首页|软件模拟骨科导航机器人定位肘关节屈伸轴准确性的研究

软件模拟骨科导航机器人定位肘关节屈伸轴准确性的研究

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目的 探讨不同医生在应用Mimics软件模拟三维导航机器人导航软件定位肘关节屈伸轴中是否存在误差,并且比较医生视觉定位屈伸轴与计算机辅助技术定位屈伸轴之间的差异。从而提出建议:机器人导航软件设计可以持续优化以减少误差,让机器人定位更广泛地应用于手术,并且定位更加准确。方法 在我院影像科数据库中随机抽取自2023年1月至2023年6月成人肘关节CT数据10例,导出后均在Mimics软件中操作,先进行三维重建,再由实验者确定肘关节屈伸参考轴后隐藏该轴及尺桡骨,3名受试者(分别为主治医师、副主任医师、主任医师)凭个人经验分别在软件中自定义这10个肘关节的虚拟屈伸轴并分别标明。最后实验者运用软件运算得出受试者各虚拟轴与实验者设定的参考轴的夹角数据和拟合的肱骨小头球体圆心、滑车切迹球体圆心与参考之间的直线距离数据并进行统计学分析。结果 医生视觉定位屈伸轴与计算机辅助技术定位屈伸轴之间的差异有统计学意义(P<0。01)。3名受试医生视觉定位屈伸轴组内比较差异有统计学意义(P<0。01)。结论 3名受试者根据在Mimics软件中模拟机器人导航软件进行肘关节屈伸轴的定位是存在差异性的,这增加了实际的定位误差。通过本实验提示,这与受试者对肘关节屈伸轴的认知和在软件中采用主观的视觉定位有关,也提示机器人导航软件的开发者应针对三维定位肘关节屈伸轴设计相应的辅助工具以减少医生规划屈伸轴存在的误差。
Research on the accuracy of software simulation for orthopedic navigation robot positioning elbow joint flexion and extension axis
Objective To explore whether there are errors among different doctors in using Mimics software to simulate the positioning of elbow joint flexion and extension axes in 3D navigation robot navigation software,and compare the differences between doctor visual positioning of flexion and extension axes and computer-aided technology positioning of flexion and extension axes.Thus,it is suggested that the design of robot navigation software can be continuously optimized to reduce errors,making robot positioning more widely used in surgery and more accurate.Methods Ten cases of adult elbow joint CT data from January 2023 to June 2023 were randomly selected from the imaging database.After export,they were all operated in Mimics software.First,three-dimensional reconstruction was performed,and then the reference axis for elbow joint flexion and extension was determined by the experimenter.The axis and radius were hidden.Three subjects(including the attending physician,deputy chief physician,and chief physician)customized the virtual flexion and extension axes of these ten elbow joints in the software based on their personal experience and marked them separately.Finally,the experimenter used software calculations to obtain the angle data between the virtual axes of the subjects and the reference axis set by the experimenter,as well as the fitted linear distance data between the center of the humeral head sphere and the center of the trochlear incision sphere and the reference,and conducted statistical analysis.Results The difference between the doctor's visual positioning of the flexion and extension axis and the computer-aided technology positioning of the flexion and extension axis was statistically significant(P<0.01).There was a statistically significant differencein the comparison of visual positioning of the flexion and extension axes among the three test doctors within the group(P<0.01).Conclusion There are differences in the positioning of elbow flexion and extension axes among the three subjects based on simulating robot navigation software in Mimics software,which increases the actual positioning error.Through this experiment,it is suggested that this is related to the subjects'understanding of the elbow joint flexion and extension axis and the use of subjective visual positioning in the software.It also suggests that developers of robot navigation software should design corresponding auxiliary tools for three-dimensional positioning of the elbow joint flexion and extension axis to reduce errors in doctor planning of the flexion and extension axis.

Elbow jointFlexion and extension axisAccuracyRobot navigation

胡艳春、季亮、胡兴峰、李青松、任远洋

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贵州省贵阳市第四人民医院手外科,贵阳 550002

肘关节 屈伸轴 准确性 机器人导航

2024

中华手外科杂志
中华医学会

中华手外科杂志

CSTPCD北大核心
影响因子:1.258
ISSN:1005-054X
年,卷(期):2024.40(4)