Design and Implementation of a Laparoscope Calibration Method for Augmented Reality Navigation

Intraoperative laparoscopic calibration remains a challenging task. In this work we present a new method and instrumentation for intraoperative camera calibration. Contrary to conventional calibration methods, the proposed technique allows intraoperative laparoscope calibration from single perspective observations, resulting in a standardized scheme for calibrating in a clinical scenario. Results show an average displacement error of 0.52 ± 0.19 mm, indicating sufficient accuracy for clinical use. Additionally, the proposed method is validated clinically by performing a calibration during the surgery.

Generation of an hTERT-restricted, CMV-augmented oncolytic adenovirus capable of tumor-specific transgene expression: Development, characterization, and optimization

Current shortcomings in cancer therapy require the generation of new, broadly applicable, potent, targeted treatments. Here, an adenovirus is engineered to replicate specifically in cells with active human telomerase promotion using a modified hTERT promoter, fused to a CMV promoter element. The virus was also modified to contain a visible reporter transgene, GFP. The virus, Ad/hTC-GFP-E1 was characterized in vitro and demonstrated tumor specific activity both by dose and over time course experiments in a variety of cell lines. In vivo, Ad/hTC-GFP-E1 was affected at suppressing tumor growth and providing a survival benefit without causing any measurable toxicity. To increase the host range of the vector, the fiber region was modified to contain an RGD-motif. The vector, AdRGD/hTC-GFP-E1, was recharacterized in vitro, revealing heightened levels of infectivity and toxicity however maintaining a therapeutic window between cancer and normal cell toxicity. AdRGD/hTC-GFP-E1 was administered in vivo by limb perfusion and was observed to be tumor specific both in expression and replication. To further enhance the efficacy of viral vectors in lung delivery, asthma medications were investigated for their abilities to enhance transgene delivery and expression. A combination of bronchodilators, mast cell inhibitors, and mucolytic agents was devised which demonstrated fold increases in expression in immunocompetent mouse lungs as single agents and more homogenous, intense levels of expression when done in combination of all agents. To characterize the methods in which some cancers are resistant or may become resistant to oncolytic treatments, several small molecule inhibitors of metabolic pathways were applied in combination with oncolytic infection in vitro. SP600125 and PD 98059, respective JNK and ERK inhibitors, successfully suppressed oncolytic toxicity, however did not affect infectivity or transgene expression of Ad/hTC-GFP-E1. JNK and ERK inhibition did significantly suppress viral replication, however, as analyzed by lysate transfer and titration assays. In contrast, SB 203580, an inhibitor for p38, did not demonstrate any protective effects with infected cells. Flow cytometric analysis indicated a possible correlation with G1 arrest and suppressed viral production, however more compounds must be investigated to clarify this observation. ^

Sediments and tephra layers from the southern Tyrrhenian abyssal plain near Marsili Seamount

From the south-eastern Tyrrhenian deep-sea floor, four sediment cores of "Meteor" cruise 22 (1971) are described. These cores were taken in the basin between the Aeolian Islands and the Marsili Seamount, an elevation of more tha 3000 m above the sea floor. The sedimentation of the deep-sea basin is distinguished by a sequence of turbidites with a high sedimentation rate. The composition of the clastic material and the position of the cores in the mouth area of the morphologically very pronounced Stromboli Canyon suggest an interpretation of the turbidite sequence as fan of this canyon onto the deep-sea floor. A white rhyolitic pumice-tephra at the base of the 4 m thick sequence of turbidites in core M22-102 has been correlated with the Pelato eruption of the island of Liparo in the 6th century A.D. At the foot of the Marsili Seamount - apparently in morphologically elevated positions - the influence of the turbidite sedimentation increases, the rate of sedimentation is lower and stratigraphic omissions are probable. Here, rather compacted globigerina marls have been found in only 15 -25 cm depth. In addition, volcanic material in the form of lapilli layers, palagonitized ashes and detrital volcanic sands of the Marsili Seamount have been encountered in this area. An up to 3 cm thick layer of completely palagonitized basaltic ash intercalates with the marls at the base of two cores. Layers of very fresh olivine basaltic lapilli in core 103 and palagonitized lapilli of latitic composition in core 104 testify to an explosive submarine volcanism of the Marsili Seamount. According to the stratigraphy of core 103, the latest manifestations of this basaltic volcanism belong to the late Pleistocene (Emiliana huxleyi-zone of Nannoplankton stratigraphy) The basaltic lapilli are glassy to perhyaline with phenocrysts or microphenocrysts predominantely of olivine. The petrological character of the basaltic volcanites with high MgO, Ni, Cr and high MgO/FeO- and Ni/Co-ratios exhibits primitive basaltic features. These basalts clearly differ from basalts of the ocean floors, mid-ocean ridges and marginal basins. Prominent features are a missing iron-enrichment trend and low TiO2. Al2O3 tends to be high, as well as K2O and related trace elements (Ba, Sr). In spite of silica undrsaturation and high color index, the Marsili basalt exhibit some analogies with the calcalkaline basalts of the Aeolian arc, as well as the undersaturated basalts of some other circumoceanic areas.