arXiv:2501.01752eess.IVcs.CV2025-01被引 1

解决微创手术中伽马探头定位难问题,提升癌症切除精准度。

Laparoscopic Scene Analysis for Intraoperative Visualisation of Gamma Probe Signals in Minimally Invasive Cancer Surgery

  • 通过工具追踪与三维重建,实现探头在腹腔镜图像中的精确定位。
  • 提出基于深度估计的2D图像投影算法,准确映射探头感知区域。
  • 适用于需要高精度术中导航的肿瘤微创手术场景。

癌症仍是全球重大健康挑战,英国每两分钟新增一例诊断。手术是主要治疗手段之一,但外科医生依赖触觉和肉眼,缺乏可靠的术中可视化工具,导致肿瘤切除边缘阳性或重要结构意外损伤,增加患者风险与医疗成本。为此,亟需更可靠、精确的微创手术术中可视化技术。近期,Lightpoint Medical Ltd. 开发的微型化癌症探测探头(SENSEI)利用靶向核素标记物,通过发射伽马信号实现术中更精准的癌症识别。然而,该探头为非成像设备且与组织空气隔离,难以确定其感知区域在组织表面的位置。几何上,感知区是探头轴线与组织表面在三维空间的交点,投影至二维腹腔镜图像。因此,本论文首先开发了工具追踪、姿态估计与分割方法,随后构建了腹腔镜图像深度估计算法及三维重建技术。

原文摘要 · Abstract (English)

Cancer remains a significant health challenge worldwide, with a new diagnosis occurring every two minutes in the UK. Surgery is one of the main treatment options for cancer. However, surgeons rely on the sense of touch and naked eye with limited use of pre-operative image data to directly guide the excision of cancerous tissues and metastases due to the lack of reliable intraoperative visualisation tools. This leads to increased costs and harm to the patient where the cancer is removed with positive margins, or where other critical structures are unintentionally impacted. There is therefore a pressing need for more reliable and accurate intraoperative visualisation tools for minimally invasive surgery to improve surgical outcomes and enhance patient care. A recent miniaturised cancer detection probe (i.e., SENSEI developed by Lightpoint Medical Ltd.) leverages the cancer-targeting ability of nuclear agents to more accurately identify cancer intra-operatively using the emitted gamma signal. However, the use of this probe presents a visualisation challenge as the probe is non-imaging and is air-gapped from the tissue, making it challenging for the surgeon to locate the probe-sensing area on the tissue surface. Geometrically, the sensing area is defined as the intersection point between the gamma probe axis and the tissue surface in 3D space but projected onto the 2D laparoscopic image. Hence, in this thesis, tool tracking, pose estimation, and segmentation tools were developed first, followed by laparoscope image depth estimation algorithms and 3D reconstruction methods.

微创手术术中导航探头定位3D重建

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