Title | ||
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Dual-projection 3D-2D registration for surgical guidance: preclinical evaluation of performance and minimum angular separation |
Abstract | ||
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An algorithm for 3D-2D registration of CT and x-ray projections has been developed using dual projection views to provide 3D localization with accuracy exceeding that of conventional tracking systems. The registration framework employs a normalized gradient information (NGI) similarity metric and covariance matrix adaptation evolution strategy (CMA-ES) to solve for the patient pose in 6 degrees of freedom. Registration performance was evaluated in anthropomorphic head and chest phantoms, as well as a human torso cadaver, using C-arm projection views acquired at angular separations (Delta theta) ranging 0-178 degrees. Registration accuracy was assessed in terms target registration error (TRE) and compared to that of an electromagnetic tracker. Studies evaluated the influence of C-arm magnification, x-ray dose, and preoperative CT slice thickness on registration accuracy and the minimum angular separation required to achieve TRE similar to 2 mm. The results indicate that Delta theta as small as 10-20 degrees is adequate to achieve TRE <2 mm with 95% confidence, comparable or superior to that of commercial trackers. The method allows direct registration of preoperative CT and planning data to intraoperative fluoroscopy, providing 3D localization free from conventional limitations associated with external fiducial markers, stereotactic frames, trackers, and manual registration. The studies support potential application to percutaneous spine procedures and intracranial neurosurgery. |
Year | DOI | Venue |
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2014 | 10.1117/12.2043561 | Proceedings of SPIE |
Keywords | Field | DocType |
Image-guided surgery,3D-2D image registration,C-arm imaging,neurosurgery,orthopaedic surgery | Computer vision,Torso,Fiducial marker,Image-guided surgery,Tracking system,Fluoroscopy,Artificial intelligence,CMA-ES,Magnification,Image registration,Physics | Conference |
Volume | ISSN | Citations |
9036 | 0277-786X | 0 |
PageRank | References | Authors |
0.34 | 4 | 11 |
Name | Order | Citations | PageRank |
---|---|---|---|
Ali Uneri | 1 | 113 | 23.38 |
Yoshito Otake | 2 | 144 | 28.20 |
Adam S. Wang | 3 | 7 | 3.27 |
G Kleinszig | 4 | 35 | 12.24 |
sebastian vogt | 5 | 3 | 4.20 |
G L Gallia | 6 | 71 | 8.13 |
Daniele Rigamonti | 7 | 2 | 1.06 |
j p wolinsky | 8 | 4 | 2.83 |
ziya l gokaslan | 9 | 1 | 0.77 |
a j khanna | 10 | 5 | 2.98 |
J H Siewerdsen | 11 | 100 | 28.22 |