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Coaxial projective imaging system for surgical navigation and telementoring

A coaxial projective imaging (CPI) module acquires surgical scene images from the local site of surgery, transfers them wirelessly to the remote site, and projects instructive annotations to the surgical field. At the remote site, the surgical scene images are displayed, and the instructive annotati...

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Autores principales: Zhang, Fan, Zhu, Xiang, Gao, Jian, Wu, Bingxuan, Liu, Peng, Shao, Pengfei, Xu, Min, Pawlik, Timothy M., Martin, Edward W., Xu, Ronald X.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Photo-Optical Instrumentation Engineers 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000882/
https://www.ncbi.nlm.nih.gov/pubmed/31650743
http://dx.doi.org/10.1117/1.JBO.24.10.105002
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author Zhang, Fan
Zhu, Xiang
Gao, Jian
Wu, Bingxuan
Liu, Peng
Shao, Pengfei
Xu, Min
Pawlik, Timothy M.
Martin, Edward W.
Xu, Ronald X.
author_facet Zhang, Fan
Zhu, Xiang
Gao, Jian
Wu, Bingxuan
Liu, Peng
Shao, Pengfei
Xu, Min
Pawlik, Timothy M.
Martin, Edward W.
Xu, Ronald X.
author_sort Zhang, Fan
collection PubMed
description A coaxial projective imaging (CPI) module acquires surgical scene images from the local site of surgery, transfers them wirelessly to the remote site, and projects instructive annotations to the surgical field. At the remote site, the surgical scene images are displayed, and the instructive annotations from a surgical specialist are wirelessly transferred back to the local site in order to guide the surgical intervention by a less experienced surgeon. The CPI module achieves seamless imaging of the surgical field and accurate projection of the instructive annotations, by a coaxial optical path design that couples the imaging arm with the projection arm and by a color correction algorithm that recovers the true color of the surgical scene. Our benchtop study of tele-guided intervention verifies that the proposed system has a positional accuracy of better than 1 mm at a working distance ranging from 300 to 500 mm. Our in vivo study of cricothyrotomy in a rabbit model proves the concept of tele-mentored surgical navigation. This is the first report of tele-guided surgery based on CPI. The proposed technique can be potentially used for surgical training and for telementored surgery in resource-limited settings.
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spelling pubmed-70008822020-02-10 Coaxial projective imaging system for surgical navigation and telementoring Zhang, Fan Zhu, Xiang Gao, Jian Wu, Bingxuan Liu, Peng Shao, Pengfei Xu, Min Pawlik, Timothy M. Martin, Edward W. Xu, Ronald X. J Biomed Opt General A coaxial projective imaging (CPI) module acquires surgical scene images from the local site of surgery, transfers them wirelessly to the remote site, and projects instructive annotations to the surgical field. At the remote site, the surgical scene images are displayed, and the instructive annotations from a surgical specialist are wirelessly transferred back to the local site in order to guide the surgical intervention by a less experienced surgeon. The CPI module achieves seamless imaging of the surgical field and accurate projection of the instructive annotations, by a coaxial optical path design that couples the imaging arm with the projection arm and by a color correction algorithm that recovers the true color of the surgical scene. Our benchtop study of tele-guided intervention verifies that the proposed system has a positional accuracy of better than 1 mm at a working distance ranging from 300 to 500 mm. Our in vivo study of cricothyrotomy in a rabbit model proves the concept of tele-mentored surgical navigation. This is the first report of tele-guided surgery based on CPI. The proposed technique can be potentially used for surgical training and for telementored surgery in resource-limited settings. Society of Photo-Optical Instrumentation Engineers 2019-10-24 2019-10 /pmc/articles/PMC7000882/ /pubmed/31650743 http://dx.doi.org/10.1117/1.JBO.24.10.105002 Text en © The Authors. Published by SPIE under a Creative Commons Attribution 4.0 Unported License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.
spellingShingle General
Zhang, Fan
Zhu, Xiang
Gao, Jian
Wu, Bingxuan
Liu, Peng
Shao, Pengfei
Xu, Min
Pawlik, Timothy M.
Martin, Edward W.
Xu, Ronald X.
Coaxial projective imaging system for surgical navigation and telementoring
title Coaxial projective imaging system for surgical navigation and telementoring
title_full Coaxial projective imaging system for surgical navigation and telementoring
title_fullStr Coaxial projective imaging system for surgical navigation and telementoring
title_full_unstemmed Coaxial projective imaging system for surgical navigation and telementoring
title_short Coaxial projective imaging system for surgical navigation and telementoring
title_sort coaxial projective imaging system for surgical navigation and telementoring
topic General
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000882/
https://www.ncbi.nlm.nih.gov/pubmed/31650743
http://dx.doi.org/10.1117/1.JBO.24.10.105002
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