Repositorio Institucional Universidad EAFIT ::Examinando por Materia "Surgery"

Examinando por Materia "Surgery"

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Adaptive architecture to support context-aware Collaborative Networked Virtual Surgical Simulators (CNVSS)
(SPRINGER, 2014-01-01) Diaz, C.; Trefftz, H.; Quintero, L.; Acosta, D.; Srivastava, S.; Universidad EAFIT. Departamento de Ingeniería de Procesos; Desarrollo y Diseño de Procesos
Stand-alone and networked surgical virtual reality based simulators have been proposed as means to train surgical skills with or without a supervisor nearby the student or trainee. However, surgical skills teaching in medicine schools and hospitals is changing, requiring the development of new tools to focus on: (i) importance of mentors role, (ii) teamwork skills and (iii) remote training support. For these reasons a surgical simulator should not only allow the training involving a student and an instructor that are located remotely, but also the collaborative training session involving a group of several students adopting different medical roles during the training session. Collaborative Networked Virtual Surgical Simulators (CNVSS) allow collaborative training of surgical procedures where remotely located users with different surgical roles can take part in a training session. Several works have addressed the issues related to the development of CNVSS using various strategies. To the best of our knowledge no one has focused on handling heterogeneity in collaborative surgical virtual environments. Handling heterogeneity in this type of collaborative sessions is important because not all remotely located users have homogeneous Internet connections, nor the same interaction devices and displays, nor the same computational resources, among other factors. Additionally, if heterogeneity is not handled properly, it will have an adverse impact on the performance of each user during the collaborative session. In this paper we describe the development of an adaptive architecture with the purpose of implementing a context-aware model for collaborative virtual surgical simulation in order to handle the heterogeneity involved in the collaboration session. © 2014 Springer International Publishing.
Adaptive architecture to support context-aware Collaborative Networked Virtual Surgical Simulators (CNVSS)
(SPRINGER, 2014-01-01) Diaz, C.; Trefftz, H.; Quintero, L.; Acosta, D.; Srivastava, S.; Universidad EAFIT. Departamento de Ingeniería de Sistemas; I+D+I en Tecnologías de la Información y las Comunicaciones
Stand-alone and networked surgical virtual reality based simulators have been proposed as means to train surgical skills with or without a supervisor nearby the student or trainee. However, surgical skills teaching in medicine schools and hospitals is changing, requiring the development of new tools to focus on: (i) importance of mentors role, (ii) teamwork skills and (iii) remote training support. For these reasons a surgical simulator should not only allow the training involving a student and an instructor that are located remotely, but also the collaborative training session involving a group of several students adopting different medical roles during the training session. Collaborative Networked Virtual Surgical Simulators (CNVSS) allow collaborative training of surgical procedures where remotely located users with different surgical roles can take part in a training session. Several works have addressed the issues related to the development of CNVSS using various strategies. To the best of our knowledge no one has focused on handling heterogeneity in collaborative surgical virtual environments. Handling heterogeneity in this type of collaborative sessions is important because not all remotely located users have homogeneous Internet connections, nor the same interaction devices and displays, nor the same computational resources, among other factors. Additionally, if heterogeneity is not handled properly, it will have an adverse impact on the performance of each user during the collaborative session. In this paper we describe the development of an adaptive architecture with the purpose of implementing a context-aware model for collaborative virtual surgical simulation in order to handle the heterogeneity involved in the collaboration session. © 2014 Springer International Publishing.
Adaptive architecture to support context-aware Collaborative Networked Virtual Surgical Simulators (CNVSS)
(SPRINGER, 2014-01-01) Diaz, C.; Trefftz, H.; Quintero, L.; Acosta, D.; Srivastava, S.; Diaz, C.; Trefftz, H.; Quintero, L.; Acosta, D.; Srivastava, S.; Universidad EAFIT. Departamento de Ciencias; Modelado Matemático
Stand-alone and networked surgical virtual reality based simulators have been proposed as means to train surgical skills with or without a supervisor nearby the student or trainee. However, surgical skills teaching in medicine schools and hospitals is changing, requiring the development of new tools to focus on: (i) importance of mentors role, (ii) teamwork skills and (iii) remote training support. For these reasons a surgical simulator should not only allow the training involving a student and an instructor that are located remotely, but also the collaborative training session involving a group of several students adopting different medical roles during the training session. Collaborative Networked Virtual Surgical Simulators (CNVSS) allow collaborative training of surgical procedures where remotely located users with different surgical roles can take part in a training session. Several works have addressed the issues related to the development of CNVSS using various strategies. To the best of our knowledge no one has focused on handling heterogeneity in collaborative surgical virtual environments. Handling heterogeneity in this type of collaborative sessions is important because not all remotely located users have homogeneous Internet connections, nor the same interaction devices and displays, nor the same computational resources, among other factors. Additionally, if heterogeneity is not handled properly, it will have an adverse impact on the performance of each user during the collaborative session. In this paper we describe the development of an adaptive architecture with the purpose of implementing a context-aware model for collaborative virtual surgical simulation in order to handle the heterogeneity involved in the collaboration session. © 2014 Springer International Publishing.
