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Three-Dimensional Ultrasound-Based Navigation Combined with Preoperative CT During Abdominal Interventions: A Feasibility Study

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Abstract

Purpose: Three-dimensional (3D) intraoperative ultrasound may be easier to interpret when used in combination with less noisy preoperative image data such as CT. The purpose of this study was to evaluate the use of preoperative image data in a 3D ultrasound-based navigation system specially designed for minimally invasive abdominal surgery. A prototype system has been tested in patients with aortic aneurysms undergoing clinical assessment before and after abdominal aortic stent-graft implantation. Methods: All patients were first imaged by spiral CT followed by 3D ultrasound scanning. The CT volume was registered to the patient using fiducial markers. This enabled us to compare corresponding slices from 3D ultrasound and CT volumes. The accuracy of the patient registration was evaluated both using the external fiducial markers (artificial landmarks glued on the patient’s skin) and using intraoperative 3D ultrasound as a measure of the true positioning of anatomic landmarks inside the body. Results: The mean registration accuracy on the surface was found to be 7.1 mm, but increased to 13.0 mm for specific landmarks inside the body. CT and ultrasound gave supplementary information of surrounding structures and position of the patient’s anatomy. Fine-tuning the initial patient registration of the CT data with a multimodal CT to intraoperative 3D ultrasound registration (e.g., mutual information), as well as ensuring no movements between this registration and image guidance, may improve the registration accuracy. Conclusion: Preoperative CT in combination with 3D ultrasound might be helpful for guiding minimal invasive abdominal interventions.

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References

  1. LE Shields C Lowery C Deforge D Gustafson (1998) ArticleTitleTechnology and early clinical experience with real time 3D ultrasound. Electromedica 66 84–88

    Google Scholar 

  2. A Gronningsaeter et al. (2000) ArticleTitleSonoWand, an ultrasound-based neuronavigation system. Neurosurgery 47 1373–1380 Occurrence Handle11126908

    PubMed  Google Scholar 

  3. G Unsgaard S Ommedal T Muller A Gronningsaeter TA. Nagelhus Hernes (2002) ArticleTitleNeuronavigation by intraoperative three-dimensional ultrasound: Initial experience during brain tumor resection. Neurosurgery 50 1–9 Occurrence Handle11844228

    PubMed  Google Scholar 

  4. CC Blake TL Elliot PJ Slomka DB Downey A Fenster (2000) ArticleTitleVariability and accuracy of measurements of prostate brachytherapy seed position in vitro using three-dimensional ultrasound: An intra- and inter-observer study. Med Phys 27 2788–2795 Occurrence Handle10.1118/1.1326448 Occurrence Handle1:STN:280:DC%2BD3M7ks1Wnuw%3D%3D Occurrence Handle11190962

    Article  CAS  PubMed  Google Scholar 

  5. N Nelson RG Stock (2000) ArticleTitleProstate brachytherapy in patients with prostate volumes ≥50 cm3: Dosimetric analysis of implant quality. Int J Radiat Oncol Biol Phys 46 1199–1204 Occurrence Handle10.1016/S0360-3016(99)00516-7 Occurrence Handle1:STN:280:DC%2BD3c7ptFOluw%3D%3D Occurrence Handle10725632

    Article  CAS  PubMed  Google Scholar 

  6. EM Messing JBY Zhang DJ Rubens RA Brasacchio JG Strang A Soni MC Schell PG Okunieff Y Yu (1999) ArticleTitleIntraoperative optimized inverse planning for prostate brachytherapy: Early experience. Int J Radiat Oncol Biol Phys 44 801–808 Occurrence Handle10.1016/S0360-3016(99)00088-7 Occurrence Handle1:STN:280:DyaK1MzhtlajtQ%3D%3D Occurrence Handle10386636

    Article  CAS  PubMed  Google Scholar 

  7. MJ Zelefsky Y Yamada G Cohen ES Venkatraman AYC Fung E Furhang D Silvern M Zaider (2000) ArticleTitlePostimplantation dosimetric analysis of permanent transperineal prostate implantation: Improved dose distribution with an intraoperative computer-optimized conformal planning technique. Int J Radiat Oncol Biol Phys 48 601–608 Occurrence Handle10.1016/S0360-3016(00)00655-6 Occurrence Handle1:STN:280:DC%2BD3cvlvVCgsQ%3D%3D Occurrence Handle10974481

