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Erschienen in: International Journal of Computer Assisted Radiology and Surgery 5/2022

25.03.2022 | Original Article

AutoInFocus, a new paradigm for ultrasound-guided spine intervention: a multi-platform validation study

verfasst von: Keshuai Xu, Baichuan Jiang, Abhay Moghekar, Peter Kazanzides, Emad Boctor

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 5/2022

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Abstract

Purpose:

Ultrasound-guided spine interventions often suffer from the insufficient visualization of key anatomical structures due to the complex shapes of the self-shadowing vertebrae. Therefore, we propose an ultrasound imaging paradigm, AutoInFocus (automatic insonification optimization with controlled ultrasound), to improve the key structure visibility.

Methods:

A phased-array probe is used in conjunction with a motion platform to image a controlled workspace, and the resulting images from multiple insonification angles are combined to reveal the target anatomy. This idea is first evaluated in simulation and then realized as a robotic platform and a miniaturized patch device. A spine phantom (CIRS) and its CT scan were used in the evaluation experiments to quantitatively and qualitatively analyze the advantages of the proposed method over the traditional approach.

Results:

We showed in simulation that the proposed system setup increased the visibility of interspinous space boundary, a key feature for lumbar puncture guidance, from 44.13 to 67.73% on average, and the 3D spine surface coverage from 14.31 to 35.87%, compared to traditional imaging setup. We also demonstrated the feasibility of both robotic and patch-based realizations in a spine phantom study.

Conclusion:

This work lays the foundation for a new imaging paradigm that leverages redundant and controlled insonification to allow for imaging optimization of the complex vertebrae anatomy, making it possible for high-quality visualization of key anatomies during ultrasound-guided spine interventions.

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Metadaten
Titel
AutoInFocus, a new paradigm for ultrasound-guided spine intervention: a multi-platform validation study
verfasst von
Keshuai Xu
Baichuan Jiang
Abhay Moghekar
Peter Kazanzides
Emad Boctor
Publikationsdatum
25.03.2022
Verlag
Springer International Publishing
Erschienen in
International Journal of Computer Assisted Radiology and Surgery / Ausgabe 5/2022
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-022-02583-6

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