1,411 research outputs found
2D-3D Pose Tracking of Rigid Instruments in Minimally Invasive Surgery
Instrument localization and tracking is an important challenge for advanced computer assisted techniques in minimally invasive surgery and image-based solutions to instrument localization can provide a non-invasive, low cost solution. In this study, we present a novel algorithm capable of recovering the 3D pose of laparoscopic surgical instruments combining constraints from a classification algorithm, multiple point features, stereo views (when available) and a linear motion model to robustly track the tool in surgical videos. We demonstrate the improved robustness and performance of our algorithm with optically tracked ground truth and additionally qualitatively demonstrate its performance on in vivo images. © 2014 Springer International Publishing Switzerland
Optical techniques for 3D surface reconstruction in computer-assisted laparoscopic surgery
One of the main challenges for computer-assisted surgery (CAS) is to determine the intra-opera- tive morphology and motion of soft-tissues. This information is prerequisite to the registration of multi-modal patient-specific data for enhancing the surgeon’s navigation capabilites by observ- ing beyond exposed tissue surfaces and for providing intelligent control of robotic-assisted in- struments. In minimally invasive surgery (MIS), optical techniques are an increasingly attractive approach for in vivo 3D reconstruction of the soft-tissue surface geometry. This paper reviews the state-of-the-art methods for optical intra-operative 3D reconstruction in laparoscopic surgery and discusses the technical challenges and future perspectives towards clinical translation. With the recent paradigm shift of surgical practice towards MIS and new developments in 3D opti- cal imaging, this is a timely discussion about technologies that could facilitate complex CAS procedures in dynamic and deformable anatomical regions
Comparative evaluation of instrument segmentation and tracking methods in minimally invasive surgery
Intraoperative segmentation and tracking of minimally invasive instruments is
a prerequisite for computer- and robotic-assisted surgery. Since additional
hardware like tracking systems or the robot encoders are cumbersome and lack
accuracy, surgical vision is evolving as promising techniques to segment and
track the instruments using only the endoscopic images. However, what is
missing so far are common image data sets for consistent evaluation and
benchmarking of algorithms against each other. The paper presents a comparative
validation study of different vision-based methods for instrument segmentation
and tracking in the context of robotic as well as conventional laparoscopic
surgery. The contribution of the paper is twofold: we introduce a comprehensive
validation data set that was provided to the study participants and present the
results of the comparative validation study. Based on the results of the
validation study, we arrive at the conclusion that modern deep learning
approaches outperform other methods in instrument segmentation tasks, but the
results are still not perfect. Furthermore, we show that merging results from
different methods actually significantly increases accuracy in comparison to
the best stand-alone method. On the other hand, the results of the instrument
tracking task show that this is still an open challenge, especially during
challenging scenarios in conventional laparoscopic surgery
Automated pick-up of suturing needles for robotic surgical assistance
Robot-assisted laparoscopic prostatectomy (RALP) is a treatment for prostate
cancer that involves complete or nerve sparing removal prostate tissue that
contains cancer. After removal the bladder neck is successively sutured
directly with the urethra. The procedure is called urethrovesical anastomosis
and is one of the most dexterity demanding tasks during RALP. Two suturing
instruments and a pair of needles are used in combination to perform a running
stitch during urethrovesical anastomosis. While robotic instruments provide
enhanced dexterity to perform the anastomosis, it is still highly challenging
and difficult to learn. In this paper, we presents a vision-guided needle
grasping method for automatically grasping the needle that has been inserted
into the patient prior to anastomosis. We aim to automatically grasp the
suturing needle in a position that avoids hand-offs and immediately enables the
start of suturing. The full grasping process can be broken down into: a needle
detection algorithm; an approach phase where the surgical tool moves closer to
the needle based on visual feedback; and a grasping phase through path planning
based on observed surgical practice. Our experimental results show examples of
successful autonomous grasping that has the potential to simplify and decrease
the operational time in RALP by assisting a small component of urethrovesical
anastomosis
Concurrent Segmentation and Localization for Tracking of Surgical Instruments
Real-time instrument tracking is a crucial requirement for various
computer-assisted interventions. In order to overcome problems such as specular
reflections and motion blur, we propose a novel method that takes advantage of
the interdependency between localization and segmentation of the surgical tool.
