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方形基准标记物在定制手术器械中的整合及其在膝关节手术中的适用性

Integration of Square Fiducial Markers in Patient-Specific Instrumentation and Their Applicability in Knee Surgery.

作者信息

León-Muñoz Vicente J, Moya-Angeler Joaquín, López-López Mirian, Lisón-Almagro Alonso J, Martínez-Martínez Francisco, Santonja-Medina Fernando

机构信息

Department of Orthopaedic Surgery and Traumatology, Hospital General Universitario Reina Sofía, 30003 Murcia, Spain.

Instituto de Cirugía Avanzada de la Rodilla (ICAR), 30005 Murcia, Spain.

出版信息

J Pers Med. 2023 Apr 25;13(5):727. doi: 10.3390/jpm13050727.

DOI:10.3390/jpm13050727
PMID:37240897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10222367/
Abstract

Computer technologies play a crucial role in orthopaedic surgery and are essential in personalising different treatments. Recent advances allow the usage of augmented reality (AR) for many orthopaedic procedures, which include different types of knee surgery. AR assigns the interaction between virtual environments and the physical world, allowing both to intermingle (AR superimposes information on real objects in real-time) through an optical device and allows personalising different processes for each patient. This article aims to describe the integration of fiducial markers in planning knee surgeries and to perform a narrative description of the latest publications on AR applications in knee surgery. Augmented reality-assisted knee surgery is an emerging set of techniques that can increase accuracy, efficiency, and safety and decrease the radiation exposure (in some surgical procedures, such as osteotomies) of other conventional methods. Initial clinical experience with AR projection based on ArUco-type artificial marker sensors has shown promising results and received positive operator feedback. Once initial clinical safety and efficacy have been demonstrated, the continued experience should be studied to validate this technology and generate further innovation in this rapidly evolving field.

摘要

计算机技术在骨科手术中发挥着至关重要的作用,对于个性化不同治疗方案也必不可少。最近的进展使得增强现实(AR)可用于许多骨科手术,其中包括不同类型的膝关节手术。AR实现了虚拟环境与现实世界之间的交互,通过光学设备使二者相互交融(AR实时将信息叠加在真实物体上),并允许为每个患者个性化不同的手术流程。本文旨在描述基准标记物在膝关节手术规划中的整合,并对膝关节手术中AR应用的最新出版物进行叙述性描述。增强现实辅助膝关节手术是一组新兴技术,可提高准确性、效率和安全性,并减少其他传统方法的辐射暴露(在某些手术过程中,如截骨术)。基于ArUco型人工标记传感器的AR投影的初步临床经验已显示出令人鼓舞的结果,并得到了术者的积极反馈。一旦证明了初始临床安全性和有效性,就应研究后续经验,以验证这项技术,并在这个快速发展的领域产生进一步的创新。

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本文引用的文献

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[Automatic modeling of the knee joint based on artificial intelligence].[基于人工智能的膝关节自动建模]
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Effect of Remote Control Augmented Reality Multimedia Technology for Postoperative Rehabilitation of Knee Joint Injury.远程控制增强现实多媒体技术对膝关节损伤术后康复的影响。
Comput Math Methods Med. 2022 May 27;2022:9320063. doi: 10.1155/2022/9320063. eCollection 2022.
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[Study on the accuracy of automatic segmentation of knee CT images based on deep learning].
基于深度学习的膝关节CT图像自动分割准确性研究
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022 May 15;36(5):534-539. doi: 10.7507/1002-1892.202201072.
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Mixed Reality Technology in Total Knee Arthroplasty: An Updated Review With a Preliminary Case Report.全膝关节置换术中的混合现实技术:一篇更新的综述及初步病例报告
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