A virtual reality model of the clivus and surgical simulation via transoral or transnasal route
Identifieur interne : 001345 ( Pmc/Curation ); précédent : 001344; suivant : 001346A virtual reality model of the clivus and surgical simulation via transoral or transnasal route
Auteurs : Shou-Sen Wang ; Jun-Feng Li ; Shang-Ming Zhang ; Jun-Jie Jing ; Liang XueSource :
- International Journal of Clinical and Experimental Medicine [ 1940-5901 ] ; 2014.
Abstract
Background: Neurosurgery in areas with restricted space and complicated anatomy can be greatly aided by the virtual reality (VR) technique. The clivus represents one of such challenging surgical areas, but its VR has not been established. The present study aimed to document a VR model of clival anatomy that may be useful in clival surgery. Methods: High resolution CT angiography and MRI were used. The study included a total of 20 patients who did not have any obvious abnormalities detected in the oral, nasal, and clival areas. The images were fused with a Dextroscope. Results: In the VR model, the key structures such as the clival bone, basilar artery, brainstem, pituitary gland, and paranasal sinuses were clearly observed. The morphology of the clivus and its spatial relationships with the neighboring structures were also illustrated. Visualization of the clival model can be made flexible from various planes, angles, or orientations. In addition, surgical access to the clivus via the transoral route or transnasal route was simulated in detail. Conclusion: The simulation of the VR model offers a straightforward, three-dimensional, interactive understanding of the size and shape of the clivus, and its relationships with the surrounding blood vessels and bones. It also demonstrates simulated operational procedures such as opening the surgical window, measuring the exposure distance and angles, and determining the critical boundaries in relation to key structures such as the brainstem and arteries. Digitalized VR modeling appears to be helpful for understanding the anatomy of the clivus and its surgical approaches.
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PubMed: 25419358
PubMed Central: 4238541
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PMC:4238541Le document en format XML
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<author><name sortKey="Wang, Shou Sen" sort="Wang, Shou Sen" uniqKey="Wang S" first="Shou-Sen" last="Wang">Shou-Sen Wang</name>
</author>
<author><name sortKey="Li, Jun Feng" sort="Li, Jun Feng" uniqKey="Li J" first="Jun-Feng" last="Li">Jun-Feng Li</name>
</author>
<author><name sortKey="Zhang, Shang Ming" sort="Zhang, Shang Ming" uniqKey="Zhang S" first="Shang-Ming" last="Zhang">Shang-Ming Zhang</name>
</author>
<author><name sortKey="Jing, Jun Jie" sort="Jing, Jun Jie" uniqKey="Jing J" first="Jun-Jie" last="Jing">Jun-Jie Jing</name>
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<author><name sortKey="Xue, Liang" sort="Xue, Liang" uniqKey="Xue L" first="Liang" last="Xue">Liang Xue</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A virtual reality model of the clivus and surgical simulation via transoral or transnasal route</title>
<author><name sortKey="Wang, Shou Sen" sort="Wang, Shou Sen" uniqKey="Wang S" first="Shou-Sen" last="Wang">Shou-Sen Wang</name>
</author>
<author><name sortKey="Li, Jun Feng" sort="Li, Jun Feng" uniqKey="Li J" first="Jun-Feng" last="Li">Jun-Feng Li</name>
</author>
<author><name sortKey="Zhang, Shang Ming" sort="Zhang, Shang Ming" uniqKey="Zhang S" first="Shang-Ming" last="Zhang">Shang-Ming Zhang</name>
</author>
<author><name sortKey="Jing, Jun Jie" sort="Jing, Jun Jie" uniqKey="Jing J" first="Jun-Jie" last="Jing">Jun-Jie Jing</name>
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<author><name sortKey="Xue, Liang" sort="Xue, Liang" uniqKey="Xue L" first="Liang" last="Xue">Liang Xue</name>
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<series><title level="j">International Journal of Clinical and Experimental Medicine</title>
<idno type="eISSN">1940-5901</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><p>Background: Neurosurgery in areas with restricted space and complicated anatomy can be greatly aided by the virtual reality (VR) technique. The clivus represents one of such challenging surgical areas, but its VR has not been established. The present study aimed to document a VR model of clival anatomy that may be useful in clival surgery. Methods: High resolution CT angiography and MRI were used. The study included a total of 20 patients who did not have any obvious abnormalities detected in the oral, nasal, and clival areas. The images were fused with a Dextroscope. Results: In the VR model, the key structures such as the clival bone, basilar artery, brainstem, pituitary gland, and paranasal sinuses were clearly observed. The morphology of the clivus and its spatial relationships with the neighboring structures were also illustrated. Visualization of the clival model can be made flexible from various planes, angles, or orientations. In addition, surgical access to the clivus via the transoral route or transnasal route was simulated in detail. Conclusion: The simulation of the VR model offers a straightforward, three-dimensional, interactive understanding of the size and shape of the clivus, and its relationships with the surrounding blood vessels and bones. It also demonstrates simulated operational procedures such as opening the surgical window, measuring the exposure distance and angles, and determining the critical boundaries in relation to key structures such as the brainstem and arteries. Digitalized VR modeling appears to be helpful for understanding the anatomy of the clivus and its surgical approaches.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Clin Exp Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Clin Exp Med</journal-id>
