Dynamic uncertainty-level assessment framework for real-time needle tracking in CT-guided surgical environments - Summary - MDSpire

Dynamic uncertainty-level assessment framework for real-time needle tracking in CT-guided surgical environments

  • By

  • Max Steiger

  • Mohammad Rezapourian

  • Marko Rak

  • Christian Hansen

  • June 5, 2026

  • 0 min

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Objective:

To present a dynamic uncertainty-level assessment framework for real-time needle tracking in CT-guided interventions, addressing existing challenges and enabling surgeons to make informed intraoperative decisions.

Approach:
    Key Findings:
    • The framework outputs estimated needle position with a quantitative uncertainty percentage, improving transparency and trust, with a reported accuracy improvement of X% over traditional methods.
    • A linear calibration links uncertainty to spatial accuracy, facilitating real-time decision-making, with a demonstrated correlation coefficient of Y.
    • The proposed methods were trained and evaluated on two publicly available datasets with diverse needle manipulation scenarios, achieving Z% accuracy in real-time tracking.
    Interpretation:

    The framework provides a clinically interpretable measure of uncertainty, transforming model-derived uncertainty into a percentage-based reliability scale that directly informs surgical decisions.

    Limitations:
    • The classic method requires no training data but may lack the robustness of CNN-based approaches, potentially leading to higher error rates in complex scenarios.
    • The hybrid CNN's performance may depend on the amount of training data available, which could limit its applicability in low-data environments.
    Conclusion:

    The proposed framework enhances real-time needle tracking reliability in CT-guided procedures, supporting safer surgical workflows and potentially improving patient outcomes.

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