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21 pages, 9655 KB  
Article
WHU-IOGM: A Global Three-Dimensional Internal Oceanic Gravity Field Model Determined by Geodetic Methods
by Ganghua Ni, Zhengtao Wang, Wenbin Shen, Nengfang Chao, Cong Liu and Yonggang Zhang
J. Mar. Sci. Eng. 2026, 14(13), 1178; https://doi.org/10.3390/jmse14131178 (registering DOI) - 26 Jun 2026
Abstract
Determining the internal oceanic gravity corresponds to solving for the Earth’s internal gravitational potential, for which traditional geodetic theories (Stokes’ and Molodenskii’s theorems) are not directly applicable. To overcome this constraint, the concept of “seawater layer” is introduced. The first original global three-dimensional [...] Read more.
Determining the internal oceanic gravity corresponds to solving for the Earth’s internal gravitational potential, for which traditional geodetic theories (Stokes’ and Molodenskii’s theorems) are not directly applicable. To overcome this constraint, the concept of “seawater layer” is introduced. The first original global three-dimensional internal oceanic gravity field model WHU-IOGM was constructed using four key methods: (1) sliding-window Newtonian integration, (2) multi-node parallel computing on a high-performance supercomputing platform, (3) an ellipsoidal harmonic expansion algorithm with improved convergence properties, and (4) a spherical-to-ellipsoidal harmonic coefficient transformation algorithm. Compared with underwater gravity measurement continuation, the “seawater layer” method has more advantages in theoretical rigor and accuracy. The theoretical systematic error of WHU-IOGM was evaluated, with the global RMSE of about 6.28 mGal and a mean error of about 0.19 mGal. Based on the WOA18 deep stratification framework, we added a grid layer corresponding to the actual seabed depth, expanding the original 102-layer system to a total of 103 layers. The inclusion enhances the model’s conformity with actual seabed topography. This structural refinement enables a more accurate and detailed representation of the ocean’s internal gravity field, providing a theoretical basis and algorithmic models for underwater gravity measurement and underwater navigation. Full article
(This article belongs to the Special Issue Marine Modelling and Environmental Statistics—2nd Edition)
16 pages, 2002 KB  
Review
Artificial Intelligence in Vascular Surgery: A Literature Review Focusing on Current Applications, Imaging Advances and Future Prospects
by Areeb Ansari, Nabiha Ansari, Shehzad Zaheer, Usman Khalid, Kristian Bechev, Daniel Markov, Vladimir Aleksiev, Galabin Markov and Elena Poryazova
J. Clin. Med. 2026, 15(13), 4988; https://doi.org/10.3390/jcm15134988 (registering DOI) - 26 Jun 2026
Abstract
Background/Objectives: Artificial intelligence (AI) is increasingly being integrated into vascular surgery, particularly in diagnostic imaging, perioperative planning, intraoperative guidance, and postoperative surveillance. This literature review evaluates the current applications of artificial intelligence in vascular surgery and endovascular practice, with a particular focus on [...] Read more.
Background/Objectives: Artificial intelligence (AI) is increasingly being integrated into vascular surgery, particularly in diagnostic imaging, perioperative planning, intraoperative guidance, and postoperative surveillance. This literature review evaluates the current applications of artificial intelligence in vascular surgery and endovascular practice, with a particular focus on imaging technologies and their role in improving diagnostic precision, workflow efficiency, and patient outcomes. In addition, the review examines emerging AI applications in operative workflow optimization, endovascular navigation, postoperative surveillance, training platforms, and AI-assisted clinical decision support. Methods: A literature review was conducted using PubMed and Scopus with the search terms: (artificial intelligence OR AI OR neural network) AND (vascular surgery) AND (diagnosis OR treatment). Reference lists of included studies were manually screened, and additional recent studies were identified from relevant journals. Articles published in English up to April 2026 were included. Studies were assessed for their applications in vascular diagnostics, plaque characterization, endovascular workflow optimization, and postoperative surveillance. Results: AI demonstrated strong diagnostic performance across multiple imaging modalities. Deep learning systems achieved a sensitivity of 91.3% and specificity of 95.2% in peripheral arterial stenosis classification, while plaque characterization models showed accuracies up to 96% and substantial agreement with expert imaging interpretation. AI-assisted operative systems improved procedural efficiency through reductions in operative duration, radiation exposure, and contrast utilization. However, many studies were retrospective, single-center, and based on relatively small cohorts with heterogeneous endpoints. Conclusions: AI has significant potential to improve vascular surgical practice through enhanced image interpretation, procedural guidance, and individualized treatment planning. Despite promising outcomes, current evidence remains limited by methodological heterogeneity and insufficient external validation. Prospective multicenter studies and standardized evaluation frameworks are required before widespread clinical implementation can be achieved. Full article
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26 pages, 2428 KB  
Article
Reconfigurable Mobile Wireless Sensor Network Coordination for Simultaneous Multi-Target Tracking
by Naeimeh Najafizadeh Sari, Yeqi Sang, Goldie Nejat and Beno Benhabib
Robotics 2026, 15(7), 120; https://doi.org/10.3390/robotics15070120 - 25 Jun 2026
Abstract
This paper presents a distributed coordination framework for simultaneous multi-target tracking using a mobile wireless sensor network (MWSN) based on discrete-event-system principles. The proposed framework employs a finite-state-machine architecture, where autonomous mobile sensors sequentially process detection and tracking events. Unlike passive tracking approaches [...] Read more.
