Hybrid Spine Simulator Prototype for X-ray Free Pedicle Screws Fixation Training

Autor: Vincenzo Ferrari, Giuseppe Turini, Sara Condino, Paolo Domenico Parchi, Virginia Mamone
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Computer science
0206 medical engineering
02 engineering and technology
Lumbar vertebrae
unity game engine
lcsh:Technology
lcsh:Chemistry
03 medical and health sciences
Fixation (surgical)
spine surgery
0302 clinical medicine
Software
medicine
General Materials Science
surgical simulation
augmented reality
hybrid simulator
pedicle screws fixation training
lcsh:QH301-705.5
Instrumentation
Simulation
Fluid Flow and Transfer Processes
Modalities
lcsh:T
business.industry
Process Chemistry and Technology
General Engineering
020601 biomedical engineering
lcsh:QC1-999
Computer Science Applications
Visualization
Workflow
medicine.anatomical_structure
lcsh:Biology (General)
lcsh:QD1-999
lcsh:TA1-2040
Augmented reality
lcsh:Engineering (General). Civil engineering (General)
business
Fiducial marker
lcsh:Physics
030217 neurology & neurosurgery
Zdroj: Applied Sciences
Volume 11
Issue 3
Applied Sciences, Vol 11, Iss 1038, p 1038 (2021)
ISSN: 2076-3417
DOI: 10.3390/app11031038
Popis: Simulation for surgical training is increasingly being considered a valuable addition to traditional teaching methods. 3D-printed physical simulators can be used for preoperative planning and rehearsal in spine surgery to improve surgical workflows and postoperative patient outcomes. This paper proposes an innovative strategy to build a hybrid simulation platform for training of pedicle screws fixation: the proposed method combines 3D-printed patient-specific spine models with augmented reality functionalities and virtual X-ray visualization, thus avoiding any exposure to harmful radiation during the simulation. Software functionalities are implemented by using a low-cost tracking strategy based on fiducial marker detection. Quantitative tests demonstrate the accuracy of the method to track the vertebral model and surgical tools, and to coherently visualize them in either the augmented reality or virtual fluoroscopic modalities. The obtained results encourage further research and clinical validation towards the use of the simulator as an effective tool for training in pedicle screws insertion in lumbar vertebrae.
Databáze: OpenAIRE