手术过程中喉返神经检测定位任务中信息信号振幅分布的区间非线性模型

V. I. Manzhula, M. Dyvak
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引用次数: 1

摘要

为解决人体颈部器官手术过程中喉返神经的定位问题,提出了一种区间模型的构建方法。区间模型反映了信息信号的幅值分布——对有限幅值交流电刺激手术区域组织的反应。分析了喉返神经检测和可视化的技术手段和软件手段。在求解非线性优化问题的基础上,提出了一种识别指定数学模型的方法。该方法简化了识别区间模型参数的过程,特别是由于优化问题的目标函数的解析表示,而不是已知的方法,其中该函数是离散的。用甲状腺手术中获得的实验数据对模型进行了验证。所建立的区间非线性模型可以在手术过程中检测和可视化喉神经在手术干预区域的位置,从而保证降低喉神经损伤的风险。
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Interval nonlinear model of information signal amplitude distribution in the task of detection and localization of the recurrent laryngeal nerve during surgical operations
The work proposes an approach to the construction of an interval model for solving the problems of localization of the recurrent laryngeal nerve in the process of surgery on the neck organs of the human. The interval model reflects the distribution of the amplitude of the information signal - the reaction to stimulation of the tissues of the surgery area with an alternating current of limited amplitude. The technical and software means of detection and visualization of the recurrent laryngeal nerve were analyzed. A method of identifying the specified mathematical model is proposed, which is based on the procedures for solving a nonlinear optimization problem. The proposed method simplifies the procedure for identifying the parameters of the interval model, in particular, due to the analytical representation of the objective function of the optimization problem, in contrast to the known method, where this function is discrete. The model was verified on experimental data obtained during the thyroid surgery. The developed interval nonlinear model makes it possible to detect and visualize the placement of the laryngeal nerve in the area of surgical intervention during the operation and, accordingly, ensures a reduction in the risk damage of its.
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