3D Telestration for Robotically Assisted Surgery

机器人辅助手术的 3D 远程显示

• 批准号: 6831980
• 负责人: CHRISTOPHER J. HASSER
• 金额: $ 10.59万
• 依托单位: INTUITIVE SURGICAL, INC.
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6831980
• 关键词: artificial intelligence; bioengineering /biomedical engineering; bioimaging /biomedical imaging; computer program /software; computer system design /evaluation; digital imaging; image guided surgery /therapy; robotics; swine; technology /technique development; three dimensional imaging /topography

DESCRIPTION (provided by applicant): The speed with which an innovative and improved surgical procedure can be widely adopted is governed principally by the availability of competent surgeon mentors. With its difficult learning curve, minimally invasive surgery has an especially strong need for mentors. Several investigators have developed "telestration," the ability for a remote surgeon mentor to draw on the operating surgeon's video display, to make surgical mentoring available over long distances to increase the availability of mentors. Robotically assisted minimally invasive surgery such as that practiced with the da Vinci surgical robot has the same basic need for mentors, with two special circumstances that amplify the need for mentors: robotically assisted minimally invasive surgery is in its earlier stages, with few qualified mentors, and due to the surgeon's immersion at a control console with a high-fidelity 3D display, a mentor is in a sense "remote" even if he or she is in the same room. Both of these special circumstances make telestration even more attractive for robotically assisted minimally invasive surgery than it is for conventional minimally invasive surgery. The proposed project would meet this challenge by leveraging another aspect of the surgical robot system - the presence of computational power- to apply image correlation algorithms to render 3D telestration drawings from drawings produced in 2D by the mentor. The same image correlation algorithms used to generate the 3D telestration also offer a second major benefit - the ability to virtually "paint" the telestration drawings on the anatomy in the surgeon's 3D view, so that the markings made by the mentor move with the anatomy, appearing to have been made with a paint pen directly on the tissue. In addition to the two immediate benefits of generating 3D telestration and creating drawings that track anatomy, application of these algorithms has broad potential impact in the area of image-guided surgery.

描述（由申请人提供）： 可以广泛采用创新和改进的手术程序的速度，主要受胜任的外科医生导师的可用性。凭借其艰难的学习曲线，微创手术对导师的需求特别强。几位研究人员已经开发了“远程播放”，这是远程外科医生借鉴操作外科医生的视频显示的能力，以使手术指导在长距离上可用以增加导师的可用性。机器人辅助的微创手术，例如使用DA Vinci手术机器人实践的手术具有相同的对导师的基本需求，这两种特殊情况可以扩大了对导师的需求：机器人辅助的微创手术处于较早的阶段，很少有合格的导师，很少有合格的导师，很少由于外科医生沉浸在具有高保真3D显示屏的控制控制台上，即使他或她在同一个房间里，导师也在某种意义上“远程”。这两种特殊情况都使远程播放对机器人辅助的微创手术更具吸引力，而不是传统的微创手术。 拟议的项目将通过利用外科机器人系统的另一个方面来应对这一挑战 - 计算能力的存在将图像相关算法应用于导师2D图纸中的3D远程弹力图。用于生成3D望仪的相同图像相关算法也提供了第二个主要好处 - 在外科医生的3D视图中，在解剖学上实际上“绘制”远程播放图的能力，以便导师通过解剖学移动的标记，似乎直接在组织上用油漆笔制成。除了产生3D伸缩和创建跟踪解剖结构的图纸的两个直接好处外，这些算法的应用还对图像引导的手术领域具有广泛的潜在影响。