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The virtual reality arthroscopy training simulator.
Stud Health Technol Inform. 1998; 50:13-9.SH

Abstract

Arthroscopy has already become an irreplaceable method in diagnostics. The arthroscope, with optics and light source, and the exploratory probe are inserted into the knee joint through two small incisions underneath the patella. Currently, the skills required for arthroscopy are taught through hands-on clinical experience. As arthroscopies became a more common procedure even in smaller hospitals, it became obvious that special training was necessary to guarantee qualification of the surgeons. On-the-job training proved to be insufficient. Therefore, research groups from the Berufsgenossenschaftliche Unfallklinik Frankfurt am Main approached the Fraunhofer Institute for Computer Graphics to develop a training system for arthroscopy based on virtual reality (VR) techniques. Two main issues are addressed: the three-dimensional (3-D) reconstruction process and the 3-D interaction. To provide the virtual environment a realistic representation of the region of interest with all relevant anatomical structures is required. Based on a magnetic resonance image sequence a realistic representation of the knee joint was obtained suitable for computer simulation. Two main components of the VR interface can be distinguished: the 3-D interaction to guide the surgical instruments and the 2-D graphical user interface for visual feedback and control of the session. Moreover, the 3-D interaction has to be realized by means of Virtual Reality techniques providing a simulation of an arthroscope and an intuitive handling of other surgical instruments. Currently, the main drawback of the developed simulator is the missing of haptic perception, especially of force feedback. In cooperation with the Department of Electro-Mechanical Construction at the Technical University Darmstadt a haptic display is designed and built for the VR arthroscopy training simulator. In parallel we developed a concept for the integration of the haptic display in a configurable way.

Authors+Show Affiliations

Fraunhofer Institute for Computer Graphics (Fraunhofer-IGD), Department Visualization & Virtual Reality, Darmstadt, Germany.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10180528

Citation

Müller, W, and U Bockholt. "The Virtual Reality Arthroscopy Training Simulator." Studies in Health Technology and Informatics, vol. 50, 1998, pp. 13-9.
Müller W, Bockholt U. The virtual reality arthroscopy training simulator. Stud Health Technol Inform. 1998;50:13-9.
Müller, W., & Bockholt, U. (1998). The virtual reality arthroscopy training simulator. Studies in Health Technology and Informatics, 50, 13-9.
Müller W, Bockholt U. The Virtual Reality Arthroscopy Training Simulator. Stud Health Technol Inform. 1998;50:13-9. PubMed PMID: 10180528.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The virtual reality arthroscopy training simulator. AU - Müller,W, AU - Bockholt,U, PY - 1997/12/8/pubmed PY - 1997/12/8/medline PY - 1997/12/8/entrez SP - 13 EP - 9 JF - Studies in health technology and informatics JO - Stud Health Technol Inform VL - 50 N2 - Arthroscopy has already become an irreplaceable method in diagnostics. The arthroscope, with optics and light source, and the exploratory probe are inserted into the knee joint through two small incisions underneath the patella. Currently, the skills required for arthroscopy are taught through hands-on clinical experience. As arthroscopies became a more common procedure even in smaller hospitals, it became obvious that special training was necessary to guarantee qualification of the surgeons. On-the-job training proved to be insufficient. Therefore, research groups from the Berufsgenossenschaftliche Unfallklinik Frankfurt am Main approached the Fraunhofer Institute for Computer Graphics to develop a training system for arthroscopy based on virtual reality (VR) techniques. Two main issues are addressed: the three-dimensional (3-D) reconstruction process and the 3-D interaction. To provide the virtual environment a realistic representation of the region of interest with all relevant anatomical structures is required. Based on a magnetic resonance image sequence a realistic representation of the knee joint was obtained suitable for computer simulation. Two main components of the VR interface can be distinguished: the 3-D interaction to guide the surgical instruments and the 2-D graphical user interface for visual feedback and control of the session. Moreover, the 3-D interaction has to be realized by means of Virtual Reality techniques providing a simulation of an arthroscope and an intuitive handling of other surgical instruments. Currently, the main drawback of the developed simulator is the missing of haptic perception, especially of force feedback. In cooperation with the Department of Electro-Mechanical Construction at the Technical University Darmstadt a haptic display is designed and built for the VR arthroscopy training simulator. In parallel we developed a concept for the integration of the haptic display in a configurable way. SN - 0926-9630 UR - https://www.unboundmedicine.com/medline/citation/10180528/The_virtual_reality_arthroscopy_training_simulator_ L2 - http://ebooks.iospress.nl/Extern/EnterMedLine.aspx?ISSN=0926-9630&Volume=50&SPage=13 DB - PRIME DP - Unbound Medicine ER -