Monocular Marker-free Patient-to-Image Intraoperative Registration for Cochlear Implant Surgery

Fuente: arXiv
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Autores principales: Zhang, Yike, Anaya, Eduardo Davalos, Noble, Jack H.
Formato: Preprint
Publicado: 2025
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author Zhang, Yike
Anaya, Eduardo Davalos
Noble, Jack H.
author_facet Zhang, Yike
Anaya, Eduardo Davalos
Noble, Jack H.
contents This paper presents a novel method for monocular patient-to-image intraoperative registration, specifically designed to operate without any external hardware tracking equipment or fiducial point markers. Leveraging a synthetic microscopy surgical scene dataset with a wide range of transformations, our approach directly maps preoperative CT scans to 2D intraoperative surgical frames through a lightweight neural network for real-time cochlear implant surgery guidance via a zero-shot learning approach. Unlike traditional methods, our framework seamlessly integrates with monocular surgical microscopes, making it highly practical for clinical use without additional hardware dependencies and requirements. Our method estimates camera poses, which include a rotation matrix and a translation vector, by learning from the synthetic dataset, enabling accurate and efficient intraoperative registration. The proposed framework was evaluated on nine clinical cases using a patient-specific and cross-patient validation strategy. Our results suggest that our approach achieves clinically relevant accuracy in predicting 6D camera poses for registering 3D preoperative CT scans to 2D surgical scenes with an angular error within 10 degrees in most cases, while also addressing limitations of traditional methods, such as reliance on external tracking systems or fiducial markers.
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id arxiv_https___arxiv_org_abs_2505_18381
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Monocular Marker-free Patient-to-Image Intraoperative Registration for Cochlear Implant Surgery
Zhang, Yike
Anaya, Eduardo Davalos
Noble, Jack H.
Computer Vision and Pattern Recognition
This paper presents a novel method for monocular patient-to-image intraoperative registration, specifically designed to operate without any external hardware tracking equipment or fiducial point markers. Leveraging a synthetic microscopy surgical scene dataset with a wide range of transformations, our approach directly maps preoperative CT scans to 2D intraoperative surgical frames through a lightweight neural network for real-time cochlear implant surgery guidance via a zero-shot learning approach. Unlike traditional methods, our framework seamlessly integrates with monocular surgical microscopes, making it highly practical for clinical use without additional hardware dependencies and requirements. Our method estimates camera poses, which include a rotation matrix and a translation vector, by learning from the synthetic dataset, enabling accurate and efficient intraoperative registration. The proposed framework was evaluated on nine clinical cases using a patient-specific and cross-patient validation strategy. Our results suggest that our approach achieves clinically relevant accuracy in predicting 6D camera poses for registering 3D preoperative CT scans to 2D surgical scenes with an angular error within 10 degrees in most cases, while also addressing limitations of traditional methods, such as reliance on external tracking systems or fiducial markers.
title Monocular Marker-free Patient-to-Image Intraoperative Registration for Cochlear Implant Surgery
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2505.18381