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Navigated laparoscopic ultrasound in abdominal soft tissue surgery: technological overview and perspectives

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Two-dimensinal laparoscopic ultrasound (LUS) is commonly used for many laparoscopic procedures, but 3D LUS and navigation technology are not conventional tools in the clinic. Navigated LUS can help the user understand and interpret the ultrasound images in relation to the laparoscopic view and preoperative images. When combined with information from MRI or CT, navigated LUS has the potential to provide information about anatomic shifts during the procedure. In this paper, we present an overview of the ongoing technological research and development related to LUS combined with navigation technology, The purpose of this overview is threefold: (1) an introduction for those new to the field of navigated LUS; (2) an overview for those working in the field and; and (3) as a reference for those searching for literature on technological developments related to navigation in ultrasound-guided laparoscopic surgery.

Methods

Databases were searched to identify relevant publications from the last 10 years.

Results

We were able to identify 18 key papers in the area of navigated LUS for the abdomen, originating from about 10–11 groups. We present the literature overview, including descriptions of our own experience in the field, and a discussion of the important clinical and technological aspects related to navigated LUS.

Conclusions

LUS integrated with miniaturized tracking technology is likely to play an important role in guiding future laparoscopic surgery.

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References

  1. Yamakawa K, Naito S, Azuma K (1958) Laparoscopic diagnosis of the intraabdominal organs. Jpn J Gastroenterol 55: 741–747

    Google Scholar 

  2. Jakimowicz JJ, Ruers TJM (1991) Ultrasound-assisted laparoscopic cholecystectomy: preliminary experience. Dig Surg 8: 114–117

    Article  Google Scholar 

  3. Jakimowicz JJ (2006) Intraoperative ultrasonography in open and laparoscopic abdominal surgery: an overview. Surg Endosc 20(suppl 2): S425–S435

    Article  PubMed  Google Scholar 

  4. Richardson W, Stefanidis D, Mittal S, Fanelli RD (2010) SAGES guidelines for the use of laparoscopic ultrasound. Surg Endosc 24: 745–756

    Article  PubMed  Google Scholar 

  5. Harms J, Feussner H, Baumgartner M, Schneider A, Donhauser M, Wessels G (2001) Three-dimensional navigated laparoscopic ultrasonography. Surg Endosc 15(12): 1459–1462

    Article  PubMed  CAS  Google Scholar 

  6. Mårvik R, Langø T, Tangen GA, Andersen JON, Kaspersen JH, Ystgaard B, Sjølie E, Fougner R, Fjøsne HE, Hernes TAN (2004) Laparoscopic navigation pointer for 3-D image guided surgery. Surg Endosc 18(8): 1242–1248

    Article  PubMed  Google Scholar 

  7. Langø T, Tangen GA, Mårvik R, Ystgaard B, Yavuz Y, Kaspersen JH, Solberg OV, Hernes TAN (2008) Navigation in laparoscopy—prototype research platform for improved image-guided surgery. Minim Invasive Ther Allied Technol (MITAT) 17(1): 17–33

    Article  Google Scholar 

  8. Våpenstad C, Rethy A, Langø T, Selbekk T, Ystgaard B, Hernes TA, Marvik R (2010) Laparoscopic ultrasound: a survey of its current and future use, requirements, and integration with navigation technology. Surg Endosc 24(12): 2944–2953

    Article  PubMed  Google Scholar 

  9. Baumhauer M, Feuerstein M, Meinzer HP, Rassweiler J (2008) Navigation in endoscopic soft tissue surgery: perspectives and limitations. J Endourol 22(4): 751–766

    Article  PubMed  Google Scholar 

  10. Lamadé W, Vetter M, Hassenpflug P, Thorn M, Meinzer H-P, Herfarth C (2002) Navigation and image-guided HBP surgery: a review and preview. J Hepatobiliary Pancreat Surg 9: 592–599

