Objective:To study the position and the grade of screw perforation in the apical region of adolescent idiopathic scoliosis(AIS)surgery using a calibration technique for the intraoperative navigation error,and to analy...Objective:To study the position and the grade of screw perforation in the apical region of adolescent idiopathic scoliosis(AIS)surgery using a calibration technique for the intraoperative navigation error,and to analyze the related factors of navigation deviation and the clinical significance of the calibration technique.Methods:From 2017 to 2020,a total of 60 Lenke 1 AIS surgical cases were enrolled in this research.The 30 cases received surgery using the intraoperative navigation system(Navigation group)and another 30 cases were assisted with intraoperative navigation system with calibration technique(Calibration group)for the intraoperative navigation error.The basic information and radiological data of the both groups were all recorded.According to the Fu Chang-feng’s pedicle channel classification system,the pedicle on the apical region of the two groups was classified.And then the accuracy of screw placement of the two groups was evaluated according to the Rao’s classification.Results:A total of 600 screws were placed in the two groups.The 297 and 303 pedicle screws were implanted in the navigation group and the calibration group,respectively.In the apical region of the calibration group,the rates of the grade 0 screw placement in type A,B and C pedicle were 95.7%,86.7%and 68.9%respectively.It was a statistically significant difference from the 73.9%,66.9%and 30.0%in the navigation group respectively(P<0.05).In the calibration group,the rates of the medial cortical perforation in the type A,B,C and D pedicle were 0%,1.6%,1.6%and 0%,respectively.The corresponding rates were 16.3%,16.9%,30.0%and 47.6%in the navigation group,respectively.Moreover,in the concave side of the apical region of the calibration group,the rates of the medial cortical perforation in the type A,B,C and D pedicle were 0%,3.6%,2.6%and 0%,respectively.Compared with the calibration group,the corresponding rates were higher in the navigation group(34.4%,25.9%,37.2%and 60.0%,respectively).No serious complications such as spinal cord or neurovascular injury occurred for the two groups.Conclusion:Compared with the intraoperative navigation system,the calibration technique for the intraoperative navigation error could provide the higher accuracy of pedicle screw placement in the apical region of the major curve,the lower medial cortical perforation rate,the less screws misplacement rate on the concave side and the less complication rate of the severe Lenke 1 AIS patients.展开更多
In required navigation performance（RNP）, total system error（TSE） is estimated to provide a timely warning in the presence of an excessive error. In this paper, by analyzing the underlying formation mechanism, the ...In required navigation performance（RNP）, total system error（TSE） is estimated to provide a timely warning in the presence of an excessive error. In this paper, by analyzing the underlying formation mechanism, the TSE estimation is modeled as the estimation fusion of a fixed bias and a Gaussian random variable. To address the challenge of high computational load induced by the accurate numerical method, two efficient methods are proposed for real-time application, which are called the circle tangent ellipse method（CTEM） and the line tangent ellipse method（LTEM）,respectively. Compared with the accurate numerical method and the traditional scalar quantity summation method（SQSM）, the computational load and accuracy of these four methods are extensively analyzed. The theoretical and experimental results both show that the computing time of the LTEM is approximately equal to that of the SQSM, while it is only about 1/30 and 1/6 of that of the numerical method and the CTEM. Moreover, the estimation result of the LTEM is parallel with that of the numerical method, but is more accurate than those of the SQSM and the CTEM. It is illustrated that the LTEM is quite appropriate for real-time TSE estimation in RNP application.展开更多
A method of improving the navigation accuracy of strapdown inertial navigation system (SINS) is studied. The particular technique discussed involves the continuous rotation of gyros and accelerometers cluster about th...A method of improving the navigation accuracy of strapdown inertial navigation system (SINS) is studied. The particular technique discussed involves the continuous rotation of gyros and accelerometers cluster about the vertical axis of the vehicle. Then the errors of these sensors will have periodic variation corresponding to components along the body frame. Under this condition, the modulated sensor errors produce reduced system errors. Theoretical analysis based on a new coordinate system defined as sensing frame and test results are presented, and they indicate the method attenuates the navigation errors brought by the gyros' random constant drift and the accelerometer's bias and their white noise compared to the conventional method.展开更多
