The role of three-dimensional visualization in robotics-assisted cardiac surgery

Maria Currie; Ana Luisa Trejos; Reiza Rayman; Michael W.A. Chu; Rajni Patel; Terry Peters; Bob Kiaii

doi:10.1117/12.911714

The role of three-dimensional visualization in robotics-assisted cardiac surgery

Maria Currie, Ana Luisa Trejos, Reiza Rayman, Michael W.A. Chu, Rajni Patel, Terry Peters, Bob Kiaii

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Abstract

Objectives: The purpose of this study was to determine the effect of three-dimensional (3D) versus two-dimensional (2D) visualization on the amount of force applied to mitral valve tissue during robotics-assisted mitral valve annuloplasty, and the time to perform the procedure in an ex vivo animal model. In addition, we examined whether these effects are consistent between novices and experts in robotics-assisted cardiac surgery. Methods: A cardiac surgery test-bed was constructed to measure forces applied by the da Vinci surgical system (Intuitive Surgical, Sunnyvale, CA) during mitral valve annuloplasty. Both experts and novices completed roboticsassisted mitral valve annuloplasty with 2D and 3D visualization. Results: The mean time for both experts and novices to suture the mitral valve annulus and to tie sutures using 3D visualization was significantly less than that required to suture the mitral valve annulus and to tie sutures using 2D vision (p∠0.01). However, there was no significant difference in the maximum force applied by novices to the mitral valve during suturing (p = 0.3) and suture tying (p = 0.6) using either 2D or 3D visualization. Conclusion: This finding suggests that 3D visualization does not fully compensate for the absence of haptic feedback in robotics-assisted cardiac surgery. Keywords: Robotics-assisted surgery, visualization, cardiac surgery

Original language	English (US)
Title of host publication	Medical Imaging 2012
Subtitle of host publication	Image-Guided Procedures, Robotic Interventions, and Modeling
DOIs	https://doi.org/10.1117/12.911714
State	Published - 2012
Externally published	Yes
Event	Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling - San Diego, CA, United States Duration: Feb 5 2012 → Feb 7 2012

Publication series

Name	Progress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume	8316
ISSN (Print)	1605-7422

Conference

Conference	Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling
Country	United States
City	San Diego, CA
Period	2/5/12 → 2/7/12

Keywords

cardiac surgery
Robotics-assisted surgery
visualization

ASJC Scopus subject areas

Electronic, Optical and Magnetic Materials
Biomaterials
Atomic and Molecular Physics, and Optics
Radiology Nuclear Medicine and imaging

Access to Document

10.1117/12.911714

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Cite this

Currie, M., Trejos, A. L., Rayman, R., Chu, M. W. A., Patel, R., Peters, T., & Kiaii, B. (2012). The role of three-dimensional visualization in robotics-assisted cardiac surgery. In Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling [83160F] (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 8316). https://doi.org/10.1117/12.911714

The role of three-dimensional visualization in robotics-assisted cardiac surgery. / Currie, Maria; Trejos, Ana Luisa; Rayman, Reiza; Chu, Michael W.A.; Patel, Rajni; Peters, Terry; Kiaii, Bob.

Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling. 2012. 83160F (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 8316).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Currie, M, Trejos, AL, Rayman, R, Chu, MWA, Patel, R, Peters, T & Kiaii, B 2012, The role of three-dimensional visualization in robotics-assisted cardiac surgery. in Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling., 83160F, Progress in Biomedical Optics and Imaging - Proceedings of SPIE, vol. 8316, Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling, San Diego, CA, United States, 2/5/12. https://doi.org/10.1117/12.911714

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abstract = "Objectives: The purpose of this study was to determine the effect of three-dimensional (3D) versus two-dimensional (2D) visualization on the amount of force applied to mitral valve tissue during robotics-assisted mitral valve annuloplasty, and the time to perform the procedure in an ex vivo animal model. In addition, we examined whether these effects are consistent between novices and experts in robotics-assisted cardiac surgery. Methods: A cardiac surgery test-bed was constructed to measure forces applied by the da Vinci surgical system (Intuitive Surgical, Sunnyvale, CA) during mitral valve annuloplasty. Both experts and novices completed roboticsassisted mitral valve annuloplasty with 2D and 3D visualization. Results: The mean time for both experts and novices to suture the mitral valve annulus and to tie sutures using 3D visualization was significantly less than that required to suture the mitral valve annulus and to tie sutures using 2D vision (p∠0.01). However, there was no significant difference in the maximum force applied by novices to the mitral valve during suturing (p = 0.3) and suture tying (p = 0.6) using either 2D or 3D visualization. Conclusion: This finding suggests that 3D visualization does not fully compensate for the absence of haptic feedback in robotics-assisted cardiac surgery. Keywords: Robotics-assisted surgery, visualization, cardiac surgery",

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AB - Objectives: The purpose of this study was to determine the effect of three-dimensional (3D) versus two-dimensional (2D) visualization on the amount of force applied to mitral valve tissue during robotics-assisted mitral valve annuloplasty, and the time to perform the procedure in an ex vivo animal model. In addition, we examined whether these effects are consistent between novices and experts in robotics-assisted cardiac surgery. Methods: A cardiac surgery test-bed was constructed to measure forces applied by the da Vinci surgical system (Intuitive Surgical, Sunnyvale, CA) during mitral valve annuloplasty. Both experts and novices completed roboticsassisted mitral valve annuloplasty with 2D and 3D visualization. Results: The mean time for both experts and novices to suture the mitral valve annulus and to tie sutures using 3D visualization was significantly less than that required to suture the mitral valve annulus and to tie sutures using 2D vision (p∠0.01). However, there was no significant difference in the maximum force applied by novices to the mitral valve during suturing (p = 0.3) and suture tying (p = 0.6) using either 2D or 3D visualization. Conclusion: This finding suggests that 3D visualization does not fully compensate for the absence of haptic feedback in robotics-assisted cardiac surgery. Keywords: Robotics-assisted surgery, visualization, cardiac surgery

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