Integration of free-hand 3D ultrasound and mobile C-arm cone-beam CT: Feasibility and characterization for real-time guidance of needle insertion

E. Marinetto; A. Uneri; T. De Silva; S. Reaungamornrat; W. Zbijewski; A. Sisniega; S. Vogt; G. Kleinszig; J. Pascau; J. H. Siewerdsen

doi:10.1016/j.compmedimag.2017.03.003

Integration of free-hand 3D ultrasound and mobile C-arm cone-beam CT: Feasibility and characterization for real-time guidance of needle insertion

E. Marinetto, A. Uneri, T. De Silva, S. Reaungamornrat, W. Zbijewski, A. Sisniega, S. Vogt, G. Kleinszig, J. Pascau, J. H. Siewerdsen

School of Medicine

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

This work presents development of an integrated ultrasound (US)–cone-beam CT (CBCT) system for image-guided needle interventions, combining a low-cost ultrasound system (Interson VC 7.5 MHz, Pleasanton, CA) with a mobile C-arm for fluoroscopy and CBCT via use of a surgical tracker. Imaging performance of the ultrasound system was characterized in terms of depth-dependent contrast-to-noise ratio (CNR) and spatial resolution. US–CBCT system was evaluated in phantom studies simulating three needle-based procedures: drug delivery, tumor ablation, and lumbar puncture. Low-cost ultrasound provided flexibility but exhibited modest CNR and spatial resolution that is likely limited to fairly superficial applications within a ∼10 cm depth of view. Needle tip localization demonstrated target registration error 2.1–3.0 mm using fiducial-based registration.

Original language	English (US)
Pages (from-to)	13-22
Number of pages	10
Journal	Computerized Medical Imaging and Graphics
Volume	58
DOIs	https://doi.org/10.1016/j.compmedimag.2017.03.003
State	Published - Jun 1 2017

Keywords

C-arm imaging
Cone-beam CT
Image-guided procedures
Target registration error
Ultrasound

ASJC Scopus subject areas

Radiological and Ultrasound Technology
Radiology Nuclear Medicine and imaging
Computer Vision and Pattern Recognition
Health Informatics
Computer Graphics and Computer-Aided Design

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10.1016/j.compmedimag.2017.03.003

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Marinetto, E., Uneri, A., De Silva, T., Reaungamornrat, S., Zbijewski, W., Sisniega, A., Vogt, S., Kleinszig, G., Pascau, J., & Siewerdsen, J. H. (2017). Integration of free-hand 3D ultrasound and mobile C-arm cone-beam CT: Feasibility and characterization for real-time guidance of needle insertion. Computerized Medical Imaging and Graphics, 58, 13-22. https://doi.org/10.1016/j.compmedimag.2017.03.003

Marinetto, E, Uneri, A, De Silva, T, Reaungamornrat, S, Zbijewski, W , Sisniega, A, Vogt, S, Kleinszig, G, Pascau, J & Siewerdsen, JH 2017, 'Integration of free-hand 3D ultrasound and mobile C-arm cone-beam CT: Feasibility and characterization for real-time guidance of needle insertion', Computerized Medical Imaging and Graphics, vol. 58, pp. 13-22. https://doi.org/10.1016/j.compmedimag.2017.03.003

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abstract = "This work presents development of an integrated ultrasound (US)–cone-beam CT (CBCT) system for image-guided needle interventions, combining a low-cost ultrasound system (Interson VC 7.5 MHz, Pleasanton, CA) with a mobile C-arm for fluoroscopy and CBCT via use of a surgical tracker. Imaging performance of the ultrasound system was characterized in terms of depth-dependent contrast-to-noise ratio (CNR) and spatial resolution. US–CBCT system was evaluated in phantom studies simulating three needle-based procedures: drug delivery, tumor ablation, and lumbar puncture. Low-cost ultrasound provided flexibility but exhibited modest CNR and spatial resolution that is likely limited to fairly superficial applications within a ∼10 cm depth of view. Needle tip localization demonstrated target registration error 2.1–3.0 mm using fiducial-based registration.",

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AU - Reaungamornrat, S.

AU - Zbijewski, W.

AU - Sisniega, A.

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Integration of free-hand 3D ultrasound and mobile C-arm cone-beam CT: Feasibility and characterization for real-time guidance of needle insertion

Abstract

Keywords

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