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@ARTICLE{Wild:132843,
author = {E. Wild$^*$ and D. Teber and D. Schmid$^*$ and T.
Simpfendörfer and M. Müller$^*$ and A.-C. Baranski$^*$ and
H. Kenngott and K. Kopka$^*$ and L. Maier-Hein$^*$},
title = {{R}obust augmented reality guidance with fluorescent
markers in laparoscopic surgery.},
journal = {International journal of computer assisted radiology and
surgery},
volume = {11},
number = {6},
issn = {1861-6429},
address = {Berlin},
publisher = {Springer},
reportid = {DKFZ-2018-00486},
pages = {899 - 907},
year = {2016},
abstract = {Laparoscopic interventions require the precise navigation
of medical instruments through the patient's body, while
taking critical structures into account. Although numerous
concepts have been proposed for displaying subsurface
anatomical detail using augmented reality, clinical
translation of these methods has suffered from a lack of
robustness as well as from cumbersome integration into the
clinical workflow. The purpose of this study was to
investigate the feasibility of a new approach to
intra-operative registration based on fluorescent
markers.The proposed approach to augmented reality
visualization relies on metabolizable fluorescent markers
that are attached to the target organ to guide a 2D/3D
intra-operative registration algorithm. In an ex vivo
porcine study, marker tracking performance is evaluated in
the presence of smoke, blood, and tissue in the field of
view of the endoscope.In contrast to state-of-the-art
needle-shaped fiducial markers, the fluorescent markers can
be reliably tracked when occluded by smoke, blood or tissue.
This makes the new 2D/3D intra-operative registration
approach considerably more robust than state-of-the-art
marker-based methods.As the concept can be smoothly
integrated into the clinical workflow, its potential for
application in clinical laparoscopy is high.},
keywords = {Coloring Agents (NLM Chemicals) / Indocyanine Green (NLM
Chemicals)},
cin = {E131 / E030},
ddc = {610},
cid = {I:(DE-He78)E131-20160331 / I:(DE-He78)E030-20160331},
pnm = {315 - Imaging and radiooncology (POF3-315)},
pid = {G:(DE-HGF)POF3-315},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:27177759},
doi = {10.1007/s11548-016-1385-4},
url = {https://inrepo02.dkfz.de/record/132843},
}