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Interactive bone drilling using a 2D pointing device to support Microendoscopic Discectomy planning

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

To support preoperative planning of bone drilling for Microendoscopic Discectomy, we present a set of interactive bone-drilling methods using a general 2D pointing device.

Methods

Unlike the existing methods, our framework has the following features: (1) the user can directly cut away arbitrary 3D regions on the volumetrically rendered image, (2) in order to provide a simple interface to end-users, our algorithms make 3D drilling possible through only a general-purpose wheel mouse, (3) to reduce both over-drilling and unnatural drilling of an unintended region, we introduce a smart depth control to ensure the continuity of the cutting operation and (4) a GPU-based rendering scheme for high-quality shading of clipped boundaries.

Results

We applied our techniques to some CT data of specific patients. Several experiments confirmed that the user was able to directly drill a 3D complex region on a volumetrically rendered lumber spine through simple mouse operation. Also, our rendering scheme clearly visualizes time-varying drilled surfaces at interactive rates. By comparing simulation results to actual postoperative CT images, we confirmed the user interactively simulates similar cutting to that carried out in real surgery.

Conclusion

We concluded our techniques perform mouse-based, direct drilling of complex 3D regions with high-quality rendering of drilled boundaries and contribute to preoperative planning of Microendoscopic Discectomy.

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Authors and Affiliations

  1. Graduate School of Information Science, Nara Institute of Science and Technology, 8916-5, Takayama, Ikoma, Nara, 630-0192, Japan

    Keiho Imanishi, Megumi Nakao & Kotaro Minato

  2. Department of Orthopaedic Surgery, Wakayama Medical University, 911-1 Kimiidera, Wakayama-city, 641-8510, Japan

    Masahiko Kioka & Munehito Yoshida

  3. Department of Radiological Technology, Faculty of Medical Science, Kyoto College of Medical Science, 1-3 Imakita, Oyama-higashi, Sonobe, Nantan, Kyoto, 622-0041, Japan

    Masato Mori

  4. Kyoto College of Medical Science, 1-3 Imakita, Oyama-higashi, Sonobe, Nantan, Kyoto, 622-0041, Japan

    Takashi Takahashi

Authors
  1. Keiho Imanishi
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  2. Megumi Nakao
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  3. Masahiko Kioka
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  4. Masato Mori
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  5. Munehito Yoshida
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  6. Takashi Takahashi
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  7. Kotaro Minato
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Corresponding author

Correspondence to Keiho Imanishi.

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Imanishi, K., Nakao, M., Kioka, M. et al. Interactive bone drilling using a 2D pointing device to support Microendoscopic Discectomy planning. Int J CARS 5, 461–469 (2010). https://doi.org/10.1007/s11548-010-0413-z

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  • DOI: https://doi.org/10.1007/s11548-010-0413-z

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