A Low-Cost, Open-Source-based Optical Surgical Navigation System Using Stereoscopic Vision | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article A Low-Cost, Open-Source-based Optical Surgical Navigation System Using Stereoscopic Vision Darin Tsui, Kirsten Ramos, Capalina Melentyev, Ananya Rajan, Matthew Tam, and 3 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-3814167/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 27 May, 2024 Read the published version in Microsystem Technologies → Version 1 posted 7 You are reading this latest preprint version Abstract Computer-assisted surgical navigation systems have gained popularity in surgical procedures that demand high amounts of precision. These systems aim to track the real-time positioning of surgical instruments in relation to anatomical structures. Typically, state-of-the-art methods involve tracking reflective 3D marker spheres affixed to both surgical instruments and patient anatomies with infrared cameras. However, these setups are expensive and financially impractical for small healthcare facilities. This study suggests that a fully optical navigation approach utilizing low-cost, off-the-shelf parts may become a viable alternative. We develop a stereoscopic camera setup, costing around $120, to track and monitor the translational movement of open-source based fiducial markers on a positioning platform. We evaluate the camera setup based on its reliability and accuracy. Using the optimal set of parameters, we were able to produce a root mean square error of 2 mm. These results demonstrate the feasibility of real-time, cost-effective surgical navigation using off-the-shelf optical cameras. surgical navigation low-cost computer-assisted surgery stereoscopic camera fiducial marker optical tracking ArUco Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 27 May, 2024 Read the published version in Microsystem Technologies → Version 1 posted Editorial decision: Revision requested 19 Feb, 2024 Reviews received at journal 12 Feb, 2024 Reviewers agreed at journal 01 Feb, 2024 Reviewers invited by journal 08 Jan, 2024 Editor assigned by journal 28 Dec, 2023 Submission checks completed at journal 28 Dec, 2023 First submitted to journal 27 Dec, 2023 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-3814167","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":263921489,"identity":"cbc0151e-b68f-4567-878a-e83c75af613b","order_by":0,"name":"Darin Tsui","email":"","orcid":"","institution":"Georgia Institute of Technology","correspondingAuthor":false,"prefix":"","firstName":"Darin","middleName":"","lastName":"Tsui","suffix":""},{"id":263921490,"identity":"b75cf516-3cd1-4a28-8215-d20c037d3115","order_by":1,"name":"Kirsten Ramos","email":"","orcid":"","institution":"University of California, San Diego","correspondingAuthor":false,"prefix":"","firstName":"Kirsten","middleName":"","lastName":"Ramos","suffix":""},{"id":263921491,"identity":"3fb54c72-410c-421c-9393-4170c93c6759","order_by":2,"name":"Capalina Melentyev","email":"","orcid":"","institution":"University of California, San Diego","correspondingAuthor":false,"prefix":"","firstName":"Capalina","middleName":"","lastName":"Melentyev","suffix":""},{"id":263921492,"identity":"0230069b-1ed3-4ad0-b6bc-e7d43d6eb0d5","order_by":3,"name":"Ananya Rajan","email":"","orcid":"","institution":"University of California, San Diego","correspondingAuthor":false,"prefix":"","firstName":"Ananya","middleName":"","lastName":"Rajan","suffix":""},{"id":263921493,"identity":"30bfd8bb-a4bc-42bc-b1ae-80d6207bcc1a","order_by":4,"name":"Matthew Tam","email":"","orcid":"","institution":"University of California, San Diego","correspondingAuthor":false,"prefix":"","firstName":"Matthew","middleName":"","lastName":"Tam","suffix":""},{"id":263921494,"identity":"48480907-3275-4897-9c1c-0f353ca23e93","order_by":5,"name":"Mitsuhiro Jo","email":"","orcid":"","institution":"University of California, Berkeley","correspondingAuthor":false,"prefix":"","firstName":"Mitsuhiro","middleName":"","lastName":"Jo","suffix":""},{"id":263921495,"identity":"46c661fc-5beb-4a5c-8a8f-0c79ce99528b","order_by":6,"name":"Farshad Ahadian","email":"","orcid":"","institution":"University of California, San Diego","correspondingAuthor":false,"prefix":"","firstName":"Farshad","middleName":"","lastName":"Ahadian","suffix":""},{"id":263921496,"identity":"e03bc22f-2c33-43a4-af1a-43351d193ad2","order_by":7,"name":"Frank E. 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