Superiority of autostereoscopic visualization for image-guided navigation in liver surgery

Marcus Vetter, Peter Hassenpflug, Matthias Thorn, Carlos E. Cardenas, Lars Grenacher, Goetz Martin Richter, Wolfram Lamadé, Christian H. Herfarth, Hans‐Peter Meinzer · Proceedings of SPIE, the International Society for Optical Engineering/Proceedings of SPIE · 2002

A substantial component of an image-guided surgery system (IGSS) is the kind of three-dimensional (3D) presentation to the surgeon because the visual depth perception of the complex anatomy is of significant relevance for orientation. Therefore, we examined for this contribution four different visualization techniques, which were evaluated by eight surgeons. The IGSS developed by our group supports the intraoperative orientation of the surgeon by presenting a visualization of the spatially tracked surgical instruments with respect to vitally important intrahepatic vessels, the tumor, and preoperatively calculated resection planes. In the preliminary trial presented here, we examined the human ability to perceive an intraoperative virtual scene and to solve given navigation tasks. The focus of the experiments was to measure the ability of eight surgeons to orientate themselves intrahepatically and to transfer the perceived virtual spatial relations to movements in real space. With auto-stereoscopic visualization making use of a prism-based display the navigation can be performed faster and more accurate than with the other visualization techniques.

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