Skip to main content
Log in

MITK-US: real-time ultrasound support within MITK

  • Original Article
  • Published:
International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

   Intra-procedural acquisition of the patient anatomy is a key technique in the context of computer-assisted interventions (CAI). Ultrasound (US) offers major advantages as an interventional imaging modality because it is real time and low cost and does not expose the patient or physician to harmful radiation. To advance US-related research, the purpose of this paper was to develop and evaluate an open-source framework for US-based CAI applications.

Materials and methods

   We developed the open-source software module MITK-US for acquiring and processing US data as part of the well-known medical imaging interaction toolkit (MITK). To demonstrate its utility, we applied the module to implement a new concept for US-guided needle insertion. Performance of the US module was assessed by determining frame rate and latency for both a simple sample application and a more complex needle guidance system.

Results

   MITK-US has successfully been used to implement both sample applications. Modern laptops achieve frame rates above 24 frames per second. Latency is measured to be approximately 250 ms or less.

Conclusion

   MITK-US can be considered a viable rapid prototyping environment for US-based CAI applications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

Notes

  1. http://www.mitk.org.

  2. http://www.opencv.org.

  3. http://qt.digia.com/.

  4. http://www.mitk.org/Download.

  5. www.itk.org.

References

  1. Cleary K, Peters TM (2010) Image-guided interventions: technology review and clinical applications. Annu Rev Biomed Eng 12(1):119–142. doi:10.1146/annurev-bioeng-070909-105249. PMID: 20415592

    Google Scholar 

  2. Clevert DA, Paprottka PM, Helck A, Reiser M, Trumm CG (2012) Image fusion in the management of thermal tumor ablation of the liver. Clin Hemorheol Microcirc [Epub ahead of print]. doi:10.3233/CH-2012-1598

  3. Figl M, Ede C, Hummel J, Wanschitz F, Ewers R, Bergmann H, Birkfellner W (2005) A fully automated calibration method for an optical see-through head-mounted operating microscope with variable zoom and focus. IEEE Trans Med Imaging 24(11):1492–1499

    Article  PubMed  Google Scholar 

  4. Franz AM, März K, Hummel J, Birkfellner W, Bendl R, Delorme S, Schlemmer H-P, Meinzer H-P, Maier-Hein L (2012) Electromagnetic tracking for US-guided interventions: standardized assessment of a new compact field generator. Int J Comput Assist Radial Surg 7(6):813–818

    Google Scholar 

  5. Franz AM, Seitel A, Servatius M, Zöllner C, Gergel I, Wegner I, Neuhaus J, Zelzer S, Nolden M, Gaa J, Mercea P, Yung K, Sommer CM, Radeleff BA, Schlemmer HP, Kauczor HU, Meinzer HP, Maier-Hein L (2012) Simplified development of image-guided therapy software with MITK-IGT. In: Proceedings of SPIE medical imaging 2012: image processing, pp 83162J–83162J8. doi:10.1117/12.911421

  6. Ince DC, Hatton L, Graham-Cumming J (2012) The case for open computer programs. Nature 482(7386):485–488. doi:10.1038/nature10836

    Article  CAS  PubMed  Google Scholar 

  7. Lasso A, Heffter T, Pinter C, Ungi T, Fichtinger G (2011) PLUS: An open-source toolkit for developing ultrasound-guided intervention systems. In: Proceedings 4th NCIGT NIH image guided therapy workshop, Vol 4, Arlington, VA, P 103

  8. Maier-Hein L, Franz AM, Birkfellner W, Hummel J, Gergel I, Wegner I, Meinzer HP (2012) Standardized assessment of new electromagnetic field generators in an interventional radiology setting. Med Phys 39(6):3424–3434

    Article  CAS  PubMed  Google Scholar 

  9. Maier-Hein L, Tekbas A, Seitel A, Pianka F, Müller SA, Satzl S, Schawo S, Radeleff B, Franz RTAM, Müller-Stich BP, Wolf I, Kauczor HU, Schmied BM, Meinzer HP (2008) In vivo accuracy assessment of a needle-based navigation system for CT-guided radiofrequency ablation of the liver. Med Phys 35(12):5385–5396

    Article  PubMed  Google Scholar 

  10. März K, Franz AM, Stieltjes B, Iszatt J, Seitel A, Radeleff BA, Meinzer HP, Maier-Hein L (2013) Mobile em field generator for ultrasound guided navigated needle insertions. In: IPCAI, pp 71–80

