Simulation of scattered radiation during intraoperative imaging in a virtual reality learning environment

International Journal of Computer Assisted Radiology and Surgery
Matthias SüncksenMichael Teistler

Abstract

Scattered radiation, which occurs when using a C-arm for intraoperative radiography, can be better understood through interactive visualization. We developed a virtual reality (VR) approach for the simulation of scattered radiation (SSR) as part of a C-arm training system. In VR, it is important to avoid cyber sickness, which is often caused by increased latency between head motion and image presentation inside the head-mounted display. As the latency requirement interferes with the computational complexity of the SSR, the goal has been to maintain a low latency during the simultaneous computation of the SSR on moderate-cost consumer hardware. For use with a VR C-arm simulator, a CUDA-based Monte Carlo SSR has been improved to utilize GPU resources unused by the VR image generation. Resulting SSR data are visualized through volume rendering with pseudo-colored scattered radiation superimposed onto the virtual operating room. The resulting interactive VR-SSR environment was evaluated with operating room personnel (ORP) and surgeons using questionnaires. Depending on the imaged body part and computation parameters, the required computation time to complete one SSR run was between 1.6 and 4.2 s (ankle) and between 7.9 and 14.9 s (...Continue Reading

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