Can preoperative planning using IRIS™three-dimensional anatomical virtual models predict operative findings during robot-assisted partial nephrectomy?

Objective To evaluate the predictive validity of IRIS™(Intuitive Surgical®,Sunnyvale,CA,USA)as a planning tool for robot-assisted partial nephrectomy(RAPN)by assessing the degree of overlap with intraoperative execution.Methods Thirty-one patients scheduled for RAPN by four experienced urologists were enrolled in a prospective study.Prior to surgery,urologists reviewed the IRIS™three-dimensional model on an iphone Operating System(iOS)app and completed a questionnaire outlining their surgical plan including surgical approach,and ischemia technique as well as confidence in executing this plan.Postoperatively,questionnaires assessing the procedural approach,clinical utility,efficiency,and effectiveness of IRIS™were completed.The degree of overlap between the preoperative and intraoperative questionnaires and between the planned approach and actual execution of the procedure was analyzed.Questionnaires were answered on a 5-point Likert scale and scores of 4 or greater were considered positive.Results Mean age was 65.1 years with a mean tumor size of 27.7 mm(interquartile range 17.5-44.0 mm).Hilar tumors consisted of 32.3%;48.4%of patients had R.E.N.A.L.nephrometry scores of 7-9.On preoperative questionnaires,the surgeons reported that in 67.7%cases they were confident that they can perform the procedure successfully,and on intraoperative questionnaires,the surgeons reported that in 96.8%cases IRIS™helped achieve good spatial sensation of the anatomy.There was a high degree of overlap between preoperative and intraoperative questionnaires for the surgical approach,interpreting anatomical details and clinical utility.When comparing plans for selective or off-clamp,the preoperative plan was executed in 90.0%of cases intraoperatively.Conclusion A high degree of overlap between the preoperative surgical approach and intraoperative RAPN execution was found using IRIS™.This is the first study to evaluate the predictive accuracy of IRIS™during RAPN by comparing preoperative plan and intraoperative execution.

Opinions of Students on the Contribution of the DIVA 3D Virtual Dissection Table to the Teaching of Anatomy at the Faculty of Medicine and Odontostomatology of Bamako

Objective: Study the contribution of the DIVA 3D dissection table in the teaching of anatomy at the Faculty of Medicine and Odontology of Bamako. Material and Methods: This was a qualitative study carried out from November 1 to December 30, 2023 at the clinical and morphological anatomy laboratory of the Faculty of Medicine and Odontostomatology of Bamako. Included in this study were students who participated in practical and tutorial sessions. The variables studied during this study were: the previous performance of dissection on a cadaver by the students, the opinion of the students on dissection on a cadaver, the replacement of dissection on a cadaver by virtual dissection in the absence of a body, the level student satisfaction. Results: We surveyed 130 participants. The average age was 22 ± 0.2 years with extremes of 17 and 29 years. 95.3% of participants were students. According to 66.7% of participants, virtual dissection is a good palliative in the absence of a corpse. 95.3% of participants found using the virtual dissection table easy with an average of 7.88 ± 1.4. The overall assessment was well rated by 99.3% of participants. Conclusion: According to the results of this study, the virtual dissection table should be improved by integrating commented videos. The use of the DIVA 3D virtual dissection table during practical and tutorial sessions is well appreciated by the students. We believe that the teaching of anatomy using 3D digital technology should be included in the study programs of the Faculty of Medicine and Odontostomatology.

Microstructure modeling and virtual test of asphalt mixture based on three-dimensional discrete element method

The objective of this work is to model the microstructure of asphalt mixture and build virtual test for asphalt mixture by using Particle Flow Code in three dimensions(PFC^(3D))based on three-dimensional discrete element method.A randomly generating algorithm was proposed to capture the three-dimensional irregular shape of coarse aggregate.And then,modeling algorithm and method for graded aggregates were built.Based on the combination of modeling of coarse aggregates,asphalt mastic and air voids,three-dimensional virtual sample of asphalt mixture was modeled by using PFC^(3D).Virtual tests for penetration test of aggregate and uniaxial creep test of asphalt mixture were built and conducted by using PFC^(3D).By comparison of the testing results between virtual tests and actual laboratory tests,the validity of the microstructure modeling and virtual test built in this study was verified.Additionally,compared with laboratory test,the virtual test is easier to conduct and has less variability.It is proved that microstructure modeling and virtual test based on three-dimensional discrete element method is a promising way to conduct research of asphalt mixture.

