Abstract: The evaluation and measurement of human body
dimensions are achieved by physical anthropometry. This research
was conducted in view of the importance of anthropometric indices
of the face in forensic medicine, surgery, and medical imaging. The
main goal of this research is to optimization of facial feature point by
establishing a mathematical relationship among facial features and
used optimize feature points for age classification. Since selected
facial feature points are located to the area of mouth, nose, eyes and
eyebrow on facial images, all desire facial feature points are extracted
accurately. According this proposes method; sixteen Euclidean
distances are calculated from the eighteen selected facial feature
points vertically as well as horizontally. The mathematical
relationships among horizontal and vertical distances are established.
Moreover, it is also discovered that distances of the facial feature
follows a constant ratio due to age progression. The distances
between the specified features points increase with respect the age
progression of a human from his or her childhood but the ratio of the
distances does not change (d = 1 .618 ) . Finally, according to the
proposed mathematical relationship four independent feature
distances related to eight feature points are selected from sixteen
distances and eighteen feature point-s respectively. These four feature
distances are used for classification of age using Support Vector
Machine (SVM)-Sequential Minimal Optimization (SMO) algorithm
and shown around 96 % accuracy. Experiment result shows the
proposed system is effective and accurate for age classification.
Abstract: The institutions seek to improve their performance
and quality of service, so that their patients are satisfied. This
research project aims, conduct a time study program in the area of
gynecological surgery, to determine the current level of capacity and
optimize the programming time in order to adequately respond to
demand. The system is analyzed by waiting lines and uses the
simulation using ARENA to evaluate proposals for improvement and
optimization programming time each of the surgeries.
Abstract: The present paper presents a finite element model and
analysis for the interaction between a piezoresistive tactile sensor and
biological tissues. The tactile sensor is proposed for use in minimally
invasive surgery to deliver tactile information of biological tissues to
surgeons. The proposed sensor measures the relative hardness of soft
contact objects as well as the contact force. Silicone rubbers were
used as the phantom of biological tissues. Finite element analysis of
the silicone rubbers and the mechanical structure of the sensor were
performed using COMSOL Multiphysics (v3.4) environment. The
simulation results verify the capability of the sensor to be used to
differentiate between different kinds of silicone rubber materials.
Abstract: The overall penumbra is usually defined as the
distance, p20–80, separating the 20% and 80% of the dose on the beam axis at the depth of interest. This overall penumbra accounts
also for the fact that some photons emitted by the distal parts of the source are only partially attenuated by the collimator. Medulloblastoma is the most common type of childhood brain tumor
and often spreads to the spine. Current guidelines call for surgery to remove as much of the tumor as possible, followed by radiation of the brain and spinal cord, and finally treatment with chemotherapy.
The purpose of this paper was to present results on an Uniformity of dose distribution in radiation fields surrounding the spine using film
dosimetry and comparison with 3D treatment planning software.
Abstract: In the present study, changes of morphology and
mechanical characteristics in the lumbar vertebrae of the
ovariectomised (OVX) rat were investigated. In previous researches,
there were many studies about morphology like volume fraction and
trabecular thickness based on Micro - Computed Tomography (Micro
- CT). However, detecting and tracking long-term changes in the
trabecular bone of the lumbar vertebrae for the OVX rat were few. For
this study, one female Sprague-Dawley rat was used: an OVX rat. The
4th Lumbar of the OVX rat was subjected to in-vivo micro-CT.
Detecting and tracking long-term changes could be investigated in the
trabecular bone of the lumbar vertebrae for an OVX rat using in-vivo
micro-CT. An OVX rat was scanned at week 0 (just before surgery), at
week 4, at week 8, week 16, week 22 and week 56 after surgery. Finite
element (FE) analysis was used to investigate mechanical
characteristics of the lumbar vertebrae for an OVX rat. When the OVX
rat (at week 56) was compared with the OVX rat (at week 0), volume
fraction was decreased by 80% and effective modulus was decreased
by 75%.
