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Tag: PLOS

  • New Flexible, Steerable Device Placed in Live Brains by Minimally Invasive Robot

    New Flexible, Steerable Device Placed in Live Brains by Minimally Invasive Robot

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    Newswise — The early-stage research tested the delivery and safety of the new implantable catheter design in two sheep to determine its potential for use in diagnosing and treating diseases in the brain.  

    If proven effective and safe for use in people, the platform could simplify and reduce the risks associated with diagnosing and treating disease in the deep, delicate recesses of the brain.   

    It could help surgeons to see deeper into the brain to diagnose disease, deliver treatment like drugs and laser ablation more precisely to tumours, and better deploy electrodes for deep brain stimulation in conditions such as Parkinson’s and epilepsy.  

    Senior author Professor Ferdinando Rodriguez y Baena, of Imperial’s Department of Mechanical Engineering, led the European effort and said: “The brain is a fragile, complex web of tightly packed nerve cells that each have their part to play. When disease arises, we want to be able to navigate this delicate environment to precisely target those areas without harming healthy cells.  

    “Our new precise, minimally invasive platform improves on currently available technology and could enhance our ability to safely and effectively diagnose and treat diseases in people, if proven to be safe and effective.” 

    Developed as part of the Enhanced Delivery Ecosystem for Neurosurgery in 2020 (EDEN2020) project, the findings are published in PLOS ONE. 

    Stealth Surgery  

    The platform improves on existing minimally invasive, or ‘keyhole’, surgery, where surgeons deploy tiny cameras and catheters through small incisions in the body.   

    It includes a soft, flexible catheter to avoid damaging brain tissue while delivering treatment, and an artificial intelligence (AI)-enabled robotic arm to help surgeons navigate the catheter through brain tissue.   

    Inspired by the organs used by parasitic wasps to stealthily lay eggs in tree bark, the catheter consists of four interlocking segments that slide over one another to allow for flexible navigation. 

    It connects to a robotic platform that combines human input and machine learning to carefully steer the catheter to the disease site. Surgeons then deliver optical fibres via the catheter so they can see and navigate the tip along brain tissue via joystick control. 

    The AI platform learns from the surgeon’s input and contact forces within brain tissues to guide the catheter with pinpoint accuracy. 

    Compared to traditional ‘open’ surgical techniques, the new approach could eventually help to reduce tissue damage during surgery, and improve patient recovery times and length of post-operative hospital stays. 

    While performing minimally invasive surgery on the brain, surgeons use deeply penetrating catheters to diagnose and treat disease. However, currently used catheters are rigid and difficult to place precisely without the aid of robotic navigational tools. The inflexibility of the catheters combined with the intricate, delicate structure of the brain means catheters can be difficult to place precisely, which brings risks to this type of surgery.   

    To test their platform, the researchers deployed the catheter in the brains of two live sheep at the University of Milan’s Veterinary Medicine Campus. The sheep were given pain relief and monitored for 24 hours a day over a week for signs of pain or distress before being euthanised so that researchers could examine the structural impact of the catheter on brain tissue.  

    They found no signs of suffering, tissue damage, or infection following catheter implantation.   

    Lead author Dr Riccardo Secoli, also from Imperial’s Department of Mechanical Engineering, said: “Our analysis showed that we implanted these new catheters safely, without damage, infection, or suffering. If we achieve equally promising results in humans, we hope we may be able to see this platform in the clinic within four years.   

    “Our findings could have major implications for minimally invasive, robotically delivered brain surgery. We hope it will help to improve the safety and effectiveness of current neurosurgical procedures where precise deployment of treatment and diagnostic systems is required, for instance in the context of localised gene therapy.”  

    Professor Lorenzo Bello, study co-author from the University of Milan, said: “One of the key limitations of current MIS is that if you want to get to a deep-seated site through a burr hole in the skull, you are constrained to a straight-line trajectory. The limitation of the rigid catheter is its accuracy within the shifting tissues of the brain, and the tissue deformation it can cause. We have now found that our steerable catheter can overcome most of these limitations.” 

    This study was funded by the EU Horizon 2020 programme.  

    Modular robotic platform for precision neurosurgery with a bio-inspired needle: system overview and first in-vivo deployment” by Riccardo Secoli, Eloise Matheson, Marlene Pinzi, Stefano Galvan, Abdulhamit Donder, Thomas Watts, Marco Riva, Davide Zani, Lorenzo Bello, and Ferdinando Rodriguez y Baena. Published 19 October 2022 in PLOS ONE. 

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    Imperial College London

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  • Gray Whale Numbers Continue Decline; NOAA Fisheries Will Continue Monitoring

    Gray Whale Numbers Continue Decline; NOAA Fisheries Will Continue Monitoring

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    Newswise — The population also produced the fewest calves on record this year since counts began in 1994, an accompanying report explains.

