Development of pre-procedure virtual simulation for challenging interventional procedures: an experimental study with clinical application
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Most pain management techniques for challenging procedures are still performed under the guidance of the C-arm fluoroscope although it is sometimes difficult for even experienced clinicians to understand the modified threedimensional anatomy as a two-dimensional X-ray image. To overcome these difficulties, the development of a virtual simulator may be helpful. Therefore, in this study, the authors developed a virtual simulator and presented its clinical application cases. Methods: We developed a computer program to simulate the actual environment of the procedure. Computed tomography (CT) Digital Imaging and Communications in Medicine (DICOM) data were used for the simulations. Virtual needle placement was simulated at the most appropriate position for a successful block. Using a virtual C-arm, the authors searched for the position of the C-arm at which the needle was visualized as a point. The positional relationships between the anatomy of the patient and the needle were identified. Results: For the simulations, the CT DICOM data of patients who visited the outpatient clinic was used. When the patients revisited the clinic, images similar to the simulated images were obtained by manipulating the C-arm. Transforaminal epidural injection, which was difficult to perform due to severe spinal deformity, and the challenging procedures of the superior hypogastric plexus block and Gasserian ganglion block, were successfully performed with the help of the simulation. Conclusions: We created a pre-procedural virtual simulation and demonstrated its successful application in patients who are expected to undergo challenging procedures.
Abstract
Background: Most pain management techniques for challenging procedures are still performed under the guidance of the C-arm fluoroscope although it is sometimes difficult for even experienced clinicians to understand the modified threedimensional anatomy as a two-dimensional X-ray image. To overcome these difficulties, the development of a virtual simulator may be helpful. Therefore, in this study, the authors developed a virtual simulator and presented its clinical application cases. Methods: We developed a computer program to simulate the actual environment of the procedure. Computed tomography (CT) Digital Imaging and Communications in Medicine (DICOM) data were used for the simulations. Virtual needle placement was simulated at the most appropriate position for a successful block. Using a virtual C-arm, the authors searched for the position of the C-arm at which the needle was visualized as a point. The positional relationships between the anatomy of the patient and the needle were identified. Results: For the simulations, the CT DICOM data of patients who visited the outpatient clinic was used. When the patients revisited the clinic, images similar to the simulated images were obtained by manipulating the C-arm. Transforaminal epidural injection, which was difficult to perform due to severe spinal deformity, and the challenging procedures of the superior hypogastric plexus block and Gasserian ganglion block, were successfully performed with the help of the simulation. Conclusions: We created a pre-procedural virtual simulation and demonstrated its successful application in patients who are expected to undergo challenging procedures.
참고문헌 (25)
- Bernardo A, "Virtual reality and simulation in neurosurgical training", World Neurosurg, 106, pp.1015~1029 (2017)
- Kockro RA, "Planning and simulation of neurosurgery in a virtual reality environment", Neurosurgery, 46, pp.118~135 (2000)
- Mutter D, "3D virtual reality and selective vascular control for laparoscopic left hepatic lobectomy", Surg Endosc, 23, pp.432~435 (2009)
- Chou R, "Management of postoperative pain: a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’Committee on Regional Anesthesia, Executive Committee, and Administrative Council", J Pain, 17, pp.131~157 (2016)
- Ehlke M, "Fast generation of virtual X-ray images for reconstruction of 3D anatomy", IEEE Trans Vis Comput Graph, 19, pp.2673~2682 (2013)
- Shen F, "Augmented reality patient-specific reconstruction plate design for pelvic and acetabular fracture surgery", Int J Comput Assist Radiol Surg, 8, pp.169~179 (2013)
- Allen DR, "Simulation approaches to X-ray C-arm-based interventions", master, pp.2020
- De Silva T, "Virtual fluoroscopy for intraoperative C-arm positioning and radiation dose reduction", J Med Imaging(Bellingham), 5, pp.015005~ (2018)
- De Silva T, "C-arm positioning using virtual fluoroscopy for image-guided surgery", Proc SPIE Int Soc Opt Eng, 10135, pp.101352K~ (2017)
- Touchette M, "The effect of artificial X-rays on C-arm positioning performance in a simulated orthopaedic surgical setting", Int J Comput Assist Radiol Surg, 16, pp.11~22 (2021)
- Muschelli J, "Recommendations for processing head CT data", Front Neuroinform, 13, pp.61~ (2019)
- Sattler B, "PET", CT(and CT)instrumentation, image reconstruction and data transfer for radiotherapy planning, 2010, pp.96, 288~297
- Våpenstad C, "Procedural virtual reality simulation in minimally invasive surgery", Surg Endosc, 27, pp.364~377 (2013)
- Clarençon F, "The degenerative spine", Magn Reson Imaging Clin N Am, 24, pp.495~513 (2016)
- Choi JW, "The optimal approach for a superior hypogastric plexus block", Pain Pract, 18, pp.314~321 (2018)
- Lee YW, "Trans-intervertebral disc approach of superior hypogastric plexus block for pelvic cancer pain a retrospective study", J Korean Pain Soc, 13, pp.202~207 (2000)
- Bosscher H, "Blockade of the superior hypogastric plexus block for visceral pelvic pain", Pain Pract, 1, pp.162~170 (2001)
- Urits I, "A comprehensive update of the superior hypogastric block for the management of chronic pelvic pain", Curr Pain Headache Rep, 25, pp.13~ (2021)
- Rocha A, "Effectiveness of superior hypogastric plexus neurolysis for pelvic cancer pain", Pain Physician, 23, pp.203~208 (2020)
- Nurmikko TJ, "Trigeminal neuralgia--pathophysiology, diagnosis and current treatment", Br J Anaesth, 87, pp.117~132 (2001)
- Matys T, "Ossification of the pterygoalar and pterygospinous ligaments : a computed tomography analysis of infratemporal fossa anatomical variants relevant to percutaneous trigeminal rhizotomy", J Neurosurg, 132, pp.1942~1951 (2019)
- Brown JA, "Direct carotid cavernous fistula after trigeminal balloon microcompression gangliolysis : case report", Neurosurgery, 40, pp.886~ (1997)
- James EA, "Meningitis due to oral streptococci following percutaneous glycerol rhizotomy of the trigeminal ganglion", J Infect, 31, pp.55~57 (1995)
- Rath GP, "Intracranial hemorrhage after percutaneous radiofrequency trigeminal rhizotomy", Pain Pract, 9, pp.82~84 (2009)
- Bohnstedt BN, "The use of intraoperative navigation for percutaneous procedures at the skull base including a difficult-to-access foramen ovale", Neurosurgery, 70(2 Suppl Operative), pp.177~180 (2012)