Title
A fast and efficient method to compensate for brain shift for tumor resection therapies measured between preoperative and postoperative tomograms.
Abstract
In this paper, an efficient paradigm is presented to correct for brain shift during tumor resection therapies. For this study, high resolution preoperative (pre-op) and postoperative (post-op) MR images were acquired for eight in vivo patients, and surface/subsurface shift was identified by manual identification of homologous points between the pre-op and immediate post-op tomograms. Cortical surface deformation data were then used to drive an inverse problem framework. The manually identified subsurface deformations served as a comparison toward validation. The proposed framework recaptured 85% of the mean subsurface shift. This translated to a subsurface shift error of 0.4 +/- 0.4 mm for a measured shift of 3.1 +/- 0.6 mm. The patient's pre-op tomograms were also deformed volumetrically using displacements predicted by the model. Results presented allow a preliminary evaluation of correction both quantitatively and visually. While intraoperative (intra-op) MR imaging data would be optimal, the extent of shift measured from pre- to post-op MR was comparable to clinical conditions. This study demonstrates the accuracy of the proposed framework in predicting full-volume displacements from sparse shift measurements. It also shows that the proposed framework can be extended and used to update pre-op images on a time scale that is compatible with surgery.
Year
DOI
Venue
2010
10.1109/TBME.2009.2039643
IEEE Trans. Biomed. Engineering
Keywords
Field
DocType
biomedical MRI,brain,finite element analysis,inverse problems,physiological models,surgery,tumours,MR images,brain shift,cortical surface deformation,intraoperative MR imaging,inverse problem,subsurface deformations,subsurface shift error,tomograms,tumor resection therapy,Brain shift,finite elements,image deformation,image-guided surgery,inverse model
Biomedical engineering,Preoperative care,Surface deformation,Computer science,Image processing,Resection,Image-guided surgery,Tomography,Inverse problem,Magnetic resonance imaging
Journal
Volume
Issue
ISSN
57
6
1558-2531
Citations 
PageRank 
References 
16
0.81
17
Authors
7
Name
Order
Citations
PageRank
P. Dumpuri11219.67
Reid C. Thompson2786.02
Aize Cao3647.05
Siyi Ding4755.19
Ishita Garg5193.25
Benoit M. Dawant61388223.11
Michael I. Miga756772.99