Multi-Modality Breast MRI Segmentation Using nn-UNet for Preoperative Planning of Robotic Surgery Navigation

Segmentation of the chest region and breast tissues is essential for surgery planning and navigation. This paper proposes the foundation for preoperative segmentation based on two cascaded architectures of deep neural networks (DNN) based on the state-of-the-art nnU-Net. Additionally, this study introduces a polyvinyl alcohol cryogel (PVA-C) breast phantom based on the segmentation of the DNN automated approach, enabling the experiments of navigation system for robotic breast surgery. Multi-modality breast MRI datasets of T2W and STIR images were acquired from 10 patients. Segmentation evaluation utilized the Dice Similarity Coefficient (DSC), segmentation accuracy, sensitivity, and specificity. First, a single class labeling was used to segment the breast region. Then it was employed as an input for three-class labeling to segment fat, fibroglandular (FGT) tissues, and tumorous lesions. The first architecture has a 0.95 DCS, while the second has a 0.95, 0.83, and 0.41 for fat, FGT, and tumor classes, respectively

Multi-Material, Approached Guided, Controlled-Resolution Breast Meshing for FE-Based Interactive Surgery Simulation

This paper proposes a guided, controlled resolution framework for 3D multi-material meshing. Using data from magnetic resonance (MR) images, we efficiently focused on demonstrating our framework for patient-specific breast cases. As a result, we can preserve the shared boundaries and enhance the resolution without negating the aspect of simulation computing time needed for finite element analysis (FEA). Our output is a high-quality volumetric mesh comprising 21K cells representing the three main parts for breast surgery simulation and planning, fat, fibroglandular (FGT), and tumor mass. Our approach combines three steps, surface meshing, surface mesh decimation, and generating a volumetric mesh. We showed experimental results for every stage and compared our final output to other literature, proving our method\u27s efficiency in an accurate, simple, and high-quality presentation of a patient-specific breast meshing