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Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery.

Identifieur interne : 000B76 ( PubMed/Corpus ); précédent : 000B75; suivant : 000B77

Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery.

Auteurs : Makoto Oishi ; Masafumi Fukuda ; Tetsuya Hiraishi ; Naoki Yajima ; Yosuke Sato ; Yukihiko Fujii

Source :

RBID : pubmed:22746377

English descriptors

Abstract

The purpose of this paper is to report on the authors' advanced presurgical interactive virtual simulation technique using a 3D computer graphics model for microvascular decompression (MVD) surgery.

DOI: 10.3171/2012.5.JNS112334
PubMed: 22746377

Links to Exploration step

pubmed:22746377

Le document en format XML

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<title xml:lang="en">Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery.</title>
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<name sortKey="Oishi, Makoto" sort="Oishi, Makoto" uniqKey="Oishi M" first="Makoto" last="Oishi">Makoto Oishi</name>
<affiliation>
<nlm:affiliation>Department of Neurosurgery, Brain Research Institute, Niigata University, Niigata, Japan. mac.oishi@mac.com</nlm:affiliation>
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<name sortKey="Fukuda, Masafumi" sort="Fukuda, Masafumi" uniqKey="Fukuda M" first="Masafumi" last="Fukuda">Masafumi Fukuda</name>
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<name sortKey="Hiraishi, Tetsuya" sort="Hiraishi, Tetsuya" uniqKey="Hiraishi T" first="Tetsuya" last="Hiraishi">Tetsuya Hiraishi</name>
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<name sortKey="Yajima, Naoki" sort="Yajima, Naoki" uniqKey="Yajima N" first="Naoki" last="Yajima">Naoki Yajima</name>
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<name sortKey="Sato, Yosuke" sort="Sato, Yosuke" uniqKey="Sato Y" first="Yosuke" last="Sato">Yosuke Sato</name>
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<author>
<name sortKey="Fujii, Yukihiko" sort="Fujii, Yukihiko" uniqKey="Fujii Y" first="Yukihiko" last="Fujii">Yukihiko Fujii</name>
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<title xml:lang="en">Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery.</title>
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<name sortKey="Sato, Yosuke" sort="Sato, Yosuke" uniqKey="Sato Y" first="Yosuke" last="Sato">Yosuke Sato</name>
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<name sortKey="Fujii, Yukihiko" sort="Fujii, Yukihiko" uniqKey="Fujii Y" first="Yukihiko" last="Fujii">Yukihiko Fujii</name>
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<title level="j">Journal of neurosurgery</title>
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<term>Adult</term>
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<term>Aged, 80 and over</term>
<term>Computer Simulation</term>
<term>Female</term>
<term>Hemifacial Spasm (pathology)</term>
<term>Hemifacial Spasm (radiography)</term>
<term>Hemifacial Spasm (surgery)</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Magnetic Resonance Imaging</term>
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<term>Microvascular Decompression Surgery (methods)</term>
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<term>Models, Anatomic</term>
<term>Multidetector Computed Tomography</term>
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<term>Trigeminal Neuralgia (pathology)</term>
<term>Trigeminal Neuralgia (radiography)</term>
<term>Trigeminal Neuralgia (surgery)</term>
<term>User-Computer Interface</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Imaging, Three-Dimensional</term>
<term>Microvascular Decompression Surgery</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Hemifacial Spasm</term>
<term>Trigeminal Neuralgia</term>
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<term>Hemifacial Spasm</term>
<term>Trigeminal Neuralgia</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Hemifacial Spasm</term>
<term>Trigeminal Neuralgia</term>
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<div type="abstract" xml:lang="en">The purpose of this paper is to report on the authors' advanced presurgical interactive virtual simulation technique using a 3D computer graphics model for microvascular decompression (MVD) surgery.</div>
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<Title>Journal of neurosurgery</Title>
<ISOAbbreviation>J. Neurosurg.</ISOAbbreviation>
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<ArticleTitle>Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery.</ArticleTitle>
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<AbstractText Label="OBJECT" NlmCategory="OBJECTIVE">The purpose of this paper is to report on the authors' advanced presurgical interactive virtual simulation technique using a 3D computer graphics model for microvascular decompression (MVD) surgery.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The authors performed interactive virtual simulation prior to surgery in 26 patients with trigeminal neuralgia or hemifacial spasm. The 3D computer graphics models for interactive virtual simulation were composed of the brainstem, cerebellum, cranial nerves, vessels, and skull individually created by the image analysis, including segmentation, surface rendering, and data fusion for data collected by 3-T MRI and 64-row multidetector CT systems. Interactive virtual simulation was performed by employing novel computer-aided design software with manipulation of a haptic device to imitate the surgical procedures of bone drilling and retraction of the cerebellum. The findings were compared with intraoperative findings.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In all patients, interactive virtual simulation provided detailed and realistic surgical perspectives, of sufficient quality, representing the lateral suboccipital route. The causes of trigeminal neuralgia or hemifacial spasm determined by observing 3D computer graphics models were concordant with those identified intraoperatively in 25 (96%) of 26 patients, which was a significantly higher rate than the 73% concordance rate (concordance in 19 of 26 patients) obtained by review of 2D images only (p < 0.05). Surgeons evaluated interactive virtual simulation as having "prominent" utility for carrying out the entire surgical procedure in 50% of cases. It was evaluated as moderately useful or "supportive" in the other 50% of cases. There were no cases in which it was evaluated as having no utility. The utilities of interactive virtual simulation were associated with atypical or complex forms of neurovascular compression and structural restrictions in the surgical window. Finally, MVD procedures were performed as simulated in 23 (88%) of the 26 patients .</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our interactive virtual simulation using a 3D computer graphics model provided a realistic environment for performing virtual simulations prior to MVD surgery and enabled us to ascertain complex microsurgical anatomy.</AbstractText>
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