Search Results (100)

Nephrolithiasis, predominantly driven by calcium oxalate (CaOx) crystal deposition, poses a significant global health burden due to its high prevalence and recurrence rates and limited preventive/therapeutic options. Recent research has underscored a pivotal role for macrophage polarization in nephrolithiasis pathogenesis. Pro-inflammatory phenotype macrophages exacerbate crystal-induced injury and foster stone formation by amplifying crystal adhesion via an NF-κB–IL-1β positive-feedback axis that sustains ROS generation and NLRP3 inflammasome activation, whereas anti-inflammatory phenotype macrophages facilitate crystal clearance and tissue repair. We have summarized the research on treating nephrolithiasis and related renal injury by targeting macrophage polarization in recent years, including therapeutic approaches through pharmacological methods, epigenetic regulation, and advanced biomaterials. At the same time, we have critically evaluated the novel therapeutic strategies for macrophage reprogramming and explored the future development directions of targeting macrophage reprogramming for nephrolithiasis treatment, such as using single-cell/spatial omics to reveal the heterogeneity of macrophages in the stone microenvironment, chimeric antigen receptor macrophages (CAR-Ms) as a potential therapy for specific crystal phagocytosis in certain areas, and multi-omics integration to address inter-patient immune differences. This review highlights that macrophage reprogramming is a transformative frontier in nephrolithiasis management and underscores the need for further research to translate these molecular insights into effective clinical applications. Full article

Prenatal and postnatal skeletal muscle development in ruminants is coordinated by interactions between genetic, nutritional, epigenetic, and endocrine factors. This review focuses on the influence of maternal nutrition during gestation on fetal myogenesis, satellite cell dynamics, and myogenic regulatory factors expression, including MYF5, MYOD1, and MYOG. Studies in sheep and cattle indicate that nutrient restriction or overnutrition alters muscle fiber number, the cross-sectional area, and the transcriptional regulation of myogenic genes in offspring. Postnatally, muscle hypertrophy is primarily mediated by satellite cells, which are activated via PAX7, MYOD, and MYF5, and regulated through mechanisms such as CARM1-induced chromatin remodeling and miR-31-mediated mRNA expression. Hormonal signaling via the GH–IGF1 axis and thyroid hormones further modulate satellite cell proliferation and protein accretion. Genetic variants, such as myostatin mutations in Texel sheep and Belgian Blue cattle, enhance muscle mass but may compromise reproductive efficiency. Nutritional interventions, including the plane of nutrition, supplementation strategies, and environmental stressors such as heat and stocking density, significantly influence muscle fiber composition and carcass traits. This review provides a comprehensive overview of skeletal muscle programming in ruminants, tracing the developmental trajectory from progenitor cell differentiation to postnatal growth and maturation. These insights underscore the need for integrated approaches combining maternal diet optimization, molecular breeding, and precision livestock management to enhance muscle growth, meat quality, and production sustainability in ruminant systems. Full article

The HepACAGA (Hepatic Arteriography and C-arm CT-Guided Ablation) technique, which integrates C-arm CT guidance with transcatheter C-arm CT hepatic arteriography (C-arm CTHA), significantly improves liver tumor ablation outcomes by enhancing tumor visualization, navigation, and the intraprocedural assessment of ablation margins. The two key advantages of using C-arm CT over conventional CT for image guidance are firstly that the entire procedure can be performed in the angiography suite, eliminating the need for patient transfer between the angiography suite (catheterization) and CT-room (ablation), and secondly, that integrated C-arm needle guidance software can greatly reduce the difficulty of needle placement. Beyond these advantages, the HepACAGA technique offers additional benefits across four domains: (1) the direct conversion of ablation to intra-arterial liver-directed therapies (e.g., radioembolization or chemoembolization) upon the intraprocedural detection of disease progression; (2) the direct combination of ablation with intra-arterial treatments or portal vein embolization in one session; (3) the enhanced ablation effect through heat sink effect reduction with adjunct bland embolization or balloon occlusion; and (4) the immediate hemorrhage control through direct embolization. This pictorial essay demonstrates the advantages of combining C-arm CT guidance with real-time C-arm CTHA in the percutaneous thermal ablation of liver tumors, with clinical cases illustrating each of the aforementioned four key domains. Full article

