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Development of an Augmented Reality system using ARToolKit

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<strong>Development</strong> <strong>of</strong> <strong>an</strong> <strong>Augmented</strong> <strong>Reality</strong> <strong>system</strong> <strong>using</strong> <strong>ARToolKit</strong> <strong>an</strong>d user invisible markers<br />

AR <strong>system</strong>s in image guided surgery roughly take the same approach. That is, first twodimensional<br />

data <strong>of</strong> the patient is acquired. These data are tr<strong>an</strong>sformed into a threedimensional<br />

model. Secondly, there needs to be a way to register the real patient.<br />

Tracking <strong>of</strong> the patient, instruments <strong>an</strong>d visualization displays also need to be taken<br />

care <strong>of</strong>. Finally, the created three-dimensional model is overlaid on the patient to<br />

provide the surgeon with <strong>an</strong> augmented view. Each AR <strong>system</strong> implements these steps<br />

in a different way. Now will be shortly discussed one such <strong>system</strong>, resulting from the<br />

MEDARPA project [Sch04].<br />

The main component <strong>of</strong> the <strong>system</strong> is a tr<strong>an</strong>sparent display attached to a movable swivel<br />

arm. The technology consists <strong>of</strong> a 17” TFT screen allowing a resolution <strong>of</strong> 1024x1024,<br />

at a resolution <strong>of</strong> 75Hz. A working area <strong>of</strong> about two square meters is supported. The<br />

tr<strong>an</strong>sparent screen is used for overlaying acquired CT or <strong>an</strong>y other 3D imaging modality<br />

on the body <strong>of</strong> the patient. The surgeon c<strong>an</strong> interact with the patient in the normal way<br />

<strong>using</strong> medical instruments. To overcome the lack <strong>of</strong> stereoscopic view, colour coded<br />

feedback is used for guiding the surgeon. Tracking is supported by a hybrid tracking<br />

approach consisting <strong>of</strong> electromagnetic <strong>an</strong>d optical tracking. The position <strong>an</strong>d<br />

orientation <strong>of</strong> the patient, medical instruments, the display <strong>an</strong>d the surgeon’s viewpoint<br />

are continuously tracked. For registering the patient a registering device is used based<br />

upon spherical markers which are attached to the patient’s body. Figures 2.33 through<br />

2.35 show the <strong>system</strong> setup, its interaction mech<strong>an</strong>ism <strong>an</strong>d registration procedure.<br />

Figure 2.33 MEDARA Hardware Figure 2.34 Interaction Figure 2.35 Registration <strong>of</strong> the<br />

setup through a medical instrument patient<br />

2.7.1.2. Surgery pl<strong>an</strong>ning<br />

Not only <strong>of</strong>fers AR possibilities for supporting the surgeon during <strong>an</strong> operation by<br />

image guided surgery, but it also c<strong>an</strong> be used in the stages before <strong>an</strong> actual operation.<br />

This activity is known as surgery pl<strong>an</strong>ning, which allows for predetermining optimal<br />

decisions, <strong>an</strong>d thus for staging <strong>of</strong> operations. This relieves the surgeon during the<br />

operation, by not having to consider the next step or action to be carried out. As is the<br />

case with image guided surgery, AR for surgery pl<strong>an</strong>ning, is also not limited to a small<br />

r<strong>an</strong>ge <strong>of</strong> the medical area. It c<strong>an</strong> be extended to <strong>an</strong>y imaginable medical problem, given<br />

that it c<strong>an</strong> be visualized in three dimensions. This is done through building up a 3D<br />

model from 2D CT, MR or ultrasound data. Now will be shortly discussed one such AR<br />

surgery pl<strong>an</strong>ning <strong>system</strong>, taken from the area <strong>of</strong> livery surgery [Sor04].<br />

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