Abstract
The success of minimally invasive trauma and orthopedic surgery procedures has resulted in an increase of the use of fluoroscopic imaging. A system aiming to reduce the amount of radiation has been introduced by Navab et al. [1]. It uses an optical imaging system rigidly attached to the gantry such that the optical and X-ray imaging geometry is identical. As an extension to their solution, we developed a multi-view system which offers 3D navigation during trauma surgery and orthopedic procedures. We use an additional video camera in an orthogonal arrangement to the first video camera and a minimum of two X-ray images. Furthermore, tools such as a surgical drill are extended by optical markers and tracked with the same optical cameras. Exploiting that the cross ratio is invariant in projective geometry, we can estimate the tip of the instrument in the X-ray image without external tracking systems. This paper thus introduces the first multi-view Opto- Xray system for computer aided surgery. First tests have proven the accuracy of the calibration and the instrument tracking. Phantom and cadaver experiments were conducted for pedicle screw placement in spinal surgery. Using a postoperative CT, we evaluate the quality of the placement of the pedicle screws in 3D.
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Navab, N., Mitschke, M., Bani-Hashemi, A.: Merging visible and invisible: Two camera-augmented mobile C-arm (CAMC) applications. In: IWAR, pp. 134–141 (1999)
Boszczyk, B.M, Bierschneider, M., Panzer, S., Panzer, W., Harstall, R., Schmid, K., Jaksche, H.: Fluoroscopic radiation exposure of the kyphoplasty patient. European Spine Journal 15, 347–355 (2006)
Synowitz, M., Kiwit, J.: Surgeon’s radiation exposure during percutaneous vertebroplasty. J. Neurosurg. Spine. 4, 106–109 (2006)
Siewerdsen, J.H., Moseley, D.J., Burch, S., Bisland, S.K., Bogaards, A., Wilson, B.C., Jaffray, D.A.: Volume ct with a flat-panel detector on a mobile, isocentric c-arm: Pre-clinical investigation in guidance of minimally invasive surgery. Medical Physics 32(1), 241–254 (2005)
Hayashibe, M., Suzuki, N., Hattori, A., Otake, Y., Suzuki, S., Nakata, N.: Surgical navigation display system using volume rendering of intraoperatively scanned ct images. Computer Aided Surgery 11(5), 240–246 (2006)
Stetten, G.D., Chib, V.: Magnified real-time tomographic reflection. In: Niessen, W.J., Viergever, M.A. (eds.) MICCAI 2001. LNCS, vol. 2208, Springer, Heidelberg (2001)
Fichtinger, G., Deguet, A., Masamune, K., Balogh, E., Fischer, G.S., Mathieu, H., Taylor, R.H., Zinreich, S.J., Fayad, L.M.: Image overlay guidance for needle insertion in ct scanner. IEEE Transactions on Biomedical Engineering 52(8), 1415–1424 (2005)
Fischer, G.S., Deguet, A., Schlattman, D., Taylor, R., Fayad, L., Zinreich, S.J., Fichtinger, G.: Mri image overlay: Applications to arthrography needle insertion. In: Medicine Meets Virtual Reality (MMVR), vol. 14 (2006)
Heining, S.M., Wiesner, S., Euler, E., Mutschler, W., Navab, N.: Locking of intramedullary nails under video-augmented flouroscopic control: first clinical application in a cadaver study. In: Proceedings of CAOS, Montreal, Canada (2006)
Arand, M., Schempf, M., Fleiter, T., Kinzl, L., Gebhard, F.: Qualitative and quantitative accuracy of caos in a standardized in vitro spine model. Clin. Orthop. Relat. Res. 450, 118–128 (2006)
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Traub, J., Heibel, T.H., Dressel, P., Heining, S.M., Graumann, R., Navab, N. (2007). A Multi-view Opto-Xray Imaging System. In: Ayache, N., Ourselin, S., Maeder, A. (eds) Medical Image Computing and Computer-Assisted Intervention – MICCAI 2007. MICCAI 2007. Lecture Notes in Computer Science, vol 4792. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-75759-7_3
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DOI: https://doi.org/10.1007/978-3-540-75759-7_3
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