Soonchunhyang Med Sci.  2018 Dec;24(2):142-146. 10.0000/sms.2018.24.2.142.

Novel Three-Dimensional Image-Guided Surgery: Application of a Computed Tomography-Based Three-Dimensional Model Using a Tablet Device

Affiliations
  • 1Department of Surgery, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. orsay@schmc.ac.kr

Abstract


OBJECTIVE
A tablet device has several medical applications because it's portability. Most importantly, its powerful graphics and touch-based features have several benefits in the surgical field, especially for generating three-dimensional (3D) images based on patients' computed tomography (CT) scans.
METHODS
In this study, 3D objects were manipulated by an operator on an iPad during several laparoscopic surgeries of intra-abdominal organs. Before surgery, 3D structures, such as vessels, soft tissues, and bones, were reconstructed by the surgeon using the patients' CT scans on the patients' bed-side personal computer.
RESULTS
In this study, 3D image-guided surgeries were performed using an iPad in five patients. The benefits of this technique were recorded and analyzed in detail by the surgeon.
CONCLUSION
Although in a pilot phase with unresolved issues, direct intra-operative handling of a patient-tailored 3D model developed using a tablet device could be useful compared with conventional two-dimensional imaging.

Keyword

Tablet device; iPad; Three-dimensional image-guided surgery; Laparoscopy
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