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ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

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The results presented in Tab.1 were compared to tests on easily accessed fiducials<br />

mounted on a simple model. In the second test the TRE value equaled 2.41 mm + 0.45<br />

mm [4]. The geometry of tested object has a significant influence on the accuracy of<br />

matching procedure.<br />

5. DISCUSSION<br />

The accuracy of the developed system for aiding of tumor resection and bone<br />

reconstruction may be influenced by various factors. The results of tests revealed crucial<br />

influence of accurate palpation of landmarks on the object. Even a small deviation in all<br />

landmarks palpation introduces a high value of TRE. Unfortunately, the tests on the<br />

phantom are difficult to perform, because the landmarks are not accessible with high<br />

repeatability. The same problem is observed in case of real surgery. The surface points<br />

are susceptible to a pressure of the tip of a navigated pointer. The most accurate<br />

registration concerns landmarks on bone or teeth.<br />

Another factor is the accuracy of the electromagnetic navigation. Despite, the producer<br />

of the system promises it is stable in the presence of external electromagnetic field<br />

generated for example by electro-medical devices, the system is prone to the<br />

disturbances connected with eddy currents generated in conducting materials.<br />

The next stage of tests on the system is to analyze the influence of various disturbances<br />

typical in operation room conditions.<br />

6.ACKNOWLEDGEMENT<br />

The Project is implemented with the Innovative Economy European Funds, supported<br />

by the Ministry of Science and Higher Education in frames of Bioimplant Project POIG<br />

WND-POIG.01.01.02-00-022/09.<br />

7. REFERENCES<br />

1. orff, . ollmann, . rt es, T.; Jalowy, T.; Radermacher, K.; , Optical sensors<br />

for a synergistically controlled osteotomy system, Sensors, IEEE, 1-4 Nov. 2010,<br />

2069-2072.<br />

2. Fitzpatrick, J.M.; West, J.B., The distribution of target registration error in rigidbody<br />

point-based registration, IEEE Transactions on Medical Imaging, Sept. 2001,<br />

vol.20, no.9,.917-927.<br />

3. Webpage of CIRS Inc., data of Atom Max Dental and Diagnostic Head Phantom<br />

4. Krysztoforski ., rowicki P., Świątek-Na wer E., Będziński R., eppler P.,<br />

Noninvasive ultrasonic measuring system for bone geometry examination,<br />

International Journal of Medical Robotics and Computer Assisted Surgery. 2011,<br />

vol. 7, iss. 1, s. 85-95

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