Programm CURAC Jahrestagung 2009

8. Jahrestagung der Deutschen Gesellschaft für Computer-
und Roboterassistierte Chirurgie

23.–24. Juni 2009, Estrel Hotel im Rahmen der CARS 2009
Tagungspräsident: Prof. Dr. Volkmar Falk


Sonnenallee 225
12057 Berlin, Germany

Tuesday, June 23, 2009
Estrelsaal A

08:00 Tutorial on Patient-Specific Model
Heinz U. Lemke, PhD, Technical Univ. of Berlin (D), Volkmar Falk, MD, PhD, Univ. Hosp. Zurich (CH)

09:45 Break

10:00 Tutorial on Navigated Control
Tim C. Lüth, PhD, Technical Univ. Munich (D), Gero Strauss, MD, Univ. Hosp. Leipzig (D)

11:45 Break

5th CURAC / CARS / DGBMT Joint Workshop on Model Guided Therapy
Session Chair:
Thomas Schmitz-Rode, MD (D)

14:00 Interventional and transapical valve replacement - a case for model based surgery
V. Falk, Univ. Hosp. Zurich (CH)

14:15 Patient modelling for cardiology and heart surgery
O. Dössel, Univ. of Karlsruhe (D)

14:30 Action and workflow driven user interfaces for computer aided interventions
N. Navab,
Technical Univ. of Munich (D)

14:45 Challenges in software development for model guided therapy
H.-O. Peitgen, Fraunhofer MEVIS, Bremen (D)

15:00 Cut less - see more: the role of IT for modelling and supporting surgical workflows
C. Bulitta, Siemens AG Healthcare Sector, Erlangen (D)

15:15 The surgical view on a digital patient model
G. Strauss, Univ. Hosp. of Leipzig (D)

15:30 Modelling in radiation therapy
W. Schlegel, German Cancer Research Center, Heidelberg (D)

15:45 Break

16:00 Cooperation issues for R&D model guided therapy
H.U. Lemke,
Technical Univ. of Berlin (D)

16:15 Funding possibilities for biomedical imaging research in the EU's 7th framework programme
P. Jehenson, European Commission, Brussels (B)

16:30 Potential funding possibilities for biomedical imaging and associated research within the NIH and specifically NIBIB programs
J.W. Haller, National Inst. of Health, Bethesda, MD (USA)

16:45 Panel Discussion on Model-Guided Therapy

Thomas Schmitz-Rode, MD (D)
Heinz U. Lemke, PhD (D)

17:30 End of Session

17:30 CURAC Mitgliederversammlung

18:30 CURAC Social Event

Wednesday, June 24, 2009

Estrelsaal B
08:00 Tutorial on MWS

Michael W. Vannier, Univ. of Chicago Medical Center (USA)
Heinz U. Lemke, Technical Univ. of Berlin (D)

09:00 End of Tutorial

Estrelsaal B
09:00 Tutorial on Surgical Workflow
Oliver Burgert, PhD, Univ. of Leipzig (D)
Laurent Riffaud, MD, Hosp. Pontchaillou, Rennes (F)

The term “Surgical Workflow (S-WF)” is used in a variety of contexts and for different purposes, each having one thing in common: Modeling the processes in the Operating room. The approaches to this are manifold: From human or technical observation of the surgical processes and their abstract modeling to the manual description of complex surgical cases there are different ways to acquire S-WFs. The Worksflows themselves are used to answer specific clinical questions, for requirements engineering for software systems or to drive higher level clinical applications.
The tutorial gives an introduction to the field of Surgical Workflow Analysis. The major steps for successfully using the methodology are presented: Process recording, process modeling, process visualization, process analysis. In addition to theoretical aspects, the speakers give examples from their experience in analyzing over 700 clinical processes from various surgical domains for different purposes.

12:00 End of Tutorial

Estrelsaal C1/2
08:00 Tutorial on Open Source Software: Should I Join
the Open Source Movement?

Kevin Cleary, PhD, Georgetown Univ. Medical Center, Washington, DC (USA)

Open source software development is an increasingly popular software development model, particularly in the research community. The availability and use of open source software is rapidly increasing everywhere, including within the computer assisted radiology and surgery community. However, as with most technologies, open source software is not a “cure-all”, but rather one option for software development in medical devices. In this tutorial, we will start with an introduction and overview of the open source software field, including a discussion of what the term open source means, the licensing issues, and the business models. We will then survey the landscape of existing open source tools, with a particular emphasis on tools for the computer assisted radiology and surgery domain. We will next present an example open source implementation, the Image-Guided Surgery Toolkit (IGSTK). We will conclude with a demonstration of IGSTK and discuss the issues involved in using open source software in the clinical domain.

