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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Format: | Article |
Language: | English |
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SpringerOpen
2020-04-01
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Series: | European Radiology Experimental |
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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. |
first_indexed | 2024-12-12T16:22:05Z |
format | Article |
id | doaj.art-2968d6d5ab784034b54cd2356eda9ef8 |
institution | Directory Open Access Journal |
issn | 2509-9280 |
language | English |
last_indexed | 2024-12-12T16:22:05Z |
publishDate | 2020-04-01 |
publisher | SpringerOpen |
record_format | Article |
series | European Radiology Experimental |
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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