Abstract
Purpose
While robust and accurate, our previously developed volume-to-volume ultrasound-CT registration of vertebrae required that the 2D ultrasound slices be reconstructed into a 3D volume, a time-consuming step that increased the total registration time per vertebra. We have modified our registration technique to a slices-to-volume strategy to eliminate the ultrasound reconstruction step in order to make the total registration time more practical intraoperatively.
Methods
The slices-to-volume registration is achieved by performing backward scan line tracing on individual ultrasound slices as they are acquired, and then registering them as a group to the posterior vertebral surface extracted from the pre-operative CT image. The technique is validated using a lumbosacral Sawbones phantom and the lumbosacral section of three porcine cadavers.
Results
The slices-to-volume registration reduced the total registration time per vertebra from 8 to 4 min. The registration accuracy and robustness of the slices-to-volume registration were found to be equal or superior to those of our previous volume-to-volume registration. In addition, a trade-off was found between registration accuracy and registration speed by changing the number of ultrasound slices used in the registration.
Conclusions
The slices-to-volume ultrasound-CT registration significantly reduces the total registration time per vertebra, making this automated technique more practical intraoperatively.
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Yan, C.X.B., Goulet, B., Tampieri, D. et al. Ultrasound-CT registration of vertebrae without reconstruction. Int J CARS 7, 901–909 (2012). https://doi.org/10.1007/s11548-012-0771-9
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DOI: https://doi.org/10.1007/s11548-012-0771-9