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Open AccessProceedings Article

Simulation of surgical cutting in deformable bodies using a game engine

TLDR
In this paper, a low-cost simulator for robotic surgery is presented, which allows for arbitrary cuts in deformable objects using a spring mass model combined with a volumetric tetrahedral mesh.
Abstract
Simulators as a training tool for surgeons are becoming more important with the increase of minimally invasive surgery and a wish to limit training on animals, especially in the field of robotic surgery. Accessibility to surgery simulators is currently limited and the ability to cut is restricted. This paper presents a feasibility study for implementing academic methods in a low-cost game engine. Expanding on previous work, a low-cost surgery simulator is implemented to adress these issues. We focus on the implementation of cutting in deformable objects in a game engine. The deformable objects are implemented using a spring mass model combined with a volumetric tetrahedral mesh. The cutting algorithm is semi-progressive and allows for arbitrary cuts in the deformable objects. The prototype was evaluated by a chief surgeon with expertise in robot surgery and experience with commercial simulators. The low-cost prototype presents a step towards robotic surgery simulators that are able to simulate complete surgical procedures.

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References
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TetGen: A quality tetrahedral mesh generator and a 3D Delaunay triangulator (Version 1.5 --- User's Manual)

Hang Si
TL;DR: A brief explanation of the kind of tetrahedralizations and meshing problems handled by TetGen is given and fairly detailed documentation about the usage of the program is given.
Journal ArticleDOI

Robotic Surgery Training with Commercially Available Simulation Systems in 2011: A Current Review and Practice Pattern Survey from the Society of Urologic Robotic Surgeons

TL;DR: Virtual reality simulators have a definite role in the future of robotic surgical training, and their largest impact will be appreciated when incorporated into a comprehensive educational curriculum.

Progressive cutting with minimal new element creation of soft tissue models for interactive surgical simulation

Andrew Mor, +1 more
TL;DR: A method for simulating cutting of soft tissue within a physically based surgical simulator that works on subdividing tetrahedral meshes while impacting model and simulator efficiency as little as possible.
Proceedings ArticleDOI

Animating cuts with on-the-fly re-meshing

TL;DR: This paper proposes an on-the-fly tetrahedral simplification scheme to cope with such a fragmentation problem and shows that the mesh exhibits a higher density where it has been cut than elsewhere.
Journal ArticleDOI

Initial experiences with RoSS surgical simulator in residency training: a validity and model analysis

TL;DR: The RoSS surgical simulator accurately corresponds to training level and is a valid evaluation tool of training experience, and participant opinion showed that residents feel that robotic training is an important part of their education and that the simulator is an effective supplement.
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