Abstract
Introduction: Medical imaging such as ultrasound coupled with visual analytics provides important pre-surgical, intra-operative and post-surgical evaluation information for surgeons performing Minimally Invasive Surgical Procedures(MISP) on the hand. This research focuses on the motion of the metacarpophalangeal or phalangeal joints affected by either trauma,arthritis, synovitis or tendonitis. Common evaluation includes a visual inspection of the motion of digits such as theability to touch opposing digits with the thumb.Scene interpretation is a branch of artificial intelligence that deals with the analysis of multiple imagingsources. Variation of viewpoints or data sources provide ways to develop logical flow statements.
Methods: A device was developed with customised software application and fixtures for two cameras at 90° to each otherand an ultrasound probe. The cameras captured the palmar and lateral view of the hand. The ultrasound visualised theinternal hand anatomy. The camera data streams were cropped, dithered, thresholded, the largest object segmented andanalysed to derive the rate of change of motion. Clinical trial participants provided consent for data recording and wererequested to make a fist or move certain digits. Surgeons provided logic to consolidate the streams.
Results: The logic flow was generated using scene interpretation from the three data streams to develop a tool that provides analytics to assess motion of the digits of the hand. Analytics of the camera view provided the rate of changediagrams.
Conclusion: The use of such measurement devices should be expounded to provide a systematic evaluation of MISP. Such evaluation would result in improvement of techniques, extended utilisation and endorsement of MISP as a plausible option. Future work includes metrological studies on hand motion subsequent to trauma so as to categorise traumatypes, to provide surgeons with distinct indicators enabling intra-operative and postoperative evaluation and reporting of surgical outcomes
Methods: A device was developed with customised software application and fixtures for two cameras at 90° to each otherand an ultrasound probe. The cameras captured the palmar and lateral view of the hand. The ultrasound visualised theinternal hand anatomy. The camera data streams were cropped, dithered, thresholded, the largest object segmented andanalysed to derive the rate of change of motion. Clinical trial participants provided consent for data recording and wererequested to make a fist or move certain digits. Surgeons provided logic to consolidate the streams.
Results: The logic flow was generated using scene interpretation from the three data streams to develop a tool that provides analytics to assess motion of the digits of the hand. Analytics of the camera view provided the rate of changediagrams.
Conclusion: The use of such measurement devices should be expounded to provide a systematic evaluation of MISP. Such evaluation would result in improvement of techniques, extended utilisation and endorsement of MISP as a plausible option. Future work includes metrological studies on hand motion subsequent to trauma so as to categorise traumatypes, to provide surgeons with distinct indicators enabling intra-operative and postoperative evaluation and reporting of surgical outcomes
| Original language | English |
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| Pages | S119 |
| Number of pages | 1 |
| DOIs | |
| Publication status | Published - 2021 |
| Event | Annual Conference of the German Society for Biomedical Engineering 2021 - Hannover, Germany Duration: 5 Oct 2021 → 7 Oct 2021 Conference number: 55th |
Conference
| Conference | Annual Conference of the German Society for Biomedical Engineering 2021 |
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| Abbreviated title | BMT 2021 |
| Country/Territory | Germany |
| City | Hannover |
| Period | 5/10/21 → 7/10/21 |