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Modeling of soft tissue thermal damage based on GPU acceleration 基于GPU加速的软组织热损伤建模
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-07-24 DOI: 10.1080/24699322.2018.1557891
Jinao Zhang, J. Hills, Y. Zhong, B. Shirinzadeh, Julian Smith, Chengfan Gu
Abstract Hyperthermia treatments require precise control of thermal energy to form the coagulation zones which sufficiently cover the tumor without affecting surrounding healthy tissues. This has led modeling of soft tissue thermal damage to become important in hyperthermia treatments to completely eradicate tumors without inducing tissue damage to surrounding healthy tissues. This paper presents a methodology based on GPU acceleration for modeling and analysis of bio-heat conduction and associated thermal-induced tissue damage for prediction of soft tissue damage in thermal ablation, which is a typical hyperthermia therapy. The proposed methodology combines the Arrhenius Burn integration with Pennes’ bio-heat transfer for prediction of temperature field and thermal damage in soft tissues. The problem domain is spatially discretized on 3-D linear tetrahedral meshes by the Galerkin finite element method and temporally discretized by the explicit forward finite difference method. To address the expensive computation load involved in the finite element method, GPU acceleration is implemented using the High-Level Shader Language and achieved via a sequential execution of compute shaders in the GPU rendering pipeline. Simulations on a cube-shape specimen and comparison analysis with standalone CPU execution were conducted, demonstrating the proposed GPU-accelerated finite element method can effectively predict the temperature distribution and associated thermal damage in real time. Results show that the peak temperature is achieved at the heat source point and the variation of temperature is mainly dominated in its direct neighbourhood. It is also found that by the continuous application of point-source heat energy, the tissue at the heat source point is quickly necrotized in a matter of seconds, while the entire neighbouring tissues are fully necrotized in several minutes. Further, the proposed GPU acceleration significantly improves the computational performance for soft tissue thermal damage prediction, leading to a maximum reduction of 55.3 times in computation time comparing to standalone CPU execution.
热疗治疗需要精确控制热能,形成足以覆盖肿瘤而不影响周围健康组织的凝血区。这使得软组织热损伤的建模在热疗治疗中变得重要,以完全根除肿瘤而不引起周围健康组织的组织损伤。本文提出了一种基于GPU加速的生物热传导及相关热致组织损伤建模与分析方法,用于热消融中软组织损伤的预测,这是一种典型的热疗治疗。该方法将Arrhenius Burn理论与Pennes的生物传热理论相结合,用于预测软组织的温度场和热损伤。用伽辽金有限元法在三维线性四面体网格上进行空间离散,用显式正演有限差分法在时间上进行离散。为了解决有限元方法中涉及的昂贵的计算负载,GPU加速使用高级着色器语言实现,并通过GPU渲染管道中计算着色器的顺序执行来实现。通过对一个立方体试件的仿真和与独立CPU运行的对比分析,验证了所提出的gpu加速有限元方法可以有效地实时预测温度分布和相关的热损伤。结果表明,温度峰值出现在热源点,温度变化主要集中在热源附近。还发现,通过持续施加点源热能,热源处的组织在几秒钟内迅速坏死,而整个邻近组织在几分钟内完全坏死。此外,所提出的GPU加速显著提高了软组织热损伤预测的计算性能,与独立CPU执行相比,计算时间最多减少了55.3倍。
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引用次数: 5
Super resolution reconstruction for medical image based on adaptive multi-dictionary learning and structural self-similarity. 基于自适应多字典学习和结构自相似的医学图像超分辨率重建。
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-03-01 DOI: 10.1080/24699322.2018.1557906
Fang Zhang,Yue Wu,Zhitao Xiao,Lei Geng,Jun Wu,Jia Wen,Wen Wang,Ping Liu
To improve the quality of the super-resolution (SR) reconstructed medical images, an improved adaptive multi-dictionary learning method is proposed, which uses the combined information of medical image itself and the natural images database. In training dictionary section, it uses the upper layer images of pyramid which are generated by the self-similarity of low resolution images. In reconstruction section, the top layer image of pyramid is taken as the initial reconstruction image, and medical image's SR reconstruction is achieved by regularization term which is the non-local structure self-similarity of the image. This method can make full use of the same scale and different scale similar information of medical images. Simulation experiments are carried out on natural images and medical images, and the experimental results show the proposed method is effective for improving the effect of medical image SR reconstruction.
