| 研究生: |
胡培安 Hu, Pei-an |
|---|---|
| 論文名稱: |
中央靜脈導管放置術模擬器:影像方法 Central Venous Catheter Insertion Simulator : Video-Based Approach |
| 指導教授: |
陳琮琳
Chen, Chung-lin 張志涵 Chang, Chih-han |
| 學位類別: |
碩士 Master |
| 系所名稱: |
工學院 - 醫學工程研究所 Institute of Biomedical Engineering |
| 論文出版年: | 2009 |
| 畢業學年度: | 97 |
| 語文別: | 中文 |
| 論文頁數: | 98 |
| 中文關鍵詞: | 中央靜脈導管放置術 、醫學模擬器 、影像處理 、相機校正 |
| 外文關鍵詞: | Camera calibration, Central venous catheterization, Image processing, Medical simulator |
| 相關次數: | 點閱:80 下載:4 |
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中央靜脈導管放置術在醫師養成教育中是不可或缺的一環,目前醫院對於中央靜脈導管放置術的教學,大多採用模型教學,目前這種教學模式已經遇到瓶頸,學員無法從模型上得到足夠的學習經驗,因此教學過程缺乏效率。所以本研究將以內頸靜脈中央靜脈導管放置術為主,建立模擬器,改善目前的教學方式。
本研究建立模擬器分為兩部分:視覺型模擬器和改良型模擬器。視覺型模擬器,在虛擬人上分別決定入針位置以及入針角度,透過結果了解這兩個關鍵步驟對於此處置的影響,並獲得施術經驗。改良型模擬器,運用目前訓練模型,結合光學動作捕捉系統,改進目前的訓練方式,提供完整的學習過程資訊,發生錯誤時,可以獲得足夠的學習經驗,增加學習效率。
本研究發展的電腦輔助中央靜脈導管放置術模擬器,其硬體設備需求低並且具有機動性,因此將可提供一個適合大多數醫院中央靜脈導管放置術訓練模型的教育系統。
Central venous catheterization (CVC) is an important technical during physicians’ education. Other than learning from books, using dummy model for practice is employed for the central venous catheter training in the hospital, This approach has its limitation for it provide insufficient information when errors were made during practice, i.e., no information on what are the causes of these error. The objective of this study is to provide a computer aided feedback simulator to improve the CVC dummy model training.
There are two phases of this CVC medical simulator; the visual phase and the operation phase. In visual phase, simulator would display a virtual dummy model for student to practice by determine the injection location and orientation. In visual phase, simulator could provide sufficient information for training. In operation phase, simulator integrated optical motion capture system with NCKU CVC dummy training model. It enhanced current CVC training model with available technology to provide better training effects. It provided sufficient information for learning and complete information when error is made.
This study developed a CVC computer aided training system. With low hardware requirement and mobility, it is possible to include in general practice for most hospitals with CVC training dummy.
[1] Alexander Wong. Low-Cost Visual/Inertial Hybrid Motion Capture System for Wireless 3D Controllers. Waterloo, Ontario, Canada, 2007.
[2] Armin Gruen Thomas S.Huang. Calibration and Orientation of Cameras in Computer Vision. Springer.
[3] David C. McGee, M.D., and Michael K. Gould, M.D. Preventing Complications of Central Venous Catheterization. The New England Journal of Medicine 2003;348:1123-33.
[4] Guillaume Alinier. A typology of educationally focused medical simulation tools. Medical Teacher 2007; 29: e243–e250.
[5] Qiang Niu, Xiaoyi Chi, Ming C. Leu, and Jorge Ochca. Image processing, geometric modeling and data management for development of a virtual bone surgery system. Computer Aided Surgery, 2008; 13(1): 30–40.
[6]Richard Hartley, Andrew Zisserman. Multiple View Geometry in Computer Vision. CAMBRIDGE.
[7] http://en.wikipedia.org/wiki/Computer_vision
[8] http://en.wikipedia.org/wiki/Virtual_Reality
[9] http://www.vision.caltech.edu/bouguetj/calib_doc/index.html#examples