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Page 6 of 8            Magaribuchi et al. Mini-invasive Surg 2024;8:6  https://dx.doi.org/10.20517/2574-1225.2023.81

               feature points from the surgical field, capturing them as a 3D point cloud through Structure from Motion
                                                                                                 [52]
               (SfM), and tracking them, but no mention was made of registration with the 3D kidney model . Zhang
                                                                                                       [53]
               et al. used Semi-Global Block Matching (SGBM) to extract 3D point clouds from stereo image disparity .
               They also used a deep learning method, Mask Region-based CNN (Mask R-CNN), for kidney segmentation
               to assist with 3D point cloud extraction.

               Other research exists that, while not strictly creating a 3D point cloud, captures the position and posture of
               the kidney in real time using particle filtering and then registers it with the 3D model derived from CT .
                                                                                                       [54]
               This study compared it with registration via Coherent Point Drift (CPD), showing that particle filtering was
               faster in terms of calculation speed in real-time intraoperative navigation.


               Various studies have also been conducted on methods for creating deformable 3D models for high-
               precision registration with deforming organs. One approach combined shape matching with cluster-based
               deformation to create a non-rigid model . The effectiveness of this method was confirmed by creating a
                                                  [55]
               model from a pig kidney captured by CT and conducting experiments. Another study used a finite element
               method (FEM) model as a non-rigid model, reproducing organ deformation and movement in conjunction
                                                                         [41]
               with the positional change of fiducial markers attached to the kidney .

               CONCLUSION
               Numerous studies have aimed to achieve high-precision 3D navigation, and some attempts in actual
               surgeries have yielded certain effects. However, none have led to a complete solution that could be widely
               generalized. Further advancements in 3D navigation research capable of accommodating deforming organs
               are expected to contribute to surgical procedures in the future.


               DECLARATIONS
               Authors’ contributions
               Made substantial contributions to conception and design of the study and performed data analysis and
               interpretation: Magaribuchi T
               Managed acquired data and drafted the manuscript: Masui K, Goto T, Saito R, Kobayashi T


               Availability of data and materials
               Not applicable.


               Financial support and sponsorship
               None.

               Conflicts of interest
               All authors declared that there are no conflicts of interest.

               Ethical approval and consent to participate
               Not applicable.

               Consent for publication
               Not applicable.

               Copyright
               © The Author(s) 2024.
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