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TWBG_Materials/核心资料汇总_MD/2023_自由探索-微创化手术智能导航平台建设-彭子洋-申报书/2023_自由探索-微创化手术智能导航平台建设-彭子洋-申报书_middle.json
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"content": " 由此对医院与患者带来的额外成本总计超过252亿元。针对如此大规模的样本量的手术和术后带来的风险围术期的护理改进与微创手术的引进已经在近年来极大程度上降低了这一风险但是仍旧有很大一部分可预防的医疗错误发生在手术室中这都进一步证明了需要有更完善的解决方案来改善外科手术过程的安全和效率[1]。国内外众多三甲医院也已启动智能诊疗助手、智能影像识别等人工智能技术的试点工作。但目前人工智能在医疗领域的应用仍主要集中于单场景医疗任务辅助,临床医疗相关的精准化人工智能诊疗体系建设仍处于初步探索阶段,基于大样本的临床数据挖掘与手术智能辅助是当前临床医疗数字化的发展热点和重点,国内外尚无成熟应用体系。"
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"content": "本项目将聚焦国家医药卫生与健康领域的重大需求构建集术前病灶精准定位导航及智能路径规划、微创术中手术三维导航定位模块及磁锚定荧光腔镜影像采集设备、术后图文手术记录生成模块于一体的手术导航平台及配套人才培养体系。进一步实现精准、微创理念下融合术前患者多模态临床诊疗大数据的术中AR实时智能导航系统搭建手术智能导航平台制定术中智能导航相关规范并完成临床试点应用数字化、信息化、智能化赋能外科诊疗发展"
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"content": "[1] WEISER T G, HAYNES A B, MOLINA G, et al. Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes [J]. Lancet, 2015, 385 Suppl 2: S11."
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"content": "动物实验表明能够进行肿瘤病灶的定位。在明确肿瘤位置的基础之上,要想进行肝切除术,还需要辨别肿瘤病灶与周围正常组织的关系,需额外引入常规彩色成像。项目研制的信号激发与采集的双通道化技术,在磁锚定荧光专用腹腔镜的基础上,引入常规彩色成像激发光源及信号采集模块,实现可见光与荧光信号的同时采集与显示,更便于指导与规划手术。"
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"content": "为使系统具有整体化设计便于手术室等环境的移动对系统各模块、组件进行布局设计了如图15所示的台车能够有效置入光源模块、数据处理中心等。按照台车设计完成加工同时置入光源、数据处理中心、显示器等制造优化后的双通道磁锚定荧光专用腹腔镜如图16所示双通道磁锚定内置镜头位于腹壁模型内侧。"
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"content": "临床验证主要是验证荧光手术导航系统在临床中的实际作用,采用临床肝切除病例探索所制开放式荧光手术导航系统肿瘤病灶定位及划定切肝线的有效性。研究经西安交通大学第一附属医院伦理委员会审批,仔细筛选病例后取得患者及家属的知情同意,并签署相关知情同意书。"
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