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Surgical Planning
Surgical planning is the preoperative method of pre-visualising a surgical intervention, in order to predefine the surgical steps and furthermore the bone segment navigation in the context of computer-assisted surgery. The surgical planning is most important in neurosurgery and oral and maxillofacial surgery. The transfer of the surgical planning to the patient is generally made using a medical navigation system. __TOC__ Principles of surgical planning The imagistic dataset used for surgical planning is mainly based on a CT or MRI. In oral and maxillofacial surgery, a different, more "traditional" surgical planning can be used for orthognatic surgery, based on cast models fixed into an articulator. History of the concept In order to make a surgical planning, one would need a 3D image of the patient. The starting point was made by G. Hounsfield in the 1970s, by using CT in order to record data about the anatomical situation of the patients. In the 1980s, advances were ...
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Computed Tomography
A computed tomography scan (CT scan; formerly called computed axial tomography scan or CAT scan) is a medical imaging technique used to obtain detailed internal images of the body. The personnel that perform CT scans are called radiographers or radiology technologists. CT scanners use a rotating X-ray tube and a row of detectors placed in a gantry to measure X-ray attenuations by different tissues inside the body. The multiple X-ray measurements taken from different angles are then processed on a computer using tomographic reconstruction algorithms to produce tomographic (cross-sectional) images (virtual "slices") of a body. CT scans can be used in patients with metallic implants or pacemakers, for whom magnetic resonance imaging (MRI) is contraindicated. Since its development in the 1970s, CT scanning has proven to be a versatile imaging technique. While CT is most prominently used in medical diagnosis, it can also be used to form images of non-living objects. The 1979 Nob ...
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Radiology
Radiology ( ) is the medical discipline that uses medical imaging to diagnose diseases and guide their treatment, within the bodies of humans and other animals. It began with radiography (which is why its name has a root referring to radiation), but today it includes all imaging modalities, including those that use no electromagnetic radiation (such as ultrasonography and magnetic resonance imaging), as well as others that do, such as computed tomography (CT), fluoroscopy, and nuclear medicine including positron emission tomography (PET). Interventional radiology is the performance of usually minimally invasive medical procedures with the guidance of imaging technologies such as those mentioned above. The modern practice of radiology involves several different healthcare professions working as a team. The radiologist is a medical doctor who has completed the appropriate post-graduate training and interprets medical images, communicates these findings to other physicians ...
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Health Informatics
Health informatics is the field of science and engineering that aims at developing methods and technologies for the acquisition, processing, and study of patient data, which can come from different sources and modalities, such as electronic health records, diagnostic test results, medical scans. The health domain provides an extremely wide variety of problems that can be tackled using computational techniques. Health informatics is a spectrum of multidisciplinary fields that includes study of the design, development and application of computational innovations to improve health care. The disciplines involved combines medicine fields with computing fields, in particular computer engineering, software engineering, information engineering, bioinformatics, bio-inspired computing, theoretical computer science, information systems, data science, information technology, autonomic computing, and behavior informatics. In academic institutions, medical informatics research focus on a ...
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Volume Interactions Pte Ltd
Volume Interactions Pte Ltd was a company that pioneered in the 1990s the use Virtual Reality technology in surgery planning. The company created and marketed the Dextroscope, the first commercial surgical planning system that used virtual reality principles going beyond the mouse and keyboard. The Dextroscope introduced a variation of Virtual Reality technology that didn't use Head-Mounted display (using instead a stereoscopic display that housed a two-handed 3D user interface) that provided a natural and comfortable interface to work with multi-modality 3D medical images for long periods of time. This environment was applied to the planning of patient-specific surgical approaches for several clinical disciplines, including neurosurgery, Ear-Nose-Throat, and liver surgery. The Dextroscope received world-wide attention by being involved in the planning of several craniopagus twin separations, most notably the Zambian twins (1997) and the German twins (2004) at Johns Hopkins Hos ...
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Dextroscope
The Dextroscope is a medical equipment system that creates a virtual reality (VR) environment in which surgeons can plan neurosurgical and other surgical procedures. The Dextroscope is designed to show a patient's 3D anatomical relationships and pathology in great detail. Although its main purpose is for planning surgery, the dextroscope has also proven useful in research in cardiology, radiology and medical education. History The Dextroscope started as a research project in the mid-90s at thKent Ridge Digital Labsresearch institute (part of Singapore's Agency for Science, Technology and Research (A*STAR)). It was initially named the Virtual Workbench and underwent commercialization in 2000 by the company Volume Interactions Pte Ltd with the name Dextroscope. The Dextroscope was selected in 2021 by A*STAR as one of the 30 innovations and inventions that pushed scientific boundaries, made an economic impact or improved lives over its 30 years historyA*STAR@30: 30 Innovations an ...
