Pre-clinical evaluation of a video-based drill guidance system for orthopaedic trauma surgery

N. Sheth; P. Vagdargi; A. Sisniega; A. Uneri; G. M. Osgood; J. H. Siewerdsen

doi:10.1117/12.2581774

Pre-clinical evaluation of a video-based drill guidance system for orthopaedic trauma surgery

N. Sheth, P. Vagdargi, A. Sisniega, A. Uneri, G. M. Osgood, J. H. Siewerdsen

School of Medicine

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Abstract

Purpose: Pelvic fracture fixation is a challenging procedure that commonly relies on 2D fluoroscopic guidance to place guidewires within complex bone corridors. Prior work reported on a video-on-drill navigation system for guidewire insertion as a potential solution. Here, we assess performance across a range of hardware components to help guide the design of future system prototypes with respect to clinical requirements. Methods: The video-on-drill system uses a camera rigidly mounted on the drill and multimodality fiducial markers (optical and radio-opaque) to provide real-time trajectory visualization. This work reports on the selection of a new camera+lens configuration. Configurations were assessed across two cameras (referred to as the ArduCam and ELP) and five lens options (A45-A90). Clinical requirements were specified by an orthopaedic-surgeon in terms of the nominal drill operating distance (o •) and operating area (o ). Performance was evaluated in terms of the accuracy of fiducial marker pose estimation (δo •), and the field of view (FOV). Results: At matched FOV, the accuracy for the ELP camera was significantly better (p < 0.01) with median δo • of 1.26 mm (1.1 mm IQR) compared to the ArduCam [median δo • of 1.85 mm (2.0 mm IQR)]. The accuracy of the A45 and A55 lens was found to be suitable (δo • < 2 mm) while providing sufficient FOV at nominal drill operating conditions. Conclusion: With respect to application requirements, the camera+lens combination (ELP+Ardu55) was identified to provide the best performance, serving as an important precursor to future design iterations of the video-on-drill system.

Original language	English (US)
Title of host publication	Medical Imaging 2021
Subtitle of host publication	Image-Guided Procedures, Robotic Interventions, and Modeling
Editors	Cristian A. Linte, Jeffrey H. Siewerdsen
Publisher	SPIE
ISBN (Electronic)	9781510640252
DOIs	https://doi.org/10.1117/12.2581774
State	Published - 2021
Event	Medical Imaging 2021: Image-Guided Procedures, Robotic Interventions, and Modeling - Virtual, Online Duration: Feb 15 2021 → Feb 19 2021

Publication series

Name	Progress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume	11598
ISSN (Print)	1605-7422

Conference

Conference	Medical Imaging 2021: Image-Guided Procedures, Robotic Interventions, and Modeling
City	Virtual, Online
Period	2/15/21 → 2/19/21

Keywords

Camera calibration
Computer vision
Drill guidance
Image-guided surgery
Pelvic surgery

ASJC Scopus subject areas

Electronic, Optical and Magnetic Materials
Atomic and Molecular Physics, and Optics
Biomaterials
Radiology Nuclear Medicine and imaging

Access to Document

10.1117/12.2581774

Cite this

Sheth, N., Vagdargi, P., Sisniega, A., Uneri, A., Osgood, G. M., & Siewerdsen, J. H. (2021). Pre-clinical evaluation of a video-based drill guidance system for orthopaedic trauma surgery. In C. A. Linte, & J. H. Siewerdsen (Eds.), Medical Imaging 2021: Image-Guided Procedures, Robotic Interventions, and Modeling Article 1159806 (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 11598). SPIE. https://doi.org/10.1117/12.2581774

Pre-clinical evaluation of a video-based drill guidance system for orthopaedic trauma surgery. / Sheth, N.; Vagdargi, P.; Sisniega, A. et al.
Medical Imaging 2021: Image-Guided Procedures, Robotic Interventions, and Modeling. ed. / Cristian A. Linte; Jeffrey H. Siewerdsen. SPIE, 2021. 1159806 (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 11598).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Sheth, N, Vagdargi, P, Sisniega, A, Uneri, A, Osgood, GM & Siewerdsen, JH 2021, Pre-clinical evaluation of a video-based drill guidance system for orthopaedic trauma surgery. in CA Linte & JH Siewerdsen (eds), Medical Imaging 2021: Image-Guided Procedures, Robotic Interventions, and Modeling., 1159806, Progress in Biomedical Optics and Imaging - Proceedings of SPIE, vol. 11598, SPIE, Medical Imaging 2021: Image-Guided Procedures, Robotic Interventions, and Modeling, Virtual, Online, 2/15/21. https://doi.org/10.1117/12.2581774

