How to build patient‐specific synthetic abdominal anatomies. An innovative approach from physical toward hybrid surgical simulators
Identifieur interne : 002C26 ( Istex/Corpus ); précédent : 002C25; suivant : 002C27How to build patient‐specific synthetic abdominal anatomies. An innovative approach from physical toward hybrid surgical simulators
Auteurs : S. Condino ; M. Carbone ; V. Ferrari ; L. Faggioni ; A. Peri ; M. Ferrari ; F. MoscaSource :
- The International Journal of Medical Robotics and Computer Assisted Surgery [ 1478-5951 ] ; 2011-06.
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Abstract
Background: According to literature evidence, simulation is of the utmost importance for training and innovative surgical strategies assessment. At present commercial physical simulators are limited to single or only a few anatomical structures and these are often just standard anatomies. Methods: This paper describes a strategy to produce patient‐specific abdominal silicone organs with realistic shapes and colors, starting from radiological images. Synthetic organs can be assembled in a complex physical simulator or, if paired with electromagnetic sensors, in a hybrid environment (mixed reality) to quantify deformations caused by surgical action. Results: A physical trunk phantom with liver, gallbladder, pancreas and a sensorized stomach has been developed. It is coupled with consistent radiological images and a 3D model of the entire upper abdomen. The simulator has been evaluated in quantitative and qualitative terms to quantify its accuracy and utility, respectively. Conclusions: This simulator can be used in the field of abdominal surgery to train students and as a testing environment to assess and validate innovative surgical technologies. Copyright © 2011 John Wiley & Sons, Ltd.
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DOI: 10.1002/rcs.390
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Condino</name><affiliation><mods:affiliation>EndoCAS Center, Università di Pisa, Italy</mods:affiliation></affiliation></author><author><name sortKey="Carbone, M" sort="Carbone, M" uniqKey="Carbone M" first="M." last="Carbone">M. Carbone</name><affiliation><mods:affiliation>EndoCAS Center, Università di Pisa, Italy</mods:affiliation></affiliation><affiliation><mods:affiliation>Scuola Superiore Sant'Anna, Pisa, Italy</mods:affiliation></affiliation></author><author><name sortKey="Ferrari, V" sort="Ferrari, V" uniqKey="Ferrari V" first="V." last="Ferrari">V. Ferrari</name><affiliation><mods:affiliation>EndoCAS Center, Università di Pisa, Italy</mods:affiliation></affiliation></author><author><name sortKey="Faggioni, L" sort="Faggioni, L" uniqKey="Faggioni L" first="L." last="Faggioni">L. 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J. Med. Robotics Comput. Assist. Surg.</title><idno type="pISSN">1478-5951</idno><idno type="eISSN">1478-596X</idno><idno type="DOI">10.1002/(ISSN)1478-596X</idno><imprint><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2011-06"></date><biblScope unit="volume">7</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="202">202</biblScope><biblScope unit="page" to="213">213</biblScope></imprint></monogr><idno type="istex">B2E51D8DD68EC66EFF895EC8427EFD6A432D9E1A</idno><idno type="DOI">10.1002/rcs.390</idno><idno type="ArticleID">RCS390</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2011</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Background: According to literature evidence, simulation is of the utmost importance for training and innovative surgical strategies assessment. 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Conclusions: This simulator can be used in the field of abdominal surgery to train students and as a testing environment to assess and validate innovative surgical technologies. 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At present commercial physical simulators are limited to single or only a few anatomical structures and these are often just standard anatomies.</p></section><section xml:id="abs1-2"><title type="main">Methods</title><p>This paper describes a strategy to produce patient‐specific abdominal silicone organs with realistic shapes and colors, starting from radiological images. Synthetic organs can be assembled in a complex physical simulator or, if paired with electromagnetic sensors, in a hybrid environment (mixed reality) to quantify deformations caused by surgical action.</p></section><section xml:id="abs1-3"><title type="main">Results</title><p>A physical trunk phantom with liver, gallbladder, pancreas and a sensorized stomach has been developed. It is coupled with consistent radiological images and a 3D model of the entire upper abdomen. The simulator has been evaluated in quantitative and qualitative terms to quantify its accuracy and utility, respectively.</p></section><section xml:id="abs1-4"><title type="main">Conclusions</title><p>This simulator can be used in the field of abdominal surgery to train students and as a testing environment to assess and validate innovative surgical technologies. Copyright © 2011 John Wiley & Sons, Ltd.