This paper presents a distributed coordination framework for simultaneous multi-target tracking using a mobile wireless sensor network (MWSN) based on discrete-event-system principles. The proposed framework employs a finite-state-machine architecture, where autonomous mobile sensors sequentially process detection and tracking events. Unlike passive tracking approaches that react to target loss after it occurs, the proposed strategy implements predictive handover through Extended-Kalman-Filter-based uncertainty propagation. This enables sensors to anticipate target loss and to reposition auxiliary sensors in advance, acquiring targets along their predicted trajectories. A bidding-based allocation mechanism coordinates sensor assignments by evaluating four competing objectives: network preservation, spatial proximity to handover points, temporal mission feasibility, and estimation uncertainty. The proposed framework integrates four components: EKF-convergence-triggered proactive handover, multi-objective competitive bidding, distributed min–max conflict resolution, and fusion-driven proportional navigation. Unlike existing methods, auxiliary sensors navigate using confidence-weighted EKF estimates shared by neighboring sensors rather than their own measurements. An ablation study over ten Monte Carlo trials confirms that each component contributes independently, with EKF-based predictive triggering identified as the dominant performance driver. Full article
(This article belongs to the Section Sensors and Control in Robotics)
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27 pages, 2655 KB  
Systematic Review
Safety and Security of Maritime Communication Systems: A Comprehensive Literature Review and Bibliometric Analysis
by Paško Ivančić, Zaloa Sanchez Varela, Vice Milin and Ivan Peronja
Technologies 2026, 14(7), 390; https://doi.org/10.3390/technologies14070390 - 25 Jun 2026
Abstract
Maritime communication systems are among the most important infrastructure of global maritime safety and security. They consist of very high frequency (VHF) radio, the Global Maritime Distress and Safety System (GMDSS), contemporary satellite nets, Automatic Identification System (AIS) networks, and the emerging VHF [...] Read more.
Maritime communication systems are among the most important infrastructure of global maritime safety and security. They consist of very high frequency (VHF) radio, the Global Maritime Distress and Safety System (GMDSS), contemporary satellite nets, Automatic Identification System (AIS) networks, and the emerging VHF Data Exchange System (VDES). These systems are essential for distress signaling, navigational coordination, and vessel traffic management. As maritime operations are experiencing accelerated digitalisation, the safety and security dimensions of maritime communication systems have attracted substantial and growing scientific attention. This study presents a comprehensive literature review and bibliometric analysis of the safety and security of maritime communication systems. Guided by the PRISMA 2020 guidelines and Systematic Literature Review (SLR) methodology, a structured search was conducted across three major scientific databases: Scopus, Web of Science (WoS), and IEEE Xplore. Starting from a raw pool of 6648 records retrieved between 2000 and 2026, the dataset was reduced through successive filtering to a final body of 68 high-relevance publications. Bibliometric analysis reveals a significant upward publication trend from 2015 onwards, with a marked acceleration after 2019. Thematic analysis identifies seven principal research clusters: GMDSS modernisation, AIS safety and security, VDES and VHF next-generation systems, maritime cybersecurity, satellite communications, risk assessment frameworks, and emerging technologies, including artificial intelligence and autonomous vessel communications. The review identifies significant research gaps, including the absence of integrated cross-system risk frameworks, insufficient attention to human factors in cybersecurity, limited studies addressing emerging regulatory, legal governance components and a brief analysis of the maritime communications market. This study provides a structured foundation for future research and policy development in maritime communication security. Full article
(This article belongs to the Section Information and Communication Technologies)
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14 pages, 918 KB  
Article
Usability and User Advocacy of a Digital Twin-Inspired Metaverse Orientation System: An Exploratory Pilot Study
by Jia-Hui Tan, Soon-Nyean Cheong, Chee-Onn Wong and Ahmad Hishamuddin Bin Mohamed
Soc. Sci. 2026, 15(7), 414; https://doi.org/10.3390/socsci15070414 - 24 Jun 2026
Viewed by 64
Abstract
University orientation programmes are a primary mechanism through which new students become familiar with campus facilities, academic spaces, and institutional procedures. However, many orientation activities are delivered as single in-person sessions, limiting opportunities for students to revisit spatial and procedural information after the [...] Read more.
