Real-time advanced spinal surgery via visible patient model and augmented reality system.
This paper presents an advanced augmented reality system for spinal surgery assistance, and develops entry-point guidance prior to vertebroplasty spinal surgery. Based on image-based marker detection and tracking, the proposed camera-projector system superimposes pre-operative 3-D images onto patients. The patients' preoperative 3-D image model is registered by projecting it onto the patient such that the synthetic 3-D model merges with the real patient image, enabling the surgeon to see through the patients' anatomy. The proposed method is much simpler than heavy and computationally challenging navigation systems, and also reduces radiation exposure. The system is experimentally tested on a preoperative 3D model, dummy patient model and animal cadaver model. The feasibility and accuracy of the proposed system is verified on three patients undergoing spinal surgery in the operating theater. The results of these clinical trials are extremely promising, with surgeons reporting favorably on the reduced time of finding a suitable entry point and reduced radiation dose to patients.
Medical Image Research Department, Asian Institute of TeleSurgery, IRCAD-Taiwan, No. 6-1, Lugong Road, Lugang Township, Changhua County 505, Taiwan, ROC. Electronic address: wujingren@gmail.com.
Jing-Ren
JR
Wu
Medical Image Research Department, Asian Institute of TeleSurgery, IRCAD-Taiwan, No. 6-1, Lugong Road, Lugang Township, Changhua County 505, Taiwan, ROC. Electronic address: pml.wang@gmail.com.
Min-Liang
ML
Wang
Medical Image Research Department, Asian Institute of TeleSurgery, IRCAD-Taiwan, No. 6-1, Lugong Road, Lugang Township, Changhua County 505, Taiwan, ROC. Electronic address: lkcjackliu@gmail.com.
Kai-Che
KC
Liu
Orthopedic Department, Show Chwan Memorial Hospital, No. 542, Section 1, Zhongshan Road, Changhua City, Changhua County 500, Taiwan, ROC. Electronic address: minghsienhu@gmail.com.
Ming-Hsien
MH
Hu
Orthopedic Department, Show Chwan Memorial Hospital, No. 542, Section 1, Zhongshan Road, Changhua City, Changhua County 500, Taiwan, ROC. Electronic address: b1208@ms26.hinet.net.
Pei-Yuan
PY
Lee
D000818:Animals; D019295:Computational Biology; D003199:Computer Systems; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000706:statistics & numerical data; D008953:Models, Anatomic; D023421:Models, Animal; D019047:Phantoms, Imaging; D013122:Spinal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000706:statistics & numerical data*; D034421:Sus scrofa; D014057:Tomography, X-Ray Computed; D054854:Vertebroplasty / Q000379:methods / Q000706:statistics & numerical data; D053443:Visible Human Projects
Augmented reality; Camera-projector system; Digital spinal surgery; Visible patient