  11. Mercier L, Langø T, Lindseth F, Collins D (2005) A review of calibration techniques for freehand 3-d ultrasound systems. Ultrasound Med Biol 31(4):449–471. doi:10.1016/j.ultrasmedbio.2004.11.015

    Article  PubMed  Google Scholar 

  12. Müller M, Rassweiler MC, Klein J, Seitel A, Gondan M, Baumhauer M, Teber D, Rassweiler J, Meinzer HP, Maier-Hein L (2013) Mobile augmented reality for computer-assisted percutaneous nephrolithotomy. Int J Comput Assist Radiol Surg 8(4):663–675. doi:10.1007/s11548-013-0828-4

    Google Scholar 

  13. Muratore DM, Galloway RL (2001) Beam calibration without a phantom for creating a 3-d freehand ultrasound system. Ultrasound Med Biol 27(11):1557–1566

    Google Scholar 

  14. Navab N, Taylor R, Yang GZ (eds) (2012) Guest Editorial: Special issue on interventional imaging. IEEE Trans Med Imaging 12(4):857–859

    Google Scholar 

  15. Noble JA, Boukerroui D (2006) Ultrasound image segmentation: a survey. IEEE Trans Med Imaging 25(8):987–1010. doi:10.1109/TMI.2006.877092

    Article  PubMed  Google Scholar 

  16. Nolden M, Zelzer S, Seitel A, Wald D, Müller M, Franz A, Maleike D, Fangerau M, Baumhauer M, Maier-Hein L, Maier-Hein K, Meinzer HP, Wolf I (2013) The medical imaging interaction toolkit: challenges and advances. Int J Comput Assist Radiol Surg 8(4):607–620. doi:10.1007/s11548-013-0840-8

    Article  PubMed  Google Scholar 

  17. Read P, Meyer M (2000) Restoration of motion picture film. Butterworth–Heinemann series in conservation and museology. Elsevier, Amsterdam

    Google Scholar 

  18. Seitel A, Yung K, Mersmann S, Kilgus T, Groch A, Santos T, Franz A, Nolden M, Meinzer HP, Maier-Hein L (2012) MITK-ToF—range data within MITK. Int J Comput Assist Radiol Surg 7(1):87–96. doi:10.1007/s11548-011-0617-x

    Article  PubMed  Google Scholar 

  19. Teather R, Pavlovych A, Stuerzlinger W, MacKenzie I (2009) Effects of tracking technology, latency, and spatial jitter on object movement. In: IEEE symposium on 3D user interfaces, 2009 (3DUI 2009), pp 43–50. doi:10.1109/3DUI.2009.4811204

  20. Wang DC, Chang W, Stetten GD (2005) Real-time ultrasound image analysis for the insight toolkit. Special issue of The Insight Journal, MICCAI 2005: Workshop on Open-Source Software

  21. Wolf I, Vetter M, Wegner I, Böttger T, Nolden M, Schöbinger M, Hastenteufel M, Kunert T, Meinzer HP (2005) The medical imaging interaction toolkit. Med Image Anal 9(6):594–604. doi:10.1016/j.media.2005.04.005

    Article  PubMed  Google Scholar 

  22. Wu X, Taylor R (2003) A framework for calibration of electromagnetic surgical navigation system. In: Proceedings of the 2003 IEEE/RSJ international conference on intelligent robots and systems, 2003 (IROS 2003), vol 1, pp 547–552. doi:10.1109/IROS.2003.1250686

Download references

Acknowledgments

This work was carried out with the support of the German Research Foundation (DFG) as part of project A02, SFB/TRR 125 Cognition-Guided Surgery.

Conflict of interest

Keno März, Alfred M. Franz, Alexander Seitel, Adrian Winterstein, Rolf Bendl, Sascha Zelzer, Marco Nolden, Hans-Peter Meinzer and Lena Maier-Hein declare that they have no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to K. März.

Rights and permissions

Reprints and permissions

About this article

Cite this article

März, K., Franz, A.M., Seitel, A. et al. MITK-US: real-time ultrasound support within MITK. Int J CARS 9, 411–420 (2014). https://doi.org/10.1007/s11548-013-0962-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11548-013-0962-z

Keywords

Navigation