University orientation programmes are a primary mechanism through which new students become familiar with campus facilities, academic spaces, and institutional procedures. However, many orientation activities are delivered as single in-person sessions, limiting opportunities for students to revisit spatial and procedural information after the event. To help address this constraint, a digital twin-inspired metaverse orientation application, the Digital Twin Metaverse Orientation (DTMO), was designed in Unity and hosted on Spatial.io as a spatially faithful virtual replica of a faculty environment. An exploratory pilot evaluation was conducted with 30 university students from multiple faculties after a facilitator-guided orientation session. The System Usability Scale (SUS), Net Promoter Score (NPS), and two open-ended questions were used to examine perceived usability, recommendation intention, and the reasons underpinning recommendation decisions. The application obtained a mean SUS score of 86.83, corresponding to an excellent perceived-usability rating, and an NPS of 53.33, indicating positive immediate recommendation intention. Qualitative responses suggested that participants valued the DTMO for engagement, accessibility, ease of navigation, and support for spatial familiarisation, while some participants emphasised that it should complement rather than replace physical orientation. These pilot findings indicate promising user reception in a small, guided-session sample, but they do not establish orientation effectiveness, learning transfer, wayfinding performance, retention, belonging, institutional integration, or sustained use. Further research with broader samples and outcome-based measures is therefore needed. Full article
15 pages, 710 KB  
Article
Soft-Gating Mixture Robust Kalman Filter for SINS/DVL Integrated Navigation Under DVL Outlier Interference
by Li Luo, Luyao Zhang, Congyi Yang and Tao Liu
J. Mar. Sci. Eng. 2026, 14(13), 1165; https://doi.org/10.3390/jmse14131165 - 24 Jun 2026
Viewed by 65
Abstract
Aiming at the problem that complex underwater environments induce outliers in Doppler Velocity Log (DVL) measurements, which degrade the navigation accuracy of the Strapdown Inertial Navigation System (SINS)/DVL integrated system, this paper proposes a soft-gating Gaussian–Student’s t mixture robust Kalman filter (MRKF). Firstly, [...] Read more.
Aiming at the problem that complex underwater environments induce outliers in Doppler Velocity Log (DVL) measurements, which degrade the navigation accuracy of the Strapdown Inertial Navigation System (SINS)/DVL integrated system, this paper proposes a soft-gating Gaussian–Student’s t mixture robust Kalman filter (MRKF). Firstly, the measurement noise is modeled as a mixture of Gaussian and Student’s t distributions to adapt to normal stationary noise and abrupt outliers, respectively. Secondly, a logistic soft-gating weight is constructed based on the innovation Mahalanobis distance to adaptively balance the output contributions of the standard Kalman Filter (KF) and the variational Bayesian Student’s t filter. Finally, moment matching is adopted to realize the weighted fusion of two-branch posterior distributions, and an equivalent Gaussian posterior estimation is obtained. Simulation results under the considered SINS/DVL integrated navigation scenarios show that the proposed MRKF maintains estimation accuracy close to the standard KF under nominal Gaussian measurement noise. In the designed DVL outlier-injection scenario, the proposed MRKF achieves a position RMSE of 53.39m, compared with 878.75m, 58.84m, and 56.49m for the nominal KF, Huber KF (HKF), and Student’s-t variational Bayesian KF (STVBKF), respectively. These results indicate that the proposed MRKF can improve robustness against DVL outliers while maintaining competitive estimation accuracy under the simulated conditions. Full article
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40 pages, 2788 KB  
Article
Adaptive Health Systems Planning Under Uncertainty: A Multi-Level Systems Analytics Framework with Adaptive Policy Intelligence
by Ahmed Abdallah Abaker, Khalid Aldriwish, Ibrahim Rizqallah Alzahrani and Daifallah Zaid Alotaibe
Algorithms 2026, 19(7), 506; https://doi.org/10.3390/a19070506 - 24 Jun 2026
Viewed by 173
Abstract
The health system is now more complex, uncertain, interdependent, and dynamically interconnected than ever, making traditional planning decisions based on static, reductionist models increasingly impracticable. Systems analytics approaches such as system dynamics, agent-based modeling, and network analysis are often deployed in isolation and [...] Read more.
