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J Neurol Surg A Cent Eur Neurosurg 2014; 75(01): 012-015
DOI: 10.1055/s-0032-1330960
Original Article
Georg Thieme Verlag KG Stuttgart · New York

The Utilization of Cranial Models Created Using Rapid Prototyping Techniques in the Development of Models for Navigation Training

V. Waran
1   Division of Neurosurgery, Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
2   Centre for Biomedical and Technology Integration (CBMTI), University of Malaya, Kuala Lumpur, Malaysia
,
Devaraj Pancharatnam
1   Division of Neurosurgery, Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
,
Hari Chandran Thambinayagam
1   Division of Neurosurgery, Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
,
Rajagopal Raman
3   Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
,
Alwin Kumar Rathinam
2   Centre for Biomedical and Technology Integration (CBMTI), University of Malaya, Kuala Lumpur, Malaysia
,
Yuwaraj Kumar Balakrishnan
2   Centre for Biomedical and Technology Integration (CBMTI), University of Malaya, Kuala Lumpur, Malaysia
,
Tan Su Tung
2   Centre for Biomedical and Technology Integration (CBMTI), University of Malaya, Kuala Lumpur, Malaysia
,
Z. A. Rahman
2   Centre for Biomedical and Technology Integration (CBMTI), University of Malaya, Kuala Lumpur, Malaysia
4   Department of Maxillofacial Surgery, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
› Author Affiliations
Further Information

Publication History

16 February 2012

11 August 2012

Publication Date:
11 January 2013 (online)

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Abstract

Introduction Navigation in neurosurgery has expanded rapidly; however, suitable models to train end users to use the myriad software and hardware that come with these systems are lacking. Utilizing three-dimensional (3D) industrial rapid prototyping processes, we have been able to create models using actual computed tomography (CT) data from patients with pathology and use these models to simulate a variety of commonly performed neurosurgical procedures with navigation systems.

Aim To assess the possibility of utilizing models created from CT scan dataset obtained from patients with cranial pathology to simulate common neurosurgical procedures using navigation systems.

Methodology Three patients with pathology were selected (hydrocephalus, right frontal cortical lesion, and midline clival meningioma). CT scan data following an image-guidance surgery protocol in DIACOM format and a Rapid Prototyping Machine were taken to create the necessary printed model with the corresponding pathology embedded. The ability in registration, planning, and navigation of two navigation systems using a variety of software and hardware provided by these platforms was assessed.

Results We were able to register all models accurately using both navigation systems and perform the necessary simulations as planned.

Conclusion Models with pathology utilizing 3D rapid prototyping techniques accurately reflect data of actual patients and can be used in the simulation of neurosurgical operations using navigation systems.

Keywords

neurosurgical navigation - 3D rapid prototyping models - simulation
 

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