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A preliminary study on surgical navigation for epiduroscopic laser neural decompression
- A preliminary study on surgical navigation for epiduroscopic laser neural decompression
- Jeon, S[Jeon, Sangseo]; Lee, GW[Lee, Gun Woo]; Jeon, YD[Jeon, Young Dae]; Park, IH[Park, Il-Hyung]; Hong, J[Hong, Jaesung]; Kim, JD[Kim, Jae-Do]
- DGIST Authors
- Jeon, S[Jeon, Sangseo]; Hong, J[Hong, Jaesung]
- Issue Date
- Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 229(10), 693-702
- Article Type
- Chronic Low Back Pain; Dosimetry; Electromagnetic Tracking System; Electromagnetic Tracking Systems; Electronic Circuit Tracking; Epiduroscopic Laser Neural Decompression; Fluorescent Screens; Fluoroscopy; Laser Ablation; Medical Imaging; Navigation Systems; Point-Based Registrations; Radiation Dose; Surgery; Surgical Equipment; Surgical Navigation; Surgical Navigation Systems; Therapeutic Modality; Tracking (Position)
- Epiduroscopic laser neural decompression is an emerging therapeutic modality to treat lumbar spine pathologies including chronic low back pain, spinal stenosis, and disk herniation via catheter insertion followed by laser ablation of the lesion. Despite the efficacy of epiduroscopic laser neural decompression, excessive radiation doses due to fluoroscopy during epiduroscopic laser neural decompression have limited its widespread application. To address the issue, we propose a surgical navigation system to assist in epiduroscopic laser neural decompression procedures using radiation-free image guidance. An electromagnetic tracking system was used as the basic modality to track the internal location of the surgical instrument with respect to the patient body. Patient-to-image registration was carried out using the point-based registration method to determine the transformation between the coordinate system of the patient and that of the medical images. We applied the proposed system in epiduroscopic laser neural decompression procedures to assess its effectiveness, and the outcomes confirmed its clinical feasibility. To the best of our knowledge, this is a report on the first surgical navigation applied for epiduroscopic laser neural decompression procedure. © IMechE 2015.
- SAGE Publications Ltd
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