scholarly journals Development of 3-dimensional Dome-shaped Display System for Endoscopic Surgery and Evaluation of its Utility in Surgical Operation

2010 ◽  
Vol 8 (1) ◽  
pp. 29-40
Author(s):  
Atsuyuki YAMAMOTO ◽  
Hiroshi HOSHINO ◽  
Masanori KASHIWAGI ◽  
Ryo KAWAMURA ◽  
Hiroko KOIWA ◽  
...  
2019 ◽  
Vol 19 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Joshua Zeiger ◽  
Anthony Costa ◽  
Joshua Bederson ◽  
Raj K Shrivastava ◽  
Alfred M C Iloreta

Abstract BACKGROUND Neuronavigation systems assist with spatial orientation during endoscopic transnasal skull base surgery, but they require a correlation of 3-dimensional (3D) views with 2-dimensional (2D) radiology studies. OBJECTIVE To outline an initial experience with a novel technology platform that provides intraoperative navigation using 3D reconstructions of patient anatomy for endoscopic surgery. METHODS A retrospective study of endoscopic anterior skull base and complex paranasal procedures was performed. Data from preoperative computed tomography and magnetic resonance imaging scans were fused to create 3D digital models of patient anatomy. Using the technology developed by Surgical Theater (Mayfield Village, Ohio), these reconstructions were designed to highlight particular anatomic regions of interest. The models were studied to guide the surgical approach and anticipate critical structures. The reconstructions were linked with the navigational technology created by Brainlab (Munich, Germany) during endoscopic surgery. A dynamic image of the reconstruction was displayed alongside a matching endoscopic camera view. These 2 views could be overlaid to provide an immersive, mixed reality image of the patient's anatomy. RESULTS A total of 134 cases were performed. The pathologies included tumors of the anterior skull base or sinonasal cavity, inflammatory sinus disease, and cerebrospinal fluid leaks. Specific anatomic structures, such as the internal carotid arteries and optic nerves, were chosen for enhancement. Surgeons felt that the technology helped to guide the extent of bony dissection and to identify critical structures. CONCLUSION We describe the first clinical series of complex skull base pathologies treated using a novel mixed reality platform.


Author(s):  
Kenoki Ohuchida ◽  
Hajime Kenmotsu ◽  
Atsuyuki Yamamoto ◽  
Kazuya Sawada ◽  
Takehito Hayami ◽  
...  

2011 ◽  
Vol 72 (7) ◽  
pp. 1673-1677 ◽  
Author(s):  
Manabu ONIMARU ◽  
Kenoki OHUCHIDA ◽  
Satoshi IEIRI ◽  
Morimasa TOMIKAWA ◽  
Eishi NAGAI ◽  
...  

2019 ◽  
Vol 9 (4) ◽  
pp. 705 ◽  
Author(s):  
Jinwoong Kim ◽  
Yongjun Lim ◽  
Keehoon Hong ◽  
Hayan Kim ◽  
Hyun-Eui Kim ◽  
...  

Most of the previously-tried prototype systems of digital holographic display are of front viewing flat panel-type systems having narrow viewing angle, which do not meet expectations towards holographic displays having more volumetric and realistic 3-dimensional image rendering capability. We have developed a tabletop holographic display system which is capable of 360° rendering of volumetric color hologram moving image, looking much like a real object. Multiple viewers around the display can see the image and perceive very natural binocular as well as motion parallax. We have previously published implementation details of a mono color version of the system, which was the first prototype. In this work, we present requirements, design methods, and the implementation result of a full parallax color tabletop holographic display system, with some recapitulation of motivation and a high-level design concept. We also address the important issue of performance measure and evaluation of a holographic display system and image, with initial results of experiments on our system.


2014 ◽  
Vol 13 (1) ◽  
pp. eV28-eV28a ◽  
Author(s):  
K. Kihara ◽  
Y. Fujii ◽  
K. Saito ◽  
H. Masuda ◽  
F. Koga ◽  
...  

2011 ◽  
Vol 69 (suppl_1) ◽  
pp. ons40-ons48 ◽  
Author(s):  
Taichi Kin ◽  
Masahiro Shin ◽  
Hiroshi Oyama ◽  
Kyousuke Kamada ◽  
Akira Kunimatsu ◽  
...  

Abstract BACKGROUND: Imaging technologies have evolved to meet the demand for improved presurgical simulations, particularly with the introduction of endoscopic surgery in the neurosurgical field. OBJECTIVE: To evaluate the effectiveness of a 3-dimensional interactive visualization method with a computer graphics model, which was created using hybrid rendering and multimodal fusion methods for neuroendoscopic surgery, and to assess whether the 2-dimensional interactive visualization method could effectively represent the microsurgical anatomical information necessary for endoscopic surgery compared with conventional 3-dimensional computer graphics models. METHODS: Ten patients scheduled for neuroendoscopic surgery for intraventricular lesions were included in the study. For the 3-dimensional interactive visualization method, a hybrid model of volume and surface rendering was created from magnetic resonance images combined with computed tomography and positron emission tomography. Preoperative radiographic images were fused with the normalized mutual information method. Visibility of anatomic structures was compared between the multifusion models and nonfusion models created from only heavy-T2-weighted images that rely solely on the surface rendering method. RESULTS: The average visibility score of the multifusion models was 97.5% (range, 95.6% to 100%), which was significantly higher than that for nonfusion models (35.9% to 64.1%; P = .002). The multifusion model represents an improved visualization method for preoperative virtual simulation for neuroendoscopic intraventricular surgery. CONCLUSION: Our 3-dimensional imaging method is superior to conventional methods and will greatly improve the safety and effectiveness of neuroendoscopic surgical procedures for complex intraventricular lesions.


PLoS ONE ◽  
2015 ◽  
Vol 10 (2) ◽  
pp. e0116626 ◽  
Author(s):  
Sang Beom Han ◽  
Hee Kyung Yang ◽  
Jonghyun Kim ◽  
Keehoon Hong ◽  
Byoungho Lee ◽  
...  
Keyword(s):  

Author(s):  
R A Cahill ◽  
R P Lewin ◽  
N J Mortensen ◽  
H Jones

Natural orifice transluminal endoscopic surgery (NOTES) is viewed as a means of breaking one of the physical barriers associated with invasive abdominal operation by decoupling body wall injury from the surgical intervention. However, although the global concept has been clearly elucidated, there remains many separate components that still need piecing together before its routine practice can be realized. In particular, NOTES, in common with other confined access approaches such as single-port laparoscopic surgery, imposes marked constraints on the range and fluidity of operator instrument movement. Therefore, at present, these techniques possess significant limitations on their capacity for ensuring sufficient instrument triangulation as well as the appropriate degrees of tissue positioning and tensioning for facilitating efficient dissection. These technical considerations have recently reinvigorated the investigation of the utility of magnets in affecting surgical operation. The majority of work to date has however focused solely on permanent magnets due to their ease of manufacture and handling, despite the significant limitations inherent in their physical qualities. This review considers these issues and presents the potential engineering solution achievable by employing high-temperature superconducting electromagnets to impose the required physical forces for effective surgical operation in place of conventional rigid assistance instrumentation.


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