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面向基于视频的鼻内镜颅底手术导航

Toward Video-Based Navigation for Endoscopic Endonasal Skull Base Surgery.

作者信息

Mirota Daniel, Wang Hanzi, Taylor Russell H, Ishii Masaru, Hager Gregory D

机构信息

Department of Computer Science, The Johns Hopkins University, Baltimore, MD, USA.

出版信息

Med Image Comput Comput Assist Interv. 2009 Jan 1;5761:91-99. doi: 10.1007/978-3-642-04268-3_12.

DOI:10.1007/978-3-642-04268-3_12
PMID:20376205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2850286/
Abstract

Endoscopic endonasal skull base surgery (ESBS) requires high accuracy to ensure safe navigation of the critical anatomy at the anterior skull base. Current navigation systems provide approximately 2mm accuracy. This level of registration error is due in part from the indirect nature of tracking used. We propose a method to directly track the position of the endoscope using video data. Our method first reconstructs image feature points from video in 3D, and then registers the reconstructed point cloud to pre-operative data (e.g. CT/MRI). After the initial registration, the system tracks image features and maintains the 2D-3D correspondence of image features and 3D locations. These data are then used to update the current camera pose. We present registration results within 1mm, which matches the accuracy of our validation framework.

摘要

鼻内镜下颅底手术(ESBS)需要高精度以确保在前颅底关键解剖结构中的安全导航。当前的导航系统提供约2毫米的精度。这种配准误差水平部分归因于所使用跟踪方法的间接性质。我们提出了一种利用视频数据直接跟踪内窥镜位置的方法。我们的方法首先从视频中三维重建图像特征点,然后将重建的点云与术前数据(如CT/MRI)进行配准。初始配准后,系统跟踪图像特征并维持图像特征与三维位置的二维-三维对应关系。然后利用这些数据更新当前相机姿态。我们展示了误差在1毫米以内的配准结果,这与我们验证框架的精度相匹配。

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本文引用的文献

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Image-enhanced surgical navigation for endoscopic sinus surgery: evaluating calibration, registration and tracking.
通过V-IMLOP算法实现的解剖学约束视频CT配准
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Intraoperative C-arm cone-beam computed tomography: quantitative analysis of surgical performance in skull base surgery.术中 C 臂锥形束 CT:颅底手术中手术性能的定量分析。
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Mobile C-arm cone-beam CT for guidance of spine surgery: image quality, radiation dose, and integration with interventional guidance.移动式 C 臂锥形束 CT 引导脊柱手术:图像质量、辐射剂量和与介入引导的整合。
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TREK: an integrated system architecture for intraoperative cone-beam CT-guided surgery.TREK:一种用于术中锥形束 CT 引导手术的集成系统架构。
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用于鼻内镜手术的图像增强手术导航:评估校准、配准和跟踪
Int J Med Robot. 2008 Mar;4(1):32-45. doi: 10.1002/rcs.175.
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Scale-invariant registration of monocular endoscopic images to CT-scans for sinus surgery.用于鼻窦手术的单目内窥镜图像与CT扫描的尺度不变配准。
Med Image Anal. 2005 Oct;9(5):413-26. doi: 10.1016/j.media.2005.05.005.
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Implementation, calibration and accuracy testing of an image-enhanced endoscopy system.图像增强型内镜系统的实施、校准及准确性测试
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