This study explored the adsorption of carboxylic acids, especially free fatty acids (FFAs), present in biofuel (distilled fractions of bio-oil such as gasoline-like hydrocarbons, kerosene-like hydrocarbons, and diesel-like hydrocarbons) using red-mud-based adsorbents. The red mud was thermally activated at 40 °C and 600 °C and chemically activated with 0.25M, 1M, and 2M HCl. Analytical techniques were used to characterize the adsorbents’ properties. At the same time, the study examined factors like feed type, adsorbents, FFA contents, adsorbent percentage, activation temperature, acid solution concentration, and contact time to assess adsorption efficiency. The characterization results indicated that chemical activation with 0.25M HCl significantly increased the surface area to 84.3290 m²/g, surpassing that of the thermally activated samples (35.2450 m²/g at 400 °C). Adsorption experiments demonstrated that all chemically activated samples, with 5% adsorbent, adsorbed over 2000 mg of FFAs per gram of adsorbent, with CARM-1M HCl achieving 100% removal of acids from gasoline-like hydrocarbons. Kinetic modeling showed that the pseudo-second-order model best represented the adsorption data, as evidenced by high R² values and close agreement between the experimental and calculated q_e values. Therefore, adsorption with chemically activated red mud efficiently deacidifies biofuels, providing a cost-effective and promising approach for their upgrading. Full article

Chimeric antigen receptor (CAR)-engineered cell therapy represents a landmark advancement in cancer immunotherapy. While αβ CAR-T therapy has demonstrated remarkable success in hematological malignancies, its efficacy in solid tumors remains constrained mainly by factors such as antigen heterogeneity, immunosuppressive microenvironments, and on-target/off-tumor toxicity. To overcome these limitations, emerging CAR platforms that utilize alternative immune effectors, including natural killer (NK) cells, macrophages, and γδ T lymphocytes, are rapidly gaining traction. This review systematically analyzes the mechanistic advantages of CAR-NK, CAR-M, and CAR-γδ T cell therapies, while critically evaluating persistent challenges in clinical translation, including limited cell persistence, manufacturing scalability, and dynamic immune evasion mechanisms. We further discuss innovative strategies to enhance therapeutic efficacy through some viable strategies. By bridging fundamental immunology with translational engineering, this work provides a roadmap for developing CAR therapies capable of addressing the complexities of solid tumor eradication. Full article

Robotics plays a pivotal role in contemporary space missions, particularly in the development of robotic manipulators for operations in environments that are inaccessible to humans. In accordance with the trend of integrating multiple functionalities into a single system, this study evaluates the feasibility of using a robotic manipulator, termed a C-arm, for passive attitude control of a 1U CubeSat. A simplified multibody model of the CubeSat system was employed to assess the robotic arm’s functionality as a gravity gradient boom and subsequently as a passive magnetic control mechanism by utilising a permanent magnet at its extremity. The effectiveness of the C-arm as a gravitational boom is constrained by size and weight, as evidenced by the simulations; the pitch angle oscillated around ±40°, while roll and yaw angles varied up to 30° and 35°, respectively. Subsequent evaluations sought to enhance pointing accuracy through the utilisation of permanent magnets. However, the absence of dissipative forces resulted in attitude instabilities. In conclusion, the integration of a robotic arm into a 1U CubeSat for passive attitude control shows potential, especially for missions where pointing accuracy can tolerate a certain range, as is typical of CubeSat nanosatellite missions. Full article

