3D Model Artificial Intelligence-Guided Automatic Augmented Reality Images during Robotic Partial Nephrectomy.

More than ever, precision surgery is making its way into modern surgery for functional organ preservation. This is possible mainly due to the increasing number of technologies available, including 3D models, virtual reality, augmented reality, and artificial intelligence. Intraoperative surgical navigation represents an interesting application of these technologies, allowing to understand in detail the surgical anatomy, planning a patient-tailored approach. Automatic superimposition comes into this context to optimally perform surgery as accurately as possible. Through a dedicated software (the first version) called iKidney, it is possible to superimpose the images using 3D models and live endoscopic images during partial nephrectomy, targeting the renal mass only. The patient is 31 years old with a 28 mm totally endophytic right-sided renal mass, with a PADUA score of 9. Thanks to the automatic superimposition and selective clamping, an enucleoresection of the renal mass alone was performed with no major postoperative complication (i.e., Clavien-Dindo < 2). iKidney-guided partial nephrectomy is safe, feasible, and yields excellent results in terms of organ preservation and functional outcomes. Further validation studies are needed to improve the prototype software, particularly to improve the rotational axes and avoid human help. Furthermore, it is important to reduce the costs associated with these technologies to increase its use in smaller hospitals.

Crystallization Behavior of Isotactic Propene-Octene Random Copolymers.

The crystallization behavior of random propene-octene isotactic copolymers (iPPC8) prepared with a homogeneous metallocene catalyst has been studied. Samples of iPPC8 with low octene content up to about 7 mol% were isothermally crystallized from the melt at various crystallization temperatures. The samples crystallize in mixtures of the α and γ forms of isotactic polypropylene (iPP). The relative amount of γ form increases with increasing crystallization temperature, and a maximum amount of γ form (fγ(max)) is achieved for each sample. The crystallization behavior of iPPC8 copolymers is compared with the crystallization from the melt of propene-ethylene, propene-butene, propene-pentene, and propene-hexene copolymers. The results show that the behavior of iPPC8 copolymers is completely different from those described in the literature for the other copolymers of iPP. In fact, the maximum amount of γ form achieved in samples of different copolymers of iPP generally increases with increasing comonomer content, while in iPPC8 copolymers the maximum amount of γ form decreases with increasing octene content. The different behaviors are discussed based on the inclusion of co-monomeric units in the crystals of α and γ forms of iPP or their exclusion from the crystals. In iPPC8 copolymers, octene units are excluded from the crystals giving only the interruption effect that shortens the length of regular propene sequences, inducing crystallization of the γ form at low octene concentrations, lower than 2 mol%. At higher octene concentration, the crystallization of the kinetically favored α form prevails.

Melt-Crystallizations of α and γ Forms of Isotactic Polypropylene in Propene-Butene Copolymers.

Random isotactic propene-butene copolymers (iPPC4) of different stereoregularity have been synthesized with three different homogeneous single center metallocene catalysts having different stereoselectivity. All samples crystallize from the polymerization solution in mixtures of α and γ forms, and the relative amount of γ form increases with increasing concentrations of butene and of rr stereodefects. All samples crystallize from the melt in mixtures of α and γ forms and the fraction of γ form increases with decreasing cooling rate. At high cooling rates, the crystallization of the α form is always favored, even for samples that contain high total concentration of defects that should crystallize in the γ form. The results demonstrate that in iPPs containing significant concentrations of defects, such as stereodefects and comonomeric units, the γ form is the thermodynamically stable form of iPP and crystallizes in selective conditions of very slow crystallization, whereas the α form is the kinetically favored form and crystallizes in conditions of fast crystallization.

Structure and Morphology of Crystalline Syndiotactic Polypropylene-Polyethylene Block Copolymers.

A study of the structure and morphology of diblock copolymers composed of crystallizable blocks of polyethylene (PE) and syndiotactic polypropylene (sPP) having different lengths is reported. In both analyzed samples, the PE block crystallizes first by cooling from the melt (at 130 °C) and the sPP block crystallizes after at a lower temperature. Small angle X-ray scattering (SAXS) recorded during cooling showed three correlation peaks at values of the scattering vector, q1 = 0.12 nm-1, q2 = 0.24 nm-1 and q3 = 0.4 nm-1, indicating development of a lamellar morphology, where lamellar domains of PE and sPP alternate, each domain containing stacks of crystalline lamellae of PE or sPP sandwiched by their own amorphous phase of PE or sPP. At temperatures higher than 120 °C, when only PE crystals are formed, the morphology is defined by the formation of stacks of PE lamellae (17 nm thick) alternating with amorphous layers and with a long period of nearly 52 nm. At lower temperatures, when crystals of sPP are also well-formed, the morphology is more complex. A model of the morphology at room temperature is proposed based on the correlation distances determined from the self-correlation functions extracted from the SAXS data. Lamellar domains of PE (41.5 nm thick) and sPP (8.2 nm thick) alternate, each domain containing stacks of crystalline lamellae sandwiched by their own amorphous phase, forming a global morphology having a total lamellar periodicity of 49.7 nm, characterized by alternating amorphous and crystalline layers, where the crystalline layers are alternatively made of stacks of PE lamellae (22 nm thick) and thinner sPP lamellae (only 3.5 nm thick).