Int J Med Robot - Optimal surgical planning guidance for lumbar spinal fusion considering operational safety and vertebra-screw interface strength.

Tópicos

{ surgeri(1148) surgic(1085) robot(1054) }
{ method(984) reconstruct(947) comput(926) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ imag(1947) propos(1133) code(1026) }
{ problem(2511) optim(1539) algorithm(950) }
{ compound(1573) activ(1297) structur(1058) }
{ framework(1458) process(801) describ(734) }
{ visual(1396) interact(850) tool(830) }
{ result(1111) use(1088) new(759) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ use(2086) technolog(871) perceiv(783) }
{ high(1669) rate(1365) level(1280) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ data(1737) use(1416) pattern(1282) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ treatment(1704) effect(941) patient(846) }
{ chang(1828) time(1643) increas(1301) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ perform(1367) use(1326) method(1137) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ sampl(1606) size(1419) use(1276) }
{ first(2504) two(1366) second(1323) }
{ can(774) often(719) complex(702) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

CKGROUND: An optimized pre-operative planning framework for lumbar spinal fusion was proposed, which augmented a novel functionality of suggesting optimal insertion trajectories and the screw size, considering operational safety and vertebra-screw interface strength, autonomously.METHODS: Based on an accurate 3D pedicle model with pre-operative computed tomography (CT) data, the framework begins with safety margin estimation for each potential insertion trajectory, followed by procedures to collect a set of insertion trajectories satisfying the operation safety objective. Among the trajectory candidates, the insertion trajectory, which maximized the insertable depth of a pedicle screw into the vertebral body, was then chosen as optimal, because the insertable depth enhanced the strength of the screw-vertebra interface. The radius of a pedicle screw was chosen as 70% of the pedicle radius.RESULTS: This framework has been tested on 176 spinal pedicles of 20 patients requiring spinal fusion. It was successfully applied, resulting in an average success rate of 100% and a final safety margin of 2.1?0.2 mm. Planning accuracy and usefulness of the proposed surgical planner show significant differences compared with a conventional manual planner.CONCLUSION: We can expect that the derived conservative safety margin mitigates screw misplacement or pedicle breach, despite potential errors induced during registrations or intraoperative screw insertion.

Resumo Limpo

ckground optim preoper plan framework lumbar spinal fusion propos augment novel function suggest optim insert trajectori screw size consid oper safeti vertebrascrew interfac strength autonomouslymethod base accur d pedicl model preoper comput tomographi ct data framework begin safeti margin estim potenti insert trajectori follow procedur collect set insert trajectori satisfi oper safeti object among trajectori candid insert trajectori maxim insert depth pedicl screw vertebr bodi chosen optim insert depth enhanc strength screwvertebra interfac radius pedicl screw chosen pedicl radiusresult framework test spinal pedicl patient requir spinal fusion success appli result averag success rate final safeti margin mm plan accuraci use propos surgic planner show signific differ compar convent manual plannerconclus can expect deriv conserv safeti margin mitig screw misplac pedicl breach despit potenti error induc registr intraop screw insert

