Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery
Identifieur interne : 000301 ( PascalFrancis/Corpus ); précédent : 000300; suivant : 000302Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery
Auteurs : Makoto Oishi ; Masafumi Fukuda ; Tetsuya Hiraishi ; Naoki Yajima ; Yosuke Sato ; Yukihiko FujiiSource :
- Journal of neurosurgery [ 0022-3085 ] ; 2012.
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- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Object. 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. 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. 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 . 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.
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Format Inist (serveur)
| NO : | PASCAL 12-0347426 INIST |
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| ET : | Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery |
| AU : | OISHI (Makoto); FUKUDA (Masafumi); HIRAISHI (Tetsuya); YAJIMA (Naoki); SATO (Yosuke); FUJII (Yukihiko) |
| AF : | Department of Neurosurgery, Brain Research Institute, Niigata University/Niigata/Japon (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut.) |
| DT : | Publication en série; Niveau analytique |
| SO : | Journal of neurosurgery; ISSN 0022-3085; Coden JONSAC; Etats-Unis; Da. 2012; Vol. 117; No. 3; Pp. 555-565; Bibl. 29 ref. |
| LA : | Anglais |
| EA : | Object. 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. 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. 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 . 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. |
| CC : | 002B25J |
| FD : | Simulation ordinateur; Chirurgie; Anatomie; Image tridimensionnelle; Crâne |
| ED : | Computer simulation; Surgery; Anatomy; Tridimensional image; Skull |
| SD : | Simulación computadora; Cirugía; Anatomía; Imagen tridimensional; Cráneo |
| LO : | INIST-6023.354000508370130160 |
| ID : | 12-0347426 |
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sortKey="Hiraishi, Tetsuya" sort="Hiraishi, Tetsuya" uniqKey="Hiraishi T" first="Tetsuya" last="Hiraishi">Tetsuya Hiraishi</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brain Research Institute, Niigata University</s1><s2>Niigata</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Yajima, Naoki" sort="Yajima, Naoki" uniqKey="Yajima N" first="Naoki" last="Yajima">Naoki Yajima</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brain Research Institute, Niigata University</s1><s2>Niigata</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Sato, Yosuke" sort="Sato, Yosuke" uniqKey="Sato Y" first="Yosuke" last="Sato">Yosuke Sato</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brain Research Institute, Niigata University</s1><s2>Niigata</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Fujii, Yukihiko" sort="Fujii, Yukihiko" uniqKey="Fujii Y" first="Yukihiko" last="Fujii">Yukihiko Fujii</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brain Research Institute, Niigata University</s1><s2>Niigata</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0347426</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0347426 INIST</idno><idno type="RBID">Pascal:12-0347426</idno><idno type="wicri:Area/PascalFrancis/Corpus">000301</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery</title><author><name sortKey="Oishi, Makoto" sort="Oishi, Makoto" uniqKey="Oishi M" first="Makoto" last="Oishi">Makoto Oishi</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brain Research Institute, Niigata University</s1><s2>Niigata</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Fukuda, Masafumi" sort="Fukuda, Masafumi" uniqKey="Fukuda M" first="Masafumi" last="Fukuda">Masafumi Fukuda</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brain Research Institute, Niigata University</s1><s2>Niigata</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Hiraishi, Tetsuya" sort="Hiraishi, Tetsuya" uniqKey="Hiraishi T" first="Tetsuya" last="Hiraishi">Tetsuya Hiraishi</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brain Research Institute, Niigata University</s1><s2>Niigata</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Yajima, Naoki" sort="Yajima, Naoki" uniqKey="Yajima N" first="Naoki" last="Yajima">Naoki Yajima</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brain Research Institute, Niigata University</s1><s2>Niigata</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Sato, Yosuke" sort="Sato, Yosuke" uniqKey="Sato Y" first="Yosuke" last="Sato">Yosuke Sato</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brain Research Institute, Niigata University</s1><s2>Niigata</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Fujii, Yukihiko" sort="Fujii, Yukihiko" uniqKey="Fujii Y" first="Yukihiko" last="Fujii">Yukihiko Fujii</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brain Research Institute, Niigata University</s1><s2>Niigata</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14></affiliation></author></analytic><series><title level="j" type="main">Journal of neurosurgery</title><title level="j" type="abbreviated">J. neurosurg.