Title
Strategies for brain shift evaluation.
Abstract
For the analysis of the brain shift phenomenon different strategies were applied. In 32 glioma cases pre- and intraoperative MR datasets were acquired in order to evaluate the maximum displacement of the brain surface and the deep tumor margin. After rigid registration using the software of the neuronavigation system, a direct comparison was made with 2D- and 3D visualizations. As a result, a great variability of the brain shift was observed ranging up to 24 mm for cortical displacement and exceeding 3 mm for the deep tumor margin in 66% of all cases. Following intraoperative imaging the neuronavigation system was updated in eight cases providing reliable guidance. For a more comprehensive analysis a voxel-based nonlinear registration was applied. Aiming at improved speed of alignment we performed all interpolation operations with 3D texture mapping based on OpenGL functions supported in graphics hardware. Further acceleration was achieved with an adaptive refinement of the underlying control point grid focusing on the main deformation areas. For a quick overview the registered datasets were evaluated with different 3D visualization approaches. Finally, the results were compared to the initial measurements contributing to a better understanding of the brain shift phenomenon. Overall, the experiments clearly demonstrate that deformations of the brain surface and deeper brain structures are uncorrelated.
Year
DOI
Venue
2004
10.1016/j.media.2004.02.001
Medical Image Analysis
Keywords
Field
DocType
Brain shift,Intraoperative MRI,Registration,Graphics hardware
Voxel,Texture mapping,Computer vision,Pattern recognition,Graphics hardware,Computer science,Visualization,Interpolation,Artificial intelligence,Intraoperative MRI,OpenGL,Neuronavigation
Journal
Volume
Issue
ISSN
8
4
1361-8415
Citations 
PageRank 
References 
25
1.60
37
Authors
8
Name
Order
Citations
PageRank
Peter Hastreiter131044.28
Christof Rezk-Salama221421.97
Grzegorz Soza338624.12
Michael Bauer4251.94
Günther Greiner559880.74
Rudolf Fahlbusch67911.14
Oliver Ganslandt7666.61
Christopher Nimsky846642.20