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Wanwen Chen

Publications and source records attributed to Wanwen Chen.

7 recordsLinked to original sources

Interactive 3D Cutaway Visualization for Subsurface Target Localization in Robot-Assisted Surgery

Purpose: Blended augmented reality (AR) overlays can provide ambiguous depth cues in which subsurface anatomy floats above the tissue surface. We investigate whether an interactive 3D cutaway visualization can improve robot-assisted target localization. Methods: We propose Virtual Box, an interactive 3D cutaway interface that allows users to independently manipulate the viewing perspective to inspect subsurface targets. In a controlled, counterbalanced within-subject tissue phantom study, 15 engineering students used Virtual Box and a depth-enhanced blended AR overlay to position a da Vinci instrument at virtual targets in a water tank. We used registered 3D transrectal ultrasound to measure 3D localization error and depth error. We also collected completion time and subjective ratings. Results: Virtual Box reduced mean 3D error from 12.92 to 4.96 mm (61.6% reduction) and depth error from 9.48 to 2.07 mm (78.2% reduction; both p < 0.001). Spatial understanding, depth perception, and confidence ratings were higher (all unadjusted p < 0.001), but completion time increased from 21.64 to 32.58 s (p = 0.008). Overall workload did not differ significantly. Conclusion: Virtual Box improved localization accuracy and perceived spatial understanding in this controlled task, with additional completion time, supporting further evaluation for surgical navigation.

cs.RO↗

SemICP: Semantic Non-Rigid Point Cloud Registration with Elastic Energy Regularization

Purpose: Accurate point cloud registration is essential in computer-aided interventions (CAI) to align multi-modal medical images for intraoperative guidance. Classical methods, such as Iterative Closest Point (ICP), remain attractive for their explainability and minimal training requirements, but typically ignore anatomical semantics and biomechanical properties during regularization. Methods: We present Semantic ICP (SemICP), a novel non-rigid point cloud registration framework that combines semantically informed point matching with linear elastic energy regularization. Semantic labels are used to improve correspondence matching by constraining correspondences to be anatomically consistent. A novel control-point deformation representation with linear-elastic energy regularization is introduced to encourage biomechanically plausible deformations. SemICP was evaluated on a simulation phantom and four datasets against established baselines. It was also tested with labels from AI-based segmentation in a fully automatic segmentation-registration pipeline. Results: On the finite element phantom, SemICP recovered 86% of the interior displacement from surface observations alone. On the real datasets, SemICP achieved the lowest target registration error on Liver MR-US and the lowest surface distances on TORS, and ranked second on AbdominalMR-CT and HippocampusMR, where NR-ICP achieved lower surface distances. The fully automatic registration pipeline was shown to be effective for US-MR registration and to improve the alignment of expert-annotated structures. Conclusion: SemICP improves interior accuracy at competitive surface accuracy by combining semantic correspondence constraints and linear energy regularization. Combined with AI-based segmentation, SemICP provides an effective pipeline for multi-modal registration in CAI.

cs.CV↗

Image Retrieval with Intra-Sweep Representation Learning for Neck Ultrasound Scanning Guidance

Purpose: Intraoperative ultrasound (US) can enhance real-time visualization in transoral robotic surgery. The surgeon creates a mental map with a pre-operative scan. Then, a surgical assistant performs freehand US scanning during the surgery while the surgeon operates at the remote surgical console. Communicating the target scanning plane in the surgeon's mental map is difficult. Automatic image retrieval can help match intraoperative images to preoperative scans, guiding the assistant to adjust the US probe toward the target plane. Methods: We propose a self-supervised contrastive learning approach to match intraoperative US views to a preoperative image database. We introduce a novel contrastive learning strategy that leverages intra-sweep similarity and US probe location to improve feature encoding. Additionally, our model incorporates a flexible threshold to reject unsatisfactory matches. Results: Our method achieves 92.30% retrieval accuracy on simulated data and outperforms state-of-the-art temporal-based contrastive learning approaches. Our ablation study demonstrates that using probe location in the optimization goal improves image representation, suggesting that semantic information can be extracted from probe location. We also present our approach on real patient data to show the feasibility of the proposed US probe localization system despite tissue deformation from tongue retraction. Conclusion: Our contrastive learning method, which utilizes intra-sweep similarity and US probe location, enhances US image representation learning. We also demonstrate the feasibility of using our image retrieval method to provide neck US localization on real patient US after tongue retraction.

