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Jürgen Beck

Publications and source records attributed to Jürgen Beck.

3 recordsLinked to original sources

NeuroClick: Preserving Surgeon Autonomy through Hands-Free Earable Tooth-Click Control in Neurosurgery

Neurosurgeons frequently interact with operating room (OR) technologies while sterility and occupied hands constrain control. We introduce earables as a direct, hands-free control platform for neurosurgery using tooth-click input. Formative OR observations and interviews with 10 domain experts grounded the design. Using OpenEarable 2.0 data from 12 participants, we developed a real-time recognition pipeline whose classifier achieved a median macro F1-score of 98.6% under leave-one-subject-out cross-validation. We evaluated the technique with 20 neurosurgeons during a simulated resection task in a neurosurgical OR. Participants reported few focus shifts and rated Earable favorably for workflow integration and perceived safety. Autonomous microscope control was rated significantly higher with Earable than Delegation, whereas Delegation enabled faster task completion under continuous assistant availability. Workload, usability, and task errors showed no significant differences. Preferences depended on training, reliability, context, and assistant availability. Earables thus add a direct, hands-free option for controlling selected functions alongside established workflows.

cs.HC

A Research Framework for Virtual Reality Neurosurgery Based on Open-Source Tools

Fully immersive virtual reality (VR) has the potential to improve neurosurgical planning. For example, it may offer 3D visualizations of relevant anatomical structures with complex shapes, such as blood vessels and tumors. However, there is a lack of research tools specifically tailored for this area. We present a research framework for VR neurosurgery based on open-source tools and preliminary evaluation results. We showcase the potential of such a framework using clinical data of two patients and research data of one subject. As a first step toward practical evaluations, two certified senior neurosurgeons positively assessed the usefulness of the VR visualizations using head-mounted displays. The methods and findings described in our study thus provide a foundation for research and development aiming at versatile and user-friendly VR tools for improving neurosurgical planning and training.

cs.HC

A mathematical model of low grade gliomas treated with temozolomide and its therapeutical implications

Low grade gliomas (LGGs) are infiltrative and incurable primary brain tumours with typically slow evolution. These tumours usually occur in young and otherwise healthy patients, bringing controversies in treatment planning since aggressive treatment may lead to undesirable side effects. Thus, for management decisions it would be valuable to obtain early estimates of LGG growth potential. Here we propose a simple mathematical model of LGG growth and its response to chemotherapy which allows the growth of LGGs to be described in real patients. The model predicts, and our clinical data confirms, that the speed of response to chemotherapy is related to tumour aggressiveness. Moreover, we provide a formula for the time to radiological progression, which can be possibly used as a measure of tumour aggressiveness. Finally, we suggest that the response to a few chemotherapy cycles upon diagnosis might be used to predict tumour growth and to guide therapeutical actions on the basis of the findings.

q-bio.QM