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>How to build patient‐specific synthetic abdominal anatomies. An innovative approach from physical toward hybrid surgical simulators</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>From physical toward hybrid surgical simulators</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>How to build patient‐specific synthetic abdominal anatomies. An innovative approach from physical toward hybrid surgical simulators</title></titleInfo><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Condino</namePart><affiliation>EndoCAS Center, Università di Pisa, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.</namePart><namePart type="family">Carbone</namePart><affiliation>EndoCAS Center, Università di Pisa, Italy</affiliation><affiliation>Scuola Superiore Sant'Anna, Pisa, Italy</affiliation><description>Correspondence: EndoCAS Center, Università di Pisa, Ospedale di Cisanello, Via Paradisa 2, 56124 Pisa, Italy.===</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">V.</namePart><namePart type="family">Ferrari</namePart><affiliation>EndoCAS Center, Università di Pisa, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L.</namePart><namePart type="family">Faggioni</namePart><affiliation>Divisione di Radiologia Diagnostica e Interventistica, Università di Pisa, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A.</namePart><namePart type="family">Peri</namePart><affiliation>Fondazione IRCCS Policlinico San Matteo Pavia, Università di Pavia, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.</namePart><namePart type="family">Ferrari</namePart><affiliation>EndoCAS Center, Università di Pisa, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">F.</namePart><namePart type="family">Mosca</namePart><affiliation>EndoCAS Center, Università di Pisa, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>John Wiley & Sons, Ltd.</publisher><place><placeTerm type="text">Chichester, UK</placeTerm></place><dateIssued encoding="w3cdtf">2011-06</dateIssued><dateValid encoding="w3cdtf">2011-03-17</dateValid><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">13</extent><extent unit="tables">4</extent><extent unit="references">39</extent></physicalDescription><abstract lang="en">Background: According to literature evidence, simulation is of the utmost importance for training and innovative surgical strategies assessment. At present commercial physical simulators are limited to single or only a few anatomical structures and these are often just standard anatomies. Methods: This paper describes a strategy to produce patient‐specific abdominal silicone organs with realistic shapes and colors, starting from radiological images. Synthetic organs can be assembled in a complex physical simulator or, if paired with electromagnetic sensors, in a hybrid environment (mixed reality) to quantify deformations caused by surgical action. Results: A physical trunk phantom with liver, gallbladder, pancreas and a sensorized stomach has been developed. It is coupled with consistent radiological images and a 3D model of the entire upper abdomen. The simulator has been evaluated in quantitative and qualitative terms to quantify its accuracy and utility, respectively. Conclusions: This simulator can be used in the field of abdominal surgery to train students and as a testing environment to assess and validate innovative surgical technologies. Copyright © 2011 John Wiley & Sons, Ltd.</abstract><note type="funding">European Community ‘Araknes’</note><subject lang="en"><genre>keywords</genre><topic>patient‐specific simulator</topic><topic>physical simulators</topic><topic>hybrid simulators</topic><topic>segmentation</topic><topic>surgical training</topic><topic>abdominal surgery</topic><topic>mixed reality</topic></subject><relatedItem type="host"><titleInfo><title>The International Journal of Medical Robotics and Computer Assisted Surgery</title></titleInfo><titleInfo type="abbreviated"><title>Int. J. Med. Robotics Comput. Assist. Surg.</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">1478-5951</identifier><identifier type="eISSN">1478-596X</identifier><identifier type="DOI">10.1002/(ISSN)1478-596X</identifier><identifier type="PublisherID">RCS</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>7</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>202</start><end>213</end><total>12</total></extent></part></relatedItem><identifier type="istex">B2E51D8DD68EC66EFF895EC8427EFD6A432D9E1A</identifier><identifier type="DOI">10.1002/rcs.390</identifier><identifier type="ArticleID">RCS390</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2011 John Wiley & Sons, Ltd.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>John Wiley & Sons, Ltd.</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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