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Updated: Jun 6, 2026

Technical Approach for Infrared Tracking for Soft Tissue Navigation with a Holographic Head-Mounted Display and Preclinical Validation
Published on: September 2, 2025
Comparison of three optical tracking systems in a complex navigation scenario
Tobias Rudolph1, Lars Ebert, Jens Kowal
1Institute for Surgical Technology and Biomechanics, ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland.
The study found that different tracking systems (Optotrak, Polaris) offer similar navigation accuracy when used with the SIREMOBIL Iso-C3D system. While passive Polaris systems showed higher maximal errors, overall accuracy was comparable for intra-operative imaging.
Area of Science:
- Medical Imaging
- Surgical Navigation
- Biomedical Engineering
Background:
- Three-dimensional rotational X-ray imaging using the SIREMOBIL Iso-C3D is a standard intra-operative tool.
- Direct navigation with Iso-C3D relies on pre-calibrated image volumes and tracking systems.
- The accuracy of direct navigation is influenced by the choice of tracking system.
Purpose of the Study:
- To evaluate the impact of different tracking systems on the navigation accuracy of the SIREMOBIL Iso-C3D.
- To compare the performance of Optotrak 3020, Polaris P4, and Polaris Spectra tracking systems in direct Iso-C3D navigation.
Main Methods:
- Phantom experiments were conducted using an acrylic phantom with titanium spheres.
- Navigation accuracy was measured by comparing digitized and navigated positions of markers.
- Three tracking systems (two Optotrak 3020, one Polaris P4, one Polaris Spectra) were tested across two Iso-C3D devices.
Main Results:
- Average navigation accuracy was 0.86-0.96 mm for Optotrak 3020, 1.15 mm for Polaris P4, and 1.04 mm for Polaris Spectra.
- Polaris systems exhibited higher maximal errors but similar minimal errors compared to Optotrak.
- All tested tracking systems demonstrated comparable average navigation accuracy.
Conclusions:
- The choice of tracking system has a limited impact on the overall navigation accuracy of the SIREMOBIL Iso-C3D.
- Passive tracking systems like Polaris may have higher maximal errors, which can be acceptable depending on clinical application constraints.
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