DOI: 10.1002/rcs.2612 ISSN: 1478-5951

A spatial registration method based on 2D–3D registration for an augmented reality spinal surgery navigation system

Jingqi Zhang, Zhiyong Yang, Shan Jiang, Zeyang Zhou
  • Computer Science Applications
  • Biophysics
  • Surgery



In order to provide accurate and reliable image guidance for augmented reality (AR) spinal surgery navigation, a spatial registration method has been proposed.


In the AR spinal surgery navigation system, grayscale‐based 2D/3D registration technology has been used to register preoperative computed tomography images with intraoperative X‐ray images to complete the spatial registration, and then the fusion of virtual image and real spine has been realised.


In the image registration experiment, the success rate of spine model registration was 90%. In the spinal model verification experiment, the surface registration error of the spinal model ranged from 0.361 to 0.612 mm, and the total average surface registration error was 0.501 mm.


The spatial registration method based on 2D/3D registration technology can be used in AR spinal surgery navigation systems and is highly accurate and minimally invasive.

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