This study presents a bilateral control architecture that links fluoroscopic image feedback directly to the kinematics of a tendon-driven, three-joint robotic catheter and a 3-DoF motorised C-arm, intending to preserve optimal imaging geometry during autonomous catheter insertion and thereby mitigating radiation exposure. Forward and inverse kinematics for both manipulators were derived via screw theory and geometric analysis, while a calibrated projection model generated synthetic X-ray images whose catheter bending angles were extracted through intensity thresholding, segmentation, skeletonisation, and least-squares circle fitting. The estimated angle fed a one-dimensional extremum-seeking routine that rotated the C-arm about its third axis until the apparent bending angle peaked, signalling an orthogonal view of the catheter’s bending plane. Implemented in a physics-based simulator, the framework achieved inverse-kinematic errors below 0.20% for target angles between ${20}^{°}$ and ${90}^{°}$, with accuracy decreasing to 3.00% at ${10}^{°}$. The image-based angle estimator maintained a root-mean-square error $\le 3$% across most of the same range, rising to 6.4% at ${10}^{°}$. The C-arm search consistently located the optimal perspective, and the combined controller steered the catheter tip along a predefined aortic path without collision. These results demonstrate sub-degree angular accuracy under idealised, noise-free conditions and validate real-time coupling of image guidance to dual-manipulator motion; forthcoming work will introduce realistic image noise, refined catheter mechanics, and hardware-in-the-loop testing to confirm radiation-dose and workflow benefits. Full article

We propose a method to reconstruct a 3D coordinate system and a vascular map for the operation of magnetic medical robots (MMRs) controlled by a magnetic navigation system (MNS) using two 2D X-ray images and four corners of an MNS. Utilizing the proposed method, we calculated the relative rotation angle of a C-arm considering its rotational precision error. We derived the position information and 3D coordinate system of an MNS workspace in which the magnetic fields are generated and controlled by an MNS. The proposed method can also be utilized to reconstruct vascular maps. Reconstructed vascular maps are in the 3D coordinate system of the C-arm and can be transformed into the 3D coordinate system of an MNS workspace to generate the magnetic flux density with the desired direction and magnitude at the position of the MMR. The proposed method allows us to remotely and precisely control the MMR inserted into the vessel by controlling the external magnetic field. The proposed method was validated through in vitro experiments with an MNS mock-up and a vascular jig. Finally, the proposed method was applied to in vivo experiments where the MMR was inserted into the superficial femoral artery of a mini pig to remotely control the motion of the MMR. This research will enable precise and effective control of MMRs in various medical procedures utilizing an MNS. Full article

Background: Pelvic fractures require precise reduction and stabilization, necessitating high-quality C-arm imaging and accurate patient positioning. Standard operating tables often obstruct optimal C-arm maneuverability. To address this, we developed a new auxiliary surgical table that integrates with existing tables and evaluated its clinical utility compared to a specialized carbon surgical table. Methods: Between March 2018 and June 2023, we conducted a retrospective study involving 162 patients (97 men and 65 women; average age 45.7 years) who underwent percutaneous sacroiliac screw fixation for pelvic fractures. Ninety patients were treated using the newly developed table, and seventy-two patients were treated using the carbon table. The new table, measuring 200 cm in length, 50 cm in width, and 2 cm in thickness, was constructed from waterproof plywood and designed to be securely attached to existing operating tables. We compared surgical preparation times, economic costs, and intraoperative imaging feasibility between the two groups. Results: Use of the new table significantly reduced the surgical preparation time by an average of 21 min and saved approximately $43,000 in cost compared to the carbon table. Subjective assessments indicated no notable difference in intraoperative C-arm image quality between the two groups. The new table allowed free C-arm rotation by overcoming the mechanical limitations of conventional tables. Conclusions: The new auxiliary table demonstrated clinical feasibility and economic advantages without compromising intraoperative imaging quality, offering a practical and cost-effective alternative for pelvic fracture surgeries. Full article

