Trajectory planning with Augmented Reality for improved risk assessment in image-guided keyhole neurosurgery

Reuben R. Shamir*, Martin Horn, Tobias Blum, Janh Mehrkens, Yigal Shoshan, Leo Joskowicz, Nassir Navab

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

17 Scopus citations

Abstract

We present a new preoperative planning method for reducing the risk associated with the insertion of straight tools in image-guided keyhole neurosurgery. The method quantifies the risks of multiple candidate trajectories and presents them on a physical model of a head using Augmented Reality (AR) to assist the neurosurgeon in selecting the safest path. The surgeon can then define and/or revise the trajectory in the physical space with AR visualization of risk structures such as blood vessels and ventricles, tool placement uncertainty, and quantitative risk measurements. Then, the neurosurgeon can revise the selected path on the 2D MRI image slices to incorporate all relevant information. Finally, a simulation of the surgery can be performed on the physical head model for a more detailed examination of the possible risks. Our preliminary results on clinical data show that in complex situations the method can improve risk assessment.

Original languageEnglish
Title of host publication2011 8th IEEE International Symposium on Biomedical Imaging
Subtitle of host publicationFrom Nano to Macro, ISBI'11
Pages1873-1876
Number of pages4
DOIs
StatePublished - 2011
Event2011 8th IEEE International Symposium on Biomedical Imaging: From Nano to Macro, ISBI'11 - Chicago, IL, United States
Duration: 30 Mar 20112 Apr 2011

Publication series

NameProceedings - International Symposium on Biomedical Imaging
ISSN (Print)1945-7928
ISSN (Electronic)1945-8452

Conference

Conference2011 8th IEEE International Symposium on Biomedical Imaging: From Nano to Macro, ISBI'11
Country/TerritoryUnited States
CityChicago, IL
Period30/03/112/04/11

Keywords

  • augmented reality
  • computer aided surgery
  • path planning
  • personalized medicine
  • simulation
  • uncertainty visualization

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