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Simulation and skills assessment 模拟及技能评估
Pub Date : 2001-06-10 DOI: 10.1109/MIAR.2001.930256
J. Shah, A. Darzi
Being a competent surgeon involves many factors such as knowledge of anatomy, physiology, pathology operative theory decision-making and communicative skills to name but a few. Manual dexterity and the actual skill required to operate has recently come under increasing scrutiny, and there is growing pressure for surgeons to demonstrate that they can operate well, and maintain this high level of performance throughout their careers. In the changing climate of surgical training, we discuss the use of various techniques of surgical simulation for teaching technical skills outside the operating theatre, and consider the advantages and disadvantages of each. Current methods of assessment that are in place both in the research setting and in practice are also presented.
成为一名合格的外科医生涉及许多因素,如解剖学,生理学,病理学,手术理论,决策和沟通技巧等等。最近,手术所需的手工灵巧性和实际技能受到越来越多的关注,外科医生面临越来越大的压力,他们必须证明自己能很好地操作,并在整个职业生涯中保持这种高水平的表现。在不断变化的外科培训环境中,我们讨论了各种手术模拟技术在手术室外技术技能教学中的应用,并考虑了每种技术的优缺点。目前的评估方法是到位的研究设置和在实践中也提出。
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引用次数: 16
A simulation and training system of robot assisted surgery based on virtual reality 基于虚拟现实的机器人辅助手术仿真与训练系统
Pub Date : 2001-06-10 DOI: 10.1109/MIAR.2001.930271
Tianmiao Wang, Da Liu, Lei Hu, Hongbo Lv, Zingang Wang, Zesheng Tang
In this paper, a simulation and training system of robot assisted surgery based on virtual reality is proposed setting up from a concrete practical background of frameless stereotactic neurosurgery and a connecting home-made surgical robot. This system combines with 3D display devices and home-made man-machine conversation devices. This system can also improve the speed of displaying interaction of the 3D operation model and establish a robot assisted surgical simulation and training demo system oriented clinical applications.
本文以无框架立体定向神经外科为具体实践背景,结合国产手术机器人,提出了一种基于虚拟现实的机器人辅助手术仿真与训练系统。该系统结合了三维显示装置和国产人机对话装置。该系统还可以提高三维手术模型的交互显示速度,建立面向临床应用的机器人辅助手术模拟与训练演示系统。
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引用次数: 7
Level set methods and image segmentation 水平集方法和图像分割
Hongchuan Yu, Dejun Wang, Zesheng Tang
We discuss some questions for applying level set methods to image segmentation. During image segmentation, it has been found that the level sets function could be changed into a non-distance function with the initial level set function defined as a distance function. This causes some applications to fail, such as coupled surfaces propagation. In addition, the solution existence and uniqueness of the evolving equation in the level set method has not been discussed in detail. We firstly prove that the signed distance function could be presented to the level set function during the evolution of the level set function through the methods presented in (Sethian, 1999; Gomes and Faugeras, 2000). Furthermore, the solution existence and uniqueness of the level set function evolution equations are analyzed in detail under the distance function restriction. It has been proved that the solutions exist, but are not unique. Finally, this conclusion can be validated in the results of implementation on image segmentation.
讨论了水平集方法在图像分割中的应用问题。在图像分割过程中,我们发现水平集函数可以转化为非距离函数,初始水平集函数定义为距离函数。这将导致某些应用程序失败,例如耦合表面传播。此外,对水平集方法中演化方程解的存在唯一性问题也没有进行详细的讨论。我们首先通过(Sethian, 1999)提出的方法证明了在水平集函数的演化过程中,有符号距离函数可以呈现给水平集函数;Gomes和Faugeras, 2000)。进一步,详细分析了在距离函数约束下水平集函数演化方程解的存在唯一性。已经证明,解是存在的,但不是唯一的。最后,在图像分割的实现结果中验证了这一结论。
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引用次数: 18
Segmentation and analysis of leg ulcers color images 腿部溃疡彩色图像的分割与分析
Pub Date : 2001-06-10 DOI: 10.1109/MIAR.2001.930300
A. Perez, A. Gonzaga, J. M. Alves
This paper presents a methodology for the segmentation and analysis of the tissues in color images of leg ulcers. The segmentation is obtained through an automatic analysis made in the RGB and SI channels by changing from the RGB color space to the HSI color space. The aim is to determine which of the five channels have the characteristic that will make the segmentation process more efficient. After the analysis, the selected channel is segmented and used as a mask over the original image, allowing that only the inner tissues of the wound be analyzed. The analysis is done through predetermined functions that attribute membership grade for each processed pixel as well as its level of engagement in a specified tissue class. The article also shows the results obtained from both the segmentation and analysis of tissues using the proposed method.
