Soft Tissue Monitoring of the Surgical Field : Detection and Tracking of Breast Surface Deformations

OBJECTIVE: Deformable object tracking is common in the computer vision field, with applications typically focusing on nonrigid shape detection and usually not requiring specific three-dimensional point localization. In surgical guidance however, accurate navigation is intrinsically linked to precise correspondence of tissue structure. This work presents a contactless, automated fiducial acquisition method using stereo video of the operating field to provide reliable three-dimensional fiducial localization for an image guidance framework in breast conserving surgery.

METHODS: On n = 8 breasts from healthy volunteers, the breast surface was measured throughout the full range of arm motion in a supine mock-surgical position. Using hand-drawn inked fiducials, adaptive thresholding, and KAZE feature matching, precise three-dimensional fiducial locations were detected and tracked through tool interference, partial and complete marker occlusions, significant displacements and nonrigid shape distortions.

RESULTS: Compared to digitization with a conventional optically tracked stylus, fiducials were automatically localized with 1.6 ± 0.5 mm accuracy and the two measurement methods did not significantly differ. The algorithm provided an average false discovery rate <0.1% with all cases' rates below 0.2%. On average, 85.6 ± 5.9% of visible fiducials were automatically detected and tracked, and 99.1 ± 1.1% of frames provided only true positive fiducial measurements, which indicates the algorithm achieves a data stream that can be used for reliable on-line registration.

CONCLUSIONS: Tracking is robust to occlusions, displacements, and most shape distortions.

SIGNIFICANCE: This work-flow friendly data collection method provides highly accurate and precise three-dimensional surface data to drive an image guidance system for breast conserving surgery.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:70

Enthalten in:

IEEE transactions on bio-medical engineering - 70(2023), 7 vom: 04. Juli, Seite 2002-2012

Sprache:

Englisch

Beteiligte Personen:

Richey, Winona L [VerfasserIn]
Heiselman, Jon S [VerfasserIn]
Ringel, Morgan J [VerfasserIn]
Meszoely, Ingrid M [VerfasserIn]
Miga, Michael I [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Anmerkungen:

Date Completed 21.06.2023

Date Revised 21.06.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1109/TBME.2022.3233909

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355229633