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2015 ; 10
(8
): 1239-52
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
2D-3D radiograph to cone-beam computed tomography (CBCT) registration for C-arm
image-guided robotic surgery
#MMPMID25503592
Liu WP
; Otake Y
; Azizian M
; Wagner OJ
; Sorger JM
; Armand M
; Taylor RH
Int J Comput Assist Radiol Surg
2015[Aug]; 10
(8
): 1239-52
PMID25503592
show ga
PURPOSE: C-arm radiographs are commonly used for intraoperative image guidance in
surgical interventions. Fluoroscopy is a cost-effective real-time modality,
although image quality can vary greatly depending on the target anatomy.
Cone-beam computed tomography (CBCT) scans are sometimes available, so 2D-3D
registration is needed for intra-procedural guidance. C-arm radiographs were
registered to CBCT scans and used for 3D localization of peritumor fiducials
during a minimally invasive thoracic intervention with a da Vinci Si robot.
METHODS: Intensity-based 2D-3D registration of intraoperative radiographs to CBCT
was performed. The feasible range of X-ray projections achievable by a C-arm
positioned around a da Vinci Si surgical robot, configured for robotic wedge
resection, was determined using phantom models. Experiments were conducted on
synthetic phantoms and animals imaged with an OEC 9600 and a Siemens Artis zeego,
representing the spectrum of different C-arm systems currently available for
clinical use. RESULTS: The image guidance workflow was feasible using either an
optically tracked OEC 9600 or a Siemens Artis zeego C-arm, resulting in an
angular difference of ??:? 30°. The two C-arm systems provided TRE mean ? 2.5 mm
and TRE mean ? 2.0 mm, respectively (i.e., comparable to standard clinical
intraoperative navigation systems). CONCLUSIONS: C-arm 3D localization from dual
2D-3D registered radiographs was feasible and applicable for intraoperative image
guidance during da Vinci robotic thoracic interventions using the proposed
workflow. Tissue deformation and in vivo experiments are required before clinical
evaluation of this system.