Sharif Digital Repository

The configuration of landmarks is an important issue in minimizing the target registration error (TRE). In this paper the effect of different landmark configurations on the accuracy of pedicle screw placement during image guided spine surgery (IGSS) is investigated. Since the spine is deformed in intra-operative conditions compared to the preoperative situation, an accurate alignment of each vertebra is crucial to compensate for the deformation. CT compatible markers are placed over anatomical landmarks which are feasible and routinely used in surgical procedures. The TRE is obtained directly for the markers which are placed on the right and left pedicle of the vertebra. The estimated TRE... 

Purpose: The accuracy of pedicle screw placement during image-guided spine surgery (IGSS) can be characterized by estimating the target registration error (TRE). The major factors that influence TRE were identified, minimized, and verified with in vitro experiments. Materials and methods: Computed-tomography- compatible markers are placed over anatomical landmarks of lumbar vertebral segments in locations that are feasible and routinely used in surgical procedures. TRE was determined directly for markers placed on the pedicles of vertebra segments. First, optimum selections of landmarks are proposed for different landmarks according to the minimum achievable TRE values in different...