用机器人超声实时补全脊柱结构,提升手术可视化与重复性。
Shape Completion and Real-Time Visualization in Robotic Ultrasound Spine Acquisitions
- 机器人自动采集超声数据,深度学习实时补全脊柱完整形态。
- 在模拟体和志愿者数据上验证,补全精度达毫米级,支持重复扫描。
- 适合需要高一致性的脊柱介入手术,如微创穿刺导航。
超声成像因实时、无辐射优势被越来越多用于脊柱手术,但阴影伪影会遮挡深层组织。传统基于术前CT配准的方法受限于注册复杂、脊柱曲度差异及需近期CT。近年形状补全方法可利用公开CT数据预训练,在超声中重建脊柱结构,但多为离线处理且可复现性差。本文提出一种集成系统:机器人自主获取腰椎超声扫查,从超声中提取椎体表面,并通过深度学习形状补全网络重建完整解剖结构。该框架实现交互式实时可视化,支持自动重复扫描,可引导至目标位置,提升一致性与解剖理解。通过定量实验评估补全精度,多种采集协议在模型上验证;另展示志愿者扫描的定性可视化结果。
原文摘要 · Abstract (English)
Ultrasound (US) imaging is increasingly used in spinal procedures due to its real-time, radiation-free capabilities; however, its effectiveness is hindered by shadowing artifacts that obscure deeper tissue structures. Traditional approaches, such as CT-to-US registration, incorporate anatomical information from preoperative CT scans to guide interventions, but they are limited by complex registration requirements, differences in spine curvature, and the need for recent CT imaging. Recent shape completion methods can offer an alternative by reconstructing spinal structures in US data, while being pretrained on large set of publicly available CT scans. However, these approaches are typically offline and have limited reproducibility. In this work, we introduce a novel integrated system that combines robotic ultrasound with real-time shape completion to enhance spinal visualization. Our robotic platform autonomously acquires US sweeps of the lumbar spine, extracts vertebral surfaces from ultrasound, and reconstructs the complete anatomy using a deep learning-based shape completion network. This framework provides interactive, real-time visualization with the capability to autonomously repeat scans and can enable navigation to target locations. This can contribute to better consistency, reproducibility, and understanding of the underlying anatomy. We validate our approach through quantitative experiments assessing shape completion accuracy and evaluations of multiple spine acquisition protocols on a phantom setup. Additionally, we present qualitative results of the visualization on a volunteer scan.
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