论文标题
迈向横向机器人手术的跨腔超声图像指南
Towards Transcervical Ultrasound Image Guidance for Transoral Robotic Surgery
论文作者
论文摘要
目的:使用DA Vinci手术机器人的跨口腔机器人手术(TOR)是一种治疗口咽肿瘤的新型微创手术方法,但这是一个具有挑战性的手术。基于术中超声(US)的增强现实(AR)具有增强解剖结构和癌性肿瘤的可视化的潜力,以提供手术决策的其他工具。方法:我们提出并进行对TOR的US引导AR系统的初步评估,并将换能器放在脖子上以供经胸腔视图。首先,我们进行了一项新颖的MRI Transcervical 3D美国注册研究。其次,我们开发了一种使用光跟踪器和AR系统的US-OBOT校准方法,以在外科医生控制台内的实时内窥镜图像中显示解剖网状模型。结果:在水浴实验中,我们的AR系统达到了美国对立体相机的投影的平均投影误差为26.81和27.85像素。 MRI至3D US的平均目标注册误差为3D US传感器为8.90毫米,徒手3D US的平均目标注册误差为5.85毫米,船只中心线之间的平均距离为2.32毫米。结论:我们证明了第一个概念验证跨胸美国引导的AR系统,用于TOR和跨颈3D US-MRI注册的可行性。我们的结果表明,跨颈3D US是TOR图像指导的一种有前途的技术。
Purpose: Trans-oral robotic surgery (TORS) using the da Vinci surgical robot is a new minimally-invasive surgery method to treat oropharyngeal tumors, but it is a challenging operation. Augmented reality (AR) based on intra-operative ultrasound (US) has the potential to enhance the visualization of the anatomy and cancerous tumors to provide additional tools for decision-making in surgery. Methods: We propose and carry out preliminary evaluations of a US-guided AR system for TORS, with the transducer placed on the neck for a transcervical view. Firstly, we perform a novel MRI-transcervical 3D US registration study. Secondly, we develop a US-robot calibration method with an optical tracker and an AR system to display the anatomy mesh model in the real-time endoscope images inside the surgeon console. Results: Our AR system reaches a mean projection error of 26.81 and 27.85 pixels for the projection from the US to stereo cameras in a water bath experiment. The average target registration error for MRI to 3D US is 8.90 mm for the 3D US transducer and 5.85 mm for freehand 3D US, and the average distance between the vessel centerlines is 2.32 mm. Conclusion: We demonstrate the first proof-of-concept transcervical US-guided AR system for TORS and the feasibility of trans-cervical 3D US-MRI registration. Our results show that trans-cervical 3D US is a promising technique for TORS image guidance.