A Computational Image-Based Guidance System for Precision Laparoscopy

This dissertation presents our progress toward the goal of building a computational image-based guidance system for precision laparoscopy; in particular, laparoscopic liver resection. As we aim to keep our working goal as simple as possible, we have focused on the most important questions of laparoscopy - predicting the new location of tumors and resection plane after a liver maneuver during surgery. Our approach was to build a mechanical model of the organ based on pre-operative images and register it to intra-operative data. We proposed several practical and cost-effective methods to obtain the intra-operative data in the real procedure. We integrated all of them into a framework on which we could develop new techniques without redoing everything. To test the system, we did an experiment with a porcine liver in a controlled setup: a wooden lever was used to elevate a part of the liver to access the posterior of the liver. We were able to confirm that our model has decent accuracy for tumor location (approximately 2 mm error) and resection plane (1% difference in remaining liver volume after resection). However, the overall shape of the liver and the fiducial markers still left a lot to be desired. For further corrections to the model, we also developed an algorithm to reconstruct the 3D surface of the liver utilizing Smart Trocars, a new surgical instrument recognition system. The algorithm had been verified by an experiment on a plastic model using the laparoscopic camera as a mean to obtain surface images. This method had millimetric accuracy provided the angle between two endoscope views is not too small. In an effort to transit our research from porcine livers to human livers, in-vivo experiments had been conducted on cadavers. From those studies, we found a new method that used a high-frequency ventilator to eliminate respiratory motion. The framework showed the potential to work on real organs in clinical settings. Hence, the studies on cadavers needed to be continued to improve those techniques and complete the guidance system.Computer Science, Department o

SUBJECT-SPECIFIC 4D ULTRASOUND LIVER MODEL AND DYNAMIC PHANTOM FOR ROBOTIC-ASSISTED LIVER BIOPSY STUDY

Ph.DDOCTOR OF PHILOSOPH

Characterization of Internal Organ Motion Using Skin Marker Positions

Internal organ motion due to breathing is a phenomenon that nullifies the rigidity assumptions in many interventional applications, ranging from image guided needle biopsies to external beam radiation therapy. In this paper, we propose a method to correlate and characterize internal organ motion with the location of skin markers. The method utilizes a MR time sequence along with tracked magnetic marker positions to establish the correlation. We perform a validation study to quantify the degree of the accuracy and the reproducibility of this correlation. The results demonstrate that patient specific correlation of internal motion and skin markers can be established and the target positioning accuracy of better than 15% of the maximum range of the target movement can be achieved

Statistical shape modelling: automatic shape model building

Statistical Shape Models (SSM) have wide applications in image segmentation, surface registration and morphometry. This thesis deals with an important issue in SSM, which is establishing correspondence between a set of shape surfaces on either 2D or 3D. Current methods involve either manual annotation of the data (current ‘gold standard’); or establishing correspondences by using segmentation or registration algorithms; or using an information technique, Minimum Description Length (MDL), as an objective function that measures the utility of a model (the state-of-the-art). This thesis presents in principle another framework for establishing correspondences completely automatically by treating it as a learning process. Shannon theory is used extensively to develop an objective function, which measures the performance of a model along each eigenvector direction, and a proper weighting is automatically calculated for each energy component. Correspondence finding can then be treated as optimizing the objective function. An efficient optimization method is also incorporated by deriving the gradient of the cost function. Experimental results on various data are presented on both 2D and 3D. In the end, a quantitative evaluation between the proposed algorithm and MDL shows that the proposed model has better Generalization Ability, Specificity and similar Compactness. It also shows a good potential ability to solve the so-called “Pile Up” problem that exists in MDL. In terms of application, I used the proposed algorithm to help build a facial contour classifier. First, correspondence points across facial contours are found automatically and classifiers are trained by using the correspondence points found by the MDL, proposed method and direct human observer. These classification schemes are then used to perform gender prediction on facial contours. The final conclusion for the experiments is that MEM found correspondence points built classification scheme conveys a relatively more accurate gender prediction result. Although, we have explored the potential of our proposed method to some extent, this is not the end of the research for this topic. The future work is also clearly stated which includes more validations on various 3D datasets; discrimination analysis between normal and abnormal subjects could be the direct application for the proposed algorithm, extension to model-building using appearance information, etc