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Tracking of the liver for navigation in open surgery

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

A main task of navigation systems assisting a surgeon during an intervention is to determine the spatial position of instruments relative to the organ. In comparison to navigation of hard tissue, this is still a challenge for navigation in soft tissue. In this contribution a method is presented to measure the position and the deformation of the liver.

Method

Therefore, reflective fiducials are fixed at the surface of the liver, whose spatial positions are measured with an optical position measurement system. Therewith the position of the whole liver is calculated. The deformation at the surface of the liver is determined using a model of the surface. The method was verified in an experiment with pig liver.

Results

The position of the liver could be tracked. Spatial deviations because of the deformation of the liver could be reduced by 36%.

Conclusion

This method can be applied in navigation of instruments in open liver surgery to track the position of the liver.

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References

  1. Strauss G, Koulechov K, Rottger S, Bahner J, Trantakis C, Hofer M, Korb W, Burgert O, Meixensberger J, Manzey D, Dietz A, Lueth TC (2006) Evaluation of a navigation system for ENT with surgical efficiency criteria. Laryngoscope 116(4): 564–572

    Article  PubMed  Google Scholar 

  2. Schermeier O, Hildebrand D, Lueth TC, Szymanski D, Bier J (2001) Accuracy of an image guided system for oral implantology. Int Congr Ser Comput Assist Radiol Surg 1230: 748–752

    Google Scholar 

  3. Weber S, Lueth TC (2005) Navigation of bone alignment osteotomies of the tibia. Int J Med Robot Comput Assist Surg 1(4): 98–107

    Article  CAS  Google Scholar 

  4. Krücker J, Xu S, Glossop N, Viswanathan A, Borgert J, Schulz H, Wood BJ (2007) Electromagnetic tracking for thermal ablation and biopsy guidance: clinical evaluation of spatial accuracy. J Vasc Interv Radiol 18(9): 1141–1150

    Article  PubMed  Google Scholar 

  5. Beller S, Huenerbein M, Lange T, Eulenstein S, Gebauer B, Schlag PM (2007) Image-guided surgery of liver metastases by three-dimensional ultrasound-based optoelectronic navigation. Br J Surg 94(7): 866–875

    Article  CAS  PubMed  Google Scholar 

  6. Clifford MA, Banovac F, Levy E, Cleary K (2002) Assessment of hepatic motion secondary to respiration for computer assisted interventions. Comput Aided Surg 7(5): 291–299

    Article  PubMed  Google Scholar 

  7. Beller S, Hünerbein M, Lange T, Eulenstein S, Gebauer B, Schlag PM (2007) Image-guided surgery of liver metastases by three-dimensional ultrasound-based optoelectronic navigation. Br J Surg 94: 866–875

    Article  CAS  PubMed  Google Scholar 

  8. Lange T, Eulenstein S, Hünerbein M, Schlag PM (2003) Vessel-based non-rigid registration of MR/CT and 3D ultrasound for navigation in liver surgery. Comput Aided Surg 8(5): 228–240

    Article  PubMed  Google Scholar 

  9. Penney GP, Blackall JM, Hamady MS, Sabharwal T, Adam A, Hawkes DJ (2004) Registration of freehand 3D ultrasound and magnetic resonance liver images. Med Image Analy 8(1): 81–91

    Article  CAS  Google Scholar 

  10. Lange T, Eulenstein S, Hunerbein M, Lamecker H, Schlag PM (2004) Augmenting intraoperative 3D ultrasound with preoperative models for navigation in liver surgery. Lect Notes Comput Sci 3217: 534–541

    Google Scholar 

  11. Furushiro N, Saito T, Masutani Y, Sakuma I (2002) Specification method of surface measurement for surgical navigation: ridgeline based organ registration. Lect Notes Comput Sci 2489: 109–115

    Article  Google Scholar 

  12. Clements LW, Cash DM, Chapman WC, Galloway RL, Miga MI (2006) Robust surface registration using salient anatomical features in image-guided liver surgery. SPIE 2006, Medical Imaging, San Diego

    Google Scholar 

  13. Eulenstein S, Beller S, Hünerbein M, Lange T, Schlag PM (2007) Erweiterung eines optischen Navigationssystems für die Leberchirurgie um eine kontinuierliche Lagekontrolle in einem Punkt. Tagungsband der 6.Jahrestagung der Deutschen Gesellschaft für Computer- und Roboterassistierte Chirurgie e.V., pp 233–236

  14. Vetter M, Wolf I, Hassenpflug P, Hastenteufel M, Ludwig R, Grenacher L, Richter GM, Uhl W, Büchler MW, Meinzer HP (2003) Navigation aids and real-time deformation modeling for open liver surgery. In: SPIE 2003, Proceedings of SPIE, vol 5029, p 58

  15. Maier-Hein L, Maleike D, Neuhaus J, Franz A, Wolf I, Meinzer HP (2007) Soft tissue navigation using needle-shaped markers: evaluation of navigation aid tracking accuracy and CT registration. In: SPIE 2007, Proceedings of SPIE, vol 6509, pp 2–26

  16. Markert M, Nowatschin S, Weber S, Lueth TC (2008) Navigated resection of residual liver tumors that are no longer visible after presurgical chemotherapy. Int J Comput Assist Radiol Surg 3(6): 599–600

    Article  Google Scholar 

  17. Lee DT, Schachter BJ (1980) Two algorithms for constructing a Delaunay triangulation. Int J Parallel Program 9(3): 219–242

    Google Scholar 

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Authors and Affiliations

  1. Micro Technology and Medical Device Engineering (MIMED), TU München, Munich, Germany

    Mathias Markert, Angelika Koschany & Tim Lueth

Authors
  1. Mathias Markert
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  2. Angelika Koschany
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  3. Tim Lueth
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Corresponding author

Correspondence to Mathias Markert.

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Markert, M., Koschany, A. & Lueth, T. Tracking of the liver for navigation in open surgery. Int J CARS 5, 229–235 (2010). https://doi.org/10.1007/s11548-009-0395-x

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  • DOI: https://doi.org/10.1007/s11548-009-0395-x

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