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光学手术导航中肝癌消融焦点的模拟与可视化。

Simulation and Visualization of Liver Cancer Ablation Focus in Optical Surgical Navigation.

机构信息

School of Information Science and Technology, Zhongkai University of Agriculture and Engineering, Guangzhou, 510225, China.

School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, China.

出版信息

J Med Syst. 2016 Jan;40(1):19. doi: 10.1007/s10916-015-0397-x. Epub 2015 Nov 2.

Abstract

Radiofrequency ablation therapy of liver cancer is a local mini-invasive treatment technology with several advantages, such as low trauma, safety, effectiveness, and quick postoperative recovery. The application of the optical surgical navigation system in radiofrequency ablation therapy can realize the real-time positioning of surgical instruments and focus. The positioning results can be displayed on the computer, thereby guiding doctors to accurately insert the radiofrequency electrode into the focus and improving surgical efficiency. Meanwhile, the accurate evaluation of the form and size of the ablation focus by the navigation system is the key to realizing the complete ablation of liver cancer. Therefore, based on the heat conduction equation, this paper simplifies the simulation process of the ablation focus, calculates the volume of the ablation focus by distinguishing boundary points and internal points, achieves the effective simulation of the ablation results in the surgery, and reconstructs the ablation focus by using ray casting algorithm and mobile cube algorithm for 3D visualization processing, thereby providing doctors the convenience of being able to simulate the radiofrequency ablation surgery before the actual surgery.

摘要

肝癌射频消融治疗是一种具有创伤小、安全性高、疗效确切、术后恢复快等优点的局部微创治疗技术。光学手术导航系统在射频消融治疗中的应用可以实现手术器械和焦点的实时定位。定位结果可以显示在计算机上,从而指导医生将射频电极准确插入焦点,提高手术效率。同时,导航系统对消融焦点的形态和大小的准确评估是实现肝癌完全消融的关键。因此,本文基于热传导方程,简化了消融焦点的模拟过程,通过区分边界点和内部点来计算消融焦点的体积,实现了手术中消融效果的有效模拟,并采用光线投射算法和移动立方体算法对消融焦点进行三维可视化处理,为医生提供了在实际手术前模拟射频消融手术的便利。

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