arXiv Computer Vision By Bowen Xiang, Michael I. Miga

When can multi-fragment 2D/3D registration be trusted? Calibrated certification and uncertainty-driven view planning for pelvic fracture fluoroscopy

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The paper presents a closed‑loop system for registering segmented CT fracture fragments to fluoroscopy, providing calibrated uncertainty bounds and flagging implausible or ambiguous fragments. After each shot, the system updates all fragment registrations, stops or plans the next view based on whether new views keep fragment positions within their bounds, and uses uncertainty‑driven planning to reduce the number of shots needed. Experiments on simulated fluoroscopy of 60 held‑out pelvic fractures show that 95% of the bounds cover 83% of unflagged fragments, with 91% of those within 5 mm, and that a simple rule requiring no fragment to move beyond its bound reduces false stops from 23% to 6% at a 2 mm threshold. "whyItMatters":"The study demonstrates that calibrated uncertainty and view‑planning can make multi‑fragment 2D/3D registration reliable enough to guide pelvic fracture surgery, potentially improving surgical accuracy and efficiency."

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