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Erschienen in: International Journal of Computer Assisted Radiology and Surgery 2/2018

29.11.2017 | Original Article

Augmented marker tracking for peri-acetabular osteotomy surgery

verfasst von: Silvio Pflugi, Rakesh Vasireddy, Till Lerch, Timo M. Ecker, Moritz Tannast, Nane Boemke, Klaus Siebenrock, Guoyan Zheng

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 2/2018

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Abstract

Objective

To develop a hybrid augmented marker-based navigation system for acetabular reorientation during peri-acetabular osteotomy (PAO).

Methods

The system consists of a tracking unit attached to the patient’s pelvis, augmented marker attached to the acetabular fragment and a host computer to do all the computations and visualization. The augmented marker is comprised of an external planar Aruco marker facing toward the tracking unit and an internal inertial measurement unit (IMU) to measure its orientation. The orientation output from the IMU is sent to the host computer. The tracking unit streams a live video of the augmented marker to the host computer, where the planar marker is detected and its pose is estimated. A Kalman filter-based sensor fusion combines the output from marker tracking and the IMU. We validated the proposed system using a plastic bone study and a cadaver study. Every time, we compared the inclination and anteversion values measured by the proposed system to those from a previously developed optical tracking-based navigation system.

Results

Mean absolute differences for inclination and anteversion were 1.34 (\(\pm \,1.50\)) and 1.21 (\(\pm \, 1.07\))\(^\circ \), respectively, for the cadaver study. Mean absolute differences were 1.63 (\(\pm \,1.48\)) and 1.55 (\(\pm \,1.49\))\(^\circ \) for inclination and anteversion for the plastic bone study. In both validation studies, very strong correlations were observed.