为了提高重建的超分辨率医学图像的质量,提出了一种改进的自适应多字典学习方法,该方法将医学图像本身的信息与自然图像数据库相结合。在训练字典部分,使用低分辨率图像的自相似度生成的金字塔上层图像。在重建部分,以金字塔的顶层图像作为初始重建图像,通过正则化项即图像的非局部结构自相似性来实现医学图像的SR重建。该方法可以充分利用医学图像的相同尺度和不同尺度的相似信息。对自然图像和医学图像进行了仿真实验,实验结果表明,该方法能够有效提高医学图像SR重建的效果。
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引用次数: 0
A targeting method for robot-assisted percutaneous needle placement under fluoroscopy guidance. 透视引导下机器人辅助经皮置针的靶向方法。
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-02-02 DOI: 10.1080/24699322.2018.1560085
Zhonghao Han,Keyi Yu,Lei Hu,Weishi Li,Huilin Yang,Minfeng Gan,Na Guo,Biao Yang,Hongsheng Liu,Yuhan Wang
BACKGROUNDMinimally invasive procedures are rapidly growing in popularity thanks to advancements in medical robots, visual navigation and space registration techniques. This paper presents a precise and efficient targeting method for robot-assisted percutaneous needle placement under C-arm fluoroscopy.METHODA special end-effector was constructed to perform fluoroscopy calibration and robot to image-space registration simultaneously and automatically. In addition, formulations were given to compute the movement of robot targeting and evaluate targeting accuracy using only one X-ray image.RESULTA pre-clinical experiment showed that the maximum angle error was 0.94° and the maximum position error of a target located 80 mm below the end-effector was 1.31 mm. And evaluation of the system in a robot-assisted pedicle screws placement surgery has justified the accuracy and reliability of proposed method in clinical applications.CONCLUSIONThe positioning accuracy was increased by using present method. Moreover, radiation exposure and operation time were reduced significantly compared to other commonly used methods.
背景:由于医疗机器人、视觉导航和空间注册技术的进步,微创手术正在迅速普及。本文介绍了一种在c臂透视下机器人辅助下经皮置针的精确、高效的靶向方法。方法构建专用末端执行器,同时自动完成透视定标和机器人图像空间配准。此外,给出了单x射线图像下机器人瞄准运动计算和瞄准精度评估的公式。结果临床前实验表明,最大角度误差为0.94°,位于末端执行器下方80 mm处的目标最大位置误差为1.31 mm。该系统在机器人辅助椎弓根螺钉置入手术中的应用验证了该方法在临床应用中的准确性和可靠性。结论采用本方法可提高定位精度。此外,与其他常用方法相比,辐射暴露和手术时间明显减少。
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引用次数: 0
The role of the precuneus and posterior cingulate cortex in the neural routes to action. 楔前叶和后扣带皮层在神经通路中的作用。
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-01-28 DOI: 10.1080/24699322.2018.1560098
Zijian Wang,Fei Liu,Yaoru Sun,Jie Li,Fang Wang,Zheng Lu
Neural substrates of action to the object or this specific direct route, however, remain unclear, especially for the connection from the visual pathway to the motor cortex. The study examined this issue by conducting an fMRI experiment, in which two action generation tasks involving pictures of real objects (PA) and the object's nouns (NA) were used, with pictures naming (PN) and covert noun reading (NR) being the control tasks. The result showed that the model predefined for the PCC and precuneus connecting IPL to the posterior-medial frontal cortex dominated over the others (with 0.45 probability), suggesting that the PCC and the precuneus locate at the neural substrates of action to the object. Furthermore, a feasibility study suggests that the neural pathway composed of the V3/MT, precuneus, PCC, and PM (premotor cortex) forms the direct route from perception to action, which also links to the dorsal pathway so that the perception of objects bypasses the semantic ventral pathway and then directly cues actions via the affordance.
