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D. Discussion and . Enéraleen´enérale, Les limitations et les apports des différentes méthodes développées dans le cadre de ce travail de thèse ont déjàdéjàété largement discutésdiscutésà la fin de chaque partie les présentant Je m'applique dans ce chapitrè a discuter de l'intérêt de l'approche proposéè a un niveau d'analyse supérieur, c'est-` a-dire en pensant aux problématiques liéesliéesà son utilisation en pratique courante. Je me focalise en particulier sur les notions d'acceptabilité par les utilisateurs finaux, sur l

. Le-développement-de-dispositifs-d, ´ evaluation de la qualité du geste d'une part, et d'aide opératoire d'autre part, doit s'efforcer de prendre en compte les contraintes des utilisateurs finaux, ici les chirurgiens

L. Connaissances and . La-capacitécapacité, capacitéà prendre une décision adaptéè a une situation donnée peuventêtrépeuventêtré evaluées par des scores de type OCHRA, mais leurévaluationleurévaluation automatisée est un des enjeux principaux du domaine des gestes chirurgicaux assistés par ordinateuràordinateurà l'heure actuelle

. Apport-d-'informations-contextualisées-au-chirurgien-enfin and . Speidel, ont mesuré des distances entre les instruments, suivis visuellement, et des structuresàéviterstructuresàstructuresàéviter, pour déclencher des alertes en cas de proximité trop importante. En utilisant d'autres modalités d'acquisition (fluorescence , ´ echographie per-opératoire [Voros et al., 2013]), il sera possible d'´ etudier le geste du chirurgien dans un environnement riche, et d'améliorer le résultat de la chirurgie en minimisant le risque de survenue d'aléas chirurgicaux, 2008.

. Le-suivi-d, instruments n'est donc qu'unélémentunélément dans cet environnement, dont les différentes composantes devront s'articuler de façon intelligente pour apporter au chirurgien la bonne information au bon moment pour rendre le

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