Science Letters:Dynamic concision for three-dimensional reconstruction of human organ built with virtual reality modelling language (VRML)

This research studies the process of 3D reconstruction and dynamic concision based on 2D medical digital images using virtual reality modelling language (VRML) and JavaScript language, with a focus on how to realize the dynamic concision of 3D medical model with script node and sensor node in VRML. The 3D reconstruction and concision of body internal organs can be built with such high quality that they are better than those obtained from the traditional methods. With the function of dynamic concision, the VRML browser can offer better windows for man-computer interaction in real-time environment than ever before. 3D reconstruction and dynamic concision with VRML can be used to meet the requirement for the medical observation of 3D reconstruction and have a promising prospect in the fields of medical imaging.

Three-dimensional visualization and virtual reality simulation role in hepatic surgery:Further research warranted

Artificial intelligence(AI)is the study of algorithms that enable machines to analyze and execute cognitive activities including problem solving,object and word recognition,reduce the inevitable errors to improve the diagnostic accuracy,and decision-making.Hepatobiliary procedures are technically complex and the use of AI in perioperative management can improve patient outcomes as discussed below.Three-dimensional(3D)reconstruction of images obtained via ultrasound,computed tomography scan or magnetic resonance imaging,can help surgeons better visualize the surgical sites with added depth perception.Preoperative 3D planning is associated with lesser operative time and intraoperative complications.Also,a more accurate assessment is noted,which leads to fewer operative complications.Images can be converted into physical models with 3D printing technology,which can be of educational value to students and trainees.3D images can be combined to provide 3D visualization,which is used for preoperative navigation,allowing for more precise localization of tumors and vessels.Nevertheless,AI enables surgeons to provide better,personalized care for each patient.

Research on the Three-dimensional Modeling and Optimization of a Virtual Tower Crane Based on 3DS Max, Solidworks and EON Professional

Three-dimensional modeling of virtual hoisting machinery is the critical works to structure the system of virtual construction, and the foundation to realize intelligent and interactive virtual hoisting. Aimed at enhancing the requests of image quality and stability of the virtual construction scene, taking a tower crane for example. We studied the technology of three-dimensional modeling and optimization of a virtual tower crane, and a method named two-stage model optimization was put forward. This depended on the modeling stage using Solidworks and 3DS Max and the performance optimization stage in EON. The practice of software development indicates that the proposed methods of three-dimensional modeling and optimization could satisfy the performance request of virtual construction system and be popularized to other virtual system.

Three-dimensional suboptimal guidance law for fly-over and shoot-down smart ammunition via virtual target

An optimal burst height is required for the fly-over and shoot-down smart ammunition with an EFP warhead at the instant of explosion which brings a special requirement to the miss distance of the terminal guidance law. In this paper, a guidance law based on the virtual target scheme is proposed. First, the practical pursuit-evasion issue between the ammunition and the target with specific miss distance is transformed into a virtuai pursuit-evasion problem with zero miss distance. Secondly, a complete three-dimensional pursuit-evasion kinematics model is established without any simplifications. And then, a suboptimal guidance law is designed based on the θ-D method which has constraints of the elevation and azimuth angular velocity of the virtual line of sight （LOS）. Finally, in order to verify the performance of the proposed guidance law, three test cases are conducted. Numericai results show that under the proposed terminal guidance law, the smart ammunition not only can fly above the target with an optimal burst height but also have a smaller normal acceleration on the terminal trajectory.

Application and Analysis of Computer Virtual Simulation Technology in Three-dimensional Animation Production

With the continuous promotion of computer technology, the application system of virtual simulation technology has been further optimized and improved, and has been widely used in various fields of social development, such as urban construction, interior design, industrial simulation and tourism teaching. China's three-dimensional animation production started relatively late, but has achieved good results with the support of related advanced technology in the process of development. Computer virtual simulation technology is an important technical support in the production of three-dimensional animation. In this paper, firstly, the related content of computer virtual simulation technology was introduced. Then, the specific application of this technology in the production of three-dimensional animation was further elaborated, so as to provide some reference for the improvement of the production effect of three-dimensional animation in the future.

