Computer assisted Minimally Invasive Surgery: Is medical Computer Vision the answer to improving laparosurgery?
Computer assisted Minimally Invasive Surgery: Is medical Computer Vision the answer to improving laparosurgery?
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DOI：
10.1016/j.mehy.2012.09.007
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发表时间：
2012-12-01
影响因子：
4.7
通讯作者：
Canis, Michel
中科院分区：
文献类型：
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作者：
Bartoli, Adrien;Collins, Toby;Canis, Michel
微创手术（MIS）是现代外科干预的最有效方法之一，与开放手术相比具有相当大的优势，包括减少创伤，疼痛和术后恢复时间。MIS在过去几年中有了很大的改进，主要是由于新的硬件创新，包括高清摄像机和柔性头内窥镜。然而，MIS仍然受到一些问题的阻碍。除了硬件创新之外，计算机视觉（CV）也被提出来作为克服其当前一些局限性的一种方法。然而，研究文献缺乏一个连贯的画面，如何最好地克服硬件，CV或两者的组合的限制。在本文中，我们重点介绍腹腔镜MIS，并列出这些限制分为5个明确的类别。我们详细介绍了硬件和CV解决方案在每个限制方面的有效性，我们基于以下假设：CV是硬件开发的补充和必要条件，以克服腹腔镜检查的所有5个限制。我们的论文是有价值的腹腔镜外科医生，通过传达什么是预期将实现在未来十年的计算机辅助腹腔镜手术。它也是有价值的医疗CV研究人员，通过澄清哪些问题是最好的CV解决，鉴于硬件的发展可能会发生在未来十年。(C)2012爱思唯尔有限公司保留所有权利。
Minimally Invasive Surgery (MIS) is one of the most effective methods of modern surgical intervention that has considerable advantages compared with open surgery, including reduced trauma, pain, and post-operative recovery time. MIS has improved substantially over the years, chiefly due to new hardware innovations, including HD cameras and flexible head endoscopes. However, MIS continues to be hindered by several problems. In addition to hardware innovation, Computer Vision (CV) has been proposed as a way to overcome some of its current limitations. However, the research literature lacks a coherent picture of how the limitations can be best overcome by hardware, CV or a combination of the two. In this paper we focus on laparoscopic MIS, and list these limitations into 5 clear categories. We detail the effectiveness of hardware and CV solutions with respect to each limitation, from which we base the following hypothesis: CV is both complementary and necessary to hardware development, to overcome all 5 limitations in laparoscopy. Our paper is of value to laparoscopy surgeons, by conveying what is expected to be achieved in computer-aided laparoscopy over the next decade. It is also of value to medical CV researchers, by clarifying which problems are best solved with CV, in light of the hardware developments likely to occur over the next decade. (C) 2012 Elsevier Ltd. All rights reserved.