骨科手術術前規劃之觸控平台發展

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姓名

施彥佑(Yen-Yo Shirh) 查詢紙本館藏

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機械工程學系

論文名稱

骨科手術術前規劃之觸控平台發展
(On the Development of a Touchscreen Platform for the Preoperative Planning of Orthopedic Surgery)

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摘要(中)

醫學影像為現今主流的醫療診斷模式，並被使用於各大醫療院所
，在大大量的使用需求下，醫學影像軟體開始迅速發展，但卻未立即為專科醫師採用，除了軟體的價格問題以及技術的信任問題之外，軟體高操作難度或是複雜的作業程序，是阻礙醫師使用的主要原因，因此，本研究發展一以觸控操作為主的骨科手術規劃平台，以觸控簡單操作的特性，讓醫師毋須經過複雜的訓練便能夠上手使用，平台兼具良好的擴充性，未來可結合各類專業的手術模組，提供更廣泛的協助。本研究針對平台特性設計一觸控操作介面，並以觸控操作思維重新設計各功能的操作程序，簡化平台操作，並結合骨盆創傷手術術前評估模組，讓平台可針對骨盆手術進行手術規劃。本研究後續協助了兩個骨盆骨折案例，以本研究設計的輔助流程，逐步協助醫師進行手術規劃，其中一例於術前輸出輔助資訊，並實際應用於手術中，以此驗證了本平台之可行性。

摘要(英)

Medical imaging has been commonly used for diagnosis in most hospitals. It makes medical visualization system (MVS) evolutionary, but MVS is still not widely used in health care. One of the main reasons is that it is not ease-of-use, and needs lengthy training procedure. The aim of this study is to develop a MVS for the application in orthopedic surgery. The proposed MVS is called PhysiGuide, which combines with the multi-touch module to make the operation of the system more user-friendly. PhysiGuide can accept the variety of surgical planning modules to assist the preoperative planning of various orthopedic surgeries. A particular module for the preoperative planning of pelvic surgery is developed in this study. Two clinical cases are discussed to demonstrate the entire process of the proposed system. Supplementary information is output from the proposed system and is helpful for the surgeons in decision making, demonstrating the feasibility of the proposed system.

關鍵字(中)

★ 多點觸控
★ 術前規劃
★ 骨盆骨折
★ 醫學影像系統

關鍵字(英)

★ multi-touch
★ pelvis fracture
★ medical visualization system
★ surgical planning

論文目次

摘要 ...I
Abstract ...II
誌謝 ...III
目錄 ...IV
圖目錄 ...VII
表目錄 ...XI
第一章緒論 ...1
1.1 前言 ...1
1.2 文獻回顧 ...4
1.2.1 互動式醫學影像平台 ...4
1.2.2 電腦輔助手術規劃 ...5
1.3 研究目的與方法 ...6
1.3.1 骨科手術規劃之觸控平台系統發展 ...6
1.3.2 骨盆創傷手術術前評估模組之發展 ...8
1.3.3 系統驗證與案例討論 ...10
1.4 論文架構 ...14
第二章觸控設備介紹 ...15
2.1 前言 ...15
2.2 觸控設備簡介 ...15
2.2.1 電阻式觸控技術 ...15
2.2.2 電磁式觸控技術 ...16
2.2.3 電容式觸控技術 ...16
2.2.4 紅外線式觸控技術 ...19
2.2.5 CMOS/CCD式觸控技術 ...21
2.2.6 表面音波式觸控技術 ...23
2.3 觸控設備發展現況 ...23
2.4 觸控設備作業系統與介面 ...29
2.5 觸控系統軟體設計 ...30
第三章骨科手術規劃之觸控平台系統發展 ...33
3.1 前言 ...33
3.2 觸控設備規格 ...33
3.3 骨科手術規劃之觸控平台系統架構 ...36
3.3.1 二維三維影像顯示及操作 ...37
3.3.2 骨骼組織分離 ...37
3.3.3 量測與標註 ...38
3.3.4 觸控式操作介面 ...42
3.3.5 手術模組應用 ...49
第四章骨盆創傷手術術前評估模組發展 ...50
4.1 前言 ...50
4.2 骨盆創傷手術術前評估系統架構 ...52
4.2.1 三維截骨模擬 ...52
4.2.2 骨骼組織復位 ...54
4.2.3 植入物置入模擬 ...56
4.2.4 輔助資訊輸出 ...59
4.3 觸控介面設計與功能操作觸控化開發 ...60
4.3.1 手動復位介面設計 ...60
4.3.2 骨釘模擬介面設計 ...61
4.4 三維截骨模擬方法 ...66
4.4.1 截骨方法介紹 ...66
4.4.2 截骨資料合併方法 ...72
4.5 骨板模擬方法 ...82
4.5.1 骨板貼附與骨板網格變形 ...82
4.5.2 骨板樣版資料輸出 ...90
第五章系統驗證與案例討論 ...93
5.1 前言 ...93
5.2 系統驗證與案例討論 ...93
5.2.1 骨盆手術模組操作流程 ...93
5.2.2 骨盆手術模組案例討論 ...102
第六章結論與未來展望 ...116
6.1 結論 ...116
6.2 未來展望 ...117
參考文獻 ...119

參考文獻

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指導教授

賴景義(Jiing-Yih Lai)

審核日期

2012-7-17

推文