Title
Distance And Force Visualisations For Improved Simulation Of Intracranial Aneurysm Clipping
Abstract
Purpose The treatment of cerebral aneurysms shifted from microsurgical to endovascular therapy. But for some difficult aneurysm configurations, e.g. wide neck aneurysms, microsurgical clipping is better suited. From this combination of limited interventions and the complexity of these cases, the need for improved training possibilities for young neurosurgeons arises. Method We designed and implemented a clipping simulation that requires only a monoscopic display, mouse and keyboard. After a virtual craniotomy, the user can apply a clip at the aneurysm which is deformed based on a mass-spring model. Additionally, concepts for visualising distances as well as force were implemented. The distance visualisations aim to enhance spatial relations, improving the navigation of the clip. The force visualisations display the force acting on the vessel surface by the applied clip. The developed concepts include colour maps and visualisations based on rays, single objects and glyphs. Results The concepts were quantitatively evaluated via an online survey and qualitatively evaluated by a neurosurgeon. Regarding force visualisations, a colour map is the most appropriate concept. The necessity of distance visualisations became apparent, as the expert was unable to estimate distances and to properly navigate the clip. The distance rays were the only concept supporting the navigation appropriately. Conclusion The easily accessible surgical training simulation for aneurysm clipping benefits from a visualisation of distances and simulated forces.
Year
DOI
Venue
2021
10.1007/s11548-021-02413-1
INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
Keywords
DocType
Volume
Aneurysm clipping simulation, Surgical training, Distance visualisation, Force visualisation
Journal
16
Issue
ISSN
Citations 
8
1861-6410
0
PageRank 
References 
Authors
0.34
0
4
Name
Order
Citations
PageRank
Mareen Allgaier101.01
Belal Neyazi202.37
Bernhard Preim301.01
Sylvia Saalfeld401.35