Journal of Computer Aided Surgery Vol.2No.1


計算機援用MRl誘導手術の技術的側面
Technical Aspects of Computer−assisted MRI-guided Surgery

波多伸彦(正会員)*
ハーバード大学医学部プリガムアンドウィメンズ病院放射線科

Nobuhiko Hata*
Department of Radiology,Brigham and Women’s Hospital and HarvardMedical School

Abstract
  Technical aspects ofc omputer−assisted magnetic resonance(MR)image−guided surgery are discussed with highlighted applications・.The applications presented with clinical feasibility studies include multi−modality image registration for prostate cancer biopsy,organ deformation tracking for craniotomy,thermal monitoring fori nterstitial laser ablation therapy of brain tumor.A preliminary study of MR−compatible surgical manipulator is also reported.The clinical feasibility study of computer−assisted MR−guided surgery suggested the its potential contribution to accuracy,less−invasiveness,efficacy in surgical procedures.
Keywords
  Magnetic Resonance Imaging,Computer,Image−guided surgery,Interstitial Laser Thermal Therapy,Deformation,Surgical Robot,Muluti−modality registration.


肝切除における三次元エコ−による術中ナビゲ−ション
Intraoperative Navigation using 3Dimensional Ultrasonography forHepatic Resection

濱津隆之(正会員)a*,島田光生a,橋爪 誠b,力丸竜也a,山下洋市a,田中真二a,調 憲a,杉町圭蔵a
a 九州大学第二外科,b 同大学院災害救急医学分野

Takayuki Hamatsu a*,Mitsuo Shimada a,Makoto Hashizume b,Tatsuya Rikimaru a,Yo−ichi Yamashita a,Shinji Tanaka a,Ken Shirabe a,Keizo Sugimachi a
a Departments of Surgery II,and Disaster and Emergency Medicine,and
b Faculty of Medicine,Kyushu University

Abstraet
  We developed intraoperative 3-dimensional(3D)echoic image using the information of 2−djmentional echo and image analyzing system(SAS−200).The principle of SAS-200 is that magnetic field sensor,which is setting on echoic probe,recognize the position of the probe as 3D coordinate.This method was adopted to the patients with liver tumors and the donors for living−related liver transplantation.Using this method,the relation between a main tumor and feeding vessels was visualized as 3D−US image. A 3D−US imagewas useful to make an accurate navigation for liver surgery.
Keywords
  Hepatocellular carcinoma,3−dimensional(3D)ultrasonography,Tumor vessels.


手術支援を目的とした画像合成システムに関する研究
A Supporting Device for Surgical Planning Using the Supcrimposition of Images

太田裕治(正会員)a*,岡本弘志a,正宗 賢b,佐久間一郎b,土肥健純b,伊関 洋C,高倉公朋C
a東洋大学工学部機械工学科
b東京大学大学院工学系研究科
C東京女子医科大学脳神経センター脳神経外科

Yuji Ohta a*,Hiroshi Okamoto a,Ken Masamune b,Ichiro Sakuma b,Takeyoshi Dohi b,Hiroshi Iseki c,Kintomo Takakura c
a Department of Mechanical Engineering,Toyo University
b Department of Precision Machinery Engineering,the University of Tokyo
C Department of Neurosurgery,Tokyo Wbmen’s Medical College

Abstract
  Several types of supporting systems for surgical planning have been reported.This paper describes a new surgical supportingdevice which features image superimposition uslng a half-mirror.By using the device,graphic image of inter−nal organs can be superimposed on the patient’s live image.In order that the device allows users to move around,the position of the user toward the patient was measured consecutively by a small CCD camera placed on the top of a head mounted display(HMD).The CCD camera imaged a patient model with pre−arranged markers on its surface and the position of the model was measured with the accuracy of around 0.5cm by an image processing software.Based on this positional data,threed imensional model data were processed on a workstation to produce graphic image for superimposition.The image was presented to the user through the HMD which features the“see−through”function.The error in navigation by the devicewas found to be as large as 1cm,particularly at the peripheral view field,and this problem must be solved in the future study.
Keywords
  Image superimposition,Head mounted display,Image measurement,Virtual reality modeling language.


運動機能の四次元的解析を目的とした骨格筋モデルの開発
The Development of 4D Muscle Model for 4D Quantitative Movement Analysis

山岬健一a,鈴木直樹(正会員)b*,服部麻木b,高津光洋b,C,内山明彦a
a早稲田大学大学院理工学研究科電子・情報通信学専攻
b東京慈恵会医科大学高次元医用画像工学研究所
C東京慈恵会医科大学法医学教室


Kenichi Yamasaki a,Naoki Suzuki b*,Asaki Hattori b,Akihiro Takatsu b,C,Akihiko Uchiyama a
a Graduate School of Science&Engineering,Waseda University
b Institute for High Dimensional Medical Imaging,Jikei University School of Medicine
C Deptartment of Forensic Medicine,Jikei Unjversity School of Medicine

Abstract
  Until recently,we have only inferred the movement of each skeletal muscle from electromyogram measurements (EMG),anatomical information,and observations of the human body surface.However,under the present circumstances it is problematic to comprehend the connection and interaction between the human skeleton and skeletal muscles or between human skeletal muscles themselves. Thus we aimed to develop a method to quantitatively visualizethese interactions in space and time sequential domains by utilizing computer graphic techniques.First,each human skeleton and muscle model was reconstructed from MRI data sets.Second,cordinates derived ftom a mesh frame work of a muscle were converted into algorithm.This algorithm reduced all coordinates of the muscle framework while maintaining the original muscle shape.Afterwards,we were able to construct a realistic skeletal muscle model.This muscle model can contract or extend while avojding the bone or adjacent skeletal muscle by taking physical interferenceinto account.We also made a series of skeletal muscle models foreach bone.As a result,we couldo bserve the activity and contribution of each muscle in bone movement.In the future,by applying this system we will be able to monitor the movements of peopIewith physical disorders.
Keywords
  Skeletal and muscular model,Real−time,4D analysis,Mesh.