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研究生:廖偉廷
研究生(外文):Wei Ting Liao
論文名稱:應用混合實境於手術導板設計與術前規劃
論文名稱(外文):Mixed Reality for Surgical Guide Design and Surgical Planning
指導教授:張耀仁張耀仁引用關係
指導教授(外文):Y. Z. Chang
學位類別:碩士
校院名稱:長庚大學
系所名稱:機械工程學系
學門:工程學門
學類:機械工程學類
論文種類:學術論文
論文出版年:2020
畢業學年度:108
語文別:中文
論文頁數:78
中文關鍵詞:混合實境Microsoft HoloLens手術導引板視覺化工具函示庫
外文關鍵詞:Mixed RealityMicrosoft HoloLensSurgical GuideVisualization Toolkit
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目 錄
指導教授推薦書
口試委員會審定書
誌謝 iii
摘 要 iv
Abstract v
目 錄 vi
圖目錄 ix
表目錄 xi
第一章 緒論 1
1.1 研究背景與動機 1
1.2研究目的 4
1.3文獻回顧 5
第二章 研究方法 9
2.1硬體設備 9
2.1.1個人電腦 9
2.1.2 Microsoft HoloLens 9
2.1.3 3D印表機(創想三維CR-10) 11
2.2軟體設備 12
2.2.1 Unity 2018.4.2f1 12
2.2.2 Microsoft Visual Studio 2017 12
2.2.3 Cura 2.3.0 13
2.2.4 SolidWorks 14
2.2.5 Mixed Reality Toolkit 14
2.2.6 Socket 15
2.2.7視覺化工具函式庫 16
2.3程式流程 17
2.4術前規劃系統 18
2.5傳輸資料系統 21
2.6布林運算系統 22
2.7座標系統轉換 23
第三章 研究結果 25
3.1術前規劃系統 25
3.1.1膝關節置換手術 25
3.1.2髖關節置換手術 32
3.2傳輸資料系統 35
3.2.1 Sever端介面 35
3.2.2 Client端介面 37
3.2.3傳輸流程 38
3.3布林運算系統 40
第四章 結論 46
參考文獻 48
附錄 53

圖目錄
圖1.1.1透過擴增實境看到虛擬影像 3
圖1.3.1 (a)膝蓋和 (b)髖關節的X光片,顯示出關節炎的特徵[15] 6
圖1.3.2手術中量測鑽孔角度 [16] 7
圖1.3.3安裝髖臼組件後 [17] 7
圖2.1.2.1 Microsoft HoloLens外型 10
圖2.2.3.1 Cura2.3.0使用介面 13
圖2.2.6.1 Socket架構圖 15
圖2.3.1程式運作流程圖 17
圖2.4.1規劃虛擬物件專案製作流程圖 18
圖2.4.2膝關節專案操作流程 19
圖2.4.3髖關節專案操作流程 20
圖2.5.1傳輸資料流程圖 21
圖2.6.1布林運算設計流程圖 22
圖2.7.1座標系轉換 23
圖2.7.2 AR與電腦間骨頭與手術導板之關係圖 24
圖3.1.1.1物件初始擺設位置 26
圖3.1.1.2切割數量設定,(左)未設定切割數量(右)已設定切割數量 26
圖3.1.1.3第二步驟初始畫面 27
圖3.1.1.4選擇Slice後之畫面 27
圖3.1.1.5點選要移動物件後的頁面 28
圖3.1.1.6調整整體物件大小 29
圖3.1.1.7第三步改變移動方式 29
圖3.1.1.8 Manipulation Handler控制程式介面 30
圖3.1.1.9第四步驟操作介面 31
圖3.1.2.1髖關節導引板三視圖 32
圖3.1.2.2髖關節置換手術虛擬物件初始擺設位置 33
圖3.1.2.3髖關節手術第一步驟操作介面 33
圖3.1.2.4髖關節手術第二步驟操作介面 34
圖3.2.1.1 Sever端操作介面初始狀態 35
圖3.2.1.2與HoloLens連線成功的頁面 36
圖3.2.2.1傳輸資料初始畫面 37
圖3.2.2.2開啟Socket的頁面(左)沒成功連接(右)成功連接 37
圖3.2.2.3電腦接收到的座標資料 38
圖3.2.2.4 Sever端顯示成功接收 39
圖3.2.2.5 Client端顯示成功傳送 39
圖3.3.1 (左)Microsoft HoloLens視角 (右)VTK視角 41
圖3.3.2膝關節用布林運算之導引板(左)運算前(右)運算後 41
圖3.3.3髖關節用導引板(有圓柱)與鑽孔路徑 42
圖3.3.4髖關節用布林運算之導引板(左)運算前(右)運算後 43
圖3.3.5 3D列印的膝關節 43
圖3.3.6 3D列印的膝關節用導引板 44
圖3.3.7膝關節與導引板組裝圖 44
圖3.3.8 3D列印的髖關節 44
圖3.3.9髖關節用之導引板 45
圖3.3.10髖關節與導引板組裝圖 45

表目錄
表2.2.3.1 PLA列印參數 13
表3.1.2.1髖關節導引板尺寸 32
參考文獻
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2. Roger Erivan, Guillanme Villatte, Julien Dartus, Nicolas Reina, Stephane Descamps, Stephane Boisgard, “Progression and projection for hip surgery in France, 2008-2070: Epidemiologic study with trend and projection analysis,” Orthopaedics & Traumatology: Surgery & Research, Vol. 105, Issue 7, pp. 1227-1235, November 2019.
