi</creator><creator>Huang, Weihao</creator><creator>Xu, Xingfeng</creator><creator>Zuo, Siyang</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7SC</scope><scope>7TB</scope><scope>7TS</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8AL</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K60</scope><scope>K6~</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>L7M</scope><scope>LK8</scope><scope>L~C</scope><scope>L~D</scope><scope>M0C</scope><scope>M0N</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4257-7978</orcidid></search><sort><creationdate>20231101</creationdate><title>Flexible endoscopic instrument for diagnosis and treatment of early gastric cancer</title><author>Zhang, Chi ; Huang, Weihao ; Xu, Xingfeng ; Zuo, Siyang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-d586d57afc36d4e3f71132812a2e54c5d2e6c799eb5319b1025d9039ed6b4a773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bending</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Biomedicine</topic><topic>Cancer</topic><topic>Computer Applications</topic><topic>Cutlery</topic><topic>Diagnosis</topic><topic>Endoscopes</topic><topic>Endoscopy</topic><topic>Endoscopy - instrumentation</topic><topic>Gastric cancer</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Imaging</topic><topic>Knives</topic><topic>Laser ablation</topic><topic>Medical diagnosis</topic><topic>Medical instruments</topic><topic>Optical fibers</topic><topic>Radiology</topic><topic>Review Article</topic><topic>Stomach Neoplasms - diagnosis</topic><topic>Stomach Neoplasms - surgery</topic><topic>Surgical Instruments</topic><topic>Survival</topic><topic>Triangulation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Chi</creatorcontrib><creatorcontrib>Huang, Weihao</creatorcontrib><creatorcontrib>Xu, Xingfeng</creatorcontrib><creatorcontrib>Zuo, Siyang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Computer and Information Systems Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Physical Education Index</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Computing Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>Computer Science Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>ProQuest Biological Science Collection</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>ABI/INFORM Global</collection><collection>Computing Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Medical & biological engineering & computing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Chi</au><au>Huang, Weihao</au><au>Xu, Xingfeng</au><au>Zuo, Siyang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Flexible endoscopic instrument for diagnosis and treatment of early gastric cancer</atitle><jtitle>Medical & biological engineering & computing</jtitle><stitle>Med Biol Eng Comput</stitle><addtitle>Med Biol Eng Comput</addtitle><date>2023-11-01</date><risdate>2023</risdate><volume>61</volume><issue>11</issue><spage>2815</spage><epage>2828</epage><pages>2815-2828</pages><issn>0140-0118</issn><eissn>1741-0444</eissn><abstract>Gastric cancer is a common cancer endangering human life and health worldwide. Early detection and diagnosis of gastric cancer that is normally performed by flexible endoscope can significantly improve the survival rate of patients. However, current endoscopic instruments have some problems, such as limitation of degrees of freedom (DOFs) and lack of surgical triangulation. Meanwhile, the lack of an intraoperative technique for the real-time evaluation of early gastric cancer is also a serious problem. To solve these problems, we have developed a dual-bending flexible endoscopic instrument for the diagnosis and treatment of early gastric cancer. This instrument has a compact structure with a maximum outer diameter of 3 mm and an insertion length of 1220 mm. It has 5 DOFs with a dual-bending function, which can form a surgical operation triangulation to easily perform the endoscopic procedure. Apart from the surgical forceps, the end of the instrument can be equipped with different endoscopic devices to meet the needs of diagnosis and treatment, such as endomicroscopic probes, electrosurgical knives, and laser ablation optical fibers. It is verified that the instrument can carry these devices to complete corresponding tasks, demonstrating the great potential of this instrument in clinical applications.
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| subjects | Bending Biomedical and Life Sciences Biomedical Engineering and Bioengineering Biomedicine Cancer Computer Applications Cutlery Diagnosis Endoscopes Endoscopy Endoscopy - instrumentation Gastric cancer Human Physiology Humans Imaging Knives Laser ablation Medical diagnosis Medical instruments Optical fibers Radiology Review Article Stomach Neoplasms - diagnosis Stomach Neoplasms - surgery Surgical Instruments Survival Triangulation |
| title | Flexible endoscopic instrument for diagnosis and treatment of early gastric cancer |
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