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

Non-invasive quantification of lower limb mechanical alignment in flexion

Objective: Non-invasive navigation techniques have recently been developed to determine mechanical femorotibial alignment (MFTA) in extension. The primary aim of this study was to evaluate the precision and accuracy of an image-free navigation system with new software designed to provide multiple kinematic measurements of the knee. The secondary aim was to test two types of strap material used to attach optical trackers to the lower limb. Methods: Seventy-two registrations were carried out on 6 intact embalmed cadaveric specimens (mean age: 77.8 ± 12 years). A validated fabric strap, bone screws and novel rubber strap were used to secure the passive tracker baseplate for four full experiments with each knee. The MFTA angle was measured under the conditions of no applied stress, valgus stress, and varus stress. These measurements were carried out at full extension and at 30°, 40°, 50° and 60° of flexion. Intraclass correlation coefficients, repeatability coefficients, and limits of agreement (LOA) were used to convey precision and agreement in measuring MFTA with respect to each of the independent variables, i.e., degree of flexion, applied coronal stress, and method of tracker fixation. Based on the current literature, a repeatability coefficient and LOA of ≤3° were deemed acceptable. Results: The mean fixed flexion for the 6 specimens was 12.8° (range: 6–20°). The mean repeatability coefficient measuring MFTA in extension with screws or fabric strapping of the baseplate was ≤2°, compared to 2.3° using rubber strapping. When flexing the knee, MFTA measurements taken using screws or fabric straps remained precise (repeatability coefficient ≤3°) throughout the tested range of flexion (12.8–60°); however, using rubber straps, the repeatability coefficient was >3° beyond 50° flexion. In general, applying a varus/valgus stress while measuring MFTA decreased precision beyond 40° flexion. Using fabric strapping, excellent repeatability (coefficient ≤2°) was observed until 40° flexion; however, beyond 50° flexion, the repeatability coefficient was >3°. As was the case with precision, agreement between the invasive and non-invasive systems was satisfactory in extension and worsened with flexion. Mean limits of agreement between the invasive and non-invasive system using fabric strapping to assess MFTA were 3° (range: 2.3–3.8°) with no stress applied and 3.9° (range: 2.8–5.2°) with varus and valgus stress. Using rubber strapping, the corresponding values were 4.4° (range: 2.8–8.5°) with no stress applied, 5.5° (range: 3.3–9.0°) with varus stress, and 5.6° (range: 3.3–11.9°) with valgus stress. Discussion: Acceptable precision and accuracy may be possible when measuring knee kinematics in early flexion using a non-invasive system; however, we do not believe passive trackers should be mounted with rubber strapping such as was used in this study. Flexing the knee appears to decrease the precision and accuracy of the system. The functions of this new software using image-free navigation technology have many potential clinical applications, including assessment of bony and soft tissue deformity, pre-operative planning, and post-operative evaluation, as well as in further pure research comparing kinematics of the normal and pathological knee

Image-Based Flexible Endoscope Steering

Manually steering the tip of a flexible endoscope to navigate through an endoluminal path relies on the physician’s dexterity and experience. In this paper we present the realization of a robotic flexible endoscope steering system that uses the endoscopic images to control the tip orientation towards the direction of the lumen. Two image-based control algorithms are investigated, one is based on the optical flow and the other is based on the image intensity. Both are evaluated using simulations in which the endoscope was steered through the lumen. The RMS distance to the lumen center was less than 25% of the lumen width. An experimental setup was built using a standard flexible endoscope, and the image-based control algorithms were used to actuate the wheels of the endoscope for tip steering. Experiments were conducted in an anatomical model to simulate gastroscopy. The image intensity- based algorithm was capable of steering the endoscope tip through an endoluminal path from the mouth to the duodenum accurately. Compared to manual control, the robotically steered endoscope performed 68% better in terms of keeping the lumen centered in the image