3. Kangdon Lee, “Augmented Reality in Education and Training,” TechTrends, Vol. 56, Issue. 2, pp. 13-21, March 2012.
4. Daniel G. Aliaga, “Virtual Objects in the Real World,” Communications of the ACM, Vol. 40, No. 3, pp. 49-54, March 1997.
5. Pual Milgram, Fumio Kishino, “A Taxonomy of Mixed Reality Visual Displays,” ICICE Transactions on Information Systems, Vol. E77-D, No.12, pp. 1321-1329, December 1994.
6. Konstantina Kilteni, Ilias Bergstrom, Mel Slater, “Drumming in immersive virtual reality: the body shapes the way we play,” in Proceedings of 2013 IEEE Virtual Reality (VR), Vol. 19, Issue 4, pp. 597-605, Lake Buena Vista, FL, USA, March 2013.
7. Adolfo Muñozm, Xavier Mahiques, J. Ernesto Solanes, Ana Marti, Luis Gracia, Josep Tornero, “Mixed reality-based user interface for quality control inspection of car body surfaces,” Journal of Manufacturing Systems, Vol. 53, pp 75-92, October 2019.
8. John Wadley, Neil Dorward, Neil Kitchen, David Thomas, “Pre-operative planning and intra-operative guidance in modern neurosurgery: a review of 300 cases,” Annals of The Royal College of Surgeons of England, Vol. 81, Issue 4, pp. 217-225, July 1999.
9. Christof Karmonik, Saba N. Elias, Jonathan Y. Zhang, Orlando Diaz, Richard P. Klucznik, Robert G. Grossman, Gavin W. Britz, “Augmented Reality with Virtual Cerebral Aneurysms: A Feasibility Study,” Worlad Neurosurgery, Vol. 119, pp. e617-e622, November 2018.
10. Ronald Sahyouni, Omid Moshtaghi, Diem Kieu Tran, Sean Kaloostian, Ramin Rajaii, David Bustillo, Jefferson W. Chen, “Assessment of Google Glass as an adjunct in neurological surgery,” Surgical neurology international, Vol. 8, Issue 1, April 2017.
11. Faraz Mahmood, Eitezaz Mahmood, Robert Gregory Dorfman, John Mitchell, Feroze-Udin Mahmood, Stephanie B. Jones, Robina Matyal, “Augmented Reality and Ultrasound Education: Initial Experience,” Journal of Cardiothoracic and Vascular Anesthesia, Vol. 32, Issue 3, pp. 1363-1367, June 2018.
12. Michael Bajura, Henry Fuchs, Ryutarou Ohbuchi, “Merging Virtual Objects with the Real World: Seeing Ultrasound Imagery within the Patient,” Proceedings of International Conference on Computer Graphics and Interactive Techniques, pp. 203-210, New York USA, July 1992.
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16. Michelle O’Neill, Paul E. Beaule, “Metal-on-Metal Hip Resurfacing Arthroplasty,” Surgical Treatment of Hip Arthritis Reconstruction, Replacement, and Revision, Vol. 12, Issue 19, pp. 180-187, August 2012.
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18. Ching-Lung Tai, Yung-Chou Chen, Pang-Hsin Hsieh, “The effects of necrotic lesion size and orientation of the femoral component on stress alterations in the proximal femur in hip resurfacing - A finite element simulation,” BMC Musculoskeletal Disorders, Vol. 15, Issue 262, August 2014.
19. Sâm Landier, “Boolean operations on arbitrary polygonal and polyhedral meshes,” Computer-Aided Design, Vol. 85, pp. 138-153, April 2017.
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