Intraoperative on-the-fly organ-mosaicking for laparoscopic surgery

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Daniel Reichard - , Karlsruhe Institute of Technology (Author)
  • Sebastian Bodenstedt - , Karlsruhe Institute of Technology (Author)
  • Stefan Suwelack - , Karlsruhe Institute of Technology (Author)
  • Benjamin Mayer - , Heidelberg University  (Author)
  • Anas Preukschas - , Heidelberg University  (Author)
  • Martin Wagner - , Heidelberg University , University Hospital Heidelberg (Author)
  • Hannes Kenngott - , Heidelberg University  (Author)
  • Beat Müller-Stich - , Heidelberg University  (Author)
  • Rüdiger Dillmann - , Karlsruhe Institute of Technology (Author)
  • Stefanie Speidel - , Karlsruhe Institute of Technology (Author)

Abstract

The goal of computer-assisted surgery is to provide the surgeon with guidance during an intervention, e.g., using augmented reality. To display preoperative data, soft tissue deformations that occur during surgery have to be taken into consideration. Laparoscopic sensors, such as stereo endoscopes, can be used to create a three-dimensional reconstruction of stereo frames for registration. Due to the small field of view and the homogeneous structure of tissue, reconstructing just one frame, in general, will not provide enough detail to register preoperative data, since every frame only contains a part of an organ surface. A correct assignment to the preoperative model is possible only if the patch geometry can be unambiguously matched to a part of the preoperative surface. We propose and evaluate a system that combines multiple smaller reconstructions from different viewpoints to segment and reconstruct a large model of an organ. Using graphics processing unit-based methods, we achieved four frames per second. We evaluated the system with in silico, phantom, ex vivo, and in vivo (porcine) data, using different methods for estimating the camera pose (optical tracking, iterative closest point, and a combination). The results indicate that the proposed method is promising for on-the-fly organ reconstruction and registration.

Details

Original languageEnglish
Article number045001
JournalJournal of Medical Imaging
Volume2
Issue number4
Publication statusPublished - 1 Oct 2015
Peer-reviewedYes
Externally publishedYes

Keywords

Keywords

  • Endoscopic image processing, quantitative endoscopy, simultaneous localization and mapping, stitching, surgical vision, visualization