Reality-Based Estimation of Needle and Soft-Tissue Interaction for Accurate Haptic Feedback in Prostate Brachytherapy Simulation

Author(s):  
James T. Hing ◽  
Ari D. Brooks ◽  
Jaydev P. Desai
2010 ◽  
Vol 103 (2-3) ◽  
pp. 159-168 ◽  
Author(s):  
Hadrien Courtecuisse ◽  
Hoeryong Jung ◽  
Jérémie Allard ◽  
Christian Duriez ◽  
Doo Yong Lee ◽  
...  

2000 ◽  
Vol 26 (5) ◽  
pp. 491-495 ◽  
Author(s):  
Mark C. Pierce ◽  
Stuart D. Jackson ◽  
Mark R. Dickinson ◽  
Terence A. King ◽  
Philip Sloan

2021 ◽  
Author(s):  
Reyhaneh Nosrati

Permanent implantation of low-dose-rate (LDR) brachytherapy seeds is a well-established treatment modality for patients with localized prostate cancer. The quality of the implant is assessed within 30 days following implantation through post-implant dosimetry. The standard recommended procedure for post-implant dosimetry is based on computed tomography (CT). CT provides excellent seed visualization and localization; however, due to poor soft tissue contrast and challenging anatomical identificatio,n it leads to significant interobserver variabilities. The current MRI-CT fusion-based workflow for post-implant dosimetry LDR prostate brachytherapy takes advantage of the superior soft tissue contrast of MRI but still relies on CT for seed visualization and detection, and it suffers from image fusion uncertainties and extra cost and logistics. The lack of positive contrast from brachytherapy seeds in conventional MR images remains a major challenge towards an MRI-only workflow for post-implant dosimetry of Low- Dose-Rate (LDR) brachytherapy. In this thesis, a clinically feasible MRI-based workflow has been developed for brachytherapy seed visualization and localization. The seed visualization is based on a novel Quantitative Susceptibility Mapping (QSM) algorithm. The proposed seed localization on QSM utilizes machine learning algorithms. The reliability of the proposed workflow has been validated on 23 patients by comparing the seed positions and final dosimetric parameters between the proposed MRI-only workflow and the clinical CT-MRI fusion-based approach and there was excellent agreement between the two methods.


2021 ◽  
Author(s):  
Reyhaneh Nosrati

Permanent implantation of low-dose-rate (LDR) brachytherapy seeds is a well-established treatment modality for patients with localized prostate cancer. The quality of the implant is assessed within 30 days following implantation through post-implant dosimetry. The standard recommended procedure for post-implant dosimetry is based on computed tomography (CT). CT provides excellent seed visualization and localization; however, due to poor soft tissue contrast and challenging anatomical identificatio,n it leads to significant interobserver variabilities. The current MRI-CT fusion-based workflow for post-implant dosimetry LDR prostate brachytherapy takes advantage of the superior soft tissue contrast of MRI but still relies on CT for seed visualization and detection, and it suffers from image fusion uncertainties and extra cost and logistics. The lack of positive contrast from brachytherapy seeds in conventional MR images remains a major challenge towards an MRI-only workflow for post-implant dosimetry of Low- Dose-Rate (LDR) brachytherapy. In this thesis, a clinically feasible MRI-based workflow has been developed for brachytherapy seed visualization and localization. The seed visualization is based on a novel Quantitative Susceptibility Mapping (QSM) algorithm. The proposed seed localization on QSM utilizes machine learning algorithms. The reliability of the proposed workflow has been validated on 23 patients by comparing the seed positions and final dosimetric parameters between the proposed MRI-only workflow and the clinical CT-MRI fusion-based approach and there was excellent agreement between the two methods.


Author(s):  
Daniel Ostler ◽  
Matthias Seibold ◽  
Jonas Fuchtmann ◽  
Nicole Samm ◽  
Hubertus Feussner ◽  
...  

Abstract Purpose Minimally invasive surgery (MIS) has become the standard for many surgical procedures as it minimizes trauma, reduces infection rates and shortens hospitalization. However, the manipulation of objects in the surgical workspace can be difficult due to the unintuitive handling of instruments and limited range of motion. Apart from the advantages of robot-assisted systems such as augmented view or improved dexterity, both robotic and MIS techniques introduce drawbacks such as limited haptic perception and their major reliance on visual perception. Methods In order to address the above-mentioned limitations, a perception study was conducted to investigate whether the transmission of intra-abdominal acoustic signals can potentially improve the perception during MIS. To investigate whether these acoustic signals can be used as a basis for further automated analysis, a large audio data set capturing the application of electrosurgery on different types of porcine tissue was acquired. A sliding window technique was applied to compute log-mel-spectrograms, which were fed to a pre-trained convolutional neural network for feature extraction. A fully connected layer was trained on the intermediate feature representation to classify instrument–tissue interaction. Results The perception study revealed that acoustic feedback has potential to improve the perception during MIS and to serve as a basis for further automated analysis. The proposed classification pipeline yielded excellent performance for four types of instrument–tissue interaction (muscle, fascia, liver and fatty tissue) and achieved top-1 accuracies of up to 89.9%. Moreover, our model is able to distinguish electrosurgical operation modes with an overall classification accuracy of 86.40%. Conclusion Our proof-of-principle indicates great application potential for guidance systems in MIS, such as controlled tissue resection. Supported by a pilot perception study with surgeons, we believe that utilizing audio signals as an additional information channel has great potential to improve the surgical performance and to partly compensate the loss of haptic feedback.


2010 ◽  
Vol 16 (1) ◽  
pp. 28-32
Author(s):  
Shan Jiang ◽  
Nobuhiko Hata ◽  
Bohan Xiao ◽  
Weijin An

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