Liu Yixun, Song Zhijian
Digital Medical Research Center of Fudan University, Shanghai 200032, People's Republic of China.
Int J Med Robot. 2008 Jun;4(2):146-57. doi: 10.1002/rcs.186.
Brain deformation plays an important role in causing inaccuracy in image-guided neurosurgery. Three types of approaches have been proposed to solve this problem: intra-operative imaging, deformation atlas and non-rigid registration. By comparing these approaches, we here show that the non-rigid registration approach, based on a linear elastic model, may be the most feasible method during clinical application.
Based on the non-rigid registration model, we designed a framework used to correct the brain deformation. A laser range scanner (LRS) was introduced into this framework to obtain the intra-operative brain surface. Using this device, we designed a novel surface-tracking algorithm, which includes space transformation (rigid registration) and surface moving. We first transformed the point set from LRS space into image space by a series of transformations, then simulated the movement of the brain surface using a thin-plate spline.
We tested the framework using pigs. In these experiments, we segmented and meshed the pig's brain and transformed the initial surface (from a MRI scan) and deformed surface (from LRS) into the same coordinate system, using rigid registration. Using this method, the surfaces of pigs' brains were tracked accurately and the internal brain deformation was estimated. The pre-operative images can be corrected accordingly.
Our animal experiments indicate that this framework can effectively capture the surface deformation and hence estimate the internal deformation of the brain.
脑形变在导致图像引导神经外科手术不准确方面起着重要作用。已提出三种方法来解决这一问题:术中成像、形变图谱和非刚性配准。通过比较这些方法,我们在此表明基于线性弹性模型的非刚性配准方法可能是临床应用中最可行的方法。
基于非刚性配准模型,我们设计了一个用于校正脑形变的框架。将激光测距扫描仪(LRS)引入该框架以获取术中脑表面。使用该设备,我们设计了一种新颖的表面跟踪算法,该算法包括空间变换(刚性配准)和表面移动。我们首先通过一系列变换将点集从LRS空间转换到图像空间,然后使用薄板样条模拟脑表面的移动。
我们使用猪对该框架进行了测试。在这些实验中,我们对猪脑进行了分割和网格化,并使用刚性配准将初始表面(来自MRI扫描)和形变表面(来自LRS)转换到同一坐标系。使用这种方法,猪脑表面被精确跟踪,并且脑内部形变得到了估计。术前图像可相应地得到校正。
我们的动物实验表明,该框架能够有效地捕捉表面形变,从而估计脑内部的形变。