• Title/Summary/Keyword: Surgery, computer-assisted

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Development of 64 Channel Cardiac Mapping System Using Microcomputer (마이크로컴퓨터를 이용한 64채널 심장전기도시스템개발)

  • 정성헌;김원기
    • Journal of Biomedical Engineering Research
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    • v.12 no.4
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    • pp.303-308
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    • 1991
  • Computer assisted cardiac mapping system has made it possible to display local activation times of the heart using a simultaneous multi-point data aquisition system, and opened an era in electrophyslology guided cardiac arrhythmia surgery especially in ventricular tachycardia. In this study, we have developed a 64 channel computerized cardiacmapping system us:ng a micro-computer for basic reasearch of electrophysiology and electrical propagation in cardiac arrhythmias. The significant tasks of this study were the simultaneous acquisition of large amount of data from 64 sites, accurate and rapid analysis, and the effective display of the analyzed data. To solve these problems, we made a 64 channel signal pre-processing board in order to amplify and fitter the raw signals. And we developed the soflu'are Yor cardiac isochronous mapping whictl is presented immediately ama computer-generated graphics. This system is expected 4o enable us to study pathophyslology of cardiac arrhythmia and to improve the results of diagnosis and surgical treatments for cardiac arrhythmia.

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Development of Computer Assisted 3-D Simulation and Prediction Surgery in Craniofacial Distraction Osteogenesis (악안면 골신장술의 치료계획을 위한 3차원 시뮬레이션 프로토콜의 개발)

  • Paeng Jun-Young;Lee Jee-Ho;Lee Jong-Ho;Baek Seung-Hak;Kim Myung-Jin
    • Korean Journal of Cleft Lip And Palate
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    • v.6 no.2
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    • pp.91-105
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    • 2003
  • There are significant limitations in the precision of mandibular distraction in setting a desired occlusal and facial esthetic outcome. The purpose of this study is to present the simulation method for the distraction osteogenesis treatment planning. 3-D surgery simulation software programs V-works and V-Surgery(Cybermed, Seoul, Korea) were used from the 3D CT data in addition to the conventional data facial photography, panorama and cephalogram, dental cast model. We have utilized already for the various surgical procedures to get information preoperatively for the maxillofacial surgery like cancer localization and reconstructive surgery, orthognathic surgery and implant surgery in the department of Oral and Maxillofacial surgery, Seoul National University Hospital. On the software, bone cutting can be done at any place and any direction. Separated bone segment can be mobilized in all 3 dimensional direction. After the 3D simulation on the software program, mock surgery on the RP model can be performed. This planning method was applied to two hemifacial microsomia patients. With this protocol, we could simulate the movement of bony segment after maxillofacial distraction osteogenesis

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Method for C-arm Based Guide Needle Insertion Assistant System for Endoscopic Disc Surgery (C-arm 영상 기반 척추 디스크 내시경 수술을 위한 가이드 바늘 삽입 보조 시스템)

  • Yoon, Hyon Min;Cho, Hyunchul;Park, Kyusic;Shin, Sangkyun;Lee, Deukhee
    • Korean Journal of Computational Design and Engineering
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    • v.20 no.3
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    • pp.263-268
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    • 2015
  • Due to an increased sitting time in work, lumbar disc disease is one of the most frequent diseases in modern days, and this occasionally requires surgery for treatment. Endoscopic disc surgery, one of the common disc surgeries, requires a process of inserting a guide needle to the target disc for which the insertion path is manually planned by drawing lines on the patient's skin while monitoring the fluoroscopic view of the lumbar. Such procedure inevitably exposes both surgeon and patient to the fluoroscopy radiation emitted from the c-arm for a long time. To reduce the radiation exposure time, this study proposes a computer assisted method of calculating the 3D guide needle path by using 2D c-arm images of the disc in 3 different angles. Additionally, a method of the guide robot control based on the 3D needle path was developed by implementing the Hand-eye Calibration method to calculate the transformation matrix between the c-arm and robot base coordinate systems. The proposed system was then tested for its accuracy.

