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Design considerations for a computer-vision-enabled ophthalmic augmented reality environment

  • Simulation and Augmented Reality
  • Conference paper
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CVRMed-MRCAS'97 (CVRMed 1997, MRCAS 1997)

Abstract

We have initiated studies towards the design and implementation of an ophthalmic augmented reality environment in order to allow for a) more precise laser treatment for ophthalmic diseases, b) teaching, c) telemedicine, and d) real-time image measurement, analysis, and comparison. The proposed system is being designed around a standard slit-lamp biomicroscope. The microscope will be interfaced to a CCD camera, and the image sent to a video capture board. A single computer workstation will coordinate image capture, registration, and display. The captured image is registered with previously stored, montaged photographic and angiographic data, with superposition facilitated by funduslandmark-based fast registration algorithms. The computer then drives a high intensity, VGA resolution video display with adjustable brightness and contrast attached to one of the oculars of the slitlamp biomicroscope. Preliminary studies with a modified binocular operating microscope interfaced to a Sun Ultral Workstation and an IBM-compatible PC demonstrates proof-of-principle. Robust, accurate fundus image montaging is accomplished with Hausdorff-distance-based methods. For photographic and angiographic data where the vessel gray levels vary from light to dark, and intensity-based correlation methods fail, image-preprocessing with smoothing, edge-detection, and thresholding facilitates registration. Non-real-time registration (∼ 0.4–4.0 CPU seconds) is achieved by non-optimized simple template matching (translation only, Matrox Inspector) or Hausdorff-distance-based (translation, rotation, and scale) algorithms performed on edge-detected fundus photographic and angiographic images, and on images of a model eye. Successful registration and image overlay of color, monochromatic, and angiographic images is demonstrated. To our knowledge, these studies represent the first investigation towards design and implementation of an ophthalmic augmented reality environment.

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References

  1. M. Bajura, H. Fuchs, R. Ohbuchi, “Merging virtual objects with the real world: Seeing ultrasound imagery within the patient”, in Computer Graphics 26:203–210, 1992.

    Google Scholar 

  2. S.F. Barrett, M.R. Jerath, H.G. Rylander, A.J. Welch, “Digital tracking and control of retinal images”, in Optical Engineering, 33:150–159, 1994.

    Google Scholar 

  3. S.F. Barrett, C.H.G. Wright, M.R. Jerath, S. Lewis, B.C. Dillard, H.G. Rylander, A.J. Welch, “Computer-aided retinal photocoagulation system”, in J Biomedical Optics, 1:83–91, 1996.

    Google Scholar 

  4. D.E. Becker, J.N. Turner, H. Tannenbaum, B. Roysam, “Real-time image processing algorithms for an automated retinal laser surgery system”, in Proc IEEE 2nd Int Conf Image Proc, 1995, p 426–429.

    Google Scholar 

  5. J. Bowskill, J. Downie, “Extending the capabilities of the human visual system. An introduction to enhanced reality”, in Computer Graphics, 29:61–65, 1995.

    Google Scholar 

  6. J.F. Canny, “A computational approach to edge detection” in IEEE Trans. Pat. Anal. Mach. Intel., 8:34–43, 1986.

    Google Scholar 

  7. T.P. Caudell, “Introduction to augmented and virtual reality”, in Proc SPIE (Telemanipulator and Telepresence Technologies), 2351:272–281, 1994.

    Google Scholar 

  8. P.J. Edwards, D.L.G. Hill, D.J. Hawkes, R. Spink, A.C.F. Colchester, A. Strong, M. Gleeson, “Neurosurgical guidance using the stereo microscope” in Proc First Int Conf Computer Vision, Virtual Reality and Robotics in Medicine, Nice, France, p 555–564.

    Google Scholar 

  9. S. Feiner, M. Macintyre, D. Seligmann, “Knowledge based augmented reality” in Communications of the ACM, 36:53–61, 1993.

    Article  Google Scholar 

  10. P.L. Gleason, R. Kikinis, D. Altobelli, W. Wells, E. Alexander, P. Black, F. Jolesz, “Video registration virtual reality for nonlinkage stereotactic surgery”, in Sterotactic Funct Neurosurgery, 63:139–143, 1994.

    Google Scholar 

  11. W.E.L. Grimson, G.J. Ettinger, S.J. White, T. Lozano-Pérez, W.M. Wells III, and R. Kikinis, “An Automatic Registration Method for Frameless Stereotaxy, Image Guided Surgery, and Enhanced Reality Visualization”, in IEEE Trans. Medical Imaging, 15:129, 1996.

    Article  Google Scholar 

  12. D.P. Huttenlocher, G.A. Klanderman, W.J. Rucklidge, “Comparing images using the Hausdorff distance” in IEEE Trans Patt Anal Mach Intell, 15:850–863, 1993.

    Article  Google Scholar 

  13. M.S. Markow, H.G. Rylander, A.J. Welch, “Real-time algorithm for retinal tracking”, in IEEE Trans Biomed Engineering, 40:1269–1281, 1993.

    Article  Google Scholar 

  14. Macular Photocoagulation Study Group, “The influence of treatment extent on the visual acuity of eyes treated with krypton laser for juxtafoveal choroidal neovascularization” in Arch Ophthalmol, 113:190–194, 1995.

    Google Scholar 

  15. P. Nagin, B. Schwartz, K. Nanba, “The reproducibility of computerized boundary analysis for measuring optic disc pallor in the normal optic disc” in Ophthalmology, 92:243–251, 1985.

    PubMed  Google Scholar 

  16. K.A. Neely, “How to be more successful in laser photocoagulation”, in Ophthal Times, 1996, pp 103–108.

    Google Scholar 

  17. R.V. O'Toole, M.K. Blackwell, F.M. Morgan, L. Gregor, D. Shefman, B. Jaramaz, DiGioia, T. Kanade, “Image overlay for surgical enhancement and telemedicine”, in Interactive Technology and the New Paradigm for Healthcare, K. Morgan et al., eds, IOS Press, 1995.

    Google Scholar 

  18. W.J. Rucklidge, “Locating objects using the Hausdorff distance” in Proc IEEE Int Conf Computer Vision, 1995, p 457–464.

    Google Scholar 

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Jocelyne Troccaz Eric Grimson Ralph Mösges

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© 1997 Springer-Verlag Berlin Heidelberg

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Berger, J.W., Leventon, M.E., Hata, N., Wells, W., Kikinis, R. (1997). Design considerations for a computer-vision-enabled ophthalmic augmented reality environment. In: Troccaz, J., Grimson, E., Mösges, R. (eds) CVRMed-MRCAS'97. CVRMed MRCAS 1997 1997. Lecture Notes in Computer Science, vol 1205. Springer, Berlin, Heidelberg. https://doi.org/10.1007/BFb0029261

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  • DOI: https://doi.org/10.1007/BFb0029261

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  • Print ISBN: 978-3-540-62734-0

  • Online ISBN: 978-3-540-68499-2

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