successes and challenges in effectors and scanner control
DESCRIPTION
Successes and Challenges in Effectors and Scanner Control. Nobuhiko Hata, PhD Brigham and Women’s Hospital. Issues. Basic functions for Image Guided Therapy (visualization, image I/O, patient-to-image registration) are relatively easy to implement (thanks to VTK and ITK) - PowerPoint PPT PresentationTRANSCRIPT
Brigham and Women’s Hospital Image Guided Therapy Program
Brigham and Women’s Hospital Image Guided Therapy Program
Successes and Challenges in Effectors and Scanner Control
Nobuhiko Hata, PhD
Brigham and Women’s Hospital
Brigham and Women’s Hospital Image Guided Therapy Program
Issues
• Basic functions for Image Guided Therapy (visualization, image I/O, patient-to-image registration) are relatively easy to implement (thanks to VTK and ITK)
• Challenge 1: Develop and apply new medical image processing methods to enable new therapy options
• Challenge 2: Provide meeting point for robotics, medical image processing, and bio-physics
Brigham and Women’s Hospital Image Guided Therapy Program
Objective
• Open source software 3D Slicer• Modular architecture for multiple IGT applic
ations• Integration to FDA-approved commercial sy
stems• Issues
Brigham and Women’s Hospital Image Guided Therapy Program
Slicer
• 1996: Carl-Fredrick Westin (newly hired post-doc) and Noby Hata (SPL grad student) developed prototype using VTK-beta
• 1997: First MR-guided neurosurgery• Dave Gering (MIT grad student) re-design the soft
ware• Lauren O'Donnell (1999-), Steve Pieper (2001-)• Pis: Ron Kikinis, Ferenc Jolesz, Eric Grimson, Will
iam Wells III
Brigham and Women’s Hospital Image Guided Therapy Program
Slicer 97
Brigham and Women’s Hospital Image Guided Therapy Program
Multiple applications
• Software design to maximize function commonalities among applications– Brain (biopsy, craniotomy, NdYAG laser ablation)– Prostate (brachytherapy, biopsy)– Liver and kidney (Microwave, laser ablation)– Endoscopy (neuroendoscopy)
Brigham and Women’s Hospital Image Guided Therapy Program
Neurosurgery
• DICOM image transfer• Visualization• Navigation
• Image registration
Brigham and Women’s Hospital Image Guided Therapy Program
“Multi-modality” MRIg Surgery
Registration is the key-enabling technology
Brigham and Women’s Hospital Image Guided Therapy Program
ACADEMIC RADIOLOGY 10 (12): 1442-1449 DEC 2003
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MR-guided Liver ablation Therapy
Brigham and Women’s Hospital Image Guided Therapy Program
MRI-guided Thermal Therapy
•Comput Med Imaging Graph
•Image display
•DICOM transfer
•Thermal mapping
(modifying fMRI module)
Brigham and Women’s Hospital Image Guided Therapy Program
MRI-guided prostate therapy
•DICOM image transfer•Rigid and non-rigid image registration•Planning•Scanner control
Radiology 220(1), 263-268, 2001
Brigham and Women’s Hospital Image Guided Therapy Program
Slicer with Hitachi scanner
•DICOM image transfer•Patient-to-image registration•Navigation•Tumor segmentation for resection monitoring
Brigham and Women’s Hospital Image Guided Therapy Program
Pituitary tumor in horizontal open-MRI
3D Slicer (Freeware)3D Slicer (Freeware)Navigation tool for image-guided therapyNavigation tool for image-guided therapy
Brigham and Women’s Hospital Image Guided Therapy Program
Intraoperative Tumor Segmentation
• ITK-VTK-Slicer• Fuzzy connectivity• 30+ cases at 0.3T
Hitachi Horizontal gap scanner
Hata N, Muragaki Y, Inomata T, Maruyama T, Iseki H, Hori T, Dohi T. Intraoperative tumor segmentation and volume measurement in MRI-guided glioma surgery for tumor resection rate control. Acad Radiol. 2005;12(1):116-22.
Brigham and Women’s Hospital Image Guided Therapy Program
Linking commercial navigation and research software
• 3D Slicer– Segmentation– Pre-Op to Intra-Op image re
gistration– Navigation
• Toshiba navigation (pre-commercial)
• TCP/IP peer-to-peer connection– Patient-to-image registratio
n result– Tracking data
Brigham and Women’s Hospital Image Guided Therapy Program
Slicer for Surgical Robot
•Robot as tracking device
Brigham and Women’s Hospital Image Guided Therapy Program
Slicer with Hitachi scanner
Brigham and Women’s Hospital Image Guided Therapy Program
Brigham and Women’s Hospital Image Guided Therapy Program
System Integration to Signa/SP• Off-the-shelf system + 3D Slicer
TPS MRT Workstation
BIT-3
10 Mbps
Image Transfer0.5fps
Image Transfer
0.5fpsSlicer
Brigham and Women’s Hospital Image Guided Therapy Program
System Integration to Signa/SP• (Pre-) MR Slicer
TPS MRT Workstation
BIT-3
100 Mbps
Echo transfer128fps
Echo Transfer
128fpsSlierImage Transfer
32fpsRecon
Brigham and Women’s Hospital Image Guided Therapy Program
• GE Medical Systems Signa Horizon LX System– Host
• SGI Workstation / MIPS Based Processor• IRIS Operating System (SGI)
– Transceiver, Processing and Storage (TPS)• VME / Motorola Based Processor• VxWorks (Wind River)
TPS
Host
Scanner
Brigham and Women’s Hospital Image Guided Therapy Program
• Reconstruction WS– CPU: Intel Pentium4 2.8 GHz (i850 Chipset)– Memory: 512MB (PC1066 RIMM)– Graphics: nVIDIA GeForce4 MX440– OS: RedHat Linux 7.3, Kernel 2.4.18 with nVIDIA Graphics Driver
• Software– Real-time display of echo and k-space– Real-time image reconstruction– Navigator-echo based matching– Host control
Brigham and Women’s Hospital Image Guided Therapy Program
MR Image reconstruction(+motion tracking)
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Brigham and Women’s Hospital Image Guided Therapy Program
Slicer as Interface
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Brigham and Women’s Hospital Image Guided Therapy Program
IGT software as an integration platformIGT software as an integration platform
RobotRobot
Pre-operative Pre-operative Diagnostic Diagnostic
ImagingImaging
ImageImageProcessingProcessing
Intra-Intra-operative operative imagingimaging
ImageImageProcessingProcessing
RegistrationRegistration
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Ob
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Actio
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Tracking probeTracking probe
Navig
atio
Navig
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Navig
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Navig
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PhysicianPhysician
TreatmentTreatment PatientPatient
Brigham and Women’s Hospital Image Guided Therapy Program
Issues
• Basic functions for Image Guided Therapy (visualization, image I/O, patient-to-image registration) are relatively easy to implement (thanks to VTK and ITK)
• Challenge 1: Develop and apply medical image processing technology to enable new therapy options
• Challenge 2: Provide meeting point for robotics, medical image processing, and bio-physics– Do not think IGT software as free navigation system– Think IGT software as an integration platform TO ENABLE NEW TH
ERAPY