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Three-dimensional Location Approach with Silk Thread Guided Laparoscopic Segmentectomy for Liver Tumor
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Strategy for accurate liver intervention by an optical tracking system.

Qinyong Lin1, Rongqian Yang1, Ken Cai2

  • 1Department of Biomedical Engineering, South China University of Technology, Guangzhou, Guangdong, China.

Biomedical Optics Express
|September 30, 2015
PubMed
Summary

This study introduces a real-time method using custom fiducial markers to track liver motion during radiofrequency ablation. This approach accurately identifies the respiratory phase for precise image-guided tumor treatment.

Keywords:
(120.3890) Medical optics instrumentation(170.0170) Medical optics and biotechnology

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Area of Science:

  • Medical Imaging
  • Interventional Radiology
  • Surgical Navigation

Background:

  • Image-guided navigation is crucial for radiofrequency ablation (RFA) of liver tumors.
  • Liver deformation due to respiratory motion poses a significant challenge for accurate needle insertion during RFA.

Purpose of the Study:

  • To develop and validate a real-time automatic registration strategy for tracking respiratory motion during liver tumor ablation.
  • To enable accurate correlation of intraoperative patient positioning with static preoperative CT data.

Main Methods:

  • Design and implementation of custom fiducial markers adhered to the patient's abdomen.
  • Real-time automatic registration to localize markers in both patient and image spaces.
  • Calculation of fiducial registration error to determine the current respiratory phase relative to the preoperative CT scan phase.

Main Results:

  • The proposed real-time automatic registration method demonstrated speed, accuracy, and feasibility.
  • Successful tracking of skin-adhered fiducial markers to capture the respiratory phase.
  • Validation through experiments with a liver simulator, human volunteers, and an ex-vivo porcine liver model.

Conclusions:

  • The developed strategy effectively tracks respiratory motion using custom fiducial markers.
  • This method enables the generation of an accurate anatomical model from static preoperative CT data for improved image-guided liver interventions.
  • The technique shows promise for enhancing precision in radiofrequency ablation procedures for liver tumors.