Traditional endoscopic treatment methods restrict the surgeon’s field of view. New approaches to laparoscopic visualization have emerged due to the advent of robot-assisted surgical techniques. Lumen simultaneous localization and mapping (SLAM) technology can use the image sequence taken by the endoscope to estimate the pose of the endoscope and reconstruct the lumen scene in minimally invasive surgery. This technology gives the surgeon better visual perception and is the basis for the development of surgical navigation systems as well as medical augmented reality. However, the movement of surgical instruments in the internal cavity can interfere with the SLAM algorithm, and the feature points extracted from the surgical instruments may cause errors. Therefore, we propose a modified endocavity SLAM method combined with deep learning semantic segmentation that introduces a convolution neural network based on U-Net architecture with a symmetric encoder–decoder structure in the visual odometry with the goals of solving the binary segmentation problem between surgical instruments and the lumen background and distinguishing dynamic feature points. Its segmentation performance is improved by using pretrained encoders on the network model to obtain more accurate pixel-level instrument segmentation. In this setting, the semantic segmentation is used to reject the feature points on the surgical instruments and reduce the impact caused by dynamic surgical instruments. This can provide more stable and accurate mapping results compared to ordinary SLAM systems.
The depth information of abdominal tissue surface and the position of laparoscope are very important for accurate surgical navigation in computer-aided surgery. It is difficult to determine the lesion location by empirically matching the laparoscopic visual field with the preoperative image, which is easy to cause intraoperative errors. Aiming at the complex abdominal environment, this paper constructs an improved monocular simultaneous localization and mapping (SLAM) system model, which can more accurately and truly reflect the abdominal cavity structure and spatial relationship. Firstly, in order to enhance the contrast between blood vessels and background, the contrast limited adaptive histogram equalization (CLAHE) algorithm is introduced to preprocess abdominal images. Secondly, combined with AKAZE algorithm, the Oriented FAST and Rotated BRIEF(ORB) algorithm is improved to extract the features of abdominal image, which improves the accuracy of extracted symmetry feature points pair and uses the RANSAC algorithm to quickly eliminate the majority of mis-matched pairs. The medical bag-of-words model is used to replace the traditional bag-of-words model to facilitate the comparison of similarity between abdominal images, which has stronger similarity calculation ability and reduces the matching time between the current abdominal image frame and the historical abdominal image frame. Finally, Poisson surface reconstruction is used to transform the point cloud into a triangular mesh surface, and the abdominal cavity texture image is superimposed on the 3D surface described by the mesh to generate the abdominal cavity inner wall texture. The surface of the abdominal cavity 3D model is smooth and has a strong sense of reality. The experimental results show that the improved SLAM system increases the registration accuracy of feature points and the densification, and the visual effect of dense point cloud reconstruction is more realistic for Hamlyn dataset. The 3D reconstruction technology creates a realistic model to identify the blood vessels, nerves and other tissues in the patient’s focal area, enabling three-dimensional visualization of the focal area, facilitating the surgeon’s observation and diagnosis, and digital simulation of the surgical operation to optimize the surgical plan.
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