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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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
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/21681163.2025.2463327
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author Marcus Tatum
Andrew Kern
Jessica E. Goetz
Geb Thomas
Donald D. Anderson
author_facet Marcus Tatum
Andrew Kern
Jessica E. Goetz
Geb Thomas
Donald D. Anderson
author_sort Marcus Tatum
collection DOAJ
description 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.
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issn 2168-1163
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publishDate 2025-12-01
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series Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization
spelling doaj-art-2dbf615c4e504b139c58cb83b9840ed92025-02-07T12:05:37ZengTaylor & Francis GroupComputer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization2168-11632168-11712025-12-0113110.1080/21681163.2025.2463327A novel system for markerless intra-operative bone and bone fragment trackingMarcus Tatum0Andrew Kern1Jessica E. Goetz2Geb Thomas3Donald D. Anderson4Department of Orthopedics and Rehabilitation, The University of Iowa, Iowa City, USADepartment of Orthopedics and Rehabilitation, The University of Iowa, Iowa City, USADepartment of Orthopedics and Rehabilitation, The University of Iowa, Iowa City, USADepartment of Orthopedics and Rehabilitation, The University of Iowa, Iowa City, USADepartment of Orthopedics and Rehabilitation, The University of Iowa, Iowa City, USAFluoroscopic 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.https://www.tandfonline.com/doi/10.1080/21681163.2025.24633273D/2D registration3D-2D registrationIntra-operative navigationOrthopedicsmarkerless registration
spellingShingle Marcus Tatum
Andrew Kern
Jessica E. Goetz
Geb Thomas
Donald D. Anderson
A novel system for markerless intra-operative bone and bone fragment tracking
Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization
3D/2D registration
3D-2D registration
Intra-operative navigation
Orthopedics
markerless registration
title A novel system for markerless intra-operative bone and bone fragment tracking
title_full A novel system for markerless intra-operative bone and bone fragment tracking
title_fullStr A novel system for markerless intra-operative bone and bone fragment tracking
title_full_unstemmed A novel system for markerless intra-operative bone and bone fragment tracking
title_short A novel system for markerless intra-operative bone and bone fragment tracking
title_sort novel system for markerless intra operative bone and bone fragment tracking
topic 3D/2D registration
3D-2D registration
Intra-operative navigation
Orthopedics
markerless registration
url https://www.tandfonline.com/doi/10.1080/21681163.2025.2463327
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