Semi-automated intra-operative fluoroseopy guidance for osteotomy and external-fixator

Hong Lin, Mikhail L. Samehukov, John G. Birch, Alexander Cherkashin

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

This paper outlines a semi-automated intra-operative fluoroscopy guidance and monitoring approach for osteotomy and external-fixator application in orthopedic surgery. Intra-operative Guidance module is one component of the "LegPerfect Suite" developed for assisting the surgical correction of lower extremity angular deformity. The Intra-operative Guidance module utilizes information from the preoperative surgical planning module as a guideline to overlay (register) its bone outline semi-automatieally with the bone edge from the real-time fluoroscopic C-Arm X-Ray image in the operating room. In the registration process, scaling factor is obtained automatically through matching a fiducial template in the fluoroscopic image and a marker in the module. A triangle metal plate, placed on the operating table is used as fiducial template. The area of template image within the viewing area of the fluoroscopy machine is obtained by the image processing techniques such as edge detection and Hough transformation to extract the template from other objects in the fluoroscopy image. The area of fiducial template from fluoroscopic image is then compared with the area of the marker from the planning so as to obtain the scaling factor. After the scaling factor is obtained, the user can use simple operations by mouse to shift and rotate the preoperative planning to overlay the bone outline from planning with the bone edge from fluoroscopy image. In this way osteotomy levels and external fixator positioning on the limb can guided by the computerized preoperative plan.

Original languageEnglish (US)
Title of host publicationAnnual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings
Pages3811-3814
Number of pages4
DOIs
StatePublished - 2006
Event28th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS'06 - New York, NY, United States
Duration: Aug 30 2006Sep 3 2006

Other

Other28th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS'06
CountryUnited States
CityNew York, NY
Period8/30/069/3/06

Fingerprint

Bone
Planning
Operating rooms
Plate metal
Orthopedics
Edge detection
Surgery
Image processing
X rays
Monitoring

Keywords

  • External-fixator
  • Fluoroscopic image
  • Hough transformation
  • Image registration
  • Intra-operative guidance
  • Legperfect suite
  • Osteotomy
  • Preoperative planning

ASJC Scopus subject areas

  • Bioengineering

Cite this

Lin, H., Samehukov, M. L., Birch, J. G., & Cherkashin, A. (2006). Semi-automated intra-operative fluoroseopy guidance for osteotomy and external-fixator. In Annual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings (pp. 3811-3814). [4028966] https://doi.org/10.1109/IEMBS.2006.259897

Semi-automated intra-operative fluoroseopy guidance for osteotomy and external-fixator. / Lin, Hong; Samehukov, Mikhail L.; Birch, John G.; Cherkashin, Alexander.

Annual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings. 2006. p. 3811-3814 4028966.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Lin, H, Samehukov, ML, Birch, JG & Cherkashin, A 2006, Semi-automated intra-operative fluoroseopy guidance for osteotomy and external-fixator. in Annual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings., 4028966, pp. 3811-3814, 28th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS'06, New York, NY, United States, 8/30/06. https://doi.org/10.1109/IEMBS.2006.259897
Lin H, Samehukov ML, Birch JG, Cherkashin A. Semi-automated intra-operative fluoroseopy guidance for osteotomy and external-fixator. In Annual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings. 2006. p. 3811-3814. 4028966 https://doi.org/10.1109/IEMBS.2006.259897
Lin, Hong ; Samehukov, Mikhail L. ; Birch, John G. ; Cherkashin, Alexander. / Semi-automated intra-operative fluoroseopy guidance for osteotomy and external-fixator. Annual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings. 2006. pp. 3811-3814
@inproceedings{2049d7ba0772430ea61e85ea942ace89,
title = "Semi-automated intra-operative fluoroseopy guidance for osteotomy and external-fixator",
abstract = "This paper outlines a semi-automated intra-operative fluoroscopy guidance and monitoring approach for osteotomy and external-fixator application in orthopedic surgery. Intra-operative Guidance module is one component of the {"}LegPerfect Suite{"} developed for assisting the surgical correction of lower extremity angular deformity. The Intra-operative Guidance module utilizes information from the preoperative surgical planning module as a guideline to overlay (register) its bone outline semi-automatieally with the bone edge from the real-time fluoroscopic C-Arm X-Ray image in the operating room. In the registration process, scaling factor is obtained automatically through matching a fiducial template in the fluoroscopic image and a marker in the module. A triangle metal plate, placed on the operating table is used as fiducial template. The area of template image within the viewing area of the fluoroscopy machine is obtained by the image processing techniques such as edge detection and Hough transformation to extract the template from other objects in the fluoroscopy image. The area of fiducial template from fluoroscopic image is then compared with the area of the marker from the planning so as to obtain the scaling factor. After the scaling factor is obtained, the user can use simple operations by mouse to shift and rotate the preoperative planning to overlay the bone outline from planning with the bone edge from fluoroscopy image. In this way osteotomy levels and external fixator positioning on the limb can guided by the computerized preoperative plan.",
keywords = "External-fixator, Fluoroscopic image, Hough transformation, Image registration, Intra-operative guidance, Legperfect suite, Osteotomy, Preoperative planning",
author = "Hong Lin and Samehukov, {Mikhail L.} and Birch, {John G.} and Alexander Cherkashin",
year = "2006",
doi = "10.1109/IEMBS.2006.259897",
language = "English (US)",
isbn = "1424400325",
pages = "3811--3814",
booktitle = "Annual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings",