Abstract: 2D/3D registration is a special case of medical image
registration which is of particular interest to surgeons. Applications
of 2D/3D registration are [1] radiotherapy planning and treatment
verification, spinal surgery, hip replacement, neurointerventions and
aortic stenting. The purpose of this paper is to provide a literature
review of the main methods for image registration for the 2D/3D
case. At the end of the paper an algorithm is proposed for 2D/3D
registration based on the Chebyssev polynomials iteration loop.
Abstract: Compensating physiological motion in the context
of minimally invasive cardiac surgery has become an attractive
issue since it outperforms traditional cardiac procedures offering
remarkable benefits. Owing to space restrictions, computer vision
techniques have proven to be the most practical and suitable solution.
However, the lack of robustness and efficiency of existing methods
make physiological motion compensation an open and challenging
problem. This work focusses on increasing robustness and efficiency
via exploration of the classes of 1−and 2−regularized optimization,
emphasizing the use of explicit regularization. Both approaches are
based on natural features of the heart using intensity information.
Results pointed out the 1−regularized optimization class as the best
since it offered the shortest computational cost, the smallest average
error and it proved to work even under complex deformations.
Abstract: The use of machine vision to inspect the outcome of
surgical tasks is investigated, with the aim of incorporating this
approach in robotic surgery systems. Machine vision is a non-contact
form of inspection i.e. no part of the vision system is in direct contact
with the patient, and is therefore well suited for surgery where
sterility is an important consideration,. As a proof-of-concept, three
primary surgical tasks for a common neurosurgical procedure were
inspected using machine vision. Experiments were performed on
cadaveric pig heads to simulate the two possible outcomes i.e.
satisfactory or unsatisfactory, for tasks involved in making a burr
hole, namely incision, retraction, and drilling. We identify low level
image features to distinguish the two outcomes, as well as report on
results that validate our proposed approach. The potential of using
machine vision in a surgical environment, and the challenges that
must be addressed, are identified and discussed.
Abstract: This paper presents a system for tracking the movement of laparoscopic instruments which is based on an orthogonal system of webcams and video image processing. The movements are captured with two webcams placed orthogonally inside of the physical trainer. On the image, the instruments were detected by using color markers placed on the distal tip of each instrument. The 3D position of the tip of the instrument within the work space was obtained by linear triangulation method. Preliminary results showed linearity and repeatability in the motion tracking with a resolution of 0.616 mm in each axis; the accuracy of the system showed a 3D instrument positioning error of 1.009 ± 0.101 mm. This tool is a portable and low-cost alternative to traditional tracking devices and a trustable method for the objective evaluation of the surgeon’s surgical skills.
Abstract: The blood ducts must be occluded to avoid loss of
blood from vessels in laparoscopic surgeries. This paper presents a
locking mechanism to be used in a ligation laparoscopic procedure
(LigLAP I), as an alternative solution for a stapling procedure.
Currently, stapling devices are being used to occlude vessels. Using
these devices may result in some problems, including injury of bile
duct, taking up a great deal of space behind the vessel, and bile leak.
In this new procedure, a two-layer suture occludes a vessel. A
locking mechanism is also required to hold the suture. Since there is
a limited space at the device tip, a Shape Memory Alloy (SMA)
actuator is used in this mechanism. Suitability for cleanroom
applications, small size, and silent performance are among the
advantages of SMA actuators in biomedical applications. An
experimental study is conducted to examine the function of the
locking mechanism. To set up the experiment, a prototype of a
locking mechanism is built using nitinol, which is a nickel-titanium
shape memory alloy. The locking mechanism successfully locks a
polymer suture for all runs of the experiment. In addition, the effects
of various surface materials on the applied pulling forces are studied.
Various materials are mounted at the mechanism tip to compare the
maximum pulling forces applied to the suture for each material. The
results show that the various surface materials on the device tip
provide large differences in the applied pulling forces.
