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The human body employs intricate mechanisms to counteract changes in blood pH, preventing conditions like acidosis (pH < 7.35) and alkalosis (pH > 7.45). These compensatory responses aim to restore normal arterial blood pH by engaging respiratory or renal systems, depending on the source of the imbalance.
Respiratory Compensation
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Related Experiment Video

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Methods to Quantify Pharmacologically Induced Alterations in Motor Function in Human Incomplete SCI
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CycleGAN for interpretable online EMT compensation.

Henry Krumb1, Dhritimaan Das2, Romol Chadda3

  • 1Technische Universität Darmstadt, Darmstadt, Germany. henry.john.krumb@gris.tu-darmstadt.de.

International Journal of Computer Assisted Radiology and Surgery
|March 15, 2021
PubMed
Summary
This summary is machine-generated.

This study introduces a CycleGAN-based method to reduce electromagnetic tracking (EMT) errors caused by X-ray devices in hybrid procedures. The approach enhances accuracy for reduced radiation exposure in minimally invasive surgery.

Keywords:
Adversarial domain adaptationElectromagnetic trackingGenerative adversarial networksHybrid navigation

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Area of Science:

  • Medical Imaging
  • Surgical Navigation
  • Machine Learning

Background:

  • Electromagnetic tracking (EMT) offers reduced radiation in minimally invasive surgery but is susceptible to metallic interference from X-ray devices.
  • Hybrid navigation systems combining EMT and X-ray guidance are crucial for clinical adoption and radiation reduction.
  • Accurate EMT is vital for safe and effective minimally invasive procedures.

Purpose of the Study:

  • To develop and evaluate an online error compensation strategy for electromagnetic tracking (EMT) in hybrid X-ray environments.
  • To reduce radiation exposure for patients and surgeons by improving the accuracy of EMT during minimally invasive procedures.
  • To enable the clinical reality of hybrid navigation by addressing EMT distortions.

Main Methods:

  • Utilized cycle-consistent generative adversarial neural networks (CycleGAN) for online EMT error compensation.
  • Translated electromagnetic tracking positions from bedside (distorted) to bench (clear) environments by adjusting the z-component.
  • Fine-tuned domain-translated points on the x-y plane to minimize errors in the bench domain.
  • Evaluated the compensation approach using a phantom experiment.

Main Results:

  • The domain-translation approach successfully mapped distorted EMT points to their laboratory equivalents, ensuring consistency across different C-arm environments.
  • Significant reduction in EMT error was achieved in all tested evaluation environments.
  • The phantom experiment demonstrated the approach's generalization capability to unseen C-arm configurations.

Conclusions:

  • Adversarial, cycle-consistent training provides an interpretable and consistent method for online EMT error compensation.
  • The qualitative assessment indicates the potential of this method for compensating rotational errors in EMT.
  • This approach shows promise for enhancing the reliability of hybrid navigation systems in reducing surgical radiation exposure.