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Real-Time Marker-Free Patient Registration and Image-Based Navigation Using Stereovision for Dental Surgery

机译:使用Stereovision进行牙科手术的实时无标记患者注册和基于图像的导航

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Surgical navigation techniques have been evolving rapidly in the field of oral and maxillofacial surgery (OMS). However, challenges still exist in the current state of the art of computer-assisted OMS especially from the viewpoint of dental surgery. The challenges include the invasive patient registration procedure, the difficulty of reference marker attachment, navigation error caused by patient movement, bulky optical markers and maintenance of line of sight for commercial optical tracking devices, inaccuracy and susceptibility of electromagnetic (EM) sensors to magnetic interference for EM tracking devices. In this paper, a new solution is proposed to overcome the mentioned challenges. A stereo camera is designed as a tracking device for both instrument tracking and patient tracking, which is customized optimally for the limited surgical space of dental surgery. A small dot pattern is mounted to the surgical tool for instrument tracking, which can be seen by the camera at all times during the operation. The patient registration is achieved by patient tracking and 3D contour matching with the preoperative patient model, requiring no fiducial marker and reference marker. In addition, the registration is updated in real-time. Experiments were performed to evaluate our method and an average overall error of 0.71 mm was achieved.
机译:外科导航技术在口腔颌面外科(OMS)领域中发展迅速。然而,特别是从牙科手术的角度来看,在计算机辅助OMS的当前技术水平中仍然存在挑战。挑战包括侵入性患者注册程序,参考标记附着困难,患者移动引起的导航错误,笨重的光学标记和商用光学跟踪设备的视线维护,电磁(EM)传感器对电磁干扰的不准确性和敏感性用于EM跟踪设备。在本文中,提出了一种新的解决方案来克服上述挑战。立体摄像机被设计为既可用于器械跟踪又可用于患者跟踪的跟踪设备,其针对牙科手术的有限手术空间进行了最佳定制。在手术工具上安装了一个小圆点图案,以进行器械跟踪,在操作过程中,相机始终可以看到该点阵图。通过患者跟踪和术前患者模型的3D轮廓匹配,无需基准标记和参考标记即可实现患者注册。此外,注册会实时更新。进行实验以评估我们的方法,平均总误差为0.71 mm。

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