Conclusion

We successfully demonstrated the feasibility of our system to measure the acetabular orientation during PAO.
Literatur
1.
Zurück zum Zitat Albers CE, Steppacher SD, Ganz R, Tannast M, Siebenrock KA (2013) Impingement adversely affects 10-year survivorship after periacetabular osteotomy for DDH hip. Clin Orthop Relat Res 471(5):1602–1614CrossRefPubMedPubMedCentral Albers CE, Steppacher SD, Ganz R, Tannast M, Siebenrock KA (2013) Impingement adversely affects 10-year survivorship after periacetabular osteotomy for DDH hip. Clin Orthop Relat Res 471(5):1602–1614CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Behrens A, Grimm J, Gross S, Aach T (2011) Inertial navigation system for bladder endoscopy. In: Proceedings of the annual international conference of the IEEE engineering in medicine and biology society, EMBS pp 5376–5379 Behrens A, Grimm J, Gross S, Aach T (2011) Inertial navigation system for bladder endoscopy. In: Proceedings of the annual international conference of the IEEE engineering in medicine and biology society, EMBS pp 5376–5379
3.
Zurück zum Zitat Beller S, Eulenstein S, Lange T, Hünerbein M, Schlag PM (2009) Upgrade of an optical navigation system with a permanent electromagnetic position control: a first step towards "navigated control" for liver surgery. J Hepato Biliary Pancreat Surg 16(2):165–170CrossRef Beller S, Eulenstein S, Lange T, Hünerbein M, Schlag PM (2009) Upgrade of an optical navigation system with a permanent electromagnetic position control: a first step towards "navigated control" for liver surgery. J Hepato Biliary Pancreat Surg 16(2):165–170CrossRef
5.
Zurück zum Zitat Cao Z, Su S, Chen H, Tang H, Zhou Y, Wang Z (2016) Pose measurement of Anterior Pelvic Plane based on inertial measurement unit in total hip replacement surgeries. In: Proceedings of the annual international conference of the IEEE engineering in medicine and biology society, EMBS 2016-Octob, pp. 5801–5804 Cao Z, Su S, Chen H, Tang H, Zhou Y, Wang Z (2016) Pose measurement of Anterior Pelvic Plane based on inertial measurement unit in total hip replacement surgeries. In: Proceedings of the annual international conference of the IEEE engineering in medicine and biology society, EMBS 2016-Octob, pp. 5801–5804
6.
Zurück zum Zitat Claasen GC, Martin P, Picard F (2011) High-bandwidth low-latency tracking using optical and inertial sensors. In: ICARA 2011—Proceedings of the 5th international conference on automation, robotics and applications, pp 366–371 Claasen GC, Martin P, Picard F (2011) High-bandwidth low-latency tracking using optical and inertial sensors. In: ICARA 2011—Proceedings of the 5th international conference on automation, robotics and applications, pp 366–371
7.
Zurück zum Zitat Crockarell J, Trousdale RT, Cabanela ME, Berry DJ (1999) Early experience and results with the periacetabular osteotomy.pdf. Clin Orthop Relat Res 363:45–53CrossRef Crockarell J, Trousdale RT, Cabanela ME, Berry DJ (1999) Early experience and results with the periacetabular osteotomy.pdf. Clin Orthop Relat Res 363:45–53CrossRef
9.
Zurück zum Zitat Freeman RM, Julier SJ, Steed AJ (2007) A method for predicting marker tracking error. In: 2007 6th IEEE and ACM international symposium on mixed and augmented reality, ISMAR, pp 157–160 Freeman RM, Julier SJ, Steed AJ (2007) A method for predicting marker tracking error. In: 2007 6th IEEE and ACM international symposium on mixed and augmented reality, ISMAR, pp 157–160
10.
