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.