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Just like flight and spaceship simulators already represent a standard, we expect that soon enough, surgical simulators should become a standard in medical applications. A simulations quality is strongly related to the image quality as well as the degree of realism of the simulation. Increased quality requires increased resolution, increased representation speed but more important, a larger amount of mathematical equations. To make it possible, not only that we need more efficient computers, but especially more calculation process optimizations. A simulator executes one of the most complex sets of calculations each time it detects a contact between the virtual objects, therefore optimization of collision detection is fatal for the work-speed of a simulator and hence in its quality