Three-dimensional nonlinear analysis of creep in concrete filled steel tube columns

This paper proposes a based on 3D-VLE （three-dimensional nonlinear viscoelastic theory） three-parameters viscoelastic model for studying the time-dependent behaviour of concrete filled steel tube （CFT） columns. The method of 3D-VLE was developed to analyze the effects of concrete creep behavior on CFT structures. After the evaluation of the parameters in the proposed creep model, experimental measurements of two prestressed reinforced concrete beams were used to investigate the creep phenomenon of three CFT columns under long-term axial and eccentric load was investigated. The experimentally obtained time-dependent creep behaviour accorded well with the cu~＇es obtained from the proposed method. Many factors （such as ratio of long-term load to strength, slenderness ratio, steel ratio, and eccentricity ratio） were considered to obtain the regularity of influence of concrete creep on CFT structures. The analytical results can be consulted in the engineering practice and design.

Virtual Anatomy: The Dissecting Theatre of the Future—Implementation of Cinematic Rendering in a Large 8 K High-Resolution Projection Environment

Modern computer techniques have been in use for several years to generate three-dimensional visualizations of human anatomy. Very good 3-D computer models of the human body are now available and used routinely in anatomy instruction. These techniques are subsumed under the heading “virtual anatomy” to distinguish them from the conventional study of anatomy entailing cadavers and anatomy textbooks. Moreover, other imaging procedures (X-ray, angiography, CT and MR) are also used in virtual anatomy instruction. A recently introduced three-dimensional post-processing technique named Cinematic Rendering now makes it possible to use the output of routine CT and MR examinations as the basis for highly photo-realistic 3-D depictions of human anatomy. We have installed Cinematic Rendering (enabled for stereoscopy) in a high-definition 8K 3-D projection space that accommodates an audience of 150. The space’s projection surface measures 16 × 9 meters;images can be projected on both the front wall and the floor. A game controller can be used to operate Cinematic Rendering software so that it can generate interactive real-time depictions of human anatomy on the basis of CT and MR data sets. This prototype installation was implemented without technical problems;in day-to-day, real-world use over a period of 22 months, there were no impairments of service due to software crashes or other technical problems. We are already employing this installation routinely for educational offerings open to the public, courses for students in the health professions, and (continuing) professional education units for medical interns, residents and specialists—in, so to speak, the dissecting theater of the future.

3D Vector Reconstruction of the Typical Cervical Vertebra from Anatomical Sections of Korean Visible Human at the Laboratory of Clinical and Digital Anatomy of Paris Descartes University

Aim: To carry out a 3D vector reconstruction of the typical cervical vertebra from anatomical sections of the “Korean Visible Human” for educational purposes. Material and Methods: The anatomical subject was a 33-year-old Korean man who died of leukemia. He was 164 cm tall and weighed 55 kg. This man donated his body to science. Her body was frozen and cut into several anatomical sections after an MRI and CT scan. These anatomical sections were made using a special saw called a 0.2 mm thick cryomacrotome. Thus 8100 cuts were obtained. Only the sections numbered 940 to 1200 were used for our study. A segmentation by manual contouring of the different parts of the typical cervical vertebra was made using the software Winsurf version 3.5 on a laptop PC running Windows 7 equipped with a Ram of 8 gigas. Results: Our 3D vector model of the typical cervical vertebra is easily manipulated using the Acrobat 3DPDF interface. Each part of the vertebra accessible in a menu can be displayed, hidden or made transparent, and 3D labels are available as well as educational menus for learning anatomy. Conclusion: This original work constitutes a remarkable educational tool for the anatomical study of the typical cervical vertebra and can also be used as a 3D atlas for simulation purposes for training in therapeutic gestures.

Three-Dimensional Instability of Flow Around Two Circular Cylinders in Tandem Arrangement

The spatial evolution of vortices and transition to three-dimensionality in the wake of two circular cylinders in tandem arrangement have been numerically studied. An improved virtual body method developed from the virtual boundary method is used here. A Reynolds number range between 220 and 270 has been considered, and the spacing between two cylinders is selected as L/D=3 and L/D=3.5. When L/D=3, the secondary vortices of Mode-A are seen to appear at Re=240 and persist over the range of the Reynolds number of 240～270. When L/D=3.5, the similar critical Reynolds number has been found at Re=250. No obvious discontinuity has been found in the Strouhal-Reynolds number relationship, and this is different from three-dimensional flow around a single cylinder at the critical Reynolds number. The spanwise wavelength is about four times the diameter of the cylinder, and it is the characteristic wavelength for Mode-A instability. This paper can give some foremost insight into the three-dimensional instability of flow by complicated geometrical configuration.