14:00 Introduction and overview
K. Cleary, PhD, Georgetown Univ. Medical Center, Washington, DC (USA)

14:40 Survey of open source tools
A. Enquobahrie, PhD, Kitware, Inc., Clifton Park, NY (USA)

15:20 Break and private discussions

15:40 Example implementation (IGSTK)
P. Cheng, MS, Georgetown Univ. Medical Center, Washington, DC (USA)

16:20 Demonstration and group discussion

12:00 End of Tutorial

Estrelsaal B
1st EuroNOTES / CTAC / CARS Workshop on NOTES: An Interdisciplinary Challenge

Chairman: Hubertus Feussner, MD (D)
Co-Chair: Andreas Melzer, MD, DDS (UK)

14:00 Natural Oriface Transluminal Endoscopic Surgery – NOTES

14:00 On the threshold to NOTES: the key role of technology
Invited Speaker: H. Feussner, Klinikum rechts der Isar, Munich (D)

14:15 The role of patient specific modelling in NOTES
Invited Speaker: H.U. Lemke, Technical Univ. of Berlin (D)

14:30 MR-compatible flexible endoscope for Natural Orifice Transluminal
Endoscopic Surgery (NOTES)
S. Naka, Y. Kurumi, K. Sato, K. Murakami, H. Shiomi, T. Tani S. Morikawa, Shiga Univ. of Medicine, Otsu, H. Haque, GE Yokogawa Medical Systems, Hino (J)

14:45 Electromagnetic tracking of a flexible endoscope for comprehensive
evaluation of different access routes for NOTES

A. Schneider, D. Wilhelm, H. Feussner, Klinikum rechts der Isar, Munich (D)

15:00 Experiment of a tele-controled endoscopic surgical robot system between Japan and Thailand
A. Hattori, N. Suzuki, The Jikei Univ. School of Medicine, Y. Fujino, Y. Ueda, NTT Communications Corp., Tokyo S. Ieiri, T. Maeda, K. Tanoue, M. Hashizume, Kyushu Univ. Hosp., K. Konishi, Kyushu Univ., Fukuoka (J), P. Navicharern, Chulalongkorn Univ., Bangkok (T)

15:15 New endoscopic robot system for NOTES that enables activation of 4 robotic forceps for free surgical maneuvers
N. Suzuki, A. Hattori, The Jikei Univ. School of Medicine, Tokyo, K. Tanoue, S. Ieiri, H. Kenmotsu, M. Hashizume, Kyushu Univ. Hosp., K. Konishi, Kyushu Univ., Fukuoka (J)

15:30 Flexible versus rigid instruments: not only a technological challenge
Invited Speaker: A. Melzer, Univ. Dundee and St. Andrews (UK)

15:45 Engineering challenges for NOTES instruments
Invited Speaker: G.-Z. Yang, Imperial College of Science, Technology, and Medicine, London (UK)

16:00 End of Session

Estrelsaal C1/2
12:00 Tutorial on Assessment of Medical Image
Processing for CAS

Validation in Medical Image Processing Tools for CAS
Pierre Jannin, PhD, Univ. of Rennes (F)

This tutorial will introduce the basic knowledge of assessment terminology and methodology, especially in the context of medical image processing for Computer Assisted Surgery. The tutorial will first outline the complexity and diversity of assessment in such clinical context. Tools and classifications will be introduced to manage this complexity. The main components of an assessment study in medical image processing for CAS will be described as well as methods for making easier the design and report of such assessment studies. Main examples will concern image guided surgery.

