College of Information Technology, Shanghai Ocean University, No.999 Huchenghuan Road , Pudong New District, Shanghai City, China.
School of Computer Engineering and Science, Shanghai University, No.99 Shangda Road, Baoshan District, Shanghai City, China.
J Med Syst. 2017 Aug;41(8):126. doi: 10.1007/s10916-017-0768-6. Epub 2017 Jul 17.
Coronary heart disease preoperative diagnosis plays an important role in the treatment of vascular interventional surgery. Actually, most doctors are used to diagnosing the position of the vascular stenosis and then empirically estimating vascular stenosis by selective coronary angiography images instead of using mouse, keyboard and computer during preoperative diagnosis. The invasive diagnostic modality is short of intuitive and natural interaction and the results are not accurate enough. Aiming at above problems, the coronary heart disease preoperative gesture interactive diagnostic system based on Augmented Reality is proposed. The system uses Leap Motion Controller to capture hand gesture video sequences and extract the features which that are the position and orientation vector of the gesture motion trajectory and the change of the hand shape. The training planet is determined by K-means algorithm and then the effect of gesture training is improved by multi-features and multi-observation sequences for gesture training. The reusability of gesture is improved by establishing the state transition model. The algorithm efficiency is improved by gesture prejudgment which is used by threshold discriminating before recognition. The integrity of the trajectory is preserved and the gesture motion space is extended by employing space rotation transformation of gesture manipulation plane. Ultimately, the gesture recognition based on SRT-HMM is realized. The diagnosis and measurement of the vascular stenosis are intuitively and naturally realized by operating and measuring the coronary artery model with augmented reality and gesture interaction techniques. All of the gesture recognition experiments show the distinguish ability and generalization ability of the algorithm and gesture interaction experiments prove the availability and reliability of the system.
冠心病术前诊断在血管介入手术治疗中起着重要作用。实际上,大多数医生习惯于通过选择性冠状动脉造影图像诊断血管狭窄的位置,然后凭经验估计血管狭窄程度,而不是在术前诊断中使用鼠标、键盘和计算机。这种有创的诊断方式缺乏直观自然的交互,结果也不够准确。针对上述问题,提出了一种基于增强现实的冠心病术前手势交互诊断系统。该系统使用 Leap Motion Controller 来捕获手势视频序列,并提取特征,即手势运动轨迹的位置和方向向量以及手形的变化。采用 K-means 算法确定训练球,并通过多特征和多观察序列进行手势训练,以提高手势训练效果。通过建立状态转移模型,提高手势的可重用性。通过在识别前使用阈值判别进行手势预测,提高算法效率。通过手势操作平面的空间旋转变换,保留轨迹的完整性并扩展手势运动空间。最终,实现了基于 SRT-HMM 的手势识别。通过使用增强现实和手势交互技术操作和测量冠状动脉模型,直观自然地实现了血管狭窄的诊断和测量。所有的手势识别实验都表明了算法的区分能力和泛化能力,手势交互实验证明了系统的有效性和可靠性。