cs.CV↗

PIPsUS: Self-Supervised Point Tracking in Ultrasound

Finding point-level correspondences is a fundamental problem in ultrasound (US), since it can enable US landmark tracking for intraoperative image guidance in different surgeries, including head and neck. Most existing US tracking methods, e.g., those based on optical flow or feature matching, were initially designed for RGB images before being applied to US. Therefore domain shift can impact their performance. Training could be supervised by ground-truth correspondences, but these are expensive to acquire in US. To solve these problems, we propose a self-supervised pixel-level tracking model called PIPsUS. Our model can track an arbitrary number of points in one forward pass and exploits temporal information by considering multiple, instead of just consecutive, frames. We developed a new self-supervised training strategy that utilizes a long-term point-tracking model trained for RGB images as a teacher to guide the model to learn realistic motions and use data augmentation to enforce tracking from US appearance. We evaluate our method on neck and oral US and echocardiography, showing higher point tracking accuracy when compared with fast normalized cross-correlation and tuned optical flow. Code will be available once the paper is accepted.

cs.CV↗

Towards Transcervical Ultrasound Image Guidance for Transoral Robotic Surgery

Purpose: Trans-oral robotic surgery (TORS) using the da Vinci surgical robot is a new minimally-invasive surgery method to treat oropharyngeal tumors, but it is a challenging operation. Augmented reality (AR) based on intra-operative ultrasound (US) has the potential to enhance the visualization of the anatomy and cancerous tumors to provide additional tools for decision-making in surgery. Methods: We propose and carry out preliminary evaluations of a US-guided AR system for TORS, with the transducer placed on the neck for a transcervical view. Firstly, we perform a novel MRI-transcervical 3D US registration study. Secondly, we develop a US-robot calibration method with an optical tracker and an AR system to display the anatomy mesh model in the real-time endoscope images inside the surgeon console. Results: Our AR system reaches a mean projection error of 26.81 and 27.85 pixels for the projection from the US to stereo cameras in a water bath experiment. The average target registration error for MRI to 3D US is 8.90 mm for the 3D US transducer and 5.85 mm for freehand 3D US, and the average distance between the vessel centerlines is 2.32 mm. Conclusion: We demonstrate the first proof-of-concept transcervical US-guided AR system for TORS and the feasibility of trans-cervical 3D US-MRI registration. Our results show that trans-cervical 3D US is a promising technique for TORS image guidance.

cs.RO↗

The Role of Pleura and Adipose in Lung Ultrasound AI

In this paper, we study the significance of the pleura and adipose tissue in lung ultrasound AI analysis. We highlight their more prominent appearance when using high-frequency linear (HFL) instead of curvilinear ultrasound probes, showing HFL reveals better pleura detail. We compare the diagnostic utility of the pleura and adipose tissue using an HFL ultrasound probe. Masking the adipose tissue during training and inference (while retaining the pleural line and Merlin's space artifacts such as A-lines and B-lines) improved the AI model's diagnostic accuracy.

eess.IV↗

Ultrasound Confidence Maps of Intensity and Structure Based on Directed Acyclic Graphs and Artifact Models

Ultrasound imaging has been improving, but continues to suffer from inherent artifacts that are challenging to model, such as attenuation, shadowing, diffraction, speckle, etc. These artifacts can potentially confuse image analysis algorithms unless an attempt is made to assess the certainty of individual pixel values. Our novel confidence algorithms analyze pixel values using a directed acyclic graph based on acoustic physical properties of ultrasound imaging. We demonstrate unique capabilities of our approach and compare it against previous confidence-measurement algorithms for shadow-detection and image-compounding tasks.

eess.IV↗