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Published in: International Journal of Computer Assisted Radiology and Surgery 7/2017

Open Access 01-07-2017 | Original Article

Gaze-contingent perceptually enabled interactions in the operating theatre

Authors: Alexandros A. Kogkas, Ara Darzi, George P. Mylonas

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 7/2017

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Abstract

Purpose

Improved surgical outcome and patient safety in the operating theatre are constant challenges. We hypothesise that a framework that collects and utilises information —especially perceptually enabled ones—from multiple sources, could help to meet the above goals. This paper presents some core functionalities of a wider low-cost framework under development that allows perceptually enabled interaction within the surgical environment.

Methods

The synergy of wearable eye-tracking and advanced computer vision methodologies, such as SLAM, is exploited. As a demonstration of one of the framework’s possible functionalities, an articulated collaborative robotic arm and laser pointer is integrated and the set-up is used to project the surgeon’s fixation point in 3D space.

Results

The implementation is evaluated over 60 fixations on predefined targets, with distances between the subject and the targets of 92–212 cm and between the robot and the targets of 42–193 cm. The median overall system error is currently 3.98 cm. Its real-time potential is also highlighted.

Conclusions

The work presented here represents an introduction and preliminary experimental validation of core functionalities of a larger framework under development. The proposed framework is geared towards a safer and more efficient surgical theatre.
Appendix
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Literature
2.
go back to reference Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, Zinner MJ, Dierks MM (2006) A prospective study of patient safety in the operating room. Surgery 139(2):159–173CrossRefPubMed Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, Zinner MJ, Dierks MM (2006) A prospective study of patient safety in the operating room. Surgery 139(2):159–173CrossRefPubMed
3.
go back to reference Seagull FJ, Moses GR, Park AE (2008) Pillars of a smart, safe operating room. In: Henriksen K, Battles JB, Keyes MA, Grady ML (eds) Performance and tools. Advances in patient safety: new directions and alternative approaches, vol 3. Agency for Healthcare Research and Quality, Rockville, MD Seagull FJ, Moses GR, Park AE (2008) Pillars of a smart, safe operating room. In: Henriksen K, Battles JB, Keyes MA, Grady ML (eds) Performance and tools. Advances in patient safety: new directions and alternative approaches, vol 3. Agency for Healthcare Research and Quality, Rockville, MD
4.
go back to reference Allan M, Ourselin S, Thompson S, Hawkes DJ, Kelly J, Stoyanov D (2013) Toward detection and localization of instruments in minimally invasive surgery. IEEE Trans Biomed Eng 60(4):1050–1058CrossRefPubMed Allan M, Ourselin S, Thompson S, Hawkes DJ, Kelly J, Stoyanov D (2013) Toward detection and localization of instruments in minimally invasive surgery. IEEE Trans Biomed Eng 60(4):1050–1058CrossRefPubMed
5.
go back to reference Ballard MD (2004) System and method of tracking surgical sponges US Patent 6,777,623 Ballard MD (2004) System and method of tracking surgical sponges US Patent 6,777,623
7.
go back to reference Mewes A, Hensen B, Wacker F, Hansen C (2017) Touchless interaction with software in interventional radiology and surgery: a systematic literature review. Int J Comput Assist Radiol Surg 12(2):291–305CrossRefPubMed Mewes A, Hensen B, Wacker F, Hansen C (2017) Touchless interaction with software in interventional radiology and surgery: a systematic literature review. Int J Comput Assist Radiol Surg 12(2):291–305CrossRefPubMed
8.
go back to reference Wachs JP, Jacob M, Li Y-T, Akingba G (2012) Does a robotic scrub nurse improve economy of movements? Proc SPIE Int Soc Opt Eng v8316:83160E Wachs JP, Jacob M, Li Y-T, Akingba G (2012) Does a robotic scrub nurse improve economy of movements? Proc SPIE Int Soc Opt Eng v8316:83160E
9.
go back to reference Noonan DP, Mylonas GP, Darzi A, Yang, G-Z (2008) Gaze contingent articulated robot control for robot assisted minimally invasive surgery. In: 2008 IEEE/RSJ international conference on intelligent robots and systems, p 1186–1191 Noonan DP, Mylonas GP, Darzi A, Yang, G-Z (2008) Gaze contingent articulated robot control for robot assisted minimally invasive surgery. In: 2008 IEEE/RSJ international conference on intelligent robots and systems, p 1186–1191
10.
go back to reference Kwok KW, Sun LW, Mylonas GP, James DRC, Orihuela-Espina F, Yang GZ (2012) Collaborative gaze channelling for improved cooperation during robotic assisted surgery. Ann Biomed Eng 40(10):2156–2167CrossRefPubMedPubMedCentral Kwok KW, Sun LW, Mylonas GP, James DRC, Orihuela-Espina F, Yang GZ (2012) Collaborative gaze channelling for improved cooperation during robotic assisted surgery. Ann Biomed Eng 40(10):2156–2167CrossRefPubMedPubMedCentral
11.
go back to reference Chetwood ASA, Kwok K-W, Sun L-W, Mylonas GP, Clark J, Darzi A, Yang G-Z (2012) Collaborative eye tracking—a potential training tool in laparoscopic surgery. Surg Endosc 26(7):2003–2009CrossRefPubMed Chetwood ASA, Kwok K-W, Sun L-W, Mylonas GP, Clark J, Darzi A, Yang G-Z (2012) Collaborative eye tracking—a potential training tool in laparoscopic surgery. Surg Endosc 26(7):2003–2009CrossRefPubMed
