An innovative algorithm to automatically assess blood perfusion quality of the intestinal sector in laparoscopic colorectal surgery is proposed. Traditionally, the uniformity of the brightness in indocyanine green-based fluorescence consists only in a qualitative, empirical evaluation, which heavily relies on the surgeon’s subjective assessment. As such, this leads to assessments that are strongly experience-dependent. To overcome this limitation, the proposed algorithm assesses the level and uniformity of indocyanine green used during laparoscopic surgery. The algorithm adopts a Feed Forward Neural Network receiving as input a feature vector based on the histogram of the green band of the input image. It is used to (i) acquire information related to perfusion during laparoscopic colorectal surgery, and (ii) support the surgeon in assessing objectively the outcome of the procedure. In particular, the algorithm provides an output that classifies the perfusion as adequate or inadequate. The algorithm was validated on videos captured during surgical procedures carried out at the University Hospital Federico II in Naples, Italy. The obtained results show a classification accuracy equal to $$99.9\%$$
99.9
%
, with a repeatability of $$1.9\%$$
1.9
%
. Finally, the real-time operation of the proposed algorithm was tested by analyzing the video streaming captured directly from an endoscope available in the OR.
The precise knowledge of the magnetic field produced by dipole magnets is critical to the operation of a synchrotron. Real-time measurement systems may be required, especially in the case of iron-dominated electromagnets with strong non-linear effects, to acquire the magnetic field and feed it back to various users. This work concerns the design and implementation of a new measurement system of this kind currently being deployed throughout the European Organization for Nuclear Research (CERN) accelerator complex. We first discuss the measurement principle, the general system architecture and the technology employed, focusing in particular on the most critical and specialized components developed, that is, the field marker trigger generator and the magnetic flux integrator. We then present the results of a detailed metrological characterization of the integrator, including the aspects of drift estimation and correction, as well as the absolute gain calibration and frequency response. We finally discuss the latency of the whole acquisition chain and present an outline of future work to improve the capabilities of the system.
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