Fast and automatic depth control of iterative bone ablation based on optical coherence tomography data

Research output: Chapter in book/report/conference proceedingConference contributionResearchpeer review

Authors

  • Alexander Fuchs
  • Steffen Pengel
  • Jan Bergmeier
  • Lüder A. Kahrs
  • Tobias Ortmaier

Research Organisations

View graph of relations

Details

Original languageEnglish
Title of host publicationMedical Laser Applications and Laser-Tissue Interactions VII
EditorsRonald Sroka, Lothar D. Lilge
PublisherSPIE
ISBN (electronic)9781628417074
Publication statusPublished - 2015
EventMedical Laser Applications and Laser Tissue Interactions VII - Munich, Germany
Duration: 21 Jun 201523 Jun 2015

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume9542
ISSN (Print)1605-7422

Abstract

Laser surgery is an established clinical procedure in dental applications, soft tissue ablation, and ophthalmology. The presented experimental set-up for closed-loop control of laser bone ablation addresses a feedback system and enables safe ablation towards anatomical structures that usually would have high risk of damage. This study is based on combined working volumes of optical coherence tomography (OCT) and Er:YAG cutting laser. High level of automation in fast image data processing and tissue treatment enables reproducible results and shortens the time in the operating room. For registration of the two coordinate systems a cross-like incision is ablated with the Er:YAG laser and segmented with OCT in three distances. The resulting Er:YAG coordinate system is reconstructed. A parameter list defines multiple sets of laser parameters including discrete and specific ablation rates as ablation model. The control algorithm uses this model to plan corrective laser paths for each set of laser parameters and dynamically adapts the distance of the laser focus. With this iterative control cycle consisting of image processing, path planning, ablation, and moistening of tissue the target geometry and desired depth are approximated until no further corrective laser paths can be set. The achieved depth stays within the tolerances of the parameter set with the smallest ablation rate. Specimen trials with fresh porcine bone have been conducted to prove the functionality of the developed concept. Flat bottom surfaces and sharp edges of the outline without visual signs of thermal damage verify the feasibility of automated, OCT controlled laser bone ablation with minimal process time.

Keywords

    Ablation control, Automatic bone cutting, Er:YAG laser, OCT registration

ASJC Scopus subject areas

Cite this

Fast and automatic depth control of iterative bone ablation based on optical coherence tomography data. / Fuchs, Alexander; Pengel, Steffen; Bergmeier, Jan et al.
Medical Laser Applications and Laser-Tissue Interactions VII. ed. / Ronald Sroka; Lothar D. Lilge. SPIE, 2015. 95420P (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 9542).

Research output: Chapter in book/report/conference proceedingConference contributionResearchpeer review

Fuchs, A, Pengel, S, Bergmeier, J, Kahrs, LA & Ortmaier, T 2015, Fast and automatic depth control of iterative bone ablation based on optical coherence tomography data. in R Sroka & LD Lilge (eds), Medical Laser Applications and Laser-Tissue Interactions VII., 95420P, Progress in Biomedical Optics and Imaging - Proceedings of SPIE, vol. 9542, SPIE, Medical Laser Applications and Laser Tissue Interactions VII, Munich, Germany, 21 Jun 2015. https://doi.org/10.1117/12.2183695
Fuchs, A., Pengel, S., Bergmeier, J., Kahrs, L. A., & Ortmaier, T. (2015). Fast and automatic depth control of iterative bone ablation based on optical coherence tomography data. In R. Sroka, & L. D. Lilge (Eds.), Medical Laser Applications and Laser-Tissue Interactions VII Article 95420P (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 9542). SPIE. https://doi.org/10.1117/12.2183695
Fuchs A, Pengel S, Bergmeier J, Kahrs LA, Ortmaier T. Fast and automatic depth control of iterative bone ablation based on optical coherence tomography data. In Sroka R, Lilge LD, editors, Medical Laser Applications and Laser-Tissue Interactions VII. SPIE. 2015. 95420P. (Progress in Biomedical Optics and Imaging - Proceedings of SPIE). doi: 10.1117/12.2183695
Fuchs, Alexander ; Pengel, Steffen ; Bergmeier, Jan et al. / Fast and automatic depth control of iterative bone ablation based on optical coherence tomography data. Medical Laser Applications and Laser-Tissue Interactions VII. editor / Ronald Sroka ; Lothar D. Lilge. SPIE, 2015. (Progress in Biomedical Optics and Imaging - Proceedings of SPIE).
Download
@inproceedings{6dbf665d63e140df898496d2e9a48d8c,
title = "Fast and automatic depth control of iterative bone ablation based on optical coherence tomography data",
abstract = "Laser surgery is an established clinical procedure in dental applications, soft tissue ablation, and ophthalmology. The presented experimental set-up for closed-loop control of laser bone ablation addresses a feedback system and enables safe ablation towards anatomical structures that usually would have high risk of damage. This study is based on combined working volumes of optical coherence tomography (OCT) and Er:YAG cutting laser. High level of automation in fast image data processing and tissue treatment enables reproducible results and shortens the time in the operating room. For registration of the two coordinate systems a cross-like incision is ablated with the Er:YAG laser and segmented with OCT in three distances. The resulting Er:YAG coordinate system is reconstructed. A parameter list defines multiple sets of laser parameters including discrete and specific ablation rates as ablation model. The control algorithm uses this model to plan corrective laser paths for each set of laser parameters and dynamically adapts the distance of the laser focus. With this iterative control cycle consisting of image processing, path planning, ablation, and moistening of tissue the target geometry and desired depth are approximated until no further corrective laser paths can be set. The achieved depth stays within the tolerances of the parameter set with the smallest ablation rate. Specimen trials with fresh porcine bone have been conducted to prove the functionality of the developed concept. Flat bottom surfaces and sharp edges of the outline without visual signs of thermal damage verify the feasibility of automated, OCT controlled laser bone ablation with minimal process time.",
keywords = "Ablation control, Automatic bone cutting, Er:YAG laser, OCT registration",
author = "Alexander Fuchs and Steffen Pengel and Jan Bergmeier and Kahrs, {L{\"u}der A.} and Tobias Ortmaier",
year = "2015",
doi = "10.1117/12.2183695",
language = "English",
series = "Progress in Biomedical Optics and Imaging - Proceedings of SPIE",
publisher = "SPIE",
editor = "Ronald Sroka and Lilge, {Lothar D.}",
booktitle = "Medical Laser Applications and Laser-Tissue Interactions VII",
address = "United States",
note = "Medical Laser Applications and Laser Tissue Interactions VII ; Conference date: 21-06-2015 Through 23-06-2015",

