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Interactive multi-criteria planning for radiofrequency ablation

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

Abstract

Purpose

Image-guided radiofrequency ablation (RFA) is a broadly used minimally invasive method for the thermal destruction of focal liver malignancies using needle-shaped instruments. The established planning workflow is based on examination of 2D slices and manual definition of the access path. During that process, multiple criteria for all possible trajectories have to be taken into account. Hence, it demands considerable experience and constitutes a significant mental task.

Methods

An access path determination method based on image processing and numerical optimization is proposed. Fast GPU-based simulation approximation is utilized to incorporate the heat distribution including realistic cooling effects from nearby blood vessels. A user interface for intuitive exploration of the optimization results is introduced.

Results

The proposed methods are integrated into a clinical software assistant. To evaluate the suitability of the interactive optimization approach for the identification of meaningful therapy strategies, a retrospective study has been carried out. The system is able to propose clinically relevant trajectories to the target by incorporating multiple criteria.

Conclusions

A novel method for planning of image-guided radiofrequency ablation by means of interactive access path determination based on optimization is presented. A first retrospective study indicates that the method is suited to improve the classical planning of RFA.

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References

  1. Altrogge I, Preusser T, Kröger T, Büskens C, Pereira PL, Schmidt D, Peitgen HO (2007) Multiscale optimization of the probe placement for radiofrequency ablation. Acad Radiol 14(11):1310–1324

    Article  PubMed  Google Scholar 

  2. Baegert C, Villard C, Schreck P, Soler L (2007) Multi-criteria trajectory planning for hepatic radiofrequency ablation. In: Medical image computing and computer-assisted intervention-MICCAI 2007, Springer, pp 676–684

  3. Butz T, Warfield SK, Tuncali K, Silverman SG, van Sonnenberg E, Jolesz FA, Kikinis R (2000) Pre-and intra-operative planning and simulation of percutaneous tumor ablation. In: Medical image computing and computer-assisted intervention-MICCAI 2000, Springer, pp 317–326

  4. Chen CC, Miga M, Galloway R (2009) Optimizing electrode placement using finite-element models in radiofrequency ablation treatment planning. IEEE Trans Biomed Eng 56(2):237–245

    Article  PubMed  Google Scholar 

  5. Craft D (2013) Multi-criteria optimization methods in radiation therapy planning: a review of technologies and directions. ArXiv Prepr. arXiv:1305.1546

  6. Craft DL, Hong TS, Shih HA, Bortfeld TR (2012) Improved planning time and plan quality through multicriteria optimization for intensity-modulated radiotherapy. Int J Radiat Oncol 82(1):e83–e90

    Article  Google Scholar 

  7. Dodd GD III, Frank MS, Aribandi M, Chopra S, Chintapalli KN (2001) Radiofrequency thermal ablation: computer analysis of the size of the thermal injury created by overlapping ablations. Am J Roentgenol 177(4):777–782

    Article  Google Scholar 

  8. Garrean S, Hering J, Saied A, Helton WS, Espat NJ (2008) Radiofrequency ablation of primary and metastatic liver tumors: a critical review of the literature. Am J Surg 195(4):508–520

    Article  PubMed  Google Scholar 

  9. Greene N (1986) Environment mapping and other applications of world projections. IEEE Comput graph Appl 6(11):21–29

    Article  Google Scholar 

  10. Klamroth K, Tind J, Wiecek MM (2003) Unbiased approximation in multicriteria optimization. Math Methods Oper Res 56(3):413–437

    Article  Google Scholar 

  11. Kröger T, Altrogge I, Preusser T, Pereira PL, Schmidt D, Weihusen A, Peitgen HO (2006) Numerical simulation of radio frequency ablation with state dependent material parameters in three space dimensions. In: Medical image computing and computer-assisted intervention-MICCAI 2006, Springer, pp 380–388

  12. Kröger T, Pätz T, Altrogge I, Schenk A, Lehmann KS, Frericks BB, Ritz JP, Peitgen HO, Preusser T (2010) Fast estimation of the vascular cooling in RFA based on numerical simulation. Open Biomed Eng J 4:16

    PubMed Central  PubMed  Google Scholar 

  13. Küfer KH, Monz M, Scherrer A, Süss P, Alonso F, Sultan ASA, Bortfeld T, Thieke C (2009) Multicriteria optimization in intensity modulated radiotherapy planning. Springer, Berlin

    Google Scholar 

  14. Laugwitz B, Held T, Schrepp M (2008) Construction and evaluation of a user experience questionnaire. In: Holzinger A (ed) HCI and usability for education and work, no. 5298 in lecture notes in computer science. Springer, Berlin, pp 63–76

    Google Scholar 

  15. McCreedy E, Cheng R, Hemler P, Viswanathan A, Wood B, McAuliffe M (2006) Radio frequency ablation registration, segmentation, and fusion tool. IEEE Trans Inf Technol Biomed 10(3):490–496