The health system is now more complex, uncertain, interdependent, and dynamically interconnected than ever, making traditional planning decisions based on static, reductionist models increasingly impracticable. Systems analytics approaches such as system dynamics, agent-based modeling, and network analysis are often deployed in isolation and fail to capture cross-level interactions and emergent system behavior. This study proposes an integrated multi-layer systems analytics framework that combines these analytical paradigms within a unified architecture to support adaptive health systems planning under uncertainty. The proposed framework introduces an Adaptive Policy Intelligence Layer (APIL), which enables continuous feedback-driven policy adaptation through dynamic monitoring, scenario evaluation, and real-time adjustment mechanisms. The model is evaluated under multiple simulation scenarios, including baseline conditions, demand shocks, resource constraints, and digital transformation environments. The findings provide strong quantitative and analytical evidence of improved system performance and resilience. More specifically, the digital transformation scenario achieved the lowest mean system pressure (0.128) and the highest resilience index (0.887), while the demand shock scenario produced the highest peak system pressure (0.306). The results demonstrate enhanced system resilience, more efficient resource deployment, and superior policy responsiveness compared with traditional single-method approaches. The originality of this study lies in integrating multi-level systems analytics with adaptive policy intelligence into a unified, feedback-driven decision-support framework for resilient health systems governance. The study contributes to systems analytics literature by advancing a synergistic and adaptive modeling paradigm capable of supporting policymakers in navigating complex and unstable healthcare environments. Full article
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42 pages, 11037 KB  
Article
A Multimodal Closed-Loop Framework for Vital Sign Monitoring and Intelligent Diagnosis of Amusement Ride Passengers Under High-Dynamic Motion
by Yikun Wu, Yulong Song, Hao Yang and Ming Zhang
Sensors 2026, 26(13), 4003; https://doi.org/10.3390/s26134003 - 24 Jun 2026
Viewed by 62
Abstract
High-dynamic amusement ride conditions involving impacts, rapid rotations, and abrupt posture changes introduce severe motion artifacts that degrade vital sign quality and destabilize physiological state recognition. This study aims to develop an engineering-ready closed-loop framework for robust passenger monitoring and intelligent diagnosis. A [...] Read more.
High-dynamic amusement ride conditions involving impacts, rapid rotations, and abrupt posture changes introduce severe motion artifacts that degrade vital sign quality and destabilize physiological state recognition. This study aims to develop an engineering-ready closed-loop framework for robust passenger monitoring and intelligent diagnosis. A multimodal sensing and modeling pipeline was designed to jointly leverage physiological signals such as heart rate and SpO2 and kinematic measurements, including acceleration, angular rate, velocity, and attitude. Inertial and PPG signals were preprocessed into supervised samples through wavelet multiresolution denoising and coordinate frame unification, while a strapdown inertial navigation system was used to propagate a 12-channel physical quantity sequence. To ensure interpretability and standards compliance, constraints from GB 8408-2018 were translated into executable threshold rules, enabling standards-driven auto-labeling and rule-based early warning. Building on this foundation, three learning modules were developed: a fusion model for high-dynamic heart rate estimation, a CNN–LSTM dynamic-threshold-enhanced network TAPNet for rapid kinematic anomaly screening, and an attention-augmented hybrid model HS-BANet integrating one-dimensional residual blocks, bidirectional LSTM, and multi-head attention for fine-grained arrhythmia classification. Experimental results demonstrated accurate and consistent heart rate estimation with RMSE of 1.18 bpm on HSSH-I and 1.24 bpm on the independent HSSH-II set, strong agreement with training and testing correlations of 0.9928 and 0.9865, and near-zero bias in Bland–Altman analysis. TAPNet achieved 96.9% validation accuracy and 98.2% test accuracy for kinematic anomaly recognition, maintaining robust generalization under class imbalance. HS-BANet enabled multi-class identification of PVC, PAC, VT, SVT, and AF, achieving an accuracy of 92.37%, an F1-score of 86.87%, a precision of 88.45%, a sensitivity of 88.14%, and a specificity of 89.42%. Overall, the proposed two-stage multimodal closed-loop—fast, interpretable early warning based on physical quantity thresholds followed by fine-grained diagnosis from physiological signals—supports stable feature extraction and reliable decision-making under strong motion artifacts and non-stationary dynamics, balancing responsiveness and diagnostic credibility, while showing potential for practical safety early warning and future deployment-oriented operational support in amusement ride scenarios. Full article