Zurück zum Zitat Garrido-Jurado S, Muñoz-Salinas R, Madrid-Cuevas FJ, Marín-Jiménez MJ (2014) Automatic generation and detection of highly reliable fiducial markers under occlusion. Pattern Recognit 47(6):2280–2292CrossRef Garrido-Jurado S, Muñoz-Salinas R, Madrid-Cuevas FJ, Marín-Jiménez MJ (2014) Automatic generation and detection of highly reliable fiducial markers under occlusion. Pattern Recognit 47(6):2280–2292CrossRef
13.
Zurück zum Zitat Goh GSH, Liow MHL, Tay DKJ, Lo NN, Yeo SJ, Tan MH (2017) Accelerometer-based and computer-assisted navigation in total knee arthroplasty: a reduction in mechanical axis outliers does not lead to improvement in functional outcomes or quality of life when compared to conventional total knee arthroplasty. J Arthroplast pp. 1–7. http://linkinghub.elsevier.com/retrieve/pii/S0883540317307891 Goh GSH, Liow MHL, Tay DKJ, Lo NN, Yeo SJ, Tan MH (2017) Accelerometer-based and computer-assisted navigation in total knee arthroplasty: a reduction in mechanical axis outliers does not lead to improvement in functional outcomes or quality of life when compared to conventional total knee arthroplasty. J Arthroplast pp. 1–7. http://​linkinghub.​elsevier.​com/​retrieve/​pii/​S088354031730789​1
14.
Zurück zum Zitat Haid M, Kamil M, Chobtrong T, Guenes E (2013) Machine-vision-based and inertial-sensor-supported navigation system for the minimal invasive surgery. In: AMA conferences—SENSOR Haid M, Kamil M, Chobtrong T, Guenes E (2013) Machine-vision-based and inertial-sensor-supported navigation system for the minimal invasive surgery. In: AMA conferences—SENSOR
15.
Zurück zum Zitat Hipp J, Sugano N, Millis M, Murphy S (1999) Planning acetabular redirection osteotomies based on joint contact pressures. Clin Orthop Relat Res 364:134–143CrossRef Hipp J, Sugano N, Millis M, Murphy S (1999) Planning acetabular redirection osteotomies based on joint contact pressures. Clin Orthop Relat Res 364:134–143CrossRef
16.
Zurück zum Zitat Hsieh PH, Chang YH, Shih CH (2006) Image-guided periacetabular osteotomy: computer-assisted navigation compared with the conventional technique: a randomized study of 36 patients followed for 2 years. Acta Orthop 77(4):591–597CrossRefPubMed Hsieh PH, Chang YH, Shih CH (2006) Image-guided periacetabular osteotomy: computer-assisted navigation compared with the conventional technique: a randomized study of 36 patients followed for 2 years. Acta Orthop 77(4):591–597CrossRefPubMed
18.
Zurück zum Zitat Jaeger M, Westhoff B, Wild A, Krauspe R (2004) Computer-assisted periacetabular triple osteotomy for treatment of dysplasia of the hip. Zeitschrift fur Orthopadie und Ihre Grenzgebiete 142(1):51–59CrossRef Jaeger M, Westhoff B, Wild A, Krauspe R (2004) Computer-assisted periacetabular triple osteotomy for treatment of dysplasia of the hip. Zeitschrift fur Orthopadie und Ihre Grenzgebiete 142(1):51–59CrossRef
19.
Zurück zum Zitat Jolles BM, Genoud P, Hoffmeyer P (2004) Computer-assisted cup placement techniques in total hip arthroplasty improve accuracy of placement. Clin Orthop Relat Res 426:174–9CrossRef Jolles BM, Genoud P, Hoffmeyer P (2004) Computer-assisted cup placement techniques in total hip arthroplasty improve accuracy of placement. Clin Orthop Relat Res 426:174–9CrossRef
22.
Zurück zum Zitat Kalman RE (1960) A new approach to linear filtering and prediction problems. J Basic Eng 82(1):35–45CrossRef Kalman RE (1960) A new approach to linear filtering and prediction problems. J Basic Eng 82(1):35–45CrossRef
23.
Zurück zum Zitat Katanacho M, De la Cadena W, Engel S (2016) Surgical navigation with QR codes. Curr Dir Biomed Eng 2(1):355–358 Katanacho M, De la Cadena W, Engel S (2016) Surgical navigation with QR codes. Curr Dir Biomed Eng 2(1):355–358
24.
