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Updated: Sep 16, 2025

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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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Efficient needle guidance: multi-camera augmented reality navigation without patient-specific calibration
Yizhi Wei1,2, Bingyu Huang3,4, Bolin Zhao1
1School of Engineering, Huaqiao University, Quanzhou, 362021, China.
Summary
This study introduces a novel marker-free augmented reality (AR) system for enhanced surgical navigation. The system improves needle placement accuracy and reduces procedure time, offering a more efficient and precise solution for biopsies and ablations.
Area of Science:
- Medical Imaging
- Surgical Navigation
- Augmented Reality
Background:
- Augmented reality (AR) systems enhance surgical navigation but often rely on patient-specific markers.
- These markers disrupt workflows and require extensive preoperative calibration, limiting efficiency and precision.
Purpose of the Study:
- To develop a novel multi-camera AR navigation system that eliminates the need for patient-specific markers.
- To improve surgical navigation accuracy and streamline workflows in needle-based procedures.
Main Methods:
- Developed a marker-free AR system using ceiling-mounted markers mapped to fixed imaging devices.
- Integrated a hierarchical optimization framework for marker mapping and multi-camera calibration.
- Employed deep learning for marker detection and vision-based pose compensation for patient movement.
Main Results:
- Achieved an average puncture accuracy of 3.72 ± 1.21 mm in phantom and simulated clinical experiments.
- Reduced needle placement time by 20 seconds compared to marker-based methods.
- Demonstrated effective correction of patient movement errors with low positional and angular deviations.
Conclusions:
- The marker-free AR guidance system streamlines surgical workflows and enhances needle navigation accuracy.
- The system's simplicity, cost-effectiveness, and adaptability make it suitable for diverse clinical settings.
- Potential for improved precision, reduced procedural time, and better patient outcomes in needle-based interventions.

