Document Detail


A fast and efficient method to compensate for brain shift for tumor resection therapies measured between preoperative and postoperative tomograms.
MedLine Citation:
PMID:  20172796     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Prashanth Dumpuri; Reid C Thompson; Aize Cao; Siyi Ding; Ishita Garg; Benoit M Dawant; Michael I Miga
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-02-17
Journal Detail:
Title:  IEEE transactions on bio-medical engineering     Volume:  57     ISSN:  1558-2531     ISO Abbreviation:  IEEE Trans Biomed Eng     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-27     Completed Date:  2010-12-15     Revised Date:  2011-11-18    
Medline Journal Info:
Nlm Unique ID:  0012737     Medline TA:  IEEE Trans Biomed Eng     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1285-96     Citation Subset:  IM    
Affiliation:
Department of Biomedical Engineering, Vanderbilt University, Nashville, TN 37235, USA. prashanth.dumpuri@vanderbilt.edu
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Artifacts*
Brain Neoplasms / pathology*,  surgery*
Female
Humans
Image Enhancement / methods
Image Interpretation, Computer-Assisted / methods*
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Neurosurgical Procedures / methods
Pattern Recognition, Automated / methods
Postoperative Care / methods
Preoperative Care / methods
Reproducibility of Results
Sensitivity and Specificity
Subtraction Technique*
Surgery, Computer-Assisted / methods*
Grant Support
ID/Acronym/Agency:
R01 NS049251-01A1/NS/NINDS NIH HHS; R01 NS049251-04A1/NS/NINDS NIH HHS; R01 NS049251-07/NS/NINDS NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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