博碩士論文 973203084 詳細資訊




以作者查詢圖書館館藏 以作者查詢臺灣博碩士 以作者查詢全國書目 勘誤回報 、線上人數:54 、訪客IP:3.81.97.37
姓名 俞首安(Shou-An Yu)  查詢紙本館藏   畢業系所 機械工程學系
論文名稱 電腦輔助骨盆骨折術前評估系統發展
(On the development of a computer-assisted preoperative evaluation system for pelvis surgery)
相關論文
★ 光纖通訊主動元件之光收發模組由上而下CAD模型設計流程探討★ 汽車鈑金焊接之夾治具精度分析與改善
★ 輪胎模具反型加工路徑規劃之整合研究★ 自動化活塞扣環壓入設備之開發
★ 光學鏡片模具設計製造與射出成形最佳化研究★ CAD模型基礎擠出物之實體網格自動化建構技術發展
★ 塑膠射出薄殼件之CAD模型凸起面特徵辨識與分模應用技術發展★ 塑膠射出成型之薄殼件中肋與管設計可製造化分析與設計變更技術研究
★ 以二維影像重建三維彩色模型之色彩紋理貼圖技術與三維模型重建系統發展★ 結合田口法與反應曲面法之光學鏡片射出成型製程參數最佳化分析
★ 薄殼零件薄殼本體之結構化實體網格自動建構技術發展★ Boss特徵之結構化實體網格自動化建構技術發展
★ 應用於模流分析之薄殼元件CAD模型特徵辨識與分解技術發展★ 實體網格建構對於塑膠光學元件模流分析 之影響探討
★ 螺槳葉片逆向工程CAD模型重建與檢測★ 電腦輔助紋理影像辨識與點資料視覺化研究
檔案 [Endnote RIS 格式]    [Bibtex 格式]    [相關文章]   [文章引用]   [完整記錄]   [館藏目錄]   [檢視]  [下載]
  1. 本電子論文使用權限為同意立即開放。
  2. 已達開放權限電子全文僅授權使用者為學術研究之目的,進行個人非營利性質之檢索、閱讀、列印。
  3. 請遵守中華民國著作權法之相關規定,切勿任意重製、散佈、改作、轉貼、播送,以免觸法。

摘要(中) 骨釘與骨板為內固定手術中常使用的植入物,通常醫師必須在術中判斷合適的植入物大小與外形後以螺釘鎖入,固定於骨折部位,但當植入物原本的外形與骨折部位差異過大,則必須將植入物彎折至合適的外形後再進行固定。為了讓醫師能夠於術前得到足夠的輔助資訊,本研究擬發展電腦輔助骨盆手術規劃系統,而此系統架構可分為:(1)電腦斷層影像三維顯示,(2)破裂骨骼分離與三維網格模型重建,(3)破裂骨骼復位,(4)骨板安裝模擬,其中以破裂骨骼復位技術的發展為主,提供一自動與手動的方式進行破裂骨骼復位,並實際以數個骨盆資料進行重建與復位,說明本流程之可行性,期望藉由該復位功能的開發,能夠模擬植入物與骨組織的搭配情形,並提供相關的參考資料,讓醫師於手術前可以針對骨骼外形挑選合適的骨釘骨板等植入物。
摘要(英) Bone nail and bone plate are commonly used in pelvis surgery. In general, the doctor has to determine suitable implants during the surgery and adjust the shape of the plate so that it can be mounted on the broken bone appropriately. In this study, a computer aided preoperative system for the pelvis surgery is developed. It mainly contains the following features: (1) three-dimensional display of CT images, (2) segmentation of bone structures and generation of triangle meshes, (3) registration of broken bones, and (4) bone plate design and simulation. Registration of broken bones is particularly investigated in this study. An automatic registration algorithm and a manual registration algorithm are developed for the alignment of broken bones. The automatic approach is preferred when a reference bone is available. Otherwise, the manual approach is employed. Several examples are used to demonstrate the feasibility of the proposed method. With such a preoperative evaluation system, a three-dimensional preview of the fractured pelvis is feasible and a surgery planning by means of three-dimensional pelvic model can be performed.
