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International Journal of Medical Robotics and Computer Assisted Surgery
Article . 2005 . Peer-reviewed
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https://dx.doi.org/10.48550/ar...
Article . 2007
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Computer-assisted access to the kidney

Authors: Mozer, P.; Leroy, A.; Payan, Yohan; Troccaz, Jocelyne; Chartier-Kastler, E.; Richard, F.;

Computer-assisted access to the kidney

Abstract

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.

Country
France
Keywords

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

  • BIP!
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    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.
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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).
BIP!Citations provided by BIP!
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.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
23
Average
Top 10%
Average
Green
bronze