Abstract
We investigate a multi-port minimally-traumatic approach for lateral skull base surgery. Our long-term goal is to automatically determine the best combination of three paths from the skull surface to the surgical target. Since this multi-port approach is not yet in clinical use, it is difficult to define what the best combination of paths is. Therefore, we present a planning tool which allows to manually select a combination of three paths. A clinician used this planning tool to select the best combination of three paths for three target structures in computed tomography data sets of 20 patients. From this choice we derived initial constraints for an automatic planning of the best combination of paths.
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Bell, B., Stieger, C., Gerber, N., Arnold, A., Nauer, C., Hamacher, V., Kompis, M., Nolte, L., Caversaccio, M., Weber, S.: A self-developed and constructed robot for minimally invasive cochlear implantation. Acta Otolaryngol. 132, 355–360 (2012)
Bériault, S., Subaie, F., Collins, D., Sadikot, A., Pike, G.: A multi-modal approach to computer-assisted deep brain stimulation trajectory planning. Int. J. Comput. Assist. Radiol. Surg. 7, 687–704 (2012)
Brett, P., Taylor, R., Proops, D., Coulson, C., Reid, A., Griffiths, M.: A surgical robot for cochleostomy. In: Conf. Proc. IEEE Eng. Med. Biol. Soc., pp. 1229–1232 (2007)
Eilers, H., Baron, S., Ortmaier, T., Heimann, B., Baier, C., Rau, T.S., Leinung, M., Majdani, O.: Navigated, robot assisted drilling of a minimally invasive cochlear access. In: IEEE Int. Conf. Mechatronics, pp. 259–266. Springer (2009)
Essert, C., Haegelen, C., Jannin, P.: Automatic computation of electrodes trajectory for deep brain stimulation. In: Liao, H., Edwards, P.J.E., Pan, X., Fan, Y., Yang, G.-Z. (eds.) MIAR 2010. LNCS, vol. 6326, pp. 149–158. Springer, Heidelberg (2010)
Faure, F., Duriez, C., Delingette, H., et al.: Sofa: A multi-model framework for interactive physical simulation. In: Payan, Y. (ed.) Soft Tissue Biomech. Model. Comput. Assisted Surg. Stud. Mechanobiol. Tissue Eng. Biomater., vol. 11, pp. 283–321. Springer, Heidelberg (2012)
Klenzner, T., Ngan, C., Knapp, F., Knoop, H., et al.: New strategies for high precision surgery of the temporal bone using a robotic approach for cochlear implantation. Eur. Arch. Oto. Rhino-Laryngol. 266, 955–960 (2009)
Leonetti, J.P., Matz, G.J., Smith, P.G., Beck, D.L.: Facial nerve monitoring in otologic surgery: clinical indications and intraoperative technique. Ann. Otol. Rhinol. Laryngol. 99(11), 911–918 (1990)
Lorensen, W., Cline, H.: Marching cubes: A high resolution 3D surface construction algorithm. SIGGRAPH Comput. Graph. 21(4), 163–169 (1987)
Majdani, O., et al.: A robot-guided minimally invasive approach for cochlear implant surgery: preliminary results of a temporal bone study. Int. J. Comput. Assist. Radiol. Surg. 4, 475–486 (2009)
Noble, J.H., Majdani, O., Labadie, R.F., Dawant, B., Fitzpatrick, J.M.: Automatic determination of optimal linear drilling trajectories for cochlear access accounting for drill-positioning error. Int. J. Med. Rob. Comput. Assist. Surg. 6(3), 281–290 (2010)
Riechmann, M., Lohnstein, P.U., Raczkowsky, J., Klenzner, T., Schipper, J., Wörn, H.: Identifying access paths for endoscopic interventions at the lateral skull base. Int. J. Comput. Assist. Radiol. Surg., 249–250 (2008)
Seitel, A., Engel, M., Sommer, C., et al.: Computer-assisted trajectory planning for percutaneous needle insertions. Med. Phys. 38(6), 3246–3260 (2011)
Strauss, G., Koulechov, K., Hofer, M., et al.: The navigation-controlled drill in temporal bone surgery: A feasibility study. The Laryngoscope 117(3), 434–441 (2007)
Wanna, G., Balachandran, R., Majdani, O., Mitchell, J., Labadie, R.: Percutaneous access to the petrous apex in vitro using customized micro-stereotactic frames based on image-guided surgical technology. Acta Otolaryngol. 130, 458–463 (2010)
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Becker, M., Gutbell, R., Stenin, I., Wesarg, S. (2013). Towards Automatic Path Planning for Multi-port Minimally-Traumatic Lateral Skull Base Surgery. In: Drechsler, K., et al. Clinical Image-Based Procedures. From Planning to Intervention. CLIP 2012. Lecture Notes in Computer Science, vol 7761. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38079-2_8
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DOI: https://doi.org/10.1007/978-3-642-38079-2_8
Publisher Name: Springer, Berlin, Heidelberg
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