A novel navigation principle in computer-assisted surgery.

Novel methods of laser measurements and interventions in the framework of image-guided surgery are presented. The first innovation concerns the basis of error propagation studies in registration chains from CT via OR navigator to the surgical laser tool holder. Here, we propose a holographic ground truth. The second innovation concerns a laser-based inherent sound-guidance principle for burr hole depth measurement.

Holographic face models as planning tool in maxillofacial surgery.

The holographic facial profile scan is a new technique for creation of high-resolution, three-dimensional, realistic facial computer models which can be used for surgical planning and documentation in maxillofacial surgery. First, a holographic image of the patient is recorded using a pulsed laser system. In a second step, called holographic tomography, the real image of the patient's hologram is reconstructed by means of a continuous-wave laser. By moving a screen through the real three-dimensional image, it is sliced into a series of two-dimensional projections which are captured with a digital camera. The slices containing the specific two-dimensional information are superimposed to a three-dimensional surface model using special software. The extremely short exposure time of 35 nanoseconds for taking a holographic image is separated from the time-consuming rendering process of the surface model; thus, the obtained models are not affected by the movements of the patient.

Improved biological activity of antisense oligonucleotides conjugated to a fusogenic peptide.

Recently several groups reported a dramatic improvement of reporter gene transfection efficiency using a fusogenic peptide, derived from the Influenza hemagglutinin envelop protein. This peptide changes conformation at acidic pH and destabilizes the endosomal membranes thus resulting in an increased cytoplasmic gene delivery. We describe the use of a similar fusogenic peptide in order to improve the antiviral potency of antisense oligodeoxynucleotides (anti TAT) and oligophosphorothioates (S-dC28) on de novo HIV infected CEM-SS lymphocytes in serum-free medium. We observed as 5 to 10 fold improvement of the anti HIV activities of the phosphodiester antisense oligonucleotides after chemical coupling to the peptide in a one to one ratio by a disulfide or thioether bond. No toxicities were observed at the effective doses (0.1-1 microM). No sequence specificity was obtained and the fusogenic peptide possessed some antiviral activities on its own (IC50: 6 microM). A S-dC28-peptide disulfide linked conjugate and a streptavidin-peptide-biotinylated S-dC28 adduct showed similar activities as the free S-dC28 oligonucleotide (IC50: 0.1-1 nM). As expected, all the compounds were less potent in the presence of serum but the relative contribution of peptide coupling was maintained.