Stereo Display of 3D Ultrasound Images for Surgical Robot Guidance

The recent advent of real-time 3-D ultrasound (3D US) imaging enables a variety of surgical procedures to be performed within the beating heart. Implementation of these procedures is hampered by the difficulty of manipulating tissue guided by the distorted, low resolution 3D US images and the dexterity constraints imposed by the confined intracardiac space. This paper investigates the use of surgical robotics in conjunction with 3D US to overcome these limitations. In addition, it describes the development of a graphics processor based volume Tenderer for real-time stereo visualization of the ultrasound data. Stereo displayed 3D US was compared to ID-displayed 3D US and endoscopic guidance with a user study. Five subjects performed in vitro surgical tasks using a surgical robot. Results indicate that subjects were able to complete surgical tasks 35 % faster with stereo-displayed 3DUS images compared to conventional two dimensional display of 3D US

[1]  W. Boyd,et al.  Beating heart surgery: why expect less central nervous system morbidity? , 1999, The Annals of thoracic surgery.

[2]  Gregory L. Holmes,et al.  Developmental and neurologic status of children after heart surgery with hypothermic circulatory arrest or low-flow cardiopulmonary bypass. , 1995, The New England journal of medicine.

[3]  G. Fried,et al.  Development of a model for training and evaluation of laparoscopic skills. , 1998, American journal of surgery.

[4]  Robin O Cleveland,et al.  Three-dimensional echocardiography-guided beating-heart surgery without cardiopulmonary bypass: a feasibility study. , 2004, Journal of Thoracic and Cardiovascular Surgery.

[5]  Rüdiger Westermann,et al.  Acceleration techniques for GPU-based volume rendering , 2003, IEEE Visualization, 2003. VIS 2003..

[6]  Pierre E. Dupont,et al.  Biomedical Paper Real Time 3-Dimensional Ultrasound for Guiding Surgical Tasks , 2002 .

[7]  D. Wypij,et al.  Developmental and neurological status of children at 4 years of age after heart surgery with hypothermic circulatory arrest or low-flow cardiopulmonary bypass. , 1999, Circulation.

[8]  Y. Matsuoka,et al.  Robotics for surgery. , 1999, Annual review of biomedical engineering.

[9]  Daniel B. Jones,et al.  Laparoscopic training on bench models: better and more cost effective than operating room experience? , 2000, Journal of the American College of Surgeons.

[10]  Jeffrey A. Stoll,et al.  Real-Time Three-Dimensional Ultrasound for Guiding Surgical Tasks , 2003, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[11]  A. Darzi,et al.  The effect of a second-generation 3D endoscope on the laparoscopic precision of novices and experienced surgeons , 1999, Surgical Endoscopy.

[12]  E Wolner,et al.  Central nervous system function after cardiopulmonary bypass. , 1993, European heart journal.