關鍵字(中) ★ 骨盆骨折
★ 術前規劃
★ 骨折處重建
★ 定位
關鍵字(英) ★ pelvic surgery planning
★ pelvis fracture
★ registration
★ fracture reconstruction
論文目次 摘要................................................ I
Abstract ............................................II
誌謝.................................................III
目錄................................................ IV
圖目錄.............................................. VI
表目錄.............................................. IX
第一章 緒論.........................................1
1.1 前言............................................1
1.2 文獻回顧........................................5
1.2.1 骨盆骨折手術治療方式..........................5
1.2.2 電腦輔助手術系統發展..........................6
1.3 研究目的與方法..................................7
1.3.1 研究目的......................................7
1.3.2 研究方法......................................8
1.4 論文架構........................................11
第二章 電腦輔助骨盆手術規劃.........................12
2.1 前言............................................12
2.2 骨盆骨折分類....................................12
2.3 目前外科手術方式與醫師面臨問題..................15
2.4 電腦輔助骨盆手術規劃系統架構....................25
2.4.1 三維CT 影像顯示...............................27
2.4.2 骨骼區域分離..................................29
2.4.3 網格模型重建..................................29
2.4.4 破裂骨骼復位..................................30
2.4.5 重建型骨板設計與RP 原型製造...................31
第三章 骨盆骨折復位.................................34
3.1 前言............................................34
3.2 自動復位........................................34
3.2.1 鏡射面決定....................................35
3.2.2 點資料定位....................................37
3.3 手動復位........................................61
3.3.1 座標轉置矩陣..................................61
3.3.2 WCS 座標系統定義..............................62
3.4 骨組織復位流程..................................64
第四章 範例驗證及探討...............................76
4.1 前言............................................76
4.2 自動定位演算法驗證..............................76
4.3 骨盆對稱性分析..................................79
4.4 實際骨折案例說明與討論..........................83
第五章 結論與未來展望...............................98
5.1 結論............................................98
5.2 未來展望........................................99
參考文獻............................................100
參考文獻 [1] C. Moreno, E. E. Moore, A. Rosenberger and H. C. Cleveland, “Hemorrhage associated with major pelvic fracture: a multi specialty challenge”, The Journal of Trauma, Vol. 26, No. 11, pp. 955-1063, November 1986.
[2] L. Flint, G. Babikian, M. Anders, J. Rodriguez and S. Steinberg, “ Definitive control of mortality from severe pelvic fracture”, Annals of Surgery, Vol. 211, No. 6, pp. 703-707, June 1990.
[3] G. F. Pennal, M. Tile and J. P. Waddell, “Pelvic disruption: assessment and classification”, Clinical Orthopaedics and Related Research, Vol. 151, pp. 12-21, 1980.
[4] M. Tile, Fractures of the pelvis and acetabulum, Williams& Wilkins, 1984.
[5] J. W. Young, A. R. Burgess, R. J. Brumback and A. Poka, “Pelvic fractures: value of plain radiography in early assessment and management”, Radiology, Vol. 160, pp. 445-451, August 1986.
[6] M. Tile, “Pelvic ring fractures: should they be fixed”, The Journal of Bone and Joint Surgery(Br), Vol. 70-B, pp. 1-12, 1988.
[7] M. Tile, “The management of unstable injuries of the pelvic ring”, The Journal of Bone and Joint Surgery(Br), Vol. 81-B, No. 6, pp. 941-943, November 1999.
[8] M. Tile, “Pelvic fractures: operative versus nonoperative treatment”, The Orthopedic clinics of North America, Vol. 11, No. 3, pp. 423-464, July 1980.
[9] M. Tile, “Acute pelvic fractures. I. Causation and classification”, Journal of the American Academy of Orthopaedic Surgeons, Vol. 4, No. 3, pp. 143-151, 1996.
[10] R. J. Goris, J. S. Gimbrère, J. L. van Niekerk, F. J. Schoots and L. H. Booy, “Improved survival of multiple injured patients by early external fixation and prophylactic mechanical ventilation”, Injury, Vol. 12, pp. 39-47, 1982.
[11] A. M, Mohsen and R. Phillips, “Letter of the reviewers–—update on CAOS projects”, Injury, Vol. 35, pp. S-A2-S-A5, 2004.
