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FUSION - Future Environment for Gentle Liver Surgery Using Image-Guided Planning and Intra-Operative Navigation

National research project on individualized precision surgery for soft tissue with a focus on liver surgery and interventions. Transfer of image-based, pre-operative planning data into the surgical and/or interventional situs and utilization for intra-operative navigation. The consortium comprises more than 20 partners from medicine, research and industry. www.somit-fusion.de

Partner:
Clinical Partners in Berlin (Charité), Celle, Duesseldorf, Essen, Hamburg, Luebeck
Institute of Mathematics, University of Luebeck
Micro Technology and Medical Device Technology (MiMed), TU Munich
Fraunhofer Institute for Applied Information Technology, Sankt Augustin
Institute for Robotics und Cognitive Systems, University of Luebeck
Department of Simulation und Graphics, University of Magdeburg
Siemens Healthcare, Erlangen

Funding:
Federal Ministry of Education and Research (BMBF)

Contact:
Dr. Stephan Zidowitz

Intra-operative Support for Laparoscopic and Open Liver Surgery (FUSION)

surgery

Modern imaging techniques, especially 3D analysis of vascular territories have led to a better understanding of the functional anatomy of the liver. Surgeons can plan the resections virtually and estimate the consequences of different resection strategies. Recent research focuses on transferring the virtual plan to the operation site. This is made possible by using stereotactic navigation techniques combined with intraoperative ultrasound.

Partner:
Clinical partners in Berlin (Charité), Celle, Mainz, Hamburg, Luebeck
Institute of Mathematics, University of Luebeck
Micro Technology and Medical Device Technology (MiMed), TU Muenchen
Institute for Robotics und Cognitive Systems, University of Luebeck

Funding:
Federal Ministry of Education and Research (BMBF)

Contact:
Christian Hansen

Pre-Interventional Planning and Post-Interventional Assessment in Radio-Frequency Ablation (FUSION)

SAFIR

Software algorithms for individual pre-interventional planning of image-guided radio-frequency ablation will be developed. Current research focuses on the transfer of planning data to an ultrasound-based navigation platform to support decision making during intervention. Furthermore, in a post-interventional assessment setting, diagnostic images are used for the evaluation of the radio-frequency ablation result.

Partner:
Universitätsklinikum Düsseldorf
Fraunhofer Institute for Applied Information Technology, Sankt Augustin

Funding:
Federal Ministry of Education and Research (BMBF)

Contact:
Christian Rieder

New Imaging Technologies and Assessment of Regeneration Patterns for the Optimization of Computer-Assisted Planning and Risk Analysis of Living Donor Liver Transplantations

LDLT2
  • Improvement of donor evaluation and operation planning for live donor liver transplantations
  • Image-based assessment of parenchymal and vascular growth in post-operative liver regeneration in both donors and recipients
  • Understanding the impact of venous congestion and the formation of venous collaterals on liver regeneration and pre-operative risk assessment
  • Application and evaluation of new imaging technologies and contrast agents / automation of image analysis algorithms for the computer-assisted planning of live donor liver transplantations

Partners:
Departments of Surgery and Radiology, University Hospital Essen
Clinical Research Unit KFO 117

Funding:
German Research Foundation (DFG) - Clinical Research Unit KFO 117 „Optimization of living-related liver transplantation“

Contact:
Milo Hindennach, Andrea Schenk

Optimization and Optimal Control of Therapy Parameters for Radio-Frequency Ablation

Radio-frequency (RF) ablation is a local and minimally invasive thermo-ablation technique for the treatment of tumor diseases. Our current investigation contains the improvement of the simulation model, and an optimization of the position and orientation of the RF probe. Moreover, an analysis of the sensitivity of the optimal probe placement with respect to uncertain tissue properties, and the development of a method for identifying patient individual tissue parameters are fields of our ongoing research.

Partner:
Center of Complex Systems and Visualization (CeVis), University of Bremen
AG Optimierung und Optimale Steuerung, ZeTeM, University of Bremen

Funding:
German Research Foundation (DFG-SPP 1253)

Contact:
Prof. Dr. Tobias Preusser

Risk and Recovery of Outflow Obstruction in Living-Related Liver Transplantation

LDLT

Based on serial histological sections, software algorithms for the automatic analysis and three-dimensional visualization of morphological data will be developed. This will not only lead to a deeper understanding of the regulatory influence of focally impaired liver perfusion on liver regeneration in terms of volume and vascular regeneration, but also in terms of the spatial distribution of molecular processes during the course of liver regeneration.

Partner:
PD Dr. Uta Dahmen, Dept. of General, Visceral, and Transplantation Surgery, University Hospital of Essen

Funding:
German Research Foundation (DFG)
 
Contact:
Andrea Schenk

RFITT - Development and Validation of a Computer-Assisted Planning System for the Pre-Interventional Decision, Simulation and Optimization for In-Situ Ablation of Malignant Liver Tumors

In this project, we develop a panning system for radiofrequency ablation (RFA) which computes the intervention result by means of a mathematical model based on partial differential equations. The goal is to assist the physician in the therapy decision as well as the choice and placement of RF applicators.

Partner:
Surgical Clinic I, Charité -- Campus Benjamin Franklin, Berlin

Funding:
German Research Foundation (DFG)

Contact:
Dr. Tim Kroeger

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