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Benchmarking commercial depth sensors for intraoperative markerless registration in neurosurgery applications
Manuel Villa1, Jaime Sancho2, Gonzalo Rosa-Olmeda2
1CITSEM, Universidad Politécnica de Madrid, Madrid, 28031, Spain. manuel.villa.romero@upm.es.
Summary
This study evaluates depth cameras for markerless patient registration in image-guided neurosurgery. The D405 and Zed-M+ cameras show promising results, offering a reliable framework for surgical navigation.
Area of Science:
- Neurosurgery
- Medical Imaging
- Computer Vision
Background:
- Markerless patient registration is crucial for image-guided neurosurgery.
- Depth information offers a promising avenue for improving registration accuracy.
Purpose of the Study:
- To generalize markerless patient registration using depth information in neurosurgery.
- To evaluate the performance of commercial depth cameras and registration algorithms.
Main Methods:
- Utilized a multimodal experimental setup with five depth cameras in seven configurations.
- Calculated Fiducial Registration Error (FRE) and Target Registration Error (TRE) using Iterative Closest Point (ICP) and Deep Global Registration (DGR) algorithms.
- Employed a phantom head model simulating clinical conditions for camera positioning.
Main Results:
- The D405 and Zed-M+ cameras achieved low Target Registration Error (TRE) values (2.36 ± 0.46 mm and 2.49 ± 0.35 mm, respectively).
- Cameras with texture projectors or enhanced depth refinement performed better.
- The methodology successfully characterized camera suitability for registration tasks.
Conclusions:
- An adaptable framework was validated for evaluating depth cameras in neurosurgical registration.
- D405 and Zed-M+ are identified as reliable options for image-guided neurosurgery.
- Future work will focus on hardware and algorithmic improvements for enhanced depth quality.

