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A new device for fiducial registration of image-guided navigation system for liver RFA

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

Abstract

Purpose

Radiofrequency ablation for liver tumors (liver RFA) is widely performed under ultrasound guidance. However, discriminating between the tumor and the needle is often difficult because of cavitation caused by RFA-induced coagulation. An unclear ultrasound image can lead to complications and tumor residue. Therefore, image-guided navigation systems based on fiducial registration have been developed. Fiducial points are usually set on a patient’s skin. But the use of internal fiducial points can improve the accuracy of navigation. In this study, a new device is introduced to use internal fiducial points using 2D US.

Methods

3D Slicer as the navigation software, Polaris Vicra as the position sensor, and two target tumors in a 3D abdominal phantom as puncture targets were used. Also, a new device that makes it possible to obtain tracking coordinates in the body was invented. First, two-dimensional reslice images from the CT images using 3D Slicer were built. A virtual needle was displayed on the two-dimensional reslice image, reflecting the movement of the actual needle after fiducial registration. A phantom experiment using three sets of fiducial point configurations: one conventional case using only surface points, and two cases in which the center of the target tumor was selected as a fiducial point was performed. For each configuration, one surgeon punctured each target tumor ten times under guidance from the 3D Slicer display. Finally, a statistical analysis examining the puncture error was performed.

Results

The puncture error for each target tumor decreased significantly when the center of the target tumor was included as one of the fiducial points, compared with when only surface points were used.

Conclusion

This study introduces a new device to use internal fiducial points and suggests that the accuracy of image-guided navigation systems for liver RFA can be improved by using the new device.

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Authors and Affiliations

  1. Gastroenterological Center, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa, 232-0024, Japan

    Nobutaka Doba, Hiroyuki Fukuda, Kazushi Numata, Yoshiteru Hao, Kouji Hara, Akito Nozaki, Makoto Chuma, Katsuaki Tanaka & Shigeo Takebayashi

  2. Department of Gastroenterology, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan

    Masaaki Kondo & Shin Maeda

  3. National Institute of Radiological Sciences, 4-9-1 Anagawa, Inage-ku, Chiba, Chiba, 263-8555, Japan

    Akira Kobayashi

  4. Department of Mechanical and Intelligent Systems Engineering, Graduate School of Informatics and Engineering, School of Informatics and Engineering, The University of Electro-Communications, 1-5-1 Choufugaoka, Choufu City, Tokyo, Japan

    Norihiro Koizumi

  5. Department of Radiology, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA, 02115, USA

    Junichi Tokuda

Authors
  1. Nobutaka Doba
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  2. Hiroyuki Fukuda
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  3. Kazushi Numata
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  4. Yoshiteru Hao
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  5. Kouji Hara
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  7. Masaaki Kondo
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  8. Makoto Chuma
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  9. Katsuaki Tanaka
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  10. Shigeo Takebayashi
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  11. Norihiro Koizumi
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  12. Akira Kobayashi
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  13. Junichi Tokuda
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  14. Shin Maeda
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Corresponding author

Correspondence to Nobutaka Doba.

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The authors declare that they have no conflict of interest.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Doba, N., Fukuda, H., Numata, K. et al. A new device for fiducial registration of image-guided navigation system for liver RFA. Int J CARS 13, 115–124 (2018). https://doi.org/10.1007/s11548-017-1647-9

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  • DOI: https://doi.org/10.1007/s11548-017-1647-9

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