ArticleProceedings of SPIE--the International Society for Optical Engineering
Toward Perception-based Anticipation of Cortical Breach During K-wire Fixation of the Pelvis.
Article in Proceedings of SPIE--the International Society for Optical Engineering. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 6 citations in OpenAlex.
- Intelligent control of robotic X-ray devices using a language-promptable digital twin.International journal of computer assisted radiology and surgery · 2025Article
- StraightTrack: Towards mixed reality navigation system for percutaneous K-wire insertion.Healthcare technology letters · 2024Article
- An autonomous X-ray image acquisition and interpretation system for assisting percutaneous pelvic fracture fixation.International journal of computer assisted radiology and surgery · 2023Article
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Authors and funding
4 authors at 1 institution in 1 country.
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Abstract
Intraoperative imaging using C-arm X-ray systems enables percutaneous management of fractures by providing real-time visualization of tool to tissue relationships. However, estimating appropriate positioning of surgical instruments, such as K-wires, relative to safe bony corridors is challenging due to the projective nature of X-ray images: tool pose in the plane containing the principal ray is difficult to assess, necessitating the acquisition of numerous views onto the anatomy. This task is especially demanding in complex anatomy, such as the superior pubic ramus of the pelvis, and results in high cognitive load and repeat attempts even in experienced trauma surgeons. A perception-based algorithm that interprets interventional radiographs during internal fixation to infer the likelihood of cortical breach - especially early on, when the wire has not been advanced - might reduce both the amount of X-rays acquired for verification and the likelihood of repeat attempts. In this manuscript, we present first steps towards developing such an algorithm. We devise a strategy for
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