3D surface reconstruction and registration for image guided medialization laryngoplasty

The purpose of our project is to develop an image guided system for the medialization laryngoplasty. One of the fundamental challenges in our system is to accurately register the preoperative 3D CT data to the intraoperative 3D surfaces of the patient. In this paper, we will present a combined surface and fiducial based registration method to register the preoperative 3D CT data to the intraoperative surface of larynx. To accurately model the exposed surface area, an active illumination based stereo vision technique is used for the surface reconstruction. To register the point clouds from the intraoperative stage to the preoperative 3D CT data, a shape priori based ICP method is proposed to quickly register the two surfaces. The proposed approach is capable of tracking the fiducial markers and reconstructing the surface of larynx with no damage to the anatomical structure. Although, the proposed method is specifically designed for the image guided laryngoplasty, it can be applied to other image guided surgical areas. We used off-the-shelf digital cameras, LCD projector and rapid 3D prototyper to develop our experimental system. The final RMS error in the registration is less than 1mm.