Abstract:Background
Ultrasound (US) imaging for scoliosis assessment is challenging for a non‐experienced operator. The robotic scanning was developed to follow a spinal curvature with deep learning and apply consistent forces to the patient's back.
Methods
Twenty three scoliosis patients were scanned with US device both, robotically and manually. Two human raters measured each subject's spinous process angles on robotic and manual coronal images.
Results
The robotic method showed high intra‐ (ICC > 0.85) and inter‐rat… Show more
“…25 With robotic scanning, the system performance has better reliability and reputability. 28 The proposed robotic system also provides a stable force control around 5 N, keeping regular contact with the skin surface compared to manual scanning. 15 The robot-assisted system achieves smooth scanning with constant speed over the complex back contour.…”
PurposeSpinal instrumentation with pedicle screw placement (PSP) is an important surgical technique for spinal diseases. Accurate screw trajectory is a prerequisite for PSP. Ultrasound (US) imaging with robot‐assisted system forms a non‐radiative alternative to provide precise screw trajectory. This study reports on the development and assessment of US navigation for this application.MethodsA robot‐assisted US reconstruction was proposed and an automatic CT‐to‐US registration algorithm was investigated, allowing the registration of screw trajectories. Experiments were conducted on ex‐vivo lamb spines to evaluate system performance.ResultsIn total, 72 screw trajectories are measured, displaying an average position accuracy of 2.80 ± 1.14 mm and orientation accuracy of 1.38 ± 0.61°.ConclusionThe experimental results demonstrate the feasibility of proposed US system. This work, although restricted to laboratory settings, encourages further exploration of the potential of this technology in clinical practice.
“…25 With robotic scanning, the system performance has better reliability and reputability. 28 The proposed robotic system also provides a stable force control around 5 N, keeping regular contact with the skin surface compared to manual scanning. 15 The robot-assisted system achieves smooth scanning with constant speed over the complex back contour.…”
PurposeSpinal instrumentation with pedicle screw placement (PSP) is an important surgical technique for spinal diseases. Accurate screw trajectory is a prerequisite for PSP. Ultrasound (US) imaging with robot‐assisted system forms a non‐radiative alternative to provide precise screw trajectory. This study reports on the development and assessment of US navigation for this application.MethodsA robot‐assisted US reconstruction was proposed and an automatic CT‐to‐US registration algorithm was investigated, allowing the registration of screw trajectories. Experiments were conducted on ex‐vivo lamb spines to evaluate system performance.ResultsIn total, 72 screw trajectories are measured, displaying an average position accuracy of 2.80 ± 1.14 mm and orientation accuracy of 1.38 ± 0.61°.ConclusionThe experimental results demonstrate the feasibility of proposed US system. This work, although restricted to laboratory settings, encourages further exploration of the potential of this technology in clinical practice.
“…Accurately determining the extent of curvature through mechanical measurements can be challenging for physicians due to individual anatomical differences. In addition, traditional methods are subject to human error, leading to result inconsistencies [5]. Low-quality images and variations in patient's posture and positioning during scans influence scoliosis assessments.…”
The advancement of medical prognoses hinges on the delivery of timely and reliable assessments. Conventional methods of assessments and diagnosis, often reliant on human expertise, lead to inconsistencies due to professionals’ subjectivity, knowledge, and experience. To address these problems head-on, we harnessed artificial intelligence’s power to introduce a transformative solution. We leveraged convolutional neural networks to engineer our SCOLIONET architecture, which can accurately identify Cobb angle measurements. Empirical testing on our pipeline demonstrated a mean segmentation accuracy of 97.50% (Sorensen–Dice coefficient) and 96.30% (Intersection over Union), indicating the model’s proficiency in outlining vertebrae. The level of quantification accuracy was attributed to the state-of-the-art design of the atrous spatial pyramid pooling to better segment images. We also compared physician’s manual evaluations against our machine driven measurements to validate our approach’s practicality and reliability further. The results were remarkable, with a p-value (t-test) of 0.1713 and an average acceptable deviation of 2.86 degrees, suggesting insignificant difference between the two methods. Our work holds the premise of enabling medical practitioners to expedite scoliosis examination swiftly and consistently in improving and advancing the quality of patient care.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.