@inproceedings{04581b1359654c22a7c0e8ad433afef7,
title = "3D-2D image registration in virtual long-film imaging: Application to spinal deformity correction",
abstract = "Purpose. Intraoperative 2D virtual long-film (VLF) imaging is investigated for 3D guidance and confirmation of the surgical product in spinal deformity correction. Multi-slot-scan geometry (rather than a single-slot {"}topogram{"}) is exploited to produce parallax views of the scene for accurate 3D colocalization from a single radiograph. Methods. The multi-slot approach uses additional angled collimator apertures to form fan-beams with disparate views (parallax) of anatomy and instrumentation and to extend field-of-view beyond the linear motion limits. Combined with a knowledge of surgical implants (pedicle screws and/or spinal rods modeled as {"}known components{"}), 3D-2D image registration is used to solve for pose estimates via optimization of image gradient correlation. Experiments were conducted in cadaver studies emulating the system geometry of the O-arm (Medtronic, Minneapolis MN). Results. Experiments demonstrated feasibility of multi-slot VLF and quantified the geometric accuracy of 3D-2D registration using VLF acquisitions. Registration of pedicle screws from a single VLF yielded mean target registration error of (2.0±0.7) mm, comparable to the accuracy of surgical trackers and registration using multiple radiographs (e.g., AP and LAT). Conclusions. 3D-2D registration in a single VLF image offers a promising new solution for image guidance in spinal deformity correction. The ability to accurately resolve pose from a single view absolves workflow challenges of multiple-view registration and suggests application beyond spine surgery, such as reduction of long-bone fractures.",
keywords = "3D-2D image registration, Image-guided surgery, Intraoperative imaging, Linear slot-scanning radiography",
author = "A. Uneri and X. Zhang and Stayman, {J. W.} and Helm, {P. A.} and Osgood, {G. M.} and N. Theodore and Siewerdsen, {J. H.}",
note = "Publisher Copyright: {\textcopyright} 2019 SPIE.; Medical Imaging 2019: Image-Guided Procedures, Robotic Interventions, and Modeling ; Conference date: 17-02-2019 Through 19-02-2019",
year = "2019",
doi = "10.1117/12.2513679",
language = "English (US)",
series = "Progress in Biomedical Optics and Imaging - Proceedings of SPIE",
publisher = "SPIE",
editor = "Baowei Fei and Linte, {Cristian A.}",
booktitle = "Medical Imaging 2019",
}