Breast cancer (BC) remains a significant global health challenge due to its complex biology, which complicates both diagnosis and treatment. Immunotherapy and cancer vaccines have emerged as promising alternatives, harnessing the body’s immune system to precisely target and eliminate cancer cells. However, several key factors influence the selection and effectiveness of these therapies, including BC subtype, tumor mutational burden (TMB), tumor-infiltrating lymphocytes (TILs), PD-L1 expression, HER2 resistance, and the tumor microenvironment (TME). BC subtypes play a critical role in shaping treatment responses. Triple-negative breast cancer (TNBC) exhibits the highest sensitivity to immunotherapy, while HER2-positive and hormone receptor-positive (HR+) subtypes often require combination strategies for optimal outcomes. High TMB enhances immune responses by generating neoantigens, making tumors more susceptible to immune checkpoint inhibitors (ICIs); whereas, low TMB may indicate resistance. Similarly, elevated TIL levels are associated with better immunotherapy efficacy, while PD-L1 expression serves as a key predictor of checkpoint inhibitor success. Meanwhile, HER2 resistance and an immunosuppressive TME contribute to immune evasion, highlighting the need for multi-faceted treatment approaches. Current breast cancer immunotherapies encompass a range of targeted treatments. HER2-directed therapies, such as trastuzumab and pertuzumab, block HER2 dimerization and enhance antibody-dependent cellular cytotoxicity (ADCC), while small-molecule inhibitors, like lapatinib and tucatinib, suppress HER2 signaling to curb tumor growth. Antibody–drug conjugates (ADCs) improve tumor targeting by coupling monoclonal antibodies with cytotoxic agents, minimizing off-target effects. Meanwhile, ICIs, including pembrolizumab, restore T-cell function, and CAR-macrophage (CAR-M) therapy leverages macrophages to reshape the TME and overcome immunotherapy resistance. While immunotherapy, particularly in TNBC, has demonstrated promise by eliciting durable immune responses, its efficacy varies across subtypes. Challenges such as immune-related adverse events, resistance mechanisms, high costs, and delayed responses remain barriers to widespread success. Breast cancer vaccines—including protein-based, whole-cell, mRNA, dendritic cell, and epitope-based vaccines—aim to stimulate tumor-specific immunity. Though clinical success has been limited, ongoing research is refining vaccine formulations, integrating combination therapies, and identifying biomarkers for improved patient stratification. Future advancements in BC treatment will depend on optimizing immunotherapy through biomarker-driven approaches, addressing tumor heterogeneity, and developing innovative combination therapies to overcome resistance. By leveraging these strategies, researchers aim to enhance treatment efficacy and ultimately improve patient outcomes. Full article

Background/Objectives: Fluoroscopy has been widely adopted in interventional pulmonology, as it facilitates real-time visualization of the bronchoscope, endobronchial ultrasound, and biopsy tools during procedures. The purpose of this study was to evaluate the effectiveness of radiation shields in minimizing scattered X-ray dose to the bronchoscopist in a phantom study and to determine the dose of scattered X-ray dose to medical staff with radiation shields in clinical application. Methods: An anthropomorphic torso phantom was positioned on the fluoroscopic table between the C-arm X-ray tube and the image detector to mimic bronchoscopic operations. Upper and lower body lead shields were used to examine the effectiveness of radiation shielding. Scatter radiation rates were assessed at a first operator location using real-time dosimeters with and without protective devices. In clinical application, the scattered X-ray dose of the first operator and main assistant was measured using wearable radiation dosimeters during 20 procedures. Results: In the phantom study, scattered radiation without shielding was 266.34 ± 8.86 μSv/h (glabella), 483.90 ± 8.01 μSv/h (upper thorax), 143.97 ± 8.20 μSv/h (hypogastrium), and 7.22 ± 0.28 μSv/h (ankle). The combination of upper and lower body lead shields reduced the scattered X-ray dose by 98.7%, 98.3%, 66.2%, and 79.9% at these levels, respectively. In clinical application, mean scattered X-ray dose rates were 0.14 ± 0.05 μSv/procedure (eye), 0.46 ± 0.51 μSv/procedure (chest), 0.67 ± 0.50 μSv/procedure (hypogastrium), and 1.57 ± 2.84 μSv/procedure (assistant’s wrist). Conclusions: The combination of radiation shields significantly reduced the scattered X-ray dose at the operator site in the phantom study. The scattered X-ray dose to medical staff during bronchoscopy can be kept at a low level with the aid of a shielding system. Full article

