Towards markerless orthopaedic navigation with intuitive Optical See-through Head-mounted displays

The potential of image-guided orthopaedic navigation to improve surgical outcomes has been well-recognised during the last two decades. According to the tracked pose of target bone, the anatomical information and preoperative plans are updated and displayed to surgeons, so that they can follow the guidance to reach the goal with higher accuracy, efficiency and reproducibility. Despite their success, current orthopaedic navigation systems have two main limitations: for target tracking, artificial markers have to be drilled into the bone and calibrated manually to the bone, which introduces the risk of additional harm to patients and increases operating complexity; for guidance visualisation, surgeons have to shift their attention from the patient to an external 2D monitor, which is disruptive and can be mentally stressful. Motivated by these limitations, this thesis explores the development of an intuitive, compact and reliable navigation system for orthopaedic surgery. To this end, conventional marker-based tracking is replaced by a novel markerless tracking algorithm, and the 2D display is replaced by a 3D holographic Optical see-through (OST) Head-mounted display (HMD) precisely calibrated to a user's perspective. Our markerless tracking, facilitated by a commercial RGBD camera, is achieved through deep learning-based bone segmentation followed by real-time pose registration. For robust segmentation, a new network is designed and efficiently augmented by a synthetic dataset. Our segmentation network outperforms the state-of-the-art regarding occlusion-robustness, device-agnostic behaviour, and target generalisability. For reliable pose registration, a novel Bounded Iterative Closest Point (BICP) workflow is proposed. The improved markerless tracking can achieve a clinically acceptable error of 0.95 deg and 2.17 mm according to a phantom test. OST displays allow ubiquitous enrichment of perceived real world with contextually blended virtual aids through semi-transparent glasses. They have been recognised as a suitable visual tool for surgical assistance, since they do not hinder the surgeon's natural eyesight and require no attention shift or perspective conversion. The OST calibration is crucial to ensure locational-coherent surgical guidance. Current calibration methods are either human error-prone or hardly applicable to commercial devices. To this end, we propose an offline camera-based calibration method that is highly accurate yet easy to implement in commercial products, and an online alignment-based refinement that is user-centric and robust against user error. The proposed methods are proven to be superior to other similar State-of- the-art (SOTA)s regarding calibration convenience and display accuracy. Motivated by the ambition to develop the world's first markerless OST navigation system, we integrated the developed markerless tracking and calibration scheme into a complete navigation workflow designed for femur drilling tasks during knee replacement surgery. We verify the usability of our designed OST system with an experienced orthopaedic surgeon by a cadaver study. Our test validates the potential of the proposed markerless navigation system for surgical assistance, although further improvement is required for clinical acceptance.Open Acces

Aplikasi Android Untuk Terapi Arachnophobia Berbasis Markerless Augmented Reality

Fobia adalah rasa ketakutan yang berlebihan pada sesuatu objek, kondisi atau fenomena. Fobia dapat menghambat kehidupan orang yang mengidapnya dari stres ringan hingga bunuh diri. Pada dasarnya fobia bisa dikatakan  abnormalitas mental.Fobia dikolompakan dalam berbagai jenis Berdasarkan objek ketakutan, salah satunya adalah fobia spesifik/kusus yang memiliki objek ketakutan terhadap suatu benda, salah satunya hewan. Fobia bukanlah gangguan yang tidak bisa disembuhkan, Fobia dapat disembuhkan salah satunya dengan terapi. Namun di zaman modern ini pengobatan terapi fobia dengan menggunakan objek secara lanngsung dianggap kejam tidak etis terlebih untuk menggunakan hewan hidup asli yang berkemungkinan terbunuh saat praktik terapi dilakukan, dan disisi lain juga para terapis kesulitan untuk mendapatkan objek fobia untuk penterapian terutama objek hewan, terutama adalah objek hewan. Oleh karena itu untuk mempermudah para terapis serta menarik minat masyarakat pengidap fobia, perlu dikembangkanya penterapian melalui objek virtual dengan menggunakan Augmented Reality (AR). Augmented Reality sendiri sering digunakan sebagai media pembelajaran maupun hiburan yang ada pada smartphones. Dengan begitu praktik terapi akan lebih mudah dan menarik dengan adanya aplikasi yang dibangun. Tujuan dari dibentuknya penelitian ini adalah untuk mengembangkan aplikasi yang mampu menunjang pengobatan terapi dengan bantuan objek dari Augmented Reality. Hasil penelitian ini adalah aplikasi sebagai media terapi fobia Laba-laba berbasis Augmented Reality dengan menggunakan Markerless AR agar mempermudah terapis dalam melakukan terapi