</title><idno type="ISSN">0022-3085</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of neurosurgery</title><title level="j" type="abbreviated">J. neurosurg.</title><idno type="ISSN">0022-3085</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anatomy</term><term>Computer simulation</term><term>Skull</term><term>Surgery</term><term>Tridimensional image</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Simulation ordinateur</term><term>Chirurgie</term><term>Anatomie</term><term>Image tridimensionnelle</term><term>Crâne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Object. 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. 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. 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 . 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.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0022-3085</s0></fA01><fA02 i1="01"><s0>JONSAC</s0></fA02><fA03 i2="1"><s0>J. neurosurg.</s0></fA03><fA05><s2>117</s2></fA05><fA06><s2>3</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery</s1></fA08><fA11 i1="01" i2="1"><s1>OISHI (Makoto)</s1></fA11><fA11 i1="02" i2="1"><s1>FUKUDA (Masafumi)</s1></fA11><fA11 i1="03" i2="1"><s1>HIRAISHI (Tetsuya)</s1></fA11><fA11 i1="04" i2="1"><s1>YAJIMA (Naoki)</s1></fA11><fA11 i1="05" i2="1"><s1>SATO (Yosuke)</s1></fA11><fA11 i1="06" i2="1"><s1>FUJII (Yukihiko)</s1></fA11><fA14 i1="01"><s1>Department of Neurosurgery, Brain Research Institute, Niigata University</s1><s2>Niigata</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></fA14><fA20><s1>555-565</s1></fA20><fA21><s1>2012</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>6023</s2><s5>354000508370130160</s5></fA43><fA44><s0>0000</s0><s1>© 2012 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>29 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>12-0347426</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Journal of neurosurgery</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Object. 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. 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. 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 . 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.</s0></fC01><fC02 i1="01" i2="X"><s0>002B25J</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Simulation ordinateur</s0><s5>09</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Computer simulation</s0><s5>09</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Simulación computadora</s0><s5>09</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Chirurgie</s0><s5>10</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Surgery</s0><s5>10</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Cirugía</s0><s5>10</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Anatomie</s0><s5>11</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Anatomy</s0><s5>11</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Anatomía</s0><s5>11</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Image tridimensionnelle</s0><s5>12</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Tridimensional image</s0><s5>12</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Imagen tridimensional</s0><s5>12</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Crâne</s0><s5>13</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Skull</s0><s5>13</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Cráneo</s0><s5>13</s5></fC03><fN21><s1>268</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard><server><NO>PASCAL 12-0347426 INIST</NO><ET>Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery</ET><AU>OISHI (Makoto); FUKUDA (Masafumi); HIRAISHI (Tetsuya); YAJIMA (Naoki); SATO (Yosuke); FUJII (Yukihiko)</AU><AF>Department of Neurosurgery, Brain Research Institute, Niigata University/Niigata/Japon (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut.)</AF><DT>Publication en série; Niveau analytique</DT><SO>Journal of neurosurgery; ISSN 0022-3085; Coden JONSAC; Etats-Unis; Da. 2012; Vol. 117; No. 3; Pp. 555-565; Bibl. 29 ref.</SO><LA>Anglais</LA><EA>Object. 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. 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. 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 . 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.</EA><CC>002B25J</CC><FD>Simulation ordinateur; Chirurgie; Anatomie; Image tridimensionnelle; Crâne</FD><ED>Computer simulation; Surgery; Anatomy; Tridimensional image; Skull</ED><SD>Simulación computadora; Cirugía; Anatomía; Imagen tridimensional; Cráneo</SD><LO>INIST-6023.354000508370130160</LO><ID>12-0347426</ID></server></inist></record>Pour manipuler ce document sous Unix (Dilib)
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