Prostate Biopsy Assistance System with Gland Deformation Estimation for Enhanced Precision

Computer-assisted prostate biopsies became a very active research area during the last years. Prostate tracking makes it possi- ble to overcome several drawbacks of the current standard transrectal ultrasound (TRUS) biopsy procedure, namely the insufficient targeting accuracy which may lead to a biopsy distribution of poor quality, the very approximate knowledge about the actual location of the sampled tissues which makes it difficult to implement focal therapy strategies based on biopsy results, and finally the difficulty to precisely reach non-ultrasound (US) targets stemming from different modalities, statistical atlases or previous biopsy series. The prostate tracking systems presented so far are limited to rigid transformation tracking. However, the gland can get considerably deformed during the intervention because of US probe pres- sure and patient movements. We propose to use 3D US combined with image-based elastic registration to estimate these deformations. A fast elastic registration algorithm that copes with the frequently occurring US shadows is presented. A patient cohort study was performed, which yielded a statistically significant in-vivo accuracy of 0.83+-0.54mm.Comment: This version of the paper integrates a correction concerning the local similarity measure w.r.t. the proceedings (this typing error could not be corrected before editing the proceedings

Direct inverse deformation field approach to pelvic-area symmetric image registration

This paper presents a novel technique for a consistent symmetric deformable image registration based on an accurate method for a direct inversion of a large motion model deformation field. The proposed image registration algorithm maintains one-to-one mapping between registered images by symmetrically warping them to another image. This makes the final estimation of forward and backward deformation fields anatomically plausible and applicable to adaptive prostate radiotherapy. The quantitative validation of the method is performed on magnetic resonance data obtained for pelvis area. The experiments demonstrate the improved robustness in terms of inverse consistency error and estimation accuracy of prostate position in comparison to the previously proposed methods

A fast and robust patient specific Finite Element mesh registration technique: application to 60 clinical cases

Finite Element mesh generation remains an important issue for patient specific biomechanical modeling. While some techniques make automatic mesh generation possible, in most cases, manual mesh generation is preferred for better control over the sub-domain representation, element type, layout and refinement that it provides. Yet, this option is time consuming and not suited for intraoperative situations where model generation and computation time is critical. To overcome this problem we propose a fast and automatic mesh generation technique based on the elastic registration of a generic mesh to the specific target organ in conjunction with element regularity and quality correction. This Mesh-Match-and-Repair (MMRep) approach combines control over the mesh structure along with fast and robust meshing capabilities, even in situations where only partial organ geometry is available. The technique was successfully tested on a database of 5 pre-operatively acquired complete femora CT scans, 5 femoral heads partially digitized at intraoperative stage, and 50 CT volumes of patients' heads. The MMRep algorithm succeeded in all 60 cases, yielding for each patient a hex-dominant, Atlas based, Finite Element mesh with submillimetric surface representation accuracy, directly exploitable within a commercial FE software

Symmetric image registration with directly calculated inverse deformation field

This paper presents a novel technique for a symmetric deformable image registration based on a new method for fast and accurate direct inversion of a large motion model deformation field. The proposed image registration algorithm maintain a one-to-one mapping between registered images by symmetrically warping them to each other, and by ensuring the inverse consistency criterion at each iteration. This makes the final estimation of forward and backward deformation fields anatomically plausible. The quantitative validation of the method has been performed on magnetic resonance data obtained for a pelvis area demonstrating applicability of the method to adaptive prostate radiotherapy. The experiments demonstrate the improved robustness in terms of inverse consistency error when compared to previously proposed methods for symmetric image registration