PACS based Digital Stereostactic Surgery Planing System

PACS 기반의 디지털 뇌정위 수술 계획 시스템

  • Lee, Dong-Hyuk (Interdiscipilinary Program in Medical and Biomedical Engineering Major, Seoul Nat'l Univ.) ;
  • Kim, Jong-Hyo (Dept. of Radiology, College of Medicine, Seoul Nat'l Univ.) ;
  • Oh, Chang-Wan (Dept. of Neurosurgery, College of Medicine, Seoul Nat'l Univ.) ;
  • Kim, Soo-Jeong (Interdiscipilinary Program in Medical and Biomedical Engineering Major, Seoul Nat'l Univ.) ;
  • Min, Byung-Goo (Dept of Biomedical Engineering, College of Medicine, Seoul Nat'l Univ.)
  • 이동혁 (서울대학교 대학원 협동과정 의용생체공학) ;
  • 김종효 (서울대학교 의과대학 방사선학 교실) ;
  • 오창완 (서울대학교 의과대학 신경외과학 교실) ;
  • 김수정 (서울대학교 대학원 협동과정 의용생체공학) ;
  • 민병구 (서울대학교 의과대학 의공학 교실)
  • Published : 1997.11.28

Abstract

The stereostatic surgery becomes a important part of neurosurgery. The conventional style of stereostatic system uses a input method of film digitizing. It is time consuming and laborious. In this paper, we presented a system that can manage digital images from medical imaging machine to surgery assisting program. CT images were transferred in DICOM format to a surgery assisting computer in a operation room through PACS. The streotatic surgery assisting program processed the digital images and calculated the parameters that were required in steostatic surgery. The assisting program were developed that can detect the reference points automatically, transform CT coordinate to frame coordinate and calculate the RM (Riechert-Mundinger) frame. This system were applied to clinical cases in Seoul National Univ. Hospital. The two advantages of this system were revealed. The processing time from imaging to surgery parameters were much aster than conventional system. The surgery accuracy were more mininute as the digitizing error were reduced. This system were a good application of connecting imaging machines to clinical treatment system through PACS.

Keywords