Biomechanics of the canine mandible during bone transport distraction osteogenesis
(ASME, 2014-11-01) Zapata, Uriel; Dechow, Paul C.; Watanabe, Ikuya; Elsalanty, Mohammed E.; Opperman, Lynne A.; Universidad EAFIT. Departamento de Ingeniería Mecánica; Bioingeniería GIB (CES – EAFIT)
This study compared biomechanical patterns between finite element models (FEMs) and a fresh dog mandible tested under molar and incisal physiological loads in order to clarify the effect of the bone transport distraction osteogenesis (BTDO) surgical process. Three FEMs of dog mandibles were built in order to evaluate the effects of BTDO. The first model evaluated the mandibular response under two physiological loads resembling bite processes. In the second model, a 5.0 cm bone defect was bridged with a bone transport reconstruction plate (BTRP). In the third model, new regenerated bony tissue was incorporated within the defect to mimic the surgical process without the presence of the device. Complementarily, a mandible of a male American foxhound dog was mechanically tested in the laboratory both in the presence and absence of a BTRP, and mechanical responses were measured by attaching rosettes to the bone surface of the mandible to validate the FEM predictions. The relationship between real and predicted values indicates that the stress patterns calculated using FEM are a valid predictor of the biomechanics of the BTDO procedures. The present study provides an interesting correlation between the stiffness of the device and the biomechanical response of the mandible affected for bone transport. Copyright © 2014 by ASME.
Biomechanics of the canine mandible during bone transport distraction osteogenesis
(ASME, 2014-11-01) Zapata, Uriel; Dechow, Paul C.; Watanabe, Ikuya; Elsalanty, Mohammed E.; Opperman, Lynne A.; Zapata, Uriel; Dechow, Paul C.; Watanabe, Ikuya; Elsalanty, Mohammed E.; Opperman, Lynne A.; Universidad EAFIT. Departamento de Ingeniería de Producción; Materiales de Ingeniería
This study compared biomechanical patterns between finite element models (FEMs) and a fresh dog mandible tested under molar and incisal physiological loads in order to clarify the effect of the bone transport distraction osteogenesis (BTDO) surgical process. Three FEMs of dog mandibles were built in order to evaluate the effects of BTDO. The first model evaluated the mandibular response under two physiological loads resembling bite processes. In the second model, a 5.0 cm bone defect was bridged with a bone transport reconstruction plate (BTRP). In the third model, new regenerated bony tissue was incorporated within the defect to mimic the surgical process without the presence of the device. Complementarily, a mandible of a male American foxhound dog was mechanically tested in the laboratory both in the presence and absence of a BTRP, and mechanical responses were measured by attaching rosettes to the bone surface of the mandible to validate the FEM predictions. The relationship between real and predicted values indicates that the stress patterns calculated using FEM are a valid predictor of the biomechanics of the BTDO procedures. The present study provides an interesting correlation between the stiffness of the device and the biomechanical response of the mandible affected for bone transport. Copyright © 2014 by ASME.
Computational Geometry in Medical Applications
(Universidad EAFIT, 2016) Cortés Acosta, Camilo Andrés; Ruíz Salguero, Óscar Eduardo; Flórez Esnal, Julián
In vitro mechanical evaluation of mandibular bone transport devices
(ASME, 2014-06-01) Zapata, Uriel; Watanabe, Ikuya; Opperman, Lynne A.; Dechow, Paul C.; Mulone, Timothy; Elsalanty, Mohammed E.; Zapata, Uriel; Watanabe, Ikuya; Opperman, Lynne A.; Dechow, Paul C.; Mulone, Timothy; Elsalanty, Mohammed E.; Universidad EAFIT. Departamento de Ingeniería de Producción; Materiales de Ingeniería
Bone transport distraction osteogenesis (BTDO) is a surgical procedure that has been used over the last 30 years for the correction of segmental defects produced mainly by trauma and oncological resections. Application of BTDO has several clinical advantages over traditional surgical techniques. Over the past few years, several BTDO devices have been introduced to reconstruct mandibular bone defects. Based on the location and outline of the defect, each device requires a uniquely shaped reconstruction plate. To date, no biomechanical evaluations of mandibular BTDO devices have been reported in the literature. The present study evaluated the mechanical behavior of three different shaped prototypes of a novel mandibular bone transport reconstruction plate and its transport unit for the reconstruction of segmental bone defects of the mandible by using numerical models complemented with mechanical laboratory tests to characterize strength, fatigue, and stability. The strength test evaluated device failures under extreme loads and was complemented with optimization procedures to improve the biomechanical behavior of the devices. The responses of the prototypes were characterized to improve their design and identify weak and strong regions in order to avoid posterior device failure in clinical applications. Combinations of the numerical and mechanical laboratory results were used to compare and validate the models. In addition, the results remark the importance of reducing the number of animals used in experimental tests by increasing computational and in vitro trials. © VC 2014 by ASME.