然而,对物体或这一特定直接通路的作用的神经基质,特别是从视觉通路到运动皮层的连接,仍不清楚。该研究通过功能磁共振成像(fMRI)实验检验了这一问题,实验中使用了两个动作生成任务,涉及真实物体的图片(PA)和物体的名词(NA),其中图片命名(PN)和隐蔽名词阅读(NR)是控制任务。结果表明,PCC和楔前叶连接IPL与后内侧额叶皮层的模型优于其他模型(概率为0.45),表明PCC和楔前叶位于对物体产生作用的神经底物上。此外,一项可行性研究表明,由V3/MT、楔前叶、PCC和PM(运动前皮质)组成的神经通路形成了从感知到行动的直接途径,并与背侧通路相连,从而使物体的感知绕过语义腹侧通路,直接通过功能提示提示动作。
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引用次数: 0
Analysis and recognition of characteristics of digitized tongue pictures and tongue coating texture based on fractal theory in traditional Chinese medicine. 基于中医分形理论的数字化舌图及舌苔纹理特征分析与识别。
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-01-24 DOI: 10.1080/24699322.2018.1557890
Ji Zhang,Jun Qian,Tao Yang,Hai-Yan Dong,Rui-Juan Wang
Simple fractal dimensions have been proposed for use in the analysis of the characteristics of digitized tongue pictures and tongue coating texture, which could further the establishment of objectified classification criteria under the conditions of expanding sample size. However, detailed descriptions on simple fractal dimensions have been limited. Therefore, BP (back propagation) neural network model classifiers could be designed by further calculation of the multiple fractal spectrum characteristics of digitized tongue pictures in order to classify and recognize the thin/thick or greasy characteristics of tongue coating.The fractal dimensions of sample data of 587 digitized tongue pictures were collected in a standard environment. A statistical analysis was conducted on the calculation results of the sample data, and the sensitivity of the fractal dimensions to the thin/thick and greasy characteristics of digitized tongue pictures was observed. As the overlap region resulted from a range of values of a single parameter, another eight characteristic parameters of the multiple fractal spectra of the digitized tongue pictures were further proposed as the elements in the input layer of the three-layers BP neural network. Automatic recognition classifiers were designed and trained for the characteristics of digitized tongue pictures and tongue coating textures.The simple fractal dimension was sensitive to the thin/thick and greasy characteristics of digitized tongue pictures and could better judge the characteristics of the thickness of the tongue coating. A classifier with characteristic parameters of multiple fractal spectra as the input vectors identified by the BP neural network models could effectively increase the accuracy rate judged by the characteristics of the tongue coating texture.
提出了简单分形维数用于分析数字化舌图特征和舌苔纹理,可在扩大样本量的条件下进一步建立客观的分类标准。然而,对简单分形维数的详细描述是有限的。因此,通过进一步计算数字化舌头图像的多重分形谱特征,可以设计BP (back propagation)神经网络模型分类器,对舌苔的薄/厚或油腻特征进行分类识别。在标准环境下采集了587张数字化舌图样本数据的分形维数。对样本数据的计算结果进行统计分析,观察分形维数对数字化舌图薄/厚、油腻特征的敏感性。由于重叠区域是由单个参数的取值范围造成的,因此进一步提出了数字化舌图多重分形谱的另外8个特征参数作为三层BP神经网络输入层的元素。针对数字化舌图和舌苔纹理特征,设计并训练了自动识别分类器。简单分形维数对数字化舌苔图像的薄/厚、油腻特征较为敏感,能较好地判断舌苔厚度特征。以多重分形谱特征参数作为BP神经网络模型识别的输入向量,可以有效提高舌膜纹理特征判断的准确率。
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引用次数: 0
Physiological interference reduction for near infrared spectroscopy brain activity measurement based on recursive least squares adaptive filtering and least squares support vector machines. 基于递推最小二乘自适应滤波和最小二乘支持向量机的近红外光谱脑活动测量生理干扰抑制。
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-01-01 DOI: 10.1080/24699322.2018.1560095
Xin Liu, Yan Zhang, Dan Liu, Qisong Wang, Ou Bai, Jinwei Sun, P. Rolfe
Near infrared spectroscopy is the promising and noninvasive technique that can be used to detect the brain functional activation by monitoring the concentration alternations in the haemodynamic concentration. The acquired NIRS signals are commonly contaminated by physiological interference caused by breathing and cardiac contraction. Though the adaptive filtering method with least mean squares algorithm or recursive least squares algorithm based on multidistance probe configuration could improve the quality of evoked brain activity response, both methods can only remove the physiological interference occurred in superficial layers of the head tissue. To overcome the shortcoming, we combined the recursive least squares adaptive filtering method with the least squares support vector machine to suppress physiological interference both in the superficial layers and deeper layers of the head tissue. The quantified results based on performance measures suggest that the estimation performances of the proposed method for the evoked haemodynamic changes are better than the traditional recursive least squares method.
