A system for context-aware intraoperative augmented reality in dental implant surgery

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Darko Katić - , Karlsruhe Institute of Technology (Author)
  • Patrick Spengler - , Karlsruhe Institute of Technology (Author)
  • Sebastian Bodenstedt - , Karlsruhe Institute of Technology (Author)
  • Gregor Castrillon-Oberndorfer - , Heidelberg University  (Author)
  • Robin Seeberger - , Heidelberg University  (Author)
  • Juergen Hoffmann - , Heidelberg University  (Author)
  • Ruediger Dillmann - , Karlsruhe Institute of Technology (Author)
  • Stefanie Speidel - , Karlsruhe Institute of Technology (Author)

Abstract

Purpose   : Large volumes of information in the OR are ignored by surgeons when the amount outpaces human mental processing abilities. We developed an augmented reality (AR) system for dental implant surgery that acts as an automatic information filter, selectively displaying only relevant information. The purpose is to reduce information overflow and offer intuitive image guidance. The system was evaluated in a pig cadaver experiment. Methods   : Information filtering is implemented via rule-based situation interpretation with description logics. The interpretation is based on intraoperative distances measurement between anatomical structures and the dental drill with optical tracking. For AR, a head-mounted display is used, which was calibrated with a novel method based on SPAAM. To adapt to surgeon specific preferences, we offer two alternative display formats: one with static and another with contact analog AR. Results   : The system made the surgery easier and showed ergonomical benefits, as assessed by a questionnaire. All relevant phases were recognized reliably. The new calibration showed significant improvements, while the deviation of the realized implants was<2.5 mm. Conclusion   : The system allowed the surgeon to fully concentrate on the surgery itself. It offered greater flexibility since the surgeon received all relevant information, but was free to deviate from it. Accuracy of the realized implants remains an open issue and part of future work.

Details

Original languageEnglish
Pages (from-to)101-108
Number of pages8
JournalInternational journal of computer assisted radiology and surgery
Volume10
Issue number1
Publication statusPublished - Jan 2015
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 24771315
ORCID /0000-0002-4590-1908/work/163294051