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International Journal of Computer Assisted Radiology and Surgery
Erschienen in: International Journal of Computer Assisted Radiology and Surgery 4/2016

01.04.2016 | Original Article

Development of preoperative planning software for transforaminal endoscopic surgery and the guidance for clinical applications

verfasst von: Xiaojun Chen, Jun Cheng, Xin Gu, Yi Sun, Constantinus Politis

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 4/2016

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Abstract

Purpose

Preoperative planning is of great importance for transforaminal endoscopic techniques applied in percutaneous endoscopic lumbar discectomy. In this study, a modular preoperative planning software for transforaminal endoscopic surgery was developed and demonstrated.

Methods

The path searching method is based on collision detection, and the oriented bounding box was constructed for the anatomical models. Then, image reformatting algorithms were developed for multiplanar reconstruction which provides detailed anatomical information surrounding the virtual planned path. Finally, multithread technique was implemented to realize the steady-state condition of the software.

Results

A preoperative planning software for transforaminal endoscopic surgery (TE-Guider) was developed; seven cases of patients with symptomatic lumbar disc herniations were planned preoperatively using TE-Guider. The distances to the midlines and the direction of the optimal paths were exported, and each result was in line with the empirical value.

Conclusions

TE-Guider provides an efficient and cost-effective way to search the ideal path and entry point for the puncture. However, more clinical cases will be conducted to demonstrate its feasibility and reliability.
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Metadaten
Titel
Development of preoperative planning software for transforaminal endoscopic surgery and the guidance for clinical applications
verfasst von
Xiaojun Chen
Jun Cheng
Xin Gu
Yi Sun
Constantinus Politis
Publikationsdatum
01.04.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
International Journal of Computer Assisted Radiology and Surgery / Ausgabe 4/2016
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-015-1282-2

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