本文提出了一种分割和分析腿部溃疡彩色图像组织的方法。分割是通过从RGB色彩空间转换为HSI色彩空间,在RGB和SI通道中进行自动分析得到的。目的是确定五个通道中哪一个具有使分割过程更有效的特征。分析完成后,将选择的通道分割并用作原始图像上的掩膜,从而只分析伤口的内部组织。分析是通过预先确定的函数来完成的,这些函数为每个处理过的像素赋予隶属度等级,以及它在指定组织类中的参与程度。文章还展示了使用该方法对组织进行分割和分析的结果。
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引用次数: 52
Deformation and cutting in virtual surgery 虚拟手术中的变形与切割
Pub Date : 2001-06-10 DOI: 10.1109/MIAR.2001.930270
Jiao-Ying Shi, Li-Xia Yan
This paper discusses key techniques of deformation and cutting in virtual surgery. It introduces a new geometry reconstruction algorithm, which can get a layered tetrahedron based volume model. Based on the real physical property of soft-tissue a simplified viscoelastic physical model is introduced, and the finite element method is used for the deformation computation. Different from the collision between rigid bodies, in a virtual surgery environment the collision happens usually between a rigid body and a soft body. This paper brings forward an FDH based bounding volume hierarchy algorithm to handle the collision detection successfully. In order to simulate the cutting operation, a global cutting algorithm is introduced. The 3D texture mapping is used to enhance the realistic effect.
本文讨论了虚拟手术中变形与切割的关键技术。提出了一种新的几何重构算法,该算法可以得到基于分层四面体的体模型。根据软组织的实际物理特性,提出了一种简化的粘弹性物理模型,并采用有限元法进行了变形计算。与刚体之间的碰撞不同,在虚拟手术环境中,碰撞通常发生在刚体与软体之间。本文提出了一种基于FDH的边界体层次算法来成功地进行碰撞检测。为了模拟切削过程,提出了一种全局切削算法。使用三维纹理映射来增强逼真效果。
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引用次数: 3
Multi-information fusion based tumor cell of bone marrow involvement 基于多信息融合的骨髓受累肿瘤细胞
Pub Date : 2001-06-10 DOI: 10.1109/MIAR.2001.930288
Chunping Liu, Ling Kong, Wen Zhong, Jin Zhu, D. Xia
The identification of a tumor cell of bone marrow involvement (TCoBMI) is very difficult due to the complexity of hematopoiesis in bone marrow. Based on the demand of medical applications, in this paper, the multi-information fusion method based on the Modified Dempster-Shafer method (MDS) and the research of the identification of TCoBMI is presented with three information sources of the micrograph of bone marrow, blood checks and clinical data. The experiment indicates that this method simulates the identification process of the experienced pathologist successfully. The identification of TCoBiMI based on MDS multi-information fusion method is feasible in medical applications. The result suggests that the accuracy of identification is high and the method of three information source fusion is a powerful aid of diagnosis to identify TCoBMI.
由于骨髓造血的复杂性,鉴定骨髓受累肿瘤细胞(TCoBMI)非常困难。本文从医学应用的需求出发,提出了一种基于改进Dempster-Shafer方法(MDS)的多信息融合方法,结合骨髓显微照片、血液检查和临床数据三个信息源,对TCoBMI的识别进行了研究。实验表明,该方法成功地模拟了经验丰富的病理学家的识别过程。基于MDS多信息融合的TCoBiMI识别方法在医学应用中是可行的。结果表明,三信息源融合方法对TCoBMI的诊断具有较高的准确性和较强的辅助诊断能力。
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引用次数: 7
Construction of the CFD model of the aortic arch based on MR images and simulation of the blood flow 基于MR图像和血流模拟建立主动脉弓的CFD模型
Pub Date : 2001-06-10 DOI: 10.1109/MIAR.2001.930272
D. Mori, Takami Yamaguchi
The human aortic arch has significant torsion in addition to its large curvature. It was previously pointed out from some clinical observations that the torsion may be related to the development of the thoracic aneurysms. It is also known that the torsion affects the blood flow, which is suspected to be associated with various vascular diseases. In this study, a realistic three-dimensional computational fluid dynamics (CFD) model of a human aortic arch was constructed based on a set of MR images and the blood flow in the arch was simulated. The results showed that the torsion of the aortic arch centerline led to a complex localized distribution of the wall shear stress at the top of the arch. MRI based modeling was shown to be a powerful means to investigate computational fluid mechanical analysis of the blood flow.
