Advancing Intra-operative Precision: Dynamic Data-Driven Non-Rigid Registration for Enhanced Brain Tumor Resection in Image-Guided Neurosurgery

During neurosurgery, medical images of the brain are used to locate tumors and critical structures, but brain tissue shifts make pre-operative images unreliable for accurate removal of tumors. Intra-operative imaging can track these deformations but is not a substitute for pre-operative data. To address this, we use Dynamic Data-Driven Non-Rigid Registration (NRR), a complex and time-consuming image processing operation that adjusts the pre-operative image data to account for intra-operative brain shift. Our review explores a specific NRR method for registering brain MRI during image-guided neurosurgery and examines various strategies for improving the accuracy and speed of the NRR method. We demonstrate that our implementation enables NRR results to be delivered within clinical time constraints while leveraging Distributed Computing and Machine Learning to enhance registration accuracy by identifying optimal parameters for the NRR method. Additionally, we highlight challenges associated with its use in the operating room

Enabling technology for non-rigid registration during image-guided neurosurgery

In the context of image processing, non-rigid registration is an operation that attempts to align two or more images using spatially varying transformations. Non-rigid registration finds application in medical image processing to account for the deformations in the soft tissues of the imaged organs. During image-guided neurosurgery, non-rigid registration has the potential to assist in locating critical brain structures and improve identification of the tumor boundary. Robust non-rigid registration methods combine estimation of tissue displacement based on image intensities with the spatial regularization using biomechanical models of brain deformation. In practice, the use of such registration methods during neurosurgery is complicated by a number of issues: construction of the biomechanical model used in the registration from the image data, high computational demands of the application, and difficulties in assessing the registration results. In this dissertation we develop methods and tools that address some of these challenges, and provide components essential for the intra-operative application of a previously validated physics-based non-rigid registration method.;First, we study the problem of image-to-mesh conversion, which is required for constructing biomechanical model of the brain used during registration. We develop and analyze a number of methods suitable for solving this problem, and evaluate them using application-specific quantitative metrics. Second, we develop a high-performance implementation of the non-rigid registration algorithm and study the use of geographically distributed Grid resources for speculative registration computations. Using the high-performance implementation running on the remote computing resources we are able to deliver the results of registration within the time constraints of the neurosurgery. Finally, we present a method that estimates local alignment error between the two images of the same subject. We assess the utility of this method using multiple sources of ground truth to evaluate its potential to support speculative computations of non-rigid registration

Burroughs Wellcome Fund - 2004 Annual Report

Contains mission statement, president's message, program information, grantee profiles, financial statements, and list of board members and staff

Real-Time High-Quality Image to Mesh Conversion for Finite Element Simulations

Technological Advances in Medical Imaging have enabled the acquisition of images accurately describing biological tissues. Finite Element (FE) methods on these images provide the means to simulate biological phenomena such as brain shift registration, respiratory organ motion, blood flow pressure in vessels, etc. FE methods require the domain of tissues be discretized by simpler geometric elements, such as triangles in two dimensions, tetrahedra in three, and pentatopes in four. This exact discretization is called a mesh . The accuracy and speed of FE methods depend on the quality and fidelity of the mesh used to describe the biological object. Elements with bad quality introduce numerical errors and slower solver convergence. Also, analysis based on poor fidelity meshes do not yield accurate results specially near the surface. In this dissertation, we present the theory and the implementation of both a sequential and a parallel Delaunay meshing technique for 3D and ---for the first time--- 4D space-time domains. Our method provably guarantees that the mesh is a faithful representation of the multi-tissue domain in topological and geometric sense. Moreover, we show that our method generates graded elements of bounded radius-edge and aspect ratio, which renders our technique suitable for Finite Element analysis. A notable feature of our implementation is speed and scalability. The single-threaded performance of our 3D code is faster than the state of the art open source meshing tools. Experimental evaluation shows a more than 82% weak scaling efficiency for up to 144 cores, reaching a rate of more than 14.3 million elements per second. This is the first 3D parallel Delaunay refinement method to achieve such a performance, on either distributed or shared-memory architectures. Lastly, this dissertation is the first to develop and examine the sequential and parallel high-quality and fidelity meshing of general space-time 4D multi-tissue domains

The SILVER Spark for Nevada

The SILVER Spark for Nevada: Sustainable Innovation Leading a Vital Economic Renaissance Nevada. A State of stark contrasts, with historic booms and devastating busts experienced throughout its modern history. A State frequently forced to reinvent itself as ever-evolving circumstances have demanded. A State that has been driven to the edge time after time and, yet again and again, has managed to discover another way to prosper. A State that now finds itself in a precarious position as the “Great Recession” hit it harder than any other and has left it struggling to recover. As you will conclude by reading The SILVER Spark, Nevada can successfully build a globally-competitive economic engine based on innovation and entrepreneurship through the commercialization of research, discovery, and development. It will, however, require changes in how the State operates, by uniting the many competing visions, missions and goals found statewide. Although the seventh largest state geographically, Nevada is only the thirty-fifth most populous state in the Union. So it must also find a unique way to focus its admittedly stretched resources on a strategic set of priorities to successfully diversify its economy. The ‘SILVER’ Spark proposes an approach to do exactly what so many across the State have suggested must be done for so long—transform the State’s legacy economy and create new-economy jobs. It advocates the application of sustainable innovation to lead a vital economic renaissance through the following three major transformational actions: Drive more public and private innovation in the State. Improve the State-wide commercialization ecosystem. Accelerate entrepreneurial activity throughout Nevada. Nevada is uniquely Nevadan. From its world-class gaming facilities to its innovative laboratories, Nevada is still a place where dreams can become reality. Nevada itself is collectively a gigantic open source laboratory. It is a place where a scientific theory, an educated hypothesis or sometimes little more than conjecture can change everything in a spark. It is time for Nevada to reclaim its innovation brand

Burroughs Wellcome Fund - 2001 Annual Report

Contains mission statement, president's message, program information, financial statements, grants list and guidelines, and lists of board members, advisory committee members, and staff

GA4GH: International policies and standards for data sharing across genomic research and healthcare.

The Global Alliance for Genomics and Health (GA4GH) aims to accelerate biomedical advances by enabling the responsible sharing of clinical and genomic data through both harmonized data aggregation and federated approaches. The decreasing cost of genomic sequencing (along with other genome-wide molecular assays) and increasing evidence of its clinical utility will soon drive the generation of sequence data from tens of millions of humans, with increasing levels of diversity. In this perspective, we present the GA4GH strategies for addressing the major challenges of this data revolution. We describe the GA4GH organization, which is fueled by the development efforts of eight Work Streams and informed by the needs of 24 Driver Projects and other key stakeholders. We present the GA4GH suite of secure, interoperable technical standards and policy frameworks and review the current status of standards, their relevance to key domains of research and clinical care, and future plans of GA4GH. Broad international participation in building, adopting, and deploying GA4GH standards and frameworks will catalyze an unprecedented effort in data sharing that will be critical to advancing genomic medicine and ensuring that all populations can access its benefits