In particular, we reformulate the 2D instrument pose estimation as heatmap
regression and thereby enable a concurrent, robust and near real-time
regression of both tasks via deep learning. As demonstrated by our experimental
results, this modeling leads to a significantly improved performance than
directly regressing the tool position and allows our method to outperform the
state of the art on a Retinal Microsurgery benchmark and the MICCAI EndoVis
Challenge 2015.Comment: I. Laina and N. Rieke contributed equally to this work. Accepted to
MICCAI 201
Vision-based and marker-less surgical tool detection and tracking: a review of the literature
In recent years, tremendous progress has been made in surgical practice for example with Minimally Invasive Surgery (MIS). To overcome challenges coming from deported eye-to-hand manipulation, robotic and computer-assisted systems have been developed. Having real-time knowledge of the pose of surgical tools with respect to the surgical camera and underlying anatomy is a key ingredient for such systems. In this paper, we present a review of the literature dealing with vision-based and marker-less surgical tool detection. This paper includes three primary contributions: (1) identification and analysis of data-sets used for developing and testing detection algorithms, (2) in-depth comparison of surgical tool detection methods from the feature extraction process to the model learning strategy and highlight existing shortcomings, and (3) analysis of validation techniques employed to obtain detection performance results and establish comparison between surgical tool detectors. The papers included in the review were selected through PubMed and Google Scholar searches using the keywords: “surgical tool detection”, “surgical tool tracking”, “surgical instrument detection” and “surgical instrument tracking” limiting results to the year range 2000 2015. Our study shows that despite significant progress over the years, the lack of established surgical tool data-sets, and reference format for performance assessment and method ranking is preventing faster improvement
i3PosNet: Instrument Pose Estimation from X-Ray in temporal bone surgery
Purpose: Accurate estimation of the position and orientation (pose) of
surgical instruments is crucial for delicate minimally invasive temporal bone
surgery. Current techniques lack in accuracy and/or line-of-sight constraints
(conventional tracking systems) or expose the patient to prohibitive ionizing
radiation (intra-operative CT). A possible solution is to capture the
instrument with a c-arm at irregular intervals and recover the pose from the
image.
Methods: i3PosNet infers the position and orientation of instruments from
images using a pose estimation network. Said framework considers localized
patches and outputs pseudo-landmarks. The pose is reconstructed from
pseudo-landmarks by geometric considerations.
Results: We show i3PosNet reaches errors less than 0.05mm. It outperforms
conventional image registration-based approaches reducing average and maximum
errors by at least two thirds. i3PosNet trained on synthetic images generalizes
to real x-rays without any further adaptation.
Conclusion: The translation of Deep Learning based methods to surgical
applications is difficult, because large representative datasets for training
and testing are not available. This work empirically shows sub-millimeter pose
estimation trained solely based on synthetic training data.Comment: Accepted at International journal of computer assisted radiology and
surgery pending publicatio
ToolNet: Holistically-Nested Real-Time Segmentation of Robotic Surgical Tools
Real-time tool segmentation from endoscopic videos is an essential part of
many computer-assisted robotic surgical systems and of critical importance in
robotic surgical data science. We propose two novel deep learning architectures
for automatic segmentation of non-rigid surgical instruments. Both methods take
advantage of automated deep-learning-based multi-scale feature extraction while
trying to maintain an accurate segmentation quality at all resolutions. The two
proposed methods encode the multi-scale constraint inside the network
architecture. The first proposed architecture enforces it by cascaded
aggregation of predictions and the second proposed network does it by means of
a holistically-nested architecture where the loss at each scale is taken into
account for the optimization process. As the proposed methods are for real-time
semantic labeling, both present a reduced number of parameters. We propose the
use of parametric rectified linear units for semantic labeling in these small
architectures to increase the regularization ability of the design and maintain
the segmentation accuracy without overfitting the training sets. We compare the
proposed architectures against state-of-the-art fully convolutional networks.
We validate our methods using existing benchmark datasets, including ex vivo
cases with phantom tissue and different robotic surgical instruments present in
the scene. Our results show a statistically significant improved Dice
Similarity Coefficient over previous instrument segmentation methods. We
analyze our design choices and discuss the key drivers for improving accuracy.Comment: Paper accepted at IROS 201
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