Clinical Pedicle Screw Insertion Trials and System Improvement of C-arm Image Navigation System

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• 作者：Chih-Ju Chang ; Ching-Hsiao Yu ; Geng-Li Lin…
• 关键词：C ; arm ; Surgical navigation ; Spinal surgery ; X ; ray detection ; Image recognition
• 刊名：Journal of Medical and Biological Engineering
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：36
• 期：1
• 页码：44-52
• 全文大小：2,414 KB
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• 作者单位：Chih-Ju Chang (1) (2) (3)
  Ching-Hsiao Yu (1) (4)
  Geng-Li Lin (1)
  Alex Tse (1)
  Hong-Yu Chu (1)
  Ching-Shiow Tseng (1)
  
  1. Department of Mechanical Engineering, National Central University, Jhongli City, Taoyuan County, 32001, Taiwan, ROC
  2. Department of Neurosurgery, Cathay General Hospital, Taipei, 10630, Taiwan
  3. Department of Medicine, School of Medicine, Fu Jen Catholic University, New Taipei City, 24205, Taiwan
  4. Department of Orthopedics, Taoyuan General Hospital, Taoyuan, Taiwan
  
• 刊物类别：Biomedical Engineering; Cell Biology; Imaging / Radiology;
• 刊物主题：Biomedical Engineering; Cell Biology; Imaging / Radiology;
• 出版者：Springer Berlin Heidelberg
• ISSN：2199-4757

文摘

C-arm-image-assisted navigation systems for orthopedic surgery have been applied clinically for several years. Pedicle screw implantation is one of the important applications. A precise definition of a C-arm X-ray projection model is the key requirement for a C-arm-assisted navigation system. This study proposes using a high-pass filter to extract the contour of large markers of the image calibrator and an adaptive threshold method to segment images of small markers, thus improving the overall recognition rate of markers and enhancing the robustness of image calibration. A method for time synchronization of X-ray imaging and the detection of a patient’s lumbar position data for respiration compensation is also proposed. Positioning accuracy evaluation of the developed C-arm-assisted navigation system was carried out clinically. The results show that the mean positioning error is 2.409 mm and that the mean direction error is 1.449°.