    Article  CAS  PubMed  Google Scholar 

  8. JPM Sedelaar JGH Van Roermund GLJH Van Leenders CA Hulsbergen-van de Kaa H Wijkstra JJMCH. De La Rosette (2001) ArticleTitleThree-dimensional grayscale ultrasound: Evaluation of prostate cancer compared with benign prostatic hyperplasia. Urology 57 914–920 Occurrence Handle10.1016/S0090-4295(00)01115-8 Occurrence Handle1:STN:280:DC%2BD3M3ms1GhtA%3D%3D Occurrence Handle11337294

    Article  CAS  PubMed  Google Scholar 

  9. ED Staren TP. O’Neill (1999) ArticleTitleUltrasound-guided needle biopsy of the breast. Surgery 126 629–635 Occurrence Handle10.1067/msy.2099.100666 Occurrence Handle1:STN:280:DyaK1MvkvFaiug%3D%3D Occurrence Handle10520908

    Article  CAS  PubMed  Google Scholar 

  10. CF Weismann R Forstner E Prokop T Rettenbacher (2000) ArticleTitleThree-dimensional targeting: A new three-dimensional ultrasound technique to evaluate needle position during breast biopsy. Ultrasound Obstet Gynecol 16 359–364 Occurrence Handle10.1046/j.1469-0705.2000.00182.x Occurrence Handle1:STN:280:DC%2BD3M3isFejsQ%3D%3D Occurrence Handle11169313

    Article  CAS  PubMed  Google Scholar 

  11. KJ Draper CC Blake L Gowman DB Downey A Fenster (2000) ArticleTitleAn algorithm for automatic needle localization in ultrasound-guided breast biopsies. Med Phys 27 1971–1979 Occurrence Handle10.1118/1.1287437 Occurrence Handle1:STN:280:DC%2BD3M%2FptVyrsg%3D%3D Occurrence Handle10984243

    Article  CAS  PubMed  Google Scholar 

  12. Y Sato M Nakamoto Y Tamaki T Sasama I Sakita Y Nakajima M Monden S Tamura (1998) ArticleTitleImage guidance of breast cancer surgery using 3-D ultrasound images and augmented reality visualization. IEEE Trans Med Imaging 17 681–693 Occurrence Handle10.1109/42.736019 Occurrence Handle1:STN:280:DyaK1M%2FovFKrug%3D%3D Occurrence Handle9874292

    Article  CAS  PubMed  Google Scholar 

  13. Lindseth F, Bang J, Langø T (2003) A robust and automatic method for evaluating the accuracy in 3D ultrasound-based navigation. J Ultrasound Med Biol (in press)

  14. Lindseth F, Langø T, Bang J, Hernes TAN (2002) Accuracy evaluation of a 3D ultrasound-based neuronavigation system. Comput Aided Surg 7:197–222

    Article  PubMed  Google Scholar 

  15. Lindseth F, Langø T, Bang J, Hernes TAN (2001) Image fusion of ultrasound and MRI as an aid for assessing anatomical shifts and improving overview and interpretation in ultrasound guided neurosurgery. Proceedings of Computer Assisted Radiology and Surgery (CARS), Berlin, Germany. Elsevier Science B.V., June 27-30, pp 247–252

  16. CR Wirtz FK Albert M Schwaderer C Heuer A Staubert VM Tronnier M Knauth S Kunze (2000) ArticleTitleThe benefit of neuronavigation for neurosurgery analyzed by its impact on glioblastoma surgery. Neurol Res 22 354–360 Occurrence Handle1:STN:280:DC%2BD3cvpslGisQ%3D%3D Occurrence Handle10874684

    CAS  PubMed  Google Scholar 

  17. Unsgaard G, Ommedal S, Muller T, Gronningsaeter A, Hernes TAN (2002) Neuronavigation by intraoperative 3D ultrasound, initial experiences during brain tumor resections: Clinical study. Neurosurgery 50:804–812

