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Clinical Pedicle Screw Insertion Trials and System Improvement of C-arm Image Navigation System

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Abstract

C-arm-image-assisted navigation systems for orthopedic surgery have been applied clinically for several years. Pedicle screw implantation is one of the important applications. A precise definition of a C-arm X-ray projection model is the key requirement for a C-arm-assisted navigation system. This study proposes using a high-pass filter to extract the contour of large markers of the image calibrator and an adaptive threshold method to segment images of small markers, thus improving the overall recognition rate of markers and enhancing the robustness of image calibration. A method for time synchronization of X-ray imaging and the detection of a patient’s lumbar position data for respiration compensation is also proposed. Positioning accuracy evaluation of the developed C-arm-assisted navigation system was carried out clinically. The results show that the mean positioning error is 2.409 mm and that the mean direction error is 1.449°.

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Authors and Affiliations

  1. Department of Mechanical Engineering, National Central University, Jhongli City, Taoyuan County, 32001, Taiwan, ROC

    Chih-Ju Chang, Ching-Hsiao Yu, Geng-Li Lin, Alex Tse, Hong-Yu Chu & Ching-Shiow Tseng

  2. Department of Neurosurgery, Cathay General Hospital, Taipei, 10630, Taiwan

    Chih-Ju Chang

  3. Department of Medicine, School of Medicine, Fu Jen Catholic University, New Taipei City, 24205, Taiwan

    Chih-Ju Chang

  4. Department of Orthopedics, Taoyuan General Hospital, Taoyuan, Taiwan

    Ching-Hsiao Yu

Authors
  1. Chih-Ju Chang
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  2. Ching-Hsiao Yu
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Correspondence to Ching-Shiow Tseng.

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Chang, CJ., Yu, CH., Lin, GL. et al. Clinical Pedicle Screw Insertion Trials and System Improvement of C-arm Image Navigation System. J. Med. Biol. Eng. 36, 44–52 (2016). https://doi.org/10.1007/s40846-016-0107-2

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  • DOI: https://doi.org/10.1007/s40846-016-0107-2

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