16:00 End of Tutorial

Estrelsaal C3/4
08:00 Tutorial on Visualization and Virtual Reality in Medicine
Bernhard Preim, PhD, Otto-von-Guericke-Univ. Magdeburg (D)
Charl Botha, PhD, Delft Univ. of Technology (NL)

Efficient and high-quality visualization have a great potential for enhancing treatment planning and intra-operative support. In this tutorial, we will introduce surface and direct volume rendering and explain how advanced methods can be efficiently employed. Specific examples of advanced methods include smooth reconstructions of surface data from medical volume data, visualization of vascular structures and virtual endoscopy. Many examples and stress clinical applications will be provided. Selected applications, such as computer-assisted shoulder replacement, diagnosis of coronary artery disease and virtual colonoscopy will be presented and demonstrated in more detail. These detailed examples show how techniques are integrated with other methods, in particular from image analysis and simulation, to solve real problems. Finally, we will discuss strategies of assessing the impact of visualization techniques on treatment planning.

12:00 End of Tutorial

Estrelsaal A
CARS Clinical Day

08:00 Minimally Invasive Spinal Surgery – MISS

Session Chairs: John C. Chiu, DDSc, MD (USA), H.K. Huang, DSc (USA)

08:00 Evolving Minimally Invasive Spine Surgery (MISS) and technological consideration
Invited Speaker: J. C. Chiu, California Center for Minimally Invasive Spine Surgery, Newbury Park, CA (USA)

08:15 MRI guided applications of signal inducing bone cements on a spine phantom
F. Wichlas, R. Schilling, C. Seebauer, U. Teichgräber, H. Bail, Charité – Univ. Medicine, Berlin (D)

08:30 Enhancing pedicle screw placement with pre-surgical image-based planning and patient-specific 3D anatomic models
K. Augustine, A. Stans, J. Morris, P. Huddleston, J. Matsumoto, D. Holmes,
R. Robb, Mayo Clinic, Rochester, MN (USA)

08:45 Navigational high-resolution 3D ultrasound in spine tumour surgery – ­technical assessment
T. Selbekk, G.A. Tangen, O.V. Solberg, SINTEF, O. Solheim, G. Unsgard, Y. Nygard,
St. Olav Univ. Hosp., Trondheim (N)

09:00 What is the maximum echo time for thermometric monitoring during percutaneous laser disk decompression?
U. Wonneberger, F. Streitparth, T. Walter, J. Rump, U. Teichgräber, Charité – Univ. Medicine, Berlin, B. Schnackenburg, Philips GmbH, Hamburg (D)

09:15 Technical feasibility and clinical efficacy of 3D-navigation in posterior spinal instrumentation
J.-S. Jarvers, T. R. Blattert, C. Josten, Univ. of Leipzig, S. Katscher,
Helios Clinic Borna (D)

09:30 Break

09:45 Interventional Radiology – IR
Session Chairs: Leonard Berliner, MD (USA), Eric vanSonnenberg, MD (USA)

09:45 MR-compatible wireless communication system for the interventional open high-field MRI
J. Rump, F. Güttler, U. Teichgräber, Charité – Univ. of Medicine, Berlin (D)

10:00 New optical navigation system for image guided biopsies and ablations: initial in-vitro, animal and human evaluation
Y. Schwarz, G. Aviram, Tel Aviv Sourasky Medical Center, J. Sosna, Hadassa Hosp., Jerusalem, P. Gilboa, ActiViews Ltd, Haifa (IL), U. Shreter, ActiViews Inc., Mequon, WI (USA)

10:15 MR-guided Laser-induced Interstitial Thermal Therapy (LITT) using real-time automatic passive tracking of a flexible instrument holder
P. Zamecnik, A. J. Krafft, F. Maier, C. Zechmann, M. Bock, German Cancer Research Center, Heidelberg, A. de Oliveira, Siemens Medical Solutions, Erlangen, A. Winkel,
Invivo Germany GmbH, Schwerin (D)

10:30 Fast verification of electrode access paths for CT-guided RFA planning and targeting
A. Weihusen, C. Schumann, J. Bieberstein, C. Rieder, B. Geisler, S. Zidowitz,
H.-O. Peitgen, Fraunhofer MEVIS, O. Konrad, MeVis Medical Solutions AG, Bremen (D)

10:45 Evaluation of online thermometry during MR-guided intervention in a high field open system at 1.0 T
K. Jungnickel, G. Gaffke, K. Lohfink, F. Fischbach, M. Ludewig, O. Großer, J. Ricke, K. Will, A. Omar, Otto von Guericke-Univ., Magdeburg, J. Bunke, Philips Healthcare, Hamburg (D)

