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Development of preoperative planning software for transforaminal endoscopic surgery and the guidance for clinical applications

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

Abstract

Purpose

Preoperative planning is of great importance for transforaminal endoscopic techniques applied in percutaneous endoscopic lumbar discectomy. In this study, a modular preoperative planning software for transforaminal endoscopic surgery was developed and demonstrated.

Methods

The path searching method is based on collision detection, and the oriented bounding box was constructed for the anatomical models. Then, image reformatting algorithms were developed for multiplanar reconstruction which provides detailed anatomical information surrounding the virtual planned path. Finally, multithread technique was implemented to realize the steady-state condition of the software.

Results

A preoperative planning software for transforaminal endoscopic surgery (TE-Guider) was developed; seven cases of patients with symptomatic lumbar disc herniations were planned preoperatively using TE-Guider. The distances to the midlines and the direction of the optimal paths were exported, and each result was in line with the empirical value.

Conclusions

TE-Guider provides an efficient and cost-effective way to search the ideal path and entry point for the puncture. However, more clinical cases will be conducted to demonstrate its feasibility and reliability.

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Acknowledgments

This work was supported by National Natural Science Foundation of China (Grant Nos.: 81171429 and 81511130089), Shanghai Pujiang Talent Program (Grant No.: 13PJD018), Foundation of Science and Technology Commission of Shanghai Municipality (Grant No.: 14441901002) and SJTU—KU Leuven Fund.

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Author notes

    Authors and Affiliations

    1. Institute of Biomedical Manufacturing and Life Quality Engineering, State Key Laboratory of Mechanical System and Vibration, School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai, China

      Xiaojun Chen & Jun Cheng

    2. Shanghai Tenth People’s Hospital Affiliated to Tongji University School of Medicine, Shanghai, China

      Xin Gu

    3. Faculty of Medicine, KU Leuven, Leuven, Belgium

      Yi Sun & Constantinus Politis

    4. School of Mechanical Engineering, Shanghai Jiao Tong University, Room A-805, Dongchuan Road 800, Minhang District, Shanghai, 200240, China

      Xiaojun Chen

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    1. Xiaojun Chen
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    Correspondence to Xiaojun Chen.

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    The authors declare that they have no conflicts of interest in relation to this article and they respect protection of human and animal rights.

    Additional information

    Xiaojun Chen and Jun Cheng have contributed equally to this work.

    Part of this work first appeared on the 29th International Congress on Computer Assisted Radiology and Surgery (CARS2015), Barcelona, Spain.

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    Chen, X., Cheng, J., Gu, X. et al. Development of preoperative planning software for transforaminal endoscopic surgery and the guidance for clinical applications. Int J CARS 11, 613–620 (2016). https://doi.org/10.1007/s11548-015-1282-2

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    • DOI: https://doi.org/10.1007/s11548-015-1282-2

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