Clinical value of entire-circumferential intraoperative frozen section analysis for the complete resection of superficial squamous cell carcinoma of the tongue.

OBJECTIVES: We aimed to evaluate the clinical value of an entire-circumferential intraoperative frozen section analysis (e-IFSA) for the complete resection of superficial squamous cell carcinoma (SCC) of the tongue. MATERIALS AND METHODS: A total 276 specimens from 51 patients with pT1-2, N0, mucosal or submucosal invasion SCC were analyzed to evaluate the diagnostic accuracy of the e-IFSA and the added value of the e-IFSA to iodine staining. The e-IFSA results were compared with the final histologic results obtained using permanent sections. All specimens for the e-IFSA were taken over the entire circumference 5 mm outside from the iodine unstained areas. The outline of the main resected specimen after taking these outer mucosal specimens were defined as the surgical margins determined by iodine staining alone. RESULTS: The e-IFSA results were in excellent agreement with final histological results (Cohen's kappa value: 0.85) and the e-IFSA showed high sensitivity (100%) and high negative predictive value (100%). The actual complete resection rate with an e-IFSA was 100% (51/51), and no patient required additional resection after surgery. In contrast, 10/51 patients (20%) patients showed residual atypical mucosal epithelium at or beyond the margin determined by iodine staining alone; this difference was statistically significant (P = 0.002). The 5-year local control rate and 5-year overall survival rate after this procedure were both 100%. CONCLUSION: An e-IFSA has additional value when performed in conjunction with iodine staining. An e-IFSA would be useful for achieving complete resection of superficial SCC of the tongue.

Telerobotic-assisted bone-drilling system using bilateral control with feed operation scaling and cutting force scaling.

BACKGROUND: Drilling is used in the medical field, especially in oral surgery and orthopaedics. In recent years, oral surgery involving dental implants has become more common. However, the risky drilling process causes serious accidents. To prevent these accidents, supporting systems such as robotic drilling systems are required. METHODS: A telerobotic-assisted drilling system is proposed. An acceleration-based four-channel bilateral control system is implemented in linear actuators in a master-slave system for drill feeding. A reaction force observer is used instead of a force sensor for measuring cutting force. Cutting force transmits from a cutting material to a surgeon, who may feel a static cutting resistance force and vigorous cutting vibrations, via the master-slave system. Moreover, position scaling and force scaling are achieved. Scaling functions are used to achieve precise drilling and hazard detection via force sensation. RESULTS: Cutting accuracy and reproducibility of the cutting force were evaluated by angular velocity/position error and frequency analysis of the cutting force, respectively, and errors were > 2.0 rpm and > 0.2 mm, respectively. Spectrum peaks of the cutting vibration were at the theoretical vibration frequencies of 30, 60 and 90 Hz. CONCLUSIONS: The proposed telerobotic-assisted drilling system achieved precise manipulation of the drill feed and vivid feedback from the cutting force.

Nascent vibrational energy distributions of O2(X3Sigma(g)-, nu = 6-13) generated in the photolysis of O3 at 266 nm.

The vibrational levels of O2(X3Sigma(g)-) generated in the ultraviolet photolysis of O3 at 266 nm were detected via laser-induced fluorescence (LIF) of the B3Sigma(u)- - X3Sigma(g)- system. The nascent vibrational energy distributions of O2(X3Sigma(g)-, nu = 6-13) have been measured by two different methods. One is a kinetic analysis based on the originally developed integrated profiles method (IPM). The time-resolved LIF of a single vibrational level has been recorded in the presence of CF4 or O2 as a relaxation partner. The IPM analysis of the profiles gave the relative detectabilities of adjacent vibrational levels, and the initial relative populations of the vibrational levels have been determined from the intensities of LIF subsequent to the photolysis. The other is the analysis of the area intensities of the LIF of the vibrational levels of interest. The rotational levels with the identical quantum numbers of different vibrational levels in the X3Sigma(g)- state were excited to a common vibrational level nu' = 0 in the B3Sigma(u)- state. Correction for the LIF intensities with the Franck-Condon factors was made, and the initial relative populations have been obtained. The two different methods have given similar nascent vibrational energy distributions, and comparison to the previous reports has been made.

Vibrational relaxation of O2(X3 Sigma g-, v = 9-13) by collisions with O2.

Vibrationally excited O(2)(X(3) Sigmag(-)) was generated in the UV laser flash photolysis of O(3) and single vibrational level was detected via laser-induced fluorescence (LIF) in the B(3) Sigmau(-)-X(3) Sigmag(-) system. The time-resolved LIF of adjacent vibrational levels has been analyzed by the integrated-profiles method and the rate coefficients for single-quantum relaxation, O(2)(X(3)Sigmag(-), v = 9-13)+ O(2)(v = 0)--> O(2)(X(3)Sigmag(-), v - 1)+ O(2)(v = 1), have been determined. To the best of our knowledge, the rate coefficients for v = 12 and 13 are measured for the first time in the present study. The efficiency of relaxation is higher at lower vibrational levels, indicating that a small energy mismatch is suitable for the energy transfer. The vibrational level dependence of all the rate coefficients for the relaxation measured in the present study and previously reported by several groups can be rationalized by the energy gap law.