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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]
Issued Date
Article Type
Chronic Low Back PainDosimetryElectromagnetic Tracking SystemElectromagnetic Tracking SystemsElectronic Circuit TrackingEpiduroscopic Laser Neural DecompressionFluorescent ScreensFluoroscopyLaser AblationMedical ImagingNavigation SystemsPoint-Based RegistrationsRadiation DoseSurgerySurgical EquipmentSurgical NavigationSurgical Navigation SystemsTherapeutic ModalityTracking (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
Related Researcher
  • 홍재성 Hong, Jaesung 로봇및기계전자공학과
  • Research Interests Surgical Navigation; Surgical Robot; Medical Imaging; 영상 유도 수술 로봇; 수술 내비게이션
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Department of Robotics and Mechatronics Engineering Surgical Robotics & Augmented Reality Lab 1. Journal Articles


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