Relevance of Image Fusion for Target Point Determination in Functional Neurosurgery

2002 ◽  
Vol 144 (5) ◽  
pp. 445-451 ◽  
Author(s):  
F. Duffner ◽  
H. Schiffbauer ◽  
S. Breit ◽  
S. Friese ◽  
D. Freudenstein
1999 ◽  
Vol 73 (1-4) ◽  
pp. 140-142 ◽  
Author(s):  
M. Sam Eljamel ◽  
Alan Forster ◽  
Mark Tulley ◽  
Keith Matthews

2020 ◽  
pp. 028418512093447
Author(s):  
Koji Tokunaga ◽  
Akihiro Furuta ◽  
Yusuke Iizuka ◽  
Hiroyoshi Isoda ◽  
Kaori Togashi

Background Ultrasonography (US) is useful when implanting fiducial markers in the liver. However, the implant position is sometimes lost. Recently, real-time image fusion technology (Volume Navigation [V-navi]; GE Healthcare, Milwaukee, WI, USA) has been introduced as a technique for using images from different modalities, and its utility for fiducial marker implantation has been hypothesized. Purpose To evaluate the utility of US-guided fiducial marker implantation in the liver using V-navi compared to conventional US. Material and Methods We retrospectively reviewed 35 patients who underwent fiducial marker implantation for stereotactic body radiation therapy of liver tumors in 2013–2018. To avoid artifacts obscuring the tumor, the target point of implantation was set 10 mm cranial or caudal to the tumor. Marker implantation was then performed using US alone (US group, n = 24) or V-navi with computed tomography (CT) or magnetic resonance imaging (V-navi group, n = 11). Postprocedural CT was evaluated to determine technical success, distances between marker and either tumor surface or target point, and whether marker-induced artifacts obscured the tumor. Complications were also evaluated. Results were compared between groups. Results Technical success was obtained in 33 patients. Distance between the tumor and marker showed no significant difference between groups. Distance between target point and marker was shorter in the V-navi group ( P = 0.0093). Tumor-obscuring artifacts were seen in 12 patients (V-navi group, n = 1; US group, n = 11; P = 0.055). The only complication was minor bleeding in the US group (n = 1). Conclusion V-navi appears useful for US-guided fiducial marker implantation in the liver compared with conventional US.


1998 ◽  
Vol 5 (1) ◽  
pp. 28-32 ◽  
Author(s):  
Vakis Papanastassiou ◽  
Jeremy Rowe ◽  
R Scott ◽  
P Silburn ◽  
L Davies ◽  
...  

2005 ◽  
Vol 173 (4S) ◽  
pp. 414-414
Author(s):  
Frank G. Fuechsel ◽  
Agostino Mattei ◽  
Sebastian Warncke ◽  
Christian Baermann ◽  
Ernst Peter Ritter ◽  
...  

2004 ◽  
Vol 43 (03) ◽  
pp. 85-90 ◽  
Author(s):  
E. Lopez Hänninen ◽  
Th. Steinmüller ◽  
T. Rohlfing ◽  
H. Bertram ◽  
M. Gutberlet ◽  
...  

Summary Aim: Minimally invasive resection of hyperfunctional parathyroid glands is an alternative to open surgery. However, it requires a precise preoperative localization. This study evaluated the diagnostic use of magnetic resonance (MR) imaging, parathyroid scintigraphy, and consecutive image fusion. Patients, methods: 17 patients (9 women, 8 men; age: 29-72 years; mean: 51.2 years) with primary hyperparathyroidism were included. Examination by MRI used unenhanced T1- and T2-weighted sequences as well as contrast-enhanced T1-weighted sequences. 99mTc-MIBI scintigraphy consisted of planar and SPECT (single photon emission tomography) imaging techniques. In order to improve the anatomical localization of a scintigraphic focus, SPECT-data were fused with the corresponding MR-data using a modified version of the Express 5.0 software (Advanced Visual Systems, Waltham, MA). Results of image fusion were then compared to histopathology. Results: In 14/17 patients, a single parathyroid adenoma was found. There were 3 cases with hyperplastic glands. MRI detected 10 (71%), scintigraphy 12 (86%) adenomas. Both modalities detected 1/3 patients with hyperplasia. Image fusion improved the anatomical assignment of the 13 scintigraphic foci in five patients and was helpful in the interpretation of inconclusive MR-findings in two patients. Conclusions: Both MRI and 99mTc-MIBI scintigraphy sensitively detect parathyroid adenomas but are less reliable in case of hyperplastic glands. In case of a scintigraphic focus, image fusion considerably improves its topographic assignment. Furthermore, it facilitates the evaluation of inconclusive MRI findings.


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