Resumos Similares

Int J Med Robot - A shape memory alloy-actuated surgical instrument with compact volume. ( 0,909934334027671 )
Int J Med Robot - Robotic sacral hysteropexy for pelvic organ prolapse. ( 0,90645355280782 )
Int J Comput Assist Radiol Surg - A fluorolaser navigation system to guide linear surgical tool insertion. ( 0,895170899721931 )
Comput. Aided Surg. - Computer guidance system for single-incision bimanual robotic surgery. ( 0,89490277120129 )
Int J Med Robot - Robotic right colectomy using the Da Vinci Single-Site? platform: case report. ( 0,892498488659095 )
Int J Comput Assist Radiol Surg - Suspension laryngoscopy using a curved-frame trans-oral robotic system. ( 0,890171881479185 )
Int J Med Robot - Application study of medical robots in vascular intervention. ( 0,887445495974283 )
Int J Comput Assist Radiol Surg - Microsurgical robotic system for vitreoretinal surgery. ( 0,885212498097457 )
Int J Med Robot - Robotic revisional bariatric surgery: single-surgeon case series. ( 0,882227896288384 )
Int J Med Robot - Robotic surgery for deep endometriosis: a paradigm shift. ( 0,880265111919642 )
Methods Inf Med - Surgical workflow management schemata for cataract procedures. process model-based design and validation of workflow schemata. ( 0,878860466629707 )
Int J Comput Assist Radiol Surg - Force-detecting gripper and force feedback system for neurosurgery applications. ( 0,878401239964514 )
Int J Comput Assist Radiol Surg - Development and evaluation of a master-slave robot system for single-incision laparoscopic surgery. ( 0,876439820176298 )
Int J Med Robot - Robotic transaxillary thyroidectomy with gasless approach in a girl with goitre. ( 0,871213539344974 )
Comput. Aided Surg. - Double-bundle ACL reconstruction: novice surgeons utilizing computer-assisted navigation versus experienced surgeons. ( 0,869516612135839 )
Int J Med Robot - Evaluation of technical feasibility and safety of Single-Site? robotic right colectomy: three case reports. ( 0,867986036621005 )
Int J Med Robot - A navigation system for open liver surgery: design, workflow and first clinical applications. ( 0,867162864070237 )
Int J Comput Assist Radiol Surg - A haptics-assisted cranio-maxillofacial surgery planning system for restoring skeletal anatomy in complex trauma cases. ( 0,866784675720377 )
Int J Comput Assist Radiol Surg - The role of automatic computer-aided surgical trajectory planning in improving the expected safety of stereotactic neurosurgery. ( 0,86354263911187 )
Int J Med Robot - Insertion force in manual and robotic corneal suturing. ( 0,863527803522176 )
Int J Comput Assist Radiol Surg - Neurosurgical craniotomy localization using a virtual reality planning system versus intraoperative image-guided navigation. ( 0,86274294200537 )
Int J Med Robot - Forces exerted during microneurosurgery: a cadaver study. ( 0,862721088260396 )
Int J Comput Assist Radiol Surg - Projection-based visual guidance for robot-aided RF needle insertion. ( 0,860623053415405 )
Int J Med Robot - Master-slave robotic platform and its feasibility study for micro-neurosurgery. ( 0,85536136546936 )
Comput Math Methods Med - Visual measurement of suture strain for robotic surgery. ( 0,854740613551764 )
Int J Med Robot - Single-site robotic cholecystectomy: efficiency and cost analysis. ( 0,854054172376618 )
Comput. Aided Surg. - Application of a navigation system for contouring anatomical plasty of the distal end of the humerus. ( 0,852142303325308 )
Int J Med Robot - Accuracy of a computer-assisted planning and placement system for anatomical femoral tunnel positioning in anterior cruciate ligament reconstruction. ( 0,850917586089309 )
Int J Med Robot - Optimizing single port surgery: a case report and review of technique in colon resection. ( 0,85020151309322 )
Int J Comput Assist Radiol Surg - Mobile locally operated detachable end-effector manipulator for endoscopic surgery. ( 0,850193404230827 )
Int J Med Robot - Computer-assisted zygoma reconstruction with vascularized iliac crest bone graft. ( 0,849936607633941 )
Int J Med Robot - Development of a needle insertion manipulator for central venous catheterization. ( 0,849038801113297 )
Comput Methods Programs Biomed - Hand gesture guided robot-assisted surgery based on a direct augmented reality interface. ( 0,848739561548769 )
Int J Med Robot - Remote controlled robot assisted cardiac navigation: feasibility assessment and validation in a porcine model. ( 0,848487185901082 )
Int J Med Robot - Surgeon radiation exposure in cone beam computed tomography-based, image-guided spinal surgery. ( 0,847474361957778 )
