AI-Assisted X-Ray 3D Localization for Calibration-Free Surgery

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Solution Overview

Problem

Existing surgical procedures for implanting bone stabilization devices require reliable measurement of dimensions and 3D positioning based on X-ray images, which are challenging due to the need for calibration and the use of reference bodies, and often necessitate multiple image acquisitions.

Innovation Solution

A system utilizing artificial intelligence, specifically deep learning and neural networks, to determine the 3D representation and localization of objects in X-ray images without the need for reference bodies, allowing for precise measurement and reconstruction of anatomical structures and implants.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If reference bodies are used for calibration and 3D positioning in X-ray imaging, then measurement precision and 3D localization accuracy are improved, but device complexity and surgical procedure time increase due to additional calibration steps and multiple image acquisitions

Engineering Contradiction:
Improve3D positioning accuracyVSAvoidcalibration procedure complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent extracts and removes the reference body from the surgical workflow, replacing it with AI-based direct analysis of anatomical structures in standard X-ray images. This eliminates the need for separate calibration objects while maintaining measurement precision through neural network-based 3D reconstruction of bone anatomy.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The patent replaces the mechanical/calibration-based system (reference bodies, physical measurement tools) with an AI-based digital system that uses deep learning models to directly infer 3D positions, orientations, and dimensions from 2D X-ray images, thereby simplifying the overall system complexity.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Measurement precision

If multiple X-ray images are acquired from different directions for 3D reconstruction, then 3D representation accuracy is improved, but loss of time and productivity decrease due to repeated image acquisitions

Engineering Contradiction:
Improve3D reconstruction accuracyVSAvoidsurgical procedure time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent applies preliminary action by pre-training AI models on extensive 3D anatomical data and pre-establishing 3D bone models that can be rapidly matched to 2D X-ray images during surgery. This allows accurate 3D reconstruction from a single或少量 images without requiring multiple acquisitions from different directions.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent changes the approach from acquiring multiple images with different geometric parameters (multiple angles, positions) to using a single image with AI-based parameter inference, where the neural network directly predicts 3D parameters (position, orientation, dimensions) from the 2D projection.

Inventive Principle:
Principle #35Parameter changes

3Reliability

If reference bodies are mounted on X-ray imaging devices and instrumentation for calibration, then reliability of measurements is improved, but ease of operation deteriorates due to additional setup and calibration steps

Engineering Contradiction:
Improvemeasurement reliabilityVSAvoidsurgical workflow simplicity
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The patent implements self-service by enabling the X-ray imaging system to automatically perform calibration and 3D localization functions through AI algorithms that directly analyze anatomical structures in the images. The system self-calibrates by recognizing bone anatomy and deriving measurement references from the patient's own anatomy rather than requiring external reference bodies.

Inventive Principle:
Principle #25Self-service

Data Source

PatentUS12462425B2Artificial-intelligence-assisted surgery
Publication Date: 2025.11.04 METAMORPHOSIS GMBH
  • US12462425B2 patent drawing
  • US12462425B2 patent drawing
  • US12462425B2 patent drawing

AI summary

Supported by artificial intelligence, an object is classified in an X-ray projection image. A 3D representation as well as a localization of the classified object can be determined by matching a model of the classified object to a visualization of the classified object in the X-ray image.