In this contribution a postprocessing method is introduced that enables dynamic accuracy examinations of position and angle measurements of two not interfering localizing systems describing the same subspace of Euclidian R<SUP>3</SUP>. Furthermore, the method can be used for realization of a hybrid localizing system given a common temporal synchronization of the measurements. Therewith, this article provides a flexible method for examining the influence of the operating room on magnetic tracking by dynamic comparison with reference measurements of an optical localizing system.
A substantial component of an image-guided surgery system (IGSS) is the kind of three-dimensional (3D) presentation to the surgeon because the visual depth perception of the complex anatomy is of significant relevance for orientation. Therefore, we examined for this contribution four different visualization techniques, which were evaluated by eight surgeons. The IGSS developed by our group supports the intraoperative orientation of the surgeon by presenting a visualization of the spatially tracked surgical instruments with respect to vitally important intrahepatic vessels, the tumor, and preoperatively calculated resection planes. In the preliminary trial presented here, we examined the human ability to perceive an intraoperative virtual scene and to solve given navigation tasks. The focus of the experiments was to measure the ability of eight surgeons to orientate themselves intrahepatically and to transfer the perceived virtual spatial relations to movements in real space. With auto-stereoscopic visualization making use of a prism-based display the navigation can be performed faster and more accurate than with the other visualization techniques.