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A real-time navigation system for laparoscopic surgery based on three-dimensional ultrasound using magneto-optic hybrid tracking configuration

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Objectives In laparoscopic liver surgery, intraoperative navigation is strongly recommended. We developed a navigation system based on intraoperative ultrasound (IOUS). The purpose of this study was to evaluate the usefulness and accuracy of this system using an animate model.

Materials and methods Augmented reality (AR) visualization superimposing three-dimensional ultrasound (3D-US) images onto captured laparoscopic live images was constructed. We employed magneto-optic hybrid tracking configuration and a rapid method of magnetic distortion correction. Twelve pigs and liver tumor mimics were used, and effects of magnetic distortion correction and accuracy of 3D-US navigation were evaluated.

Results Using magnetic distortion correction, tracking error was significantly reduced. Each ultrasound scanning time was within 30 s, and the time to generate 3D-US images was within 3 min. All tumor mimics were successfully puncture-guided with navigation. Registration accuracy was significantly improved from 17.2 ± 5.27 to 1.96 ± 0.87 mm.

Conclusion We developed an AR navigation system based on IOUS. Experimental results showed that the proposed method was effective, and could be used in clinical settings. 3D-US, as an imaging modality allows real-time imaging regardless of organ shifts or distortion.

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Abbreviations

IOUS:

intraoperative ultrasound

AR:

augmented reality

3D-US:

three-dimensional ultrasound

DOF:

degrees of freedom

ROI:

region of interest

CT:

computed tomography

RMS:

root mean square

IGS:

image-guided surgery

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Authors and Affiliations

  1. Department of Innovative Medical Technology, Kyushu University, Fukuoka, Japan

    Kozo Konishi

  2. Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

    Kozo Konishi, Yoshihiro Kakeji, Hirofumi Kawanaka, Shohei Yamaguchi & Yoshihiko Maehara

  3. Department of Disaster and Emergency Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

    Shohei Yamaguchi, Satoshi Ieiri & Makoto Hashizume

  4. Center for Integration of Advanced Medicine, Life Science and Innovative Technology, Kyushu University, Fukuoka, Japan

    Kazuo Tanoue & Makoto Hashizume

  5. Division of Interdisciplinary Image Analysis, Osaka University Graduate School of Medicine, Osaka, Japan

    Masahiko Nakamoto, Yoshinobu Sato & Shinichi Tamura

  6. 3-1-1 Maidashi Higashi-ku, Fukuoka, 812-8582, Japan

    Makoto Hashizume

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  1. Kozo Konishi
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Correspondence to Makoto Hashizume.

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Konishi, K., Nakamoto, M., Kakeji, Y. et al. A real-time navigation system for laparoscopic surgery based on three-dimensional ultrasound using magneto-optic hybrid tracking configuration. Int J CARS 2, 1–10 (2007). https://doi.org/10.1007/s11548-007-0078-4

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  • DOI: https://doi.org/10.1007/s11548-007-0078-4

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