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Published on: August 12, 2021
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Comparative study on surface reconstruction accuracy of stereo imaging devices for microsurgery
Andreas Schoob1, Dennis Kundrat2, Lüder A Kahrs2
1Institute of Mechatronic Systems, Leibniz Universität Hannover, 30167, Hanover, Germany. andreas.schoob@imes.uni-hannover.de.
Summary
Stereoscopic surface reconstruction in microsurgery shows operating microscopes offer higher accuracy than miniaturized endoscopes. Custom stereo cameras provide a balance of accuracy and accessibility for surgical applications.
Area of Science:
- Medical Imaging
- Computer Vision
- Microsurgery
Background:
- Stereoscopic image processing is crucial for sub-millimeter accuracy in microsurgery.
- Stereo-based surface reconstruction methods are of significant interest for endoscopic and microscopic surgical scenarios.
Purpose of the Study:
- To compare the performance of stereo-based surface reconstruction across different camera settings in microsurgical contexts.
- To evaluate the accuracy of custom stereo cameras, a miniaturized surgical endoscope, and an operating microscope for 3D reconstruction.
Main Methods:
- A stereo matching method was validated using in-vitro data and applied to custom stereo cameras, a surgical endoscope, and an operating microscope.
- Reconstruction accuracy was assessed by comparing estimated surfaces to ground truth data acquired using a coordinate measuring arm.
- The sample was robotically positioned at varying distances to each camera for comprehensive analysis.
Main Results:
- Ground truth data achieved a root-mean-square error (RMSE) of 11.2 μm.
- Overall surface reconstruction RMSE was below 0.18 mm for all analyzed cameras.
- The operating microscope at high magnification provided the highest accuracy (max deviation ≤ 0.5 mm), while the miniaturized endoscope had the largest error (approx. 1.2 mm).
Conclusions:
- Microscopic imaging demonstrates superior accuracy compared to chip-on-the-tip solutions at higher magnifications.
- Custom stereo cameras are suitable for microsurgery, offering a viable alternative.
- The miniaturized endoscope, despite lower accuracy, presents a practical trade-off between accuracy, size, and accessibility for challenging surgical sites.

