Technologies for augmented reality systems: realizing ultrasound-guided needle biopsies

Abstract

We present a real-time stereoscopic video-see-through augmented reality (AR) system applied to the medical procedure known as ultrasound-guided needle biopsy of the breast.The AR system was used by a physician during procedures on breast models and during non-invasive examinations of human subjects.The system merges rendered live ultrasound data and geometric elements with stereo images of the patient acquired through head-mounted video cameras and presents these merged images to the physician in a head-mounted display.The physician sees a volume visualization of the ultrasound data directly under the ultrasound probe, properly registered within the patient and with the biopsy needle.Using this system, a physician successfully guided a needle into an artificial tumor within a training phantom of a human breast.We discuss the construction of the AR system and the issues and decisions which led to the system architecture and the design of the video see-through head-mounted display.We designed methods to properly resolve occlusion of the real and synthetic image elements.We developed techniques for realtime volume visualization of time-and position-varying ultrasound data.We devised a hybrid tracking system which achieves improved registration of synthetic and real imagery and we improved on previous techniques for calibration of a magnetic tracker.