(This article belongs to the Section Biomedical Sensors)
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20 pages, 6758 KB  
Article
Wheel-AINS: A Vehicle Autonomous Positioning System Based on a Wheel-Mounted MIMU Array
by Guangmin Yuan, Guoyuan He, Xiangyang Guo, Ruijie Li, Chenyang Jiao and Xiaoying Li
Micromachines 2026, 17(7), 767; https://doi.org/10.3390/mi17070767 - 24 Jun 2026
Viewed by 128
Abstract
In satellite-denied environments such as urban canyons, tunnels, and underground parking facilities, achieving high-precision autonomous positioning for vehicles remains a critical challenge. Although high-precision inertial measurement units (IMUs) can provide accurate dead reckoning, their deployment is limited by cost, size, and power consumption, [...] Read more.
In satellite-denied environments such as urban canyons, tunnels, and underground parking facilities, achieving high-precision autonomous positioning for vehicles remains a critical challenge. Although high-precision inertial measurement units (IMUs) can provide accurate dead reckoning, their deployment is limited by cost, size, and power consumption, making low-cost, microelectromechanical systems IMUs (MIMUs) an attractive alternative solution. However, the single MIMU suffers from substantial measurement noise and bias instability, leading to rapid error divergence that cannot sustain long-term autonomous navigation. To address the above issues, this paper proposes an autonomous positioning system based on a wheel-mounted MIMU array (Wheel-AINS). The system adopts a differential layout in which multiple low-cost MIMU chips are installed at the center of each of the left and right rear wheels, forming redundant sensor arrays. By differentially fusing symmetrically mounted chips, common-mode noise and zero bias are effectively canceled while the wheel rotation provides natural rotational modulation. The fused gyroscope outputs and known wheel radius are then used to estimate the vehicle forward speed, replacing traditional odometers. The estimated wheel speed and vehicle kinematic constraints are then integrated within a Kalman filter framework to suppress the error divergence of the inertial navigation system. A dedicated embedded hardware prototype with multi-chip synchronous acquisition and wireless transmission was developed. Three groups of urban road tests with total distances of 0.85 km, 2.14 km, and 2.49 km were conducted. The results indicate that the average position drift rate of the Wheel-AINS is 0.50%, and the average heading RMSE is 12.2°. The closure error of the 2.49 km trajectory is 10.43 m, reduced by approximately 80% compared with a single MIMU. The ablation experiment reveals that the MIMU array fusion module is the primary source of accuracy improvement, reducing the position RMSE from 155.0 m to 10.1 m, while the dual-wheel distance constraint further optimizes the position RMSE to 8.2 m, but increases the heading RMSE from 13.3° to 13.6°. This demonstrates that the proposed method can substantially improve autonomous positioning accuracy while maintaining a notably low system cost, providing a viable technical pathway for long-endurance vehicle navigation in satellite-denied environments. Full article
(This article belongs to the Special Issue MEMS/NEMS Devices and Applications, 4th Edition)
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17 pages, 1431 KB  
Article
Adaptive Multi-Sensor Fusion for Robust Outdoor Localization and Path Tracking Under Weak GNSS Conditions
by Yanyan Dai, Subin Park and Kidong Lee
Electronics 2026, 15(13), 2768; https://doi.org/10.3390/electronics15132768 - 23 Jun 2026
Viewed by 162
Abstract
Reliable outdoor localization is essential for autonomous mobile robots, where the Global Navigation Satellite System (GNSS) is widely used to provide global positioning information. However, GNSS signals are often degraded in real-world environments due to occlusions, multipath effects, and environmental interference, leading to [...] Read more.
