A low-cost, open-source-based optical surgical navigation system using stereoscopic vision

Abstract Computer-assisted surgical navigation systems have gained popularity in surgical procedures that demand high amounts of precision. These systems aim to track the real-time positioning of surgical instruments in relation to anatomical structures. Typically, state-of-the-art methods involve tracking reflective 3D marker spheres affixed to both surgical instruments and patient anatomies with infrared cameras. However, these setups are expensive and financially impractical for small healthcare facilities. This study suggests that a fully optical navigation approach utilizing low-cost, off-the-shelf parts may become a viable alternative. We develop a stereoscopic camera setup, costing around 120, to track and monitor the translational movement of open-source based fiducial markers on a positioning platform. We evaluate the camera setup based on its reliability and accuracy. Using the optimal set of parameters, we were able to produce a root mean square error of 2 mm. These results demonstrate the feasibility of real-time, cost-effective surgical navigation using off-the-shelf optical cameras.