Patient-specific Biomechanical Models (PBMs) can enhance computer assisted surgical procedures with critical information. Although pre-operative data allow to parametrize such PBMs based on each patient's properties, they are not able to fully characterize them. In particular, simulation boundary conditions cannot be determined from pre-operative modalities, but their correct definition is essential to improve the PBM predictive capability. In this work, we introduce a pipeline that provides an up-to-date estimate of boundary conditions, starting from the pre-operative model of patient anatomy and the displacement undergone by points visible from an intra-operative vision sensor. The presented pipeline is experimentally validated in realistic conditions on an ex vivo pararenal fat tissue manipulation. We demonstrate its capability to update a PBM reaching clinically acceptable performances, both in terms of accuracy and intra-operative time constraints.

Intra-operative Update of Boundary Conditions for Patient-specific Surgical Simulation

Eleonora Tagliabue
;
Marco Piccinelli;Diego Dall'Alba;Paolo Fiorini;
2021

Abstract

Patient-specific Biomechanical Models (PBMs) can enhance computer assisted surgical procedures with critical information. Although pre-operative data allow to parametrize such PBMs based on each patient's properties, they are not able to fully characterize them. In particular, simulation boundary conditions cannot be determined from pre-operative modalities, but their correct definition is essential to improve the PBM predictive capability. In this work, we introduce a pipeline that provides an up-to-date estimate of boundary conditions, starting from the pre-operative model of patient anatomy and the displacement undergone by points visible from an intra-operative vision sensor. The presented pipeline is experimentally validated in realistic conditions on an ex vivo pararenal fat tissue manipulation. We demonstrate its capability to update a PBM reaching clinically acceptable performances, both in terms of accuracy and intra-operative time constraints.
Intra-operative model update, Boundary conditions, Soft tissue modeling, Tissue retraction, Kidney surgery
File in questo prodotto:
File Dimensione Formato  
IntraopUpdateOfBCForSurgicalSimulation.pdf

accesso aperto

Tipologia: Documento in Pre-print
Licenza: Creative commons
Dimensione 3.56 MB
Formato Adobe PDF
3.56 MB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/1046127
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact