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

被引:16
作者
Chen, Xiaojun [1 ,4 ]
Cheng, Jun [1 ]
Gu, Xin [2 ]
Sun, Yi [3 ]
Politis, Constantinus [3 ]
机构
[1] Shanghai Jiao Tong Univ, Sch Mech Engn, State Key Lab Mech Syst & Vibrat, Inst Biomed Mfg & Life Qual Engn, Shanghai 200030, Peoples R China
[2] Tongji Univ, Sch Med, Shanghai Peoples Hosp 10, Shanghai 200092, Peoples R China
[3] Katholieke Univ Leuven, Fac Med, Leuven, Belgium
[4] Shanghai Jiao Tong Univ, Sch Mech Engn, Room A-805,Dongchuan Rd 800, Shanghai 200240, Peoples R China
基金
中国国家自然科学基金;
关键词
Preoperative planning; Transforaminal endoscopic surgery; Image reformatting; LUMBAR DISC HERNIATION; LEARNING-CURVE; SPINAL SURGERY; DISKECTOMY; LEVEL;
D O I
10.1007/s11548-015-1282-2
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
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. 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. 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. 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.
引用
收藏
页码:613 / 620
页数:8
相关论文
共 26 条
[1]   Percutaneous endoscopic lumbar discectomy for recurrent disc herniation: Surgical technique, outcome, and prognostic factors of 43 consecutive cases [J].
Ahn, Y ;
Lee, SH ;
Park, WM ;
Lee, HY ;
Shin, SW ;
Kang, HY .
SPINE, 2004, 29 (16) :E326-E332
[2]   Transforaminal percutaneous endoscopic lumbar discectomy for upper lumbar disc herniation: clinical outcome, prognostic factors, and technical consideration [J].
Ahn, Yong ;
Lee, Sang-Ho ;
Lee, June Ho ;
Kim, Jin Uk ;
Liu, Wei Chiang .
ACTA NEUROCHIRURGICA, 2009, 151 (03) :199-206
[3]   UPPER LUMBAR DISC HERNIATIONS [J].
ALBERT, TJ ;
BALDERSTON, RA ;
HELLER, JG ;
HERKOWITZ, HN ;
GARFIN, SR ;
TOMANY, K ;
AN, HS ;
SIMEONE, FA .
JOURNAL OF SPINAL DISORDERS, 1993, 6 (04) :351-359
[4]   Does computer-assisted spine surgery reduce intraoperative radiation doses? [J].
Gebhard, Florian T. ;
Kraus, Michael D. ;
Schneider, Eugen ;
Liener, Ulrich C. ;
Kinzl, Lothar ;
Arand, Markus .
SPINE, 2006, 31 (17) :2024-2027
[5]   Transforaminal endoscopic spinal surgery: The future 'gold standard' for discectomy? - A review [J].
Gibson, J. N. Alastair ;
Cowie, Jonathan G. ;
Iprenburg, Menno .
SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND, 2012, 10 (05) :290-296
[6]  
Gottschalk S., 1996, Computer Graphics Proceedings. SIGGRAPH '96, P171, DOI 10.1145/237170.237244
[7]   Morphometric analysis of the YESS and TESSYS techniques of percutaneous transforaminal endoscopic lumbar discectomy [J].
Gu Xin ;
He Shi-Sheng ;
Zhang Hai-Long .
CLINICAL ANATOMY, 2013, 26 (06) :728-734
[8]   Endoscopic transforaminal discectomy for recurrent lumbar disc herniation - A prospective, cohort evaluation of 262 consecutive cases [J].
Hoogland, Thomas ;
van den Brekel-Dijkstra, Karolien ;
Schubert, Michael ;
Miklitz, Boris .
SPINE, 2008, 33 (09) :973-978
[9]   Learning curve of full-endoscopic lumbar discectomy [J].
Hsu, Hsien-Ta ;
Chang, Shang-Jen ;
Yang, Stephen S. ;
Chai, Chung Liang .
EUROPEAN SPINE JOURNAL, 2013, 22 (04) :727-733
[10]  
Ido K, 1998, J SPINAL DISORD, V11, P75