Abstract: Cognitive decline and frailty is apparent in older adults leading to an increased likelihood of the risk of falling. Currently health care professionals have to make professional decisions regarding such risks, and hence make difficult decisions regarding the future welfare of the ageing population. This study uses health data from The Irish Longitudinal Study on Ageing (TILDA), focusing on adults over the age of 50 years, in order to analyse health risk factors and predict the likelihood of falls. This prediction is based on the use of machine learning algorithms whereby health risk factors are used as inputs to predict the likelihood of falling. Initial results show that health risk factors such as long-term health issues contribute to the number of falls. The identification of such health risk factors has the potential to inform health and social care professionals, older people and their family members in order to mitigate daily living risks.
Abstract: The use of anatomical landmarks as a basis for image to patient registration is appealing because the registration may be performed retrospectively. We have previously proposed the use of two anatomical soft tissue landmarks of the head, the canthus (corner of the eye) and the tragus (a small, pointed, cartilaginous flap of the ear), as a registration basis for an automated CT image to patient registration system, and described their localization in patient space using close range photogrammetry. In this paper, the automatic localization of these landmarks in CT images, based on their curvature saliency and using a rule based system that incorporates prior knowledge of their characteristics, is described. Existing approaches to landmark localization in CT images are predominantly semi-automatic and primarily for localizing internal landmarks. To validate our approach, the positions of the landmarks localized automatically and manually in near isotropic CT images of 102 patients were compared. The average difference was 1.2mm (std = 0.9mm, max = 4.5mm) for the medial canthus and 0.8mm (std = 0.6mm, max = 2.6mm) for the tragus. The medial canthus and tragus can be automatically localized in CT images, with performance comparable to manual localization, based on the approach presented.
Abstract: In this paper, the feasibility of using machine vision to assess task completion in a surgical intervention is investigated, with the aim of incorporating vision based inspection in robotic surgery systems. The visually rich operative field presents a good environment for the development of automated visual inspection techniques in these systems, for a more comprehensive approach when performing a surgical task. As a proof of concept, machine vision techniques were used to distinguish the two possible outcomes i.e. satisfactory or unsatisfactory, of three primary surgical tasks involved in creating a burr hole in the skull, namely incision, retraction, and drilling. Encouraging results were obtained for the three tasks under consideration, which has been demonstrated by experiments on cadaveric pig heads. These findings are suggestive for the potential use of machine vision to validate successful task completion in robotic surgery systems. Finally, the potential of using machine vision in the operating theatre, and the challenges that must be addressed, are identified and discussed.
Abstract: A registration framework for image-guided robotic
surgery is proposed for three emergency neurosurgical procedures,
namely Intracranial Pressure (ICP) Monitoring, External Ventricular
Drainage (EVD) and evacuation of a Chronic Subdural Haematoma
(CSDH). The registration paradigm uses CT and white light as
modalities. This paper presents two simulation studies for a
preliminary evaluation of the registration protocol: (1) The loci of the
Target Registration Error (TRE) in the patient-s axial, coronal and
sagittal views were simulated based on a Fiducial Localisation Error
(FLE) of 5 mm and (2) Simulation of the actual framework using
projected views from a surface rendered CT model to represent white
light images of the patient. Craniofacial features were employed as
the registration basis to map the CT space onto the simulated
intraoperative space. Photogrammetry experiments on an artificial
skull were also performed to benchmark the results obtained from the
second simulation. The results of both simulations show that the
proposed protocol can provide a 5mm accuracy for these
neurosurgical procedures.
Abstract: This paper presents the automated methods employed
for extracting craniofacial landmarks in white light images as part of
a registration framework designed to support three neurosurgical
procedures. The intraoperative space is characterised by white light
stereo imaging while the preoperative plan is performed on CT scans.
The registration aims at aligning these two modalities to provide a
calibrated environment to enable image-guided solutions. The
neurosurgical procedures can then be carried out by mapping the
entry and target points from CT space onto the patient-s space. The
registration basis adopted consists of natural landmarks (eye corner
and ear tragus). A 5mm accuracy is deemed sufficient for these three
procedures and the validity of the selected registration basis in
achieving this accuracy has been assessed by simulation studies. The
registration protocol is briefly described, followed by a presentation
of the automated techniques developed for the extraction of the
craniofacial features and results obtained from tests on the AR and
FERET databases. Since the three targeted neurosurgical procedures
are routinely used for head injury management, the effect of
bruised/swollen faces on the automated algorithms is assessed. A
user-interactive method is proposed to deal with such unpredictable
circumstances.
Abstract: In this paper, algorithms for the automatic localisation
of two anatomical soft tissue landmarks of the head the medial
canthus (inner corner of the eye) and the tragus (a small, pointed,
cartilaginous flap of the ear), in CT images are describet. These
landmarks are to be used as a basis for an automated image-to-patient
registration system we are developing. The landmarks are localised
on a surface model extracted from CT images, based on surface
curvature and a rule based system that incorporates prior knowledge
of the landmark characteristics. The approach was tested on a dataset
of near isotropic CT images of 95 patients. The position of the
automatically localised landmarks was compared to the position of
the manually localised landmarks. The average difference was 1.5
mm and 0.8 mm for the medial canthus and tragus, with a maximum
difference of 4.5 mm and 2.6 mm respectively.The medial canthus
and tragus can be automatically localised in CT images, with
performance comparable to manual localisation
Abstract: The use of machine vision to inspect the outcome of
surgical tasks is investigated, with the aim of incorporating this
approach in robotic surgery systems. Machine vision is a non-contact
form of inspection i.e. no part of the vision system is in direct contact
with the patient, and is therefore well suited for surgery where
sterility is an important consideration,. As a proof-of-concept, three
primary surgical tasks for a common neurosurgical procedure were
inspected using machine vision. Experiments were performed on
cadaveric pig heads to simulate the two possible outcomes i.e.
satisfactory or unsatisfactory, for tasks involved in making a burr
hole, namely incision, retraction, and drilling. We identify low level
image features to distinguish the two outcomes, as well as report on
results that validate our proposed approach. The potential of using
machine vision in a surgical environment, and the challenges that
must be addressed, are identified and discussed.