Title
Image guidance for robotic minimally invasive coronary artery bypass
Abstract
A novel system for image guidance in totally endoscopic coronary artery bypass (TECAB) is presented. Key requirement is the availability of 2D–3D registration techniques that can deal with non-rigid motion and deformation. Image guidance for TECAB is mainly required before the mechanical stabilisation of the heart, when the most dominant source of misregistration is the deformation and non-rigid motion of the heart. To augment the images in the endoscope of the da Vinci robot, we have to find the transformation from the coordinate system of the preoperative imaging modality to the system of the endoscopic cameras. In a first step we build a 4D motion model of the beating heart. Intraoperatively we can use the ECG or video processing to determine the phase of the cardiac cycle, as well as the heart and respiratory frequencies. We then take the heart surface from the motion model and register it to the stereo endoscopic images of the da Vinci robot resp. of a validation system using photo-consistency. To take advantage of the fact that there is a whole image sequence available for registration, we use the different phases together to get the registration. We found the similarity function to be much smoother when using more phases. This also showed promising behaviour in convergence tests. Images of the vessels available in the preoperative coordinate system can then be transformed to the camera system and projected into the calibrated endoscope view using two video mixers with chroma keying. It is hoped that the augmented view can improve the efficiency of TECAB surgery and reduce the conversion rate to more conventional procedures.
Year
DOI
Venue
2010
10.1016/j.compmedimag.2009.08.002
Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society
Keywords
Field
DocType
Endoscopic procedures,Medical robotics,Registration,Image-guided therapy
Endoscope,Coordinate system,Artery,Computer vision,Video processing,Computer science,Keying,Augmented reality,Artificial intelligence,Cardiac cycle,Robot
Journal
Volume
Issue
ISSN
34
1
Computerized Medical Imaging and Graphics
Citations 
PageRank 
References 
5
0.57
13
Authors
10
Name
Order
Citations
PageRank
Michael Figl1657.33
Daniel Rueckert29338637.58
David Hawkes344430.17
Roberto Casula4453.61
Mingxing Hu537731.19
Ose Pedro6111.39
Dong Ping Zhang71537.55
Graeme Penney815411.93
Fernando Bello926142.21
Philip Edwards10434.66