Su Xiao H, Deng Zhen, He Bin W, Liu Yu Q
School of Mechanical Engineering and Automation, Fuzhou University, Fuzhou, PR China.
Fujian Engineering Research Center of Joint Intelligent Medical Engineering, Fuzhou, PR China.
Int J Med Robot. 2020 Dec;16(6):1-10. doi: 10.1002/rcs.2176. Epub 2020 Oct 12.
The implementation of lateral ventricle puncture (LVP) operation is challenging due to the complex anatomy structure of human brains. Surgical simulator has been proved to be effective in surgical training. However, few works consider the integration of visual and haptic feedback.
Aim at achieving a realistic haptic interaction, this paper proposes a haptic-based virtual reality (VR) simulator for the LVP operation. In this simulator, we first reconstruct the three-dimension (3D) model of human brains for tissue/instrument interaction. Then a preoperative planning method based on geometry analysis is introduced to find the feasible entry point of LVP operation. A hierarchical bounding-box collision detection approach is proposed to render haptic feedback that is transferred to humans. Finally, a set of experiments on the proposed simulator and 3D printed models of human brains is carried out.
Two sets of experiments are conducted to evaluate the effectiveness of the proposed haptic-based simulator: experiments in the simulator and experiments on a 3D printed brain model. The proposed simulator allows neurosurgeons to train the LVP operation by visualizing the 3D virtual human brain and feeling realistic haptic feedback.
We demonstrated that the proposed haptic-based VR simulator can improve the performance of the LVP operation effectively and reduce the operation time.
由于人脑解剖结构复杂,侧脑室穿刺(LVP)手术的实施具有挑战性。手术模拟器已被证明在手术训练中有效。然而,很少有研究考虑视觉和触觉反馈的整合。
为了实现逼真的触觉交互,本文提出了一种基于触觉的虚拟现实(VR)模拟器用于LVP手术。在这个模拟器中,我们首先重建人脑的三维(3D)模型以进行组织/器械交互。然后引入一种基于几何分析的术前规划方法来找到LVP手术的可行穿刺点。提出了一种分层包围盒碰撞检测方法来呈现传递给人的触觉反馈。最后,对所提出的模拟器和人脑的3D打印模型进行了一组实验。
进行了两组实验来评估所提出的基于触觉的模拟器的有效性:模拟器中的实验和3D打印脑模型上的实验。所提出的模拟器允许神经外科医生通过可视化3D虚拟人脑并感受逼真的触觉反馈来训练LVP手术。
我们证明了所提出的基于触觉的VR模拟器可以有效提高LVP手术的性能并减少手术时间。