AR Spine Registration for Accurate Vertebra Level Identification

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Solution Overview

Problem

The challenge in spine surgery is accurately identifying the correct vertebra level for incision, which is often difficult due to the limitations of 2D scout views, especially in obese patients, leading to the need for multiple x-ray images and increased radiation exposure.

Innovation Solution

A computer-implemented method using augmented reality (AR) viewing devices to display digital models of the spine, with identifiable landmarks, allowing precise positioning without additional x-rays by tracking the device and displaying overlays on the patient's body.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If surgeons use 2D scout views to determine vertebra level, then the process is simple and quick, but the measurement precision and reliability are insufficient

Engineering Contradiction:
Improvevertebra level identification accuracyVSAvoidimaging system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent transitions from 2D scout views to 3D visualizations of the spine. The system generates three-dimensional representations of vertebral bodies and landmarks, allowing surgeons to view anatomical structures from multiple angles and depths. This dimensional enhancement provides precise vertebra level identification without requiring multiple 2D x-ray images, resolving the contradiction between measurement precision and device complexity.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

Solution Approach 2:

The patent creates virtual copies of the patient's spine based on pre-acquired imaging data (CT or MRI). These digital twins or virtual models are then overlaid onto the patient's actual anatomy during surgery using augmented reality. This copying approach eliminates the need for additional physical x-ray imaging while maintaining high measurement precision, as the virtual models can be manipulated and viewed from any angle without radiation exposure.

Inventive Principle:
Principle #26Copying

2Measurement precision

If surgeons take multiple x-ray images to verify vertebra position, then measurement precision improves, but radiation exposure increases

Engineering Contradiction:
Improvevertebra level identification accuracyVSAvoidradiation exposure
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The patent performs all necessary imaging and 3D model generation during the preoperative planning phase. High-quality CT or MRI scans are acquired before surgery, and comprehensive 3D visualizations are created in advance. During the actual surgery, surgeons only need to use the pre-prepared augmented reality overlays, eliminating the need for additional intraoperative x-ray imaging. This preliminary action ensures measurement precision is achieved before surgery without exposing patients to repeated radiation during the procedure.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent replaces the mechanical x-ray imaging system with a computer-based augmented reality system. Instead of using physical x-ray machines to verify vertebra position during surgery, the system uses pre-acquired imaging data processed into 3D visualizations that are overlaid onto the patient's anatomy. This substitution eliminates radiation exposure during surgery while maintaining or improving measurement precision through the capabilities of digital imaging and augmented reality display.

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

3Ease of operation

If surgeons count spinous processes to find correct level, then no additional equipment is needed, but the ease of operation deteriorates in obese patients

Engineering Contradiction:
Improvelandmark identification easeVSAvoidvertebra level identification accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent introduces augmented reality overlays as an intermediary between the surgeon and the patient's anatomy. The system displays virtual markers, annotations, and 3D visualizations of vertebral bodies and landmarks directly onto the patient's skin surface through augmented reality glasses or displays. This intermediary provides clear visual guidance for identifying the correct vertebra level, making the procedure easy to perform regardless of patient body type, while simultaneously ensuring high measurement precision through accurate anatomical visualization.

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentUS12586324B2Spine level determination using augmented reality
Publication Date: 2026.03.24 BRAINLAB AG
  • US12586324B2 patent drawing
  • US12586324B2 patent drawing
  • US12586324B2 patent drawing

AI summary

Disclosed is a computer-implemented method of registering a digital model of an anatomical body part corresponding to a patient body part. The method encompasses input, to an augmented reality viewing device, of data defining a digital model of an anatomical body part. The model comprises at least one vertex which corresponds to a specific part of the anatomical body part. The specific part is, for example, a landmark easily identifiable for a user, such as a specific vertebra which may be found by palpation. Based on a known orientation of the augmented reality viewing device relative to the anatomical body part, visual information is displayed on a viewing unit of the augmented reality viewing device. The visual information indicates the position of the vertex as an overlay on the position of the specific part of the anatomical body part in the field of view of the augmented reality viewing device.