Mobile forensic triage for damaged phones using M_Triage

Mobile forensics triage is a useful technique in a digital forensics investigation for recovering lost or purposely deleted and hidden files from digital storage. It is particularly useful, especially when solving a very sensitive crime, for example, kidnapping, in a timely manner. However, the existing mobile forensics triage tools do not consider performing a triage examination on damaged mobile phones. This research addressed the issues of performing triage examination on damaged Android mobile phones and reduction of false positive result generated by the current mobile forensics triage tools. Furthermore, the research addressed the issues of ignoring possible evidence residing in a bad block memory location. In this research a new forensics triage tool called M_Triage was introduced by extending Decode’s framework to handle data retrieval challenges on damaged Android mobile phones. The tool was designed to obtain evidence quickly and accurately (i.e. valid address book, call logs, SMS, images, and, videos, etc.) on Android damaged mobile phones. The tool was developed using C#, while back end engines was done using C programming and tested using five data sets. Based on the computational time processing comparison with Dec0de, Lifter, XRY and Xaver, the result showed that there was 75% improvement over Dec0de, 36% over Lifter, 28% over XRY and finally 71% over Xaver. Again, based on the experiment done on five data sets, M_Triage was capable of carving valid address book, call logs, SMS, images and videos as compared to Dec0de, Lifter, XRY and Xaver. With the average improvement of 90% over DEC0DE, 30% over Lifter, 40% over XRY and lastly 61% over Xaver. This shows that M_Triage is a better tool to be used because it saves time, carve more relevant files and less false positive result are achieved with the tool

Detection and estimation of moving obstacles for a UAV

In recent years, research interest in Unmanned Aerial Vehicles (UAVs) has been grown rapidly because of their potential use for a wide range of applications. In this paper, we proposed a vision-based detection and position/velocity estimation of moving obstacle for a UAV. The knowledge of a moving obstacle's state, i.e., position, velocity, is essential to achieve better performance for an intelligent UAV system specially in autonomous navigation and landing tasks. The novelties are: (1) the design and implementation of a localization method using sensor fusion methodology which fuses Inertial Measurement Unit (IMU) signals and Pozyx signals; (2) The development of detection and estimation of moving obstacles method based on on-board vision system. Experimental results validate the effectiveness of the proposed approach. (C) 2019, IFAC (International Federation of Automatic Control) Hosting by Elsevier Ltd. All rights reserved

Mobile forensic triage for damaged phones using M_Triage

Mobile forensics triage is a useful technique in a digital forensics investigation for recovering lost or purposely deleted and hidden files from digital storage. It is particularly useful, especially when solving a very sensitive crime, for example, kidnapping, in a timely manner. However, the existing mobile forensics triage tools do not consider performing a triage examination on damaged mobile phones. This research addressed the issues of performing triage examination on damaged Android mobile phones and reduction of false positive result generated by the current mobile forensics triage tools. Furthermore, the research addressed the issues of ignoring possible evidence residing in a bad block memory location. In this research a new forensics triage tool called M_Triage was introduced by extending Decode’s framework to handle data retrieval challenges on damaged Android mobile phones. The tool was designed to obtain evidence quickly and accurately (i.e. valid address book, call logs, SMS, images, and, videos, etc.) on Android damaged mobile phones. The tool was developed using C#, while back end engines was done using C programming and tested using five data sets. Based on the computational time processing comparison with Dec0de, Lifter, XRY and Xaver, the result showed that there was 75% improvement over Dec0de, 36% over Lifter, 28% over XRY and finally 71% over Xaver. Again, based on the experiment done on five data sets, M_Triage was capable of carving valid address book, call logs, SMS, images and videos as compared to Dec0de, Lifter, XRY and Xaver. With the average improvement of 90% over DEC0DE, 30% over Lifter, 40% over XRY and lastly 61% over Xaver. This shows that M_Triage is a better tool to be used because it saves time, carve more relevant files and less false positive result are achieved with the tool

Towards automated visual flexible endoscope navigation

Background:\ud The design of flexible endoscopes has not changed significantly in the past 50 years. A trend is observed towards a wider application of flexible endoscopes with an increasing role in complex intraluminal therapeutic procedures. The nonintuitive and nonergonomical steering mechanism now forms a barrier in the extension of flexible endoscope applications. Automating the navigation of endoscopes could be a solution for this problem. This paper summarizes the current state of the art in image-based navigation algorithms. The objectives are to find the most promising navigation system(s) to date and to indicate fields for further research.\ud Methods:\ud A systematic literature search was performed using three general search terms in two medical–technological literature databases. Papers were included according to the inclusion criteria. A total of 135 papers were analyzed. Ultimately, 26 were included.\ud Results:\ud Navigation often is based on visual information, which means steering the endoscope using the images that the endoscope produces. Two main techniques are described: lumen centralization and visual odometry. Although the research results are promising, no successful, commercially available automated flexible endoscopy system exists to date.\ud Conclusions:\ud Automated systems that employ conventional flexible endoscopes show the most promising prospects in terms of cost and applicability. To produce such a system, the research focus should lie on finding low-cost mechatronics and technologically robust steering algorithms. Additional functionality and increased efficiency can be obtained through software development. The first priority is to find real-time, robust steering algorithms. These algorithms need to handle bubbles, motion blur, and other image artifacts without disrupting the steering process