Abstract
A computer algorithm for determining optimal surgical paths in the brain is presented. The algorithm computes a cost function associated with each point on the outer brain boundary, which is treated as a candidate entry point. The cost function is determined partly based on a segmentation of the patients images into gray and white matter, and partly based on a spatially transformed atlas of the human brain registered to the patient's MR images. The importance of various structures, such as thalamic nuclei, optic nerve and radiations, and individual Brodman's areas, can be defined on the atlas and transferred onto the patient's images through the spatial transformation. The cost of a particular path associated with each critical structure, as well as the total cost of each path are computed and displayed, allowing the surgeon to define a low cost path, to visualize an arbitrary cross-section through the patient's MR images that contains this path, and to examine all the cross-sectional images orthogonal to that path.
Preview
Unable to display preview. Download preview PDF.
References
A.C.F. Colchester, J. Zhao, K.S. Holton-Tainter, et.al. Development and preliminary evaluation of VISLAN, a surgical planning and guidance system using intra-operative video imaging. Medical Image Analysis, 1:73–90, 1996.
T. Peters, B. Davey, P. Munger, R. Comeau, A. Evans, and A. Olivier. Three-dimensional multimodal image guidance for neurosurgery. IEEE Trans. on Med. Imaging, 15:121–128, 1996.
W.E.L. Grimson, G.J. Ettinger, S.J. White, T. Lozano-Perez, W.M. Wells III, and R. Kikinis. An automatic registration method for frameless stereotaxy, image guided surgery, and enhanced reality visualization. IEEE Trans. on Med. Imaqing, 15:129–140, 1996.
B.A. Kall. Comprehensive multimodality surgical planning and interactive neurosurgery. Computers in Siereotactic Neurosurgery, pages 209–229, 1992.
H.H. Ehricke, G. Daiber, R. Sontag, W. Strasser, M. Lochner, L.R. Schad, and W.J. Lorenz. Interactive 3-D graphics workstations in stereotaxy: Clinical requirements, algorithms and solutions. Proc. of Vis. in Biomed. Comp. Conf., SPIE 1808:548–558, 1992.
R.H. Taylor, S. Lavalle, G.C. Burdea, and R. Mosges, Editors. Computer-Integrated Surgery. MIT Press, 1995.
S. Webb. Optimization by simulated annealing of three-dimensional conformal treatment planning for radiation fields defined by a multileaf collimator. Phys. Med. Biol., 36:1201–1226, 1991.
R. Tombropoulos, A. Schweikard, J.C. Latombe, and J.R. Adler. Treatment planning fro image-guided robotic radiosurgery. Proc. of the Conf. on Comp. Virt. Real. in Med., CVRMED'95, pages 131–137, 1995.
J. Talairach and P. Tournoux. Co-planar Stereotaxic Atlas of the Human Brain. Thieme, Stuttgart, 1988.
K. Brodman. Vergleichende Lokalisationslehre der Grosshirnrinde. Barth, Leipzig, 1908.
G. Schaltenbrand and W. Wahren. Atlas of Stereotaxy of the Human Brain. Tieme Verlag, Stuttgart, 1977.
L.O. Hall, A.M. Bensaid, et.al. A comparison of neural network and fuzzy clustering techniques in segmenting magnetic resonance images of the brain. IEEE Trans. on Neural Networks, 3:672–682, 1992.
D. Pham, J.L. Prince, A.P. Dagher, and C. Xu. An automated technique for statistical characterization of brain tissues in magnetic resonance imaging. Submitted, 1996.
E. Dougherty and C. Giardina. Image Processing — Continuous to Discrete, volume 1. Prentice-Hall, 1987.
C. Davatzikos and R.N. Bryan. Using a deformable surface model to obtain a shape representation of the cortex. IEEE Trans. on Med. Imaging, 15, Dec. 1996.
C. Davatzikos and R.N. Bryan. Using a deformable surface model to obtain a mathematical representation of the cortex. Proc. of the IEEE Comp. Vision Symp., pages 212–217, Nov. 1995.
S.H.J. Whitehead, R.N. Bryan, S. Letovsky, C. Paik, J. Miller, and J. Gerber. A database for brain structure/function analysis. Proc. of the Am. Soc. of Neuroradiology Conf., page 166, 1994.
C. Davatzikos. Spatial normalization of 3D images using deformable models. J. Comp. Assist. Tomogr., 20:656–665, July/August 1996.
C. Davatzikos. Nonlinear registration of brain images using deformable models. Proc. of the Workshop on Math. Meth. in Biom. Image Anal., pages 94–104, June 1996.
R. Millman and G. Parker. Elements of Differential Geometry. Prentice Hall, 1977.
Author information
Authors and Affiliations
Corresponding author
Editor information
Rights and permissions
Copyright information
© 1997 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Vaillant, M., Davatzikos, C., Taylor, R.H., Bryan, R.N. (1997). A path-planning algorithm for image-guided neurosurgery. In: Troccaz, J., Grimson, E., Mösges, R. (eds) CVRMed-MRCAS'97. CVRMed MRCAS 1997 1997. Lecture Notes in Computer Science, vol 1205. Springer, Berlin, Heidelberg. https://doi.org/10.1007/BFb0029269
Download citation
DOI: https://doi.org/10.1007/BFb0029269
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-62734-0
Online ISBN: 978-3-540-68499-2
eBook Packages: Springer Book Archive