Abstract
In recent years, neurosurgery has been deeply influenced by new technologies. It requires fine techniques targeted to obtain treatments minimally invasive though often traumatic. The precision of the surgical gesture is related both to experience of the surgeon and accuracy of the available technological instruments. Computer Aided Surgery (CAS) can offer several benefits for the patient’s safety. From a technological point of view we observe the use of the Virtual Reality (VR) for the surgeons training and Augmented Reality (AR) for the intra-operative aid for treatments. This paper presents a prototype for a mixed reality system for neurosurgical interventions embedded on a real surgical microscope for pre- and intra- operative purposes. Its main purposes are: the realistic simulation (visual and haptic) of the spatula palpation of low-grade glioma and also the stereoscopic visualization in AR of relevant 3D data for safe surgical movements in the image guided interventions.
Chapter PDF
Similar content being viewed by others
References
Ro, C.Y., et al.: The LapSim. A learning environment for both experts and novices. Department of Surgery, St. Luke’s-Roosevelt Hospital Center and Columbia University, New York, USA (2005)
Hill, D.L.G., Maurer Jr., C.R., Martin, A.J., Sabanathan, S., Hall, W.A., Hawkes, D.J., Rueckert, D., Truwit, C.L.: Assessment of intraoperative brain deformation using interventional MR imaging. In: Taylor, C., Colchester, A. (eds.) MICCAI 1999. LNCS, vol. 1679, pp. 910–919. Springer, Heidelberg (1999)
Immersion (status January 2008), http://www.immersion.com/
SurgicalScience (status January 2008), http://www.surgical-science.com/
Mentice (status January 2008), http://www.mentice.com/
Reachin (status January 2008), http://www.reachin.se/
Basdogan, C., Ho, C., Srinivasan, M.A.: Virtual Environments for Medical Training: Graphical and Haptic Simulation of Common Bile Duct Exploration. IEEE-ASME Trans. Mechatronics 6(3), 26–285 (2001)
Çakmak, H.K., Kühnapfel, U.: Animation and Simulation Techniques for VR-Training Systems in Endoscopic Surgery. In: Proc. Eurographics Workshop Animation and Simulation (EGCAS 2000), pp. 173–185 (2000)
Brown, J., et al.: Algorithmic Tools for Real-Time Microsurgery Simulation. Medical Image Analysis 6(3), 289–300 (2002)
Cotin, S., Delingette, H., Ayache, H.: Real-Time Elastic Deformations of Soft Tissues for Surgery Simulation. IEEE Trans. Visualization and Computer Graphics 5(1), 62–73 (1999)
Wu, X., et al.: Adaptive Nonlinear Finite Elements for Deformable Body Simulation Using Dynamic Progressive Meshes. In: Chalmers, A., Rhyne, T.-M. (eds.) Proc. Eurographics, Computer Graphics Forum, vol. 20(3), pp. 349–358 (2001)
Székely, G., Brechbühler, C., Hutter, R., Rhomberg, A., Schmid, P.: Modelling of Soft Tissue Deformation for Laparoscopic Surgery Simulation. In: Wells, W.M., Colchester, A.C.F., Delp, S.L. (eds.) MICCAI 1998. LNCS, vol. 1496, pp. 550–561. Springer, Heidelberg (1998)
O’Toole, R., et al.: Measuring and Developing Suturing Technique with a Virtual Reality Surgical Simulator. J. Am. College of Surgery 189, 114–128 (1999)
Webster, R., Haluck, R.S., Zoppeti, G., et al.: A haptic surgical simulator for laparoscopic cholecystectomy using real-time deformable organs. In: Proc. IASTED International Conference on Biomedical Engineering, Salzburg, Austria, June 25-27 (2003)
Montgomery, K., et al.: Surgical simulator for operative hysteroscopy. In: IEEE Visualization 2001, pp. 14–17 (2001)
Cotin, S., Dawson, S.L., Meglan, D., Shaffer, D.W., Farrell, M.A., Bardsley, R.S., Morgan, F.M., Nagano, T., Nikom, J., Sherman, P., Walterman, M.T., Wendlandt, J.: ICTS: An Interventional Cardiology Training System. In: Proceedings of Medicine Meets Virtual Reality, pp. 59–65 (2000)
De, S., Kim, J., Manivannan, M., Srinivasan, M.A., Rattner, D.: Multimodal Simulation of Laparoscopic Heller Myotomy Using a Meshless Technique. In: Proceedings of Medicine Meets Virtual Reality (MMVR), Newport Beach, pp. 127–132 (2002)
Goh, K.Y.C.: Virtual reality application in neurosurgery. In: Proceedings of the 2005 IEEE, Engineering in Medicine and Biology 27th Annual Conference, Shanghai (2005)
Luciano, C., Banerjee, P., Lemole, M.G., Charbel, F.: Second generation haptic ventriculostomy simulator using the immersivetouchTM system. In: Proceedings of Medicine Meets Virtual Reality 14, Long Beach, CA (2008)
Sato, D., Kobayashi, R., Kobayashi, A., Fujino, S., Uchiyama, M.: Soft tissue pushing operation using a haptic interface for simulation of brain tumor resection. Journal of robotics and mechatronics 18, 634–642 (2006)
Wiet, G., Bryan, J., Sessanna, D., Streadney, D., Schmalbrock, P., Welling, B.: Virtual temporal bone dissection simulation. In: Westwood, J.D. (ed.) Medicine Meets Virtual Reality 2000, Amsterdam, The Netherlands, pp. 378–384 (2000)
3DSlicer (status January 2008), http://www.slicer.org/
Faro (status January 2008), http://www.faro.com
H3D (status January 2008), http://www.h3dapi.org/
Van den Bergen, C.: Collision detection in interactive 3D environment. Elsevier Morgan Kaufmann, S. Francisco, USA (2004)
OpenHaptics (status March 2009), http://www.sensable.com/products-openhaptics-toolkit.htm
Aschke, M., et al.: Augmented reality in operating microscopes for neurosurgical interventions. In: Wolf, Strock (eds.) Proceedings of 1st International IEEE EMBS Conference on Neural Engineering, pp. 652–655 (2003)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
De Mauro, A., Raczkowsky, J., Halatsch, M.E., Wörn, H. (2009). Mixed Reality Neurosurgical Microscope for Training and Intra-operative Purposes. In: Shumaker, R. (eds) Virtual and Mixed Reality. VMR 2009. Lecture Notes in Computer Science, vol 5622. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02771-0_60
Download citation
DOI: https://doi.org/10.1007/978-3-642-02771-0_60
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-02770-3
Online ISBN: 978-3-642-02771-0
eBook Packages: Computer ScienceComputer Science (R0)