Real-time estimation of FLE for point-based registration

In image-guide surgery, optimizing the accuracy in localizing the surgical tools within the virtual reality environment or 3D image is vitally important, significant effort has been spent reducing the measurement errors at the point of interest or target. This target registration error (TRE) is often defined by a root-mean-square statistic which reduces the vector data to a single term that can be minimized. However, lost in the data reduction is the directionality of the error which, can be modelled using a 3D covariance matrix. Recently, we developed a set of expressions that modeled the TRE statistics for point-based registrations as a function of the fiducial marker geometry, target location and the fiducial localizer error (FLE). Unfortunately, these expressions are only as good as the definition of the FLE. In order to close the gap, we have subsequently developed a closed form expression that estimates the FLE as a function of the estimated fiducial registration error (FRE, the error between the measured fiducials and the best fit locations of those fiducials). The FRE covariance matrix is estimated using a sliding window technique and used as input into the closed form expression to estimate the FLE. The estimated FLE can then used to estimate the TRE which, can be given to the surgeon to permit the procedure to be designed such that the errors associated with the point-based registrations are minimized.