RESUMO
Creating a three-dimensional (3D)-printed liver model is costly, and the visibility of the inner structures is slightly hindered. We developed a novel structure that simultaneously solves both of these problems. The outer frames were set up along the liver surface. Our structure did not use the transparent loading material because this material increases the printing cost. Therefore, we were able to directly observe the inside of the structure. We performed hepatectomy using this novel 3D-printed liver model. Using this model, we were able to clearly simulate the resection line and safely perform the surgery. Our process was more cost effective, had a shorter production time, and improved the visibility than other processes. We developed a novel 3D-printed liver for hepatectomy, which made the procedure easier, reduced the production cost, and improved the visibility; this approach may be useful for future surgeries.
Assuntos
Hepatectomia/métodos , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/cirurgia , Fígado/irrigação sanguínea , Fígado/diagnóstico por imagem , Modelos Anatômicos , Impressão Tridimensional , Redução de Custos , Humanos , Fígado/cirurgia , Neoplasias Hepáticas/irrigação sanguínea , Impressão Tridimensional/economia , Tomografia Computadorizada por Raios XRESUMO
AIM: To develop a novel 3-dimensional (3D) virtual hepatectomy simulation software, Liversim, to visualize the real-time deformation of the liver. METHODS: We developed a novel real-time virtual hepatectomy simulation software program called Liversim. The software provides 4 basic functions: viewing 3D models from arbitrary directions, changing the colors and opacities of the models, deforming the models based on user interaction, and incising the liver parenchyma and intrahepatic vessels based on user operations. From April 2010 through 2013, 99 patients underwent virtual hepatectomies that used the conventional software program SYNAPSE VINCENT preoperatively. Between April 2012 and October 2013, 11 patients received virtual hepatectomies using the novel software program Liversim; these hepatectomies were performed both preoperatively and at the same that the actual hepatectomy was performed in an operating room. The perioperative outcomes were analyzed between the patients for whom SYNAPSE VINCENT was used and those for whom Liversim was used. Furthermore, medical students and surgical residents were asked to complete questionnaires regarding the new software. RESULTS: There were no obvious discrepancies (i.e., the emergence of branches in the portal vein or hepatic vein or the depth and direction of the resection line) between our simulation and the actual surgery during the resection process. The median operating time was 304 min (range, 110 to 846) in the VINCENT group and 397 min (range, 232 to 497) in the Liversim group (P = 0.30). The median amount of intraoperative bleeding was 510 mL (range, 18 to 5120) in the VINCENT group and 470 mL (range, 130 to 1600) in the Liversim group (P = 0.44). The median postoperative stay was 12 d (range, 6 to 100) in the VINCENT group and 13 d (range, 9 to 21) in the Liversim group (P = 0.36). There were no significant differences in the preoperative outcomes between the two groups. Liversim was not found to be clinically inferior to SYNAPSE VINCENT. Both students and surgical residents reported that the Liversim image was almost the same as the actual hepatectomy. CONCLUSION: Virtual hepatectomy with real-time deformation of the liver using Liversim is useful for the safe performance of hepatectomies and for surgical education.
Assuntos
Neoplasias dos Ductos Biliares/cirurgia , Carcinoma Hepatocelular/cirurgia , Colangiocarcinoma/cirurgia , Hepatectomia/métodos , Imageamento Tridimensional , Neoplasias Hepáticas/cirurgia , Interpretação de Imagem Radiográfica Assistida por Computador , Design de Software , Cirurgia Assistida por Computador/métodos , Tomografia Computadorizada por Raios X , Adulto , Idoso , Idoso de 80 Anos ou mais , Neoplasias dos Ductos Biliares/diagnóstico por imagem , Neoplasias dos Ductos Biliares/patologia , Perda Sanguínea Cirúrgica , Carcinoma Hepatocelular/diagnóstico por imagem , Carcinoma Hepatocelular/patologia , Colangiocarcinoma/diagnóstico por imagem , Colangiocarcinoma/patologia , Gráficos por Computador , Simulação por Computador , Educação Médica/métodos , Feminino , Hepatectomia/efeitos adversos , Hepatectomia/educação , Humanos , Internato e Residência , Tempo de Internação , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/patologia , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Estudos Retrospectivos , Estudantes de Medicina/psicologia , Cirurgiões/psicologia , Cirurgia Assistida por Computador/efeitos adversos , Inquéritos e Questionários , Fatores de Tempo , Resultado do Tratamento , Interface Usuário-Computador , Percepção Visual , Adulto JovemRESUMO
Card weaving is a simple, easy weaving method, but designing patterns is typically laborious and requires knowledge, experience, and skill. The Weavy system helps users design and weave original patterns with or without repeating elements. In the latter case, the system automatically considers constraints such as the number of yarn colors and the cards' rotation direction. Following Weavy's construction guide, users weave the pattern they've created. Researchers exhibited Weavy at the ACM Siggraph 2013 Studio and ran a small workshop for children in Japan. In both cases, the participants quickly learned how to use Weavy and enjoyed designing and weaving objects.
RESUMO
Character pose design is one of the most fundamental processes in computer graphics authoring. Although there are many research efforts in this field, most existing design tools consider only character body structure, rather than its interaction with the environment. This paper presents an intuitive sketching interface that allows the user to interactively place a 3D human character in a sitting position on a chair. Within our framework, the user sketches the target pose as a 2D stick figure and attaches the selected joints to the environment (e.g., the feet on the ground) with a pin tool. As reconstructing the 3D pose from a 2D stick figure is an ill-posed problem due to many possible solutions, the key idea in our paper is to reduce solution space by considering the interaction between the character and environment and adding physics constraints, such as balance and collision. Further, we formulated this reconstruction into a nonlinear optimization problem and solved it via the genetic algorithm (GA) and the quasi-Newton solver. With the GPU implementation, our system is able to generate the physically correct and visually pleasing pose at an interactive speed. The promising experimental results and user study demonstrates the efficacy of our method.
Assuntos
Algoritmos , Gráficos por Computador , Imageamento Tridimensional/métodos , Postura/fisiologia , Adulto , Feminino , Humanos , Masculino , Adulto JovemRESUMO
A proposed system lets users create a 3D scene easily and quickly from a single image. The scene model consists of background and foreground objects whose coordinates the system calculates on the basis of a boundary between the ground plane and a wall plane. The system quickly extracts foreground objects by combining image segmentation and graph-cut-based optimization. It enables efficient modeling of foreground objects, easy creation of their textures, and rapid construction of scene models that are simple but produce sufficient 3D effects.