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A Novel Multimodal Surgical Navigation System Assisted by Ultrasound Imaging and Optical Tracking for Spine Surgery
Journal article   Open access   Peer reviewed

A Novel Multimodal Surgical Navigation System Assisted by Ultrasound Imaging and Optical Tracking for Spine Surgery

Xingxing Liu, Maziyar Askari, Kishlay Jha, Francis Papay and Yang Liu
IEEE open journal of instrumentation and measurement, Vol.4, 4000509
2025
DOI: 10.1109/OJIM.2025.3605242
url
https://doi.org/10.1109/OJIM.2025.3605242View
Published (Version of record) Open Access

Abstract

3-D surgical navigation provides surgeons with precise intraoperative guidance, improves surgical outcomes, and reduces the risk of reoperation. Unlike traditional surgery, which relies heavily on the surgeon’s knowledge and experience, 3D surgical navigation brings patient medical imaging into the operating room, offering real-time anatomical information of the surgical site. However, existing surgical navigation systems typically rely on intraoperative computed tomography (CT) for image registration, which exposes patients to ionizing radiation, involves lengthy scanning times, and incurs high costs. To overcome these challenges, we developed a novel 3D multimodal surgical navigation system for spinal surgery. This system integrates ultrasound imaging for intraoperative 3D surface topography reconstruction, ultrasound-to-CT image registration, and optical tracking for real-time surgical instrument localization. As a result, the system provides intraoperative ultrasound imaging, dynamic surgical navigation based on preoperative CT images, and real-time surgical instrument tracking, delivering updated surgical navigation throughout the procedure. We evaluated the system using an agar-based spine phantom, and the experimental results demonstrate its potential to enhance the accuracy and efficacy of spinal procedures.
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