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使用腹部表面位移作为替代的肝脏呼吸运动估计:机器人模拟体和具有不同对应模型的临床验证。

Liver respiratory-induced motion estimation using abdominal surface displacement as a surrogate: robotic phantom and clinical validation with varied correspondence models.

机构信息

Robotics and Mechatronics, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, 7500 AE, Enschede, Netherlands.

出版信息

Int J Comput Assist Radiol Surg. 2024 Aug;19(8):1477-1487. doi: 10.1007/s11548-024-03176-1. Epub 2024 May 29.

Abstract

PURPOSE

This work presents the implementation of an RGB-D camera as a surrogate signal for liver respiratory-induced motion estimation. This study aims to validate the feasibility of RGB-D cameras as a surrogate in a human subject experiment and to compare the performance of different correspondence models.

METHODS

The proposed approach uses an RGB-D camera to compute an abdominal surface reconstruction and estimate the liver respiratory-induced motion. Two sets of validation experiments were conducted, first, using a robotic liver phantom and, secondly, performing a clinical study with human subjects. In the clinical study, three correspondence models were created changing the conditions of the learning-based model.

RESULTS

The motion model for the robotic liver phantom displayed an error below 3 mm with a coefficient of determination above 90% for the different directions of motion. The clinical study presented errors of 4.5, 2.5, and 2.9 mm for the three different motion models with a coefficient of determination above 80% for all three cases.

CONCLUSION

RGB-D cameras are a promising method to accurately estimate the liver respiratory-induced motion. The internal motion can be estimated in a non-contact, noninvasive and flexible approach. Additionally, three training conditions for the correspondence model are studied to potentially mitigate intra- and inter-fraction motion.

摘要

目的

本研究旨在验证 RGB-D 相机作为替代信号进行肝呼吸运动估计的可行性,并比较不同对应模型的性能。方法:该方法使用 RGB-D 相机计算腹部表面重建并估计肝呼吸运动。进行了两组验证实验,首先使用机器人肝模型,其次对人体进行临床研究。在临床研究中,通过改变基于学习的模型的条件,创建了三个对应模型。结果:机器人肝模型的运动模型在不同运动方向下的误差低于 3mm,决定系数均高于 90%。临床研究中,三个不同的运动模型的误差分别为 4.5mm、2.5mm 和 2.9mm,所有三个案例的决定系数均高于 80%。结论:RGB-D 相机是一种准确估计肝呼吸运动的有前途的方法。该方法可实现内部运动的非接触、非侵入和灵活的估计。此外,研究了对应模型的三个训练条件,以潜在地减轻内在和分次运动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/365f/11329552/209758f104ff/11548_2024_3176_Fig1_HTML.jpg

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