Tracked Foley catheter for motion compensation during fusion image-guided prostate procedures: a phantom study

Abstract Background Uncorrected patient or prostate motion may impair targeting prostate areas during fusion image-guided procedures. We evaluated if a prototype “tracked Foley catheter” (TFC) could maintain fusion image alignment after simulated organ motion. Methods A pelvic phantom model underwen...

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Main Authors: Graham R. Hale, Filippo Pesapane, Sheng Xu, Ivane Bakhutashvili, Neil Glossop, Baris Turkbey, Peter A. Pinto, Bradford J. Wood
Format: Article
Language:English
Published: SpringerOpen 2020-04-01
Series:European Radiology Experimental
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41747-020-00147-4
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author Graham R. Hale
Filippo Pesapane
Sheng Xu
Ivane Bakhutashvili
Neil Glossop
Baris Turkbey
Peter A. Pinto
Bradford J. Wood
author_facet Graham R. Hale
Filippo Pesapane
Sheng Xu
Ivane Bakhutashvili
Neil Glossop
Baris Turkbey
Peter A. Pinto
Bradford J. Wood
author_sort Graham R. Hale
collection DOAJ
description Abstract Background Uncorrected patient or prostate motion may impair targeting prostate areas during fusion image-guided procedures. We evaluated if a prototype “tracked Foley catheter” (TFC) could maintain fusion image alignment after simulated organ motion. Methods A pelvic phantom model underwent magnetic resonance imaging (MRI), and the prostate was segmented. The TFC was placed in the phantom. MRI/ultrasound (US) fusion was performed. Four trials were performed varying motion and TFC presence/absence: (1) TFC/no-motion, (2) TFC/motion, (3) no-TFC/no-motion, and (4) no-TFC/motion. To quantify image alignment, screen captures generated Dice similarity coefficient (DSC) and offset distances (ODs) (maximal US-to-MRI distance between edges on fusion images). Three anatomical targets were identified for placement of a needle under fusion guidance. A computed tomography scan was used to measure system error (SE), i.e., the distance from needle tip to intended target. Results The TFC presence improved MRI/US alignment by DSC 0.88, 0.88, 0.74, and 0.61 in trials 1, 2, 3, and 4, respectively. Both OD (trial 2 versus trial 4, 4.85 ± 1.60 versus 25.29 ± 6.50 mm, p < 0.001) and SE (trial 2 versus trial 4, 6.35 ± 1.31 versus 32.16 ± 6.50 mm, p < 0.005) were significantly lower when the TFC was present after artificial motion, and significantly smaller OD when static (trial 1 versus trial 3, 4.29 ± 1.24 versus 6.42 ± 2.29 mm, p < 0.001). Conclusion TFC provided better image alignment with or without simulated motion. This may overcome system limitations, allowing for more accurate fusion image alignment during fusion-guided biopsy, ablation, or robotic prostatectomy.
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spelling doaj.art-2968d6d5ab784034b54cd2356eda9ef82022-12-22T00:18:58ZengSpringerOpenEuropean Radiology Experimental2509-92802020-04-014111010.1186/s41747-020-00147-4Tracked Foley catheter for motion compensation during fusion image-guided prostate procedures: a phantom studyGraham R. Hale0Filippo Pesapane1Sheng Xu2Ivane Bakhutashvili3Neil Glossop4Baris Turkbey5Peter A. Pinto6Bradford J. Wood7Center for Interventional Oncology, Radiology and Imaging Sciences, National Cancer Institute, National Institutes of HealthCenter for Interventional Oncology, Radiology and Imaging Sciences, National Cancer Institute, National Institutes of HealthCenter for Interventional Oncology, Radiology and Imaging Sciences, National Cancer Institute, National Institutes of HealthCenter for Interventional Oncology, Radiology and Imaging Sciences, National Cancer Institute, National Institutes of HealthArcitraxMolecular Imaging Program, National Cancer Institute, National Institutes of HealthUrologic Oncology Branch, National Cancer Institute, National Institutes of HealthCenter for Interventional Oncology, Radiology and Imaging Sciences, National Cancer Institute, National Institutes of HealthAbstract Background Uncorrected patient or prostate motion may impair targeting prostate areas during fusion image-guided procedures. We evaluated if a prototype “tracked Foley catheter” (TFC) could maintain fusion image alignment after simulated organ motion. Methods A pelvic phantom model underwent magnetic resonance imaging (MRI), and the prostate was segmented. The TFC was placed in the phantom. MRI/ultrasound (US) fusion was performed. Four trials were performed varying motion and TFC presence/absence: (1) TFC/no-motion, (2) TFC/motion, (3) no-TFC/no-motion, and (4) no-TFC/motion. To quantify image alignment, screen captures generated Dice similarity coefficient (DSC) and offset distances (ODs) (maximal US-to-MRI distance between edges on fusion images). Three anatomical targets were identified for placement of a needle under fusion guidance. A computed tomography scan was used to measure system error (SE), i.e., the distance from needle tip to intended target. Results The TFC presence improved MRI/US alignment by DSC 0.88, 0.88, 0.74, and 0.61 in trials 1, 2, 3, and 4, respectively. Both OD (trial 2 versus trial 4, 4.85 ± 1.60 versus 25.29 ± 6.50 mm, p < 0.001) and SE (trial 2 versus trial 4, 6.35 ± 1.31 versus 32.16 ± 6.50 mm, p < 0.005) were significantly lower when the TFC was present after artificial motion, and significantly smaller OD when static (trial 1 versus trial 3, 4.29 ± 1.24 versus 6.42 ± 2.29 mm, p < 0.001). Conclusion TFC provided better image alignment with or without simulated motion. This may overcome system limitations, allowing for more accurate fusion image alignment during fusion-guided biopsy, ablation, or robotic prostatectomy.http://link.springer.com/article/10.1186/s41747-020-00147-4Focal therapyProstatic neoplasmsImage-guided biopsySpatial navigationSurgery (computer-assisted)
spellingShingle Graham R. Hale
Filippo Pesapane
Sheng Xu
Ivane Bakhutashvili
Neil Glossop
Baris Turkbey
Peter A. Pinto
Bradford J. Wood
Tracked Foley catheter for motion compensation during fusion image-guided prostate procedures: a phantom study
European Radiology Experimental
Focal therapy
Prostatic neoplasms
Image-guided biopsy
Spatial navigation
Surgery (computer-assisted)
title Tracked Foley catheter for motion compensation during fusion image-guided prostate procedures: a phantom study
title_full Tracked Foley catheter for motion compensation during fusion image-guided prostate procedures: a phantom study
title_fullStr Tracked Foley catheter for motion compensation during fusion image-guided prostate procedures: a phantom study
title_full_unstemmed Tracked Foley catheter for motion compensation during fusion image-guided prostate procedures: a phantom study
title_short Tracked Foley catheter for motion compensation during fusion image-guided prostate procedures: a phantom study
title_sort tracked foley catheter for motion compensation during fusion image guided prostate procedures a phantom study
topic Focal therapy
Prostatic neoplasms
Image-guided biopsy
Spatial navigation
Surgery (computer-assisted)
url http://link.springer.com/article/10.1186/s41747-020-00147-4
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