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Published on: June 21, 2024
Multistage graph-based segmentation of thoracoscopic images.
Guillaume-Alexandre Bilodeau1, Yueyun Shu, Farida Cheriet
1Ecole Polytechnique de Montréal, C.P.6079, Succ. Centre-ville, Montréal, Que., Canada H3C 3A7. guillaume-alexandre.bilodeau@polymtl.ca
Summary
This study introduces a novel graph-based segmentation method for thoracoscopic images during scoliosis surgery. The technique enhances image analysis for improved surgical planning and outcomes.
Area of Science:
- Medical Imaging
- Computer Vision
- Surgical Technology
Background:
- Thoracoscopic surgery for scoliosis requires precise visualization of anatomical structures.
- Accurate segmentation of surgical video is crucial for real-time guidance and post-operative analysis.
- Existing methods may lack the precision needed for complex spinal procedures.
Purpose of the Study:
- To develop and evaluate a robust graph-based image segmentation method for thoracoscopic diskectomy procedures.
- To improve the accuracy and spatial coherence of segmented regions in surgical video.
- To provide a foundation for enhanced intraoperative guidance in scoliosis treatment.
Main Methods:
- Pre-processing of thoracoscopic images using Gaussian smoothing, contrast enhancement, and histogram thresholding.
- Application of a standard graph-based segmentation approach for initial coarse segmentation.
- Multistage region merging based on grey-level similarity, region size, and common edge length.
Main Results:
- The proposed method achieves good spatial coherence in segmented regions.
- Accurate localization of anatomical edges within the thoracoscopic images.
- Effective segmentation of regions of interest crucial for diskectomy procedures.
Conclusions:
- The multistage graph-based segmentation method offers a significant improvement for analyzing thoracoscopic surgical images.
- This technique enhances the precision of image segmentation, aiding in scoliosis treatment.
- The approach demonstrates potential for integration into advanced surgical navigation systems.

