ConoSurf: Open-source 3D scanning system based on a conoscopic holography device for acquiring surgical surfaces

Holography applications toward medical field: An overview

Purpose:

3D Holography is a commercially available, disruptive innovation, which can be customised as per the requirements and is supporting Industry 4.0. The purpose of this paper is to study the potential applications of 3D holography in the medical field. This paper explores the concept of holography and its significant benefits in the medical field.

Methods:

The paper is derived through the study of various research papers on Holography and its applications in the medical field. The study tries to identify the direction of research &development and see how this innovative technology can be used effectively for better treatment of patients.

Results:

Holography uses digital imaging inputs and provides an extensive visualisation of the data for training doctors, surgeons and students. Holography converts information about the body into a digital format and has the potential to inform, promote and entertain the medical students and doctors. However, it needs a large amount of space for data storage and extensive software support for analysis and skills for customising. This technology seems good to solve a variety of medical issues by storing and using patient data in developing 3D holograms, which are useful to assist successful treatment and surgery. It seems useful in providing flexible solutions in the area of medical research. Finally, the paper identifies 13 significant applications of this technology in the medical field and discusses them appropriately.

Conclusion:

The paper explores holographic applications in medical research due to its extensive capability of image processing. Holographic images are non-contact 3D images having a large field of depth. A physician can now zoom the holographic image for a better view of the medical part. This innovative technology can create advancements in the diagnosis and treatment process, which can improve medical practice. It helps in quick detection of problems in various organs like brain, heart, liver, kidney etc. By using this technology, medical practitioners can see colourful organs at multiple angles with better accuracy. It opens up an innovative way of planning, testing of procedures and diagnosis. With technological developments, compact hardware and software are now available to help medical research and related applications.

Vector field analysis for surface registration in computer-assisted ENT surgery

BACKGROUND

Manual paired-point registration for navigated ENT-surgery is prone to human errors; automatic surface registration is often caught in local minima.

METHODS

Anatomical features of the human occiput are integrated into an algorithm for surface registration. A vector force field is defined between the patient and operating room datasets; registration is facilitated through gradient-based vector field analysis optimization of an energy function. The method is validated exemplarily on patient surface data provided by a mechanically positioned A-mode ultrasound sensor.

RESULTS

Successful registrations were achieved within the entire parameter space, as well as from positions of local minima that were found by the Gaussian fields algorithm for surface registration. Sub-millimetric registration error was measured in clinically relevant anatomical areas on the anterior skull and within the generally accepted margin of 1.5 mm for the entire head.

CONCLUSION

The satisfactory behavior of this approach potentially suggests a wider clinical integration.

Surface scanning for 3D dose calculation in intraoperative electron radiation therapy

Background

Dose calculations in intraoperative electron radiation therapy (IOERT) rely on the conventional assumption of water-equivalent tissues at the applicator end, which defines a flat irradiation surface. However, the shape of the irradiation surface modifies the dose distribution. Our study explores, for the first time, the use of surface scanning methods for three-dimensional dose calculation of IOERT.

Methods

Two different three-dimensional scanning technologies were evaluated in a simulated IOERT scenario: a tracked conoscopic holography sensor (ConoProbe) and a structured-light three-dimensional scanner (Artec). Dose distributions obtained from computed tomography studies of the surgical field (gold standard) were compared with those calculated under the conventional assumption or from pseudo-computed tomography studies based on surfaces.

Results

In the simulated IOERT scenario, the conventional assumption led to an average gamma pass rate of 39.9% for dose values greater than 10% (two configurations, with and without blood in the surgical field). Results improved when considering surfaces in the dose calculation (88.5% for ConoProbe and 92.9% for Artec).

Conclusions

More accurate three-dimensional dose distributions were obtained when considering surfaces in the dose calculation of the simulated surgical field. The structured-light three-dimensional scanner provided the best results in terms of dose distributions. The findings obtained in this specific experimental setup warrant further research on surface scanning in the IOERT context owing to the clinical interest of improving the documentation of the actual IOERT scenario.

ConoSurf: Open-source 3D scanning system based on a conoscopic holography device for acquiring surgical surfaces

Background

A difficulty in computer‐assisted interventions is acquiring the patient's anatomy intraoperatively. Standard modalities have several limitations: low image quality (ultrasound), radiation exposure (computed tomography) or high costs (magnetic resonance imaging). An alternative approach uses a tracked pointer; however, the pointer causes tissue deformation and requires sterilizing. Recent proposals, utilizing a tracked conoscopic holography device, have shown promising results without the previously mentioned drawbacks.

Methods

We have developed an open‐source software system that enables real‐time surface scanning using a conoscopic holography device and a wide variety of tracking systems, integrated into pre‐existing and well‐supported software solutions.

Results

The mean target registration error of point measurements was 1.46 mm. For a quick guidance scan, surface reconstruction improved the surface registration error compared with point‐set registration.

Conclusions

We have presented a system enabling real‐time surface scanning using a tracked conoscopic holography device. Results show that it can be useful for acquiring the patient's anatomy during surgery.