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AbstractUsing fiducial markers ensures reliable detection and identification of planar features in images. Fiducials are used in a wide range of applications, especially when a reliable visual reference is needed, e.g., to track the camera in cluttered or textureless environments. A marker designed for such applications must be robust to partial occlusions, varying distances and angles of view, and fast camera motions. In this paper, we present a robust, highly accurate fiducial system, whose markers consist of concentric rings, along with its theoretical foundations. Relying on projective properties, it allows to robustly localize the imaged marker and to accurately detect the position of the image of the (common) circle center. We demonstrate that our system can detect and accurately localize these circular fiducials under very challenging conditions and the experimental results reveal that it outperforms other recent fiducial systems.
The registration of a preoperative 3D model, reconstructed for example from MRI, to intraoperative laparoscopy 2D images, is the main challenge to achieve augmented reality in laparoscopy. The current systems have a major limitation: they require that the surgeon manually marks the occluding contours during surgery. This requires the surgeon to fully comprehend the nontrivial concept of occluding contours and surgeon time, directly impacting acceptance and usability. To overcome this limitation, we propose a complete framework for object-class occluding contour detection (OC2D), with application to uterus surgery. Methods. Our first contribution is a new distance-based evaluation score complying with all the relevant performance criteria. Our second contribution is a loss function combining cross-entropy and two new penalties designed to boost 1-pixel thickness responses. This allows us to train a U-Net end-to-end, outperforming all competing methods, which tends to produce thick responses. Our third contribution is a dataset of 3818 carefully labelled laparoscopy images of the uterus, which was used to train and evaluate our detector. Results. Evaluation shows that the proposed detector has a similar false negative rate to existing methods but substantially reduces both false positive rate and response thickness. Finally, we ran a user-study to evaluate the impact of OC2D against manually marked occluding contours in augmented laparoscopy. We used 10 recorded gynecologic laparoscopies and involved 5 surgeons. Using OC2D led to a reduction of 3 minutes and 53 seconds in surgeon time without sacrificing registration accuracy. Conclusions. We provide a new set of criteria and a distance-based measure to evaluate an OC2D method. We propose an OC2D method which outperforms the state of the art methods. The results obtained from the user study indicate that fully automatic augmented laparoscopy is feasible.
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