A Marker-Less Registration Approach for Mixed Reality–Aided Maxillofacial Surgery: a Pilot Evaluation.

As of common routine in tumor resections, surgeons rely on local examinations of the removed tissues and on the swiftly made microscopy findings of the pathologist, which are based on intraoperatively taken tissue probes. This approach may imply an extended duration of the operation, increased effor...

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Published in:Journal of Digital Imaging Vol. 32; no. 6; pp. 1008 - 1019
Main Authors: Pepe, Antonio, Trotta, Gianpaolo Francesco, Mohr-Ziak, Peter, Gsaxner, Christina, Wallner, Jürgen, Bevilacqua, Vitoantonio, Egger, Jan
Format: diagnostic images pictorial research tables/charts Journal Article
Published: Springer Nature Dec2019
Online Access:View this record in EBSCOhost
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      dt: Dec2019
      vid: 32
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      pub: Springer Nature
      place: New York, New York
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        139568194
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        10.1007/s10278-019-00272-6
        139568194
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        atl: A Marker-Less Registration Approach for Mixed Reality–Aided Maxillofacial Surgery: a Pilot Evaluation.
      aug:
        au:
          Pepe, Antonio
          Trotta, Gianpaolo Francesco
          Mohr-Ziak, Peter
          Gsaxner, Christina
          Wallner, Jürgen
          Bevilacqua, Vitoantonio
          Egger, Jan
        affil: Institute of Computer Graphics and Vision, Faculty of Computer Science and Biomedical Engineering, Graz University of Technology, Inffeldgasse 16, 8010, Graz, Austria
      sug:
        subj:
          Surgery, Oral Methods
          Augmented Reality
          Surgery, Computer-Assisted
          Human
          Tomography, Emission-Computed
          Tomography, X-Ray Computed
          Algorithms
          Spatial Perception
          Surveys
      ab: As of common routine in tumor resections, surgeons rely on local examinations of the removed tissues and on the swiftly made microscopy findings of the pathologist, which are based on intraoperatively taken tissue probes. This approach may imply an extended duration of the operation, increased effort for the medical staff, and longer occupancy of the operating room (OR). Mixed reality technologies, and particularly augmented reality, have already been applied in surgical scenarios with positive initial outcomes. Nonetheless, these methods have used manual or marker-based registration. In this work, we design an application for a marker-less registration of PET-CT information for a patient. The algorithm combines facial landmarks extracted from an RGB video stream, and the so-called Spatial-Mapping API provided by the HMD Microsoft HoloLens. The accuracy of the system is compared with a marker-based approach, and the opinions of field specialists have been collected during a demonstration. A survey based on the standard ISO-9241/110 has been designed for this purpose. The measurements show an average positioning error along the three axes of (x, y, z) = (3.3 ± 2.3, − 4.5 ± 2.9, − 9.3 ± 6.1) mm. Compared with the marker-based approach, this shows an increment of the positioning error of approx. 3 mm along two dimensions (x, y), which might be due to the absence of explicit markers. The application has been positively evaluated by the specialists; they have shown interest in continued further work and contributed to the development process with constructive criticism.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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