Bone Marker Axis Registration Using 2D Updates for 3D Navigation

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Solution Overview

Problem

Existing medical imaging techniques for surgical navigation face challenges such as erroneous or low-quality image data registration, high radiation exposure due to frequent high-resolution image data acquisition, and obstruction of surgical views by trackers or fiducial markers, which can lead to incorrect surgeries and increased patient risk.

Innovation Solution

A method for automatic or semi-automatic image data registration using bone markers with longitudinal axes, allowing registration of local coordinate systems within a global coordinate system, utilizing 2-dimensional image data to update high-resolution 3-dimensional data, minimizing radiation exposure and maintaining high-quality image registration.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If high-resolution image data is acquired repeatedly during surgery to maintain accurate registration, then registration precision is improved, but radiation exposure increases

Engineering Contradiction:
Improveregistration precisionVSAvoidradiation exposure
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The patent segments the registration problem into two parts: initial high-resolution 3D image acquisition for accurate baseline registration, followed by updates using lower-resolution 2D fluoroscopic images. This segmentation allows maintaining registration precision while reducing radiation exposure during updates, as 2D images require significantly lower radiation doses than repeated 3D scans.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

Instead of acquiring full high-resolution 3D images for every registration update, the patent uses partial action by acquiring only necessary 2D fluoroscopic images that capture specific anatomical regions of interest. This partial imaging approach provides sufficient information for registration updates while minimizing radiation exposure compared to complete volumetric scanning.

Inventive Principle:
Principle #16Partial or excessive action

2Measurement precision

If patient trackers are rigidly attached to patient anatomy for continuous pose tracking, then registration updates are improved, but surgical view obstruction increases

Engineering Contradiction:
Improveregistration update accuracyVSAvoidsurgical view obstruction
Core Design Contradiction:
Measurement precisionVSObject-generated harmful factors

Solution Approach 1:

The patent extracts the tracking function from physical patient trackers and implements it through image-based detection of bone markers in fluoroscopic images. By removing the physical tracker device, the solution eliminates the obstruction problem while maintaining the ability to track and update registration accuracy through automated detection of marker positions and orientations in 2D images.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

Instead of using physical trackers attached to the patient, the patent creates a virtual model by detecting and tracking the positions and orientations of bone markers in 2D fluoroscopic images. This digital copy of the tracking function eliminates the need for physical devices that would obstruct the surgical field, while still providing accurate pose information for registration updates.

Inventive Principle:
Principle #26Copying

3Measurement precision

If multiple fiducial markers are placed in bone for registration purposes, then registration accuracy is improved, but surgical view obstruction and radiation exposure increase

Engineering Contradiction:
Improveregistration accuracyVSAvoidsurgical view obstruction
Core Design Contradiction:
Measurement precisionVSObject-generated harmful factors

Solution Approach 1:

The patent converts the potential harm of bone markers obstructing the surgical view into a benefit by making the markers themselves the target for automated detection and tracking. The markers are designed to be easily detectable in fluoroscopic images, allowing their positions and orientations to be automatically measured to update registration accuracy. This approach minimizes the number of markers needed compared to traditional optical trackers, reducing obstruction while maintaining or improving registration precision.

Inventive Principle:
Principle #22Blessing in disguise (Convert harm into benefit)

Data Source

PatentEP4712023A1Technique for image data registration
Publication Date: 2026.03.18 STRYKER EUROPEAN OPERATIONS LIMITED
  • EP4712023A1 patent drawingFigure 1
  • EP4712023A1 patent drawingFigure 2
  • EP4712023A1 patent drawingFigure 3A~3B

AI summary

A computer-implemented method for image data registration is provided. The method comprises receiving first image data. The first image data are indicative of bone and of at least one bone marker placed therein, the bone marker having a longitudinal axis. The method also comprises determining a first orientation of the longitudinal axis of the at least one bone marker based on the first image data, receiving second image data indicative of the bone and of the at least one bone marker placed therein, and determining a second orientation of the longitudinal axis of the at least one bone marker based on the second image data. Further still, the method comprises registering, based at least one the first and second orientation of the longitudinal axis of the at least one bone marker, a first local coordinate system associated with at least a segment of the first image data within a global coordinate system.