The design and implementation of virtual system for the robot-assisted setting-bone surgery

Monan Wang, Lining Sun, Z. Du, Z. Jia
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引用次数: 5

Abstract

Current training methods for interns and residents in teaching hospitals do not adequately raise spatial perception about geometry and topology changes of skeletal morphology. Two reasons for the inability are trainees can only observe an operation before he participates in a surgery and preoperative rehearsal usually involves 2D (two dimensional) paper surgical simulations based on X-ray images. Moreover, surgery visiting doctors may also fail in real operations even after evaluating topology and geometry changes on rigid bones, prostheses and bone grafts of all procedures by 2D paper simulations. The failure rates were reported as 10-20% for setting-bone surgery. Computer-based surgery simulation represents a rapidly emerging and increasingly important area of research that combines a number of disciplines for the common purpose of improving health care. Generally, the goal of computer-based surgery simulation is to enable a surgeon to experiment with different surgical procedures in an artificial environment. We are developing a virtual surgical simulator specifically for HIT-RAOS, the robot-assisted setting-bone surgery system, which involves both various robots modeling and patients modeling. To satisfy requires on surgery programming and surgery rehearse based on special patient, a novel method of biological tissue model and simulation based special CT images includes 10 series is proposed in this article. Biological tissue geometry model, physical model and mechanical equilibrium equation based on strain energy function are built. Biomechanical equations are solved by finite element method. To make sure the simulator can be available in diverse operation systems, Java3D and VRML are chosen as the main developing tools. Based all the works above, As application examples, femur models and simulation are given and a cutting skin experiment was conducted, the results are contented. This validity of method and mathematics model is tested to compare simulation outcome with biomechanical experimentation
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机器人辅助植骨手术虚拟系统的设计与实现
目前教学医院对实习生和住院医师的培训方法没有充分提高对骨骼形态几何和拓扑变化的空间感知。无法进行手术的两个原因是,受训者只能在参与手术前观察手术,而术前排练通常涉及基于x射线图像的二维手术模拟。此外,即使通过二维纸质模拟评估所有手术过程中刚性骨、假体和骨移植物的拓扑和几何变化,外科就诊医生也可能在实际手术中失败。据报道,植骨手术的失败率为10-20%。基于计算机的外科模拟代表了一个快速崛起和日益重要的研究领域,它结合了许多学科,以改善医疗保健的共同目的。一般来说,基于计算机的手术模拟的目标是使外科医生能够在人工环境中试验不同的手术程序。我们正在开发一个虚拟手术模拟器,专门为HIT-RAOS,机器人辅助植骨手术系统,包括各种机器人建模和患者建模。为满足特殊患者手术规划和手术演练的需要,本文提出了一种基于10组特殊CT图像的生物组织模型和仿真的新方法。建立了基于应变能函数的生物组织几何模型、物理模型和力学平衡方程。生物力学方程采用有限元法求解。为了保证模拟器可以在不同的操作系统中使用,我们选择了Java3D和VRML作为主要的开发工具。在此基础上,作为应用实例,给出了股骨模型和仿真,并进行了切皮实验,取得了满意的结果。并对该方法和数学模型的有效性进行了验证,将仿真结果与生物力学实验结果进行了比较
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