基金National Natural Science Foundation of China(81902270)Young Talents’Science and Technology Innovation Project of Hainan Association for Science and Technology(QCXM202014)。
文摘Objective:To study the position and the grade of screw perforation in the apical region of adolescent idiopathic scoliosis(AIS)surgery using a calibration technique for the intraoperative navigation error,and to analyze the related factors of navigation deviation and the clinical significance of the calibration technique.Methods:From 2017 to 2020,a total of 60 Lenke 1 AIS surgical cases were enrolled in this research.The 30 cases received surgery using the intraoperative navigation system(Navigation group)and another 30 cases were assisted with intraoperative navigation system with calibration technique(Calibration group)for the intraoperative navigation error.The basic information and radiological data of the both groups were all recorded.According to the Fu Chang-feng’s pedicle channel classification system,the pedicle on the apical region of the two groups was classified.And then the accuracy of screw placement of the two groups was evaluated according to the Rao’s classification.Results:A total of 600 screws were placed in the two groups.The 297 and 303 pedicle screws were implanted in the navigation group and the calibration group,respectively.In the apical region of the calibration group,the rates of the grade 0 screw placement in type A,B and C pedicle were 95.7%,86.7%and 68.9%respectively.It was a statistically significant difference from the 73.9%,66.9%and 30.0%in the navigation group respectively(P<0.05).In the calibration group,the rates of the medial cortical perforation in the type A,B,C and D pedicle were 0%,1.6%,1.6%and 0%,respectively.The corresponding rates were 16.3%,16.9%,30.0%and 47.6%in the navigation group,respectively.Moreover,in the concave side of the apical region of the calibration group,the rates of the medial cortical perforation in the type A,B,C and D pedicle were 0%,3.6%,2.6%and 0%,respectively.Compared with the calibration group,the corresponding rates were higher in the navigation group(34.4%,25.9%,37.2%and 60.0%,respectively).No serious complications such as spinal cord or neurovascular injury occurred for the two groups.Conclusion:Compared with the intraoperative navigation system,the calibration technique for the intraoperative navigation error could provide the higher accuracy of pedicle screw placement in the apical region of the major curve,the lower medial cortical perforation rate,the less screws misplacement rate on the concave side and the less complication rate of the severe Lenke 1 AIS patients.
基金supported by the National Basic Research Program of China (No. 2010CB731805)the Foundation for Innovative Research Groups of the National Natural Science Foundation of China (No. 60921001)the Special Fund for Basic Research on Scientific Instruments of China (No. 2011YQ04008301)
文摘In required navigation performance（RNP）, total system error（TSE） is estimated to provide a timely warning in the presence of an excessive error. In this paper, by analyzing the underlying formation mechanism, the TSE estimation is modeled as the estimation fusion of a fixed bias and a Gaussian random variable. To address the challenge of high computational load induced by the accurate numerical method, two efficient methods are proposed for real-time application, which are called the circle tangent ellipse method（CTEM） and the line tangent ellipse method（LTEM）,respectively. Compared with the accurate numerical method and the traditional scalar quantity summation method（SQSM）, the computational load and accuracy of these four methods are extensively analyzed. The theoretical and experimental results both show that the computing time of the LTEM is approximately equal to that of the SQSM, while it is only about 1/30 and 1/6 of that of the numerical method and the CTEM. Moreover, the estimation result of the LTEM is parallel with that of the numerical method, but is more accurate than those of the SQSM and the CTEM. It is illustrated that the LTEM is quite appropriate for real-time TSE estimation in RNP application.
文摘A method of improving the navigation accuracy of strapdown inertial navigation system (SINS) is studied. The particular technique discussed involves the continuous rotation of gyros and accelerometers cluster about the vertical axis of the vehicle. Then the errors of these sensors will have periodic variation corresponding to components along the body frame. Under this condition, the modulated sensor errors produce reduced system errors. Theoretical analysis based on a new coordinate system defined as sensing frame and test results are presented, and they indicate the method attenuates the navigation errors brought by the gyros' random constant drift and the accelerometer's bias and their white noise compared to the conventional method.
