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Updated: Apr 2, 2026

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CustusX: an open-source research platform for image-guided therapy.

Christian Askeland1,2, Ole Vegard Solberg3, Janne Beate Lervik Bakeng3

  • 1Department of Medical Technology, SINTEF Technology and Society, Trondheim, Norway. christian.askeland@sintef.no.

International Journal of Computer Assisted Radiology and Surgery
|September 28, 2015
PubMed
Summary
This summary is machine-generated.

CustusX is a mature, open-source research platform for image-guided therapy (IGT) offering robust intraoperative navigation and ultrasound imaging. It is accurate, extensible, and ready for use in clinical IGT research.

Keywords:
Computer-assisted interventionsImage-guided therapyIntraoperative ultrasoundOpen sourcePlatform

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Area of Science:

  • Medical Imaging
  • Surgical Navigation
  • Software Engineering

Background:

  • Image-guided therapy (IGT) research requires advanced platforms for intraoperative navigation and imaging.
  • Developing robust and extensible IGT systems is crucial for clinical and technological advancements.

Purpose of the Study:

  • To present CustusX as a mature, accurate, and extensible research platform for IGT.
  • To showcase CustusX's capabilities in intraoperative navigation and ultrasound imaging.
  • To demonstrate applications in technological and clinical IGT research.

Main Methods:

  • CustusX developed over 15 years with a focus on software quality and researcher requirements.
  • Layered architecture with plugins using the CTK/OSGi framework for IGT workflow support.
  • Characterization of system accuracy, frame rate, and latency in various clinical settings.

Main Results:

  • Navigation system accuracy of ~1.1 mm, frame rate of 20 fps, and latency of 285 ms achieved.
  • CustusX demonstrated extensibility, user-friendliness, and a streamlined architecture.
  • Successful application in neurosurgery, laparoscopic surgery, vascular surgery, and bronchoscopy research.

Conclusions:

  • CustusX is a mature research platform for intraoperative navigation and ultrasound imaging, ready for the IGT community.
  • The platform is open-source and freely available, encouraging wider adoption and development.
  • CustusX facilitates advanced IGT research across multiple surgical disciplines.