A system for microscope-assisted guided interventions.

Abstract:

:We present a system for surgical navigation using stereo overlays in the operating microscope aligned to the operative scene. This augmented reality system provides 3D information about nearby structures and offers a significant advancement over pointer-based guidance, which provides only the location of one point and requires the surgeon to look away from the operative scene. With a previous version of this system, we demonstrated feasibility, but it became clear that to achieve convincing guidance through the magnified microscope view, a very high alignment accuracy was required. We have made progress with several aspects of the system, including automated calibration, error simulation, bone-implanted fiducials and a dental attachment for tracking. We have performed experiments to establish the visual display parameters required to perceive overlaid structures beneath the operative surface. Easy perception of real and virtual structures with the correct transparency has been demonstrated in a laboratory and through the microscope. The result is a system with a predicted accuracy of 0.9 mm and phantom errors of 0.5 mm. In clinical practice errors are 0.5-1.5 mm, rising to 2-4 mm when brain deformation occurs.

authors

King AP,Edwards PJ,Maurer CR Jr,de Cunha DA,Hawkes DJ,Hill DL,Gaston RP,Fenlon MR,Strong AJ,Chandler CL,Richards A,Gleeson MJ

doi

10.1159/000029708

keywords:

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

107-11

issue

2-4

eissn

1011-6125

issn

1423-0372

pii

29708

journal_volume

72

pub_type

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