    Article  PubMed Central  PubMed  Google Scholar 

  16. Moltz J, Bornemann L, Kuhnigk JM, Dicken V, Peitgen E, Meier S, Bolte H, Fabel M, Bauknecht HC, Hittinger M, Kiessling A, Pusken M, Peitgen HO (2009) Advanced segmentation techniques for lung nodules, liver metastases, and enlarged lymph nodes in CT scans. IEEE J Sel Topics Signal Process 3(1):122–134

    Article  Google Scholar 

  17. Mulier S, Ni Y, Jamart J, Ruers T, Marchal G, Michel L (2005) Local recurrence after hepatic radiofrequency coagulation: multivariate meta-analysis and review of contributing factors. Ann Surg 242(2):158–171

  18. Pascoletti A, Serafini P (1984) Scalarizing vector optimization problems. J Optim Theory Appl 42(4):499–524

    Article  Google Scholar 

  19. Rieder C, Kroeger T, Schumann C, Hahn HK (2011) GPU-based real-time approximation of the ablation zone for radiofrequency ablation. IEEE Trans Vis Comput Graphics 17(12):1812–1821

  20. Rieder C, Schwier M, Weihusen A, Zidowitz S, Peitgen HO (2009) Visualization of risk structures for interactive planning of image guided radiofrequency ablation of liver tumors. In: Proceedings SPIE—international society for optics and photonics, pp 726134–726134

  21. Schumann C, Bieberstein J, Trumm C, Schmidt D, Bruners P, Niethammer M, Hoffmann RT, Mahnken AH, Pereira PL, Peitgen HO (2010) Fast automatic path proposal computation for hepatic needle placement. In: Wong KH, Miga MI (eds) Proceedings SPIE, pp 76251J–76251J–10

  22. Seitel A, Engel M, Sommer CM, Radeleff BA, Essert-Villard C, Baegert C, Fangerau M, Fritzsche KH, Yung K, Meinzer HP et al (2011) Computer-assisted trajectory planning for percutaneous needle insertions. Med Phys 38(6):3246–3259

    Article  PubMed  Google Scholar 

  23. Solanki R (1991) Generating the noninferior set in mixed integer biobjective linear programs: an application to a location problem. Comput Oper Res 18(1):1–15

    Article  Google Scholar 

  24. Teichert K (2013) A hyperboxing pareto approximation method applied to radiofrequency ablation treatment planning. Ph.D. thesis, Universitaet Kaiserslautern

  25. Trovato K, Dalal S, Krücker J, Venkatesan A, Wood BJ (2009) Automated RFA planning for complete coverage of large tumors. In: Miga MI, Wong KH (eds) Proceedings SPIE, pp 72610D–72610D–7

  26. Villard C, Baegert C, Schreck P, Soler L, Gangi A (2005) Optimal trajectories computation within regions of interest for hepatic RFA planning. In: Medical image computing and computer-assisted intervention-MICCAI 2005, Springer, pp 49–56

  27. Villard C, Soler L, Gangi A, Mutter D, Marescaux J (2004) Toward realistic radiofrequency ablation of hepatic tumors 3D simulation and planning. In: Medical imaging 2004, international society for optics and photonics, pp 586–595

  28. Weihusen A, Ritter F, Kröger T, Preusser T, Zidowitz S, Peitgen HO (2007) Workflow oriented software support for image guided radiofrequency ablation of focal liver malignancies. In: Cleary KR, Miga MI (eds) Proceedings SPIE, pp 650919–650919–9

  29. Wong SL, Mangu PB, Choti MA, Crocenzi TS, Dodd GD, Dorfman GS, Eng C, Fong Y, Giusti AF, Lu D, Marsland TA, Michelson R, Poston GJ, Schrag D, Seidenfeld J, Benson AB (2010) American society of clinical oncology 2009 clinical evidence review on radiofrequency ablation of hepatic metastases from colorectal cancer. J Clin Oncol 28(3):493–508

    Article  PubMed  Google Scholar 

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Conflict of interest

None.

Ethical standard For this type of study formal consent is not required.

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Authors and Affiliations

  1. Fraunhofer MEVIS, Fraunhofer-Gesellschaft, Universitätsallee 29, 28359, Bremen, Germany

    Christian Schumann, Christian Rieder, Sabrina Haase & Tobias Preusser

  2. Jacobs University, Campus Ring 1, 28759, Bremen, Germany

    Tobias Preusser

  3. Fraunhofer ITWM, Fraunhofer-Gesellschaft, Fraunhofer-Platz 1, 67663, Kaiserslautern, Germany

    Katrin Teichert & Philipp Süss

  4. Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany

    Peter Isfort & Philipp Bruners

Authors
  1. Christian Schumann
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  2. Christian Rieder
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  3. Sabrina Haase
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  4. Katrin Teichert
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  5. Philipp Süss
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  6. Peter Isfort
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  7. Philipp Bruners
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  8. Tobias Preusser
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Correspondence to Christian Schumann.

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Schumann, C., Rieder, C., Haase, S. et al. Interactive multi-criteria planning for radiofrequency ablation. Int J CARS 10, 879–889 (2015). https://doi.org/10.1007/s11548-015-1201-6

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  • DOI: https://doi.org/10.1007/s11548-015-1201-6

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