TY - CPAPER U1 - Konferenzveröffentlichung A1 - Dimitrova, Nora A1 - Teubert, Armin A1 - Klopfer, Tim A1 - Manawapat-Klopfer, Anna A1 - Notheisen, Thomas A1 - Baumgartner, Heiko A1 - Gonser, Christoph A1 - Zeineldin, Ramy A1 - Burgert, Oliver ED - Rettmann, Maryam ED - Siewerdsen, Jeffrey T1 - Towards an augmented reality system supporting nail implantation for tibial fractures T2 - Medical imaging 2024: image-guided procedures, robotic interventions, and modeling; 18-23 February 2024, San Diego, proceedings N2 - This paper discusses the development and application of an augmented reality (AR) system for assisting in nail implantation procedures for complex tibial fractures. Traditional procedures involve extensive x-ray usage from various angles, leading to increased radiation exposure and prolonged surgical times. The study presents a method using pre- and post-operative computed tomography (CT) data sets and a convolutional neural network (CNN) trained on segmented bone and metal objects. The augmented reality system overlays accurate 3D representations of bony fragments and implants onto the surgeon's view, aiming to reduce radiation exposure and intervention time. The study demonstrates successful segmentation of bone and metal objects in cases of heavy metal artifacts, achieving promising results with a relatively low number of training sets. The integration of this system into the clinical workflow could potentially improve surgical outcomes, significantly reduce radiation time, and therefore improve patient safety. KW - augmented reality in surgery KW - augmented reality in trauma surgery KW - tibial fractures KW - nail implantation Y1 - 2024 U6 - https://doi.org/10.1117/12.3006340 DO - https://doi.org/10.1117/12.3006340 VL - 12928 SP - 4 S1 - 4 PB - SPIE CY - Washington ER -