Sheth N, Vagdargi P, Sisniega A, Uneri A, Osgood GM , Siewerdsen JH. Pre-clinical evaluation of a video-based drill guidance system for orthopaedic trauma surgery. In Linte CA, Siewerdsen JH, editors, Medical Imaging 2021: Image-Guided Procedures, Robotic Interventions, and Modeling. SPIE. 2021. 1159806. (Progress in Biomedical Optics and Imaging - Proceedings of SPIE). doi: 10.1117/12.2581774

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abstract = "Purpose: Pelvic fracture fixation is a challenging procedure that commonly relies on 2D fluoroscopic guidance to place guidewires within complex bone corridors. Prior work reported on a video-on-drill navigation system for guidewire insertion as a potential solution. Here, we assess performance across a range of hardware components to help guide the design of future system prototypes with respect to clinical requirements. Methods: The video-on-drill system uses a camera rigidly mounted on the drill and multimodality fiducial markers (optical and radio-opaque) to provide real-time trajectory visualization. This work reports on the selection of a new camera+lens configuration. Configurations were assessed across two cameras (referred to as the ArduCam and ELP) and five lens options (A45-A90). Clinical requirements were specified by an orthopaedic-surgeon in terms of the nominal drill operating distance (o •) and operating area (o ). Performance was evaluated in terms of the accuracy of fiducial marker pose estimation (δo •), and the field of view (FOV). Results: At matched FOV, the accuracy for the ELP camera was significantly better (p < 0.01) with median δo • of 1.26 mm (1.1 mm IQR) compared to the ArduCam [median δo • of 1.85 mm (2.0 mm IQR)]. The accuracy of the A45 and A55 lens was found to be suitable (δo • < 2 mm) while providing sufficient FOV at nominal drill operating conditions. Conclusion: With respect to application requirements, the camera+lens combination (ELP+Ardu55) was identified to provide the best performance, serving as an important precursor to future design iterations of the video-on-drill system.",

keywords = "Camera calibration, Computer vision, Drill guidance, Image-guided surgery, Pelvic surgery",

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AB - Purpose: Pelvic fracture fixation is a challenging procedure that commonly relies on 2D fluoroscopic guidance to place guidewires within complex bone corridors. Prior work reported on a video-on-drill navigation system for guidewire insertion as a potential solution. Here, we assess performance across a range of hardware components to help guide the design of future system prototypes with respect to clinical requirements. Methods: The video-on-drill system uses a camera rigidly mounted on the drill and multimodality fiducial markers (optical and radio-opaque) to provide real-time trajectory visualization. This work reports on the selection of a new camera+lens configuration. Configurations were assessed across two cameras (referred to as the ArduCam and ELP) and five lens options (A45-A90). Clinical requirements were specified by an orthopaedic-surgeon in terms of the nominal drill operating distance (o •) and operating area (o ). Performance was evaluated in terms of the accuracy of fiducial marker pose estimation (δo •), and the field of view (FOV). Results: At matched FOV, the accuracy for the ELP camera was significantly better (p < 0.01) with median δo • of 1.26 mm (1.1 mm IQR) compared to the ArduCam [median δo • of 1.85 mm (2.0 mm IQR)]. The accuracy of the A45 and A55 lens was found to be suitable (δo • < 2 mm) while providing sufficient FOV at nominal drill operating conditions. Conclusion: With respect to application requirements, the camera+lens combination (ELP+Ardu55) was identified to provide the best performance, serving as an important precursor to future design iterations of the video-on-drill system.

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Pre-clinical evaluation of a video-based drill guidance system for orthopaedic trauma surgery

Abstract

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Conference

Keywords

ASJC Scopus subject areas

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