Title
Plan in 2D, execute in 3D: An augmented reality solution for cup placement in total hip arthroplasty.
Abstract
Reproducibly achieving proper implant alignment is a critical step in total hip arthroplasty procedures that has been shown to substantially affect patient outcome. In current practice, correct alignment of the acetabular cup is verified in C-arm x-ray images that are acquired in an anterior-posterior (AP) view. Favorable surgical outcome is, therefore, heavily dependent on the surgeon's experience in understanding the 3-D orientation of a hemispheric implant from 2-D AP projection images. This work proposes an easy to use intraoperative component planning system based on two C-arm x-ray images that are combined with 3-D augmented reality (AR) visualization that simplifies impactor and cup placement according to the planning by providing a real-time RGBD data overlay. We evaluate the feasibility of our system in a user study comprising four orthopedic surgeons at the Johns Hopkins Hospital and report errors in translation, anteversion, and abduction as low as 1.98 mm, 1.10 deg, and 0.53 deg, respectively. The promising performance of this AR solution shows that deploying this system could eliminate the need for excessive radiation, simplify the intervention, and enable reproducibly accurate placement of acetabular implants. (c) 2018 Society of Photo-Optical Instrumentation Engineers (SPIE)
Year
DOI
Venue
2018
10.1117/1.JMI.5.2.021205
JOURNAL OF MEDICAL IMAGING
Keywords
Field
DocType
intraoperative planning,x-ray,augmented reality,RGBD camera,total hip arthroplasty
Computer vision,Visualization,Implant,Computer science,Arthroplasty,Augmented reality,AP projection,Artificial intelligence,Orthopedic surgery,Overlay
Journal
Volume
Issue
ISSN
5
2
2329-4302
Citations 
PageRank 
References 
1
0.36
5
Authors
12
Name
Order
Citations
PageRank
Javad Fotouhi15112.20
Clayton P. Alexander210.70
mathias unberath35624.46
Giacomo Taylor412.05
S Lee5345.51
B Fuerst69312.36
Alex Johnson7143.97
Greg Osgood8319.13
Russell H. Taylor91970438.00
Harpal Khanuja1071.35
M Armand1116927.17
Nassir Navab126594578.60