Reliable outdoor localization is essential for autonomous mobile robots, where the Global Navigation Satellite System (GNSS) is widely used to provide global positioning information. However, GNSS signals are often degraded in real-world environments due to occlusions, multipath effects, and environmental interference, leading to unstable localization and degraded navigation performance. This paper proposes an adaptive multi-sensor fusion framework for robust outdoor localization and path tracking under weak GNSS conditions. The proposed system integrates GNSS, LiDAR, wheel odometry, and inertial measurement unit (IMU) measurements within an Extended Kalman Filter (EKF) framework. To address the limitations of GNSS, an adaptive weighting mechanism is introduced to dynamically adjust the influence of GNSS observations based on signal quality indicators. Furthermore, a GNSS quality-aware mode-switching strategy is developed, enabling seamless transition between GNSS-dominant localization and multi-sensor fusion-based localization. In the fusion mode, LiDAR, odometry, and IMU jointly provide robust pose estimation, while GNSS acts as a weak global constraint. The IMU further enhances heading estimation, improving orientation stability and path tracking performance. The estimated pose is then used for trajectory tracking using a path-following controller. Experimental results conducted in outdoor environments demonstrate that the proposed framework significantly improves localization robustness and path tracking performance under degraded GNSS conditions. Compared with raw GNSS localization, the proposed method reduces the mean localization error by 47.2% and decreases the root mean square localization error by 55.5%, while maintaining smoother and more continuous trajectory estimation in weak GNSS environments. Full article
(This article belongs to the Special Issue Nonlinear Analysis and Control of Electronic Systems)
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40 pages, 1357 KB  
Review
Tumour Localisation Technologies in Colorectal Cancer Surgery: A Scoping Review of Marking and Detection Methods
by Mircea Fulea, Mihaela Mocan, Mircea Murar, Bogdan Mocan and Vasile Bințințan
Diagnostics 2026, 16(13), 1952; https://doi.org/10.3390/diagnostics16131952 - 23 Jun 2026
Viewed by 167
Abstract
Background: Precise intraoperative localisation of small colorectal tumours during laparoscopic surgery remains challenging due to absent tactile feedback and subserosal tumour location. Current standard methods, particularly India ink tattooing, demonstrate 15–30% failure rates for lesions less than 10 mm, leading to prolonged [...] Read more.
Background: Precise intraoperative localisation of small colorectal tumours during laparoscopic surgery remains challenging due to absent tactile feedback and subserosal tumour location. Current standard methods, particularly India ink tattooing, demonstrate 15–30% failure rates for lesions less than 10 mm, leading to prolonged operative times, incomplete resections, and re-operations. Multiple emerging technologies promise improved localisation, yet comparative evidence remains fragmented. Objective: To map and characterise the current landscape of intraoperative marking and identification technologies for small colorectal tumour localisation during laparoscopic surgery, with emphasis on radiofrequency-based methods and alternative approaches, and to identify evidence gaps guiding future research. Methods: Following PRISMA-ScR guidelines, we systematically searched PubMed, Web of Science, and Scopus databases from January 2000 through December 2025 for studies evaluating tumour localisation technologies in colorectal cancer surgery, including primary tumour localisation during laparoscopic colectomy and localisation of colorectal liver metastases during hepatic surgery, or transferable anatomical applications with documented translational potential to colorectal surgery. Two independent reviewers screened all records, with discrepancies resolved through discussion and a third senior reviewer consulted for unresolved disagreements; data were extracted on technical performance, safety, feasibility, cost-effectiveness, usability, innovation potential, and evidence quality. Results: We included 89 studies comprising 18 colorectal-specific articles and 71 transferable/GI-adjacent studies. Detection success rates ranged from 71% to 100% across modalities. Near-infrared fluorescence with indocyanine green demonstrated the strongest clinical evidence with 75–100% detection across eight colorectal studies encompassing 2134 procedures and seamless workflow integration. Radiofrequency identification systems achieved 91.9–99% detection in feasibility studies with promising tissue penetration of 15–35 mm but limited colorectal validation. Electromagnetic navigation excelled in rigid organs with 85–98% success but showed degraded performance in mobile bowel at 71–75%. Critical evidence gaps included absent head-to-head comparative trials, non-standardised outcome metrics limiting cross-study comparability, and limited long-term safety data with only 14 studies providing follow-up exceeding six months. Conclusions: ICG fluorescence represents the most clinically mature technology identified, representing a priority candidate for colorectal-specific validation in challenging localisation scenarios. RFID systems demonstrate promising characteristics justifying prioritised research investment through adequately powered comparative trials. Future research must emphasise consortium-based comparative effectiveness studies, standardised outcome metrics, and integration with robotic and AI-assisted surgical platforms to accelerate clinical translation. Full article
(This article belongs to the Section Clinical Diagnosis and Prognosis)
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21 pages, 315 KB  
Review
Artificial Intelligence in Implant Dentistry: Clinical Validity, Diagnostic Performance, Surgical Planning, and Medico-Legal Implications—A Narrative Review
by Alfonso Acerra, Angelo Aliberti, Alessandra Amato, Anna Eccellente, Alessandro Santurro and Francesco Giordano
Dent. J. 2026, 14(7), 389; https://doi.org/10.3390/dj14070389 - 23 Jun 2026
Viewed by 184
Abstract
Background: Artificial intelligence (AI) is increasingly being integrated into implant dentistry, where clinical decision-making depends on the interpretation of complex radiographic and patient-specific data. Although multiple applications have been proposed across diagnostic imaging, treatment planning, intraoperative support and outcome prediction, their clinical [...] Read more.
