Optical techniques for 3D surface reconstruction in computer-assisted laparoscopic surgery

One of the main challenges for computer-assisted surgery (CAS) is to determine the intra-opera- tive morphology and motion of soft-tissues. This information is prerequisite to the registration of multi-modal patient-specific data for enhancing the surgeon’s navigation capabilites by observ- ing beyond exposed tissue surfaces and for providing intelligent control of robotic-assisted in- struments. In minimally invasive surgery (MIS), optical techniques are an increasingly attractive approach for in vivo 3D reconstruction of the soft-tissue surface geometry. This paper reviews the state-of-the-art methods for optical intra-operative 3D reconstruction in laparoscopic surgery and discusses the technical challenges and future perspectives towards clinical translation. With the recent paradigm shift of surgical practice towards MIS and new developments in 3D opti- cal imaging, this is a timely discussion about technologies that could facilitate complex CAS procedures in dynamic and deformable anatomical regions

Miniaturized force-indentation depth sensor for tissue abnormality identification during laparoscopic surgery

Proceedings of: 2010 IEEE International Conference on Robotics and Automation (ICRA'10), May 3-8, 2010, Anchorage (Alaska, USA)This paper presents a novel miniaturized force-indentation depth (FID) sensor designed to conduct indentation on soft tissue during minimally invasive surgery. It can intra-operatively aid the surgeon to rapidly identify the tissue abnormalities within the tissue. The FID sensor can measure the indentation depth of a semi-spherical indenter and the tissue reaction force simultaneously. It make use of with fiber optical fiber sensing method measure indentation depth and force and is small enough to fit through a standard trocar port with a diameter of 11 mm. The created FID sensor was calibrated and tested on silicone block simulating soft tissue. The results show that the sensor can measure the indentation depth accurately and also the orientation of the sensor with respect to the tissue surface whilst performing indentation.European Community's Seventh Framework Progra

Recent Developments and Future Challenges in Medical Mixed Reality

As AR technology matures, we have seen many applicationsemerge in entertainment, education and training. However, the useof AR is not yet common in medical practice, despite the great po-tential of this technology to help not only learning and training inmedicine, but also in assisting diagnosis and surgical guidance. Inthis paper, we present recent trends in the use of AR across all med-ical specialties and identify challenges that must be overcome tonarrow the gap between academic research and practical use of ARin medicine. A database of 1403 relevant research papers publishedover the last two decades has been reviewed by using a novel re-search trend analysis method based on text mining algorithm. Wesemantically identified 10 topics including varies of technologiesand applications based on the non-biased and in-personal cluster-ing results from the Latent Dirichlet Allocatio (LDA) model andanalysed the trend of each topic from 1995 to 2015. The statisticresults reveal a taxonomy that can best describes the developmentof the medical AR research during the two decades. And the trendanalysis provide a higher level of view of how the taxonomy haschanged and where the focus will goes. Finally, based on the valu-able results, we provide a insightful discussion to the current limi-tations, challenges and future directions in the field. Our objectiveis to aid researchers to focus on the application areas in medicalAR that are most needed, as well as providing medical practitioners with latest technology advancements

Spatially Augmented Reality on Dynamic, Deformable Surfaces and its Applications

Spatially Augmented Reality (SAR), also known as projection mapping, uses multiple projectors to illuminate surfaces of arbitrary shape and size and create seamless, large-scale displays. Traditional SAR assumes that the projection surface is static and rigid. This restriction was partially addressed by Dynamic-SAR, where the surface is rigid and of known shape but can be moved around. However, no prior work has addressed SAR using multiple projectors on deformable surfaces, where the shape is unknown and constantly changing. Thus, multi-projector SAR on deformable surfaces introduces several challenges, including projector-camera calibration on a deformable surface, real-time surface shape recovery and real-time multi-projector warping and blending. My thesis is the first attempt to develop a comprehensive framework for achieving seamless multi-projector displays on deformable surfaces. Furthermore, I will also be presenting its applications in the medical domain to enable remote surgical guidance by using SAR to illuminate surgical stencils on a physical surgical site precisely

Deformable and articulated 3D reconstruction from monocular video sequences

PhDThis thesis addresses the problem of deformable and articulated structure from motion from monocular uncalibrated video sequences. Structure from motion is defined as the problem of recovering information about the 3D structure of scenes imaged by a camera in a video sequence. Our study aims at the challenging problem of non-rigid shapes (e.g. a beating heart or a smiling face). Non-rigid structures appear constantly in our everyday life, think of a bicep curling, a torso twisting or a smiling face. Our research seeks a general method to perform 3D shape recovery purely from data, without having to rely on a pre-computed model or training data. Open problems in the field are the difficulty of the non-linear estimation, the lack of a real-time system, large amounts of missing data in real-world video sequences, measurement noise and strong deformations. Solving these problems would take us far beyond the current state of the art in non-rigid structure from motion. This dissertation presents our contributions in the field of non-rigid structure from motion, detailing a novel algorithm that enforces the exact metric structure of the problem at each step of the minimisation by projecting the motion matrices onto the correct deformable or articulated metric motion manifolds respectively. An important advantage of this new algorithm is its ability to handle missing data which becomes crucial when dealing with real video sequences. We present a generic bilinear estimation framework, which improves convergence and makes use of the manifold constraints. Finally, we demonstrate a sequential, frame-by-frame estimation algorithm, which provides a 3D model and camera parameters for each video frame, while simultaneously building a model of object deformation

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

VIRTUAL SURFACE FOR HUMAN-ROBOT INTERACTION

As cooperation between robots and humans becomes increasingly important for new robotic applications, human-robot interaction (HRI) becomes a significant area of research. This paper presents a novel approach to HRI based on the use of a virtual surface. The presented system consists of a virtual surface and a robot manipulator capable of tactile interaction. Multimedia content of the virtual surface and the option to manually guide the manipulator through space provide an intuitive means of interaction between the robot and the operator. The paper proposes shared workspaces for humans and robots to simplify and improve human-robot collaboration when performing various tasks utilizing a developed interaction model

Patient-specific simulation environment for surgical planning and preoperative rehearsal

Surgical simulation is common practice in the fields of surgical education and training. Numerous surgical simulators are available from commercial and academic organisations for the generic modelling of surgical tasks. However, a simulation platform is still yet to be found that fulfils the key requirements expected for patient-specific surgical simulation of soft tissue, with an effective translation into clinical practice. Patient-specific modelling is possible, but to date has been time-consuming, and consequently costly, because data preparation can be technically demanding. This motivated the research developed herein, which addresses the main challenges of biomechanical modelling for patient-specific surgical simulation. A novel implementation of soft tissue deformation and estimation of the patient-specific intraoperative environment is achieved using a position-based dynamics approach. This modelling approach overcomes the limitations derived from traditional physically-based approaches, by providing a simulation for patient-specific models with visual and physical accuracy, stability and real-time interaction. As a geometrically- based method, a calibration of the simulation parameters is performed and the simulation framework is successfully validated through experimental studies. The capabilities of the simulation platform are demonstrated by the integration of different surgical planning applications that are found relevant in the context of kidney cancer surgery. The simulation of pneumoperitoneum facilitates trocar placement planning and intraoperative surgical navigation. The implementation of deformable ultrasound simulation can assist surgeons in improving their scanning technique and definition of an optimal procedural strategy. Furthermore, the simulation framework has the potential to support the development and assessment of hypotheses that cannot be tested in vivo. Specifically, the evaluation of feedback modalities, as a response to user-model interaction, demonstrates improved performance and justifies the need to integrate a feedback framework in the robot-assisted surgical setting.Open Acces