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Ivo Rossling

 

Publications by Ivo Rossling (bibliography)

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2012
 
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Rossling, Ivo, Dornheim, Jana, Dornheim, Lars, Bohm, Andreas and Preim, Bernhard (2012): The Tumor Therapy Manager - Design, Refinement and Clinical Use of a Software Product for ENT Surgery Planning and Documentation. In: International Conference on Information Processing in Computer-Assisted Interventions 2012. pp. 1-12. Available online

The treatment of patients with head and neck cancers is a demanding medical eld, due to the compact anatomy and complex functionality of the a ected region. The planning process comprises issues regarding risk and applicability of intervention, extent of surgical removal, and the choice of appropriate access to the pathology. Required clinical information are obtained from di erent examinations, ranging from external visual and palpatory inspection, over preoperative panendoscopy and biopsy histology to radiological imaging. The surgeon needs to process all available information in mind and virtually compile a mental patient model of the target anatomy. 3D visualizations of tomographic data may improve perception of spatial relationships. However, discussions with clinical practicians reveal that parameterization of advanced visual e ects tend to be cumbersome and resulting visualizations are often too complex and not dedicated to speci c diagnostic or treatment planning questions. Moreover, they will add valuable alternative views, but cannot replace all the other diagnostic sources. We describe long-term experiences on developing and re ning a software for ENT surgery planning and documentation. Regarding 3D visualizations, it turns out to be superior to generate sequences of rather simple 3D views directly supporting speci c treatment questions, instead of presenting many anatomic structures simultaneously. Developing software for clinical practice thereby bene ts from a thorough understanding of the target scenarios and the visual questions" they raise. The second focus is on the seamless integration of the di erent diagnostic modalities, ndings, and therapy decisions into a common electronic document. We report on the actual clinical use of the system and discuss how it ts into the surgical planning workflow.

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