Abstract: This paper presents the design of a ring-shaped tri-axial fore sensor that can be incorporated into the tip of a guidewire for use in minimally invasive surgery (MIS). The designed sensor comprises a ring-shaped structure located at the center of four cantilever beams. The ringdesign allows surgical tools to be easily passed through which largely simplified the integration process. Silicon nanowires (SiNWs) are used aspiezoresistive sensing elementsembeddedon the four cantilevers of the sensor to detect the resistance change caused by the applied load.An integration scheme with new designed guidewire tip structure having two coils at the distal end is presented. Finite element modeling has been employed in the sensor design to find the maximum stress location in order to put the SiNWs at the high stress regions to obtain maximum output. A maximum applicable force of 5 mN is found from modeling. The interaction mechanism between the designed sensor and a steel wire has been modeled by FEM. A linear relationship between the applied load on the steel wire and the induced stress on the SiNWs were observed.
Abstract: Minimally invasive surgery (MIS) is now being widely used as a preferred choice for various types of operations. The need to detect various tactile properties, justifies the key role of tactile sensing that is currently missing in MIS. In this regard, Laparoscopy is one of the methods of minimally invasive surgery that can be used in kidney stone removal surgeries. At this moment, determination of the exact location of stone during laparoscopy is one of the limitations of this method that no scientific solution has been found for so far. Artificial tactile sensing is a new method for obtaining the characteristics of a hard object embedded in a soft tissue. Artificial palpation is an important application of artificial tactile sensing that can be used in different types of surgeries. In this study, a new method for determining the exact location of stone during laparoscopy is presented. In the present study, the effects of stone existence on the surface of kidney were investigated using conceptual 3D model of kidney containing a simulated stone. Having imitated palpation and modeled it conceptually, indications of stone existence that appear on the surface of kidney were determined. A number of different cases were created and solved by the software and using stress distribution contours and stress graphs, it is illustrated that the created stress patterns on the surface of kidney show not only the existence of stone inside, but also its exact location. So three-dimensional analysis leads to a novel method of predicting the exact location of stone and can be directly applied to the incorporation of tactile sensing in artificial palpation, helping surgeons in non-invasive procedures.
Abstract: Sensorized instruments that accurately measure the interaction forces (between biological tissue and instrument endeffector) during surgical procedures offer surgeons a greater sense of immersion during minimally invasive robotic surgery. Although there is ongoing research into force measurement involving surgical graspers little corresponding effort has been carried out on the measurement of forces between scissor blades and tissue. This paper presents the design and development of a force measurement test apparatus, which will serve as a sensor characterization and evaluation platform. The primary aim of the experiments is to ascertain whether the system can differentiate between tissue samples with differing mechanical properties in a reliable, repeatable manner. Force-angular displacement curves highlight trends in the cutting process as well the forces generated along the blade during a cutting procedure. Future applications of the test equipment will involve the assessment of new direct force sensing technologies for telerobotic surgery.
Abstract: Rapid Prototyping (RP) is a technology that produces models and prototype parts from 3D CAD model data, CT/MRI scan data, and model data created from 3D object digitizing systems. There are several RP process like Stereolithography (SLA), Solid Ground Curing (SGC), Selective Laser Sintering (SLS), Fused Deposition Modeling (FDM), 3D Printing (3DP) among them SLS and FDM RP processes are used to fabricate pattern of custom cranial implant. RP technology is useful in engineering and biomedical application. This is helpful in engineering for product design, tooling and manufacture etc. RP biomedical applications are design and development of medical devices, instruments, prosthetics and implantation; it is also helpful in planning complex surgical operation. The traditional approach limits the full appreciation of various bony structure movements and therefore the custom implants produced are difficult to measure the anatomy of parts and analyze the changes in facial appearances accurately. Cranioplasty surgery is a surgical correction of a defect in cranial bone by implanting a metal or plastic replacement to restore the missing part. This paper aims to do a comparative study on the dimensional error of CAD and SLS RP Models for reconstruction of cranial defect by comparing the virtual CAD with the physical RP model of a cranial defect.