Application of Three-Dimensional Visualization Technology in Project Management of Offshore Platform Engineering Construction

Three-dimensional visualization technology converts engineering design drawings and data into graphics or images, realizes virtual reality perception of simulated users in future construction scene, enhances the interaction between project management and technical personnel and engineering construction achievement, and provides intuitive, flexible and strong realistic experience for project management. It can effectively improve the level of project communication, and assist the needs of project construction planning management, training, exhibition, etc. As a tool to help improve project management skills, it has good application effect and prospects.

智能手机联合VR虚拟现实手术视频在泌尿外科教学中的应用

目的探索基于智能手机和虚拟现实(virtual reality,VR)设备的虚拟现实技术应用于泌尿外科手术的教学效果。方法将2021年1月至2022年1月大连医科大学临床医学院的30名学生作为研究对象,采用理论学习联合应用VR头戴设备+智能手机学习腹腔镜膀胱癌根治性切除手术视频的学习模式,学习后应用李克特量表的评估表评估教学效果和对这种教学工具的积极和消极因素进行测试。结果30名学生均对学习进行评价,27名(90.9%)认为3D视频教学提高了他们对手术步骤的理解,28名(93.3%)认为视频提供了很好的解剖结构的三维可视化,30名(100%)均认为3D视频提高了对解剖关系的理解,26名(86.7%)对三维视频的易用性和体验持积极态度,并认为比常规的讲座更有信息量,27名(90.9%)喜欢使用VR看手术视频,29名(96.7%)认为3D视频是一个很好的教学工具。30名(100%)全部认为3D手术视频应该包括在常规的泌尿外科教学中。结论智能手机和VR设备的虚拟现实技术在泌尿外科教学中的应用,为新形势下教学模式的探索打开了新思路,有利于提高学生参与度及学习效果,可在泌尿外科教学中尝试试行。

雨课堂+BOPPPS模式联合虚拟仿真技术在护理专业人体解剖学教学中的应用效果

目的探讨雨课堂+背景(B)-目标(O)-预测(P)-参与(P)-后测(P)-总结(S)(BOPPPS)模式联合虚拟仿真技术在护理专业人体解剖学教学中的应用效果。方法选取2021级护理专业2个教学班的医学生为研究对象。将教学1班的46名学生设为试验组,教学2班的47名学生设为对照组。对照组学生采取雨课堂+BOPPPS模式教学方法,试验组学生在对照组基础上联合虚拟仿真技术教学。比较两组学生教学结束后的综合成绩、笔试考核成绩、实体标本考试成绩、自主学习能力以及学生对教学的满意度。结果教学结束后试验组学生笔试考核成绩、实体标本考试成绩均高于对照组(P<0.05);教学结束后试验组学生自主学习能力高于对照组(P<0.05);教学结束后试验组学生教学满意度为89.13%,高于对照组学生教学满意度的76.60%(P<0.05)。结论雨课堂+BOPPPS模式联合虚拟仿真技术在护理专业人体解剖学教学中应用良好,可以提升学生的学习成绩、自主学习能力以及教学满意度。

人体解剖生理学实验中虚拟仿真教学方法的探讨——以西华师范大学为例

虚拟仿真教学是教育信息化与高校教学改革的趋势,有助于提高学生自主学习积极性,培养学生自主判断问题和分析问题的能力。为探讨虚拟仿真技术在人体解剖生理学实验教学中应用效果,借助生命科学学院省级虚拟仿真实验教学中心,开展人体解剖生理学实验教学,学生通过课前预习、线上操作及考核模块,完成实验规定内容。教学效果评价说明,与传统教学模式相比,采用虚拟仿真教学模式具有更好的成绩区分度,其趣味性、可操作性及学习效果得到学生普遍认可,教学满意度较高,但课程内容的丰富性及实验时限仍有待改进。

