Software Framework for Customized Augmented Reality Headsets in Medicine

The growing availability of self-contained and affordable augmented reality headsets such as the Microsoft HoloLens is encouraging the adoption of these devices also in the healthcare sector. However, technological and human-factor limitations still hinder their routine use in clinical practice. Among them, the major drawbacks are due to their general-purpose nature and to the lack of a standardized framework suited for medical applications and devoid of platform-dependent tracking techniques and/or complex calibration procedures. To overcome such limitations, in this paper we present a software framework that is designed to support the development of augmented reality applications for custom-made head-mounted displays designed to aid high-precision manual tasks. The software platform is highly configurable, computationally efficient, and it allows the deployment of augmented reality applications capable to support in situ visualization of medical imaging data. The framework can provide both optical and video see-through-based augmentations and it features a robust optical tracking algorithm. An experimental study was designed to assess the efficacy of the platform in guiding a simulated task of surgical incision. In the experiments, the user was asked to perform a digital incision task, with and without the aid of the augmented reality headset. The task accuracy was evaluated by measuring the similarity between the traced curve and the planned one. The average error in the augmented reality tests was < 1 mm. The results confirm that the proposed framework coupled with the new-concept headset may boost the integration of augmented reality headsets into routine clinical practice

INTERFACE DESIGN FOR A VIRTUAL REALITY-ENHANCED IMAGE-GUIDED SURGERY PLATFORM USING SURGEON-CONTROLLED VIEWING TECHNIQUES

Initiative has been taken to develop a VR-guided cardiac interface that will display and deliver information without affecting the surgeons’ natural workflow while yielding better accuracy and task completion time than the existing setup. This paper discusses the design process, the development of comparable user interface prototypes as well as an evaluation methodology that can measure user performance and workload for each of the suggested display concepts. User-based studies and expert recommendations are used in conjunction to es­ tablish design guidelines for our VR-guided surgical platform. As a result, a better understanding of autonomous view control, depth display, and use of virtual context, is attained. In addition, three proposed interfaces have been developed to allow a surgeon to control the view of the virtual environment intra-operatively. Comparative evaluation of the three implemented interface prototypes in a simulated surgical task scenario, revealed performance advantages for stereoscopic and monoscopic biplanar display conditions, as well as the differences between three types of control modalities. One particular interface prototype demonstrated significant improvement in task performance. Design recommendations are made for this interface as well as the others as we prepare for prospective development iterations

Ultrasound-Augmented Laparoscopy

Laparoscopic surgery is perhaps the most common minimally invasive procedure for many diseases in the abdomen. Since the laparoscopic camera provides only the surface view of the internal organs, in many procedures, surgeons use laparoscopic ultrasound (LUS) to visualize deep-seated surgical targets. Conventionally, the 2D LUS image is visualized in a display spatially separate from that displays the laparoscopic video. Therefore, reasoning about the geometry of hidden targets requires mentally solving the spatial alignment, and resolving the modality differences, which is cognitively very challenging. Moreover, the mental representation of hidden targets in space acquired through such cognitive medication may be error prone, and cause incorrect actions to be performed. To remedy this, advanced visualization strategies are required where the US information is visualized in the context of the laparoscopic video. To this end, efficient computational methods are required to accurately align the US image coordinate system with that centred in the camera, and to render the registered image information in the context of the camera such that surgeons perceive the geometry of hidden targets accurately. In this thesis, such a visualization pipeline is described. A novel method to register US images with a camera centric coordinate system is detailed with an experimental investigation into its accuracy bounds. An improved method to blend US information with the surface view is also presented with an experimental investigation into the accuracy of perception of the target locations in space

Space Time Exploration of Musical Instruments

Musical instruments are tools used to generate sounds for musical expression. Virtual Reality (VR) and Augmented Reality (AR) musical instruments create sounds that may be spatially disjointed from the instrument controls. Spatial audio processing can be used to position the Extended Reality (XR) musical instruments and their corresponding sounds in the same space. This dissertation investigates novel ways of combining spatial reverb models to improve the naturalness of XR musical instruments. Seven spatial reverb systems, combinations of a shoebox spatial reverb model, a raytracing spatial reverb model, and measured directional room impulse response convolution reverb, were compared in a pilot study. A novel hybrid system of synthetic early reflections and directional room impulse responses was preferred for naturalness when tested over headphones with three instruments created by the author: AR electric guitar, AR drumset, and VR Singing Kite. This research culminated in a concert, Spherical Sound Search, which showcased the preferred hybrid system, the three XR musical instruments, and four re-contextualized spatial audio effects (spatial looping, spatial delay, spatial feedback, and spatial compression). The three pieces in the concert explored different aspects of XR modalities and presented the novel system with spatial audio effects to a larger audience by rendering to an octophonic loudspeaker layout

Towards System Agnostic Calibration of Optical See-Through Head-Mounted Displays for Augmented Reality

This dissertation examines the developments and progress of spatial calibration procedures for Optical See-Through (OST) Head-Mounted Display (HMD) devices for visual Augmented Reality (AR) applications. Rapid developments in commercial AR systems have created an explosion of OST device options for not only research and industrial purposes, but also the consumer market as well. This expansion in hardware availability is equally matched by a need for intuitive standardized calibration procedures that are not only easily completed by novice users, but which are also readily applicable across the largest range of hardware options. This demand for robust uniform calibration schemes is the driving motive behind the original contributions offered within this work. A review of prior surveys and canonical description for AR and OST display developments is provided before narrowing the contextual scope to the research questions evolving within the calibration domain. Both established and state of the art calibration techniques and their general implementations are explored, along with prior user study assessments and the prevailing evaluation metrics and practices employed within. The original contributions begin with a user study evaluation comparing and contrasting the accuracy and precision of an established manual calibration method against a state of the art semi-automatic technique. This is the first formal evaluation of any non-manual approach and provides insight into the current usability limitations of present techniques and the complexities of next generation methods yet to be solved. The second study investigates the viability of a user-centric approach to OST HMD calibration through novel adaptation of manual calibration to consumer level hardware. Additional contributions describe the development of a complete demonstration application incorporating user-centric methods, a novel strategy for visualizing both calibration results and registration error from the user’s perspective, as well as a robust intuitive presentation style for binocular manual calibration. The final study provides further investigation into the accuracy differences observed between user-centric and environment-centric methodologies. The dissertation concludes with a summarization of the contribution outcomes and their impact on existing AR systems and research endeavors, as well as a short look ahead into future extensions and paths that continued calibration research should explore