skip to main content
10.1145/1401032.1401099acmconferencesArticle/Chapter ViewAbstractPublication PagessiggraphConference Proceedingsconference-collections
research-article

Planning the separation of conjoined twins with 3D medical imaging, scientific visualization and anatomic illustration

Published: 11 August 2008 Publication History

Abstract

This presentation will examine the intricate details of the visual preparation and planning to surgically separate conjoined twins. One of the rarest congenital malformations, conjoined twins occur approximately 1 in 200,000 live births. Nearly 184 surgical separations have been attempted through the year 2000. The overall success rate, where both twins survive, is approximately 25%. Within the past 24 months Mayo Clinic Rochester has cared for and performed three successful separation surgeries for three different sets of conjoined twins.
We'll explore the circumstances surrounding one of those cases and the process of how the visual study transpired during their seventy-five days of hospitalization prior to surgery. Nearly 6,000 radiographic images where acquired, two detailed volumerendered visualization studies were compiled, three different 3D stereolithographic models were developed and five individualized anatomic illustrations created from a vast array of medical images. All developed in an effort to educate a care team of over 70 people.
The various state-of-the-art visuals compiled of the twin's anatomy provided a comprehensive "roadmap" for the surgeons, helping them delineate the anatomic structures and formulate an operate plan for a complex separation attempt. The large multidisciplinary care team needed detailed structural knowledge in order to clarify preoperative preparations. For instance, accurate three-dimensional life-size models of the twins anatomy provided critical spacial planning and the anatomic illustrations, printed large, were studied and ultimately posted inside the operating room providing an accurate reference during surgery.
This presentation will provide in-depth insight into the complete visual approach to surgical planning, the resulting visuals and how they were utilized before, during and after the surgery.

Supplementary Material

ZIP File (morreale.zip)
Supplemental material for Planning the separation of conjoined twins with 3D medical imaging, scientific visualization and anatomic illustration
MOV File (a52-morreale.mov)

References

[1]
Spielmann AL, Freed KS, Spritzer CE. MRI of conjoined twins illustrating advances in fetal imaging. J Comput Assist Tomogr. 2001;25:88--90.
[2]
Spitz L, Kiely EM. Conjoined twins. JAMA 2003; 289: 1307--10
[3]
Hoyle RM. Surgical separation of conjoined twins. Surg Gynecol Obstet. 1990;170:549--562.
[4]
Spitz L, Kiely EM. Experience in the management of conjoined twins. Br J Surg. 2002;89:1188--1192.
[5]
Cywes S, Millar AJW, Rode H, Brown RA. Conjoined twins: the Cape Town experience. Pediatr Surg Int. 1997;12:234--248.
[6]
Spitz L, Kiely EM. Success rate for surgery of conjoined twins {letter}. Lancet. 2000;356:1765.
[7]
Kingston CA, McHugh K, Kumaradevan J, et al. Imaging in the preoperative assessment of conjoined twins. Radiographics. 2001;21:1187--1208.
[8]
Kermer C, Rasse M, Lagogiannis G, Undt G, Wagner A, Millesi W. Colour stereolithography for planning complex maxillofacial tumour surgery. J Craniomaxillofac Surg.. 1998 Dec;26(6):360--2.
[9]
Elliot K. Fishman, Brian S. Kuszyk, David G. Heath, Luomin Gao, Brian Cabral, Surgical Planning for Liver Resection, Computer, v. 29 n. 1, p. 64--72, January 1996
[10]
Linney AD, Tan AC, Richards R, Gardener J, Grindrod S, Moss JP. Three-dimensional visualization of data on human anatomy: diagnosis and surgical planning. J Audiov Media Med. 1993 Jan; 16(1):4--10.
[11]
Stoker NG, Mankovich NJ, Valentino D. Stereolithographic models for surgical planning: preliminary report. J Oral Maxillofac Surg. 1992 May; 50(5):466--71.
[12]
Mankovich NJ, Samson D, Pratt W, Lew D, Beumer J 3rd. Surgical planning using three-dimensional imaging and computer modeling. Otolaryngol Clin North Am. 1994 Oct; 2 (5):875--89. Review.
[13]
Mankovich NJ, Robertson DR, Cheeseman AM. Three-dimensional image display in medicine. J Digit Imaging. 1990 May; 3(2):69--80.

Recommendations

Comments

Information & Contributors

Information

Published In

cover image ACM Conferences
SIGGRAPH '08: ACM SIGGRAPH 2008 talks
August 2008
79 pages
ISBN:9781605583433
DOI:10.1145/1401032
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

Sponsors

Publisher

Association for Computing Machinery

New York, NY, United States

Publication History

Published: 11 August 2008

Permissions

Request permissions for this article.

Check for updates

Qualifiers

  • Research-article

Conference

SIGGRAPH '08
Sponsor:

Acceptance Rates

Overall Acceptance Rate 1,822 of 8,601 submissions, 21%

Contributors

Other Metrics

Bibliometrics & Citations

Bibliometrics

Article Metrics

  • 0
    Total Citations
  • 270
    Total Downloads
  • Downloads (Last 12 months)2
  • Downloads (Last 6 weeks)0
Reflects downloads up to 16 Jan 2025

Other Metrics

Citations

View Options

Login options

View options

PDF

View or Download as a PDF file.

PDF

eReader

View online with eReader.

eReader

Media

Figures

Other

Tables

Share

Share

Share this Publication link

Share on social media