近红外光谱技术是一种很有前途的无创技术,它可以通过监测血流动力学浓度的变化来检测脑功能的激活。获得的近红外光谱信号通常受到呼吸和心脏收缩引起的生理干扰的污染。采用最小均方算法的自适应滤波方法或基于多距离探头配置的递推最小二乘算法虽然可以提高脑活动诱发反应的质量,但这两种方法都只能去除头部组织浅层的生理干扰。为了克服这一缺点,我们将递归最小二乘自适应滤波方法与最小二乘支持向量机相结合,对头部组织的表层和深层进行生理干扰抑制。基于性能测量的量化结果表明,该方法对诱发血流动力学变化的估计性能优于传统的递推最小二乘法。
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引用次数: 0
Is bony attachment necessary for dynamic reference frame in navigation-assisted minimally invasive lumbar spine fusion surgery? 在导航辅助微创腰椎融合手术中,骨附件是否需要作为动态参考系?
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-01-01 DOI: 10.1080/24699322.2018.1542028
Hsi-Hsien Lin, Yueh-Hsiu Lu, Po-Hsin Chou, Ming-Chau Chang, Shih-Tien Wang, Chien-Lin Liu
Abstract This study aimed to compare the accuracy of navigation-assisted percutaneous pedicle screw insertions between traditional posterior superior iliac spine (PSIS) fixed and cutaneously fixed dynamic reference frame (DRF) in minimally invasive surgery of transforaminal lumbar interbody fusion (MIS TLIF). This is a prospective randomized clinical study. Between May 2016 and Nov 2017, 100 patients who underwent MIS TLIF were randomly divided into bone fixed group (with PSIS fixed DRF) and skin fixed group (with cutaneously fixed DRF). The pedicel screws were inserted under navigational guidance using computed tomography (CT) data acquired intraoperatively with a Ziehm 3-dimensional fluoroscopy-based navigation system. Screw positions were immediately checked by a final intraoperative scan. The accuracy of screw placement was evaluated by a sophisticated computed tomography protocol. Both groups had similar patient demographics. Totally Five-hundred Twelve pedicle screws were placed in the lumbar spine. There were 2 moderate (2–4 mm) pedicle perforations in each group. The accuracy showed no significant difference between bone fixed and skin fixed DRF. There were no significant procedure-related complications. The skin fixed DRF provides similar accuracy in pedicle screw insertions with bone fixed DRF using intraoperative 3D image guided navigation in MIS TLIF. Skin fixed DRF not only serves as an alternative method but also saves a separate incision wound for bony attachment.
