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- W2022069345 abstract "In Brief Study Design. Magnetic resonance (MR) and three-dimensional rotational x-ray (3DRX) images of cadaveric spinal segments were registered using a conventional point-based technique and a noninvasive technique called maximization of mutual information (MMI). Objectives. To assess the feasibility and accuracy of MMI-based registration in comparison with point-based registration as a new noninvasive image-to-patient registration technique for use in minimally invasive image-guided spine surgery. Summary of Background Data. In image-guided orthopedic surgery, correspondence between before surgery acquired images and the patient is required. Currently, this necessitates an invasive registration step, in which anatomic landmarks on the bone surface have to be physically touched by a pointer. To overcome this invasive procedure, we propose using a calibrated 3DRX system, a modality that can visualize high contrast objects intraoperatively and that provides a direct correspondence between the image data and the patient. A noninvasive voxel-based technique is used to register the intraoperative 3DRX image to a before surgery acquired MR image. Methods. Cadaveric thoracic and lumbar spine segments were implanted with markers, which were used as landmarks. The accuracy of the landmark-based registration was compared with MMI-based registration using the residual errors on the marker positions. Results. The errors made using the point-based registration technique were compared with the errors made with MMI. The results show a statistically significant lower error (P < 0.01) for the proposed MMI method. Conclusions. Noninvasive MMI registration of intraoperative 3DRX images to preoperative MR images is more accurate than point-based registration in cadaveric spine segments. It is therefore a promising technique for replacing the invasive landmark-based registration that is currently used in image-guided spine surgery. A noninvasive patient-to-image registration technique for image-guided spine surgery is proposed. Intraoperatively acquired three-dimensional rotational x-ray data of spinal segments are registered to preoperative magnetic resonance data using maximization of mutual information. The automated registration shows statistically significant lower errors than conventional point-based registration." @default.
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- W2022069345 date "2004-02-01" @default.
- W2022069345 modified "2023-10-13" @default.
- W2022069345 title "Noninvasive Magnetic Resonance to Three-Dimensional Rotational X-Ray Registration of Vertebral Bodies for Image-Guided Spine Surgery" @default.
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- W2022069345 doi "https://doi.org/10.1097/01.brs.0000106980.33936.ad" @default.
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