AUGMENTED REALITY NAVIGATION FRAMEWORK FOR TOTAL HIP ARTHROPLASTY SURGERY

JOURNAL OF MECHANICS IN MEDICINE AND BIOLOGY(2021)

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摘要
In a total hip arthroplasty surgery, correctly implanting the artificial acetabulum and the femoral head is essential for a successful treatment. An augmented reality (AR) navigation framework is proposed in this paper to provide accurate surgical guidance in a total hip arthroplasty procedure. The AR framework consists of three parts: (1) preoperative surgical planning to generate virtual information for AR; (2) computer vision-based tracking for the real-time localization of both acetabular cup positioner and bony landmarks during surgery; (3) registration of a virtual object onto a real-world operative field to properly overlay the preoperative surgical planning data onto a three-dimensional (3D)-printed pelvis model. The cost-effective framework is designed with our clinical partner based on real surgical conditions. The bony landmarks are automatically detected and used for the registration between virtual and real objects. The AR performance is evaluated with a pelvis model, and it presents mean errors of 2.2mm and 0.8 degrees in position and orientation, respectively, between real and virtual spaces. These small errors are within the tolerance of positive surgical outcomes.
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关键词
Augmented reality, total hip arthroplasty navigation, surgical guidance, bony landmark-based registration, computer vision-based tracking
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