Ear diseases affect billions of people worldwide, leading to substantial health and socioeconomic burdens. Computed tomography (CT) plays a pivotal role in accurate diagnosis, treatment planning, and outcome evaluation. The objective of this study is to present the establishment and design of UltraEar Database, a large-scale, multicentric repository of isotropic 0.1 mm ultra-high-resolution CT (U-HRCT) images and associated clinical data dedicated to ear diseases. UltraEar recruits patients from 11 tertiary hospitals between October 2020 and October 2035, integrating U-HRCT images, structured CT reports, and comprehensive clinical information, including demographics, audiometric profiles, surgical records, and pathological findings. A broad spectrum of otologic disorders is covered, such as otitis media, cholesteatoma, ossicular chain malformation, temporal bone fracture, inner ear malformation, cochlear aperture stenosis, enlarged vestibular aqueduct, and sigmoid sinus bony deficiency. Standardized preprocessing pipelines have been developed for geometric calibration, image annotation, and multi-structure segmentation. All personal identifiers in DICOM headers and metadata are rem
This work presents the development of a parallel manipulator used for otological surgery from the perspective of co-design. Co-design refers to the simultaneous involvement of the end-users (surgeons), stakeholders (designers, ergonomic experts, manufacturers), and experts from the fields of optimization and mechanisms. The role of each member is discussed in detail and the interactions between the stakeholders are presented. Co-design facilitates a reduction in the parameter space considered during mechanism optimization, leading to a more efficient design process. Additionally, the co-design principles help avoid unforeseen errors and help in quicker adaptation of the proposed solution.
Purpose: Robotic assistance in otologic surgery can reduce the task load of operating surgeons during the removal of bone around the critical structures in the lateral skull base. However, safe deployment into the anatomical passageways necessitates the development of advanced sensing capabilities to actively limit the interaction forces between the surgical tools and critical anatomy. Methods: We introduce a surgical drill equipped with a force sensor that is capable of measuring accurate tool-tissue interaction forces to enable force control and feedback to surgeons. The design, calibration and validation of the force-sensing surgical drill mounted on a cooperatively controlled surgical robot are described in this work. Results: The force measurements on the tip of the surgical drill are validated with raw-egg drilling experiments, where a force sensor mounted below the egg serves as ground truth. The average root mean square error (RMSE) for points and path drilling experiments are 41.7 (pm 12.2) mN and 48.3 (pm 13.7) mN respectively. Conclusions: The force-sensing prototype measures forces with sub-millinewton resolution and the results demonstrate that the calibrated force-sen
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Crypto Clipper spreads over USB and communicates over Tor
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We can't blame the Neolithic Transition for the plague anymore
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