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Erschienen in: International Journal of Computer Assisted Radiology and Surgery 2/2023

02.08.2022 | Original Article

Accurate and robust registration method for computer-assisted high tibial osteotomy surgery

verfasst von: Chuanba Liu, Yimin Song, Xinlong Ma, Tao Sun

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 2/2023

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Abstract

Purpose

Computer-assisted high tibial osteotomy (HTO) is a frequently used treatment technique for lower extremity orthopedics, and its small incision and low exposure area are major limitations in tibial registration. This work combines skin surface features and gives a suitable registration algorithm based on Iterative Closest Points (ICP) algorithm to improve registration results. Furthermore, the precision, stability and efficiency of the described method is evaluated.

Methods

After the initialization stage, the bone surface and skin surface data are combined to construct registration features. Then, a steepest perturbation search method is performed after the ICP algorithm (SPS-ICP) to obtain the optimal transformation through several iterations. Finally, the registration result is evaluated by establishing ground-truth through manual landmarks.

Results

Phantom experiments including simulated human tissue show that the proximal fiducial registration error (FRE) of our method can reach 0.80 ± 0.30 mm (mean ± SD) with an overall rotational error < 1° and translational error < 1.5 mm. Furthermore, it remains stable when the point set is sparse. The average registration time is less than 40 s to ensure the high efficiency of surgical operation.

Conclusions

The approach fully describes a well-defined framework without additional imaging acquisition equipment for Computer-assisted HTO. By the experiment on the basis of a phantom with simulated soft tissue, the proposed method enables the accurate and robust registration of the tibia, and its computation time meets the demands of surgery.

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Metadaten
Titel
Accurate and robust registration method for computer-assisted high tibial osteotomy surgery
verfasst von
Chuanba Liu
Yimin Song
Xinlong Ma
Tao Sun
Publikationsdatum
02.08.2022
Verlag
Springer International Publishing
Erschienen in
International Journal of Computer Assisted Radiology and Surgery / Ausgabe 2/2023
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-022-02720-1

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