Zurück zum Zitat Kim SJ, Jeong MH, Lee JJ, Lee JY, Kim KG, You BJ, Oh SR (2010) Robot head-eye calibration using the minimum variance method. In: 2010 IEEE International Conference on Robotics and Biomimetics, ROBIO 2010, pp. 1446–1451 Kim SJ, Jeong MH, Lee JJ, Lee JY, Kim KG, You BJ, Oh SR (2010) Robot head-eye calibration using the minimum variance method. In: 2010 IEEE International Conference on Robotics and Biomimetics, ROBIO 2010, pp. 1446–1451
25.
Zurück zum Zitat Kruecker J, Viswanathan A, Borgert J, Glossop N, Yang Y, Wood BJ (2005) An electro-magnetically tracked laparoscopic ultrasound for multi-modality minimally invasive surgery. Int Congr Ser 1281:746–751CrossRef Kruecker J, Viswanathan A, Borgert J, Glossop N, Yang Y, Wood BJ (2005) An electro-magnetically tracked laparoscopic ultrasound for multi-modality minimally invasive surgery. Int Congr Ser 1281:746–751CrossRef
26.
Zurück zum Zitat Langlotz F, Bächler R, Berlemann U, Nolte LP, Ganz R (1998) Computer assistance for pelvic osteotomies. Clin Orthop Relat Res 354(354):92–102CrossRef Langlotz F, Bächler R, Berlemann U, Nolte LP, Ganz R (1998) Computer assistance for pelvic osteotomies. Clin Orthop Relat Res 354(354):92–102CrossRef
27.
Zurück zum Zitat Langlotz F, Stucki M, Bächler R, Scheer C, Ganz R, Berlemann U, Nolte LP (1997) The first twelve cases of computer assisted periacetabular osteotomy. Comput Aided Surg 2(6):317–326CrossRefPubMed Langlotz F, Stucki M, Bächler R, Scheer C, Ganz R, Berlemann U, Nolte LP (1997) The first twelve cases of computer assisted periacetabular osteotomy. Comput Aided Surg 2(6):317–326CrossRefPubMed
28.
Zurück zum Zitat Lerch TD, Steppacher SD, Liechti EF, Siebenrock KA, Tannast M (2016) Periazetabuläre Osteotomie nach Ganz. Der Orthopäde 45(8):687–694CrossRefPubMed Lerch TD, Steppacher SD, Liechti EF, Siebenrock KA, Tannast M (2016) Periazetabuläre Osteotomie nach Ganz. Der Orthopäde 45(8):687–694CrossRefPubMed
29.
Zurück zum Zitat Lerch TD, Steppacher SD, Liechti EF, Tannast M, Siebenrock KA (2017) One-third of hips after periacetabular osteotomy survive 30 years with good clinical results, no progression of arthritis, or conversion to THA. Clin Orthop Relat Res 475(4):1154–1168CrossRefPubMed Lerch TD, Steppacher SD, Liechti EF, Tannast M, Siebenrock KA (2017) One-third of hips after periacetabular osteotomy survive 30 years with good clinical results, no progression of arthritis, or conversion to THA. Clin Orthop Relat Res 475(4):1154–1168CrossRefPubMed
30.
Zurück zum Zitat Liu L, Ecker T, Schumann S, Siebenrock K, Nolte P, Zheng G, Periacetabular I, The M (2013) Cadaveric validation of a novel planning and navigation system for peri-acetabular osteotomy ( PAO ). In: CURAC pp 26–29 Liu L, Ecker T, Schumann S, Siebenrock K, Nolte P, Zheng G, Periacetabular I, The M (2013) Cadaveric validation of a novel planning and navigation system for peri-acetabular osteotomy ( PAO ). In: CURAC pp 26–29
31.
Zurück zum Zitat Liu L, Ecker T, Schumann S, Siebenrock K, Nolte L, Zheng G (2014) Computer assisted planning and navigation of periacetabular osteotomy with range of motion optimization. Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) 8674 LNCS(PART 2), pp 643–650 Liu L, Ecker T, Schumann S, Siebenrock K, Nolte L, Zheng G (2014) Computer assisted planning and navigation of periacetabular osteotomy with range of motion optimization. Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) 8674 LNCS(PART 2), pp 643–650
32.
Zurück zum Zitat Mahfouz MR, Kuhn MJ, To G, Fathy AE (2009) Integration of UWB and wireless pressure mapping in surgical navigation. IEEE Trans Microw Theory Tech 57(10):2550–2564CrossRef Mahfouz MR, Kuhn MJ, To G, Fathy AE (2009) Integration of UWB and wireless pressure mapping in surgical navigation. IEEE Trans Microw Theory Tech 57(10):2550–2564CrossRef
