Enhancing perioperative landmark detection during sacroiliac joint fusion in patients suffering from low back pain

Bas Schippers; Edsko Hekman; Sven van Helden; Martijn Boomsma; Jochen van Osch; Robert Nijveldt

doi:10.1080/24699322.2021.1916600

Enhancing perioperative landmark detection during sacroiliac joint fusion in patients suffering from low back pain

Bas Schippers^*, Edsko Hekman, Sven van Helden, Martijn Boomsma, Jochen van Osch, Robert Nijveldt

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Over the past decade, minimally invasive sacroiliac joint (SIJ) fusion has become an effective treatment for patients suffering from low back pain (LBP) originating from the SIJ. Perioperative C-arm fluoroscopy-assisted surgical navigation during SIJ fusion remains challenging due to the lack of 3D spatial information. This study developed and assessed a 3D CT/2D fluoroscopy integration approach based on digitally reconstructed radiographs (DRRs) obtained from pre-operative CT scans. Development of this approach proved feasible and landmarks were successfully translated, in retrospect, to perioperatively acquired fluoroscopies. Further expansion of and research into the proposed approach to increase perioperative navigation is indicated and additional validation should be performed.

Original language	English
Pages (from-to)	41-48
Number of pages	8
Journal	Computer Assisted Surgery
Volume	26
Issue number	1
DOIs	https://doi.org/10.1080/24699322.2021.1916600
Publication status	Published - 3 May 2021

Keywords

3D CT/2D fluoroscopy integration
digitally reconstructed radiographs
image registration
Sacroiliac joint fusion

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10.1080/24699322.2021.1916600Licence: CC BY

ArticleFinal published version, 1.33 MBLicence: CC BY

Cite this

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abstract = "Over the past decade, minimally invasive sacroiliac joint (SIJ) fusion has become an effective treatment for patients suffering from low back pain (LBP) originating from the SIJ. Perioperative C-arm fluoroscopy-assisted surgical navigation during SIJ fusion remains challenging due to the lack of 3D spatial information. This study developed and assessed a 3D CT/2D fluoroscopy integration approach based on digitally reconstructed radiographs (DRRs) obtained from pre-operative CT scans. Development of this approach proved feasible and landmarks were successfully translated, in retrospect, to perioperatively acquired fluoroscopies. Further expansion of and research into the proposed approach to increase perioperative navigation is indicated and additional validation should be performed.",

keywords = "3D CT/2D fluoroscopy integration, digitally reconstructed radiographs, image registration, Sacroiliac joint fusion",

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AU - Schippers, Bas

AU - Hekman, Edsko

AU - van Helden, Sven

AU - Boomsma, Martijn

AU - van Osch, Jochen

AU - Nijveldt, Robert

PY - 2021/5/3

Y1 - 2021/5/3

N2 - Over the past decade, minimally invasive sacroiliac joint (SIJ) fusion has become an effective treatment for patients suffering from low back pain (LBP) originating from the SIJ. Perioperative C-arm fluoroscopy-assisted surgical navigation during SIJ fusion remains challenging due to the lack of 3D spatial information. This study developed and assessed a 3D CT/2D fluoroscopy integration approach based on digitally reconstructed radiographs (DRRs) obtained from pre-operative CT scans. Development of this approach proved feasible and landmarks were successfully translated, in retrospect, to perioperatively acquired fluoroscopies. Further expansion of and research into the proposed approach to increase perioperative navigation is indicated and additional validation should be performed.

AB - Over the past decade, minimally invasive sacroiliac joint (SIJ) fusion has become an effective treatment for patients suffering from low back pain (LBP) originating from the SIJ. Perioperative C-arm fluoroscopy-assisted surgical navigation during SIJ fusion remains challenging due to the lack of 3D spatial information. This study developed and assessed a 3D CT/2D fluoroscopy integration approach based on digitally reconstructed radiographs (DRRs) obtained from pre-operative CT scans. Development of this approach proved feasible and landmarks were successfully translated, in retrospect, to perioperatively acquired fluoroscopies. Further expansion of and research into the proposed approach to increase perioperative navigation is indicated and additional validation should be performed.

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Enhancing perioperative landmark detection during sacroiliac joint fusion in patients suffering from low back pain

Abstract

Keywords

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