    Article  PubMed  Google Scholar 

  11. Phee SJ, Yang K (2010) Interventional navigation systems for treatment of unresectable liver tumor. Med Biol Eng Comput 48: 103–111

    Article  PubMed  Google Scholar 

  12. Unsgaard G, Gronningsaeter A, Ommedal S, Hernes TAN (2002) Brain operations guided by real time 2D ultrasound new possibilities due to improved image quality. Neurosurgery 51: 402–412

    PubMed  Google Scholar 

  13. Rutala WA (1996) APIC guideline for selection and use of disinfectants. 1994, 1995, and 1996 APIC guidelines committee. Am J Infect Control 24(4): 313–342

    Article  PubMed  CAS  Google Scholar 

  14. Light ED, Idriss SF, Sullivan KF, Wolf PD, Smith SW (2005) Real-time 3D laparoscopic ultrasonography. Ultrason Imaging 27: 129–144

    PubMed  Google Scholar 

  15. Solberg OV, Lindseth F, Torp H, Blake RE, Hernes TAN (2007) Freehand 3D Ultrasound Reconstruction Algorithms—A Review. J Ultras Med Biol 33(7): 991–1009

    Article  Google Scholar 

  16. Reinertsen I, Lindseth F, Unsgaard G, Collins DL (2007) Clinical validation of vessel based registration for correction of brain-shift. Med Image Anal 11: 673–684

    Article  PubMed  CAS  Google Scholar 

  17. Maintz JBA, Viergever MA (1998) A survey of medical image registration. Med Image Anal 2(1): 1–36

    Article  PubMed  CAS  Google Scholar 

  18. Mercier L, Langø T, Lindseth F, Collins LD (2005) A review of calibration techniques for freehand 3D ultrasound systems. J Ultras Med Biol 31: 449–471

    Article  Google Scholar 

  19. Lindseth F, Langø T, Bang J, Hernes TAN (2002) Accuracy evaluation of a 3D ultrasound-based neuronavigation system. Comp Aided Surg 7(4): 197–200

    Article  Google Scholar 

  20. Lindseth F, Tangen G, Langø T, Bang J (2003) Probe calibration for freehand 3D ultrasound. J Ultras Med Biol 29(11): 1607– 1623

    Article  Google Scholar 

  21. Cinquin P, Bainville E, Barbe C, Bittar E, Bouchard V, Bricault L, Champleboux G, Chenin M, Chevalier L, Delnondedieu Y, Desbat L, Dessenne V, Hamadeh A, Henry D, Laieb N, Lavallee S, Lefebvre JM, Leitner F, Menguy Y, Padieu F, Peria O, Poyet A, Promayon M, Rouault S, Sautot P, Troccaz J, Vassal P (1995) Computer assisted medical interventions. IEEE Eng Med Biol Magazine 14: 254–263

    Article  Google Scholar 

  22. Karadayi K, Managuli R, Kim Y (2009) Three-dimensional ultrasound from acquisition to visualization and from algorithms to systems. Biomed Eng IEEE Rev 2: 23–39

    Article  Google Scholar 

  23. Solberg OV, Langø T, Tangen GA, Mårvik R, Ystgaard B, Rethy A, Hernes TAN (2009) Navigated ultrasound in laparoscopic surgery. Minim Invasive Ther Allied Technol (MITAT) 18(1): 36–53

    Article  CAS  Google Scholar 

  24. Shahidi R, Bax MR, Maurer CR (2002) Implementation, calibration and accuracy testing of an image enhanced endoscopy system. IEEE Trans Med Imaging 21: 1524–1535

    Article  PubMed  Google Scholar 

  25. Konishi K, Nakamoto M, Kakeji Y, Tanoue K, Kawanaka H, Yamaguchi S, Ieiri S, Sato Y, Maehara Y, Tamura S, Hashizume M (2007) A real-time navigation system for laparoscopic surgery based on three-dimensional ultrasound using magneto-optic hybrid tracking configuration. IJCARS 2(1): 1–10

