Breast Tumor Localization by Prone to Supine Landmark Driven Registration for Surgical Planning

Breast cancer is the most common cancer in women worldwide. Screening programs and imaging improvements have increased the detection of clinically occult non-palpable lesions requiring preoperative localization. Wire guided localization (WGL) is the current standard of care for the excision of non-p...

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Main Authors: Felicia Alfano, Lucilio Cordero-Grande, Juan E. Ortuno, Karla Ferreres Garcia, Monica Garcia-Sevilla, Oscar Bueno Zamora, Mercedes Herrero Conde, Santiago Lizarraga, Andres Santos, Javier Pascau, Maria J. Ledesma-Carbayo
Format: Article
Language:English
Published: IEEE 2022-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/9956838/
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author Felicia Alfano
Lucilio Cordero-Grande
Juan E. Ortuno
Karla Ferreres Garcia
Monica Garcia-Sevilla
Oscar Bueno Zamora
Mercedes Herrero Conde
Santiago Lizarraga
Andres Santos
Javier Pascau
Maria J. Ledesma-Carbayo
author_facet Felicia Alfano
Lucilio Cordero-Grande
Juan E. Ortuno
Karla Ferreres Garcia
Monica Garcia-Sevilla
Oscar Bueno Zamora
Mercedes Herrero Conde
Santiago Lizarraga
Andres Santos
Javier Pascau
Maria J. Ledesma-Carbayo
author_sort Felicia Alfano
collection DOAJ
description Breast cancer is the most common cancer in women worldwide. Screening programs and imaging improvements have increased the detection of clinically occult non-palpable lesions requiring preoperative localization. Wire guided localization (WGL) is the current standard of care for the excision of non-palpable carcinomas during breast conserving surgery. Due to the current limitations of intraoperative tumor localization approaches, the integration of multimodal imaging information may be especially relevant in surgical planning. This research proposes a novel method for performing preoperative image-to-surgical surface data alignment to determine the position of the tumor at the time of surgery and aid preoperative planning. First, the volume of the breast in the surgical position is reconstructed and a set of surface correspondences is defined. Then, the preoperative (prone) and intraoperative (supine) volumes are co-registered using landmark driven non-rigid registration methods. We compared the performances of diffeomorphic and Bspline based registration methods. Finally, our method was validated using clinical data from 67 patients considering as target registration error (TRE) the distance between the estimated tumor position and the reference surgical position. The proposed method achieved a TRE of 16.21 ± 8.18 mm and it could potentially assist the surgery planning and guidance of breast cancer treatment in the clinical practice.
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spelling doaj.art-dab02da63518443bba681efb6ffb4ce12022-12-22T03:46:37ZengIEEEIEEE Access2169-35362022-01-011012290112291110.1109/ACCESS.2022.32236589956838Breast Tumor Localization by Prone to Supine Landmark Driven Registration for Surgical PlanningFelicia Alfano0https://orcid.org/0000-0002-7778-3838Lucilio Cordero-Grande1https://orcid.org/0000-0003-1477-304XJuan E. Ortuno2https://orcid.org/0000-0001-6636-602XKarla Ferreres Garcia3Monica Garcia-Sevilla4https://orcid.org/0000-0002-7330-9194Oscar Bueno Zamora5Mercedes Herrero Conde6Santiago Lizarraga7Andres Santos8https://orcid.org/0000-0001-7423-9135Javier Pascau9https://orcid.org/0000-0003-1484-731XMaria J. Ledesma-Carbayo10https://orcid.org/0000-0001-6846-3923Biomedical Image Technologies, Universidad Politécnica de Madrid, Madrid, SpainBiomedical Image Technologies, Universidad Politécnica de Madrid, Madrid, SpainBiomedical Image Technologies, Universidad Politécnica de Madrid, Madrid, SpainInstituto de Investigación Sanitaria Gregorio Marañón, Madrid, SpainDepartamento de Bioingeniería e Ingeniería Aeroespacial, Universidad Carlos III de Madrid, Leganés, Madrid, SpainInstituto de Investigación Sanitaria Gregorio Marañón, Madrid, SpainUnidad de Mama, Hospital de Madrid Sanchinarro, Madrid, SpainInstituto de Investigación Sanitaria Gregorio Marañón, Madrid, SpainBiomedical Image Technologies, Universidad Politécnica de Madrid, Madrid, SpainDepartamento de Bioingeniería e Ingeniería Aeroespacial, Universidad Carlos III de Madrid, Leganés, Madrid, SpainBiomedical Image Technologies, Universidad Politécnica de Madrid, Madrid, SpainBreast cancer is the most common cancer in women worldwide. Screening programs and imaging improvements have increased the detection of clinically occult non-palpable lesions requiring preoperative localization. Wire guided localization (WGL) is the current standard of care for the excision of non-palpable carcinomas during breast conserving surgery. Due to the current limitations of intraoperative tumor localization approaches, the integration of multimodal imaging information may be especially relevant in surgical planning. This research proposes a novel method for performing preoperative image-to-surgical surface data alignment to determine the position of the tumor at the time of surgery and aid preoperative planning. First, the volume of the breast in the surgical position is reconstructed and a set of surface correspondences is defined. Then, the preoperative (prone) and intraoperative (supine) volumes are co-registered using landmark driven non-rigid registration methods. We compared the performances of diffeomorphic and Bspline based registration methods. Finally, our method was validated using clinical data from 67 patients considering as target registration error (TRE) the distance between the estimated tumor position and the reference surgical position. The proposed method achieved a TRE of 16.21 ± 8.18 mm and it could potentially assist the surgery planning and guidance of breast cancer treatment in the clinical practice.https://ieeexplore.ieee.org/document/9956838/Breast cancermultimodal imagingnon-rigid registrationsurgical planning
spellingShingle Felicia Alfano
Lucilio Cordero-Grande
Juan E. Ortuno
Karla Ferreres Garcia
Monica Garcia-Sevilla
Oscar Bueno Zamora
Mercedes Herrero Conde
Santiago Lizarraga
Andres Santos
Javier Pascau
Maria J. Ledesma-Carbayo
Breast Tumor Localization by Prone to Supine Landmark Driven Registration for Surgical Planning
IEEE Access
Breast cancer
multimodal imaging
non-rigid registration
surgical planning
title Breast Tumor Localization by Prone to Supine Landmark Driven Registration for Surgical Planning
title_full Breast Tumor Localization by Prone to Supine Landmark Driven Registration for Surgical Planning
title_fullStr Breast Tumor Localization by Prone to Supine Landmark Driven Registration for Surgical Planning
title_full_unstemmed Breast Tumor Localization by Prone to Supine Landmark Driven Registration for Surgical Planning
title_short Breast Tumor Localization by Prone to Supine Landmark Driven Registration for Surgical Planning
title_sort breast tumor localization by prone to supine landmark driven registration for surgical planning
topic Breast cancer
multimodal imaging
non-rigid registration
surgical planning
url https://ieeexplore.ieee.org/document/9956838/
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