Qi Ziyu, Bopp Miriam H A, Nimsky Christopher, Chen Xiaolei, Xu Xinghua, Wang Qun, Gan Zhichao, Zhang Shiyu, Wang Jingyue, Jin Haitao, Zhang Jiashu
Department of Neurosurgery, First Medical Center of Chinese PLA General Hospital, Beijing 100853, China.
Department of Neurosurgery, University of Marburg, Baldingerstrasse, 35043 Marburg, Germany.
Bioengineering (Basel). 2023 Nov 7;10(11):1290. doi: 10.3390/bioengineering10111290.
Mixed Reality Navigation (MRN) is pivotal in augmented reality-assisted intelligent neurosurgical interventions. However, existing MRN registration methods face challenges in concurrently achieving low user dependency, high accuracy, and clinical applicability. This study proposes and evaluates a novel registration method based on a laser crosshair simulator, evaluating its feasibility and accuracy. A novel registration method employing a laser crosshair simulator was introduced, designed to replicate the scanner frame's position on the patient. The system autonomously calculates the transformation, mapping coordinates from the tracking space to the reference image space. A mathematical model and workflow for registration were designed, and a Universal Windows Platform (UWP) application was developed on HoloLens-2. Finally, a head phantom was used to measure the system's target registration error (TRE). The proposed method was successfully implemented, obviating the need for user interactions with virtual objects during the registration process. Regarding accuracy, the average deviation was 3.7 ± 1.7 mm. This method shows encouraging results in efficiency and intuitiveness and marks a valuable advancement in low-cost, easy-to-use MRN systems. The potential for enhancing accuracy and adaptability in intervention procedures positions this approach as promising for improving surgical outcomes.
混合现实导航(MRN)在增强现实辅助的智能神经外科手术干预中起着关键作用。然而,现有的MRN配准方法在同时实现低用户依赖性、高精度和临床适用性方面面临挑战。本研究提出并评估了一种基于激光十字准线模拟器的新型配准方法,评估其可行性和准确性。介绍了一种采用激光十字准线模拟器的新型配准方法,旨在将扫描仪框架的位置复制到患者身上。该系统自主计算变换,将坐标从跟踪空间映射到参考图像空间。设计了配准的数学模型和工作流程,并在HoloLens-2上开发了通用Windows平台(UWP)应用程序。最后,使用头部模型测量系统的目标配准误差(TRE)。所提出的方法成功实施,无需用户在配准过程中与虚拟物体进行交互。在准确性方面,平均偏差为3.7±1.7毫米。该方法在效率和直观性方面显示出令人鼓舞的结果,标志着低成本、易于使用的MRN系统取得了有价值的进展。在干预程序中提高准确性和适应性的潜力使这种方法有望改善手术结果。
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