11:00 Optimal visualization and 3D-asymmetry quantification for postoperative result assessment of hepatic radiofrequency ablations
R. Wiemker, Philips Research Hamburg, C. Bangard, S. Rösgen, R. Wahba, M. Hellmich, J. Fischer, D. L. Stippel, K.J. Lackner, Univ. Hosp. Cologne (D)

11:15 Break

Estrelsaal A
CARS Clinical Day

11:30 Interventional Radiology – IR
Session Chairs: Leonard Berliner, MD (USA), Eric vanSonnenberg, MD (USA)

11:30 Total computerized control of transcutaneous tissue acquisition
J. Janssens, R. Schulz-Wendtland, G. Mendoza, Univ. of Hasselt (B)

11:45 Percutaneous transhepatic cholangiography training simulator with real-time breathing motion
P.F. Villard, F. Bello, Imperial College London, F.P. Vidal, N.W. John, Univ. of Wales, ­Bangor, C. Hunt, S. Johnson, Manchester Business School, D. Gould, The Royal Liverpoool and Broadgreen Hosp. (UK)

12:00 Real-time tracking of liver motion and deformation using fine needle
R. Shekhar, P. Lei, F. Moeslein, Univ. of Maryland, Baltimore, MD (USA)

12:15 Macroscopic blood flow visualization using boids
S. Pop, C. Hughes, N. John, Bangor Univ. (UK)

12:30 Real-time Seldinger technique simulation in complex vascular models
V. Luboz, F. Bello, Imperial College London, C. Hughes, N.W. John, Univ. of Wales, ­Bangor, D. Gould, The Royal Liverpoool and Broadgreen Hosp. (UK)

12:45 Break

14:00 Interventional Oncology – Part 1
Focus on Lung Cancer – IO-1

Session Chair: Leonard Berliner, MD (USA)

14:00 Lung cancer: epidemiology and treatment options
S. Raoof, New York Methodist Hosp., Brooklyn, NY (USA)

14:15 Introduction to tumor ablation therapies and technologies
P. Morrison, Brigham and Women‘s Hosp., Boston, MA (USA)

14:30 Lung cancer: role of tumor ablation
E. vanSonnenberg, Arizona State Univ., Phoenix, AZ (USA)

14:45 Lung cancer: interventional pulmonology
A. Sung, New York Methodist Hosp., Brooklyn, NY (USA)

15:00 Interventional Oncology – Part 2
Recent Advances – IO-2
Session Chair: Eric vanSonnenberg, MD (USA)

15:00 Interventional oncology: palliative IR procedures
L. Berliner, New York Methodist Hosp., Brooklyn, NY (USA)

15:15 Advanced technologies in the interventional radiology suite of the future
K. Cleary, Georgetown Univ. Medical Center, Washington, DC (USA)

15:30 Hepatic malignancies: role of ablation and embolization
E. I. Cohen, Georgetown Univ. Medical Center, Washington, DC (USA)

15:45 Case-based approach to tumor ablation: patient selection and treatment decision making
E. vanSonnenberg, Arizona State Univ., Phoenix, AZ (USA)

Panel Discussion

Estrelsaal A/B
17:00 CARS 2009 Opening

Heinz U. Lemke, PhD
Organizer CARS 2009

Bernard L. Crowe, BA, MPH
Honorary President CARS 2009

Stanley Baum, MD
Chairman, Computer Assisted Radiology, 23rd International Congress
and Exhibition (CAR)

Gero Strauss, MD
President, 13th Annual Conference of the International Society for Computer
Aided Surgery (ISCAS)

Osman M. Ratib, MD, PhD
President, 27th International EuroPACS Meeting (EuroPACS)

Kunio Doi, PhD
Chairman, 11th International Workshop on Computer-Aided Diagnosis (CAD)

Allan G. Farman, PhD, DSc
Chairman, 15th Computed Maxillofacial Imaging Congress (CMI)

Keynote Lectures
From patient-specific modelling to model-based evidence in medicine

M. W. Vannier, Univ. of Chicago (USA)

Visions of creative design for human computer interaction with models
B. Buxton, Microsoft Research (USA)

Invited Lectures
Darwin, selection, survival, cooperation and CARS

S. J. Golding, Univ. of Oxford (UK), E. Beckmann, Lanmark, Beaconsfield (UK)

CT imaging of the mummy Meresamun with 64- and 256-slice scanners
M. W. Vannier, Univ. of Chicago (USA)

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News & Dates

CURAC Annual Conference 2017
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