脳動脈瘤クリッピングシミュレータの開発

  • 庄野 直之
    東京大学大学院医学系研究科脳神経外科学
  • 金 太一
    東京大学大学院医学系研究科脳神経外科学
  • 斉藤 雄介
    東京大学大学院医学系研究科臨床情報工学
  • 斎藤 季
    東京大学大学院医学系研究科臨床情報工学
  • 斉藤 延人
    東京大学大学院医学系研究科脳神経外科学
  • 小山 博史
    東京大学大学院医学系研究科臨床情報工学

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タイトル別名
  • Development of a Virtual Cerebral Aneurysm Clipping Simulator

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<p>BACKGROUND: Subarachnoid hemorrhages may occur spontaneously from a ruptured cerebral aneurysm. The placement of clips around the neck of the aneurysm (clipping) is one of the very common surgical treatments. However, clipping is a challenging surgery for most neurosurgeons. To help support the surgeon’s decision-making process and preoperative surgical planning, we developed a VR clipping simulator (ClipSim).</p><p>METHODS: High definition 3DCG models such as aneurysms, arteries, and brain were segmented by Amira® software (FEI, Hillsboro, OR) and surgical clips were modeled by Maya® software (Autodesk, San Rafael, CA). These models were integrated and simulated into Unity® (Unity Technologies, San Francisco, CA) software.</p><p>RESULTS: We successfully developed a real-time, interactive, clipping simulator with an aneurysm deformable model used by PhysX real-time physics engine (Ageia, Santa Clara, CA). In conclusion, the simulator may be useful prior to surgery during the surgeon’s decision making process for selecting the most appropriate clips.</p>

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