“…However, we showed in previous work for different CT data [6,23], for MRI data of the knee [8], and in this work for MRI data of the spine that the visualization of the bone surface in subject and patient data is suffi cient to perform the registration task. Therefore, we are confi dent that the accuracy of in vivo registration is not much worse than on phantom data.…”
Section: Discussionmentioning
confidence: 90%
“…It was already demonstrated, both in phantoms and in vivo, that the algorithm achieves high registration success rates with acceptable computation times using realistic starting deviations [23]. The ultrasound-based registration was performed in previous work with CT data of the spine, knee, or shoulder [6,23] as well as with MRI data of, e.g., the head or the knee [8,21,22].…”
Medical navigation systems for orthopedic surgery are becoming more and more important with the increasing proportion of older people in the population, and hence the increasing incidence of diseases of the musculoskeletal system. The central problem for such systems is the exact transformation of the preoperatively acquired datasets to the coordinate system of the patient's body, which is crucial for the accuracy of navigation. Our approach, based on the use of intraoperative ultrasound for image registration, is capable of robustly registering bone structures for different applications, e.g., at the spine or the knee. Nevertheless, this new procedure demands additional steps of preparation of preoperative data. To increase the clinical acceptance of this procedure, it is useful to automate most of the data processing steps. In this article, we present the architecture of our system with focus on the automation of the data processing steps. In terms of accuracy, a mean target registration error of 0.68 mm was achieved for automatically segmented and registered phantom data where the reference transformation was obtained by performing point-based registration using artificial structures. As the overall accuracy for subject data cannot be determined non-invasively, automatic segmentation and registration were judged by visual inspection and precision, which showed a promising result of 1.76 mm standard deviation for 100 registration trials based on automatic segmentation of magnetic resonance imaging data of the spine.
“…However, we showed in previous work for different CT data [6,23], for MRI data of the knee [8], and in this work for MRI data of the spine that the visualization of the bone surface in subject and patient data is suffi cient to perform the registration task. Therefore, we are confi dent that the accuracy of in vivo registration is not much worse than on phantom data.…”
Section: Discussionmentioning
confidence: 90%
“…It was already demonstrated, both in phantoms and in vivo, that the algorithm achieves high registration success rates with acceptable computation times using realistic starting deviations [23]. The ultrasound-based registration was performed in previous work with CT data of the spine, knee, or shoulder [6,23] as well as with MRI data of, e.g., the head or the knee [8,21,22].…”
Medical navigation systems for orthopedic surgery are becoming more and more important with the increasing proportion of older people in the population, and hence the increasing incidence of diseases of the musculoskeletal system. The central problem for such systems is the exact transformation of the preoperatively acquired datasets to the coordinate system of the patient's body, which is crucial for the accuracy of navigation. Our approach, based on the use of intraoperative ultrasound for image registration, is capable of robustly registering bone structures for different applications, e.g., at the spine or the knee. Nevertheless, this new procedure demands additional steps of preparation of preoperative data. To increase the clinical acceptance of this procedure, it is useful to automate most of the data processing steps. In this article, we present the architecture of our system with focus on the automation of the data processing steps. In terms of accuracy, a mean target registration error of 0.68 mm was achieved for automatically segmented and registered phantom data where the reference transformation was obtained by performing point-based registration using artificial structures. As the overall accuracy for subject data cannot be determined non-invasively, automatic segmentation and registration were judged by visual inspection and precision, which showed a promising result of 1.76 mm standard deviation for 100 registration trials based on automatic segmentation of magnetic resonance imaging data of the spine.
“…A threshold filter with a dynamic threshold based on 1.5 times the signal average was then used on the processed signal to determine unique peaks in portions that were contiguous and above the threshold. To get the most accurate results, the transducer should be normal to the target, so that the reflected ultrasound signal has the maximum strength and the distance between the ultrasound transducer and the bone remains minimal (15).…”
Section: Methods For Ultrasound Probe Registrationmentioning
The registration results from phantom and cadaveric experiments are suitable for clinical applications. A-mode ultrasound registration is a viable option for registration of the bones in orthopaedic knee surgery but with reduced incision size.
“…1 summarizes distance and angle-based predictors, while Fig. 2 shows areas typically observed using US imaging to perform computer-assisted surgery (Mozes et al, 2010;Dekomien et al, 2007;Barratt et al, 2008;Schumann et al, 2010), which we will consider as potential shape predictors. The morphological predictors are defined in more detail in B and C.…”
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