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

Augmented reality (AR) for surgical robotic and autonomous systems: State of the art, challenges, and solutions

Despite the substantial progress achieved in the development and integration of augmented reality (AR) in surgical robotic and autonomous systems (RAS), the center of focus in most devices remains on improving end-effector dexterity and precision, as well as improved access to minimally invasive surgeries. This paper aims to provide a systematic review of different types of state-of-the-art surgical robotic platforms while identifying areas for technological improvement. We associate specific control features, such as haptic feedback, sensory stimuli, and human-robot collaboration, with AR technology to perform complex surgical interventions for increased user perception of the augmented world. Current researchers in the field have, for long, faced innumerable issues with low accuracy in tool placement around complex trajectories, pose estimation, and difficulty in depth perception during two-dimensional medical imaging. A number of robots described in this review, such as Novarad and SpineAssist, are analyzed in terms of their hardware features, computer vision systems (such as deep learning algorithms), and the clinical relevance of the literature. We attempt to outline the shortcomings in current optimization algorithms for surgical robots (such as YOLO and LTSM) whilst providing mitigating solutions to internal tool-to-organ collision detection and image reconstruction. The accuracy of results in robot end-effector collisions and reduced occlusion remain promising within the scope of our research, validating the propositions made for the surgical clearance of ever-expanding AR technology in the future

Smart augmented reality instructional system for mechanical assembly

Quality and efficiency are pivotal indicators of a manufacturing company. Many companies are suffering from shortage of experienced workers across the production line to perform complex assembly tasks such as assembly of an aircraft engine. This could lead to a significant financial loss. In order to further reduce time and error in an assembly, a smart system consisting of multi-modal Augmented Reality (AR) instructions with the support of a deep learning network for tool detection is introduced. The multi-modal smart AR is designed to provide on-site information including various visual renderings with a fine-tuned Region-based Convolutional Neural Network, which is trained on a synthetic tool dataset. The dataset is generated using CAD models of tools augmented onto a 2D scene without the need of manually preparing real tool images. By implementing the system to mechanical assembly of a CNC carving machine, the result has shown that the system is not only able to correctly classify and localize the physical tools but also enables workers to successfully complete the given assembly tasks. With the proposed approaches, an efficiently customizable smart AR instructional system capable of sensing, characterizing the requirements, and enhancing worker\u27s performance effectively has been built and demonstrated --Abstract, page iii

Robotic Cameraman for Augmented Reality based Broadcast and Demonstration

In recent years, a number of large enterprises have gradually begun to use vari-ous Augmented Reality technologies to prominently improve the audiences’ view oftheir products. Among them, the creation of an immersive virtual interactive scenethrough the projection has received extensive attention, and this technique refers toprojection SAR, which is short for projection spatial augmented reality. However,as the existing projection-SAR systems have immobility and limited working range,they have a huge difficulty to be accepted and used in human daily life. Therefore,this thesis research has proposed a technically feasible optimization scheme so thatit can be practically applied to AR broadcasting and demonstrations. Based on three main techniques required by state-of-art projection SAR applica-tions, this thesis has created a novel mobile projection SAR cameraman for ARbroadcasting and demonstration. Firstly, by combining the CNN scene parsingmodel and multiple contour extractors, the proposed contour extraction pipelinecan always detect the optimal contour information in non-HD or blurred images.This algorithm reduces the dependency on high quality visual sensors and solves theproblems of low contour extraction accuracy in motion blurred images. Secondly, aplane-based visual mapping algorithm is introduced to solve the difficulties of visualmapping in these low-texture scenarios. Finally, a complete process of designing theprojection SAR cameraman robot is introduced. This part has solved three mainproblems in mobile projection-SAR applications: (i) a new method for marking con-tour on projection model is proposed to replace the model rendering process. Bycombining contour features and geometric features, users can identify objects oncolourless model easily. (ii) a camera initial pose estimation method is developedbased on visual tracking algorithms, which can register the start pose of robot to thewhole scene in Unity3D. (iii) a novel data transmission approach is introduced to establishes a link between external robot and the robot in Unity3D simulation work-space. This makes the robotic cameraman can simulate its trajectory in Unity3D simulation work-space and project correct virtual content. Our proposed mobile projection SAR system has made outstanding contributionsto the academic value and practicality of the existing projection SAR technique. Itfirstly solves the problem of limited working range. When the system is running ina large indoor scene, it can follow the user and project dynamic interactive virtualcontent automatically instead of increasing the number of visual sensors. Then,it creates a more immersive experience for audience since it supports the user hasmore body gestures and richer virtual-real interactive plays. Lastly, a mobile systemdoes not require up-front frameworks and cheaper and has provided the public aninnovative choice for indoor broadcasting and exhibitions