P.169 Reduced radiation CT imaging for augmented reality spinal surgery applications
Bibliographic record
Abstract
Background: There is growing evidence for the use of augmented reality (AR) in pedicle screw placement in spinal surgery to increase surgical accuracy, improve clinical outcomes and reduce the radiation exposure required for intraoperative navigation. Auto-segmentation is the cornerstone of AR applications because it correlates patient-specific anatomy to structures segmented from preoperative computed tomography (pCT) images. These AR techniques allow for a reduction in the radiation dose required to acquire CT images while maintaining accurate segmentation. Methods: In this study, we methodically increase the noise that is introduced into CT images to determine the image quality threshold that is required for auto-segmentation on pCT. We then enhance the images with denoising algorithms to evaluate the effect on the segmentation. Results: The pCT radiation dose is decreased to below the current lowest clinical threshold and the resulting images still produce segmentations that are appropriate for input into AR applications. The application of denoising algorithms to the images resulted in increased artifacts and decreased bone density. Conclusions: The CT image quality that is required for successful AR auto-segmentation is lower than that which is currently employed in spine surgery. Future research is required to identify the specific, clinically relevant radiation dose thresholds.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".