Video-based augmented reality combining CT-scan and instrument position data to microscope view in middle ear surgery.
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ABSTRACT: The aim of the study was to develop and assess the performance of a video-based augmented reality system, combining preoperative computed tomography (CT) and real-time microscopic video, as the first crucial step to keyhole middle ear procedures through a tympanic membrane puncture. Six different artificial human temporal bones were included in this prospective study. Six stainless steel fiducial markers were glued on the periphery of the eardrum, and a high-resolution CT-scan of the temporal bone was obtained. Virtual endoscopy of the middle ear based on this CT-scan was conducted on Osirix software. Virtual endoscopy image was registered to the microscope-based video of the intact tympanic membrane based on fiducial markers and a homography transformation was applied during microscope movements. These movements were tracked using Speeded-Up Robust Features (SURF) method. Simultaneously, a micro-surgical instrument was identified and tracked using a Kalman filter. The 3D position of the instrument was extracted by solving a three-point perspective framework. For evaluation, the instrument was introduced through the tympanic membrane and ink droplets were injected on three middle ear structures. An average initial registration accuracy of 0.21?±?0.10?mm (n?=?3) was achieved with a slow propagation error during tracking (0.04?±?0.07?mm). The estimated surgical instrument tip position error was 0.33?±?0.22?mm. The target structures' localization accuracy was 0.52?±?0.15?mm. The submillimetric accuracy of our system without tracker is compatible with ear surgery.
SUBMITTER: Hussain R
PROVIDER: S-EPMC7174368 | biostudies-literature | 2020 Apr
REPOSITORIES: biostudies-literature
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