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Investigation of intraoperative brain deformation using a 1.5-T interventional MR system: preliminary results

Maurer, CR; Jr, H; D L, M; A J, L; H, M; M, R; D, L; ... C, L; + view all (1998) Investigation of intraoperative brain deformation using a 1.5-T interventional MR system: preliminary results. IEEE TRANS MED IMAGING , 17 (278-0062) pp. 817-825.

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Abstract

All image-guided neurosurgical systems that we are aware of assume that the head and its contents behave as a rigid body. It is important to measure intraoperative brain deformation (brain shift) to provide some indication of the application accuracy of image-guided surgical systems, and also to provide data to develop and validate nonrigid registration algorithms to correct for such deformation. We are collecting data from patients undergoing neurosurgery in a high-field (1.5 T) interventional magnetic resonance (MR) scanner. High-contrast and high-resolution gradient-echo MR image volumes are collected immediately prior to surgery, during surgery, and at the end of surgery, with the patient intubated and lying on the operating table in the operative position. In this paper we report initial results from six patients: one freehand biopsy, one stereotactic functional procedure, and four resections. We investigate intraoperative brain deformation by examining threshold boundary overlays and difference images and by measuring ventricular volume. We also present preliminary results obtained using a nonrigid registration algorithm to quantify deformation. We found that some cases had much greater deformation than others, and also that, regardless of the procedure, there was very little deformation of the midline, the tentorium, the hemisphere contralateral to the procedure, and ipsilateral structures except those that are within 1 cm of the lesion or are gravitationally above the surgical site

Type: Article
Title: Investigation of intraoperative brain deformation using a 1.5-T interventional MR system: preliminary results
Additional information: DA - 19990303
Keywords: Adult, Aged, Brain, anatomy & histology, surgery, Child, Preschool, Female, Humans, Image Processing, Computer-Assisted, Intraoperative Period, Magnetic Resonance Imaging, Male, Middle Aged, Neurosurgical Procedures, Research Support, Non-U.S.Gov't
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: http://discovery.ucl.ac.uk/id/eprint/157596
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