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In minimally invasive surgery, endoscopic image quality plays a crucial role in surgery. Aiming at the lack of a real parallax in binocular endoscopic images, this article proposes an unsupervised adaptive neural network. The network combines adaptive smoke removal, depth estimation of binocular endoscopic images, and the 3D display of high-quality endoscopic images. We simulated the smoke generated during surgery by artificially adding fog. The training images of U-Net fused by Laplacian pyramid are introduced to improve the network's ability to extract intermediate features. We introduce Convolutional Block Attention Module to obtain the optimal parameters of each layer of the network. We utilized the disparity transformation relationship between left- and right-eye images to combine the left-eye images with disparity in HS-Resnet to obtain virtual right-eye images as labels for self-supervised training. This method extracts and fuses the parallax images at different scale levels of the decoder, making the generated parallax images more complete and smoother. A large number of experimental research results show that the scheme can remove the smoke generated during the operation, effectively reconstruct the 3D image of the tissue structure of the binocular endoscope, and at the same time, preserve the contour, edge, detail, and texture of the blood vessels in the medical image. Compared with the existing similar schemes, various indicators have been greatly improved. It has good clinical application prospects.
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http://dx.doi.org/10.3389/fphys.2022.994343 | DOI Listing |
J Vet Intern Med
September 2025
Schwarzman Animal Medical Center, New York, New York, USA.
Background: There are limited studies on cystoscopic-guided laser ablation for treating ectopic ureters in male dogs. Further investigation is needed to assess its safety and efficacy.
Hypothesis/objective: Retrospectively describe long-term outcomes in male dogs treated using cystoscopic-guided laser ablation of ectopic ureters (CLA-EU).
Surg Case Rep
September 2025
Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Kyoto, Japan.
Introduction: von Hippel-Lindau (VHL) disease is an autosomal dominant hereditary disorder characterized by the development of tumor-like lesions in multiple organs. While central nervous system hemangioblastomas, pancreatic neuroendocrine tumors, and pancreatic cysts are commonly associated with VHL disease, there have been few reported cases of pancreatic hemangioblastoma in patients with VHL disease.
Case Presentation: A male patient in his 30s had been diagnosed with VHL disease and had been followed for cerebellar and spinal hemangioblastomas, and renal cell carcinoma, for which he had undergone several tumor resections, radiation therapy, and a ventriculoperitoneal shunt.
Cureus
August 2025
Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Esophageal-respiratory fistulae are abnormal communications between the esophagus and the respiratory tract, most commonly appearing as tracheoesophageal or bronchoesophageal fistulas. Esophago-pulmonary fistulas represent a rare subtype, typically associated with malignancy, and may lead to severe complications such as lung abscesses. We report a case of a 58-year-old male patient who presented with a two-week history of fever, foul-smelling mucoid sputum, dyspnea, dysphagia, and weight loss.
View Article and Find Full Text PDFInt J Surg Case Rep
September 2025
Department of Otorhinolaryngology, Al Mouwasat University Hospital, Damascus University, Damascus, Syria; Faculty of Medicine, Damascus University, Damascus, Syria.
Introduction: Antrochoanal polyps (ACPs) typically extend posteriorly into the choana and nasopharynx; orbital invasion is exceptionally rare. This report details an atypical ACP with orbital extension in a coagulopathic patient, highlighting diagnostic and surgical complexities.
Case Presentation: A 46-year-old woman with severe Factor V deficiency (0.
Curr Opin Gastroenterol
August 2025
Yale University, Section of Digestive Diseases, New Haven, Connecticut, USA.
Purpose Of Review: Crohn's disease is a chronic, relapsing and remitting inflammatory process that can involve the entire length of the gastrointestinal tract. Upper gastrointestinal involvement (UGI) in Crohn's disease is present in up to 15% of patients and can present as a diagnostic challenge given nonspecific symptoms and overlapping disease entities. This review provides an update on diagnosing and risk stratifying UGI-CD.
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