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Virtual Reality
Virtual reality (VR) is a simulated experience that employs pose tracking and 3D near-eye displays to give the user an immersive feel of a virtual world. Applications of virtual reality include entertainment (particularly video games), education (such as medical or military training) and business (such as virtual meetings). Other distinct types of VR-style technology include augmented reality and mixed reality, sometimes referred to as extended reality or XR, although definitions are currently changing due to the nascence of the industry. Currently, standard virtual reality systems use either virtual reality headsets or multi-projected environments to generate realistic images, sounds and other sensations that simulate a user's physical presence in a virtual environment. A person using virtual reality equipment is able to look around the artificial world, move around in it, and interact with virtual features or items. The effect is commonly created by VR headsets consisting ...
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Brainlab
Brainlab is a privately held German medical technology company headquartered in Munich, Bavaria. Brainlab develops software and hardware for radiotherapy and radiosurgery, and the surgical fields of neurosurgery, ENT and craniomaxillofacial, spine surgery, and traumatic interventions. Their products focus on image-guided surgery and radiosurgery, digital operating room integration technologies, and cloud-based data sharing. History Brainlab was founded in Munich in 1989, by CEO Stefan Vilsmeier, at age 17. The first Brainlab product was a mouse-controlled, menu-driven surgical planning and navigation software introduced in 1990 at the University of Vienna and exhibited at the Congress of Neurological Surgeons (CNS) Annual Scientific Meeting in Washington, D.C. in 1992. In 1993, Brainlab developed a linear accelerator-based system for stereotactic radiosurgery using micromultileaf collimators. Three years later, Brainlab entered into a partnership with Varian, Inc., which result ...
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Medtronic
Medtronic plc is an American medical device company. The company's operational and executive headquarters are in Minneapolis, Minnesota, and its legal headquarters are in Ireland due to its acquisition of Irish-based Covidien in 2015. While it primarily operates in the United States, it operates in more than 150 countries and employs over 90,000 people. It develops and manufactures healthcare technologies and therapies. History Medtronic was founded in 1949 in Minneapolis by Earl Bakken and his brother-in-law, Palmer Hermundslie, as a medical equipment repair shop. Bakken invented several medical technology devices that continue to be used around the world today. Through his repair business, Bakken came to know C. Walton Lillehei, a doctor of heart surgery at the University of Minnesota Medical School. The deficiencies of the Artificial cardiac pacemaker, artificial pacemakers of the day were made painfully obvious following a power outage over Halloween in 1957, which affecte ...
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Osteotomy
An osteotomy is a surgical operation whereby a bone is cut to shorten or lengthen it or to change its alignment. It is sometimes performed to correct a hallux valgus, or to straighten a bone that has healed crookedly following a fracture. It is also used to correct a coxa vara, genu valgum, and genu varum. The operation is done under a general anaesthetic. Osteotomy is one method to relieve pain of arthritis, especially of the hip and knee. It is being replaced by joint replacement in the older patient. Due to the serious nature of this procedure, recovery may be extensive. Careful consultation with a physician is important in order to ensure proper planning during a recovery phase. Tools exist to assist recovering patients who may have non–weight bearing requirements and include bedpans, dressing sticks, long-handled shoe-horns, grabbers/reachers and specialized walkers and wheelchairs. Osteotomies of the hip Two main types of osteotomies are used in the correction of hip d ...
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Laboratory Unit For Computer Assisted Surgery
Laboratory Unit for Computer Assisted Surgery is a system used for virtual surgical planning. Starting with 1998, LUCAS was developed at the University of Regensburg, Germany, with the support of the Carl Zeiss Company. The resulting surgical planning is then reproduced onto the patient by using a navigation system. In fact, LUCAS is integrated into the same platform together with the Surgical Segment Navigator (SSN), the Surgical Tool Navigator (STN), the Surgical Microscope Navigator (SMN) and the 6 DOF Manipulator (or, in German, "Mehrkoordinatenmanipulator" - MKM), also from the Carl Zeiss Company. __TOC__ Workflow Data from separate bidimensional slices generated by a CT or MRI scan are uploaded into the LUCAS system. The resulting dataset is then processed, in order to eliminate image noise, and to enhance the anatomical contours and also the general contrast of the images. The next step is to create a virtual 3D model from the gathered collection of 2D images. ...
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