Osteotomy Planner: An open-source tool for osteotomy simulation.

Osteotomy Planner: An open-source tool for osteotomy simulation.
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Osteotomy Planner:用于截骨模拟的开源工具。

DOI:
10.1117/12.2293649
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发表时间:
2018
期刊:
Proceedings of SPIE--the International Society for Optical Engineering
影响因子:
--
通讯作者:
Enquobahrie,Andinet
Enquobahrie,Andinet
中科院分区:
--
文献类型:
--
作者:
Horvath,Sam;Paniagua,Beatriz;Andruejol,Johan;Porras,AntonioR;Linguraru,MariusGeorge;Enquobahrie,Andinet

文献摘要

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外科科学最近强调补充手术室 (OR) 之外的外科训练。将模拟培训与当前的外科学徒培训相结合,可以提高手术室的手术技能,而无需增加手术室练习的时间。计算机辅助手术 (CAS) 规划包括使用根据 3D 横截面成像重建的三维 (3D) 计算机模型虚拟地执行手术技术。本文的目的是提出一个 CAS 系统,用于演练、可视化和量化截骨术,并证明其在两种不同的截骨外科手术(颅顶重建和股骨截骨术)中的有用性。我们发现系统可以充分模拟这两个过程。我们的系统利用 3DSlicer 实现的高质量可视化,并实施新的基础设施以允许与骨骼模型进行直接 3D 交互(切割和定位)。我们看到拟议的截骨规划工具正在不断发展,融合不同的切割模板,以帮助描绘几种手术场景,帮助“训练有素”的外科医生保持操作技能,帮助在前往手术室之前排练手术顺序,甚至帮助针对特定患者病例进行手术规划。
There has been a recent emphasis in surgical science on supplementing surgical training outside of the Operating Room (OR). Combining simulation training with the current surgical apprenticeship enhances surgical skills in the OR, without increasing the time spent in the OR practicing. Computer-assisted surgical (CAS) planning consists of performing operative techniques virtually using three-dimensional (3D) computer-based models reconstructed from 3D crosssectional imaging. The purpose of this paper is to present a CAS system to rehearse, visualize and quantify osteotomies, and demonstrate its usefulness in two different osteotomy surgical procedures, cranial vault reconstruction and femoral osteotomy. We found that the system could sufficiently simulate these two procedures. Our system takes advantage of the high-quality visualizations possible with 3DSlicer, as well as implements new infrastructure to allow for direct 3D interaction (cutting and positioning) with the bone models. We see the proposed osteotomy planner tool evolving towards incorporating different cutting templates to help depict several surgical scenarios, help 'trained' surgeons maintain operating skills, help rehearse a surgical sequence before heading to the OR, or even to help surgical planning for specific patient cases.