A novel system for markerless intra-operative bone and bone fragment tracking

Fluoroscopic guidance is an integral tool in modern orthopaedic surgery often used to track bones and/or bone fragments during a surgical procedure. However, relying upon this intra-operative 2D projective imaging modality for this purpose can challenge a surgeon’s ability to interpret 3D position a...

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Bibliographic Details
Main Authors: Marcus Tatum, Andrew Kern, Jessica E. Goetz, Geb Thomas, Donald D. Anderson
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization
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Online Access:https://www.tandfonline.com/doi/10.1080/21681163.2025.2463327
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Summary:Fluoroscopic guidance is an integral tool in modern orthopaedic surgery often used to track bones and/or bone fragments during a surgical procedure. However, relying upon this intra-operative 2D projective imaging modality for this purpose can challenge a surgeon’s ability to interpret 3D position and orientation of any but the simplest bony anatomy. A number of object-tracking technologies have been developed to aid surgeons, but they have failed to be generalisable to a wider array of procedures, have required an unrealistic amount of time and effort to implement, or have unacceptably changed the flow of the surgery. This work describes a novel, general-purpose system for markerless, intra-operative bone tracking that seamlessly integrates into a surgical setting. The system uses a unique calibration object placed next to the patient, which provides a common reference for aligning multiple fluoroscopic images. This approach enables robust and expedient 3D object registration from only two semi-orthogonal 2D fluoroscopic images.
ISSN:2168-1163
2168-1171