Application of a New Wearable Augmented Reality Video See-Through Display to Aid Percutaneous Procedures in Spine Surgery

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• 关键词：Minimally invasive surgery ; Augmented reality and visualization ; Computer assisted intervention ; Interventional imaging ; Spine surgery
• 刊名：Lecture Notes in Computer Science
• 出版年：2016
• 出版时间：2016
• 年：2016
• 卷：9769
• 期：1
• 页码：43-54
• 全文大小：3,870 KB
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• 作者单位：Fabrizio Cutolo (15)
  Marina Carbone (15)
  Paolo D. Parchi (15) (16)
  Vincenzo Ferrari (15) (17)
  Michele Lisanti (15) (16)
  Mauro Ferrari (15) (18)
  
  15. Department of Translational Research and New Technologies in Medicine and Surgery, EndoCAS Center, University of Pisa, Pisa, Italy
  16. 1st Orthopaedic Clinic, University of Pisa, Pisa, Italy
  17. Information Engineering Department, University of Pisa, Pisa, Italy
  18. Department of Vascular Surgery, Pisa University Medical School, Pisa, Italy
  
• 丛书名：Augmented Reality, Virtual Reality, and Computer Graphics
• ISBN：978-3-319-40651-0
• 刊物类别：Computer Science
• 刊物主题：Artificial Intelligence and Robotics
  Computer Communication Networks
  Software Engineering
  Data Encryption
  Database Management
  Computation by Abstract Devices
  Algorithm Analysis and Problem Complexity
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1611-3349
• 卷排序：9769

文摘

In mini-invasive surgery, the surgeon operates without a direct visualization of the patient’s anatomy. In image-guided surgery, solutions based on augmented reality (AR) represent the most promising ones. The aim of this study was to evaluate the efficacy of a new wearable AR system as aid in the performance of percutaneous procedures in spine surgery. Our solution is based on a video see-through head mounted display (HMD) and it allows the augmentation of video frames acquired by two external cameras with the rendering of patient-specific 3D models obtained elaborating radiological images. We tested the system on an in vitro setup intended to simulate the reaching of a lumbar pedicle. An experienced surgeon performed the percutaneous task wearing the HMD. System accuracy was evaluated through post-operative CT scan, measuring the maximum distance between the planned and obtained trajectories inside the pedicle canal. The mean insertion error was of 1.18 ±0.16 mm.