Title
3D transrectal ultrasound prostate biopsy using a mechanical imaging and needle-guidance system
Abstract
Prostate biopsy procedures are generally limited to 2D transrectal ultrasound (TRUS) imaging for biopsy needle guidance. This limitation results in needle position ambiguity and an insufficient record of biopsy core locations in cases of prostate re-biopsy. We have developed a multi-jointed mechanical device that supports a commercially available TRUS probe with an integrated needle guide for precision prostate biopsy. The device is fixed at the base, allowing the joints to be manually manipulated while fully supporting its weight throughout its full range of motion. Means are provided to track the needle trajectory and display this trajectory on a corresponding TRUS image. This allows the physician to aim the needle-guide at predefined targets within the prostate, providing true 3D navigation. The tracker has been designed for use with several end-fired transducers that can be rotated about the longitudinal axis of the probe to generate 3D images. The tracker reduces the variability associated with conventional hand-held probes, while preserving user familiarity and procedural workflow. In a prostate phantom, biopsy needles were guided to within 2 mm of their targets, and the 3D location of the biopsy core was accurate to within 3 mm. The 3D navigation system is validated in the presence of prostate motion in a preliminary patient study.
Year
DOI
Venue
2008
10.1117/12.772759
PROCEEDINGS OF THE SOCIETY OF PHOTO-OPTICAL INSTRUMENTATION ENGINEERS (SPIE)
Keywords
Field
DocType
prostate biopsy,image guided diagnosis,ultrasound guidance,3D ultrasound imaging
Ultrasound prostate,Range of motion,Imaging phantom,Prostate biopsy,Biopsy,Guidance system,Prostate,Radiology,Medicine,Ultrasound
Conference
Volume
ISSN
Citations 
6918
0277-786X
0
PageRank 
References 
Authors
0.34
0
10
Name
Order
Citations
PageRank
jeffrey bax100.34
Derek W. Cool2127.56
Lori Gardi3248.72
jacques montreuil400.34
elena gil500.34
jeremy bluvol600.34
kerry knight700.34
d h smith800.34
Cesare Romagnoli9679.65
Aaron Fenster1027067.27