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A clinically applicable laser-based image-guided system for laparoscopic liver procedures

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Laser range scanners (LRS) allow performing a surface scan without physical contact with the organ, yielding higher registration accuracy for image-guided surgery (IGS) systems. However, the use of LRS-based registration in laparoscopic liver surgery is still limited because current solutions are composed of expensive and bulky equipment which can hardly be integrated in a surgical scenario.

Methods

In this work, we present a novel LRS-based IGS system for laparoscopic liver procedures. A triangulation process is formulated to compute the 3D coordinates of laser points by using the existing IGS system tracking devices. This allows the use of a compact and cost-effective LRS and therefore facilitates the integration into the laparoscopic setup. The 3D laser points are then reconstructed into a surface to register to the preoperative liver model using a multi-level registration process.

Results

Experimental results show that the proposed system provides submillimeter scanning precision and accuracy comparable to those reported in the literature. Further quantitative analysis shows that the proposed system is able to achieve a patient-to-image registration accuracy, described as target registration error, of \(3.2\pm 0.57\,\hbox {mm}\).

Conclusions

We believe that the presented approach will lead to a faster integration of LRS-based registration techniques in the surgical environment. Further studies will focus on optimizing scanning time and on the respiratory motion compensation.

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Acknowledgments

The authors would like to acknowledge Denise Baumann, Tom Williamson, Dr. Kate Gavaghan for advice and CAScination AG for providing the IGS system used in the experiments.

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Authors and Affiliations

  1. Artorg Center for Biomedical Engineering Research, IGT, University of Bern, Bern, Switzerland

    Matteo Fusaglia, Hanspeter Hess, Marius Schwalbe, Matthias Peterhans, Stefan Weber & Huanxiang Lu

  2. Department of Visceral Surgery, University Hospital of Bern, Bern, Switzerland

    Pascale Tinguely

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  1. Matteo Fusaglia
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  2. Hanspeter Hess
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  3. Marius Schwalbe
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  4. Matthias Peterhans
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  5. Pascale Tinguely
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  7. Huanxiang Lu
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Correspondence to Matteo Fusaglia.

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Matteo Fusaglia, Hanspeter Hess, Marius Schwalbe, Matthias Peterhans, Pascale Tinguely, Stefan Weber and Huanxiang Lu declare that they have no conflict of interest.

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This article does not contain any studies with human participants performed by any of the authors.

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Fusaglia, M., Hess, H., Schwalbe, M. et al. A clinically applicable laser-based image-guided system for laparoscopic liver procedures. Int J CARS 11, 1499–1513 (2016). https://doi.org/10.1007/s11548-015-1309-8

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  • DOI: https://doi.org/10.1007/s11548-015-1309-8

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