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A New Approach to Computer Guidance in Orthopedic Surgery Using Real Time Volume Rendering

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Abstract

The purpose of this paper was to evaluate the ability of a new real time volume rendering system using raw unprocessed CT data on a four processor Pentium ® PC. A CT data set of the pelvic area was used to demonstrate the systems ability to integrate and visualize both data from a CT scan and a tracking system. The computer system consisted of a four processor Pentium ® PC and the software tool VGInsight (Volume Graphics GmbH). For study purposes in a laboratory setting a magnetic tracking system (Polemus ® Inc.) was used to simulate tracked surgical tools. With this new software tool and the tracking system the exact relative location of a tracked instrument within all structures of the pelvic area, soft tissue as well as bone, could be displayed in 3D and real time without preprocessing of the data set. Until recently real time volume rendering required expensive workstations. With a new software tool on a four processor Pentium ® PC the authors were able to introduce a 3D real time processed data supply to the surgeon.

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REFERENCES

  1. Berlemann, U., Langlotz, F., and Nolte, L.P., Computer-assisted orthopedic surgery. From pedicle screw insertion to further applications. Orthopäde 26:463–463, 1997.

    Google Scholar 

  2. Bucholz, R.D., and Greco, D.J., Image guided surgical techniques for infection and trauma of the central nervous system. Neurosurg. Clin. N. Am. 7:187–200, 1996.

    Google Scholar 

  3. Gröpl, A., Günther, T., Hesser, J., Kröll, J., Männer, R., Poliwoda, C., and Reinhart, C., Interactive operation planning and control with VIRIM. Proc. Med. Meets Virtual Reality 4:121, 1996.

    Google Scholar 

  4. Günther, T., Poliwoda, C., Reinhart, C., Hesser, J., Männer, R., and Meinzer, H.P., VIRIM: A massively parallel processor for real-time volume visualization in medicine. Proc. Eurogr. Workshop 5:103–108, 1994.

    Google Scholar 

  5. Klimek, L., Wenzel, M., and Mösges, R., Computer assisted orbital surgery. Ophthalmic Surg. 24:411–417, 1993.

    Google Scholar 

  6. Lacroute, P., and Levoy, M., Fast volume rendering using a shear-warp factorization of the viewing transform. Proc. SIGGRAPH 94:451–457, 1994.

    Google Scholar 

  7. Laine, T., Schlenzka, D., Makitalo, K., Tallroth, K., Nolte, L.P., and Visarius, H., Improved accuracy of pedicle screw insertion with computer assisted surgery. A prospective trial of 30 patients. Spine 22:1254–1258, 1997.

    Google Scholar 

  8. Nabavi, A., Manthei, G., Blömer, U., Kumpf, L., Klinge, H., and Mehdorn, H., Neuronavigation. Radiologe 35:573–577, 1995.

    Google Scholar 

  9. Polhemus http://www.polhemus.com.

  10. Watanabe, E., Majanagy, Y., Kosugi, Y., Manaka, S., and Takakura, K., Open surgery assisted by the Neuronavigator, a stereotactic, articulated sensitive arm. Neurosurgery 6:792–800, 1991.

    Google Scholar 

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Liener, U., Reinhart, C., Kinzl, L. et al. A New Approach to Computer Guidance in Orthopedic Surgery Using Real Time Volume Rendering. Journal of Medical Systems 23, 35–40 (1999). https://doi.org/10.1023/A:1020819511247

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  • DOI: https://doi.org/10.1023/A:1020819511247

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