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An Interactive Web-based Simulation Tool for Surgical Thread

Authors: A. Ruimi, S. Goyal, B. M. Nour


Interactive web-based computer simulations are needed by the medical community to replicate the experience of surgical procedures as closely and realistically as possible without the need to practice on corpses, animals and/or plastic models. In this paper, we offer a review on current state of the research on simulations of surgical threads, identify future needs and present our proposed plans to meet them. Our goal is to create a physics-based simulator, which will predict the behavior of surgical thread when subjected to conditions commonly encountered during surgery. To that end, we will i) develop three dimensional finite element models based on the Cosserat theory of elasticity ii) test and feedback results with the medical community and iii) develop a web-based user interface to run/command our simulator and visualize the results. The impacts of our research are that i) it will contribute to the development of a new generation of training for medical school students and ii) the simulator will be useful to expert surgeons in developing new, better and less risky procedures.

Keywords: Cosserat rod-theory, FEM simulations, Modeling, Surgical thread.

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[1] C. P. Bradley, A.J. Pullan and P.J. Hunter, "Geometric modeling of the human torso using cubic hermite elements", Ann. Biomed. Eng., vol. 25, no. 1, 1997, pp. 96-111
[2] Berkley, S. Weghorst, H. Gladstone, G. Raugi, D. Berg and M. Ganter, "Banded matrix approach to finite element modeling for soft tissue simulations", Virtual Reality, vol. 4, 1999, pp. 203-212
[3] M. Bro-Nielsen, "Fast finite elements for surgery simulation", Studies in Health Technological Information, vol. 39, 1997, pp. 395-400
[4] D. Berg, G. Raugi, H. Gladstone J. Berkley, M. Ganter and G. Turkiyyah, "Virtual reality simulators for dermatologic surgery measuring their validity as a teaching tool", Proc. Medicine Meets Virtual Reality, 2001.
[5] J. Lenoir, S. Cotin, C. Duriez and P. Neumann, " Interactive Physically- Based Simulation of Catheter and Guidewire", Computer and Graphics, vol. 30, pp. 417-423, June 2006.
[6] J. Lenoir, P. Meseure, L. Grisoni and C. Chaillou, "A suture model for surgical simulation", International Symposium on Medical Simulations, Massachusetts (USA), June 2004.
[8] S.L. Dawson, "A critical approach to medical simulation", Bull. Am. College Surgery, vol. 87, no. 11, 2002, pp.12-18
[9] E. and F. Cosserat, Théorie des Corps Déformables, Paris, Librairie Scientifique A. Hermann et Fils, 1909
[10] S. S. Antman, Nonlinear Problems in Elasticity, Springer-Verlag, 2, 3, 2005.
[11] M. B. Rubin, Cosserat Theories: Shells, Rods and Points: Solid Mechanics and its Applications, vol. 79, Kluver, 2, 2000.
[12] M. Grégoire, E. Shomer, "Interactive simulation of one-dimensional flexible parts", Proceeding of the 2006 ACM Symposium on Solid and Physical Modeling, UK, 2006, pp. 95-103
[13] J.W. S. Hearle and A. E. Yegin, "The snarling of highly twisted monofilaments", Journal of the Textile Institute, vol. 63, no. 9,1972, pp. 477-489
[14] T. Yabuta, "Submarine cable kink analysis", Bulletin of the Japanese Society of Mechanical Engineers, vol. 27, no. 231, 1984, pp. 1821-1828
[15] R.S. Manning, J.H. Maddocks and J.D. Kahn,"A continuum rod model of sequence-dependent DNA structure", J. Chemical Physics, vol. 105, no.1, 1996, pp. 5626-5646
[16] Kirchhoff-Clebsh, Vorlesungen ueber Mathematische Physik, Mechanik. Lecture 19. Leipzig: Teubner. 1877.
[17] S. Timoshenko and J.N. Goodier, Theory of Elasticity, 3rd edition, McGraw Hill, 1970
[18] Euler-Bernouilli (1795)