34.
Zurück zum Zitat Murphy RJ, Armiger RS, Lepistö J, Mears SC, Taylor RH, Armand M (2015) Development of a biomechanical guidance system for periacetabular osteotomy. Int J Comput Assist Radiol Surg 10(4):497–508CrossRefPubMed Murphy RJ, Armiger RS, Lepistö J, Mears SC, Taylor RH, Armand M (2015) Development of a biomechanical guidance system for periacetabular osteotomy. Int J Comput Assist Radiol Surg 10(4):497–508CrossRefPubMed
35.
Zurück zum Zitat Myers SR, Eijer H, Ganz R (1999) Anterior femoroacetabular impingement after periacetabular osteotomy. Clin Orthop Relat Res 363:93–9CrossRef Myers SR, Eijer H, Ganz R (1999) Anterior femoroacetabular impingement after periacetabular osteotomy. Clin Orthop Relat Res 363:93–9CrossRef
39.
Zurück zum Zitat Nogler M, Kessler O, Prassl A, Donnelly B, Streicher R, Sledge JB, Krismer M (2004) Reduced variability of acetabular cup positioning with use of an imageless navigation system. Clin Orthop Relat Res 426:159–163CrossRef Nogler M, Kessler O, Prassl A, Donnelly B, Streicher R, Sledge JB, Krismer M (2004) Reduced variability of acetabular cup positioning with use of an imageless navigation system. Clin Orthop Relat Res 426:159–163CrossRef
40.
Zurück zum Zitat O’Donovan KJ, Kamnik R, O’Keeffe DT, Lyons GM (2007) An inertial and magnetic sensor based technique for joint angle measurement. J Biomech 40(12):2604–2611CrossRefPubMed O’Donovan KJ, Kamnik R, O’Keeffe DT, Lyons GM (2007) An inertial and magnetic sensor based technique for joint angle measurement. J Biomech 40(12):2604–2611CrossRefPubMed
41.
Zurück zum Zitat Park FC, Martin BJ (1994) Robot sensor calibration: solving AX=XB on the Euclidean group. IEEE Trans Robot Autom 10(5):717–721CrossRef Park FC, Martin BJ (1994) Robot sensor calibration: solving AX=XB on the Euclidean group. IEEE Trans Robot Autom 10(5):717–721CrossRef
42.
Zurück zum Zitat Pflugi S, Liu L, Ecker TM, Schumann S, Larissa Cullmann J, Siebenrock K, Zheng G (2016) A cost-effective surgical navigation solution for periacetabular osteotomy (PAO) surgery. Int J Comput ssist Radiol Surg 11(2):271–280CrossRef Pflugi S, Liu L, Ecker TM, Schumann S, Larissa Cullmann J, Siebenrock K, Zheng G (2016) A cost-effective surgical navigation solution for periacetabular osteotomy (PAO) surgery. Int J Comput ssist Radiol Surg 11(2):271–280CrossRef
43.
Zurück zum Zitat Pflugi S, Vasireddy R, Liu L, Ecker TM, Lerch T, Siebenrock K, Zheng G (2016) A cost-effective navigation system for peri-acetabular osteotomy surgery. Int Conf Med Imaging Virtual Real 9805:84–95 Pflugi S, Vasireddy R, Liu L, Ecker TM, Lerch T, Siebenrock K, Zheng G (2016) A cost-effective navigation system for peri-acetabular osteotomy surgery. Int Conf Med Imaging Virtual Real 9805:84–95
44.
Zurück zum Zitat Rambach JR (2016) Learning to fuse : a deep learning approach to visual-inertial camera pose estimation. In: IEEE international symposium on mixed and augmented reality (ISMAR), pp. 71–76 Rambach JR (2016) Learning to fuse : a deep learning approach to visual-inertial camera pose estimation. In: IEEE international symposium on mixed and augmented reality (ISMAR), pp. 71–76
45.
Zurück zum Zitat Rebello KJ (2004) Applications of MEMS in surgery. Proc IEEE 92(1):43–55CrossRef Rebello KJ (2004) Applications of MEMS in surgery. Proc IEEE 92(1):43–55CrossRef
46.
Zurück zum Zitat Ren H, Kazanzides P (2014) Attitude tracking using an integrated inertial and optical navigation system for hand-held surgical instruments. In: International conference on control, automation and systems, pp. 290–293 Ren H, Kazanzides P (2014) Attitude tracking using an integrated inertial and optical navigation system for hand-held surgical instruments. In: International conference on control, automation and systems, pp. 290–293
