Abstract
Purpose
The conventional surface-based method only registers the facial zone with preoperative point cloud, resulting in low accuracy away from the facial area. Acquiring a point cloud of the entire head for registration can improve registration accuracy in all parts of the head. However, it takes a long time to collect a point cloud of the entire head. It may be more practical to selectively scan part of the head to ensure high registration accuracy in the surgical area of interest. In this study, we investigate the effects of different scan regions on registration errors in different target areas when using a surface-based registration method.
Methods
We first evaluated the correlation between the laser scan resolution and registration accuracy to determine an appropriate scan resolution. Then, with the appropriate resolution, we explored the effects of scan modes on registration error in computer simulation experiments, phantom experiments and two clinical cases. The scan modes were designed based on different combinations of five zones of the head surface, i.e., the sphenoid-frontal zone, parietal zone, left temporal zone, right temporal zone and occipital zone. In the phantom experiment, a handheld scanner was used to acquire a point cloud of the head. A head model containing several tumors was designed, enabling us to calculate the target registration errors deep in the brain to evaluate the effect of regional-surface-based registration.
Result
The optimal scan modes for tumors located in the sphenoid-frontal, parietal and temporal areas are mode 4 (i.e., simultaneously scanning the sphenoid-frontal zone and the temporal zone), mode 4 and mode 6 (i.e., simultaneously scanning the sphenoid-frontal zone, the temporal zone and the parietal zone), respectively. For the tumor located in the occipital area, no modes were able to achieve reliable accuracy.
Conclusion
The results show that selecting an appropriate scan resolution and scan mode can achieve reliable accuracy for use in sphenoid-frontal, parietal and temporal area surgeries while effectively reducing the operation time.










Similar content being viewed by others
References
Peters TM (2006) Image-guidance for surgical procedures. Phys Med Biol 51(14):R505–R540
Maurer CR, Fitzpatrick JM, Wang MY, Galloway RL, Maciunas RJ, Allen GS (1997) Registration of head volume images using implantable fiducial markers. IEEE Trans Med Imaging 16:447–462
Mascott CR, Sol JC, Bousquet P, Lagarrigue J, Lazorthes Y, Lauwers-Cances V (2006) Quantification of true in vivo application accuracy in cranial image-guided surgery: influence of mode of patient registration. Neurosurgery 59:146–156
Mascott CR (2006) In vivo accuracy of image guidance performed using optical tracking and optimized registration. J Neurosurg 105:561–567
Manning W, Zhijian S (2010) Distribution templates of the fiducial points in image-guided neurosurgery. Neurosurgery 66:143–151
Schonemann PH (1966) A generalized solution of the orthogonal Procrustes problem. Psychometrika 31:1–10
Arun K, Huang T, Blostein SD (1987) Least-squares fitting of two 3D point sets. IEEE Trans Pattern Anal Mach Intell 9:699–700
Cao A, Thompson RC, Dumpuri P (2008) Laser range scanning for image-guided neurosurgery: investigation of image-to-physical space registrations. Med Phys 35:593–1605
Ji S, Roberts DW, Hartov A, Paulsen KD (2012) Intraoperative patient registration using volumetric true 3D ultrasound without fiducials. Med Phys 39:7540–7552
Fan Y, Lüth T, Ji S, Hartov A, Paulsen KD (2015) Intraoperative fiducial-less patient registration using volumetric 3D ultrasound: a prospective series of 32 neurosurgical cases. J Neurosurg 123(3):721–731
Wang MN, Song ZJ (2011) Properties of the target registration error for surface matching in neuronavigation. Comput Aided Surg 16:161–169
Fan Y, Jiang D, Wang M, Song Z (2014) A new markerless patient-to-image registration method using a portable 3D scanner. Med Phys 41:101910
Liu Y, Song Z, Wang M (2017) A, new robust markerless method for automatic image-to-patient registration in image-guided neurosurgery system. Comput Assist Surg 22:319
Miga MI, Sinha TK, Cash DM, Galloway RL, Weil RJ (2003) Cortical surface registration for image-guided neurosurgery using laser-range scanning. IEEE Trans Med Imaging 22:973–985
Marmulla R, Muhling J, Wirtz CR, Hassfeld S (2004) High-resolution laser surface scanning for patient registration in cranial computer-assisted surgery. Minim Invasive Neurosurg 47:72–78
Schicho K, Figl M, Seemann R, Donat M, Pretterklieber ML, Birkfellner W, Reichwein A, Wanschitz F, Kainberger F, Bergmann H (2007) Comparison of laser surface scanning and fiducial marker-based registration in frameless stereotaxy: technical note. J Neurosurg 106:704–709
Woerdeman PA, Willems PW, Noordmans HJ, Tulleken CA, van der Sprenkel JWB (2007) Application accuracy in frameless image-guided neurosurgery: a comparison study of three patient-to-image registration methods. J Neurosurg 106:1012–1016
Paraskevopoulos D, Unterberg A, Metzner R, Dreyhaupt J, Eggers G, Wirtz CR (2011) Comparative study of application accuracy of two frameless neuronavigation systems: experimental error assessment quantifying registration methods and clinically influencing factors. Neurosurg Rev 34:217–228
Bucholz R, Macneil W, Fewings P, Ravindra A, Mcdurmont L, Baumann C (2000) Automated rejection of contaminated surface measurements for improved surface registration in image guided neurosurgery. Stud Health Technol Inf 70:39–45
Raabe A, Krishnan R, Wolff R, Hermann E, Zimmermann M (2002) Laser surface scanning for patient registration in intracranial image-guided surgery. Neurosurgery 50:802–803
Marmulla R, Lüth T, Mühlin J, Hassfeld S (2004) Automated laser registration in image-guided surgery: evaluation of the correlation between laser scan resolution and navigation accuracy. Int J Oral Maxillofac Surg 33:642–648
Funding
This study was funded by the Shanghai Natural Science Foundation (Grant No. 17ZR1401500), and by the National Natural Science Foundation of China (Grant No. 81471758).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Appendix: The error distribution of different modes in three orthogonal planes
Appendix: The error distribution of different modes in three orthogonal planes
To intuitively visualize the intracranial error distribution by using different modes, we calculated the intracranial errors (Eq. 1) in three orthogonal planes in the simulation experiments. Fifty experiments were repeated for each mode, and the average error of each point was recorded. Figure 11 shows the error distribution of different modes in three orthogonal planes. We used a heat map to represent the magnitude of the error of each point, and the darker the color is, the larger the error is. Due to the large difference in error distribution of the different modes, different modes used different scales to show the distribution of error well.
See Fig. 11.
Rights and permissions
About this article
Cite this article
Dong, Y., Zhang, C., Ji, D. et al. Regional-surface-based registration for image-guided neurosurgery: effects of scan modes on registration accuracy. Int J CARS 14, 1303–1315 (2019). https://doi.org/10.1007/s11548-019-01990-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11548-019-01990-6