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

Selecting surface features for accurate multi-camera surface reconstruction

This paper proposes a novel feature detector for selecting local textures that are suitable for accurate multi-camera surface reconstruction, and in particular planar patch fitting techniques. This approach is in contrast to conventional feature detectors, which focus on repeatability under scale and affine transformations rather than suitability for multi-camera reconstruction techniques. The proposed detector selects local textures that are sensitive to affine transformations, which is a fundamental requirement for accurate patch fitting. The proposed detector is evaluated against the SIFT detector on a synthetic dataset and the fitted patches are compared against ground truth. The experiments show that patches originating from the proposed detector are fitted more accurately to the visible surfaces than those originating from SIFT keypoints. In addition, the detector is evaluated on a performance capture studio dataset to show the real-world application of the proposed detector

Selecting surface features for accurate multi-camera surface reconstruction

This paper proposes a novel feature detector for selecting local textures that are suitable for accurate multi-camera surface reconstruction, and in particular planar patch fitting techniques. This approach is in contrast to conventional feature detectors, which focus on repeatability under scale and affine transformations rather than suitability for multi-camera reconstruction techniques. The proposed detector selects local textures that are sensitive to affine transformations, which is a fundamental requirement for accurate patch fitting. The proposed detector is evaluated against the SIFT detector on a synthetic dataset and the fitted patches are compared against ground truth. The experiments show that patches originating from the proposed detector are fitted more accurately to the visible surfaces than those originating from SIFT keypoints. In addition, the detector is evaluated on a performance capture studio dataset to show the real-world application of the proposed detector

A surgical system for automatic registration, stiffness mapping and dynamic image overlay

In this paper we develop a surgical system using the da Vinci research kit (dVRK) that is capable of autonomously searching for tumors and dynamically displaying the tumor location using augmented reality. Such a system has the potential to quickly reveal the location and shape of tumors and visually overlay that information to reduce the cognitive overload of the surgeon. We believe that our approach is one of the first to incorporate state-of-the-art methods in registration, force sensing and tumor localization into a unified surgical system. First, the preoperative model is registered to the intra-operative scene using a Bingham distribution-based filtering approach. An active level set estimation is then used to find the location and the shape of the tumors. We use a recently developed miniature force sensor to perform the palpation. The estimated stiffness map is then dynamically overlaid onto the registered preoperative model of the organ. We demonstrate the efficacy of our system by performing experiments on phantom prostate models with embedded stiff inclusions.Comment: International Symposium on Medical Robotics (ISMR 2018

Towards Safer Robot-Assisted Surgery: A Markerless Augmented Reality Framework

Robot-assisted surgery is rapidly developing in the medical field, and the integration of augmented reality shows the potential of improving the surgeons' operation performance by providing more visual information. In this paper, we proposed a markerless augmented reality framework to enhance safety by avoiding intra-operative bleeding which is a high risk caused by the collision between the surgical instruments and the blood vessel. Advanced stereo reconstruction and segmentation networks are compared to find out the best combination to reconstruct the intra-operative blood vessel in the 3D space for the registration of the pre-operative model, and the minimum distance detection between the instruments and the blood vessel is implemented. A robot-assisted lymphadenectomy is simulated on the da Vinci Research Kit in a dry lab, and ten human subjects performed this operation to explore the usability of the proposed framework. The result shows that the augmented reality framework can help the users to avoid the dangerous collision between the instruments and the blood vessel while not introducing an extra load. It provides a flexible framework that integrates augmented reality into the medical robot platform to enhance safety during the operation

Creating virtual models from uncalibrated camera views

The reconstruction of photorealistic 3D models from camera views is becoming an ubiquitous element in many applications that simulate physical interaction with the real world. In this paper, we present a low-cost, interactive pipeline aimed at non-expert users, that achieves 3D reconstruction from multiple views acquired with a standard digital camera. 3D models are amenable to access through diverse representation modalities that typically imply trade-offs between level of detail, interaction, and computational costs. Our approach allows users to selectively control the complexity of different surface regions, while requiring only simple 2D image editing operations. An initial reconstruction at coarse resolution is followed by an iterative refining of the surface areas corresponding to the selected regions