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OBJECTIVES: The aim of this paper is to introduce the principles of computer-assisted access to the kidney. The system provides the surgeon with a pre-operative 3D planning on computed tomography (CT) images. After a rigid registration with space-localized ultrasound (US) data, preoperative planning can be transferred to the intra-operative conditions and an intuitive man-machine interface allows the user to perform a puncture. MATERIAL AND METHODS: Both CT and US images of informed normal volunteer were obtained to perform calculation on the accuracy of registration and punctures were carried out on a kidney phantom to measure the precision of the whole of the system. RESULTS: We carried out millimetric registrations on real data and guidance experiments on a kidney phantom showed encouraging results of 4.7 mm between planned and reached targets. We noticed that the most significant error was related to the needle deflection during the puncture. CONCLUSION: Preliminary results are encouraging. Further work will be undertaken to improve efficiency and accuracy, and to take breathing into account.
Computer-Assisted Surgery, [INFO.INFO-IM] Computer Science [cs]/Medical Imaging, 610, FOS: Physical sciences, Punctures, Kidney, Patient Care Planning, Imaging, User-Computer Interface, Computer-Assisted, Imaging, Three-Dimensional, [SPI.MECA.BIOM] Engineering Sciences [physics]/Mechanics [physics.med-ph]/Biomechanics [physics.med-ph], MESH: Patient Care Planning, [INFO.INFO-IM]Computer Science [cs]/Medical Imaging, Humans, [PHYS.MECA.BIOM]Physics [physics]/Mechanics [physics]/Biomechanics [physics.med-ph], MESH: User-Computer Interface, Ultrasonography, MESH: Punctures, [SDV.IB] Life Sciences [q-bio]/Bioengineering, MESH: Humans, Phantoms, Imaging, MESH: Tomography, MESH: Phantoms, [PHYS.MECA.BIOM] Physics [physics]/Mechanics [physics]/Biomechanics [physics.med-ph], [SPI.MECA.BIOM]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Biomechanics [physics.med-ph], Reproducibility of Results, MESH: Kidney, Physics - Medical Physics, X-Ray Computed, 004, MESH: Imaging, MESH: Reproducibility of Results, Surgery, Computer-Assisted, Three-Dimensional, MESH: Surgery, [SDV.IB]Life Sciences [q-bio]/Bioengineering, Medical Physics (physics.med-ph), Tomography, X-Ray Computed, 2.5D echography, MESH: Ultrasonography
Computer-Assisted Surgery, [INFO.INFO-IM] Computer Science [cs]/Medical Imaging, 610, FOS: Physical sciences, Punctures, Kidney, Patient Care Planning, Imaging, User-Computer Interface, Computer-Assisted, Imaging, Three-Dimensional, [SPI.MECA.BIOM] Engineering Sciences [physics]/Mechanics [physics.med-ph]/Biomechanics [physics.med-ph], MESH: Patient Care Planning, [INFO.INFO-IM]Computer Science [cs]/Medical Imaging, Humans, [PHYS.MECA.BIOM]Physics [physics]/Mechanics [physics]/Biomechanics [physics.med-ph], MESH: User-Computer Interface, Ultrasonography, MESH: Punctures, [SDV.IB] Life Sciences [q-bio]/Bioengineering, MESH: Humans, Phantoms, Imaging, MESH: Tomography, MESH: Phantoms, [PHYS.MECA.BIOM] Physics [physics]/Mechanics [physics]/Biomechanics [physics.med-ph], [SPI.MECA.BIOM]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Biomechanics [physics.med-ph], Reproducibility of Results, MESH: Kidney, Physics - Medical Physics, X-Ray Computed, 004, MESH: Imaging, MESH: Reproducibility of Results, Surgery, Computer-Assisted, Three-Dimensional, MESH: Surgery, [SDV.IB]Life Sciences [q-bio]/Bioengineering, Medical Physics (physics.med-ph), Tomography, X-Ray Computed, 2.5D echography, MESH: Ultrasonography
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 23 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |