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研究生: 施承萱
Shih, Cheng-Syuan
論文名稱: 將運用到MR技術之頭戴裝置(Microsoft HoloLens 2)結合植牙手術模擬教育訓練系統的概念進行產品開發
Combining the concept of implant surgery simulation education and training system with the MR technology headset ( Microsoft HoloLens 2 ) for product development
指導教授: 郭榮富
Kuo, Rong-Fu
學位類別: 碩士
Master
系所名稱: 工學院 - 生物醫學工程學系
Department of BioMedical Engineering
論文出版年: 2023
畢業學年度: 111
語文別: 中文
論文頁數: 123
中文關鍵詞: 植牙手術植牙手術模擬教育訓練系統模擬系統全像攝影技術混合實境
外文關鍵詞: Dental implant surgery, Dental implant surgery simulator, Simulator, Holography, MR, Mixed Reality
相關次數: 點閱:86下載:26
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  • 現今世界正面臨老人化社會,健康養生的生活概念逐漸被大眾所重視,醫療需求也相對應的提高了許多,為提升生活品質,「植牙」即為當今醫療需求中普遍被選擇為解決口腔問題的重要項目之一。
    隨著科技的進步,運用「全像攝影技術」的VR、AR、MR、XR,已成功結合遊戲、娛樂打入市場,且越來越受大眾歡迎;全像攝影技術亦延伸至工業、製造業、軍事及醫療等其他多種不同的領域。
    醫學領域中是極其仰賴醫師經年累月下來的經驗的,為解決牙科專業醫學生對於植牙手術操作步驟及流程的不熟悉和能節省消耗成本,本研究以全像攝影技術為基礎發想,開發一套具高輕便性、更真實且沉浸的操作感、可以反覆一直練習也能降低一次性耗材的消耗的植牙手術模擬教育訓練系統裝置。本系統主要運用於牙科醫學生學習植牙手術時的模擬訓練,以增加模擬實作經驗,熟練植牙技巧。本系統以AQB植體系統及Aq Navi植牙導航做為參考,運用Unity和Microsoft Visual Studio開發系統介面,並結合MR頭戴裝置(Hololens 2)進行操作。
    研究結果共開發出三個版本,第一個版本(初版),亦是本研究初期實作的版本,該系統介面與系統中的3D物件模型較為簡略、粗糙;第二個版本(改良版),是將3D物件模型改良為較精緻的模型,所設計出的介面也因為增加了使用導覽說明,大大提升虛擬實境的使用便利性;第三個版本(再改良版),則是改了部分功能,並將系統內之數據改為較有依據的真實數據。
    系統在經過測試之後得到的結果為:設計之內容物件、步驟、流程及功能皆可正常運作,每個步驟操作的結果,系統會出現"success"或"fail"的字樣讓使用者知道是成功或失敗,最後當所有步驟流程全部操作完成後會出現"Congratulations!!!! you have completed the operation"的字樣,讓使用者知道系統所有的步驟流程已全部執行完畢,目前是可以達到讓使用者反覆一直練習,且不會有消耗材料成本的目的,但仍有許多待改進的地方。

    Nowadays, the world is facing an aging society. The concept of healthy life is gradually being valued by the public, and the medical needs have also increased a lot. In order to improve the quality of life, "Dental Implant" is one of the important items that is generally selected as the solution to oral problems in today's medical needs.
    With the advancement of technology, VR, AR, MR, and XR that use "holographic photography technology" have successfully entered the market in combination with games and entertainment, and are becoming more and more popular with the public; holographic photography technology has also extended to industrial, Manufacturing, military and medical and many other different fields.
    The medical field relies heavily on the experience of doctors over the years. In order to solve the problem of unfamiliarity with the operation steps and procedures of dental implant surgery among dental medical students, dentists and dental interns who have just entered the clinic, and to save consumption costs, Based on the holographic photography technology, this study is about developing a simulation training system device for dental implant surgery with high portability, more realistic and immersive sense of operation, can be practiced repeatedly and can reduce the consumption of disposable consumables. It is used in the simulation training of dental medical students when they learn dental implant surgery, so as to increase the experience of simulation practice and become proficient in dental implantation skills. The system uses the AQB implant system and Aq Navi implant navigation as a reference, and uses Unity and Microsoft Visual Studio to develop the system interface. The operation was performed in combination with an MR headset ( Hololens 2 ) .
    As a result of the research, a total of three versions have been developed. The first version ( initial version ) , which is also the version implemented in the early stage of this research. The system interface and the 3D object models in the system are relatively simple and rough; the second version ( improved version ) , improve the 3D object models into more refined ones, and the designed interface also greatly improves the convenience of using virtual reality because of the addition of guide instructions; the third version ( re-improved version ) is a modified version. Some functions have been improved, and the data in the system has been changed to more evidence-based real data.
    The results obtained by the system after testing are: The designed content objects, steps, processes and functions can work normally. As a result of each step operation, the system will display the words "success" or "fail" to let the user know whether it is a success or a failure, and at last when all the steps and processes are completed, "Congratulations!!!! you have completed the operation" will appear in order to let users know that all the steps and processes of the system have been completed. At present, it is possible to achieve the purpose of allowing users to practice repeatedly without consuming materials cost, but there are still much more to improve.

    誌謝 I 摘要 III Abstract V 目錄 VII 圖目錄 IX 表目錄 XI 第一章 緒論 1 1-1前言 1 1-2研究動機 3 1-3研究目的 3 第二章 文獻探討 5 2-1植牙手術發展史介紹 5 2-2模擬系統應用技術介紹 9 2-2-1 MR(Mixed Reality) 9 2-2-2 MR的基礎技術 9 2-3其他相關牙科(植牙)模擬系統及研究 13 2-3-1其他相關牙科(植牙)模擬系統 13 2-3-2其他相關研究 16 第三章 研究流程、工具與方法 24 3-1研究流程 24 3-2研究工具 26 3-2-1 MR頭戴裝置-Hololens 2 27 3-2-2 Unity 29 3-2-3 Microsoft Visual Studio 30 3-3研究方法 31 3-3-1系統設計方法 31 3-3-2系統使用方法 33 3-3-3數據來源 38 第四章 研究結果 42 4-1開發植牙手術模擬教育訓練系統 42 4-1-1植牙手術模擬教育訓練系統第一版(初版) 43 4-1-2植牙手術模擬教育訓練系統第二版 53 4-1-3植牙手術模擬教育訓練系統第三版 58 4-2問卷調查結果 69 4-2-1基本資料 69 4-2-2本系統之系統操作影片觀看後感想 75 4-2-3對於本研究之建議、想法與感想回饋 79 4-3其他相關牙科(植牙)模擬系統及研究與本系統之比較 82 4-3-1四種牙科(植牙)模擬系統產品與本系統的比較 82 4-3-2其他牙科模擬訓練系統相關研究與本系統的比較 86 第五章 問題困難與討論建議 90 5-1本系統軟硬體之待改進部分 90 5-2問卷調查結果分析 91 5-2-1基本資料的調查結果 91 5-2-2對於本系統之系統操作影片觀看後感想的調查結果 94 5-2-3對於本研究之建議、想法與感想回饋的調查結果 104 第六章 結論與未來展望 108 6-1結論 108 6-2未來展望 111 參考文獻 113 附表 116

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