Surgical Tool Alignment Guidance by Drawing Two Cross-Sectional Laser-Beam Planes

Conventional surgical navigation requires for surgeons to move their sight and conscious off the surgical field when checking surgical tool's positions shown on the display panel. Since that takes high risks of surgical exposure possibilities to the patient's body, we propose a novel method for guiding surgical tool position and orientation directly in the surgical field by a laser beam. In our navigation procedure, two cross-sectional planar laser beams are emitted from the two laser devices attached onto both sides of an optical localizer, and show surgical tool's entry position on the patient's body surface and its orientation on the side face of the surgical tool. In the experiments, our method gave the surgeons precise and accurate surgical tool adjusting and showed the feasibility to apply to both of open and percutaneous surgeries.

[1]  W R Krause,et al.  Orthogonal bone cutting: saw design and operating characteristics. , 1987, Journal of biomechanical engineering.

[2]  Mary C. Whitton,et al.  Towards Performing Ultrasound-Guided Needle Biopsies from within a Head-Mounted Display , 1996, VBC.

[3]  Takeo Kanade,et al.  An Image Overlay System for Medical Data Visualization , 1998, MICCAI.

[4]  J. Chaloupka,et al.  Frameless Laser-Guided Stereotaxis: A System for CT-Monitored Neurosurgical Interventions , 1999, Stereotactic and Functional Neurosurgery.

[5]  A. Thalhammer,et al.  Value of a laser guidance system for CT interventions: a phantom study , 1999, European Radiology.

[6]  Randy E. Ellis,et al.  Fixation-Based Surgery: A New Technique for Distal Radius Osteotomy , 2000, MICCAI.

[7]  Masakatsu G. Fujie,et al.  A Novel Laser Guidance System for Alignment of Linear Surgical Tools: Its Principles and Performance Evaluation as a Man-Machine System , 2002, MICCAI.

[8]  Russell H. Taylor,et al.  Medical robotics in computer-integrated surgery , 2003, IEEE Trans. Robotics Autom..

[9]  Neil D. Glossop,et al.  Laser projection augmented reality system for computer-assisted surgery , 2003, CARS.

[10]  Philippe Cinquin,et al.  Modelling and Optimization of Bone-Cutting Forces in Orthopaedic Surgery , 2003, MICCAI.

[11]  Tsuyoshi Koyama,et al.  Available range analysis of laser guidance system and its application to monolithic integration with optical tracker , 2004, CARS.

[12]  J. Goble,et al.  Stereotactic laser-guided approach to distal middle cerebral artery aneurysms , 2005, Acta Neurochirurgica.

[13]  Ken Masamune,et al.  Image overlay guidance for needle insertion in CT scanner , 2005, IEEE Transactions on Biomedical Engineering.

[14]  Akira Furukawa,et al.  Laser-guided computed tomography puncture system: simulation experiments using artificial phantom lesions and preliminary clinical experience , 2007, Radiation Medicine.

[15]  Chris Wedlake,et al.  Image-guided laser projection for port placement in minimally invasive surgery. , 2006, Studies in health technology and informatics.

[16]  Wiro J Niessen,et al.  Three-Dimensional Rotational X-Ray Navigation for Needle Guidance in Percutaneous Vertebroplasty: An Accuracy Study , 2006, Spine.

[17]  Ken Masamune,et al.  Fusion of Laser Guidance and 3-D Autostereoscopic Image Overlay for Precision-Guided Surgery , 2008, MIAR.

[18]  Ken Masamune,et al.  Computerized Medical Imaging and Graphics , 2009 .

[19]  O. Ratib,et al.  Augmented reality and image overlay navigation with OsiriX in laparoscopic and robotic surgery: not only a matter of fashion , 2011, Journal of hepato-biliary-pancreatic sciences.