    PubMed  Google Scholar 

  18. VM Tronnier MM Bonsanto A Staubert M Knauth S Kunze CR Wirtz (2001) ArticleTitleComparison of intraoperative MR imaging and 3D-navigated ultrasonography in the detection and resection control of lesions. Neurosurg Focus 10 1–5 Occurrence Handle1:CAS:528:DC%2BD3MXmt1OqtLg%3D

    CAS  Google Scholar 

  19. A Jødicke W Deinsberger H Erbe A Kriete D-K. Bøker (1998) ArticleTitleIntraoperative three-dimensional ultrasonography: An approach to register brain shift using multidimensional image processing. Minim Invas Neurosurg 41 13–19

    Google Scholar 

  20. C Nimsky O Ganslandt S Cerny P Hastreiter G Greiner R Fahlbusch (2000) ArticleTitleQuantification of visualization of, and compensation for brain shift using intraoperative magnetic resonance imaging. Neurosurgery 47 1070–1080 Occurrence Handle1:STN:280:DC%2BD3crgvFOmsw%3D%3D Occurrence Handle11063099

    CAS  PubMed  Google Scholar 

  21. N Hata T Dohi H Iseki K Takakura (1997) ArticleTitleDevelopment of a frameless and armless stereotactic neuronavigation system with ultrasonographic registration. Neurosurgery 41 608–614 Occurrence Handle1:STN:280:ByiH2MjgtlE%3D Occurrence Handle9310978

    CAS  PubMed  Google Scholar 

  22. V Seifert M Zimmermann C Trantakis H-E Vitzhum K Køhnel A Raabe F Bootz J-P Schneider F Schmidt J Dietrich (1999) ArticleTitleOpen MRI-guided neurosurgery. Acta Neurochir 141 455–464 Occurrence Handle1:STN:280:DyaK1MzitVCqtQ%3D%3D

    CAS  Google Scholar 

  23. P Grunert W Müller-Forell K Darabi R Reisch C Busert N Hopf A Perneczky (1998) ArticleTitleBasic principles and clinical applications of neuronavigation and intraoperative computed tomography. Comput Aided Surg 3 166–173 Occurrence Handle10.1002/(SICI)1097-0150(1998)3:4<166::AID-IGS6>3.3.CO;2-5 Occurrence Handle1:STN:280:DyaK1M7kvFOgtA%3D%3D Occurrence Handle10027490

    Article  CAS  PubMed  Google Scholar 

  24. G Stetten et al. (1998) ArticleTitleReal-time 3D ultrasound: A new look at the heart. J Cardiovasc Diagn Proc 15 73–84

    Google Scholar 

  25. OT von Ramm et al. (1991) ArticleTitleReal-time, three-dimensional echocardiography: The first human images. Circulation 84[Suppl II] 685

    Google Scholar 

  26. JM Fitzpatrick JB West CR Maurer (1998) ArticleTitlePredicting error in rigid-body point-based registration. IEEE Trans Med Imaging 17 694–702 Occurrence Handle1:STN:280:DyaK1M%2FovFKruw%3D%3D Occurrence Handle9874293

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

J.Å’s part in this study was supported by a grant from the Norwegian Health Association and the Norwegian Foundation for Health and Rehabilitation.

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Authors and Affiliations

  1. Ultrasound Department, SINTEF Unimed, N-7465 Trondheim, Norway

    J.H. Kaspersen, E. Sjølie, F. Lindseth & T.A. Nagelhus Hernes

  2. Vascular Department, University Hospital of Trondheim, N-7465 Trondheim, Norway

    J. Wesche, J. Åsland & J. Lundbom

  3. Department of Radiology, University Hospital of Trondheim, N-7465 Trondheim, Norway

    A. Ødegård

Authors
  1. J.H. Kaspersen
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  2. E. Sjølie
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  3. J. Wesche
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  4. J. Åsland
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  5. J. Lundbom
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  6. A. Ødegård
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  7. F. Lindseth
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  8. T.A. Nagelhus Hernes
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Correspondence to J.H. Kaspersen.

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Kaspersen, J., Sjølie, E., Wesche, J. et al. Three-Dimensional Ultrasound-Based Navigation Combined with Preoperative CT During Abdominal Interventions: A Feasibility Study . CVIR 26, 347–356 (2003). https://doi.org/10.1007/s00270-003-2690-1

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  • DOI: https://doi.org/10.1007/s00270-003-2690-1

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