{"id":3018,"date":"2019-07-25T10:27:22","date_gmt":"2019-07-25T14:27:22","guid":{"rendered":"https:\/\/braintumour.ca\/non-classifiee\/bringing-augmented-reality-to-brain-surgery\/"},"modified":"2020-01-14T15:42:28","modified_gmt":"2020-01-14T20:42:28","slug":"mettre-la-realite-augmentee-au-service-de-la-neurochirurgie","status":"publish","type":"post","link":"https:\/\/www.braintumour.ca\/fr\/blogue\/mettre-la-realite-augmentee-au-service-de-la-neurochirurgie\/","title":{"rendered":"Mettre la r\u00e9alit\u00e9 augment\u00e9e au service de la neurochirurgie"},"content":{"rendered":"<p>Une feuille de papier et un t\u00e9l\u00e9phone intelligent pourraient-ils conduire \u00e0 des progr\u00e8s en neurochirurgie? C\u2019est l\u2019espoir d\u2019une \u00e9quipe bas\u00e9e \u00e0 l\u2019Universit\u00e9 Western, \u00e0 London, ON.<\/p>\n<p><strong>Mettre la r\u00e9alit\u00e9 augment\u00e9e au service de la neurochirurgie : <\/strong><strong>Modeler la structure et les fonctions du cerveau avant la chirurgie<\/strong><\/p>\n<p>Il est n\u00e9cessaire pour les neurochirurgiens d\u2019avoir une grande connaissance de l\u2019anatomie de chacun des cerveaux de leurs patients, ainsi que des habilet\u00e9s visuo-spatiales avanc\u00e9es pour manipuler les instruments chirurgicaux pendant l\u2019op\u00e9ration. Aujourd\u2019hui, les chirurgiens observent des affichages en 2D d\u2019images d\u2019IRM (imagerie par r\u00e9sonance magn\u00e9tique). \u00c0 partir de ces derniers, ils transforment mentalement l\u2019anatomie du patient r\u00e9v\u00e9l\u00e9 \u00e0 l\u2019\u00e9cran pour la transf\u00e9rer au patient en question (c.-\u00e0-d. anatomie 3D). Il s\u2019agit d\u2019une d\u00e9marche particuli\u00e8rement difficile pour les nouveaux stagiaires qui pourraient avoir une exp\u00e9rience chirurgicale limit\u00e9e et des habilet\u00e9s de raisonnement spatial moins d\u00e9velopp\u00e9es. Ainsi, les m\u00e9thodes actuelles conduisent \u00e0 des chirurgies plus longues ce qui augmente par cons\u00e9quent les chances d\u2019erreurs associ\u00e9es \u00e0 la baisse d\u2019efficacit\u00e9 r\u00e9sultant de la lourde charge cognitive \u00e0 supporter.<\/p>\n<p>R\u00e9cemment, une augmentation des interventions chirurgicales assist\u00e9es par ordinateur a \u00e9t\u00e9 observ\u00e9e. Cela est en partie d\u00fb aux avancements des techniques d\u2019imagerie m\u00e9dicale. Notre groupe de recherches utilise plusieurs techniques d\u2019imagerie m\u00e9dicale (p. ex. imagerie de diffusion pond\u00e9r\u00e9e, imagerie de r\u00e9sonance magn\u00e9tique fonctionnelle) pour recueillir des informations relatives \u00e0 la structure et aux fonctions du cerveau. Gr\u00e2ce \u00e0 ces informations, nous cr\u00e9ons des mod\u00e8les 3D des r\u00e9gions du cerveau et de leurs connexions structurelles et fonctionnelles. Cette approche facilite la planification de la trajectoire chirurgicale. Le d\u00e9fi principal auquel sont confront\u00e9es les techniques actuelles est le manque de m\u00e9thodes interactives et de visualisation intuitive \u00e0 disposition des neurochirurgiens et des stagiaires, les images \u00e9tant toujours pr\u00e9sent\u00e9es sur des \u00e9crans 2D.<\/p>\n<p>Nous d\u00e9veloppons une application de r\u00e9alit\u00e9 augment\u00e9e qui permettra aux chirurgiens d\u2019accoupler des mod\u00e8les du cerveau propre \u00e0 chaque patient, r\u00e9alis\u00e9s avec des donn\u00e9es r\u00e9elles pr\u00e9lev\u00e9es avant l\u2019op\u00e9ration, \u00e0 la r\u00e9alit\u00e9. La r\u00e9alit\u00e9 augment\u00e9e permet \u00e0 l\u2019utilisateur de voir et d\u2019interagir avec l\u2019objet digital dans le monde r\u00e9el. Notre application est \u00e9galement l\u00e9g\u00e8re, en effet, il n\u2019est n\u00e9cessaire pour la faire fonctionner que d\u2019un appareil mobile et d\u2019un syst\u00e8me de localisation visuelle (voir illustrations). Cette application a \u00e9t\u00e9 con\u00e7ue et \u00e9valu\u00e9e en gardant le facteur humain \u00e0 l\u2019esprit. Elle permet de visualiser des structures du cerveau en 3D de fa\u00e7on intuitive et en temps r\u00e9el et d\u2019interagir avec ces derni\u00e8res et peut donc ainsi faciliter la formation des neurochirurgiens et la planification des proc\u00e9dures chirurgicales. Nous \u00e9valuons quantitativement les progr\u00e8s r\u00e9alis\u00e9s en mati\u00e8re de rendement du point de vue de la rapidit\u00e9 et de la pr\u00e9cision. L\u2019application permet aux neurochirurgiens de voir les IRM en 3D et \u00e9vite ainsi \u00e0 ces derniers d\u2019avoir \u00e0 op\u00e9rer, pour chaque patient, une transformation mentale leur permettant de passer de la 2D \u00e0 la 3D.