In recent years, underwater image enhancement (UIE) processing technology has developed rapidly, and underwater optical imaging technology has shown great advantages in the intelligent operation of underwater robots. In underwater environments, light absorption and scattering often cause seabed images to be blurry and distorted in color. Therefore, acquiring high-definition underwater imagery with superior quality holds essential significance for advancing the exploration and development of marine resources. In order to resolve the problems associated with chromatic aberration, insufficient exposure, and blurring in underwater images, a high-dimensional attention generative adversarial network framework for underwater image enhancement (HDAGAN) is proposed. The introduced method is composed of a generator and a discriminator. The generator comprises an encoder and a decoder. In the encoder, a channel attention residual module (CARM) is designed to capture both semantic features and contextual details from visual data, incorporating multi-scale feature extraction layers and multi-scale feature fusion layers. Furthermore, in the decoder, to refine the feature representation of latent vectors for detail recovery, a strengthen–operate–subtract module (SOSM) is introduced to strengthen the model’s capability to comprehend the picture’s geometric structure and semantic information. Additionally, in the discriminator, a multi-scale feature discrimination module (MFDM) is proposed, which aids in achieving more precise discrimination. Experimental findings demonstrate that the novel approach significantly outperforms state-of-the-art UIE techniques, delivering enhanced outcomes with higher visual appeal. Full article

Background: The main challenge in human–object interaction detection (HOI) is how to accurately reason about ambiguous, complex, and difficult to recognize interactions. The model structure of the existing methods is relatively single, and the image input may be occluded and cannot be accurately recognized. Methods: In this paper, we design a Pose-Aware Interaction Network (PAIN) based on transformer architecture and human posture to address these issues through two innovations: A new feature fusion method is proposed, which fuses human pose features and image features early before the encoder to improve the feature expression ability, and the individual motion-related features are additionally strengthened by adding to the human branch; the Cross-Attention Relationship fusion Module (CARM) better fuses the three-branch output and captures the detailed relationship information of HOI. Results: The proposed method achieves 64.51%$A{P}_{role}^{\#1}$, 66.42%$A{P}_{role}^{\#2}$ on the public dataset V-COCO and 30.83% AP on HICO-DET, which can recognize HOI instances more accurately. Full article

Chimeric antigen receptor-T (CAR-T) cell therapy has demonstrated impressive efficacy in the treatment of blood cancers; however, its effectiveness against solid tumors has been significantly limited. The differences arise from a range of difficulties linked to solid tumors, including an unfriendly tumor microenvironment, variability within the tumors, and barriers to CAR-T cell infiltration and longevity at the tumor location. Research shows that the reasons for the decreased effectiveness of CAR-T cells in treating solid tumors are not well understood, highlighting the ongoing need for strategies to address these challenges. Current strategies frequently incorporate combinatorial therapies designed to boost CAR-T cell functionality and enhance their capacity to effectively target solid tumors. However, these strategies remain in the testing phase and necessitate additional validation to assess their potential benefits. CAR-NK (natural killer), CAR-iNKT (invariant natural killer T), and CAR-M (macrophage) cell therapies are emerging as promising strategies for the treatment of solid tumors. Recent studies highlight the construction and optimization of CAR-NK cells, emphasizing their potential to overcome the unique challenges posed by the solid tumor microenvironment, such as hypoxia and metabolic barriers. This review focuses on CAR cell therapy in the treatment of solid tumors. Full article

In solid tumors, tumor-associated macrophages (TAMs) are one of the most numerous populations and play an important role in the processes of tumor cell invasion, metastasis, and angiogenesis. Therefore, TAMs are considered promising diagnostic and prognostic biomarkers of tumors, and many attempts have been made to influence these cells as part of antitumor therapy. There are several key principles of action on ТАМs: the inhibition of monocyte/macrophage transition; the destruction of macrophages; the reprogramming of macrophage phenotypes (polarization of M2 macrophages to M1); the stimulation of phagocytic activity of macrophages and CAR-M therapy. Despite the large number of studies in this area, to date, there are no adequate approaches using antitumor therapy based on alterations in TAM functioning that would show high efficacy when administered in a mono-regimen for the treatment of malignant neoplasms. Studies devoted to the evaluation of the efficacy of drugs acting on TAMs are characterized by a small sample and the large heterogeneity of patient groups; in addition, in such studies, chemotherapy or immunotherapy is used, which significantly complicates the evaluation of the effectiveness of the agent acting on TAMs. In this review, we attempted to systematize the evidence on attempts to influence TAMs in malignancies such as lung cancer, breast cancer, colorectal cancer, cervical cancer, prostate cancer, gastric cancer, head and neck squamous cell cancer, and soft tissue sarcomas. Full article