Page 407 - Biomedical Engineering and Design Handbook Volume 2, Applications
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SURGICAL SIMULATION TECHNOLOGIES  385

                                           Force model
                                                                          Force
                                          Local mesh
                               Global      geometry        Local                     Haptic device
                              simulation     Local mesh  simulation
                                              geometry
                                             Instrument                 Instrument
                                              position                   position


                               10 Hz                       1000 Hz


                          A


                                                   Instrument                            Instrument



                                                        x                                    x



                                                                           Stationary







                               y                                     y
                                    Stationary                             Stationary
                          B
                          FIGURE 13.3  Multirate simulation for high-fidelity haptic interaction with virtual environments.

                          novice. The visual realism of the virtual environment is also important for the trainee to achieve a
                          sense of immersion into the simulation, facilitating the trainee’s engagement with the training task,
                          which is essential for effective training.
                            The availability of powerful graphics capabilities at the new relatively low-cost consumer level
                          graphics adapters facilitated the application of advanced rendering algorithms in interactive virtual
                          environments, which was previously possible only with high-end graphics workstations. With the
                          new programmable vertex and pixel shaders, it is possible to create realistic graphical a visually real-
                          istic reproduction of the surgical scene by applying advanced illumination models together with tex-
                          ture and bump mapping, extended to include the effects of glossiness and multilayered nature of the
                          tissue, and superimposing capillaries and other visual details onto the gross geometry. 75

              13.3.6 Networked and Distributed Virtual Environments
                          In a surgical simulation, software modules numerically simulate the physics of a target environment.
                          Highly accurate simulations for compelling virtual environments for training, especially, simulations
                          involving models with geometric and material nonlinearities, topology changing manipulations, and
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