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[Computer-assisted control of CT-guided caudo-cranial puncture access route using the triangulation method]
H J Langen1, T Krahe, A Gossmann
1Institut und Poliklinik für Radiologische Diagnostik, Universität zu Köln.
Summary
A new software tool enables precise CT-guided biopsy needle placement, even for non-parallel access routes. This method successfully guided procedures in four out of five patients.
Area of Science:
- Medical Imaging and Interventional Radiology
- Surgical Navigation Systems
Background:
- Accurate needle placement is crucial for effective CT-guided biopsies.
- Navigating non-parallel access routes presents unique challenges in CT-guided procedures.
- Existing methods may require direct visualization of start and target points on control scans.
Purpose of the Study:
- To develop and evaluate a software tool for controlling puncture needle position.
- To enable accurate guidance for non-parallel access routes in CT-guided procedures.
- To facilitate needle placement using control scans without visible start and target points.
Main Methods:
- A novel software tool was developed for CT-guided biopsy planning.
- The software calculates required x/y coordinates for the access route at each table position.
- Interactive marking on control scans and experimental validation were performed; the method was applied to five patients.
Main Results:
- Experimental results showed no significant difference between calculated and measured access routes.
- The method achieved successful puncture in four out of five patients.
- The software demonstrated reliable performance in a clinical setting.
Conclusions:
- The developed method is a promising approach for controlling CT-guided caudo-cranial biopsy access routes.
- This technique enhances precision for challenging, non-parallel needle trajectories.
- The software offers a valuable tool for improving CT-guided interventional procedures.