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Register a new userSpotlight-based 3D Instrument Guidance for Retinal Surgery
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Added by
Mingchuan Zhou
Publication date
2020
fields
Informatics Engineering
and research's language is
English
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Retinal surgery is a complex activity that can be challenging for a surgeon to perform effectively and safely. Image guided robot-assisted surgery is one of the promising solutions that bring significant surgical enhancement in treatment outcome and reduce the physical limitations of human surgeons. In this paper, we demonstrate a novel method for 3D guidance of the instrument based on the projection of spotlight in the single microscope images. The spotlight projection mechanism is firstly analyzed and modeled with a projection on both a plane and a sphere surface. To test the feasibility of the proposed method, a light fiber is integrated into the instrument which is driven by the Steady-Hand Eye Robot (SHER). The spot of light is segmented and tracked on a phantom retina using the proposed algorithm. The static calibration and dynamic test results both show that the proposed method can easily archive 0.5 mm of tip-to-surface distance which is within the clinically acceptable accuracy for intraocular visual guidance.
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During laparoscopic surgery, context-aware assistance systems aim to alleviate some of the difficulties the surgeon faces. To ensure that the right information is provided at the right time, the current phase of the intervention has to be known. Real-time locating and classification the surgical tools currently in use are key components of both an activity-based phase recognition and assistance generation. In this paper, we present an image-based approach that detects and classifies tools during laparoscopic interventions in real-time. First, potential instrument bounding boxes are detected using a pixel-wise random forest segmentation. Each of these bounding boxes is then classified using a cascade of random forest. For this, multiple features, such as histograms over hue and saturation, gradients and SURF feature, are extracted from each detected bounding box. We evaluated our approach on five different videos from two different types of procedures. We distinguished between the four most common classes of instruments (LigaSure, atraumatic grasper, aspirator, clip applier) and background. Our method succesfully located up to 86% of all instruments respectively. On manually provided bounding boxes, we achieve a instrument type recognition rate of up to 58% and on automatically detected bounding boxes up to 49%. To our knowledge, this is the first approach that allows an image-based classification of surgical tools in a laparoscopic setting in real-time.
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High-resolution real-time intraocular imaging of retina at the cellular level is very challenging due to the vulnerable and confined space within the eyeball as well as the limited availability of appropriate modalities. A probe-based confocal laser endomicroscopy (pCLE) system, can be a potential imaging modality for improved diagnosis. The ability to visualize the retina at the cellular level could provide information that may predict surgical outcomes. The adoption of intraocular pCLE scanning is currently limited due to the narrow field of view and the micron-scale range of focus. In the absence of motion compensation, physiological tremors of the surgeons hand and patient movements also contribute to the deterioration of the image quality. Therefore, an image-based hybrid control strategy is proposed to mitigate the above challenges. The proposed hybrid control strategy enables a shared control of the pCLE probe between surgeons and robots to scan the retina precisely, with the absence of hand tremors and with the advantages of an image-based auto-focus algorithm that optimizes the quality of pCLE images. The hybrid control strategy is deployed on two frameworks - cooperative and teleoperated. Better image quality, smoother motion, and reduced workload are all achieved in a statistically significant manner with the hybrid control frameworks.
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