Projection-Based Collision Detection Algorithm for Stereoelectroencephalography Electrode Risk Assessment and Re-Planning

Surgical planning is crucial to Stereoelectroencephalography (SEEG), a minimally invasive procedure that requires clinicians to operate with no direct view of the brain. Decisions making involves different clinical specialties and requires analysis of multiple multimodal datasets. We present a Depth...

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Main Authors: Alfredo Higueras-Esteban, Ignacio Delgado-Martinez, Laura Serrano Perez, Nazaret Infante-Santos, Alejandra Narvaez-Martinez, Alessandro Principe, Rodrigo Rocamora, Gerardo Conesa, Luis Serra, Miguel A. Gonzalez Ballester
Format: Article
Language:English
Published: IEEE 2021-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/9495786/
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author Alfredo Higueras-Esteban
Ignacio Delgado-Martinez
Laura Serrano Perez
Nazaret Infante-Santos
Alejandra Narvaez-Martinez
Alessandro Principe
Rodrigo Rocamora
Gerardo Conesa
Luis Serra
Miguel A. Gonzalez Ballester
author_facet Alfredo Higueras-Esteban
Ignacio Delgado-Martinez
Laura Serrano Perez
Nazaret Infante-Santos
Alejandra Narvaez-Martinez
Alessandro Principe
Rodrigo Rocamora
Gerardo Conesa
Luis Serra
Miguel A. Gonzalez Ballester
author_sort Alfredo Higueras-Esteban
collection DOAJ
description Surgical planning is crucial to Stereoelectroencephalography (SEEG), a minimally invasive procedure that requires clinicians to operate with no direct view of the brain. Decisions making involves different clinical specialties and requires analysis of multiple multimodal datasets. We present a DepthMap tool designed to localize, measure, and visualize surgical risk, and an AlternativeFinder tool, designed to search for alternative trajectories maintaining adherence to the initial trajectory with three different re-planning strategies: similar entry, similar target, or parallel trajectory. The two tools transform the 3D problem into the 2D domain using projective geometry and distance mapping. Both use the graphics processing unit (GPU) to create a 2D depth image used by DepthMap for measurement and visualization, and by AlternativeFinder to find alternative trajectories. Tools were tested with 12 SEEG cases using digital subtraction angiography. DepthMap was used to measure vessel distance. AlternativeFinder was then used to search for alternatives. Computation time and displacements of the entry and target points for each trajectory and adherence strategy were recorded. The DepthMap tool found vessels in 118 initial trajectories (out of 145). Ninety alternative trajectories were found to meet the required avascular constraints (average 820K alternatives evaluated per initial trajectory). The average computation time was 449 ms per initial trajectory (77 ms when alternatives were found). The tools presented helped clinicians examine and re-plan SEEG trajectories to avoid vascular risks using three adherence strategies. Quantitative measurement of the adherence shows the potential of this tool for clinical use.
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spelling doaj.art-522b2382585c47a3b99a05dab61beec22022-12-21T18:23:42ZengIEEEIEEE Access2169-35362021-01-01910518010519110.1109/ACCESS.2021.30999649495786Projection-Based Collision Detection Algorithm for Stereoelectroencephalography Electrode Risk Assessment and Re-PlanningAlfredo Higueras-Esteban0https://orcid.org/0000-0001-8165-2526Ignacio Delgado-Martinez1Laura Serrano Perez2Nazaret Infante-Santos3Alejandra Narvaez-Martinez4Alessandro Principe5Rodrigo Rocamora6Gerardo Conesa7Luis Serra8Miguel A. Gonzalez Ballester9https://orcid.org/0000-0002-9227-6826Neurosurgery Unit, Galgo Medical SL, Barcelona, SpainNeurosurgery Unit, Galgo Medical SL, Barcelona, SpainNeurosurgery Unit, IMIM-Hospital del Mar, Barcelona, SpainNeurosurgery Unit, IMIM-Hospital del Mar, Barcelona, SpainNeurosurgery Unit, IMIM-Hospital del Mar, Barcelona, SpainEpilepsy Unit, IMIM-Hospital del Mar, Barcelona, SpainEpilepsy Unit, IMIM-Hospital del Mar, Barcelona, SpainNeurosurgery Unit, IMIM-Hospital del Mar, Barcelona, SpainNeurosurgery Unit, Galgo Medical SL, Barcelona, SpainDepartment of Information and Communication Technologies, BCN Medtech, Universitat Pompeu Fabra, Barcelona, SpainSurgical planning is crucial to Stereoelectroencephalography (SEEG), a minimally invasive procedure that requires clinicians to operate with no direct view of the brain. Decisions making involves different clinical specialties and requires analysis of multiple multimodal datasets. We present a DepthMap tool designed to localize, measure, and visualize surgical risk, and an AlternativeFinder tool, designed to search for alternative trajectories maintaining adherence to the initial trajectory with three different re-planning strategies: similar entry, similar target, or parallel trajectory. The two tools transform the 3D problem into the 2D domain using projective geometry and distance mapping. Both use the graphics processing unit (GPU) to create a 2D depth image used by DepthMap for measurement and visualization, and by AlternativeFinder to find alternative trajectories. Tools were tested with 12 SEEG cases using digital subtraction angiography. DepthMap was used to measure vessel distance. AlternativeFinder was then used to search for alternatives. Computation time and displacements of the entry and target points for each trajectory and adherence strategy were recorded. The DepthMap tool found vessels in 118 initial trajectories (out of 145). Ninety alternative trajectories were found to meet the required avascular constraints (average 820K alternatives evaluated per initial trajectory). The average computation time was 449 ms per initial trajectory (77 ms when alternatives were found). The tools presented helped clinicians examine and re-plan SEEG trajectories to avoid vascular risks using three adherence strategies. Quantitative measurement of the adherence shows the potential of this tool for clinical use.https://ieeexplore.ieee.org/document/9495786/Biomedical informaticsDICOMdepth electrodesepilepsyimplantspath planning
spellingShingle Alfredo Higueras-Esteban
Ignacio Delgado-Martinez
Laura Serrano Perez
Nazaret Infante-Santos
Alejandra Narvaez-Martinez
Alessandro Principe
Rodrigo Rocamora
Gerardo Conesa
Luis Serra
Miguel A. Gonzalez Ballester
Projection-Based Collision Detection Algorithm for Stereoelectroencephalography Electrode Risk Assessment and Re-Planning
IEEE Access
Biomedical informatics
DICOM
depth electrodes
epilepsy
implants
path planning
title Projection-Based Collision Detection Algorithm for Stereoelectroencephalography Electrode Risk Assessment and Re-Planning
title_full Projection-Based Collision Detection Algorithm for Stereoelectroencephalography Electrode Risk Assessment and Re-Planning
title_fullStr Projection-Based Collision Detection Algorithm for Stereoelectroencephalography Electrode Risk Assessment and Re-Planning
title_full_unstemmed Projection-Based Collision Detection Algorithm for Stereoelectroencephalography Electrode Risk Assessment and Re-Planning
title_short Projection-Based Collision Detection Algorithm for Stereoelectroencephalography Electrode Risk Assessment and Re-Planning
title_sort projection based collision detection algorithm for stereoelectroencephalography electrode risk assessment and re planning
topic Biomedical informatics
DICOM
depth electrodes
epilepsy
implants
path planning
url https://ieeexplore.ieee.org/document/9495786/
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