[19] O. O-Reilly, "On constitutive relations for elastic rods", Int. J. Solids Structures, vol.35, no.11, 2, 1996, pp. 5626-5646
[20] K. Hansen and O. Larsen, "Using region-of-interest based finite element modeling for brain-surgery simulation", Lecture Notes in Computer Science, vol. 1496, 1998, pp. 305
[21] J. H. Keyak, S.A. Rossi, K.A Johnes and H.B. Skinner (1998), "Prediction of femoral fracture load using automated finite element modeling", Journal of Biomechanics, vol. 31, no. 2, pp.125-133, 1998
[22] D. K. Pai, "STRANDS: Interactive simulation of thin solids using Cosserat models", Eurographics 2002, vol. 21, no. 3, 2002.
[23] S. Goyal, N. C. Perkins, and C. L. Lee. Nonlinear Dynamics and Loop Formation in Kirchhoff Rods with Implications to the Mechanics of DNA and Cables. Journal of Computational Physics, 209(1) 2205, pp. 371-389
[24] J. Berkley, G. Turkiyyah, D. Berg, M. Ganter and S. Weghorst, "Realtime finite element modeling for surgery simulation: an application to virtual suturing", IEEE Transactions on Visualization and Computer Graphics, vol. 10, no. 3, 2004, pp. 314-325
[25] W.B.R. Lickorish, An Introduction to Knot Theory, Springer-Verlag, Berlin, 1997.
[26] L.H. Silverstein, Principles of dental suturing: the complete guide to surgical closure, Montage media, Alexandria, VA.
[27] J. Phillips, A.M Ladd and L.E. Kavraki, "Simulated knots tying", Proceeding of the IEEE International Conference on Robotics and Automation, Washington DC, 11 May 2002, pp. 841-846
[28] J. Lenoir, P. Meseure, L. Grisoni and C. Chaillou, "Surgical thread simulation", in Modelling and Simulation for Computer-aided Medicine and Surgery (MS4CMS), Roquencourt (France), vol. 12, pp.102-107, INRIA, Nov. 2002.
[29] F. Wang, E. Burdet, A. Dhanik, T. Poston, C.L. Teo, "Dynamics thread for real time knot-tying", in Proceedings of the First Joint Conference and Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems, 2005, pp. 507-508
[30] J. Brown, J.C. Latombe, K. Montgomery, " Real-time knots tying simulation", The Visual Computer, vol. 20, 2004, pp. 165-179
[31] P.Y. Lai, Y.J. Sheng and H.K. Tsao, "Non-Equilibrium dynamics in untying Knots", International Journal of Modern Physics B, vol. 17, Issue 22-24, pp. 4242-4246, 2003.
[32] A.M. Ladd and L. E. Kavraki, "Using motion planning for knot untangling, International of Robotic Research, vol. 23, pp.797-808, 2004
[33] H. Wakamatsu, E. Arai, S. Hirai, "Knotting, unknotting manipulation of deformable linear objects", International Journal of Robotics Research, vol. 25, pp. 371- 395, 2006.
[34] A. Loock and E. Schomer, "A virtual environment for interactive assembly simulation: From rigid bodies to deformable cables" in 5th World Multiconference on Systemics, Cybernetics and Informatics (SCI-01), vol. 3, pp. 325-332, 2001.
[35] S. Goyal, N.C. Perkins, and C. L. Lee. Non-linear dynamic intertwining of rods with self-contact. International Journal of Non-Linear Mechanics, 43(1):65-73, 2008.
[36] E. Hergenroether and P. Daene, "Real-time virtual cables based on kinematic simulation", The 8th International Conference in Central Europe on Computer graphics on Visualization and Interactive Digital Media, 2000.
[37] V. G. A. Goss, G. H. M. van der Heijden, J.M. T. Thompson and S. Neukirch, "Experiments on snap buckling, hysteresis and loop formation in twisted rods", Experimental Mechanics, vol. 45, no.2, pp. 101-111, 2005
[38] R.S. Lakes, "Experimental methods for study of Cosserat elastic solids and other generalized continua", Continuum models for materials with micro-structure, ed. H. M├╝hlhaus, J. Wiley, N. Y. Ch. 1, p. 1-22, 1995
[39] O. Nocent and Y. Remion, "Continuous deformation energy for dynamic material splines subject to finite displacements", Eurographics CAS-20001, 2001.