Pure uniportal video-assisted thoracic surgery for treating thoracic tuberculous spondylitis: an initial case series of seven patients.

BACKGROUND: The development of thoracic surgical techniques has provided a new avenue for treating thoracic tuberculosis. Moreover, microscopic treatment of spinal tuberculosis has attracted increasing attention, as it affords good visual access and reduces trauma. Traditional thoracoscopic treatment of spinal tuberculosis usually requires 2-3 passages, accompanied by a corresponding number of incisions. With a large number of conventional thoracoscopic surgeries performed, improved resolution of the microscopic field of view, effective hemostasis of the peripheral vessels using the ultrasonic knife, and many reports in the literature, thoracic tuberculosis can now be treated microscopically by creating a single channel. The aim of this study was to explore the feasibility and surgical technique for thoracic tuberculous spondylitis treatment via debridement and bone graft fusion surgery employing pure uniportal video-assisted thoracic surgery (VATS), combined with posterior internal fixation. METHODS: Seven patients with relatively complete documentation were included in this study. All patients underwent lesion removal and bone graft reconstruction via uniportal VATS with posterior internal fixation. The mean patient age was 39.6 years. Surgical duration, blood loss volume, postoperative recovery time, and thoracic kyphosis angle were recorded. RESULTS: The surgeries were successful with no severe postoperative complications. All patients were followed-up, and no recurrence of tuberculosis was observed. Imaging data, including computed tomography scans, confirmed the complete removal of the lesions. Additionally, bone fusion at the graft site was successful, no loss of the thoracic kyphosis angle was noted postoperatively, and the thoracic kyphosis angle improved. CONCLUSIONS: Pure uniportal VATS yields satisfactory results and inflicts less trauma than previous surgical techniques. This technique also offers a reference value for treating thoracic tuberculous spondylitis.

Design of a dispersion interferometer on a field-reversed configuration device.

Dispersion interferometry (DI) is a promising method for density measurement. Compared with the traditional interferometer, the DI is immune to mechanical vibration and can avoid the fringe jump error. In addition, a simple optical configuration is also one of the advantages of the DI. The electron density of the Huazhong University of Science and Technology field-reversed configuration (HFRC) device can reach 1020 m-3 with a pulse length of 50 µs. In this case, the DI based on the CO2 laser on the HFRC device adopts the heterodyne technique based on the acousto-optic modulator, which can increase the temporal resolution to 40 MHz. It can realize density fluctuation measurements in the MHz range. The test of each optical element, especially the nonlinear crystal, has been completed. The AgGaSe2 crystal can produce a second harmonic wave of about 52.5 µW when the incident CO2 power is 10 W. Based on these designs and tests, a DI system can be expected on the HFRC device.

Investigation of the eddy current effect on the high frequency response of the Mirnov probe on J-TEXT.

This paper investigates the high frequency response of the Mirnov probe based on a test platform, which is capable of generating a uniform AC magnetic field within the frequency range of 1-300 kHz. The eddy current effect is quantitatively reflected by the phase shift ϕc and normalized amplitude δ of the measured magnetic field between cases with and without a conducting plate located near the Mirnov probe. This method compensates the resonant effect in the Mirnov probe circuit and hence reflects purely the eddy current effect. The eddy current effect increases with the decrease in the distance between the probe and the conducting plate. With the increase in frequency, the magnitude of δ decreases to a saturated value at 10 kHz but increases significantly above 100 kHz for 304-stainless steel, while the eddy current effect with graphite appears at around 10 kHz and the magnitude of δ decreases to the minimum at 125 kHz, followed by a significant increase above 125 kHz. With the increase in f, the magnitude of ϕc increased until 2.5 kHz and 40 kHz for steel and graphite, respectively, then decreased with a further increase in f. The phasor expression is introduced to describe the AC magnetic field and allows an easy expression of the eddy current field. The phase of the eddy current field decreases toward -180° with f. The amplitude of the eddy current field increases with f and reaches its maximum when the skin depth reduces to a critical value. The eddy current field decreases with a further increase in the frequency.

Compensation of the pick-up fluxes on the plasma position control system when resonant magnetic perturbations are applied in J-TEXT.

In the J-TEXT tokamak the displacement coils, which serve as sensors for feedback control of plasma position, are significantly affected by the resonant magnetic perturbation (RMP) coils. To eliminate the deviation of plasma position caused by the RMP, the responses of the displacement coils to the RMP are studied with a view to compensate for the pick-up fluxes. Both the linear and eddy responses on the displacement coils are taken into account and adjusted accordingly. It was found that positional correction in the vertical direction was required when the RMP was operated in the poloidal mode m = 1 and horizontal positional correction was required when the RMP was operated in the m = 2 mode. When compensation was applied to the position control system, correction of plasma position was successfully achieved, as observed from soft X-ray imaging, as well as from the evolution of the current of the horizontal and vertical fields.

Upgrade of the Mirnov probe arrays on the J-TEXT tokamak.

The magnetic diagnostic of Mirnov probe arrays has been upgraded on the J-TEXT tokamak to measure the magnetohydrodynamic instabilities with higher spatial resolution and better amplitude-frequency characteristics. The upgraded Mirnov probe array contains one poloidal array with 48 probe modules and two toroidal arrays with 25 probe modules. Each probe module contains two probes which measure both the poloidal and the radial magnetic fields (Bp and Br). To ensure that the Mirnov probe possess better amplitude-frequency characteristics, a novel kind of Mirnov probe made of low temperature co-fired ceramics is utilized. The parameters and frequency response of the probe are measured and can meet the experiment requirement. The new Mirnov arrays have been normally applied for a round of experiments, including the observation of tearing modes and their coupling as well as high frequency magnetic perturbation due to the Alfvén eigenmode. In order to extract useful information from raw signals, visualization processing methods based on singular value decomposition and cross-power spectrum are applied to decompose the coupled modes and to determine the mode number.

Design of the high-resolution soft X-ray imaging system on the Joint Texas Experimental Tokamak.

A new soft X-ray diagnostic system has been designed on the Joint Texas Experimental Tokamak (J-TEXT) aiming to observe and survey the magnetohydrodynamic (MHD) activities. The system consists of five cameras located at the same toroidal position. Each camera has 16 photodiode elements. Three imaging cameras view the internal plasma region (r/a < 0.7) with a spatial resolution about 2 cm. By tomographic method, heat transport outside from the 1/1 mode X-point during the sawtooth collapse is found. The other two cameras with a higher spatial resolution 1 cm are designed for monitoring local MHD activities respectively in plasma core and boundary.

Breakdown assisted by a novel electron drift injection in the J-TEXT tokamak.

A novel electron drift injection (EDI) system aiming to improve breakdown behavior has been designed and constructed on the Joint Texas EXperiment Tokamak Tokamak. Electrons emitted by the system undergo the E×B drift, ∇B drift and curvature drift in sequence in order to traverse the confining magnetic field. A local electrostatic well, generated by a concave-shaped plate biased more negative than the cathode, is introduced to interrupt the emitted electrons moving along the magnetic field line (in the parallel direction) in an attempt to bring an enhancement of the injection efficiency and depth. A series of experiments have demonstrated the feasibility of this method, and a penetration distance deeper than 9.5 cm is achieved. Notable breakdown improvements, including the reduction of breakdown delay and average loop voltage, are observed for discharges assisted by EDI. The lower limit of successfully ionized pressure is expanded.