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Haptic Intelligence Members Publications

Intraoperative AR Assistance for Robot-Assisted Minimally Invasive Surgery

We are investigating new approaches for augmented reality in robotic surgery. Top: We envision combining preoperative and intraoperative data to register a liver tumor (shown in green) on the patient's anatomy and track it in real time. Bottom: Our AR functions assist the surgeon by overlaying 2D preoperative data and intraoperative cues (a live view of the operating room, the 3D distance between points selected with the instruments, a warning symbol for out-of-view instruments).

Members

Haptic Intelligence, Perceiving Systems
  • Postdoctoral Researcher
Haptic Intelligence
  • Doctoral Researcher
Haptic Intelligence
  • Master Student
Haptic Intelligence
  • Research Scientist
Haptic Intelligence
  • Research Engineer
Haptic Intelligence
Director

Publications

Haptic Intelligence Article Design of Interactive Augmented Reality Functions for Robotic Surgery and Evaluation in Dry-Lab Lymphadenectomy Forte, M., Gourishetti, R., Javot, B., Engler, T., Gomez, E. D., Kuchenbecker, K. J. The International Journal of Medical Robotics and Computer Assisted Surgery, 18(2):e2351, April 2022 (Published)
Augmented reality (AR) has been widely researched for use in healthcare. Prior AR for robot-assisted minimally invasive surgery has mainly focused on superimposing preoperative 3D images onto patient anatomy. This paper presents alternative interactive AR tools for robotic surgery. We designed, built, and evaluated four voice-controlled functions: viewing a live video of the operating room, viewing two-dimensional preoperative images, measuring 3D distances, and warning about out-of-view instruments. This low-cost system was developed on a da Vinci Si, and it can be integrated into surgical robots equipped with a stereo camera and a stereo viewer. Eight experienced surgeons performed dry-lab lymphadenectomies and reported that the functions improved the procedure. They particularly appreciated the possibility of accessing the patient's medical records on demand, measuring distances intraoperatively, and interacting with the functions using voice commands. The positive evaluations garnered by these alternative AR functions and interaction methods provide support for further exploration.
DOI BibTeX

Haptic Intelligence Miscellaneous Robust Visual Augmented Reality for Robot-Assisted Surgery Forte, M., Kuchenbecker, K. J. Extended abstract presented as a podium presentation at the IROS Workshop on Legacy Disruptors in Applied Telerobotics, Macao, China, November 2019 (Published) BibTeX

Haptic Intelligence Miscellaneous Interactive Augmented Reality for Robot-Assisted Surgery Forte, M., Kuchenbecker, K. J. Extended abstract presented as an Emerging Technology ePoster at the Annual Meeting of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), Baltimore, USA, April 2019 (Published) BibTeX

Haptic Intelligence Master Thesis Robust Visual Augmented Reality in Robot-Assisted Surgery Forte, M. Politecnico di Milano, Milan, Italy, July 2018, Department of Electronic, Information, and Biomedical Engineering
The broader research objective of this line of research is to test the hypothesis that real-time stereo video analysis and augmented reality can increase safety and task efficiency in robot-assisted surgery. This master’s thesis aims to solve the first step needed to achieve this goal: the creation of a robust system that delivers the envisioned feedback to a surgeon while he or she controls a surgical robot that is identical to those used on human patients. Several approaches for applying augmented reality to da Vinci Surgical Systems have been proposed, but none of them entirely rely on a clinical robot; specifically, they require additional sensors, depend on access to the da Vinci API, are designed for a very specific task, or were tested on systems that are starkly different from those in clinical use. There has also been prior work that presents the real-world camera view and the computer graphics on separate screens, or not in real time. In other scenarios, the digital information is overlaid manually by the surgeons themselves or by computer scientists, rather than being generated automatically in response to the surgeon’s actions. We attempted to overcome the aforementioned constraints by acquiring input signals from the da Vinci stereo endoscope and providing augmented reality to the console in real time (less than 150 ms delay, including the 62 ms of inherent latency of the da Vinci). The potential benefits of the resulting system are broad because it was built to be general, rather than customized for any specific task. The entire platform is compatible with any generation of the da Vinci System and does not require a dVRK (da Vinci Research Kit) or access to the API. Thus, it can be applied to existing da Vinci Systems in operating rooms around the world.
BibTeX