[12] H. Handels, J. Ehrhardt, W. Plotz and S. J. Poppl, “Three-dimensional planning and simulation of hip operations and computerassisted construction of endoprostheses in bone tumor surgery”, Computer Aided Surgery, Vol. 6, No. 2, pp. 65-76, 2001.
[13] F. Langlotz, R. Bächler, U. Berlemann, L. P. Nolte and R. Ganz, “Computer assistance for pelvic osteotomies”, Clinical Orthopaedics and Related Research, Vol. 354, pp. 92-102, 1998.
[14] J. Bruns, C. R. Habermann , W. Ru¨ther and D. Delling, “The use of CT derived solid modelling of the pelvis in planning cancer resections”, European Journal of Surgical Oncology, 2009.
[15] C. Matej and K. Anze, “Preoperative planning in pelvic and acetabular surgery: The value of advanced computerized planning modules”, Injury, Vol. 38, pp. 442-449, 2007.
[16] L. P. Nolte, L. Zamorano, Z. Jiang, Q. Wang, F. Langlotz and U. Berlemann, “Image-guided insertion of transpedicular screws : A Laboratory Set-Up”, Spine, Vol. 20, pp. 497-500, 1995.
[17] L. P. Nolte, L. Zamorano, H. Visarius, U. Berlemann, F. Langlotz, E. Arm and O. Schwarzenbach, “Clinical evaluation of a system for precision enhancement in spine surgery”, Clinical Biomechanics, Vol. 10, No. 6, pp. 293-303, 1995.
[18] L. P. Nolte, H. Visarius, E. Arm, F. Langlotz, O. Schwarzenbach and L. Zamorano, “Computer-aided fixation of spinal implants”, Computer Aided Surgery,Vol. 1, pp. 88-93, 1995.
[19] P. Peters , F. Langlotz and L. P. Nolte, “Computer assisted screw insertion into real 3D rapid prototyping pelvis models”, Clinical Biomechanics,Vol. 17, pp. 376-382, 2002.
[20] T. Laine, T. Lund, M. Ylikoski, J. Lohikoski and D. Schlenzka, “Accuracy of pedicle screw insertion with and without computer assistance: a randomized controlled clinical study in 100 consecutive patients”, European Spine Journal, Vol. 9, pp. 235-240, 2000.
[21] O. Schwarzenbach, U. Berlemann, B. Jost, H. Visarius, E. Arm, F. Langlotz, L. P. Nolte and C. Ozdoba “Accuracy of computer assisted pedicle screw placement an in vivo computed tomography analysis”, Spine, Vol. 22, pp. 452-458, 1997.
[22] 經筋手療思路(YCT), http://yct99.pixnet.net/blog/post/26114293.
[23] 吳嘉莉, “下肢骨折之護理”, 1995.
[24] 張發元, 段廣斌, 「不穩定骨盆骨折手術內固定19例分析」, 長治醫學院學報, 2007.
[25] 羅賴均, “醫學影像之三維顯示與骨組織三角網格重建技術探討”, 國立中央大學機械工程學系碩士論文, 2009.
[26] 莊曜瑋, “電腦輔助下顎骨切割與重建手術規劃”, 國立中央大學機械工程學系碩士論文, 2010.
[27] K. S. Arun, T. S. Huang and S. D. Blostein, “Least-squares fitting of two 3-D point sets”, IEEE Transactions on Pattern Analysis and Machine Intelligence, Vol. 9, No. 5, pp. 698-700, 1987.
[28] J. Y. Lai, S. H. Shu and Y.C. Huang, “A cell subdivision strategy for r-nearestneighbors computation”, Journal of the Chinese Institute of Engineers, Vol. 29, No. 6, pp. 953-965, 2006.
指導教授 賴景義(Jiing-Yih Lai) 審核日期 2010-7-19
推文 facebook   plurk   twitter   funp   google   live   udn   HD   myshare   reddit   netvibes   friend   youpush   delicious   baidu   
網路書籤 Google bookmarks   del.icio.us   hemidemi   myshare   

若有論文相關問題,請聯絡國立中央大學圖書館推廣服務組 TEL:(03)422-7151轉57407,或E-mail聯絡  - 隱私權政策聲明