3D Visualization and interaction with spatiotemporal X-ray data to minimize radiation in image-guided surgery

Image-guided surgery (IGS) often depends on X-ray imaging, since pre-operative MRI, CT and PET scans do not provide an up-to-date internal patient view during the operation. X-rays introduce hazardous radiation, but long exposures for monitoring are often necessary to increase accuracy in critical situations. Surgeons often also take multiple X-rays from different angles, as X-rays only provide a distorted 2D perspective from the current viewpoint. We introduce a prototype IGS system that augments 2D X-ray images with spatiotemporal information using a motion tracking system, such that the use of X-rays can be reduced. In addition, an interactive visualization allows exploring 2D X-rays in timeline views and 3D clouds where they are arranged according to the viewpoint at the time of acquisition. The system could be deployed and used without time-consuming calibration, and has the potential to improve surgeons´ spatial awareness, while increasing efficiency and patient safety.