摘要本研究旨在比较传统髂后上棘(PSIS)固定和经皮固定动态参考系(DRF)在微创经椎间孔腰椎融合术(MIS TLIF)中导航辅助经皮椎弓根螺钉插入的准确性。这是一项前瞻性随机临床研究。在2016年5月至2017年11月期间,100名接受MIS TLIF的患者被随机分为骨固定组(采用PSIS固定DRF)和皮肤固定组(使用皮肤固定的DRF)。椎弓根螺钉在导航引导下插入,使用Ziehm三维荧光透视导航系统在手术中获得的计算机断层扫描(CT)数据。术中最后一次扫描立即检查螺钉位置。通过复杂的计算机断层扫描方案评估螺钉放置的准确性。两组患者的人口统计数据相似。共有512枚椎弓根螺钉植入腰椎。有2名中度(2-4 mm)椎弓根穿孔。骨固定DRF和皮肤固定DRF的准确性无显著差异。没有明显的手术相关并发症。皮肤固定DRF在MIS TLIF中使用术中3D图像引导导航,在椎弓根螺钉插入中提供与骨固定DRF相似的准确性。皮肤固定DRF不仅是一种替代方法,而且还省去了用于骨附着的单独切口伤口。
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引用次数: 5
Influence of extracerebral layers on estimates of optical properties with continuous wave near infrared spectroscopy: analysis based on multi-layered brain tissue architecture and Monte Carlo simulation. 脑外层对连续波近红外光谱光学特性估计的影响:基于多层脑组织结构和蒙特卡罗模拟的分析。
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-01-01 DOI: 10.1080/24699322.2018.1560090
Yan Zhang, Xin Liu, Qisong Wang, Dan Liu, Chunling Yang, Jinwei Sun, P. Rolfe
Continuous wave near-infrared spectroscopy (CW-NIRS) can be used to measure cerebral activity because it is noninvasive, simple and portable. However, the performance of the CW-NIRS is distorted by the presence of extracerebral layer. Change of optical parameters in gray matter layer will then be inappropriately converted into the brain activity response. In the current study, a five-layer structure model constitute of scalp, skull, cerebrospinal fluid, gray matter and white matter is adopted and the mixture of the Intralipid, India ink and agar is applied to fabricate human brain tissue. To simulate optical properties in deep layer due to the brain activity, the absorption coefficients of gray matter are increased by 5%, 10%, 15%, 20%, and 25% relative to the baseline. The NIRS measurement system was designed to detect the changes in the absorption coefficients of the gray matter and quantitatively analyse the influence of the extracerebral layers. Monte Carlo technique is performed to compensate partial volume effect (PVE) introduced by the extracerebral layers. The results of the in-vitro experiments show that the measured absorption coefficients are about 9% of the standard value and the relative error is about 91% due to the extracerebral layers. The influence of the extracerebral layers is suppressed by correcting PVE with Monte Carlo simulations and the average relative error is improved to only about 6% for the whole data set. Therefore, the measurement and analysis of the brain activity could be further strengthened if the anatomic structure of the head could be predicted with Monte Carlo method or other technologies.
连续波近红外光谱(CW-NIRS)具有无创、简单、便携等优点,可用于脑活动测量。然而,由于脑外层的存在,CW-NIRS的性能受到了扭曲。灰质层光学参数的变化会被不恰当地转化为大脑的活动反应。本研究采用由头皮、颅骨、脑脊液、灰质和白质组成的五层结构模型,采用脂质、墨汁和琼脂的混合物制备人脑组织。为了模拟大脑活动引起的深层光学特性,将灰质的吸收系数相对于基线分别提高5%、10%、15%、20%和25%。设计近红外光谱测量系统,检测脑灰质吸收系数的变化,定量分析脑外层对吸收系数的影响。蒙特卡罗技术用于补偿脑外层引入的部分体积效应。体外实验结果表明,测得的吸收系数约为标准值的9%,受脑外层的影响,相对误差约为91%。通过蒙特卡罗模拟校正PVE,抑制了脑外层的影响,使整个数据集的平均相对误差提高到仅6%左右。因此,如果能够利用蒙特卡罗方法或其他技术对头部的解剖结构进行预测,可以进一步加强对大脑活动的测量和分析。
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引用次数: 0
A sensorless force-feedback system for robot-assisted laparoscopic surgery. 用于机器人辅助腹腔镜手术的无传感器力反馈系统。
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-01-01 DOI: 10.1080/24699322.2018.1560084
Baoliang Zhao, C. Nelson
The existing surgical robots for laparoscopic surgery offer no or limited force feedback, and there are many problems for the traditional sensor-based solutions. This paper builds a teleoperation surgical system and validates the effectiveness of sensorless force feedback. The tool-tissue interaction force at the surgical grasper tip is estimated using the driving motor's current, and fed back to the master robot with a position-force bilateral control algorithm. The stiffness differentiation experiment and tumor detection experiment were conducted. In the stiffness differentiation experiment, 43 out of 45 pairs of ranking relationships were identified correctly, yielding a success rate of 96%. In the tumor detection experiment, 4 out of 5 participants identified the correct tumor location with force feedback, yielding a success rate of 80%. The proposed sensorless force-feedback system for robot-assisted laparoscopic surgery can help surgeons regain tactile information and distinguish between the healthy and cancerous tissue.
