基于轮廓配准增强现实系统引导的下颌骨切除与缺损重建:一项临床前试验。
Mandibular resection and defect reconstruction guided by a contour registration-based augmented reality system: A preclinical trial.
机构信息
Department of Oral and Maxillofacial Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China; School and Hospital of Stomatology, Fujian Medical University, Fuzhou, 350004, China.
Department of Oral and Maxillofacial Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China; Laboratory of Facial Plastic and Reconstruction, Fujian Medical University, Fuzhou, 350004, China.
出版信息
J Craniomaxillofac Surg. 2023 Jun;51(6):360-368. doi: 10.1016/j.jcms.2023.05.007. Epub 2023 May 27.
The aim of this study was to verify the feasibility and accuracy of a contour registration-based augmented reality (AR) system in jaw surgery. An AR system was developed to display the interaction between virtual planning and images of the surgical site in real time. Several trials were performed with the guidance of the AR system and the surgical guide. The postoperative cone beam CT (CBCT) data were matched with the preoperatively planned data to evaluate the accuracy of the system by comparing the deviations in distance and angle. All procedures were performed successfully. In nine model trials, distance and angular deviations for the mandible, reconstructed fibula, and fixation screws were 1.62 ± 0.38 mm, 1.86 ± 0.43 mm, 1.67 ± 0.70 mm, and 3.68 ± 0.71°, 5.48 ± 2.06°, 7.50 ± 1.39°, respectively. In twelve animal trials, results of the AR system were compared with the surgical guide. Distance deviations for the bilateral condylar outer poles were 0.93 ± 0.63 mm and 0.81 ± 0.30 mm, respectively (p = 0.68). Distance deviations for the bilateral mandibular posterior angles were 2.01 ± 2.49 mm and 2.89 ± 1.83 mm, respectively (p = 0.50). Distance and angular deviations for the mandible were 1.41 ± 0.61 mm, 1.21 ± 0.18 mm (p = 0.45), and 6.81 ± 2.21°, 6.11 ± 2.93° (p = 0.65), respectively. Distance and angular deviations for the reconstructed tibiofibular bones were 0.88 ± 0.22 mm, 0.84 ± 0.18 mm (p = 0.70), and 6.47 ± 3.03°, 6.90 ± 4.01° (p = 0.84), respectively. This study proposed a contour registration-based AR system to assist surgeons in intuitively observing the surgical plan intraoperatively. The trial results indicated that this system had similar accuracy to the surgical guide.
本研究旨在验证基于轮廓配准的增强现实(AR)系统在颌骨手术中的可行性和准确性。开发了一个 AR 系统,以实时显示虚拟规划与手术部位图像之间的相互作用。在 AR 系统和手术导板的引导下进行了多次试验。术后锥形束 CT(CBCT)数据与术前计划数据进行匹配,通过比较距离和角度的偏差来评估系统的准确性。所有程序均成功完成。在 9 个模型试验中,下颌骨、重建腓骨和固定螺钉的距离和角度偏差分别为 1.62±0.38mm、1.86±0.43mm、1.67±0.70mm 和 3.68±0.71°、5.48±2.06°、7.50±1.39°。在 12 个动物试验中,将 AR 系统的结果与手术导板进行了比较。双侧髁突外极的距离偏差分别为 0.93±0.63mm 和 0.81±0.30mm(p=0.68)。双侧下颌后角的距离偏差分别为 2.01±2.49mm 和 2.89±1.83mm(p=0.50)。下颌骨的距离和角度偏差分别为 1.41±0.61mm、1.21±0.18mm(p=0.45)和 6.81±2.21°、6.11±2.93°(p=0.65)。重建的胫腓骨的距离和角度偏差分别为 0.88±0.22mm、0.84±0.18mm(p=0.70)和 6.47±3.03°、6.90±4.01°(p=0.84)。本研究提出了一种基于轮廓配准的 AR 系统,以帮助外科医生在术中直观地观察手术计划。试验结果表明,该系统具有与手术导板相似的准确性。