Purpose: Navigation in high-precision minimally invasive surgery (HP-MIS) demands high tracking accuracy in the absence of line of sight (LOS). Currently, no tracking technology can satisfy this requirement. Electromagnetic tracking (EMT) is the best tracking paradigm in the absence of LOS despite limited accuracy and robustness. Novel evaluation protocols are needed to ensure high-precision and robust EMT for navigation in HP-MIS.
Methods: We introduce a novel protocol for EMT measurement evaluation featuring a high-accuracy phantom based on LEGO[Formula: see text], which is calibrated by a coordinate measuring machine to ensure accuracy. Our protocol includes relative sequential positions and an uncertainty estimation of positioning. We show effects on distortion compensation using a learned interpolation model.
Results: Our high-precision protocol clarifies properties of errors and uncertainties of EMT for high-precision use cases. For EMT errors reaching clinically relevant 0.2 mm, our design is 5-10 times more accurate than previous protocols with 95% confidence margins of 0.02 mm. This high-precision protocol ensures the performance improvement in compensated EMT by 0.05 mm.
Conclusion: Our protocol improves the reliability of EMT evaluations because of significantly lower protocol-inherent uncertainties. To reduce patient risk in HP-MIS and to evaluate magnetic field distortion compensation, more high-accuracy protocols such as the one proposed here are required.
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http://dx.doi.org/10.1007/s11548-019-01959-5 | DOI Listing |
EClinicalMedicine
August 2024
Department of Surgical Oncology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Background: Metastatic retroperitoneal lymph node dissection (LND) for nodal recurrence is applied for a variety of cancers, such as urological, gynaecological and rectal cancer. Precise localisation and resection of these lymph nodes (LNs) during surgery can be challenging, especially after previous radiotherapy or surgery. The objective of this study was to assess the added value of surgical navigation for targeted LND in the retroperitoneum.
View Article and Find Full Text PDFJ Biomed Mater Res A
January 2025
BYU Applied Biomedical Engineering Laboratory, Brigham Young University, Provo, Utah, USA.
Wearable nanocomposite stretch sensors are an exciting new development in biomaterials for biomechanical motion-tracking technology, with applications in the treatment of low back pain, knee rehabilitation, fetal movement tracking, and other fields. When strained, the resistance of the low-cost sensors is reduced, enabling human motion to be monitored using a suitable sensor array. However, current sensor technologies have exhibited significant drift, in the form of increased electrical resistance, if left stored in typical room conditions.
View Article and Find Full Text PDFSensors (Basel)
November 2024
Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland.
Background: This study examined electrical bioimpedance as a biomarker for intracochlear tissue changes after cochlear implant surgery, comparing monopolar, three-point, and four-point impedance measurements over time and evaluating different measurement systems and approaches.
Methods: Impedance measurements were obtained from 21 participants during surgery and at four postoperative stages. Monopolar impedances were recorded using the Bionic Ear Data Collection System (BEDCS) and the Active Insertion Monitoring (AIM) system.
Int J Mol Sci
December 2024
Institute of Physical Metallurgy, Metal Forming and Nanotechnology, University of Miskolc, H-3515 Miskolc, Hungary.
We demonstrate the band gap programming of inverse opals by fabrication of different wall thickness by atomic layer deposition (ALD). The opal templates were synthesized using polystyrene and carbon nanospheres by the vertical deposition method. The structure and properties of the TiO inverse opal samples were investigated using Scanning Electron Microscope (SEM) and Focused Ion Beam Scanning Electron Microscopy (FIB-SEM), Energy Dispersive X-ray analysis (EDX), X-ray Diffraction (XRD) and Finite Difference Time Domain (FDTD) simulations.
View Article and Find Full Text PDFHeliyon
July 2024
Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, Nottingham, NG7 2RD, UK.
Prospective motion corrections in brain imaging for MRI are fairly challenging. Monitoring involuntary head movement inside MR scanner is crucial for prospective motion correction. This initial study delves into utilizing simulations to track the head's movements within an MRI scanner, achieved by measuring induced voltage changes from time-varying magnetic field gradients in head-mounted coils.
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