    Google Scholar 

  26. Scheuering M, Schenk A, Schneider A, Preim B, Greiner G (2003) Intraoperative augmented reality for minimally invasive liver interventions. Proc SPIE 5029: 407–417

    Article  Google Scholar 

  27. Unsgaard G, Rygh OM, Selbekk T, Müller TB, Kolstad F, Lindseth F, Hernes TAN (2006) Intra-operative 3D ultrasound in neurosurgery. Acta Neurochirurgica 148(3): 235–253

    Article  PubMed  CAS  Google Scholar 

  28. Bucholz RD, Yeh DD, Trobaugh J, McDurmott LL, Sturm CD, Baumann C, Henderson JM, Levy A, Kessman P (1997) The correction of stereotactic inaccuracy caused by brain shift using an intraoperative ultrasound device. In: Lecture Notes in Computer Science (MICCAI), vol 1205, pp 459–466

  29. Nakamoto M, Hirayama H, Sato Y, Konishi K, Kakeji Y, Hashizume M, Tamura S (2007) Recovery of respiratory motion and deformation of the liver using laparoscopic freehand 3D ultrasound system. Med Image Anal 11(5): 429–442

    Article  PubMed  Google Scholar 

  30. Carter TJ, Sermesant M, Cash DM, Barratt DC, Tanner C, Hawkes DJ (2005) Application of soft tissue modelling to image-guided surgery. Med Eng Phys 27: 893–909

    Article  PubMed  Google Scholar 

  31. Hawkes DJ, Barratt D, Blackall JM, Chan C, Edwards PJ, Rhode K, Penney GP, McClelland J, Hill DLG (2005) Tissue deformation and shape models in image-guided interventions: a discussion paper. Med Image Anal 9: 163–175

    Article  PubMed  CAS  Google Scholar 

  32. Kühnapfel U, Çakmak HK, Maaß H (2000) Endoscopic surgery training using virtual reality and deformable tissue simulation. Comput Graph 24: 671–682

    Article  Google Scholar 

  33. Frantz DD, Wiles AD, Leis SE, Kirsch SR (2003) Accuracy assessment protocols for electromagnetic tracking systems. Phys Med Biol 48(14): 2241–2251

    Article  PubMed  CAS  Google Scholar 

  34. Nafis C, Jensen V, Beauregard L, Anderson P (2006) Method for estimating dynamic EM tracking accuracy of surgical navigation tools. In: SPIE (society of photo-optical instrumentation engineers) medical imaging 2006, vol 6141. San Diego, CA, USA, p 16

  35. Nafis C, Jensen V, von Jako R (2008) Method for evaluating compatibility of commercial electromagnetic (EM) micro sensor tracking systems with surgical and imaging tables. In: SPIE (society of photo-optical instrumentation engineers) medical imaging 2008, vol 6918. San Diego, CA, USA, p 15

  36. Schmerber S, Chassat F (2001) Accuracy evaluation of a CAS system: laboratory protocol and results with 6D localizers, and clinical experiences in otorhinolaryngology. Comput Aided Surg 6: 1– 13

    Article  PubMed  CAS  Google Scholar 

  37. Hummel JB, Bax MR, Figl ML, Kang Y, Maurer CJ, Birkfellner WW, Bergmann H, Shahidi R (2005) Design and application of an assessment protocol for electromagnetic tracking systems. Phys Med Biol 32(7): 2371–2379

    Google Scholar 

  38. Kirsch SR, Schilling C, Brunner G (2006) Assesment of metallic distortions of an electromagnetic tracking system. In: Proceedings of SPIE (society of photo-optical instrumentation engineers), vol 6141, p 61410J

  39. Hummel J, Figl M, Kollmann C, Bergmann H, Birkfellner W (2002) Evaluation of a miniature electromagnetic position tracker. Med Phys 29(10): 2205–2212