人体腹腔器官的三维重建与形变切割仿真

通过将传统面模型转换为体模型的方法,实现了包含肝脏、胃、结肠和胆囊等多个器官的人体腹腔结构的形变、切割与碰撞仿真。首先,以生理学腹腔解剖结构为依据对腹腔内各器官进行三维模型重建;然后,根据腹腔内各器官的生理位置和悬挂方式确定三维模型之间的相对位置,并设置合理的边界约束条件,将三维模型转换为基于体素的体模型;最后对体模型赋予生物力学性质并进行仿真。实验结果表明,该方法能够在保证仿真帧数较稳定的同时产生真实合理的形变、切割和碰撞仿真效果,并且在包含多个器官的情况下依然可以满足视觉实时性要求。

Virtual endoscopy of the urinary tract

Technological breakthroughs have advanced the temporal and spatial resolutions of diagnostic imaging, and 3 dimensional （3-D） reconstruction techniques have been introduced into everyday clinical practice. Virtual endoscopy （VE） is a non-invasive technique that amplifies the perception of cross-sectional images in the 3-D space, providing precise spatial relationships of pathological regions and their surrounding structures. A variety of computer algorithms can be used to generate 3-D images, taking advantage of the information inherent in either spiral computed tomography or magnetic resonance imaging （MRI）. VE images enable endoluminal navigation through hollow organs, thus simulating conventional endoscopy. Several clinical studies have validated the diagnostic utility of virtual cystoscopy, which has high sensitivity and specificity rates in the detection of bladder tumor. Published experience in the virtual exploration of the renal pelvis, ureter and urethra is encouraging but still scarce. VE is a safe, non-invasive method that could be applied in the long-term follow-up of patients with ureteropelvic junction obstruction, urinary bladder tumors and ureteral and/or urethral strictures. Its principal limitations are the inability to provide biopsy tissue specimens for histopathologic examination and the associated ionizing radiation hazards （unless MR/is used）. However, in the case of endoluminal stenosis or obstruction, VE permits virtual endoluminal navigation both cephalad and caudal to the stenotic segment. To conclude, VE provides a less invasive method of evaluating the urinary tract, especially for clinicians who are less familiar with cross-sectional imaging than radiologists. （Asian J Androl 2006 Jan; 8： 31-38）

The Application of Virtual Reality Technology to Ear Microsurgery

The broad application of virtual reality (VR) to medicine has been of great value. The virtual surgery is one of technically difficult applications. With the expansion of the increasingly fine and complicated ear microsurgery, new methods are required to train the doctors. It is necessary and of practical significance to apply VR to the ear micro-operation, which is a functional operation with high precision and great difficulties. In this article, medical VR applications were reviewed. The application of VR to the ear microsurgery was discussed and the virtual ear microsurgery system was designed.

Ultrasound virtual endoscopy: Polyp detection and reliability of measurement in an in vitro study with pig intestine specimens

AIM: To present our initial experience regarding the feasibility of ultrasound virtual endoscopy(USVE) and its measurement reliability for polyp detection in an in vitro study using pig intestine specimens.METHODS: Six porcine intestine specimens containing 30 synthetic polyps underwent USVE, computed tomography colonography(CTC) and optical colonoscopy(OC) for polyp detection. The polyp measurement defined as the maximum polyp diameter on twodimensional(2D) multiplanar reformatted(MPR) planes was obtained by USVE, and the absolute measurement error was analyzed using the direct measurement as the reference standard.RESULTS: USVE detected 29(96.7%) of 30 polyps, remaining a 7-mm one missed. There was one falsepositive finding. Twenty-six(89.7%) of 29 reconstructedimages were clearly depicted, while 29(96.7%) of 30 polyps were displayed on CTC with one false-negative finding. In OC, all the polyps were detected. The intraclass correlation coefficient was 0.876(95%CI: 0.745-0.940) for measurements obtained with USVE. The pooled absolute measurement errors ± the standard deviations of the depicted polyps with actual sizes ≤ 5 mm, 6-9 mm, and ≥ 10 mm were 1.9 ± 0.8 mm, 0.9 ± 1.2 mm, and 1.0 ± 1.4 mm, respectively.CONCLUSION: USVE is reliable for polyp detection and measurement in in vitro study.