}

Download

TY - GEN

T1 - Fast and automatic depth control of iterative bone ablation based on optical coherence tomography data

AU - Fuchs, Alexander

AU - Pengel, Steffen

AU - Bergmeier, Jan

AU - Kahrs, Lüder A.

AU - Ortmaier, Tobias

PY - 2015

Y1 - 2015

N2 - Laser surgery is an established clinical procedure in dental applications, soft tissue ablation, and ophthalmology. The presented experimental set-up for closed-loop control of laser bone ablation addresses a feedback system and enables safe ablation towards anatomical structures that usually would have high risk of damage. This study is based on combined working volumes of optical coherence tomography (OCT) and Er:YAG cutting laser. High level of automation in fast image data processing and tissue treatment enables reproducible results and shortens the time in the operating room. For registration of the two coordinate systems a cross-like incision is ablated with the Er:YAG laser and segmented with OCT in three distances. The resulting Er:YAG coordinate system is reconstructed. A parameter list defines multiple sets of laser parameters including discrete and specific ablation rates as ablation model. The control algorithm uses this model to plan corrective laser paths for each set of laser parameters and dynamically adapts the distance of the laser focus. With this iterative control cycle consisting of image processing, path planning, ablation, and moistening of tissue the target geometry and desired depth are approximated until no further corrective laser paths can be set. The achieved depth stays within the tolerances of the parameter set with the smallest ablation rate. Specimen trials with fresh porcine bone have been conducted to prove the functionality of the developed concept. Flat bottom surfaces and sharp edges of the outline without visual signs of thermal damage verify the feasibility of automated, OCT controlled laser bone ablation with minimal process time.

AB - Laser surgery is an established clinical procedure in dental applications, soft tissue ablation, and ophthalmology. The presented experimental set-up for closed-loop control of laser bone ablation addresses a feedback system and enables safe ablation towards anatomical structures that usually would have high risk of damage. This study is based on combined working volumes of optical coherence tomography (OCT) and Er:YAG cutting laser. High level of automation in fast image data processing and tissue treatment enables reproducible results and shortens the time in the operating room. For registration of the two coordinate systems a cross-like incision is ablated with the Er:YAG laser and segmented with OCT in three distances. The resulting Er:YAG coordinate system is reconstructed. A parameter list defines multiple sets of laser parameters including discrete and specific ablation rates as ablation model. The control algorithm uses this model to plan corrective laser paths for each set of laser parameters and dynamically adapts the distance of the laser focus. With this iterative control cycle consisting of image processing, path planning, ablation, and moistening of tissue the target geometry and desired depth are approximated until no further corrective laser paths can be set. The achieved depth stays within the tolerances of the parameter set with the smallest ablation rate. Specimen trials with fresh porcine bone have been conducted to prove the functionality of the developed concept. Flat bottom surfaces and sharp edges of the outline without visual signs of thermal damage verify the feasibility of automated, OCT controlled laser bone ablation with minimal process time.

KW - Ablation control

KW - Automatic bone cutting

KW - Er:YAG laser

KW - OCT registration

UR - http://www.scopus.com/inward/record.url?scp=84939489157&partnerID=8YFLogxK

U2 - 10.1117/12.2183695

DO - 10.1117/12.2183695

M3 - Conference contribution

AN - SCOPUS:84939489157

T3 - Progress in Biomedical Optics and Imaging - Proceedings of SPIE

BT - Medical Laser Applications and Laser-Tissue Interactions VII

A2 - Sroka, Ronald

A2 - Lilge, Lothar D.

PB - SPIE

T2 - Medical Laser Applications and Laser Tissue Interactions VII

Y2 - 21 June 2015 through 23 June 2015

ER -