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. 2023 Nov 22;10:1315250. doi: 10.3389/frobt.2023.1315250

TABLE 3.

Types and characteristics of intraoperative navigation and registration technologies in RAFR systems.

Types of navigation Using preoperative CT Intraoperative data Registration techniques Typical features Indications References
2D fluoroscopy-based navigation NO 2D fluoroscopic images No preoperative images registration Last X-ray image is overlaid with the moving bone axis Femur shaft fracture Westphal et al. (2006)
3D fluoroscopy-based navigation NO Iso C 3D Surgical planning is conducted and implemented in the operation room Femur fracture/femoral head fracture/femoral shaft fractures/intra-articular joint fractures Warisawa et al. (2004), Mitsuishi et al. (2005), Westphal et al. (2008); Westphal et al. (2009a); Westphal et al. (2009b); Westphal et al. (2009b); Oszwald et al. (2009), Raabe et al. (2012)
CT-based navigation NO CT images Special design of orthopedic pins Intra-articular lower-limb fracture Dagnino et al. (2017b), Dagnino et al. (2017c)
YES 2D fluoroscopic images 2D/3D image-based registration Conventional Long bone fracture Kim et al. (2016)
YES 2D fluoroscopic images CT-scan is conducted before inserting the orthopedic pins; a custom-made fiducial marker Joint fracture Dagnino et al. (2017b), Dagnino et al. (2017c)
YES Locations of fiducial markers 3D/3D feature-based registration Paired–point matching; fiducial markers Femur fracture Lee et al. (2013), Kim and Ko, (2019)
YES Locations of fiducial markers Micron tracker Diaphyseal fracture Li et al. (2015b), Li et al. (2016)
YES Digitized anatomical points Match landmarks on the preoperative CT and the spatial coordinates Pelvic fracture Wu et al. (2020)
YES Iso C 3D Image fusion-based registration Non-rigid ICP algorithm; high-precision registration Pelvic fracture Zhao et al. (2022b), Ge et al. (2022), Shi et al. (2021)