Virtually Extended Surgical Drilling Device Virtual Mirror for Navigated Spine Surgery 1st Edition by Christoph Bichlmeier, Sandro Michael Heining, Mohammad Rustaee, Nassir Navab – Ebook PDF Instant Download/Delivery. 9783540757573
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ISBN 10:
ISBN 13: 9783540757573
Author: Christoph Bichlmeier, Sandro Michael Heining, Mohammad Rustaee, Nassir Navab
This paper introduces a new method for navigated spine surgery using a stereoscopic video see-through head-mounted display (HMD) and an optical tracking system. Vertebrae are segmented from volumetric CT data and visualized in-situ. A surgical drilling device is virtually extended with a mirror for intuitive planning of the drill canal, control of drill direction and insertion depth. The first designated application for the virtually extended drilling device is the preparation of canals for pedicle screw implantation in spine surgery. The objective of surgery is to install an internal fixateur for stabilization of injured vertebrae. We invited five surgeons of our partner clinic to test the system with realistic replica of lumbar vertebrae and compared the new approach with the classical, monitor-based navigation system providing three orthogonal slice views on the operation site. We measured time of procedure and scanned the drilled vertebrae with CT to verify accuracy of drilling.
Virtually Extended Surgical Drilling Device Virtual Mirror for Navigated Spine Surgery 1st Table of contents:
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Introduction
- 1.1 Background and Motivation
- 1.2 Importance of Navigation in Spine Surgery
- 1.3 Concept of Virtually Extended Surgical Devices
- 1.4 Objective of the Study: Virtual Mirror for Drilling in Spine Surgery
- 1.5 Structure of the Paper
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Literature Review
- 2.1 Overview of Spine Surgery and Challenges
- 2.2 Role of Surgical Navigation in Spine Procedures
- 2.3 Existing Technologies for Surgical Drilling and Guidance
- 2.4 Virtual Reality and Augmented Reality in Surgery
- 2.5 Virtual Mirrors in Surgical Systems: Applications and Limitations
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Methodology
- 3.1 Overview of the Virtual Mirror Concept
- 3.2 Surgical Drilling Device Design and Integration
- 3.3 Navigation System for Spine Surgery
- 3.3.1 Hardware Components (e.g., Tracking Systems, Imaging Devices)
- 3.3.2 Software Components (e.g., Real-Time Image Processing, Visualization)
- 3.4 Virtual Mirror Implementation for Surgical Guidance
- 3.4.1 Virtual Model Construction of Spine Anatomy
- 3.4.2 Mirror-Based Visualization Techniques
- 3.5 Drilling Procedure Simulation and Real-Time Feedback
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System Design and Architecture
- 4.1 System Overview and Components
- 4.2 Integration of Surgical Drilling Device with Navigation System
- 4.3 Development of the Virtual Mirror Interface
- 4.4 Real-Time Tracking and Feedback Mechanisms
- 4.5 Calibration and Accuracy of the Virtual Mirror
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Data Acquisition and Preprocessing
- 5.1 Imaging Modalities: CT, MRI, or 3D Reconstructions
- 5.2 Data Preprocessing for Navigation and Virtual Mirror Application
- 5.3 Spine Segmentation and Model Creation
- 5.4 Integration of Preoperative and Intraoperative Data
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Implementation and Testing
- 6.1 Experimental Setup and Testing Procedures
- 6.2 Validation of Virtual Mirror Accuracy
- 6.3 Clinical Simulation Scenarios and Drilling Performance
- 6.4 Evaluation of User Experience and Feedback
- 6.5 Comparison with Conventional Drilling Methods
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Results and Discussion
- 7.1 Performance of Virtual Mirror in Navigated Drilling
- 7.2 Analysis of Drilling Accuracy and Precision
- 7.3 User Experience and Usability of the System
- 7.4 Clinical Relevance and Potential for Error Reduction
- 7.5 Limitations of the Current System and Areas for Improvement
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Conclusion
- 8.1 Summary of Findings
- 8.2 Impact on Spine Surgery Practice
- 8.3 Potential for Integration in Clinical Settings
- 8.4 Future Research Directions and Technological Advancements
- 8.5 Final Remarks
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