Full mouth rehabilitation using 3D printed crowns and implant assisted removable partial denture for a crossed occlusion: a case report (3D 프린팅 금관과 임플란트 보조 국소의치를 이용한 엇갈린 교합의 전악 수복 증례)

  • Sung-Hoon Lee;Seong-Kyun Kim;Seong-Joo Heo;Jai-Young Koak;Ji-Man Park
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.367-378
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    • 2023
  • With the recent development of computer-aided design-computer-aided manufacturing technology and 3D printing technology, and the introduction of various digital techniques, the accuracy and efficiency of top-down definitive prosthetic restoration are increasing. In this clinical case, stable occlusion support was obtained through the placement of a total of 9 maxillary and mandibular posterior implants in patient with anterior-posterior crossed occlusion. The edentulous area of the maxillary anterior teeth, which showed a tendency of high resorption of the residual alveolar bone, was restored with a Kennedy Class IV implant assisted removable partial denture to restore soft tissue esthetics. Computed tomography guided surgery was used to place implants in the planned position, double scan technique was used to reflect the stabilized occlusion in the interim restoration stage to the definitive prostheses, and metal 3D printing was used to manufacture the coping and framework. This clinical case reports that efficient and predictable top-down full mouth rehabilitation was achieved using various digital technologies and techniques.

Implant-assisted full denture using digital guide: a case report (무치악 환자에서 디지털 가이드를 이용한 임플란트 수복증례)

  • Kim, Wook Tae
    • Journal of Technologic Dentistry
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    • v.43 no.4
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    • pp.202-209
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    • 2021
  • By classifying temporary denture production for surgical guides, digital guide-based surgery, and final prosthesis production, the problems of each process were assessed in advance and the factors that could be improved were confirmed in this study. The manufacturing process of fusion dental prosthesis uses virtual programs and computed tomography images to manufacture devices using the latest technologies of computer-aided design/computer-aided manufacturing and three-dimensional printing, which enables implants to be placed in the desired location in advance. Moreover, implant placement is not dependent on the skill and condition of the dentist, and because it uses a computer system, it can always be performed at a constant and optimal position. This can reduce the remanufacturing rate compared with the general method, shorten the treatment period, and eliminate patient discomfort. Unlike the traditional method of using impression materials and plaster models, digital fusion dental prostheses would be evaluated as a technology for producing prosthesis through professional design technology and communication.

Haptics for Human-Machine Interaction at The Johns Hopkins University

  • Okamura, Allison M.;Chang, Sung-Ouk
    • 제어로봇시스템학회:학술대회논문집
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    • 2003.10a
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    • pp.2676-2681
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    • 2003
  • The Haptic Exploration Laboratory at The Johns Hopkins University is currently exploring many problems related to haptics (force and tactile information) in human-machine systems. We divide our work into two main areas: virtual environments and robot-assisted manipulation systems. Our interest in virtual environments focuses on reality-based modeling, in which measurements of the static and dynamic properties of actual objects are taken in order to produce realistic virtual environments. Thus, we must develop methods for acquiring data from real objects and populating pre-defined models. We also seek to create systems that can provide active manipulation assistance to the operator through haptic, visual, and audio cues. These systems may be teleoperated systems, which allow human users to operate in environments that would normally be inaccessible due to hazards, distance, or scale. Alternatively, cooperative manipulation systems allow a user and a robot to share a tool, allowing the user to guide or override the robot directly if necessary. Haptics in human-machine systems can have many applications, such as undersea and space operations, training for pilots and surgeons, and manufacturing. We focus much of our work on medical applications.

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Virtual Surgical Planning and Stereolithography-guided Osteotomy for 3 Dimensional Mandibular Reconstruction with Free Fibula Osseous Flaps: A Case Report (비골을 이용한 3차원적 하악골 재건 시 가상모의수술 및 입체조형기법을 이용한 골절단 가이드의 활용: 증례보고)

  • Nam, Woong;Makhoul, Nicholas;Ward, Brent;Helman, Joseph I.;Edwards, Sean
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.5
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    • pp.337-342
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    • 2012
  • The osseous or osteocutaneous free fibula flap has become the gold standard for most mandibular reconstructions because of its favorable osseous characteristics. However, disadvantages, such as the time-consuming reconstructive step, difficulty in performing the osteotomies to precisely recreate the shape of the missing segment of mandible and poor bone-to-bone contact play a role in making the surgeons look for alternative flaps. With the advent of computerized design software, which accurately plans complex 3-dimensional reconstructions, has become a process that is more efficient and precise. However, the ability to transfer the computerized plan into the surgical field with stereolithographic models and guides has been a significant development in advancing reconstruction in the maxillofacial regions. The ability to "pre-plan" the case, mirror and superimpose natural structures into diseased and deformed areas, as well as the ability to reproduce these plans with good surgical precision has decreased overall operative time, and has helped facilitate functional and esthetic reconstruction. We describe a complex case treated with this technique, showing the power and elegance of computer assisted maxillofacial reconstruction from the University of Michigan, Oral and Maxillofacial Surgery.

