| Visualization support for the planning of hepatic needle placement. | |
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MedLine Citation:
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PMID: 21656376 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: Percutaneous image-guided interventions, such as radiofrequency ablation or biopsy, are using needle-shaped instruments which have to be inserted into a target area without penetrating any vital structure. The established planning workflow is based on viewing 2D slices of a pre-interventional CT or MR scan. However, access paths not parallel to the axial plane are often necessary. For such complicated cases, the planning process is challenging and time consuming if solely based on 2D slices. To overcome these limitations while keeping the well-established workflow, we propose a visualization method that highlights less suited paths directly in the 2D visualizations with which the radiologist is familiar. METHODS: Based on a user defined target point and segmentation masks of relevant risk structures, a risk structure map is computed using GPU accelerated volume rendering and projected onto the 2D slices. This visualization supports the user in defining safe linear access paths by selecting a second point directly in the 2D image slices. RESULTS: In an evaluation for 20 liver radiofrequency ablation cases, 3 experienced radiologists stated for 55% of the cases that the visualization supported the access path choice. The visualization support was rated with an average mark of 2.2. For 2 of the 3 radiologists, a significant reduction of the planning duration by 54 and 50% was observed. CONCLUSIONS: The proposed visualization approach can both accelerate the access path planning for radiofrequency ablation in the liver and facilitate the differentiation between safer and less safe paths. |
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Authors:
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Christian Schumann; Jennifer Bieberstein; Stefan Braunewell; Matthias Niethammer; Heinz-Otto Peitgen |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-6-9 |
Journal Detail:
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Title: International journal of computer assisted radiology and surgery Volume: - ISSN: 1861-6429 ISO Abbreviation: - Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-6-9 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101499225 Medline TA: Int J Comput Assist Radiol Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Fraunhofer MEVIS - Institute for Medical Image Computing, Universitaetsallee 29, 28359, Bremen, Germany, christian.schumann@mevis.fraunhofer.de. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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