Accuracy validation of an image guided laparoscopy system for liver resection

Stephen Thompson; Johannes Totz; Yi Song; Stian Johnsen; Danail Stoyanov; Sébastien Ourselin; Kurinchi Gurusamy; Crispin Schneider; Brian Davidson; David Hawkes; Matthew J. Clarkson

doi:10.1117/12.2080974

18 March 2015 Accuracy validation of an image guided laparoscopy system for liver resection

Stephen Thompson, Johannes Totz, Yi Song, Stian Johnsen, Danail Stoyanov, Sébastien Ourselin, Kurinchi Gurusamy, Crispin Schneider, Brian Davidson, David Hawkes, Matthew J. Clarkson

Author Affiliations +

Proceedings Volume 9415, Medical Imaging 2015: Image-Guided Procedures, Robotic Interventions, and Modeling; 941509 (2015) https://doi.org/10.1117/12.2080974
Event: SPIE Medical Imaging, 2015, Orlando, Florida, United States

Abstract

We present an analysis of the registration component of a proposed image guidance system for image guided liver surgery, using contrast enhanced CT. The analysis is performed on a visually realistic liver phantom and in-vivo porcine data. A robust registration process that can be deployed clinically is a key component of any image guided surgery system. It is also essential that the accuracy of the registration can be quantified and communicated to the surgeon. We summarise the proposed guidance system and discuss its clinical feasibility. The registration combines an intuitive manual alignment stage, surface reconstruction from a tracked stereo laparoscope and a rigid iterative closest point registration to register the intra-operative liver surface to the liver surface derived from CT. Testing of the system on a liver phantom shows that subsurface landmarks can be localised to an accuracy of 2.9 mm RMS. Testing during five porcine liver surgeries demonstrated that registration can be performed during surgery, with an error of less than 10 mm RMS for multiple surface landmarks.

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Stephen Thompson, Johannes Totz, Yi Song, Stian Johnsen, Danail Stoyanov, Sébastien Ourselin, Kurinchi Gurusamy, Crispin Schneider, Brian Davidson, David Hawkes, and Matthew J. Clarkson "Accuracy validation of an image guided laparoscopy system for liver resection", Proc. SPIE 9415, Medical Imaging 2015: Image-Guided Procedures, Robotic Interventions, and Modeling, 941509 (18 March 2015); https://doi.org/10.1117/12.2080974

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