Tay Boon K, Kim Jung, Srinivasan Mandayam A
Fu Yu Moulding & Tooling Co., Ltd. Guangdong 523477, China.
IEEE Trans Biomed Eng. 2006 Nov;53(11):2129-38. doi: 10.1109/TBME.2006.879474.
For realistic surgical simulation in a virtual environment, in vivo material properties of biological tissues are required for simulating the deformations and the reaction forces from the tool-tissue interactions. In this paper, the in vivo static and dynamic mechanical behavior of the liver and lower esophagus of pigs were presented both in linear and nonlinear regions under compressive and shear indentations. A robotic device was programmed to function as a mechanical stimulator with a 2-mm flat-tipped cylindrical probe attached to its tip. A series of ramp and hold stimuli, as well as sinusoidal indentation stimuli, were delivered to the organs and reaction forces were measured. The conditions for these indentation stimuli were designed such that they were similar to conditions in an operating room. Experiments were also carried out on the organs for ex vivo and in vitro conditions. Results show that the breathing and pulse rate significantly affect the measured force responses of the organs. From the obtained force-displacement relationships, steady-state impedances as well as dynamic impedances of both organs were calculated. The results also show that in vivo steady-state impedance of the lower esophagus is significantly higher than that of the liver. The in vivo steady-state response of the liver, however, exhibits a greater degree of nonlinearity than that of the lower esophagus. The in vivo steady-state response of the lower esophagus in the three orthogonal directions also indicates that the lower esophagus is not significantly anisotropic. The impedance of both organs under sinusoidal indentations (0-5 Hz) are fairly similar each other. Magnitudes of the impedance over the stimulus frequencies are fairly constant. The impedance phase angles decrease over the range of stimulus frequencies applied. Comparison of the measurements obtained from the in vivo, ex vivo, and in vitro experiments shows that the mechanical properties of the biological tissues change significantly after the death of the animal. The tissues generally become stiffer and exhibit greater nonlinearity. The degree of change in their mechanical properties is dependent on the amount of time after the death of the animal. These data can be further utilized in the computing of the material parameters of tissue models for laparoscopic surgery simulators as well as open surgery simulators.
为了在虚拟环境中进行逼真的手术模拟,需要生物组织的体内材料特性来模拟工具与组织相互作用产生的变形和反作用力。本文介绍了猪肝脏和食管下段在压缩和剪切压痕作用下,在线性和非线性区域的体内静态和动态力学行为。设计了一种机器人装置,使其作为机械刺激器,在其尖端连接一个2毫米扁平尖端的圆柱形探头。向器官施加一系列斜坡和保持刺激以及正弦压痕刺激,并测量反作用力。这些压痕刺激的条件设计得与手术室中的条件相似。还对离体和体外条件下的器官进行了实验。结果表明,呼吸和脉搏率显著影响所测量的器官力响应。根据获得的力-位移关系,计算了两个器官的稳态阻抗和动态阻抗。结果还表明,食管下段的体内稳态阻抗显著高于肝脏。然而,肝脏的体内稳态响应比食管下段表现出更大程度的非线性。食管下段在三个正交方向上的体内稳态响应也表明食管下段的各向异性不显著。两个器官在正弦压痕(0-5赫兹)下的阻抗彼此相当相似。刺激频率范围内的阻抗大小相当恒定。阻抗相角在施加的刺激频率范围内减小。体内、离体和体外实验获得的测量结果比较表明,动物死亡后生物组织的力学性能发生了显著变化。组织通常会变得更硬,并表现出更大的非线性。其力学性能的变化程度取决于动物死亡后的时间量。这些数据可进一步用于计算腹腔镜手术模拟器和开放手术模拟器的组织模型的材料参数。
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