VASP:Virtual Reality Assisted Surgery Program

Richard A. ROBB,Ph.D, Bruce CAMERON ,M.S.
Biomedical Imaging Resource,Mayo Foundation,Rochester, Minnesota.

J Comput Aided Surg 1995;1(2):33-45


Abstract : We are developing a system called Virtual Reality Assisted Surgery Program (VRASP) for implementation into the hospital operating room.VRASP will give the surgeon flexibe computational support intraoperatively. It will permit modiffication and control of very large scan datasets in real time .It will render and transmit virtual imagery in response to the surgeon's commands without interfering with normal surgical activities. And it will register the displayed imagery simultaneously with respect to the surgeon and the patient,without computing or display lag. The project is designed in three phases:1)surgery planning, 2) surgery rehearsal and 3) surgery delivery. The first phase has been implemented,and significant experience has been gained to facilitate effective design and implementation of the second and third phases.
VRASP is being developed at Mayo to specifically assist surgeons during craniofacial, orthopedic,brain and prostate surgery. VRASP will enable surgeons to interactively visualize 3-D renderings of CT and MRI data with hands-free manipulation of the virtual display. The surgeon will be able to scale ,orient and position prescanned body imagery on-line in real time from any desired perspective. The clinical goal is dynamic fusing of 3-D body scan data with the actual patient in the operating room. The customized interface will permit ready ,on-line access to the preoperative plan and to update measurement and analysis based on the real-time operating room data. Practing Mayo surgeons are committed to assisting with development,evalution and deployment of the VRASP system.VRASP will bring to the OR all of the pre-surgical planning data and rehearsal information in synchrony with the actual patient and operation in order to optimize the errectiveness of the procedure,minimize patient morbidity,and reduce health care costs.
Key words: Virtual reality ,Computor assistal surgery,Volume rendering,Patiat-specifie anatmie models,ANALYZE.


Computer Simulation and Planning of Maxillo-Facial and Cranial Surgery

Alfred D.LINNEY,Ph.D,Robin RICHARDS,Ph.D
Department of Medical Physics and Bioengineering,University College London, England.

J COmput Aided Surg 1995;1(2):46-53


Abstract: The use of a computer graphics workstation for the simulation and planning of maxillo-facial and cranial surgery is described. The workstation,designed and developed at University College London, is based on parallel processing consepts,and creates a display of anatomical surfaces from three dimentional (3D) datasets generated by Computerised Tomography,Magnetic Resonance and Ultrasound medical imaging systems.
A widevariety of facilities is The computer software has been written in response to clinical demand . The manner in which the software allows the operator to plan surgical procedures and to produce surgical models for rehearsal and prosthesis manufacture is discussed and illustrated with case material.
Key words : Computer, Interactive,Modelling, Surgery, Simulation


Medical Virtual Reality System for Surgical Planning and Surgical Support

Naoki SUZUKI,D.Eng.,D.Sci.,M.D.1,and Akihiro TAKATSU, M.D.1,2
1.Medical Engineering Laboratory
2.Deptertment of Legal Medicine,The Jikei University School of Medicine

J Comput Aided Surg 1995;1(2):54-59

Abstract: The efficiency of real-time medical three dimentional (3D) imaging techniques and the possibility of applying virtual reality to medical 3D imaging are discussed. Attempts to develop two real-time imaging system using viutual reality are reported. The first is a preoperative surgical planning system .The second is a computer-aided support for surgical operations by assesing the topography of surgical field with 3D images. Problem with the virtual reality technique when used for medical imaging are also discussed together with future prospects for of medical virtual reality.
Key words : Virtual reality ,3D imaging ,Surgical planning ,Surgical support.


Functional MRI and its Usage in Neurosurgical Navigation

EIji WATANABE.M.D.1,Kuniyoshi SAKAI,M.D.2, Yukari ONODERA,M.Sc.3, Hiroyuki ITAGAKI3, M.Eng., Etsuji YAMAMOTO,D.Eng.3, Yoshiaki MAYANAGI,M.D.3,Hideaki KOIZUMI,D.Eng.3
1.Deptertment Neurosurgery,Tokyo Police Hospital
2.Deptertment Physiology, University of Tokyo
3.Central Research Laboratory, Hitachi Ltd.

J Comput Aided Surg 1995;1(2):60-63


Abstract : Human somatosensory cortex was mapped by f-MRI using EPI time sequence. Under 1.5 T EPI-f-MRI , brushing sstimulation was applied to the tongue tip , finger tip and toe tip . Signal increase was observed in postcentral gyrus after the stimulation with the rising time of about eight seconds. The activated areas were extracted by t- test which proved to be distributed in accordance with the previous knowledge of sensory homunculs. The results indicated that the f-MRI signal change is hightly representing the neural activities in the cortical area and the method could be utilized in the surgical navigating system such as NeuroNavigator.
Key words : Somatosensory cortex, f-MRI, Mapping, Surgical navigation.