Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지

Development and application of stent-based image guided navigation system for oral and maxillofacial surgery

구강외과 수술용 스텐트 기반 영상유도 수술 시스템의 개발

  • Lee, Woo-Jin (Interdisciplinary Program in radiation Applied Life Science, Dental Research Institute and BK21, College of Medicine, Seoul National University) ;
  • Kim, Dae-Seung (Interdisciplinary Program in radiation Applied Life Science, Dental Research Institute and BK21, College of Medicine, Seoul National University) ;
  • Yi, Won-Jin (Department of Oral and Maxillofacial Radiology, Dental Research Institute and BK21, School of Dentistry, Seoul National University) ;
  • Lee, Sam-Sun (Department of Oral and Maxillofacial Radiology, Dental Research Institute and BK21, School of Dentistry, Seoul National University) ;
  • Choi, Soon-Chul (Department of Oral and Maxillofacial Radiology, Dental Research Institute and BK21, School of Dentistry, Seoul National University) ;
  • Heo, Min-Suk (Department of Oral and Maxillofacial Radiology, Dental Research Institute and BK21, School of Dentistry, Seoul National University) ;
  • Huh, Kyung-Hoe (Department of Oral and Maxillofacial Radiology, Dental Research Institute and BK21, School of Dentistry, Seoul National University) ;
  • Kim, Myung-Jin (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Lee, Jee-Ho (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University)
  • 이우진 (서울대학교 의과대학 협동과정 방사선응용생명과학, 치학연구소 및 BK21) ;
  • 김대승 (서울대학교 의과대학 협동과정 방사선응용생명과학, 치학연구소 및 BK21) ;
  • 이원진 (서울대학교 치의학대학원 구강악안면방사선학교실, 치학연구소 및 BK21) ;
  • 이삼선 (서울대학교 치의학대학원 구강악안면방사선학교실, 치학연구소 및 BK21) ;
  • 최순철 (서울대학교 치의학대학원 구강악안면방사선학교실, 치학연구소 및 BK21) ;
  • 허민석 (서울대학교 치의학대학원 구강악안면방사선학교실, 치학연구소 및 BK21) ;
  • 허경회 (서울대학교 치의학대학원 구강악안면방사선학교실, 치학연구소 및 BK21) ;
  • 김명진 (서울대학교 치의학대학원 구강악안면외과학교실, 치학연구소) ;
  • 이지호 (서울대학교 치의학대학원 구강악안면외과학교실, 치학연구소)
  • Published : 2009.09.30
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Abstract

Purpose : The purpose of this study was to develop a stent-based image guided surgery system and to apply it to oral and maxillofacial surgeries for anatomically complex sites. Materials and Methods : We devised a patient-specific stent for patient-to-image registration and navigation. Three-dimensional positions of the reference probe and the tool probe were tracked by an optical camera system and the relative position of the handpiece drill tip to the reference probe was monitored continuously on the monitor of a PC. Using 8 landmarks for measuring accuracy, the spatial discrepancy between CT image coordinate and physical coordinate was calculated for testing the normality. Results : The accuracy over 8 anatomical landmarks showed an overall mean of $0.56{\pm}0.16\;mm$. The developed system was applied to a surgery for a vertical alveolar bone augmentation in right mandibular posterior area and possible interior alveolar nerve injury case of an impacted third molar. The developed system provided continuous monitoring of invisible anatomical structures during operation and 3D information for operation sites. The clinical challenge showed sufficient accuracy and availability of anatomically complex operation sites. Conclusion : The developed system showed sufficient accuracy and availability in oral and maxillofacial surgeries for anatomically complex sites.

Keywords

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