Markerless navigation system for orthopaedic knee surgery: a proof of concept study

Current computer-assisted surgical navigation systems mainly rely on optical markers screwed into the bone for anatomy tracking. The insertion of these percutaneous markers increases operating complexity and causes additional harm to the patient. A markerless tracking and registration algorithm has recently been proposed to avoid anatomical markers for knee surgery. The femur points were directly segmented from the recorded RGBD scene by a neural network and then registered to a pre-scanned femur model for the real-time pose. However, in a practical setup such a method can produce unreliable registration results, especially in rotation. Furthermore, its potential application in surgical navigation has not been demonstrated. In this paper, we first improved markerless registration accuracy by adopting a bounded-ICP (BICP) technique, where an estimate of the remote hip centre, acquired also in a markerless way, was employed to constrain distal femur alignment. Then, a proof-of-concept markerless navigation system was proposed to assist in typical knee drilling tasks. Two example setups for global anchoring were proposed and tested on a phantom leg. Our BICP-based markerless tracking and registration method has better angular accuracy and stability than the original method, bringing our straightforward, less invasive markerless navigation approach one step closer to clinical application. According to user tests, our proposed optically anchored navigation system achieves comparable accuracy with the state-of-the-art (3.64± 1.49 mm in position and 2.13±0.81° in orientation). Conversely, our visually anchored, optical tracker-free setup has a lower accuracy (5.86± 1.63 mm in position and 4.18±1.44° in orientation), but is more cost-effective and flexible in the operating room

Collaborative Augmented Reality

Over the past number of years augmented reality (AR) has become an increasingly pervasive as a consumer level technology. The principal drivers of its recent development has been the evolution of mobile and handheld devices, in conjunction with algorithms and techniques from fields such as 3D computer vision. Various commercial platforms and SDKs are now available that allow developers to quickly develop mobile AR apps requiring minimal understanding of the underlying technology. Much of the focus to date, both in the research and commercial environment, has been on single user AR applications. Just as collaborative mobile applications have a demonstrated role in the increasing popularity of mobile devices, and we believe collaborative AR systems present a compelling use-case for AR technology. The aim of this thesis is the development a mobile collaborative augmented reality framework. We identify the elements required in the design and implementation stages of collaborative AR applications. Our solution enables developers to easily create multi-user mobile AR applications in which the users can cooperatively interact with the real environment in real time. It increases the sense of collaborative spatial interaction without requiring complex infrastructure. Assuming the given low level communication and AR libraries have modular structures, the proposed approach is also modular and flexible enough to adapt to their requirements without requiring any major changes

Collaborative Augmented Reality

Over the past number of years augmented reality (AR) has become an increasingly pervasive as a consumer level technology. The principal drivers of its recent development has been the evolution of mobile and handheld devices, in conjunction with algorithms and techniques from fields such as 3D computer vision. Various commercial platforms and SDKs are now available that allow developers to quickly develop mobile AR apps requiring minimal understanding of the underlying technology. Much of the focus to date, both in the research and commercial environment, has been on single user AR applications. Just as collaborative mobile applications have a demonstrated role in the increasing popularity of mobile devices, and we believe collaborative AR systems present a compelling use-case for AR technology. The aim of this thesis is the development a mobile collaborative augmented reality framework. We identify the elements required in the design and implementation stages of collaborative AR applications. Our solution enables developers to easily create multi-user mobile AR applications in which the users can cooperatively interact with the real environment in real time. It increases the sense of collaborative spatial interaction without requiring complex infrastructure. Assuming the given low level communication and AR libraries have modular structures, the proposed approach is also modular and flexible enough to adapt to their requirements without requiring any major changes

Registration Combining Wide and Narrow Baseline Feature Tracking Techniques for Markerless AR Systems

Augmented reality (AR) is a field of computer research which deals with the combination of real world and computer generated data. Registration is one of the most difficult problems currently limiting the usability of AR systems. In this paper, we propose a novel natural feature tracking based registration method for AR applications. The proposed method has following advantages: (1) it is simple and efficient, as no man-made markers are needed for both indoor and outdoor AR applications; moreover, it can work with arbitrary geometric shapes including planar, near planar and non planar structures which really enhance the usability of AR systems. (2) Thanks to the reduced SIFT based augmented optical flow tracker, the virtual scene can still be augmented on the specified areas even under the circumstances of occlusion and large changes in viewpoint during the entire process. (3) It is easy to use, because the adaptive classification tree based matching strategy can give us fast and accurate initialization, even when the initial camera is different from the reference image to a large degree. Experimental evaluations validate the performance of the proposed method for online pose tracking and augmentation