Optical-based navigation system for paranasal sinus surgery and its first clinical trial

Tsagaan, Baigalmaa; Yamamoto, Seiji; Abe, Keiichi; Nakatani, Hiromasa; Terakawa, Susumu

doi:doi:10.1117/12.709070

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Proceedings / Volume 6509 / Poster Session: Image Guidance

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Optical-based navigation system for paranasal sinus surgery and its first clinical trial

Proc. SPIE 6509, 650924 (2007); http://dx.doi.org/10.1117/12.709070

Sunday 18 February 2007

San Diego, CA, USA

Medical Imaging 2007: Visualization and Image-Guided Procedures

Kevin R. Cleary, Michael I. Miga

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Abstract

Baigalmaa Tsagaan

Shizuoka Univ. (Japan) and Hamamatsu Univ. School of Medicine (Japan)

Seiji Yamamoto and Susumu Terakawa

Hamamatsu Univ. School of Medicine (Japan)

Keiichi Abe

Shizuoka Univ. (Japan) and Aichi Institute of Technology (Japan)

Hiromasa Nakatani

Shizuoka Univ. (Japan)

Due to very complex structure of nasal area that is covered by facial bones, a tracking of surgical instruments on the preoperative CT image is very important for obtaining an improved image guidance as well as preventing surgical accidents in the paranasal sinus surgery. In this contribution, we present our recently developed an efficient and compact navigation system for paranasal sinus surgery and its first clinical trial. In our system, we use an optical-based 3D range imaging device intra-operatively, in order to achieve registration and a tracking of instruments. Before the intervention, the range image of patient's face is acquired by a 3D range scanner and registered to corresponding surface extracted from the preoperative CT images. The surgical instrument fitted with spherical markers that also can be measured by range scanning device, is tracked during the procedure. The main advantages of our system are (a) markerless on the patient's body, (b) an easy semiautomatic registration, (c) frameless during surgery, thus, it is feasible to update a registration and to restart the tracking when a patient moves. In this paper, we describe a summary of used techniques in our approach including the benefits and limitations of the system, experimental results using a precise model based on a human paranasal structure and a first clinical trial in the surgical room.

History

Online Mar 22, 2007

Digital Object Identifier

http://dx.doi.org/10.1117/12.709070

Citation

Baigalmaa Tsagaan, Seiji Yamamoto, Keiichi Abe, Hiromasa Nakatani and Susumu Terakawa, "Optical-based navigation system for paranasal sinus surgery and its first clinical trial", Proc. SPIE 6509, 650924 (2007); http://dx.doi.org/10.1117/12.709070