In vitro mechanical evaluation of mandibular bone transport devices
(ASME, 2014-06-01) Zapata, Uriel; Watanabe, Ikuya; Opperman, Lynne A.; Dechow, Paul C.; Mulone, Timothy; Elsalanty, Mohammed E.; Universidad EAFIT. Departamento de Ingeniería Mecánica; Bioingeniería GIB (CES – EAFIT)
Bone transport distraction osteogenesis (BTDO) is a surgical procedure that has been used over the last 30 years for the correction of segmental defects produced mainly by trauma and oncological resections. Application of BTDO has several clinical advantages over traditional surgical techniques. Over the past few years, several BTDO devices have been introduced to reconstruct mandibular bone defects. Based on the location and outline of the defect, each device requires a uniquely shaped reconstruction plate. To date, no biomechanical evaluations of mandibular BTDO devices have been reported in the literature. The present study evaluated the mechanical behavior of three different shaped prototypes of a novel mandibular bone transport reconstruction plate and its transport unit for the reconstruction of segmental bone defects of the mandible by using numerical models complemented with mechanical laboratory tests to characterize strength, fatigue, and stability. The strength test evaluated device failures under extreme loads and was complemented with optimization procedures to improve the biomechanical behavior of the devices. The responses of the prototypes were characterized to improve their design and identify weak and strong regions in order to avoid posterior device failure in clinical applications. Combinations of the numerical and mechanical laboratory results were used to compare and validate the models. In addition, the results remark the importance of reducing the number of animals used in experimental tests by increasing computational and in vitro trials. © VC 2014 by ASME.
Robotic research platform for image-guided surgery assistance
(2013-01-01) Cortes, C.A.; Barandiaran, I.; Ruiz, O.E.; De Mauro, A.; Universidad EAFIT. Departamento de Ingeniería Mecánica; Laboratorio CAD/CAM/CAE
In the context of surgery, it is very common to face challenging scenarios during the preoperative plan implementation. The surgical technique's complexity, the human anatomical variability and the occurrence of unexpected situations generate issues for the intervention's goals achievement. To support the surgeon, robotic systems are being integrated to the operating room. However, current commercial solutions are specialized for a particular technique or medical application, being difficult to integrate with other systems. Thus, versatile and modular systems are needed to conduct several procedures and to help solving the problems that surgeons face. This article aims to describe the implementation of a robotic research platform prototype that allows novel applications in the field of image-guided surgery. In particular, this research is focused on the topics of medical image acquisition during surgery, patient registration and surgical/medical equipment operation. In this paper, we address the implementation of the general purpose teleoperation and path following modes of the platform, which constitute the base of future developments. Also, we discuss relevant aspects of the system, as well as future directions and application fields to investigate.
Simulating Soft Tissues using a GPU approach of the Mass-Spring Model
(IEEE COMPUTER SOC, 2010-01-01) Diaz Leon, Christian Andres; Eliuk, Steven; Trefftz Gomez, Helmuth; Universidad EAFIT. Departamento de Ingeniería de Sistemas; I+D+I en Tecnologías de la Información y las Comunicaciones
The recent advances in the fields such as modeling bio-mechanics of living tissues, haptic technologies, computational capacity, and graphics realism have created conditions necessary in order to develop effective surgical training using virtual environments. However, virtual simulators need to meet two requirements, they need to be real-time and highly realistic. The most expensive computational task in a surgical simulator is that of the physical model. The physical model is the component responsible to simulate the deformation of the anatomical structures and the most important factor in order to obtain realism. In this paper we present a novel approach to virtual surgery. The novelty comes in two forms: specifically a highly realistic mass-spring model, and a GPU based technique, and analysis, that provides a nearly 80x speedup over serial execution and 20x speedup over CPU based parallel execution.
Simulating soft tissues using a GPU approach of the mass-spring model
(2010-01-01) Leon, C.A.D.; Eliuk, S.; Gomez, H.T.; Universidad EAFIT. Departamento de Ingeniería de Sistemas; I+D+I en Tecnologías de la Información y las Comunicaciones
The recent advances in the fields such as modeling bio-mechanics of living tissues, haptic technologies, computational capacity, and graphics realism have created conditions necessary in order to develop effective surgical training using virtual environments. However, virtual simulators need to meet two requirements, they need to be real-time and highly realistic. The most expensive computational task in a surgical simulator is that of the physical model. The physical model is the component responsible to simulate the deformation of the anatomical structures and the most important factor in order to obtain realism. In this paper we present a novel approach to virtual surgery. The novelty comes in two forms: specifically a highly realistic mass-spring model, and a GPU based technique, and analysis, that provides a nearly 80x speedup over serial execution and 20x speedup over CPU based parallel execution. ©2010 IEEE.

Examinando por Materia "Surgery"

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