}

TY - GEN

T1 - Semi-automated intra-operative fluoroseopy guidance for osteotomy and external-fixator

AU - Lin, Hong

AU - Samehukov, Mikhail L.

AU - Birch, John G.

AU - Cherkashin, Alexander

PY - 2006

Y1 - 2006

N2 - This paper outlines a semi-automated intra-operative fluoroscopy guidance and monitoring approach for osteotomy and external-fixator application in orthopedic surgery. Intra-operative Guidance module is one component of the "LegPerfect Suite" developed for assisting the surgical correction of lower extremity angular deformity. The Intra-operative Guidance module utilizes information from the preoperative surgical planning module as a guideline to overlay (register) its bone outline semi-automatieally with the bone edge from the real-time fluoroscopic C-Arm X-Ray image in the operating room. In the registration process, scaling factor is obtained automatically through matching a fiducial template in the fluoroscopic image and a marker in the module. A triangle metal plate, placed on the operating table is used as fiducial template. The area of template image within the viewing area of the fluoroscopy machine is obtained by the image processing techniques such as edge detection and Hough transformation to extract the template from other objects in the fluoroscopy image. The area of fiducial template from fluoroscopic image is then compared with the area of the marker from the planning so as to obtain the scaling factor. After the scaling factor is obtained, the user can use simple operations by mouse to shift and rotate the preoperative planning to overlay the bone outline from planning with the bone edge from fluoroscopy image. In this way osteotomy levels and external fixator positioning on the limb can guided by the computerized preoperative plan.

AB - This paper outlines a semi-automated intra-operative fluoroscopy guidance and monitoring approach for osteotomy and external-fixator application in orthopedic surgery. Intra-operative Guidance module is one component of the "LegPerfect Suite" developed for assisting the surgical correction of lower extremity angular deformity. The Intra-operative Guidance module utilizes information from the preoperative surgical planning module as a guideline to overlay (register) its bone outline semi-automatieally with the bone edge from the real-time fluoroscopic C-Arm X-Ray image in the operating room. In the registration process, scaling factor is obtained automatically through matching a fiducial template in the fluoroscopic image and a marker in the module. A triangle metal plate, placed on the operating table is used as fiducial template. The area of template image within the viewing area of the fluoroscopy machine is obtained by the image processing techniques such as edge detection and Hough transformation to extract the template from other objects in the fluoroscopy image. The area of fiducial template from fluoroscopic image is then compared with the area of the marker from the planning so as to obtain the scaling factor. After the scaling factor is obtained, the user can use simple operations by mouse to shift and rotate the preoperative planning to overlay the bone outline from planning with the bone edge from fluoroscopy image. In this way osteotomy levels and external fixator positioning on the limb can guided by the computerized preoperative plan.

KW - External-fixator

KW - Fluoroscopic image

KW - Hough transformation

KW - Image registration

KW - Intra-operative guidance

KW - Legperfect suite

KW - Osteotomy

KW - Preoperative planning

UR - http://www.scopus.com/inward/record.url?scp=34047183793&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34047183793&partnerID=8YFLogxK

U2 - 10.1109/IEMBS.2006.259897

DO - 10.1109/IEMBS.2006.259897

M3 - Conference contribution

C2 - 17945802

SN - 1424400325

SN - 9781424400324

SP - 3811

EP - 3814

BT - Annual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings

ER -