A. Radetzky et al., Elastodynamic shape modeler: A tool for defining the deformation behavior of virtual tissues, RADIOGRAPHI, 20(3), 2000, pp. 865-881
A main goal of surgical simulators is the creation of virtual training envi
ronments for prospective surgeons. Thus, students can rehearse the various
steps of surgical procedures on a computer system without any risk to the p
atient. One main condition for realistic training is the simulated interact
ion with virtual medical devices, such as endoscopic instruments. In partic
ular, the virtual deformation and transection of tissues are important. For
this application, a neuro-fuzzy model has been developed, which allows the
description of the visual and haptic deformation behavior of the simulated
tissue by means of expert knowledge in the form of medical terms. Patholog
ic conditions affecting the visual and haptic tissue response can be easily
changed by a medical specialist without mathematical knowledge. By using t
he personal computer-based program Elastodynamic Shape Modeler, these condi
tions can be adjusted via a graphical user interface. With a force feedback
device, which is similar to a real laparoscopic instrument, virtual deform
ations can be performed and the resulting haptic feedback can be felt. Thus
, use of neuro-fuzzy technologies for the definition and calculation of vir
tual deformations seems applicable to the simulation of surgical interventi
ons in virtual environments.