Int J Med Robot - Navigated treatment of metatarsal V fractures using a new image based guidance system. ( 0,846795139324354 )
Med Biol Eng Comput - Direct metal laser sintering (DMLS) of a customized titanium mesh for prosthetically guided bone regeneration of atrophic maxillary arches. ( 0,84674317275355 )
Int J Med Robot - Quantitative assessment of manual and robotic microcannulation for eye surgery using new eye model. ( 0,842584126340579 )
Int J Med Robot - Development of a robotic FD-CT-guided navigation system for needle placement-preliminary accuracy tests. ( 0,841790482993104 )
Int J Med Robot - Overcoming extreme obesity with robotic surgery. ( 0,838265066046212 )
Int J Med Robot - Navigated vs arthroscopic-guided drilling for reconstruction of acromioclavicular joint injuries: accuracy and feasibility. ( 0,836657876878233 )
Int J Med Robot - Evaluation of computer-assisted jaw reconstruction with free vascularized fibular flap compared to conventional surgery: a clinical pilot study. ( 0,836479701268284 )
Int J Med Robot - Robotic system for cervical spine surgery. ( 0,835932595604491 )
Int J Med Robot - Direct manipulation of tool-like masters for controlling a master-slave surgical robotic system. ( 0,834138101817166 )
Int J Med Robot - Initial laboratory experience with a novel ultrasound probe for standard and single-port robotic kidney surgery: increasing console surgeon autonomy and minimizing instrument clashing. ( 0,833826157300024 )
Comput. Biol. Med. - Factors affecting accuracy of implant placement with mucosa-supported stereolithographic surgical guides in edentulous mandibles. ( 0,833007097986038 )
Int J Med Robot - Maxillary sinus augmentation using computer-aided design/computer-aided manufacturing (CAD/CAM) technology. ( 0,831801932979459 )
Int J Med Robot - Reviewing the technological challenges associated with the development of a laparoscopic palpation device. ( 0,830637644262386 )
Int J Med Robot - A novel passive/active hybrid robot for orthopaedic trauma surgery. ( 0,830441062610278 )
Comput. Aided Surg. - Integration of CAD/CAM planning into computer assisted orthopaedic surgery. ( 0,830258117104647 )
Comput Methods Programs Biomed - Haptic feedback and control of a flexible surgical endoscopic robot. ( 0,829829997558374 )
Int J Med Robot - Laparoscopic and robotic distal gastrectomy for gastrointestinal stromal tumour: case report. ( 0,828357603762273 )
Int J Med Robot - Development of a medical robot system for minimally invasive surgery. ( 0,827419654000911 )
Int J Med Robot - Laparoendoscopic single-site surgery using a multi-functional miniature in vivo robot. ( 0,825096585102726 )
Comput. Aided Surg. - Re-evaluation of the role of image guidance in minimally invasive pituitary surgery: benefits and outcomes. ( 0,82401811447968 )
Int J Med Robot - The current and future use of imaging in urological robotic surgery: a survey of the European Association of Robotic Urological Surgeons. ( 0,823020030523188 )
Int J Med Robot - Robotic single-access splenectomy using the Da Vinci Single-Site? platform: a case report. ( 0,822237420265417 )
Int J Med Robot - Auditory support for resection guidance in navigated liver surgery. ( 0,821749653039089 )
Int J Med Robot - Surgical technique enhances the efficiency of robotic hysterectomy. ( 0,821525934314149 )
Int J Med Robot - A surgical navigation system for oral and maxillofacial surgery and its application in the treatment of old zygomatic fractures. ( 0,821489116007124 )
Int J Med Robot - Robotic central pancreatectomy with stented pancreaticogastrostomy: operative details. ( 0,819799000191441 )
Comput Methods Programs Biomed - 3D navigation and monitoring for spinal milling operation based on registration between multiplanar fluoroscopy and CT images. ( 0,819770325613477 )
Int J Med Robot - A novel, general-purpose, MR-compatible, manually actuated robotic manipulation system for minimally invasive interventions under direct MRI guidance. ( 0,819770325613477 )
Int J Med Robot - da Vinci? single-site platform: anthropometrical, docking and suturing considerations for hysterectomy in the cadaver model. ( 0,816570919982397 )
Int J Comput Assist Radiol Surg - Neurosurgical robotic system for brain tumor removal. ( 0,816522299968951 )
Int J Med Robot - A case series on the technical use of three-dimensional image guidance in subaxial anterior cervical surgery. ( 0,813782425577013 )
Int J Med Robot - A remote-controlled vascular interventional robot: system structure and image guidance. ( 0,812086820659589 )
