ElePhant:: an anatomic-electronic simulation system for the evaluation of computer assisted interventions and surgical education

被引:3
作者
Moeckell, Hendrik [1 ]
Grunert, Ronny [1 ]
Poessneck, Antje [1 ]
Hofer, Mathias [1 ,2 ]
Thalheim, Mario [1 ]
Strauss, Gero [2 ]
Fickweiler, Ulrich [2 ]
Meixensberger, Juergen [1 ,3 ]
Dietz, Andreas [1 ,2 ]
Korb, Werner [1 ]
机构
[1] Univ Leipzig, ICCAS, Leipzig, Germany
[2] Univ Klinikum Leipzig, Klin & Poliklin HNO Heilkunde Plast Operat, Leipzig, Germany
[3] Univ Klinikum Leipzig, Klin & Poliklin Neurochirurg, Leipzig, Germany
来源
BIOMEDIZINISCHE TECHNIK | 2007年 / 52卷 / 06期
关键词
computer assisted surgery; ENT; mastoidectomy; phantom; simulation;
D O I
10.1515/BMT.2007.062
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Background: Suitable simulation systems providing realistic conditions are required for preclinical evaluation of computer assisted interventions and surgical training. Techniques are necessary for an objective detection of injuries to the structures at risk. The aim of this study was the technical realization of a simulation system for the ENT intervention, mastoidectomy. Materials and methods: The basis of the simulation system was a CT scan of a cadaver skull. Using 3D printing, an anatomical phantom with realistic bone-like properties was created. Electronic detection systems were integrated into the structures at risk. A study with 16 ENT surgeons was conducted to prove the system's suitability for surgical training. Results: The creation of simulation systems for the objective evaluation of surgical intervention qualities is feasible. A modular structure enables economic and simple replacement of the simulation area. The modules are cost effective and reproducible with high accuracy. The present study shows that the simulation system can be applied in surgical education and evaluation as an alternative to cadavers. Conclusion: Objective evaluation of injured structures at risk can be realized in real time. The simulation system permits preclinical evaluation studies of computer assisted instruments and surgical education. Reproducibility of the results makes multi-center studies possible.
引用
收藏
页码:375 / 382
页数:8
相关论文
共 16 条
[1]  
Alberty J, 2002, HNO, V50, P739, DOI 10.1007/s00106-001-0601-9
[2]  
APELT D, 2003, COMPUTERUNTERSTUTZTE
[3]   FIBER WAVEGUIDES - NOVEL TECHNIQUE FOR INVESTIGATING ATTENUATION CHARACTERISTICS [J].
BARNOSKI, MK ;
JENSEN, SM .
APPLIED OPTICS, 1976, 15 (09) :2112-2115
[4]  
Grunert R, 2006, INT C ENG MED BIOL S, P312
[5]   Comparative examination of the accuracy of a mechanical and an optical system in CT and MRT based instrument navigation [J].
Hassfeld, S ;
Mühling, J .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2000, 29 (06) :400-407
[6]   Virtual reality training simulator for endonasal surgery [J].
Hilbert, M ;
Muller, W ;
Strutz, J .
LARYNGO-RHINO-OTOLOGIE, 1998, 77 (03) :153-156
[7]  
LUKAS VU, 2003, MEDIZINISCHE TECHNOL, V3, P25
[8]  
LUTH T, 1998, NAVIGATIONS ROBOTERS
[9]   Functional endoscopic sinus surgery training simulator [J].
Rudman, DT ;
Stredney, D ;
Sessanna, D ;
Yagel, R ;
Crawfis, R ;
Heskamp, D ;
Edmond, CV ;
Wiet, GJ .
LARYNGOSCOPE, 1998, 108 (11) :1643-1647
[10]   Multi-center study of the Jenaer model of the temporal bone [J].
Schneider, G ;
Müller, A .
LARYNGO-RHINO-OTOLOGIE, 2004, 83 (06) :363-366