Title
Real-time surgery simulation of intracranial aneurysm clipping with patient-specific geometries and haptic feedback
Abstract
Providing suitable training for aspiring neurosurgeons is becoming more and more problematic. The increasing popularity of the endovascular treatment of intracranial aneurysms leads to a lack of simple surgical situations for clipping operations, leaving mainly the complex cases, which present even experienced surgeons with a challenge. To alleviate this situation, we have developed a training simulator with haptic interaction allowing trainees to practice virtual clipping surgeries on real patient-specific vessel geometries. By using specialized finite element (FEM) algorithms (fast finite element method, matrix condensation) combined with GPU acceleration, we can achieve the necessary frame rate for smooth real-time interaction with the detailed models needed for a realistic simulation of the vessel wall deformation caused by the clamping with surgical clips. Vessel wall geometries for typical training scenarios were obtained from 3D-reconstructed medical image data, while for the instruments (clipping forceps, various types of clips, suction tubes) we use models provided by manufacturer Aesculap AG. Collisions between vessel and instruments have to be continuously detected and transformed into corresponding boundary conditions and feedback forces, calculated using a contact plane method. After a training, the achieved result can be assessed based on various criteria, including a simulation of the residual blood flow into the aneurysm. Rigid models of the surgical access and surrounding brain tissue, plus coupling a real forceps to the haptic input device further increase the realism of the simulation.
Year
DOI
Venue
2015
10.1117/12.2082053
Proceedings of SPIE
Keywords
Field
DocType
Intracranial aneurysm,Surgical clipping,Neurosurgery,Finite element method,Surgical simulation,Real-time simulation
Clamping,Computer vision,Forceps,Simulation,Finite element method,Artificial intelligence,Real-time simulation,Clipping (audio),Haptic technology,CLIPS,Physics,Input device
Conference
Volume
ISSN
Citations 
9415
0277-786X
0
PageRank 
References 
Authors
0.34
5
2
Name
Order
Citations
PageRank
wolfgang fenz100.68
johannes dirnberger200.68