Title
Intraoperative measurements on the mitral apparatus using optical tracking: a feasibility study
Abstract
Mitral valve reconstruction is a widespread surgical method to repair incompetent mitral valves. During reconstructive surgery the judgement of mitral valve geometry and subvalvular apparatus is mandatory in order to choose for the appropriate repair strategy. To date, intraoperative analysis of mitral valve is merely based on visual assessment and inaccurate sizer devices, which do not allow for any accurate and standardized measurement of the complex three-dimensional anatomy. We propose a new intraoperative computer-assisted method for mitral valve measurements using a pointing instrument together with an optical tracking system. Sixteen anatomical points were defined on the mitral apparatus. The feasibility and the reproducibility of the measurements have been tested on a rapid prototyping (RP) heart model and a freshly exercised porcine heart. Four heart surgeons repeated the measurements three times on each heart. Morphologically important distances between the measured points are calculated. We achieved an interexpert variability mean of 2.28 +/- 1.13 mm for the 3D-printed heart and 2.45 +/- 0.75 mm for the porcine heart. The overall time to perform a complete measurement is 1-2 minutes, which makes the method viable for virtual annuloplasty during an intervention.
Year
DOI
Venue
2014
10.1117/12.2043391
Proceedings of SPIE
Keywords
Field
DocType
Mitral Valve Geometry,Intraoperative Computer-Assisted Measurements,Optical Tracking,Annuloplasty
Nuclear medicine,Reproducibility,Computer vision,Reconstructive surgery,Rapid manufacturing,Visual assessment,Optical tracking,Artificial intelligence,Mitral valve,Computing systems,Physics
Conference
Volume
ISSN
Citations 
9036
0277-786X
3
PageRank 
References 
Authors
0.56
6
9
Name
Order
Citations
PageRank
Sandy Engelhardt12913.14
Raffaele De Simone24117.95
Diana Wald39311.14
norbert zimmermann451.32
Sameer Al-Maisary5164.12
carsten j beller630.56
Matthias Karck7146.97
H.P. Meinzer845471.14
Ivo Wolf973985.17