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Influence of sampling accuracy on augmented reality for laparoscopic image-guided surgery

Abstract

Purpose
This study aims to evaluate the accuracy of point-based registration (PBR) when used for augmented reality (AR) in laparoscopic liver resection surgery.

Material and methods
The study was conducted in three different scenarios in which the accuracy of sampling targets for PBR decreases: using an assessment phantom with machined divot holes, a patient-specific liver phantom with markers visible in computed tomography (CT) scans and in vivo, relying on the surgeon’s anatomical understanding to perform annotations. Target registration error (TRE) and fiducial registration error (FRE) were computed using five randomly selected positions for image-to-patient registration.

Results
AR with intra-operative CT scanning showed a mean TRE of 6.9 mm for the machined phantom, 7.9 mm for the patient-specific phantom and 13.4 mm in the in vivo study.

Conclusions
AR showed an increase in both TRE and FRE throughout the experimental studies, proving that AR is not robust to the sampling accuracy of the targets used to compute image-to-patient registration. Moreover, an influence of the size of the volume to be register was observed. Hence, it is advisable to reduce both errors due to annotations and the size of registration volumes, which can cause large errors in AR systems.
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Category

Academic article

Language

English

Author(s)

  • Andrea Teatini
  • Javier Pérez de Frutos
  • Benjamin Eigl
  • Egidijus Pelanis
  • Davit Aghayan
  • Marco Lai
  • Rahul Prasanna Kumar
  • Rafael Palomar
  • Bjørn Edwin
  • Ole Jacob Elle

Affiliation

  • SINTEF Digital / Health Research
  • Netherlands
  • Switzerland
  • University of Oslo
  • Norwegian University of Science and Technology
  • Oslo University Hospital
  • Yerevan State Medical University 'M. Heratsi'

Year

2020

Published in

MITAT. Minimally invasive therapy & allied technologies

ISSN

1364-5706

Volume

30

Issue

4

Page(s)

1 - 10

View this publication at Norwegian Research Information Repository