12,660 research outputs found
EchoFusion: Tracking and Reconstruction of Objects in 4D Freehand Ultrasound Imaging without External Trackers
Ultrasound (US) is the most widely used fetal imaging technique. However, US
images have limited capture range, and suffer from view dependent artefacts
such as acoustic shadows. Compounding of overlapping 3D US acquisitions into a
high-resolution volume can extend the field of view and remove image artefacts,
which is useful for retrospective analysis including population based studies.
However, such volume reconstructions require information about relative
transformations between probe positions from which the individual volumes were
acquired. In prenatal US scans, the fetus can move independently from the
mother, making external trackers such as electromagnetic or optical tracking
unable to track the motion between probe position and the moving fetus. We
provide a novel methodology for image-based tracking and volume reconstruction
by combining recent advances in deep learning and simultaneous localisation and
mapping (SLAM). Tracking semantics are established through the use of a
Residual 3D U-Net and the output is fed to the SLAM algorithm. As a proof of
concept, experiments are conducted on US volumes taken from a whole body fetal
phantom, and from the heads of real fetuses. For the fetal head segmentation,
we also introduce a novel weak annotation approach to minimise the required
manual effort for ground truth annotation. We evaluate our method
qualitatively, and quantitatively with respect to tissue discrimination
accuracy and tracking robustness.Comment: MICCAI Workshop on Perinatal, Preterm and Paediatric Image analysis
(PIPPI), 201
UV Exposed Optical Fibers with Frequency Domain Reflectometry for Device Tracking in Intra-Arterial Procedures
Shape tracking of medical devices using strain sensing properties in optical
fibers has seen increased attention in recent years. In this paper, we propose
a novel guidance system for intra-arterial procedures using a distributed
strain sensing device based on optical frequency domain reflectometry (OFDR) to
track the shape of a catheter. Tracking enhancement is provided by exposing a
fiber triplet to a focused ultraviolet beam, producing high scattering
properties. Contrary to typical quasi-distributed strain sensors, we propose a
truly distributed strain sensing approach, which allows to reconstruct a fiber
triplet in real-time. A 3D roadmap of the hepatic anatomy integrated with a 4D
MR imaging sequence allows to navigate the catheter within the
pre-interventional anatomy, and map the blood flow velocities in the arterial
tree. We employed Riemannian anisotropic heat kernels to map the sensed data to
the pre-interventional model. Experiments in synthetic phantoms and an in vivo
model are presented. Results show that the tracking accuracy is suitable for
interventional tracking applications, with a mean 3D shape reconstruction
errors of 1.6 +/- 0.3 mm. This study demonstrates the promising potential of
MR-compatible UV-exposed OFDR optical fibers for non-ionizing device guidance
in intra-arterial procedures
Methods and Tools for Objective Assessment of Psychomotor Skills in Laparoscopic Surgery
Training and assessment paradigms for laparoscopic surgical skills are evolving from traditional mentor–trainee tutorship towards structured, more objective and safer programs. Accreditation of surgeons requires reaching a consensus on metrics and tasks used to assess surgeons’ psychomotor skills. Ongoing development of tracking systems and software solutions has allowed for the expansion of novel training and assessment means in laparoscopy. The current challenge is to adapt and include these systems within training programs, and to exploit their possibilities for evaluation purposes. This paper describes the state of the art in research on measuring and assessing psychomotor laparoscopic skills. It gives an overview on tracking systems as well as on metrics and advanced statistical and machine learning techniques employed for evaluation purposes. The later ones have a potential to be used as an aid in deciding on the surgical competence level, which is an important aspect when accreditation of the surgeons in particular, and patient safety in general, are considered. The prospective of these methods and tools make them complementary means for surgical assessment of motor skills, especially in the early stages of training. Successful examples such as the Fundamentals of Laparoscopic Surgery should help drive a paradigm change to structured curricula based on objective parameters. These may improve the accreditation of new surgeons, as well as optimize their already overloaded training schedules
Recent trends, technical concepts and components of computer-assisted orthopedic surgery systems: A comprehensive review
Computer-assisted orthopedic surgery (CAOS) systems have become one of the most important and challenging types of system in clinical orthopedics, as they enable precise treatment of musculoskeletal diseases, employing modern clinical navigation systems and surgical tools. This paper brings a comprehensive review of recent trends and possibilities of CAOS systems. There are three types of the surgical planning systems, including: systems based on the volumetric images (computer tomography (CT), magnetic resonance imaging (MRI) or ultrasound images), further systems utilize either 2D or 3D fluoroscopic images, and the last one utilizes the kinetic information about the joints and morphological information about the target bones. This complex review is focused on three fundamental aspects of CAOS systems: their essential components, types of CAOS systems, and mechanical tools used in CAOS systems. In this review, we also outline the possibilities for using ultrasound computer-assisted orthopedic surgery (UCAOS) systems as an alternative to conventionally used CAOS systems.Web of Science1923art. no. 519
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