Table 1.
Type | Advantages | Shortcomings | Applications |
CT-based navigation | High resolution; preoperative planning and simulation | No real-time imaging; expensive | Spinal pedicle screw implantation; hip and knee replacement |
2D-fluoroscopic navigation | Latest image obtained at any time; low cost | Image distortion | Fracture reduction and internal fixation |
3D-fluoroscopic navigation | High-resolution three-dimensional image data; real-time high-definition visualization of trajectory | Easy to be occluded by objects during operation; more X-ray needed | Reduction and internal fixation of complex fracture |
Imageless navigation | No requirement for image registration | Anatomic markers to be exposed; limited reconstruction of bone structure | Hip and knee surgery |
Electromagnetic navigation | High resolution for soft tissue; no need for a direct line of sight | A stable magnetic field needed | Orthopedic tumor; orthopedic minimally invasive treatment |
Ultrasound-based navigation | No radiation | Immature technology | Further improvement needed |
CT: Computed tomography; 2D: 2-dimensional; 3D: 3-dimensional.