Interactive deformation and cutting simulation directly using patient‐specific volumetric images

This paper systematically advocates an interactive volumetric image manipulation framework, which can enable the rapid deployment and instant utility of patient‐specific medical images in virtual surgery simulation while requiring little user involvement. We seamlessly integrate multiple technical elements to synchronously accommodate physics‐plausible simulation and high‐fidelity anatomical structures visualization. Given a volumetric image, in a user‐transparent way, we build a proxy to represent the geometrical structure and encode its physical state without the need of explicit 3‐D reconstruction. On the basis of the dynamic update of the proxy, we simulate large‐scale deformation, arbitrary cutting, and accompanying collision response driven by a non‐linear finite element method. By resorting to the upsampling of the sparse displacement field resulted from non‐linear finite element simulation, the cut/deformed volumetric image can evolve naturally and serves as a time‐varying 3‐D texture to expedite direct volume rendering. Moreover, our entire framework is built upon CUDA (Beihang University, Beijing, China) and thus can achieve interactive performance even on a commodity laptop. The implementation details, timing statistics, and physical behavior measurements have shown its practicality, efficiency, and robustness. Copyright © 2013 John Wiley & Sons, Ltd.