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_918\" aria-describedby=\"caption-attachment-918\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-918 size-large\" src=\"https:\/\/braintumour.ca\/wp-content\/uploads\/2019\/09\/AugmentedReality1-1024x521.jpg\" alt=\"Augmented Reality\" width=\"1024\" height=\"521\" srcset=\"https:\/\/www.braintumour.ca\/wp-content\/uploads\/2019\/09\/AugmentedReality1.jpg 1024w, https:\/\/www.braintumour.ca\/wp-content\/uploads\/2019\/09\/AugmentedReality1-300x153.jpg 300w, https:\/\/www.braintumour.ca\/wp-content\/uploads\/2019\/09\/AugmentedReality1-768x391.jpg 768w, https:\/\/www.braintumour.ca\/wp-content\/uploads\/2019\/09\/AugmentedReality1-640x326.jpg 640w\" sizes=\"auto, (max-width: 639px) 98vw, (max-width: 1199px) 64vw, 770px\" \/><figcaption id=\"caption-attachment-918\" class=\"wp-caption-text\">L\u2019utilisateur voit \u00e0 travers l\u2019\u00e9cran mobile de l\u2019application de r\u00e9alit\u00e9 augment\u00e9e. L\u2019utilisateur peut explorer la neuroanatomie du cerveau en utilisant l\u2019outil. Les illustrations A et B montrent un mod\u00e8le 3D du cerveau sous diff\u00e9rents angles. C repr\u00e9sente un utilisateur s\u00e9lectionnant une r\u00e9gion du cerveau avec l\u2019outil interactif. D est une photo de l\u2019utilisateur explorant diff\u00e9rents mod\u00e8les du cerveau (my\u00e9line repr\u00e9sent\u00e9e en vert et bleu).<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>Bien que notre projet ne soit pas encore termin\u00e9, nous l\u2019avons test\u00e9 sur un \u00e9chantillon d\u2019\u00e9tudiants et les r\u00e9sultats sont prometteurs. Par la suite, nous \u00e9tudierons diff\u00e9rentes fa\u00e7ons de modeler les tumeurs c\u00e9r\u00e9brales et, pour finir, nous demanderons \u00e0 des chirurgiens d\u2019\u00e9valuer l\u2019application.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-920 size-large\" src=\"https:\/\/braintumour.ca\/wp-content\/uploads\/2019\/09\/AugmentedReality2-1024x498.jpg\" alt=\"Augmented Reality\" width=\"1024\" height=\"498\" srcset=\"https:\/\/www.braintumour.ca\/wp-content\/uploads\/2019\/09\/AugmentedReality2.jpg 1024w, https:\/\/www.braintumour.ca\/wp-content\/uploads\/2019\/09\/AugmentedReality2-300x146.jpg 300w, https:\/\/www.braintumour.ca\/wp-content\/uploads\/2019\/09\/AugmentedReality2-768x374.jpg 768w, https:\/\/www.braintumour.ca\/wp-content\/uploads\/2019\/09\/AugmentedReality2-640x311.jpg 640w\" sizes=\"auto, (max-width: 639px) 98vw, (max-width: 1199px) 64vw, 770px\" \/>L\u2019utilisateur voit \u00e0 travers l\u2019\u00e9cran mobile de l\u2019application de r\u00e9alit\u00e9 augment\u00e9e. L\u2019utilisateur peut explorer structures et fonctions du cerveau gr\u00e2ce \u00e0 l\u2019outil. La couleur de fond des boutons indique la force de l\u2019association entre diff\u00e9rentes r\u00e9gions. L\u2019utilisateur peut explorer ces fonctions en utilisant la barre de d\u00e9filement.<\/p>\n<p>Nous esp\u00e9rons que gr\u00e2ce aux technologies de traitement d\u2019images avanc\u00e9es, notre application permettra \u00e0 des chirurgiens d\u2019explorer l\u2019anatomie du patient en toute s\u00e9curit\u00e9, d\u2019identifier des sites importants et de planifier les proc\u00e9dures neurochirurgicales \u00e0 adopter avant la chirurgie. Notre intention est de d\u00e9velopper notre outil et d\u2019en faire un mod\u00e8le \u00e9ducationnel destin\u00e9 aux r\u00e9sidents en neurochirurgie et aux \u00e9tudiants en m\u00e9decine permettant de planifier les neurochirurgies.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Un morceau de papier et un smartphone peuvent-ils am\u00e9liorer la chirurgie c\u00e9r\u00e9brale? C\u2019est l\u2019espoir d\u2019une \u00e9quipe bas\u00e9e \u00e0 la Western University \u00e0 London, ON.<\/p>\n","protected":false},"author":4,"featured_media":919,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[138,139,144],"tags":[],"user_type":[],"locations":[],"class_list":["post-3018","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogue","category-general","category-recherche"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.0 (Yoast SEO v27.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Mettre la r\u00e9alit\u00e9 augment\u00e9e au service de la neurochirurgie - Fondation canadienne des tumeurs c\u00e9r\u00e9brales<\/title>\n<meta name=\"description\" content=\"Un morceau de papier et un smartphone peuvent-ils am\u00e9liorer la chirurgie c\u00e9r\u00e9brale? 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