    Article  PubMed  Google Scholar 

  40. Schicho K, Figl M, Donat M, Birkfellner W, Seemann R, Wagner A, Bergmann H, Ewers R (2005) Stability of miniature electromagnetic tracking systems. Phys Med Biol 50: 2089–2098

    Article  PubMed  Google Scholar 

  41. Hastenteufel M, Vetter M, Meinzer HP, Wolf I (2006) Effect of 3d ultrasound probes on the accuracy of electromagnetic tracking systems. Ultras Med Biol 32: 1359–1368

    Article  Google Scholar 

  42. Wilson E, Yaniv Z, Zhang H (2007) A hardware and software protocol for the evaluation of electromagnetic tracker accuracy in the clinical environment: a multi-center study. In: Proceedings in medical imaging 2007: visualization and image-guided procedures (SPIE), vol 6509. San Diego, USA, p 65092T

  43. Chung AJ, Edwards PJ, Deligianni F, Yang GZ (2004) Freehand cocalibration of optical and electromagnetic trackers for navigated bronchoscopy. Med Imaging Augment Real Proc 3150: 320– 328

    Article  Google Scholar 

  44. Kindratenko V (2000) A survey of electromagnetic position tracker calibration techniques. Virtual Real 5(3): 169–182

    Article  Google Scholar 

  45. Nakamoto M, Nakada K, Sato Y, Konishi K, Hashizume M, Tamura S (2008) Intraoperative magnetic tracker calibration using a magneto-optic hybrid tracker for 3-D ultrasound-based navigation in laparoscopic surgery. IEEE Trans Med Imaging 27(2): 255–270

    Article  PubMed  Google Scholar 

  46. Feuerstein M, Reichl T, Vogel J, Traub J, Navab N (2009) Magneto-optical tracking of flexible laparoscopic ultrasound: model-based online detection and correction of magnetic tracking errors. IEEE Trans Med Imaging 28(6): 951–967

    Article  PubMed  Google Scholar 

  47. Martens V, Besirevic A, Shahin O, Kleemann M (2010) LapAssistent—computer assisted laparoscopic liver surgery. In: Proceedings of biomedizinischen technik (BMT) conference, Rostock, Germany

  48. Sindram D, McKillop IH, Martinie JB, Iannitti DA (2010) Novel 3-d laparoscopic magnetic ultrasound image guidance for lesion targeting. J Hepato-Pancreato Bilary Assoc 12(10): 709–716

    Google Scholar 

  49. Prager R, Rohling R, Gee A, Berman L (1998) Rapid calibration for 3-d freehand ultrasound. Ultrasound Med Biol 24(6): 855–869

    Article  PubMed  CAS  Google Scholar 

  50. Hildebrand P, Schlichting S, Martens V, Besirevic A, Kleemann M, Roblick U, Mirow L, Burk C, Schweikard A, Bruch HP (2008) Prototype of an intraoperative navigation and documentation system for laparoscopic radiofrequency ablation: first experiences. Eur J Surg Oncol 34(4): 418–421

    Article  PubMed  CAS  Google Scholar 

  51. Nakada K, Nakamoto M, Sato Y, Konishi K, Hashizume M, Tamura S (2003) A rapid method for magnetic tracker calibration using a magneto-optic hybrid tracker. In: Lecture notes in computer science (MICCAI), vol 2879, pp 285–293

  52. Sato Y, Miyamoto M, Nakamoto M, Nakajima Y, Shimada M, Hashizume M, Tamura S (2001) 3D ultrasound image acquisition using a magneto-optic hybrid sensor for laparoscopic surgery. In: Lecture notes in computer science (MICCAI), vol 2208, pp 1151–1153

  53. Hildebrand P, Martens V, Schweikard A, Schlichting S, Besirevic A, Kleemann M, Roblick U, Mirow L, Burk C, Bruch HP (2007) Evaluation of an online navigation system for laparoscopic interventions in a perfused ex vivo artificial tumor model of the liver. HPB (Oxford) 9(3): 190–194