Int J Med Robot - An anthropomorphic design for a minimally invasive surgical system based on a survey of surgical technologies, techniques and training. ( 0,811905446387016 )
Int J Med Robot - 3D navigated implantation of the glenoid component in reversed shoulder arthroplasty. Feasibility and results in an anatomic study. ( 0,811038013099419 )
AMIA Annu Symp Proc - Optimizing perioperative decision making: improved information for clinical workflow planning. ( 0,810940630668096 )
J Med Syst - Prediction of surgery times and scheduling of operation theaters in ophthalmology department. ( 0,808716867456801 )
Int J Comput Assist Radiol Surg - Computer-assisted, Le Fort-based, face-jaw-teeth transplantation: a pilot study on system feasiblity and?translational assessment. ( 0,807088714251748 )
Int J Med Robot - Prior experience in micro-surgery may improve the surgeon's performance in robotic surgical training. ( 0,805677818699442 )
Int J Med Robot - A vision guided hybrid robotic prototype system for stereotactic surgery. ( 0,805616020496632 )
Int J Comput Assist Radiol Surg - Evaluation of 2D and 3D navigation for iliosacral screw fixation. ( 0,801956505813553 )
Int J Med Robot - Assessing the feasibility of full robotic interaortocaval nodal dissection for locally advanced gastric cancer. ( 0,801463801380956 )
Int J Med Robot - Robotic arthroscopic surgery: a new challenge in arthroscopic surgery Part-I: Robotic shoulder arthroscopy; a cadaveric feasibility study. ( 0,801159786687085 )
Comput. Aided Surg. - Image guided navigation by intraoperative CT scan for cochlear implantation. ( 0,799636907278306 )
Int J Comput Assist Radiol Surg - Intra-operative surgical instrument usage detection on a multi-sensor table. ( 0,797360435388964 )
Int J Med Robot - Development and clinical evaluation of medical robot assisted photodynamic therapy of port wine stains. ( 0,795315662742551 )
Int J Med Robot - Robotic giant hiatal hernia repair: 3year prospective evaluation and review of the literature. ( 0,794503133174337 )
Int J Med Robot - Robot-assisted laparoscopic (RAL) surgery for gastric cancer. ( 0,794249970095248 )
J Med Syst - Calcaneal osteotomy preoperative planning system with 3D full-sized computer-assisted technology. ( 0,793911468561771 )
Int J Med Robot - Robotic presacral neurectomy - technique and results. ( 0,792036599027627 )
Int J Med Robot - Technical review of the da Vinci surgical telemanipulator. ( 0,791539240900559 )
Int J Comput Assist Radiol Surg - The effects of real-time image navigation in operative liver surgery. ( 0,788947715303728 )
Comput. Aided Surg. - Re-learning curve for conventional total knee arthroplasty following 30 consecutive computer-assisted total knee arthroplasties. ( 0,788677851681801 )
Int J Med Robot - Design of an integrated master-slave robotic system for minimally invasive surgery. ( 0,788054111422337 )
Int J Med Robot - From implant planning to surgical execution: an integrated approach for surgery in oral implantology. ( 0,78785267318347 )
Int J Med Robot - Design and evaluation of a slave manipulator with roll-pitch-roll wrist and automatic tool loading mechanism in telerobotic surgery. ( 0,787822209071433 )
Int J Comput Assist Radiol Surg - Preclinical evaluation of an MRI-compatible pneumatic robot for angulated needle placement in transperineal prostate interventions. ( 0,787302950606497 )
Int J Med Robot - Coordinated control of bone cutting for a CT-free navigation robotic system in total knee arthroplasty. ( 0,787190091276877 )
Comput Methods Programs Biomed - A haptic pedal for surgery assistance. ( 0,786589916358104 )
Comput. Aided Surg. - Comparison of analog 2D and digital 3D preoperative templating for predicting implant size in total knee arthroplasty. ( 0,784867761048585 )
Int J Med Robot - Accuracy of screw placement and radiation dose in navigated dorsal instrumentation of the cervical spine: a prospective cohort study. ( 0,784179336213828 )
Comput. Aided Surg. - Minimally invasive posterior cervical microforaminotomy in the lower cervical spine and C-T junction assisted by O-arm-based navigation. ( 0,783812445746194 )
Int J Comput Assist Radiol Surg - Surgical task analysis of simulated laparoscopic cholecystectomy with a navigation system. ( 0,78285705014683 )
Int J Comput Assist Radiol Surg - Analysis of surgical intervention populations using generic surgical process models. ( 0,782403238680795 )
Int J Med Robot - Outcomes of pancreatoduodenectomy with robotic surgery versus open surgery. ( 0,782021426571389 )
Comput. Aided Surg. - Navigated percutaneous lumbosacral interbody fusion: a feasibility study. ( 0,780775615738909 )