<journal-id journal-id-type="publisher-id">ijcem</journal-id>
<journal-title-group><journal-title>International Journal of Clinical and Experimental Medicine</journal-title>
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<issn pub-type="epub">1940-5901</issn>
<publisher><publisher-name>e-Century Publishing Corporation</publisher-name>
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<article-meta><article-id pub-id-type="pmid">25419358</article-id>
<article-id pub-id-type="pmc">4238541</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
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<title-group><article-title>A virtual reality model of the clivus and surgical simulation via transoral or transnasal route</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Wang</surname>
<given-names>Shou-Sen</given-names>
</name>
<xref ref-type="author-notes" rid="fn1">*</xref>
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<contrib contrib-type="author"><name><surname>Li</surname>
<given-names>Jun-Feng</given-names>
</name>
<xref ref-type="author-notes" rid="fn1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Shang-Ming</given-names>
</name>
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<contrib contrib-type="author"><name><surname>Jing</surname>
<given-names>Jun-Jie</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Xue</surname>
<given-names>Liang</given-names>
</name>
</contrib>
<aff><institution>Department of Neurosurgery, Fuzhou General Hospital, Fujian Medical University</institution>
<addr-line>156 Xihuanbei Road, Fuzhou 350025, China</addr-line>
</aff>
</contrib-group>
<author-notes><corresp><bold>Address correspondence to:</bold>
Dr. Shou-Sen Wang, Department of Neurosurgery, Fuzhou General Hospital, Fujian Medical University, Fuzhou 350025, China. Tel: +86 13950482966; Fax: +86-591-87640785; E-mail: <email>wshsen@126.com</email>
</corresp>
<fn id="fn1"><label>*</label>
<p>Equal contributors.</p>
</fn>
</author-notes>
<pub-date pub-type="collection"><year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>15</day>
<month>10</month>
<year>2014</year>
</pub-date>
<volume>7</volume>
<issue>10</issue>
<fpage>3270</fpage>
<lpage>3279</lpage>
<history><date date-type="received"><day>19</day>
<month>8</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>20</day>
<month>9</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>IJCEM Copyright © 2014</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><p>Background: Neurosurgery in areas with restricted space and complicated anatomy can be greatly aided by the virtual reality (VR) technique. The clivus represents one of such challenging surgical areas, but its VR has not been established. The present study aimed to document a VR model of clival anatomy that may be useful in clival surgery. Methods: High resolution CT angiography and MRI were used. The study included a total of 20 patients who did not have any obvious abnormalities detected in the oral, nasal, and clival areas. The images were fused with a Dextroscope. Results: In the VR model, the key structures such as the clival bone, basilar artery, brainstem, pituitary gland, and paranasal sinuses were clearly observed. The morphology of the clivus and its spatial relationships with the neighboring structures were also illustrated. Visualization of the clival model can be made flexible from various planes, angles, or orientations. In addition, surgical access to the clivus via the transoral route or transnasal route was simulated in detail. Conclusion: The simulation of the VR model offers a straightforward, three-dimensional, interactive understanding of the size and shape of the clivus, and its relationships with the surrounding blood vessels and bones. It also demonstrates simulated operational procedures such as opening the surgical window, measuring the exposure distance and angles, and determining the critical boundaries in relation to key structures such as the brainstem and arteries. Digitalized VR modeling appears to be helpful for understanding the anatomy of the clivus and its surgical approaches.</p>
</abstract>
<kwd-group><kwd>Clivus</kwd>
<kwd>digitalized anatomical model</kwd>
<kwd>transnasal</kwd>
<kwd>transoral</kwd>
<kwd>surgical simulation</kwd>
</kwd-group>
</article-meta>
</front>
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