    The 38 percent decline from a peak of about 27,000 whales in 2016 to 16,650 this year resembles past fluctuations in the eastern North Pacific population. Researchers at the Southwest Fisheries Science Center said it warrants continued close monitoring. Population counts for eastern North Pacific gray whales are typically conducted over the course of a 2-year period. However, NOAA Fisheries will add a third year counting gray whales that pass along the Central California Coast to this survey, from late December to mid-February 2023.

    “Given the continuing decline in numbers since 2016, we need to be closely monitoring the population to help understand what may be driving the trend,” said Dr. David Weller, Director of the Marine Mammal and Turtle Division at the science center. “We have observed the population changing over time, and we want to stay on top of that.”

    An increase in gray whale strandings led NOAA Fisheries to declare an Unusual Mortality Event for the population in 2019, prompting an investigation into the likely causes. That ongoing investigation has identified several likely contributors. These include ecological changes in the Arctic affecting the seafloor and the amphipods and other invertebrates living in and above the sediment and in the water column that gray whales feed on each summer, according to new research published earlier this year.

    Some gray whales may have struggled to find food amid those shifts, said Dr. Sue Ellen Moore, a University of Washington researcher who leads the UME team assessing ecological influences. She noted that gray whales feed on a wide variety of prey over an enormous range, so there could be many variables affecting how, when, and where they find food.

    While many of the roughly 600 dead whales recorded from 2019 to 2022 appeared malnourished, some did not. Some stranded whales had clearly died of other causes such as getting hit by ships or predation by killer whales. The number of strandings initially spiked in 2019 but then fell in subsequent years. That suggests that most of the gray whale population decline probably occurred in the years shortly after the UME was declared.

    “There is no one thing that we can point to that explains all of the strandings,” said Deborah Fauquier, Veterinary Medical Officer in NOAA Fisheries’ Marine Mammal Health and Stranding Response Program, who coordinates the UME investigation. “There appears to be multiple factors that we are still working to understand.”

    Population Reflects Changing Ocean Conditions

    Gray whales are known for their visible migration along the West Coast each year. The population has fluctuated widely before, including a similar drop of roughly 40 percent from the late 1980s to the early 1990s. The population later rebounded to a new high point. Gray whales in the eastern Pacific Ocean are fully recovered from the days of commercial whaling, and were removed from the list of endangered species in 1994.

    A similar spike in strandings led to the declaration of an earlier Unusual Mortality Event in 1999 and 2000, when the population declined by around 25 percent. It later climbed back to a peak in 2015-2016. (While Table 1 in the report includes a higher estimate for 2014-2015, that number was less precise, so scientists rely on the 2015-2016 estimate.)

    Most gray whales migrate between feeding grounds in the Arctic during summer and lagoons in Baja Mexico in the winter where they nourish their newborn calves. This annual roundtrip of more than 10,000 miles exposes them to many stressors along the way. A small group of gray whales also spends the summer feeding along and around the Pacific Northwest Coast.

    The population has likely always fluctuated in response to changes in its environment, without lasting effects, said biologist Dr. Tomo Eguchi, lead author of the new NOAA Fisheries reports on the whale population abundance and calf production. “The population has rebounded multiple times from low counts in the past,” he said. “We are cautiously optimistic that the same will happen this time. Continued monitoring will determine whether and when they rebound.”

    Calf Numbers Also Decline

    NOAA Fisheries researchers track the numbers of gray whales in the population by counting southbound whales heading for Mexico. They monitor calf production by counting mothers and calves migrating north each spring from lagoons in Baja California, where some whales give birth. The most recent count that concluded in May estimated the total calf production this year at about 217. This number was down from 383 calves last year and the lowest since the counts began in 1994.

    Like the gray whale population as a whole, the number of calves born each year has also fluctuated. Low calf counts were recorded for periods of 3 to 4 years at a time before rebounding. Two of the three prior periods of low calf production have coincided with Unusual Mortality Events and declines in the population. This suggests that the same factors that affect gray whale survival likely also affect their reproduction, the report on calf numbers concludes.

    Aerial photographs of gray whales in the lagoons in Mexico showed declines in the body condition of many adult whales, underscoring that connection. “Depending upon the age of the whales, this lower body condition may have led to delayed reproduction and lower calf counts, and/or reduced survival in thin whales,” scientists reported.

    In December, teams will begin the next count by training binoculars on whales migrating south past Granite Canyon, just south of Monterey Bay in California. “What we hope to see in the next few years is that the abundance stabilizes and then starts to show signs of increase,” said Dr. Aimee Lang, a coauthor of the new reports. “We will be watching closely.”

     

    FOR MORE INFORMATION

    Gray Whales in the Eastern North Pacific

    Laguna San Ignacio Ecosystem Science Program

    2019-2022 Gray Whale Unusual Mortality Event

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    NOAA Fisheries West Coast Region

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