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A Systematic Review of Real-Time Medical Simulations with Soft-Tissue Deformation: Computational Approaches,
Tan-Nhu Nguyen1, Marie-Christine Ho Ba Tho1, Tien-Tuan Dao1
1Sorbonne University, Université de Technologie de Compiègne, CNRS, UMR 7338 Biomechanics and Bioengineering, Centre de Recherche Royallieu, CS 60 319 Compiègne, France.
Applied Bionics and Biomechanics
|March 10, 2020
Summary
This review synthesizes research on soft-tissue simulation systems, analyzing computational methods, interaction devices, architectures, and validation for effective real-time medical simulations. It identifies trends and weaknesses to guide future development in this complex engineering field.
Area of Science:
- Engineering
- Medical Simulation
- Computational Mechanics
Background:
- Soft tissue simulation is crucial for medical applications but faces challenges balancing computational speed and accuracy.
- Existing literature lacks a comprehensive review of essential components for effective soft-tissue simulation systems.
Purpose of the Study:
- To systematically review and analyze recent advancements in soft-tissue simulation systems.
- To identify general trends, weaknesses, and provide a guideline for future development.
Main Methods:
- A systematic review following the PRISMA protocol was conducted using ScienceDirect, PubMed, and IEEE.
- Fifty-five relevant papers were selected and assessed for quality.
- Computational approaches, interaction devices, system architectures, and clinical validation methods were analyzed.
Main Results:
- Computational approaches were categorized into mesh, meshfree, and hybrid methods.
- Interaction devices encompass virtual instruments, force feedback, 3D scanners, sensors, and cameras.
- System architectures were analyzed by execution schemes (distribution, multithread, multimodel) and frameworks (interaction, modeling).
- Clinical validation includes geometrical, behavioral, and user acceptability assessments.
Conclusions:
- The review provides insights into developing real-time medical simulation systems with soft-tissue deformations.
- Analysis of advantages and drawbacks across system development aspects serves as a reference guideline.
- This work highlights areas for improvement and future research in soft-tissue simulation technology.

