Paper Info
Title
A system for automatic monitoring of surgical instruments and dynamic, non-rigid surface deformations in breast cancer surgery.
Abstract
When negative tumor margins are achieved at the time of resection, breast conserving therapy (lumpectomy followed with radiation therapy) offers patients improved cosmetic outcomes and quality of life with equivalent survival outcomes to mastectomy. However, high reoperation rates ranging 10-59% continue to challenge adoption and suggest that improved intraoperative tumor localization is a pressing need. We propose to couple an optical tracker and stereo camera system for automated monitoring of surgical instruments and non-rigid breast surface deformations. A bracket was designed to rigidly pair an optical tracker with a stereo camera, optimizing overlap volume. Utilizing both devices allowed for precise instrument tracking of multiple objects with reliable, workflow friendly tracking of dynamic breast movements. Computer vision techniques were employed to automatically track fiducials, requiring one-time initialization with bounding boxes in stereo camera images. Point based rigid registration was performed between fiducial locations triangulated from stereo camera images and fiducial locations recorded with an optically tracked stylus. We measured fiducial registration error (FRE) and target registration error (TRE) with two different stereo camera devices using a phantom breast with five fiducials. Average FREs of 2.7 +/- 0.4 mm and 2.4 +/- 0.6 mm with each stereo-camera device demonstrate considerable promise for this approach in monitoring the surgical field. Automated tracking was shown to reduce error when compared to manually selected fiducial locations in stereo camera image-based localization. The proposed instrumentation framework demonstrated potential for the continuous measurement of surgical instruments in relation to the dynamic deformations of a breast during lumpectomy.
Year
DOI
Venue
2018
10.1117/12.2295221
Proceedings of SPIE
Keywords
DocType
Volume
breast cancer,lumpectomy,surgical guidance,registration,computer vision,breast conservation therapy,image guided surgery
Conference
10576
ISSN
Citations 
PageRank 
0277-786X
1
0.63
References 
Authors
0
6
Name
Order
Citations
PageRank
Winona L. Richey110.96
Ma Luo224.36
Sarah E. Goodale310.63
Logan W. Clements46312.64
Ingrid M. Meszoely563.64
Michael I. Miga656772.99