人类主动脉弓除了曲率大外,还有明显的扭转。以前的一些临床观察指出,扭转可能与胸动脉瘤的发展有关。众所周知,扭转影响血液流动,这被怀疑与各种血管疾病有关。本研究基于一组磁共振图像,建立了人体主动脉弓的三维计算流体动力学(CFD)模型,并对动脉弓内的血流进行了模拟。结果表明:主动脉弓中心线的扭转导致主动脉弓顶部壁面剪应力具有复杂的局部分布;基于MRI的建模被证明是研究血流计算流体力学分析的有力手段。
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引用次数: 13
A biomechanical model for soft tissue simulation in craniofacial surgery 颅面外科软组织模拟的生物力学模型
Pub Date : 2001-06-10 DOI: 10.1109/MIAR.2001.930276
E. Gladilin, S. Zachow, P. Deuflhard, H. Hege
Soft tissue prediction is an important additional criterion in surgical planning. Especially in craniofacial surgery the realistic prediction of a patient's postoperative appearance is of utmost importance. A physically based modeling approach seems to be most suitable for the achievement of realistic results. However the properties of biological structures are highly complex and scarcely investigated, thus simplified models are often applied. In this paper we describe our FE based modeling approach for static soft tissue prediction and muscle muscle simulation.
软组织预测是手术计划中重要的附加标准。特别是在颅面外科手术中,对患者术后外观的真实预测是至关重要的。基于物理的建模方法似乎最适合实现真实的结果。然而,生物结构的性质非常复杂,研究很少,因此往往采用简化模型。本文描述了基于有限元的静态软组织预测和肌肉模拟建模方法。
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引用次数: 36
Simulated wave propagation and traceback in vascular extraction 血管提取中的模拟波传播与回溯
Pub Date : 2001-06-10 DOI: 10.1109/MIAR.2001.930292
Francis K. H. Quek, C. Kirbas
We present an approach for the extraction of vasculature from angiography images by using a wave propagation and traceback mechanism. We discuss both the theory and the implementation of the approach. Using a dual-sigmoidal filter, we label each pixel in an angiogram with the likelihood that it is within a vessel. Representing the reciprocal of this likelihood image as an array of refractive indices, we propagate a digital wave through the image from the base of the vascular tree. This wave 'washes' over the vasculature, ignoring local noise perturbations. The extraction of the vasculature becomes that of tracing the wave along the local normals to the waveform. While the approach is inherently SIMD, we present an efficient sequential algorithm for the wave propagation, and discuss the traceback algorithm. We demonstrate the effectiveness of our integer image neighborhood-based algorithm and its robustness to image noise.
我们提出了一种利用波传播和回溯机制从血管造影图像中提取血管系统的方法。我们讨论了该方法的理论和实现。使用双s型滤波器,我们标记血管造影中的每个像素与它在血管内的可能性。将该似然图像的倒数表示为折射率阵列,我们从血管树的底部传播数字波。这种波“冲刷”了脉管系统,忽略了局部的噪声扰动。脉管系统的提取变成了沿着波形的局部法线追踪波。虽然该方法本质上是SIMD,但我们提出了一种有效的波传播顺序算法,并讨论了回溯算法。我们证明了基于整数图像邻域的算法的有效性及其对图像噪声的鲁棒性。
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引用次数: 10
Medical image registration and model construction using genetic algorithms 基于遗传算法的医学图像配准与模型构建
Pub Date : 2001-06-10 DOI: 10.1109/MIAR.2001.930282
C. Chow, H. Tsui, Tong Lee, Tze Kin Lau
The free-form surface registration problem is important in medical image processing and reconstruction. An accurate, robust and fast solution is, therefore, of great significance. Most existing approaches, like iterative closest point (ICP) or mutual information, can only work under many assumptions or limitations. In this paper we propose an new approach using an improved genetic algorithm for finding the transformation, a translation and a rotation, between two free-form surfaces, that are partially overlapped. Application of the algorithm to 3D object model construction using multiple image integration is investigated. The experimental results showed that the improved genetic algorithm for surface registration and model constriction is robust and is faster than all existing methods in the literatures.
自由曲面配准问题是医学图像处理和重建中的一个重要问题。因此,一个准确、稳健、快速的解决方案具有重要意义。大多数现有的方法,如迭代最近点(ICP)或互信息,只能在许多假设或限制下工作。在本文中,我们提出了一种新的方法,使用改进的遗传算法来寻找两个部分重叠的自由曲面之间的变换,平移和旋转。研究了该算法在多图像集成三维目标模型构建中的应用。实验结果表明,改进的遗传算法在表面配准和模型收缩方面具有鲁棒性,并且比现有的所有方法都快。
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引用次数: 19
期刊
Proceedings International Workshop on Medical Imaging and Augmented Reality
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