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Gabor Fichtinger

Publications and source records attributed to Gabor Fichtinger.

20 records · Page 2Linked to original sources

Numerical algorithms for spatial registration of line fiducials from cross-sectional images.

We present several numerical algorithms for six-degree-of-freedom rigid-body registration of line fiducial objects to their marks in cross-sectional planar images, such as those obtained in CT and MRI, given the correspondence between the marks and line fiducials. The area of immediate application is frame-based stereotactic procedures, such as radiosurgery and functional neurosurgery. The algorithms are also suitable to problems where the fiducial pattern moves inside the imager, as is the case in robot-assisted image-guided surgical applications. We demonstrate the numerical methods on clinical CT images and computer-generated data and compare their performance in terms of robustness to missing data, robustness to noise, and speed. The methods show two unique strengths: (1) They provide reliable registration of incomplete fiducial patterns when up to two-thirds of the total fiducials are missing from the image; and (2) they are applicable to an arbitrary combination of line fiducials without algorithmic modification. The average speed of the fastest algorithm is 0.3236 s for six fiducial lines in real CT data in a Matlab implementation.

Algorithms↗

Robotically assisted prostate brachytherapy with transrectal ultrasound guidance--Phantom experiments.

PURPOSE: To report the preliminary experimental results obtained with a robot-assisted transrectal ultrasound (TRUS)-guided prostate brachytherapy system. METHODS AND MATERIALS: The system consists of a TRUS unit, a spatially coregistered needle insertion robot, and an FDA-approved treatment planning and image-registered implant system. The robot receives each entry/target coordinate pair of the implant plan, inserts a preloaded needle, and then the seeds are deposited. The needles/sources are tracked in TRUS, thus allowing the plan to be updated as the procedure progresses. RESULTS: The first insertion attempt was recorded for each needle, without adjustment. All clinically relevant locations were reached in a prostate phantom. Nonparallel and parallel needle trajectories were demonstrated. Based on TRUS, the average transverse placement error was 2 mm (worst case 2.5 mm, 80% less than 2 mm), and the average sagittal error was 2.5 mm (worst case 5.0 mm, 70% less than 2.5 mm). CONCLUSIONS: The concept and technical viability of robot-assisted brachytherapy were demonstrated in phantoms. The kinematically decoupled robotic assistant device is inherently safe. Overall performance was promising, but further optimization is necessary to prove the possibility of improved dosimetry.

Brachytherapy↗