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

Brain and Human Body Modeling

This open access book describes modern applications of computational human modeling with specific emphasis in the areas of neurology and neuroelectromagnetics, depression and cancer treatments, radio-frequency studies and wireless communications. Special consideration is also given to the use of human modeling to the computational assessment of relevant regulatory and safety requirements. Readers working on applications that may expose human subjects to electromagnetic radiation will benefit from this book’s coverage of the latest developments in computational modelling and human phantom development to assess a given technology’s safety and efficacy in a timely manner. Describes construction and application of computational human models including anatomically detailed and subject specific models; Explains new practices in computational human modeling for neuroelectromagnetics, electromagnetic safety, and exposure evaluations; Includes a survey of modern applications for which computational human models are critical; Describes cellular-level interactions between the human body and electromagnetic fields

Direct interaction with large displays through monocular computer vision

Large displays are everywhere, and have been shown to provide higher productivity gain and user satisfaction compared to traditional desktop monitors. The computer mouse remains the most common input tool for users to interact with these larger displays. Much effort has been made on making this interaction more natural and more intuitive for the user. The use of computer vision for this purpose has been well researched as it provides freedom and mobility to the user and allows them to interact at a distance. Interaction that relies on monocular computer vision, however, has not been well researched, particularly when used for depth information recovery. This thesis aims to investigate the feasibility of using monocular computer vision to allow bare-hand interaction with large display systems from a distance. By taking into account the location of the user and the interaction area available, a dynamic virtual touchscreen can be estimated between the display and the user. In the process, theories and techniques that make interaction with computer display as easy as pointing to real world objects is explored. Studies were conducted to investigate the way human point at objects naturally with their hand and to examine the inadequacy in existing pointing systems. Models that underpin the pointing strategy used in many of the previous interactive systems were formalized. A proof-of-concept prototype is built and evaluated from various user studies. Results from this thesis suggested that it is possible to allow natural user interaction with large displays using low-cost monocular computer vision. Furthermore, models developed and lessons learnt in this research can assist designers to develop more accurate and natural interactive systems that make use of human’s natural pointing behaviours

Brain and Human Body Modeling

This open access book describes modern applications of computational human modeling with specific emphasis in the areas of neurology and neuroelectromagnetics, depression and cancer treatments, radio-frequency studies and wireless communications. Special consideration is also given to the use of human modeling to the computational assessment of relevant regulatory and safety requirements. Readers working on applications that may expose human subjects to electromagnetic radiation will benefit from this book’s coverage of the latest developments in computational modelling and human phantom development to assess a given technology’s safety and efficacy in a timely manner. Describes construction and application of computational human models including anatomically detailed and subject specific models; Explains new practices in computational human modeling for neuroelectromagnetics, electromagnetic safety, and exposure evaluations; Includes a survey of modern applications for which computational human models are critical; Describes cellular-level interactions between the human body and electromagnetic fields

Practical color-based motion capture

Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 2011.Cataloged from PDF version of thesis.Includes bibliographical references (p. 93-101).Motion capture systems track the 3-D pose of the human body and are widely used for high quality content creation, gestural user input and virtual reality. However, these systems are rarely deployed in consumer applications due to their price and complexity. In this thesis, we propose a motion capture system built from commodity components that can be deployed in a matter of minutes. Our approach uses one or more webcams and a color garment to track either the user's upper body or hands for motion capture and user input. We demonstrate that custom designed color garments can simplify difficult computer vision problems and lead to efficient and robust algorithms for hand and upper body tracking. Specifically, our highly descriptive color patterns alleviate ambiguities that are commonly encountered when tracking only silhouettes or edges, allowing us to employ a nearest-neighbor approach to track either the hands or the upper body at interactive rates. We also describe a robust color calibration system that enables our color-based tracking to work against cluttered backgrounds and under multiple illuminants. We demonstrate our system in several real-world indoor and outdoor settings and describe proof-of-concept applications enabled by our system that we hope will provide a foundation for new interactions in computer aided design, animation control and augmented reality.by Robert Yuanbo Wang.Ph.D

An investigation of thermal comfort properties of abaya under heat stress

Abaya is a black outer garment worn by women in Saudi Arabia when they are outside their homes. It is designed to cover the whole body. It may be worn either from shoulder or from the top of the head and reveals only the face, feet and hands. Abaya absorbs heat from sunlight in a hot climate, as it is black, making the wearer very uncomfortable. In addition, the multiple layers of clothing within the abaya add more thermal stress. The present research aims to obtain an overview of the type, variety and comfort of abaya worn by women in Saudi Arabia. This was used in identifying the textile materials for abaya and understanding the comfort factors of the wearers. The outcome was used to understand and improve the thermal comfort performance of the traditional abaya. A survey was undertaken to obtain the opinion of women in Saudi Arabia regarding the problem of thermal discomfort of current abaya. The key points considered were the type of fabrics and designs being used and the degree of perceived comfort. The survey showed that the discomfort affects a specific type of clothing. It also revealed that the current abaya when worn over multi-layers of inner clothing was thermally uncomfortable. Objective evaluations of the thermal performance of abayas, made from the commonly used woven and knitted fabrics were carried out using various standard tests. Thermal comfort properties were determined based on thermal resistance, air permeability, and vapour resistance. The results indicated that the fabric structure (woven or knit), fibre composition, fabric weight and fabric thickness greatly influence the fabric thermal comfort performance. It was found that woven abaya fabric is more comfortable than knitted. A female sweating thermal manikin was utilized to evaluate physical properties related to the heat transfer and moisture management properties of abayas.  This was conducted in combination with daily wear clothing, including underwear, skirt / pants and shirt, with abaya and scarf, as worn in Saudi Arabia. The thermal and evaporative resistances of clothing worn within the abaya were measured. The results could contribute to the improvement of abaya design so as to minimize thermal and evaporative resistance in a hot environment. In order to improve the comfort properties, woven fabrics were dyed in black and treated with an Energy Reflecting Chemical (ERC), so as to reflect heat from the environment, in particular solar energy. This would aid in keeping such fabrics cooler. The fabrics were evaluated to assess the thermal comfort properties. The degree of comfort depends not only on the type of fabric and design but also on the clothing worn underneath. Most of the abayas were made from woven fabrics that masked body contour. Synthetic fibres (polyester) were used prevalently because of its easy care feature.   It is evident that the lightweight and thinner satin fabric is most suitable for abaya and can provide better handle and thermal comfort in a hot environment. In addition,   the results showed that ERC marginally improved the thermal comfort properties under the current experimental conditions. Moreover, it was found that the ERC lowered the temperature of the surface fabric between 0.9 - 1.8 °C