2013 | OriginalPaper | Buchkapitel
Model-Guided Placement of Cerebral Ventricular Catheters
verfasst von : Ingerid Reinertsen, Asgeir Jakola, Ole Solheim, Frank Lindseth, Geirmund Unsgård
Erschienen in: Information Processing in Computer-Assisted Interventions
Verlag: Springer Berlin Heidelberg
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Purpose:
Freehand placement of external ventricular drainage is not sufficiently accurate and precise. In the absence of high quality pre-operative 3D images, we propose the use of an average model for guidance of ventricular catheters.
Methods:
The model was segmented to extract the ventricles and registered to five normal volunteers using a combination of landmark based and surface based registration. The proposed method was validated by comparing the use of the average model to the use of volunteer-specific images.
Results:
The position and orientation of the ventricles were compared and the distances between the target points at the left and right foramen of Monroe were computed (Mean±std: 5.65±1.60mm and 6.05±1.34mm for the left and right side respectively).
Conclusions:
Although an average model for guidance of a surgical procedure has a number of limitations, our initial experiments show that the use of a model might provide sufficient guidance for determination of the angle of insertion. Future work will include further clinical testing and possible refinement of the model.