Clinical fluoroscopic fiducial-based registration of the vertebral body in spinal neuronavigation Conference on Medicine Meets Virtual Reality 2001 Abbasi, H. R., Grzeszczuk, R., Chin, S., Fahrig, R., Holz, H., Hariri, S., Kim, D., Adler, J., Shahidi, R. I O S PRESS. 2001: 1–7


We present a system involving a computer-instrumented fluoroscope for the purpose of 3D navigation and guidance using pre-operative diagnostic scans as a reference. The goal of the project is to devise a computer-assisted tool that will improve the accuracy, reduce risk, minimize the invasiveness, and shorten the time it takes to perform a variety of neurosurgical and orthopedic procedures of the spine. For this purpose we propose an apparatus that will track surgical tools and localize them with respect to the patient's 3D anatomy and pre-operative 3D diagnostic scans using intraoperative fluoroscopy for in situ registration and embedded fiducials. Preliminary studies have found a fiducial registration error (FRE) of 1.41 mm and a Target Localization Error (TLE) of 0.48 mm. The resulting system leverages equipment already commonly available in the operating room (OR), providing an important new functionality that is free of many current limitations, while keeping costs contained.

View details for Web of Science ID 000169103300002

View details for PubMedID 11317719