47.
Zurück zum Zitat Ryan JA, Jamali AA, Bargar WL (2010) Accuracy of computer navigation for acetabular component placement in THA. Clin Orthop Relat Res 468(1):169–177CrossRefPubMed Ryan JA, Jamali AA, Bargar WL (2010) Accuracy of computer navigation for acetabular component placement in THA. Clin Orthop Relat Res 468(1):169–177CrossRefPubMed
48.
Zurück zum Zitat Schweighofer G, Pinz A (2006) Robust pose estimation from a planar target. IEEE Trans Pattern Anal Mach Intell 28(12):2024–2030CrossRefPubMed Schweighofer G, Pinz A (2006) Robust pose estimation from a planar target. IEEE Trans Pattern Anal Mach Intell 28(12):2024–2030CrossRefPubMed
49.
Zurück zum Zitat Steppacher SD, Lerch TD, Gharanizadeh K, Liechti EF, Werlen SF, Puls M, Tannast M, Siebenrock KA (2014) Size and shape of the lunate surface in different types of pincer impingement: theoretical implications for surgical therapy. Osteoarthr Cartil 22(7):951–958CrossRefPubMed Steppacher SD, Lerch TD, Gharanizadeh K, Liechti EF, Werlen SF, Puls M, Tannast M, Siebenrock KA (2014) Size and shape of the lunate surface in different types of pincer impingement: theoretical implications for surgical therapy. Osteoarthr Cartil 22(7):951–958CrossRefPubMed
50.
Zurück zum Zitat Steppacher SD, Tannast M, Ganz R, Siebenrock KA (2008) Mean 20-year followup of bernese periacetabular osteotomy. Clin Orthop Relat Res 466(7):1633–1644 Steppacher SD, Tannast M, Ganz R, Siebenrock KA (2008) Mean 20-year followup of bernese periacetabular osteotomy. Clin Orthop Relat Res 466(7):1633–1644
51.
Zurück zum Zitat Su S, Zhou Y, Wang Z, Chen H (2017) Monocular vision–and IMU-based system for prosthesis pose estimation during total hip replacement surgery. IEEE Trans Biomed Circuits Syst 11(3):1–10 Su S, Zhou Y, Wang Z, Chen H (2017) Monocular vision–and IMU-based system for prosthesis pose estimation during total hip replacement surgery. IEEE Trans Biomed Circuits Syst 11(3):1–10
52.
Zurück zum Zitat Tibor LM, Sink EL (2012) Periacetabular osteotomy for hip preservation. Orthop Clin North Am 43(3):343–357CrossRefPubMed Tibor LM, Sink EL (2012) Periacetabular osteotomy for hip preservation. Orthop Clin North Am 43(3):343–357CrossRefPubMed
53.
Zurück zum Zitat Walti J, Jost GF, Cattin PC (2014) A new cost-effective approach to pedicular screw placement. MICCAI AE-CAI - Lecture Notes in Computer Science 8678 (Lecture Notes in Computer Science), pp 90–97 Walti J, Jost GF, Cattin PC (2014) A new cost-effective approach to pedicular screw placement. MICCAI AE-CAI - Lecture Notes in Computer Science 8678 (Lecture Notes in Computer Science), pp 90–97
54.
Zurück zum Zitat Zhang H, Banovac F, Glossop N, Wood BJ, Lindisch D (2006) Electromagnetic tracking for abdominal interventions in computer aided surgery. Comput Aided Surg 11(3):127–136CrossRefPubMedPubMedCentral Zhang H, Banovac F, Glossop N, Wood BJ, Lindisch D (2006) Electromagnetic tracking for abdominal interventions in computer aided surgery. Comput Aided Surg 11(3):127–136CrossRefPubMedPubMedCentral
Metadaten
Titel
Augmented marker tracking for peri-acetabular osteotomy surgery
verfasst von
Silvio Pflugi
Rakesh Vasireddy
Till Lerch
Timo M. Ecker
Moritz Tannast
Nane Boemke
Klaus Siebenrock
Guoyan Zheng
Publikationsdatum
29.11.2017
Verlag
Springer International Publishing
Erschienen in
International Journal of Computer Assisted Radiology and Surgery / Ausgabe 2/2018
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-017-1690-6

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