Duration of Preservation Affect the Quality of Chilled Black Bengal Buck Semen

  • Pradhan, Md. Gulshan Anowar;Rahman, Md. Saidur;Kwon, Woo-Sung;Mishra, Dipendra;Kamal, Md. Mostofa;Bhuiyan, Mohammad Musharraf Uddin;Shamsuddin, Mohammed
    • Journal of Embryo Transfer
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    • v.28 no.2
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    • pp.113-119
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    • 2013
  • The study focuses on the quality assessment of Black Bengal buck semen preserved at chilled condition. In this in vitro trial, collected semen from Black Bengal bucks was preserved at chilling temperature ($4{\sim}5^{\circ}C$) in tris-glucosecitrate yolk medium of 1:5 ratios for four days. Artificial Vagina (AV) method was utilized to collect semen from buck. General evaluation of semen includes the color, mass activity and density were measured by direct visual examination. However, computer-assisted sperm analysis (CASA) and phase contrast microscopy were used to figure out the motility (%), hyper-activated (HYP) motility (%) and number of abnormal spermatozoa (%) initially, and at every 24 h intervals. The result revealed that spermatozoa preserved at chilling temperature showed significantly (P<0.05) lower motility and HYP motility with the progression of preservation. The number of phenotypically abnormal spermatozoa significantly (P<0.05) increased following preservation. Although significant positive correlation (r=0.945; P<0.05) was existed between % motile and % HYP motile spermatozoa however, the % of morphologically abnormal spermatozoa was negatively correlated with % motile (r=-0.997; P<0.05) and % HYP motile spermatozoa (r=-0.946; P<0.01). Therefore, we concluded that the quality of chilled semen progressively losses its viability and doesn't remain useable after certain period of preservation with respect to its motility and morphology.

Image-guided navigation surgery for bilateral choanal atresia with a Tessier number 3 facial cleft in an adult

  • Sung, Ji Yoon;Cho, Kyu-Sup;Bae, Yong Chan;Bae, Seong Hwan
    • Archives of Craniofacial Surgery
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    • v.21 no.1
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    • pp.64-68
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    • 2020
  • The coexistence of craniofacial cleft and bilateral choanal atresia has only been reported in three cases in the literature, and only one of those cases involved a Tessier number 3 facial cleft. It is also rare for bilateral choanal atresia to be found in adulthood, with 10 previous cases reported in the literature. This report presents the case of a 19-year-old woman with a Tessier number 3 facial cleft who was diagnosed with bilateral choanal atresia in adulthood. At first, the diagnosis of bilateral choanal atresia was missed and septoplasty was performed. After septoplasty, the patient's symptoms did not improve, and an endoscopic examination revealed previously unnoticed bilateral choanal atresia. Computed tomography showed left membranous atresia and right bony atresia. The patient underwent an operation for opening and widening of the left choana with an image-guided navigation system (IGNS), which enabled accurate localization of the lesion while ensuring patient safety. Postoperatively, the patient became able to engage in nasal breathing and reported that it was easier for her to breathe, and there were no signs of restenosis at a 26-month follow-up. The patient was successfully treated with an IGNS.

Augmented reality and dynamic infrared thermography for perforator mapping in the anterolateral thigh

  • Cifuentes, Ignacio Javier;Dagnino, Bruno Leonardo;Salisbury, Maria Carolina;Perez, Maria Eliana;Ortega, Claudia;Maldonado, Daniela
    • Archives of Plastic Surgery
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    • v.45 no.3
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    • pp.284-288
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    • 2018
  • Dynamic infrared thermography (DIRT) has been used for the preoperative mapping of cutaneous perforators. This technique has shown a positive correlation with intraoperative findings. Our aim was to evaluate the accuracy of perforator mapping with DIRT and augmented reality using a portable projector. For this purpose, three volunteers had both of their anterolateral thighs assessed for the presence and location of cutaneous perforators using DIRT. The obtained image of these "hotspots" was projected back onto the thigh and the presence of Doppler signals within a 10-cm diameter from the midpoint between the lateral patella and the anterior superior iliac spine was assessed using a handheld Doppler device. Hotspots were identified in all six anterolateral thighs and were successfully projected onto the skin. The median number of perforators identified within the area of interest was 5 (range, 3-8) and the median time needed to identify them was 3.5 minutes (range, 3.3-4.0 minutes). Every hotspot was correlated to a Doppler sound signal. In conclusion, augmented reality can be a reliable method for transferring the location of perforators identified by DIRT onto the thigh, facilitating its assessment and yielding a reliable map of potential perforators for flap raising.