Geometric Nonlinearity: Is it Important for Real-time FEM Surgical Simulation?

نویسندگان

  • Michael Wehner
  • Ron Alterovitz
چکیده

1. Background/Problem In real-time surgery simulation and planning, the Finite Element Method (FEM) is often used to simulate small and large deformation of human tissue for applications such as laparoscopy training [4], needle insertion planning [1], and image registration [2]. In using FEM, assumptions must be made about material properties and the scale of deformation of human tissues in and around the area of interest. Past work often relies on linear FEM, which assumes that tissues exhibit (1) linear elastic material behavior and (2) geometric linearity. Geometric linearity implies linear FEM is accurate only for relatively small deformations. It assumes material geometry will remain relatively constant both overall and locally and any change in geometry will not affect the distribution of applied forces. While these assumptions may be appropriate for historic applications of linear FEM, such as relatively stiff machine parts, human tissues may be subject to larger deformations making local forces and strains behave in a nonlinear manner. Past work has examined hyperelastic (large deformation) and viscoelastic (rate dependent) properties of structural tissues (tendon, rat tail) done in-vitro with various animals, and some research has examined internal organ tissue [3]. These cases are very specific to the tissue and organ type in question as well as the measurement method, thus these results vary greatly and cannot be assumed for other organs. Little information is available regarding a head-to-head comparison of linear to nonlinear geometry for the soft tissues often modeled in surgery simulation. For a case study of the prostate, we relax one assumption of linear FEM, geometric linearity, and quantify the difference in simulated tissue deformations.

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تاریخ انتشار 2005