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Published in: International Journal of Computer Assisted Radiology and Surgery 2/2018

01-02-2018 | Original Article

Augmented marker tracking for peri-acetabular osteotomy surgery

Authors: Silvio Pflugi, Rakesh Vasireddy, Till Lerch, Timo M. Ecker, Moritz Tannast, Nane Boemke, Klaus Siebenrock, Guoyan Zheng

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 2/2018

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Abstract

Objective

To develop a hybrid augmented marker-based navigation system for acetabular reorientation during peri-acetabular osteotomy (PAO).

Methods

The system consists of a tracking unit attached to the patient’s pelvis, augmented marker attached to the acetabular fragment and a host computer to do all the computations and visualization. The augmented marker is comprised of an external planar Aruco marker facing toward the tracking unit and an internal inertial measurement unit (IMU) to measure its orientation. The orientation output from the IMU is sent to the host computer. The tracking unit streams a live video of the augmented marker to the host computer, where the planar marker is detected and its pose is estimated. A Kalman filter-based sensor fusion combines the output from marker tracking and the IMU. We validated the proposed system using a plastic bone study and a cadaver study. Every time, we compared the inclination and anteversion values measured by the proposed system to those from a previously developed optical tracking-based navigation system.

Results

Mean absolute differences for inclination and anteversion were 1.34 (\(\pm \,1.50\)) and 1.21 (\(\pm \, 1.07\))\(^\circ \), respectively, for the cadaver study. Mean absolute differences were 1.63 (\(\pm \,1.48\)) and 1.55 (\(\pm \,1.49\))\(^\circ \) for inclination and anteversion for the plastic bone study. In both validation studies, very strong correlations were observed.

Conclusion

We successfully demonstrated the feasibility of our system to measure the acetabular orientation during PAO.
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Metadata
Title
Augmented marker tracking for peri-acetabular osteotomy surgery
Authors
Silvio Pflugi
Rakesh Vasireddy
Till Lerch
Timo M. Ecker
Moritz Tannast
Nane Boemke
Klaus Siebenrock
Guoyan Zheng
Publication date
01-02-2018
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery / Issue 2/2018
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-017-1690-6

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