Background: Artificial intelligence (AI) is increasingly being integrated into implant dentistry, where clinical decision-making depends on the interpretation of complex radiographic and patient-specific data. Although multiple applications have been proposed across diagnostic imaging, treatment planning, intraoperative support and outcome prediction, their clinical validity and real-world applicability remain incompletely defined and their use raises relevant medico-legal considerations. Methods: A narrative review was conducted through a structured search of PubMed/MEDLINE, Scopus, and Web of Science, including English-language studies published between 2010 and February 2026. Clinical and experimental studies, as well as relevant reviews addressing AI applications in implant dentistry, were included. A qualitative thematic synthesis was performed due to methodological heterogeneity. Results: AI applications are mainly concentrated in diagnostic imaging, particularly CBCT analysis, where high levels of performance are consistently reported. In treatment planning, systems support specific decision-making tasks rather than comprehensive strategies, while intraoperative applications are integrated into navigation and robotic systems to improve procedural accuracy. Predictive models for implant outcomes have been developed, although their reliability remains influenced by dataset variability and study design. Conclusions: AI currently represents a supportive tool in implant dentistry, with greater applicability in standardized tasks. Its integration into complex clinical decision-making remains limited, highlighting the need for clinically oriented validation and cautious implementation in practice. Full article
(This article belongs to the Special Issue Artificial Intelligence in Oral Rehabilitation)
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21 pages, 1843 KB  
Article
Eye-Tracking-Based Evaluation of Cognitive Style and Driving Task Effects on AR-HUD Navigation Interfaces
by Jing Li, Xinyu Feng, Min Lin and Hua Zhang
Sensors 2026, 26(13), 3980; https://doi.org/10.3390/s26133980 - 23 Jun 2026
Viewed by 183
Abstract
As augmented reality head-up display (AR-HUD) becomes increasingly integrated into intelligent vehicles, inappropriate interface designs may increase drivers’ cognitive workload and delay hazard responses. This study investigates how cognitive style, driving task type, and AR-HUD navigation design jointly influence drivers’ behavioral performance and [...] Read more.
As augmented reality head-up display (AR-HUD) becomes increasingly integrated into intelligent vehicles, inappropriate interface designs may increase drivers’ cognitive workload and delay hazard responses. This study investigates how cognitive style, driving task type, and AR-HUD navigation design jointly influence drivers’ behavioral performance and visual attention. A total of 55 participants were recruited and screened using the Group Embedded Figures Test, with 38 drivers finally selected for a 2 × 4 × 2 driving-simulation experiment comparing world-fixed (WF) and screen-fixed (SF) interfaces across goal-directed and stimulus-driven tasks. Reaction times and eye-tracking indicators were analyzed using generalized linear models. Results show that stimulus-driven tasks significantly increased reaction times, with rear-vehicle scenarios producing the longest responses (mean = 1.420). During lane-change tasks, WF displays significantly reduced fixation duration (p < 0.001) and fixation counts (p < 0.001), whereas SF displays improved attentional efficiency during pedestrian-warning tasks. In addition, field-dependent drivers exhibited significantly larger pupil diameters, indicating higher cognitive workload. These findings provide sensor-based evidence for AR-HUD systems that dynamically optimize interface presentation according to task context and workload conditions. Full article
(This article belongs to the Section Navigation and Positioning)
14 pages, 365 KB  
Article
Family Voices in Digital Patient Navigation for Cervical Cancer Care in Indonesia
by Hana Rizmadewi Agustina, Hartiah Haroen, Tuti Pahria, Gatot Nyarumenteng Adhipurnawan Winarno, Citra Windani Mambang Sari, Windy Natasya, Heni Nur Anina, Inggriane Puspita Dewi, Yovita Dwi Setiyowati, Diwa Agus Sudrajat, Sita Sharma, Chyntya Putri Alita and Finny Fauziah Hidayat
Healthcare 2026, 14(13), 1809; https://doi.org/10.3390/healthcare14131809 - 23 Jun 2026
Viewed by 164
Abstract
Background: Cervical cancer remains a significant health issue in Indonesia, where structural barriers, fragmented information, and sociocultural norms continue to hinder timely diagnosis and treatment. Families play a central role throughout the illness journey, yet their perspectives are often overlooked in the [...] Read more.