    Article  Google Scholar 

  54. Estépar RSJ, Stylopoulos N, Ellis RE, Samset E, Westin CF, Thompson C, Vosburgh K (2007) Towards scarless surgery: an endoscopic-ultrasound navigation system for transgastric access procedures. In: Lecture notes in computer science (MICCAI), vol 4190, pp 445–453

  55. Estépar RSJ, Stylopoulos N, Ellis RE, Samset E, Westin CF, Thompson C, Vosburgh K (2007) Towards scarless surgery: an endoscopic ultrasound navigation system for transgastric access procedures. Comput Aided Surg 12(6): 311–324

    Article  PubMed  Google Scholar 

  56. Bao P, Warmath JR, Poulose B, Galloway J, Robert L, Herline AJ (2004) Tracked ultrasound for laparoscopic surgery. In: Proceedings SPIE medical imaging 2004: visualization, image-guided procedures, and display, vol 5367 No 1, pp 237–246

  57. Birth M, Kleemann M, Hildebrand P, Bruch HP (2004) Intraoperative online navigation of dissection of the hepatical tissue—a new dimension in liver surgery? In: Proceedings of computer assisted radiology and surgery (CARS) vol 1268, pp 770–774

  58. Kleemann M, Hildebrand P, Birth M, Bruch HP (2006) Laparoscopic ultrasound navigation in liver surgery: technical aspects and accuracy. Surg Endosc 20(5): 726–729

    Article  PubMed  CAS  Google Scholar 

  59. Leven J, Burschka D, Kumar R, Zhang G, Blumenkranz S, Dai XD, Awad M, Hager GD, Marohn M, Choti M, Hasser CJ, Taylor RH (2005) Davinci canvas: a telerobotic surgical system with integrated, robot-assisted, laparoscopic ultrasound capability. In: Lecture Notes in computer science (MICCAI), vol 3749, pp 811–818

  60. Krucker J, Viswanathan A, Borgert J, Glossop N, Yang Y, Wood BJ (2005) An electro-magnetically tracked laparoscopic ultrasound for multi-modality minimally invasive surgery. Proc Comput Assist Radiol Surg (CARS) 1281: 746–751

    Google Scholar 

  61. Bao P, Warmath J, Galloway R Jr, Herline A (2005) Ultrasound-to-computer-tomography registration for image-guided laparoscopic liver surgery. Surg Endosc 19(3): 424–429

    Article  PubMed  CAS  Google Scholar 

  62. Ellsmere J, Stoll J, Rattner D, Brooks D, Kane R, Wells W, Kikinis R, Vosburgh KG (2003) A navigation system for augmenting laparoscopic ultrasound. In: International Conference on Med Image Comput Comput Assist Interv (MICCAI), 6(Pt 2), pp 184–191

  63. Ellsmere J, Stoll J, Wells W III, Kikinis R, Vosburgh K, Kane R, Brooks D, Rattner D (2004) A new visualization technique for laparoscopic ultrasonography. Surgery 136(1): 84–92

    Article  PubMed  Google Scholar 

  64. Wilheim D, Feussner H, Schneider A, Harms J (2003) Electromagnetically navigated laparoscopic ultrasound. Surg Technol Int 11: 50–54

    PubMed  Google Scholar 

  65. Rethy A, Langø T, Aasland J, Mårvik R (2010) Development of a multimodal tumor model for porcine liver. J Gastrointest Surg 14(12): 1969–1973

    Article  PubMed  Google Scholar 

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Correspondence to Thomas Langø.

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Langø, T., Vijayan, S., Rethy, A. et al. Navigated laparoscopic ultrasound in abdominal soft tissue surgery: technological overview and perspectives. Int J CARS 7, 585–599 (2012). https://doi.org/10.1007/s11548-011-0656-3

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Keywords

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