CASMIP Lab - Computer Aided Surgery and Medical Image Processing Laboratory, The Rachel and Selim Benin School of Computer Science and Engineering, The Hebrew University of Jerusalem, Givat Ram Campus, Jerusalem 91904, Israel.
Traumatology and Emergency Departments, Instituto Nacional de Rehabilitacion, Mexico City, Mexico.
Med Image Anal. 2016 Oct;33:84-90. doi: 10.1016/j.media.2016.06.036. Epub 2016 Jun 30.
Computer Aided Orthopaedic Surgery (CAOS) is now about 25 years old. Unlike Neurosurgery, Computer Aided Surgery has not become the standard of care in Orthopaedic Surgery. In this paper, we provide the technical and clinical context raised by this observation in an attempt to elucidate the reasons for this state of affairs. We start with a brief outline of the history of CAOS, review the main CAOS technologies, and describe how they are evaluated. We then identify some of the current publications in the field and present the opposing views on their clinical impact and their acceptance by the orthopaedic community worldwide. We focus on total knee replacement surgery as a case study and present current clinical results and contrasting opinions on CAOS technologies. We then discuss the challenges and opportunities for research in medical image analysis in CAOS and in musculoskeletal radiology. We conclude with a suggestion that while CAOS acceptance may be more moderate than that of other fields in surgery, it still has a place in the arsenal of useful tools available to orthopaedic surgeons.
计算机辅助骨科手术（CAOS）已经有 25 年的历史了。与神经外科不同，计算机辅助手术并没有成为骨科手术的标准治疗方法。在本文中，我们提供了这一观察结果所引发的技术和临床背景，试图阐明造成这种局面的原因。我们首先简要概述 CAOS 的历史，回顾主要的 CAOS 技术，并描述它们是如何进行评估的。然后，我们确定了该领域的一些当前出版物，并介绍了它们对临床影响及其在全球骨科领域的接受程度的不同观点。我们以全膝关节置换手术为例，介绍了当前的临床结果和对 CAOS 技术的不同看法。然后，我们讨论了在 CAOS 和肌肉骨骼放射学中的医学图像分析研究的挑战和机遇。最后，我们提出了一种观点，即尽管 CAOS 的接受程度可能不如其他外科领域那么高，但它仍然在骨科医生可用的有用工具库中占有一席之地。
