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增强现实导航在纤维发育不良治疗中的应用。

Application of Augmented Reality Navigation in Treatment With Fibrosis Dysplasia.

机构信息

Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, School of Medicine.

Institute of Forming Technology & Equipment, Shanghai Jiao Tong University.

出版信息

J Craniofac Surg. 2022;33(5):1317-1321. doi: 10.1097/SCS.0000000000008391. Epub 2021 Dec 6.

Abstract

OBJECTIVE

In order to reduce the possibility of accidental injury to neurovascular and important tissues, this research conduct preoperative design and intraoperative guidance for fibrous dysplasia through augmented reality technology.

METHODS

Five patients with fibrous dysplasia were selected for three-dimensional (3D) Computed Tomography (CT) scan and 3D model was reconstructed. Considering the navigation plan was comprehensively, the guide plate (composed of card groove, connector, and fixator) was designed and 3D printed. Threedimensional software was used to unify the coordinates of the surgical plan and the guide plate, and the relative position was fixed. Then, the virtual and real overlapping registration is completed on the physical model. Pattern recognition technology is used to identify pre-defined markers in the video images before operation. Finally, the registration results are superimposed into the surgical field of vision to guide and remind surgeons.

RESULTS

In this study, the navigation based on augmented reality technology was used in the surgical treatment of 5 cases patients with fibrous dysplasia. The 3D navigation information was displayed in real time in the operative field. The operation was accurate and the postoperative effect was good.

CONCLUSIONS

This paper introduces an effective visual navigation surgical method in treatment with fibrous dysplasia. The augmented- reality based navigation system achieves individualized precise treatment by displaying 3D navigation directly in the surgical field. It is an effective auxiliary method for future research on craniofacial surgery.

摘要

目的

为了降低神经血管和重要组织意外损伤的可能性,本研究通过增强现实技术对纤维结构不良进行术前设计和术中引导。

方法

选择 5 例纤维结构不良患者进行三维(3D)计算机断层扫描(CT)扫描,并重建 3D 模型。考虑到导航计划的全面性,设计并 3D 打印了导板(由卡槽、连接器和固定器组成)。使用三维软件统一手术计划和导板的坐标,并固定相对位置。然后,在物理模型上完成虚拟和真实的重叠注册。在手术前,使用模式识别技术识别视频图像中预定义的标记。最后,将注册结果叠加到手术视野中,以指导和提醒外科医生。

结果

本研究在 5 例纤维结构不良患者的手术治疗中使用了基于增强现实技术的导航。3D 导航信息实时显示在手术野中。手术准确,术后效果良好。

结论

本文介绍了一种治疗纤维结构不良的有效可视化导航手术方法。基于增强现实的导航系统通过直接在手术野中显示 3D 导航信息,实现了个体化的精确治疗,是未来颅面外科研究的有效辅助方法。

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