12.
go back to reference Kogkas AA, Sodergren MH, Darzi A, Mylonas GP (2016) Macro- and micro-scale 3D gaze tracking in the operating theatre. In: The Hamlyn symposium on medical robotics, p 100 Kogkas AA, Sodergren MH, Darzi A, Mylonas GP (2016) Macro- and micro-scale 3D gaze tracking in the operating theatre. In: The Hamlyn symposium on medical robotics, p 100
13.
go back to reference Kogkas AA, Darzi A, Mylonas GP (2016) Gaze-driven human–robot interaction in the operating theatre. In: 6th Joint workshop on new technologies for computer/robot assisted surgery (CRAS), p 103 Kogkas AA, Darzi A, Mylonas GP (2016) Gaze-driven human–robot interaction in the operating theatre. In: 6th Joint workshop on new technologies for computer/robot assisted surgery (CRAS), p 103
14.
go back to reference Se S, Lowe D, Little J (2002) Mobile robot localization and mapping with uncertainty using scale-invariant visual landmarks. Robot Res Int J 21(8):735–758CrossRef Se S, Lowe D, Little J (2002) Mobile robot localization and mapping with uncertainty using scale-invariant visual landmarks. Robot Res Int J 21(8):735–758CrossRef
16.
go back to reference Yang L, Zhang L, Dong H, Alelaiwi A, Saddik A (2015) Evaluating and improving the depth accuracy of Kinect for Windows v2. IEEE Sens J 15(8):4275–4285CrossRef Yang L, Zhang L, Dong H, Alelaiwi A, Saddik A (2015) Evaluating and improving the depth accuracy of Kinect for Windows v2. IEEE Sens J 15(8):4275–4285CrossRef
17.
go back to reference Hansard M, Lee S, Choi O, Horaud R (2013) Time-of-flight cameras: principles, methods and applications. Springer Hansard M, Lee S, Choi O, Horaud R (2013) Time-of-flight cameras: principles, methods and applications. Springer
18.
go back to reference Zhang C, Zhang Z (2014) Calibration between depth and color sensors for commodity depth cameras. In: Computer Vision and Machine Learning with RGB-D Sensors. Springer, pp 47–64 Zhang C, Zhang Z (2014) Calibration between depth and color sensors for commodity depth cameras. In: Computer Vision and Machine Learning with RGB-D Sensors. Springer, pp 47–64
19.
go back to reference Lepetit V, Moreno-Noguer F, Fua P (2009) EPnP: an accurate O(n) solution to the PnP problem. Int J Comput Vis 81(2):155–166CrossRef Lepetit V, Moreno-Noguer F, Fua P (2009) EPnP: an accurate O(n) solution to the PnP problem. Int J Comput Vis 81(2):155–166CrossRef
20.
go back to reference Miseikis J, Glette K, Elle OJ, Torresen J (2016) Automatic calibration of a robot manipulator and multi 3D camera system. arXiv:1601.01566 Miseikis J, Glette K, Elle OJ, Torresen J (2016) Automatic calibration of a robot manipulator and multi 3D camera system. arXiv:​1601.​01566
21.
go back to reference Rusu RB, Cousins S (2011) 3D is here: point cloud library (PCL). In: Proceedings of IEEE international conference on robotics and automation (ICRA), IEEE, pp 1–4 Rusu RB, Cousins S (2011) 3D is here: point cloud library (PCL). In: Proceedings of IEEE international conference on robotics and automation (ICRA), IEEE, pp 1–4
22.
go back to reference Marton ZC, Rusu RB, Beetz M (2009) On fast surface reconstruction methods for large and noisy datasets. In: The IEEE international conference on robotics and automation (ICRA’09), IEEE, pp 3218–3223 Marton ZC, Rusu RB, Beetz M (2009) On fast surface reconstruction methods for large and noisy datasets. In: The IEEE international conference on robotics and automation (ICRA’09), IEEE, pp 3218–3223
23.
go back to reference Mur-Artal R, Montiel JMM, Tardos JD (2015) ORB-SLAM: a versatile and accurate monocular SLAM system. IEEE Trans Robot 31(5):1147–1163CrossRef Mur-Artal R, Montiel JMM, Tardos JD (2015) ORB-SLAM: a versatile and accurate monocular SLAM system. IEEE Trans Robot 31(5):1147–1163CrossRef
24.
go back to reference Moller T, Trumbore B (1998) Fast, minimum storage ray-triangle intersection. In: ACM SIGGRAPH 2005 Courses, ACM, p 7 Moller T, Trumbore B (1998) Fast, minimum storage ray-triangle intersection. In: ACM SIGGRAPH 2005 Courses, ACM, p 7
25.
go back to reference Keller M, Lefloch D, Lambers M, Izadi S, Weyrich T, Kolb A (2013) Real-time 3d reconstruction in dynamic scenes using point-based fusion. In: 2013 International conference on 3DTV-conference, pp 1–8 Keller M, Lefloch D, Lambers M, Izadi S, Weyrich T, Kolb A (2013) Real-time 3d reconstruction in dynamic scenes using point-based fusion. In: 2013 International conference on 3DTV-conference, pp 1–8
26.
go back to reference Mardanbegi D, Hansen DW (2012) Parallax error in the monocular head-mounted eye trackers. In: Proceedings of the 2012 ACM conference on ubiquitous computing—UbiComp ’12, p 689 Mardanbegi D, Hansen DW (2012) Parallax error in the monocular head-mounted eye trackers. In: Proceedings of the 2012 ACM conference on ubiquitous computing—UbiComp ’12, p 689
Metadata
Title
Gaze-contingent perceptually enabled interactions in the operating theatre
Authors
Alexandros A. Kogkas
Ara Darzi
George P. Mylonas
Publication date
01-07-2017
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery / Issue 7/2017
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-017-1580-y

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