Journal of Computer Aided Surgery Vol.2 No.4


Integral Videographyを用いた手術支援リアルタイム三次元ナビゲーションシステムの開発

Development of Real-Time 3D Navigation System for Intra operative Information by Integral Videography

廖洪恩a*,中島勧b,岩原誠c,小林英津子c,佐久間一郎c,矢作直樹c,土肥健純c
a東京大学大学院工学系研究科
b東京大学大学院医学系研究科
C東京大学大学院新領域創成科学研究科
Hongen Liao a, Susumu Nakajima b, Makoto Iwahara c, Etsuko Kobayashi c, Ichiro Sakuma c,Naoki Yahagic, Takeyoshi Dohi c
a Graduate School of Engineering, The University of Tokyo
b Graduate School of Medicine, The University of Tokyo
c Graduate School of Frontier Sciences, The University of Tokyo


Abstract
A real-time surgical navigation system that superimposes the real, intuitive 3D image for medical diagnosis and operation was developed. This system creates 3D image based on the principle of integral photography, named "Integral Videography", which can be observed following the operator's movement of the field of vision via a half-mirror as if they could be seen through the body. Moreover, a real-time IV algorithm for calculating the 3D image of surgical instruments was used for registration between the location of surgical instruments and the organ during the operation. The experimental results of sticking a point location and avoiding dangerous area show the errors ofthis navigation system were in the range of 2-3mm. Because of the simplicity and the accuracy of real-time projected point location, this system will be practically usable in the medical field.
Key words
3D, Integral photography, Real-time, Surgical navigation.


リアルタイムで手術手技が可能な手術シミュレーションシステムにおける切開面の生成と変形

Performing Incisions on a Realtime Surgical Simulation Model

服部麻木a,鈴木直樹a,内山明彦b
a東京慈恵会医科大学高次元医用画像工学研究所
b早稲田大学理工学部
Asaki Hattori a, Naoki Suzuki a, Akihiko Uchiyama b
a Institute for High Dimensional Medical Imaging, Jikei University School of Medicine
b Department of Science and Engineering, Waseda University

Abstract
Using a patient's 3D dataset obtaine.d from CT or MRI, our virtual reality system can perform surgical simulations in 3D virtual space. Many researchers utilized more costly organ models which used a finite element method (FEM) or the spring-damper model. However, in order to adapt this system to a PC, we employed the more economical method which created the realtime organ transformations necessary for an authentic simulation. As a result our system can perform incisions on a 3D image of a patient's body surface and internal organs in the manner of realtime simulation.
Key words
Surgical simulation, Realtime simulation, Abdominal surgery, Soft tissue.


デスクトップ型遠隔腹腔内手術システムの研究
Desk-Top Remote Mimimlly Invasive Surgery

生田幸士(正会員)*,石塚健次,島田隆之,中山曜
名古屋大学大学院工学研究科マイクロシステムエ学専攻
Koji Ikuta,Kenji Ishizuka,Takayuki Shimada,Yo Nakayama
Department of Micro System Engineering, School of Engineering, Nagoya University


Abstract
We proposed and developed the prototype of a master-slave-type 4 D.O.F. pair of surgical forceps with force sensors. By using two types of servo forceps, the smooth control ofthe forceps was verified experimentally. Moreover feasibility for clinical application was made clear by in vivo experiment.
Key words
Minimal invasive surgery. Remote surgery, Unilateral servo. Laparoscopic surgery, Servo forceps


耳介形態異常治療支援システム−耳介との接触を考慮した矯正具形状の生成と接触力計測の試み−

Computer Aided Treatment System for Malformed Ears;Generation of Orthosis Shape Considering Contact with an Auricle and a Trial Measurement of the Contact Force

花房昭彦(正会員)a*,高橋元b,磯村恒a,関口行雄a,土肥健純c
a職業能力開発総合人学校福祉工学科
b東京都立豊島病院形成外科
C東京大学大学院新領域創成科学研究科
Akihiko Hanafusa*, Hajime Takahashi b, Tsuneshi Isomura a, Yukio Sekiguchi a, Takeyoshi Dohi c
aDepartment of Rehabilitation Engineering, Polytechnic University
bDepartment of Plastic Surgery, Tokyo Metropolitan Toshima Hospital
cGraduate School of Frontier Science, The University of Tokyo

Abstract
Most malformed ears of neonates can be treated by mounting a suitably shaped orthosis. However, it needs much experience to make a orthosis that produces adequate corrective force. Especially, excessive force may cause a decubituslike inflammation on the auricle. We are studying computer aided treatment system to support the orthosis design. And we have already developed fundamental design and manufacturing system. This paper describes automatic orthosis shape modification method to prevent the excessive contact force using three dimensional finite element analysis. In each insertion step of incremental method, contact force of every nodal point of the orthosis is calculated. The shape is modified by canceling the insertion of nodal point where excessive contact force is produced. The result of the simulation shows that the maximum contact force was reduced to one third by the modified shape. Orthoses of original shape and the modified shape by the method are manufactured. Also, two types of force sensor systems using silicon tube and strain gage are constructed. They use phenomena that air flow in the tube decreases and the strain gage is deformed when they are pressed. The thickness of tube sensor is 0.5mm and that of strain gage sensor is 0.2mm. Orthoses on which sensors are mounted are inserted into a testee's auricle and the contact force is measured. The results of both sensors showed that the force produced by the orthosis of modified shape was approximately half of original shape.
Key words
Computer aided treatment, Malformed ears, Orthosis, Finite element analysis.