A Closed-loop Controller for Cardiopulmonary Bypass using a Proportional-Integral Regulator with a Set-point Adjuster


Toshiyuki BEPPU Ph.D.1,Yasuhiro FUKUI Ph.D.2,and Yasuharu IMAI M.D.1

1.The Department of Pediatric Cardiovascular Surgery,The Heart Institute of Japan,Tokyo Women's Medocal College
2.The Department of Applied Electronic Engineering, Faculty of Science and Engineering,Tokyo Denki University
J Comput Aided Surg 1995;1(3):69-77


Abstract: This report describes a procedure of automatic control of perfusion flow and blood pressure during cardiopulmonary bypass. The control system,consisting of a proportional-integral feedback regulator and a set-point adjuster based on production rules,automatically regulates both arterial infusion and venous withdrawal pumps throughout cardiopulmonary bypass. The proportional-integral regulator maintains central venous pressure to keep the intravascular volume constant. The set-point adjuster modefies the target values of central venous pressure and perfusion flow rate by monitoring the response of central venous pressure,blood volume in a reservoir, and the collapse of a small vinyl bag in a venous withdrawal line. We studied the ability of this control system during cardiac operation on eleven patients and compared it with an earlier computerized cardiopulmonary bypass without a set-point modifications were reduced from 7.6 } 5.3 times to 3.9 } 3.2 times .The set-point adjuster , therefore, improved the response of the proportional-integral regulator .
Key words : Automatic control , Cardiopulmonary bypass, Computer control,Production rules,Proportional-integral control.


Computer-Assisted Surgical Design of a Basilar Aneurysm in Open Microneurosurgery


Toru KOYAMA,M.D.,HIroshi OKUDERA,M.D.,and Shigeaki KOBAYASHI,M.D.
Department of Neurosurgery ,Shinshu University School of Medicine,Matsumoto,Jalpan
J COmput Aided Surg 1995;1(3):78-82


Abstract: A surgical case of a basilar aneurysm which is navigated by computer-assisted geometric design is described. The concepts and technical details of computer-assisted geometric design of cerebral aneurysms was reported in our previous paper. Computer graphic transformations including shifting , scaling , rotation ,and applying different colors in different intensities make it possible to obtain surgical simulation of a basilar aneurysm and its dynamic morphology. An illustrative case is described,and problems and innovations for computer-assisted surgical design are descussed.
Key words: Basilar aneurysm,Navigation, Surgical simulation, Three-dimensional imaging.


3-D Medical Image Display by Holographic Stereogram

Toshio HONDA
Chiba University,Faculty of Engineering,Department of Image Science.
J Comput Aided Surg 1995;1(3):83-84

INTRODUCTION

Nowadays, voxel (volume cell) data of living human body can be obtained by X-ray CAT ,Medical Resonance Imaging (MRI) and ultrasonic imaging.
And 3-D positioning and understanding of 3-D shape of bone and / or soft tissue are strongly required by using voxel data.
As one of the requests,3-D picture display by the method of Holographic Stereogram (HS) has been developed.
Here,first the principle of holography and HS is explained,shortly.Then , the application to medical pictorial data is shown.


3D Video System Using Grating Image

Fujio IWATA
Tsukuba Research Laboratory,Technical Research Institute,TOPPAN PRINTING Co., Ltd.
J Comput Aided Surg 1995;1(3) :85-86


INTRODUCTION

Holographic display is now popular in JAPAN, but,it is general to use a fluorescent lamp as hologram illumination source. This leads serious image blur and ,thus decreases the visual effects of hologram. This weak point is a serious problem when the hologram is used for business promotion,the image blur losses the eye-catching and spoils the main reature of rainbow hologram . For these reasons ,a new type of holographic display is considered to improve the problems as mentioned above and enhance the visual effects. In practice,we considered an idea to use a simplegrating as a image pixel, then an image is assembled from the grating,dots. From the feature of the novel recording method,we called it a "Grating Plot Method",and named the image which consists simple grating dots as a "Grating Image".Now ,grating image has about 20% in market field of the general rainbow hologram, and is continuouwly growing up in holographic display field. And ,we improve this technology to realize 3D image and 3D video system as follows.


Integral Photography Based Three-Dimentional Enhanced Reality Visualization System for Surgical Support

M.IWAHARA1,H.KOIKE1, Y.NISHI1, O.SAMUTA1, N.SUZUKI2, Y.MASUTANI3, M.SUZUKI3, T.DOHI3, H.ISEKI4,K.TAKAKURA4
1.VIctor Company of Japan, Victor Technobrain Co. Ltd
2.Jikei Univerusity School of Medicine
3.University of Tokyo Faculty of Eng
4.Tokyo Women's Medical College, Tokyo Japan

J Comput Aided Surg 1995;1(3):87-88


Absuract: A new system based on the integral photography, named '3D Plotter' ,has been developped which records and visualizes three-dimentional internal organ objects for localization in surgical support. The recorded media are compact and portable enough to use in daily clinical use .A simple half-mirror based image overlay system was also constructed . In this paper ,recording principle and the specified data processing methods of our system is described.


Volume Scanning Display and its Medical Application

Ken-ichi KAMEYAMA1,Koichi OHTOMI1, Hiroshi ISEKI2, Naoki KOBAYASHI2,Kintomo TAKAKURA2
1.Research and Development Center,Toshiba Corp
2.Neurological Institute,Tokyo Women's Medical College

J Comput Aided Surg 1995;1(3):89-90


INTRODUCTION

Most of the current 3-D display use the effect of binocular disparty by presenting different images for both eyes,what is powerful and the easiest way for realizing virtual 3-D world. However, this approach has following drawbacks.
(1)The convergenve angle and the focusing control of our eyes are unbalanced in this type of display ,which makes a user feel a severe eye fatigue.
(2)The display can not provide a real-time auto-stereoscopic image,namely,motion parallax,which is a very important cue for a user to recognize the extent of the 3-D spase.
Therefore,the authors employ a defferent method called volume scanning to develop a 3-D display which can overcome these defects .Although the image quality of this type of displays is not as good as that in the binocular stereoscopic displays it is created in real 3-D space and can be viewed from any points. The experimental system has already been developed and applied to interactive voxel-vased shape modeling .The system presented here is almost the same as the experimentai one, but it intends to be used i a more practical situation .
In the following sections,the principle,the configuration and the image manipulation tools of the volume scanning display system are described.


Spatial-Multiplexing Stereoscopic Liquid Crystal TV

Tomohiko HATTORI
Terumo R&D Center Terumo Corporation,Kanagawa, Japan

J Comput Aided Surg 1995;1(3):91-92


Absutract: Stereoscopic,multi-parallax,electro-holographic and multi-planer methods are no glasses methods as real-time 3-D imaging devices.These methods except stereoscopic need several parallax images or several plane images for their 3-D image component.It is known there are many problems for taking and transmission of their 3-D images. As for stereoscopic method using lenticular sheet limits the position of the viwers and /or is impossible to observe the 3-D image by several persons simultaneausly. Our spatial-multiplexing method Stereoscopic Liquid Crystal TV does not have such above drawbacks.