ArticleInternational journal of computer assisted radiology and surgery2022
Ultrasound-based navigation for open liver surgery using active liver tracking.
Article in International journal of computer assisted radiology and surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Electromagnetic Surgical Navigation for Accurate Pediatric Tumor Localization: A Preclinical Animal Cadaver Study.Cancers · 2026Article
- Performance of a tracked ultrasound navigation setup for pediatric tumor surgery: a phantom study.International journal of computer assisted radiology and surgery · 2026Article
- Toward augmented reality in laparoscopic liver surgery using electromagnetic tracking: a clinical feasibility study.Surgical endoscopy · 2026Article
- Navigated hepatic tumor resection using intraoperative ultrasound imaging.International journal of computer assisted radiology and surgery · 2026Article
- Augmented reality-driven organ deformation modeling: a roadmap for next-generation intraoperative navigation.Annals of medicine and surgery (2012) · 2025Article
- The impact of 3-dimensional models and surgical navigation for open liver surgery.International journal of computer assisted radiology and surgery · 2025Article
- The Fusion of Robotics and Imaging: A Vision of the Future.Methodist DeBakey cardiovascular journal · 2025Review
- Intraoperative patient-specific volumetric reconstruction and 3D visualization for laparoscopic liver surgery.Healthcare technology letters · 2024Article
- Automatic hepatic tumor segmentation in intra-operative ultrasound: a supervised deep-learning approach.Journal of medical imaging (Bellingham, Wash.) · 2024Article
- Modern Image-Guided Surgery: A Narrative Review of Medical Image Processing and Visualization.Sensors (Basel, Switzerland) · 2023Review
- Feasibility of tracked ultrasound registration for pelvic-abdominal tumor navigation: a patient study.International journal of computer assisted radiology and surgery · 2023Article
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Authors and funding
8 authors.
Funding
Abstract
purposeDespite extensive preoperative imaging, intraoperative localization of liver lesions after systemic treatment can be challenging. Therefore, an image-guided navigation setup is explored that links preoperative diagnostic scans and 3D models to intraoperative ultrasound (US), enabling overlay of detailed diagnostic images on intraoperative US. Aim of this study is to assess the workflow and accuracy of such a navigation system which compensates for liver motion.
methodsElectromagnetic (EM) tracking was used for organ tracking and movement of the transducer. After laparotomy, a sensor was attached to the liver surface while the EM-tracked US transducer enabled image acquisition and landmark digitization. Landmarks surrounding the lesion were selected during patient-specific preoperative 3D planning and identified for registration during surgery. Endpoints were accuracy and additional times of the investigative steps. Accuracy was computed at the center of the target lesion.
resultsIn total, 22 navigated procedures were performed. Navigation provided useful visualization of preoperative 3D models and their overlay on US imaging. Landmark-based registration resulted in a mean fiducial registration error of 10.3 ± 4.3 mm, and a mean target registration error of 8.5 ± 4.2 mm. Navigation was available after an average of 12.7 min.
conclusionWe developed a navigation method combining ultrasound with active liver tracking for organ motion compensation, with an accuracy below 10 mm. Fixation of the liver sensor near the target lesion compensates for local movement and contributes to improved reliability during navigation. This represents an important step forward in providing surgical navigation throughout the procedure.
trial registrationThis study is registered in the Netherlands Trial Register (number NL7951).
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