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A system for microscope-assisted guided interventions

King, AP; Edwards, PJ; Maurer, CR; Jr, DC; D A, H; D J, H; D L, G; ... M, J; + view all (1999) A system for microscope-assisted guided interventions. STEREOTACT FUNCT NEUROSURG , 72 (011-6125) pp. 107-111.

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We present a system for surgical navigation using stereo overlays in the operating microscope aligned to the operative scene. This augmented reality system provides 3D information about nearby structures and offers a significant advancement over pointer-based guidance, which provides only the location of one point and requires the surgeon to look away from the operative scene. With a previous version of this system, we demonstrated feasibility, but it became clear that to achieve convincing guidance through the magnified microscope view, a very high alignment accuracy was required. We have made progress with several aspects of the system, including automated calibration, error simulation, bone-implanted fiducials and a dental attachment for tracking. We have performed experiments to establish the visual display parameters required to perceive overlaid structures beneath the operative surface. Easy perception of real and virtual structures with the correct transparency has been demonstrated in a laboratory and through the microscope. The result is a system with a predicted accuracy of 0.9 mm and phantom errors of 0.5 mm. In clinical practice errors are 0.5-1.5 mm, rising to 2-4 mm when brain deformation occurs

Type: Article
Title: A system for microscope-assisted guided interventions
Additional information: DA - 20000802
Keywords: Bone Cysts, pathology, surgery, Calibration, Computer Simulation, Equipment Design, Facial Paralysis, Feasibility Studies, Geniculate Ganglion, Humans, Intracranial Arteriovenous Malformations, Intraoperative Care, Man-Machine Systems, Microscopy, instrumentation, methods, Models, Anatomic, Neurosurgical Procedures, Preoperative Care, Prostheses and Implants, Stereotaxic Techniques
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: http://discovery.ucl.ac.uk/id/eprint/38317
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