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Technical Approach for Infrared Tracking for Soft Tissue Navigation with a Holographic Head-Mounted Display and Preclinical Validation
Published on: September 2, 2025
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Real-time surgical tool tracking and pose estimation using a hybrid cylindrical marker.
Lin Zhang1, Menglong Ye2, Po-Ling Chan2
1Hamlyn Centre for Robotic Surgery, Imperial College London, London, UK. lin.zhang11@imperial.ac.uk.
Summary
A new hybrid marker system accurately tracks cylindrical surgical tools for enhanced intraoperative ultrasound guidance. This real-time tracking framework improves surgical tool visualization and accuracy in minimally invasive surgery.
Area of Science:
- Medical Imaging
- Robotics in Surgery
- Computer Vision
Background:
- Real-time tracking of surgical tools is crucial for integrated visualization of intraoperative ultrasound and endoscopic images.
- Current tracking methods are limited to planar targets, while most laparoscopic ultrasound probes are cylindrical.
- A robust tracking framework for cylindrical objects is needed to enhance intraoperative ultrasound guidance usability.
Purpose of the Study:
- To develop and validate a novel tracking framework for cylindrical surgical tools.
- To improve the accuracy and reliability of intraoperative ultrasound probe tracking.
- To enhance the integration of ultrasound and endoscopic imaging for surgical guidance.
Main Methods:
- A hybrid marker combining circular dots and chessboard vertices for tracking cylindrical tools.
- Pose estimation using circular dots on the curved surface and chessboard vertices for disambiguation.
- Incorporation of temporal information from consecutive images to minimize tracking failures.
- Real-time performance optimization for computational efficiency.
Main Results:
- The hybrid marker supports a large working space for various tool sizes (6-14 mm diameter).
- The framework achieves high accuracy in translational (40-185 mm) and rotational movements.
- Outperforms existing methods with nearly 100% detection rates and low pose estimation errors (2.8 mm, 0.72°).
- Real-time tracking at 20 frames per second for specified image resolutions.
Conclusions:
- The proposed hybrid marker and tracking framework are effective for a wide range of surgical tools.
- Demonstrates superior detection rates and pose estimation accuracy compared to state-of-the-art methods.
- Applicable for intraoperative ultrasound guidance and general surgical tool tracking in minimally invasive surgery (MIS).