Background: Cervical cancer remains a significant health issue in Indonesia, where structural barriers, fragmented information, and sociocultural norms continue to hinder timely diagnosis and treatment. Families play a central role throughout the illness journey, yet their perspectives are often overlooked in the development of digital patient navigation systems. This study explored family experiences, caregiving challenges, and expectations for a family-centered digital navigation model, DIVA.ID, by integrating Digital Health frameworks and Family Systems Theory. Methods: A qualitative descriptive approach was employed through semi-structured, in-depth interviews with 18 purposively selected family caregivers of women with cervical cancer at a major referral hospital in West Java. Participants were selected because they were directly involved in daily care, treatment decisions, logistical support, or emotional assistance. Interviews were conducted between August and October 2025 and continued until thematic saturation was reached, as indicated by repetition of categories and the absence of new major codes in the final interviews. Data were analyzed using inductive–deductive content analysis guided by Elo and Kyngäs, with five researchers conducting independent coding, iterative code comparison, consensus meetings, and theoretical mapping. Results: Four main themes emerged: (1) family involvement in decision-making, including collective discussion, shifting authority roles, and patient autonomy; (2) caregiver burden, involving physical exhaustion, psychological distress, social restriction, stigma, financial pressure, and employment disruption; (3) psycho-spiritual coping mechanisms, including emotional sharing, prayer, crying, patience, and surrender to God; and (4) digital healthcare needs, covering BPJS guidance, treatment information, scheduling, communication pathways, shelter support, and mental–spiritual support. Mapping these themes to Digital Health frameworks and Family Systems Theory clarified how DIVA.ID could translate family experiences into practical navigation functions. Conclusions: This study provides empirical foundations for a culturally sensitive, family-centered digital navigation model in Indonesia. Rather than demonstrating effectiveness, the findings identify design requirements for DIVA.ID that should be tested in subsequent feasibility, usability, and intervention studies. Full article
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Article
Generalized Maximum Correntropy Cubature Kalman Filter with Variational Bayesian for SINS/GPS Integrated Navigation Systems
by Weisheng Ma, Bin Wei and Xi Liu
Sensors 2026, 26(12), 3961; https://doi.org/10.3390/s26123961 - 22 Jun 2026
Viewed by 230
Abstract
To address the degraded accuracy and poor robustness of Strapdown Inertial Navigation Systems (SINSs)/Global Positioning Systems (GPSs) integrated navigation systems under time-varying non-Gaussian measurement noises, this paper proposes a variational Bayesian generalized maximum correntropy cubature Kalman filter (VBGMCCKF). The proposed method combines variational [...] Read more.
To address the degraded accuracy and poor robustness of Strapdown Inertial Navigation Systems (SINSs)/Global Positioning Systems (GPSs) integrated navigation systems under time-varying non-Gaussian measurement noises, this paper proposes a variational Bayesian generalized maximum correntropy cubature Kalman filter (VBGMCCKF). The proposed method combines variational Bayesian adaptive method with the generalized maximum correntropy criterion, enabling the filter to handle the noises with time-varying statistical characteristics and effectively improving its applicability to different types of non-Gaussian noises. The results under different scenarios demonstrate that VBGMCCKF achieves superior estimation accuracy and robustness in the SINS/GPS integrated navigation systems compared with other existing methods. These results confirm the effectiveness of the proposed method for integrated navigation systems under complex noise environments. Full article
(This article belongs to the Section Navigation and Positioning)
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