Comparison of different registration methods for surgical navigation in cranio-maxillofacial surgery

Luebbers, Heinz-Theo; Messmer, Peter; Obwegeser, Joachim A.; Zwahlen, Roger A.; Kikinis, Ron; Graetz, Klaus W.; Matthews, Felix

doi:10.1016/j.jcms.2007.09.002

Cited by 172 publications

(149 citation statements)

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“…This method provides even more accurate results (Luebbers et al, 2008). However, the technique is invasive and requires an additional surgical procedure to place the screws prior to the operation, and in our experience causes pain and discomfort to patients.…”

Section: Introductionmentioning

confidence: 87%

“…In oral and maxillofacial surgery, there have been clinical reports detailing the successful implementation of navigation systems for various operations (Lubbers et al, 2011a), including implant placement (Widmann et al, 2007;Xiaojun et al, 2007), trauma (Yu et al, 2010;Markiewicz et al, 2012), foreign body removal (Eggers et al, 2009a;Verhaeghe et al, 2012), tumor resection (Lubbers et al, 2011c), and orthognathic surgery (Lo et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

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Validation of anatomical landmarks-based registration for image-guided surgery: An in-vitro study

Sun

Luebbers

Agbaje

et al. 2013

Journal of Cranio-Maxillofacial Surgery

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INTRODUCTION:Perioperative navigation is a recent addition to orthognathic surgery. This study aimed to evaluate the accuracy of anatomical landmarks-based registration. MATERIALS AND METHODS: Eighty-five holes (1.2 mm diameter) were drilled in the surface of a plastic skull model, which was then scanned using a SkyView cone beam computed tomography scanner. DICOM files were imported into BrainLab ENT 3.0.0 to make a surgical plan. Six anatomical points were selected for registration: the infraorbital foramena, the anterior nasal spine, the crown tips of the upper canines, and the mesial contact point of the upper incisors. Each registration was performed five times by two separate observers (10 times total). RESULTS: The mean target registration error (TRE) in the anterior maxillary/zygomatic region was 0.93 ± 0.31 mm (p < 0.001 compared with other anatomical regions). The only statistically significant inter-observer difference of mean TRE was at the zygomatic arch, but was not clinically relevant. CONCLUSION: With six anatomical landmarks used, the mean TRE was clinically acceptable in the maxillary/zygomatic region. This registration technique may be used to access occlusal changes during bimaxillary surgery, but should be used with caution in other anatomical regions of the skull because of the large TRE observed. Perioperative navigation is a recent addition to orthognathic surgery. This study aimed to evaluate the accuracy of anatomical landmark-based registration. Materials and methods: Eighty-five holes (1.2 mm diameter) were drilled in the surface of a plastic skull model, which was then scanned using a SkyView cone beam computed tomography scanner. DICOM files were imported into BrainLab ENT 3.0.0 to make a surgical plan. Six anatomical points were selected for registration: the infraorbital foramena, the anterior nasal spine, the crown tips of the upper canines, and the mesial contact point of the upper incisors. Each registration was performed five times by two separate observers (10 times total). Results: The mean target registration error (TRE) in the anterior maxillary/zygomatic region was 0.93 ± 0.31 mm (p < 0.001 compared with other anatomical regions). The only statistically significant interobserver difference of mean TRE was at the zygomatic arch, but was not clinically relevant. Conclusion: With six anatomical landmarks used, the mean TRE was clinically acceptable in the maxillary/zygomatic region. This registration technique may be used to access occlusal changes during bimaxillary surgery, but should be used with caution in other anatomical regions of the skull because of the large TRE observed.

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Section: Introductionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Validation of anatomical landmarks-based registration for image-guided surgery: An in-vitro study

Sun

Luebbers

Agbaje

et al. 2013

Journal of Cranio-Maxillofacial Surgery

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“…Planning based on these models is not transferable to the operating room in practice. Current computer-based three-dimensional CT datasets have opened the door to surgical navigation (Hassfeld and Muhling, 2000;Yeshwant et al, 2005a;Yeshwant et al, 2005b;Ritter et al, 2006;Luebbers et al, 2008), which does make planning transferrable to the operating room (Marmulla and Niederdellmann, 1998;Marmulla, 1999). This method is already widely used in craniomaxillofacial surgery (Hassfeld and Muhling, 2000;Gellrich et al, 2002;Schmelzeisen et al, 2002;Marmulla et al, 2004c;Schmelzeisen et al, 2004;HohlwegMajert et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

“…Precise registration is crucial, as it has direct repercussions for the precision of all subsequent navigation tasks (Eggers et al, 2006;Luebbers et al, 2008). Several methods have been used to solve the registration problem.…”

Section: Introductionmentioning

confidence: 99%

“…Several methods have been used to solve the registration problem. They can be split into two groups: markerbased registration (Altobelli et al, 1993;Hassfeld et al, 1995;Howard et al, 1995;Schramm et al, 1999;Luebbers et al, 2008) and marker-free registration (Troitzsch et al, 2003;Marmulla et al, 2004a;Hoffmann et al, 2005b;Marmulla et al, 2005;Luebbers et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Point-to-point registration with mandibulo-maxillary splint in open and closed jaw position. Evaluation of registration accuracy for computer-aided surgery of the mandible

Bettschart

Kruse

Matthews

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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INTRODUCTION:Computer navigation plays an increasingly important role in craniomaxillofacial surgery. The difficulties in computer navigation at the craniomaxillofacial site lie in the accurate transmission of the dataset to the operating room. This study investigates the accuracy of the dental-splint registration method for the skull, midface, and mandible. MATERIAL AND METHODS: A synthetic human skull model was prepared with landmarks and scanned with cone beam computer tomography (CBCT). Two registration splints fixed the mandible against the viscerocranium in two different positions (closed vs. open). The target registration error was computed in all 278 landmarks spread over the entire skull and mandible in 10 repeated measurements using the VectorVision(2) (Brain-LAB Inc., Feldkirchen, Germany) navigation system. RESULTS: If registered in the closed position an average precision of 2.07mm with a standard deviation (SD) of 0.78mm was computed for all landmarks distributed over the whole skull. Registration in the open position resulted in an average precision of 1.53mm (SD=0.55mm). For single landmarks the precision decreases linearly with distance from the reference markers. The longer the three-dimensional distance between the registration points, the more precise the computer navigation is, mainly in the most posterior area of the cranium. CONCLUSION: Our findings in the cranium are comparable with those of other studies. Artificial fixation of the lower jaw via splint seems to introduce no additional error. The registration points should be as far apart from each other as possible during navigation with the splint.

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Influence of different registration modalities on navigation accuracy in ear, nose, and throat surgery depending on the surgical field

Grauvogel¹,

Soteriou²,

Metzger

et al. 2010

The Laryngoscope

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Comparison of different registration methods for surgical navigation in cranio-maxillofacial surgery

Cited by 172 publications

References 45 publications

Validation of anatomical landmarks-based registration for image-guided surgery: An in-vitro study

Validation of anatomical landmarks-based registration for image-guided surgery: An in-vitro study

Point-to-point registration with mandibulo-maxillary splint in open and closed jaw position. Evaluation of registration accuracy for computer-aided surgery of the mandible

Influence of different registration modalities on navigation accuracy in ear, nose, and throat surgery depending on the surgical field

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