现有的腹腔镜手术机器人不提供或只提供有限的力反馈,传统的基于传感器的解决方案存在许多问题。本文构建了一个远程手术系统,并验证了无传感器力反馈的有效性。利用驱动电机的电流估计手术刀刀尖处的工具-组织相互作用力,并通过位置-力双边控制算法反馈给主机器人。进行了刚度鉴别实验和肿瘤检测实验。在刚度区分实验中,45对排序关系中有43对被正确识别,成功率为96%。在肿瘤检测实验中,5名参与者中有4人通过力反馈识别出了正确的肿瘤位置,成功率为80%。提出的用于机器人辅助腹腔镜手术的无传感器力反馈系统可以帮助外科医生恢复触觉信息并区分健康组织和癌变组织。
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引用次数: 1
Unsupervised binocular depth prediction network for laparoscopic surgery. 腹腔镜手术无监督双目深度预测网络。
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-01-01 DOI: 10.1080/24699322.2018.1560082
Ke Xu, Zhiyong Chen, F. Jia
Minimally invasive surgery (MIS) is characterized by less trauma, shorter recovery time, and lower postoperative infection rate. The two-dimensional (2D) laparoscopic imaging lacks depth perception and does not provide quantitative depth information, thereby limiting precise and complex surgical operations. Three-dimensional (3D) laparoscopic imaging provides surgeons depth perception. This study aims to 3D reconstruction of the surgical scene based on the disparity map generated by the depth estimation algorithm. An unsupervised learning autoencoder method was proposed to calculate the accurate disparity with a 101-layer residual convolutional network. The loss function included three parts: left-right consistency loss, structure similarity loss, and reconstruction error loss, the combination can improve reconstruction accuracy and robustness. The method was validated on a Hamlyn Center Laparoscopic/Endoscopic Video Dataset. The structural similarity index (SSIM) is 0.8349 ± 0.0523 and the peak signal-to-noise ratio (PSNR) is 14.4957 ± 1.9676. The depth prediction network has high accuracy and robustness. The average time to produce each disparity map is about 16 ms. The experimental result shows that the proposed depth estimation method can offer dense disparity map, and can meet surgical real-time requirement. Future work will focus on network structure optimization and loss function design, transfer learning to improve the robustness and accuracy further.
微创手术具有创伤小、恢复时间短、术后感染率低等特点。二维(2D)腹腔镜成像缺乏深度感知,不能提供定量的深度信息,从而限制了精确和复杂的外科手术。三维(3D)腹腔镜成像为外科医生提供深度感知。本研究旨在基于深度估计算法生成的视差图对手术场景进行三维重建。提出了一种基于101层残差卷积网络的无监督学习自编码器方法来精确计算视差。损失函数包括左右一致性损失、结构相似度损失和重构误差损失三部分,结合使用可以提高重构精度和鲁棒性。该方法在Hamlyn中心腹腔镜/内窥镜视频数据集上进行了验证。结构相似指数(SSIM)为0.8349±0.0523,峰值信噪比(PSNR)为14.4957±1.9676。该深度预测网络具有较高的精度和鲁棒性。生成每个视差图的平均时间约为16毫秒。实验结果表明,所提出的深度估计方法能够提供密集的视差图,满足手术实时性的要求。未来的工作将集中在网络结构优化、损失函数设计、迁移学习等方面,进一步提高鲁棒性和准确性。
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引用次数: 0
期刊
Computer Assisted Surgery
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