Abstract
Surgical navigation systems provide the surgeon with a display of preoperative and intraoperative data in the same coordinate system. However, the systems currently in use in neurosurgery are subject to inaccuracy caused by intraoperative brain movement (brain shift) since they typically assume that the intracranial structures are rigid. Experiments show brain shift of up to one centimeter, making it the dominant error in the system. We propose a system that compensates for this error. It is based on a continuum 3D biomechanical deformable brain model guided by intraoperative data. The model takes into account neuro-anatomical constraints and is able to correspondingly deform all preoperatively acquired data. The system was tested on two sets of intraoperative MR scans, and an initial validation indicated that our approach reduced the error caused by brain shift.
Acknowledgements
We are thankful to Dr. Ron Kikinis, Dr. Ferenc A. Jolesz, and Dr. Peter Black from Brigham and Women’s Hospital and Harvard Medical School, for collaboration and for providing us with data.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Hill, D., Maurer, C., Wang, M., et al: Estimation of Intraoperative Brain Surface Movement. CVRMed-MRCAS’97, March 1997, 449–458
Bucholz, R., Yeh, D., Trobaugh, J., et al: The Correction of Stereotactic Inaccuracy Caused by Brain Shift Using an Intraoperative Ultrasound Device. CVRMed-MRCAS’97, March 1997, 459–466
Dorward, N. L., Alberti, O., Velani. B., et al: Early Clinical Experience with the EasyGuide Neuronavigation System and Measurement of Intraoperative Brain Distortion. In Hellwing D, Bauer BL (eds): Minimally Invasive Techniques for Neurosurgery, 1997, 193–196.
Reinges, M. H. T., Krombach, G., Nguyen, H., et al: Assessment of Intraoperative Brain Tissue Movements by Frameless Neuronavigation. Computer Aided Surgery 2:218, 1997 (abstract)
Edwards, P. J., Hill D. L. G., Little, J. A., Hawkes, D. J.: Deformation for Image Guided Interventions Using a Three Component Tissue Model. IPMI’97, Proceedings, June 1997, 218–231
Roberts, D. W., Hartov, A., Kennedy F. E., et al: Intraoperative Brain Shift and Deformation: A Quantative Analysis o Cortical Displacement in 28 Cases. Neurosurgery, Vol. 43, 749–760, 1998
Studholme, C., Hawkes, D. J., Hill, D. L. G., A Normalised Entropy Measure of 3D Medical Image Alignment, SPIE Medical Imaging, Feb 1998.
Maurer, C. R., Hill D. L. G., Maciunas, R. J., et al: Measurement of Intraoperative Brain Surface Deformation Under a Craniotomy. MICCAI’98, Proceedings, October 1998, 51–62
Škrinjar, O., Duncan, J.: Real Time 3D Brain Shift Compensation. IPMI’99, Proceedings, June/July 1999, 42–55
Hata, N., Nabavi, A., Warfield S., et al: A Volumetric Optical Flow Method for Measurement of Brain Deformation from Intraoperative Magnetic Resonance Images. MICCAI’99 Proceedings, September 1999, 928–935
Hill, D. L. G., Maurer, Jr. C. R., Martin, A. J., et al: Assessment of Intraoperative Brain Deformation Using Interventional MR Imaging. MICCAI’99 Proceedings, September 1999, 910–919
Audette, M. A., Siddiqi, K., Peters, T. M.: Level-Set surface Segmentation and Fast Cortical Range Image Tracking for Computing Intrasurgical Deformations. MICCAI’99 Proceedings, September 1999, 788–797
Škrinjar, O., Tagare, H. Duncan, S.: Surface Growing from Stereo Images. CVPR 2000 Proceedings, June 2000
Ferrant, M., Warfield, S. K., Nabavi, A., et al: Registration of 3D Intraoperative MR Images of the Brain Using a Finite Element Biomechanical Model. MICCAI’2000 Proceedings, October 2000, 19–28
Miga, I. M., Staubert, A. Paulsen, D. K., et al: Model-Updated Image Guided Neurosurgery: Preliminary Analysis Using Intraoperative MR. MICCAI’2000 Proceedings, October 2000, 115–124
Valliappan, A., Continuum Mechanics Fundamentals, A.A. Balkema, Rotterdam, 1981
Nabavi, A., Black, P. McL., Gering, D. T., et al” Serial Intraoperative MR Imaging of Brain shift. Neurosurgery, April 2001
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2001 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Škrinjar, O., Studholme, C., Nabavi, A., Duncan, J. (2001). Steps Toward a Stereo-Camera-Guided Biomechanical Model for Brain Shift Compensation. In: Insana, M.F., Leahy, R.M. (eds) Information Processing in Medical Imaging. IPMI 2001. Lecture Notes in Computer Science, vol 2082. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-45729-1_18
Download citation
DOI: https://doi.org/10.1007/3-540-45729-1_18
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-42245-7
Online ISBN: 978-3-540-45729-9
eBook Packages: Springer Book Archive