Needle Insertion in CT Scanner with Image Overlay – Cadaver Studies

  • Gabor Fichtinger
  • Anton Deguet
  • Ken Masamune
  • Emese Balogh
  • Gregory Fischer
  • Herve Mathieu
  • Russell H. Taylor
  • Laura M. Fayad
  • S. James Zinreich
Part of the Lecture Notes in Computer Science book series (LNCS, volume 3217)

Abstract

An image overlay system is presented to assist needle placement in conventional CT scanners. The device consists of a flat LCD display and a half mirror and is mounted on the gantry. Looking at the patient through the mirror, the CT image appears to be floating inside the patient with correct size and position, thereby providing the physician with two-dimensional “X-ray vision” to guide needle placement procedures. The physician inserts the needle following the optimal path identified in the CT image that is rendered on the LCD and thereby reflected in the mirror. The system promises to increase needle placement accuracy and also to reduce X-ray dose, patient discomfort, and procedure time by eliminating faulty insertion attempts. We report cadaver experiments in several clinical applications with a clinically applicable device.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Sauer, F., Khamene, A., Vogt, S.: An Augmented Reality Navigation System with a Single-Camera Tracker: System Design and Needle Biopsy Phantom Trial. In: Dohi, T., Kikinis, R. (eds.) MICCAI 2002. LNCS, vol. 2489, pp. 116–124. Springer, Heidelberg (2002)CrossRefGoogle Scholar
  2. 2.
    Birkfellner, W., Figl, M., Huber, K., Watzinger, F., Wanschitz, F., Hummel, J., Hanel, R., Greimel, W., Homolka, P., Ewers, R., Bergmann, H.: A head-mounted operating binocular for augmented reality visualization in medicine - design and initial evaluation. IEEE Transactions on Medical Imaging 21(8), 991–997 (2002)CrossRefGoogle Scholar
  3. 3.
    Grimson, W.E.L., Lozano-Perez, L., Wells, W.M., Ettinger, G.J., White, S.J., Kikinis, R.: An Automatic Registration Method for Frameless Stereotaxy, Image Guided Surgery, and Enhanced Reality Visualization. IEEE Trans. Med. Imag. 15(2) (1996)Google Scholar
  4. 4.
    Blackwell, M., Nikou, C., DiGioia, A.M., Kanade, T.: An Image Overlay System for Medical Data Visualization. In: Wells, W.M., Colchester, A.C.F., Delp, S.L. (eds.) MICCAI 1998. LNCS, vol. 1496, pp. 232–240. Springer, Heidelberg (1998)Google Scholar
  5. 5.
    Masamune, K., Masutani, Y., Nakajima, S., Sakuma, I., Dohi, T., Iseki, H., Takakura, K.: Three dimensional Slice Image Overlay System with Accurate Depth Perception for Surgery. In: Delp, S.L., DiGoia, A.M., Jaramaz, B. (eds.) MICCAI 2000. LNCS, vol. 1935, pp. 395–402. Springer, Heidelberg (2000)CrossRefGoogle Scholar
  6. 6.
    Masamune, K., Fichtinger, G., Deguet, A., Matsuka, D., Taylor, R.H.: An Image Overlay System with Enhanced Reality for Percutaneous Therapy Performed Inside CT Scanner. In: Dohi, T., Kikinis, R. (eds.) MICCAI 2002. LNCS, vol. 2489, pp. 77–84. Springer, Heidelberg (2002)CrossRefGoogle Scholar
  7. 7.
    Stetten, G., Chib, V.: Magnified Real-Time Tomographic Reflection. In: Niessen, W.J., Viergever, M.A. (eds.) MICCAI 2001. LNCS, vol. 2208, pp. 683–690. Springer, Heidelberg (2001)CrossRefGoogle Scholar
  8. 8.
    Stetten, G.D., Cois, A., Chang, W., Shelton, D., Tamburo, R.J., Castellucci, J., von Ramm, O.: CMode Real Time Tomographic Reflection for a Matrix Array Ultrasound Sonic Flashlight. In: Ellis, R.E., Peters, T.M. (eds.) MICCAI 2003. LNCS, vol. 2879, pp. 336–343. Springer, Heidelberg (2003)CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2004

Authors and Affiliations

  • Gabor Fichtinger
    • 1
  • Anton Deguet
    • 1
  • Ken Masamune
    • 2
  • Emese Balogh
    • 1
  • Gregory Fischer
    • 1
  • Herve Mathieu
    • 1
  • Russell H. Taylor
    • 1
  • Laura M. Fayad
    • 1
  • S. James Zinreich
    • 1
  1. 1.Johns Hopkins UniversityBaltimoreUSA
  2. 2.Tokyo Denki UniversityJapan

Personalised recommendations