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Proceedings Paper

Osteotomy planner: an open-source tool for osteotomy simulation
Author(s): Sam Horvath; Beatriz Paniagua; Johan Andruejol; Antonio R. Porras; Marius George Linguraru; Andinet Enquobahrie
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Paper Abstract

There has been a recent emphasis in surgical science on supplementing surgical training outside of the Operating Room (OR). Combining simulation training with the current surgical apprenticeship enhances surgical skills in the OR, without increasing the time spent in the OR practicing. Computer-assisted surgical (CAS) planning consists of performing operative techniques virtually using three-dimensional (3D) computer-based models reconstructed from 3D crosssectional imaging. The purpose of this paper is to present a CAS system to rehearse, visualize and quantify osteotomies, and demonstrate its usefulness in two different osteotomy surgical procedures, cranial vault reconstruction and femoral osteotomy. We found that the system could sufficiently simulate these two procedures. Our system takes advantage of the high-quality visualizations possible with 3DSlicer, as well as implements new infrastructure to allow for direct 3D interaction (cutting and positioning) with the bone models. We see the proposed osteotomy planner tool evolving towards incorporating different cutting templates to help depict several surgical scenarios, help 'trained' surgeons maintain operating skills, help rehearse a surgical sequence before heading to the OR, or even to help surgical planning for specific patient cases.

Paper Details

Date Published: 13 March 2018
PDF: 6 pages
Proc. SPIE 10576, Medical Imaging 2018: Image-Guided Procedures, Robotic Interventions, and Modeling, 105762R (13 March 2018); doi: 10.1117/12.2293649
Show Author Affiliations
Sam Horvath, Kitware, Inc. (United States)
Beatriz Paniagua, Kitware, Inc. (United States)
Johan Andruejol, Kitware, Inc. (United States)
Antonio R. Porras, Children's National Health System (United States)
Marius George Linguraru, Children's National Health System (United States)
Andinet Enquobahrie, Kitware, Inc. (United States)

Published in SPIE Proceedings Vol. 10576:
Medical Imaging 2018: Image-Guided Procedures, Robotic Interventions, and Modeling
Baowei Fei; Robert J. Webster III, Editor(s)

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