全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

A Simple and Inexpensive Stereotactic Guidance Frame for MRI-Guided Brain Biopsy in Canines

DOI: 10.1155/2014/139535

Full-Text   Cite this paper   Add to My Lib

Abstract:

A magnetic resonance imaging (MRI) guided stereotactic system was developed to provide veterinarians a method to accomplish minimally invasive stereotactic brain biopsies and procedures involving the cerebrum in canines. While MR-guided procedures are prevalent for humans, they are less common in animal practices. The system was designed to minimize fabrication costs in an effort to make such procedures more accessible in the veterinary field. A frame constrained the head without the need for punctures and supported registration and guidance attachments. Location data for registration and relevant structures were selected by the clinician, and a reverse kinematic analysis program generated the settings of the stereotactic arch to guide a needle to the desired location. Phantom experiments and three cadaver trials showed an average targeting error of <3?mm using the system. 1. Introduction Magnetic resonance imaging (MRI) is widely used in medical research and practice due to its ability to peer inside biological organisms with superior image quality, providing high-quality soft tissue imaging while not exposing patients to potentially ionizing radiation or contrast agents [1]. Advances in MRI technology have led to numerous studies and the development of MR-guided treatment techniques [2]. Of particular interest here is the prevalence of MR-guided brain biopsy procedures [3–14] as well as similar procedures performed via computed tomography (CT) [15–18]. Utilizing MRI to perform brain biopsies in humans is common, but in canine subjects tumor diagnosis is most commonly performed postmortem. Naturally, such timing does not help the patient, and access to tumors in vivo is desirable. Image-based diagnosis by itself provides less certainty, and open-skull biopsies require a sizable amount of tissue and bone to be damaged or removed; both cases have their drawbacks [17]. Stereotactic procedures can be much superior, thanks to their precise targeting abilities and the small size of holes in tissue and bone which are required, causing tissue to be minimally damaged. Inside an MR suite, use of certain materials will degrade image quality and/or endanger the safety of a patient [19]. For this reason, any device which operates on electromagnetic principles (such as common electric motors or relays) is not compatible with the MR environment [20]. Thus, actuation of devices inside the MR suite must be powered using other means, often via pneumatics or piezoceramics [21]. Additionally, any ferro-/paramagnetic materials are banned for safety reasons [19, 20, 22].

References

[1]  H. Elhawary, Z. T. H. Tse, A. Hamed, M. Rea, B. L. Davies, and M. U. Lamperth, “The case for MR-compatible robotics: a review of the state of the art,” The International Journal of Medical Robotics and Computer Assisted Surgery, vol. 4, no. 2, pp. 105–113, 2008.
[2]  H. Elhawary, A. Zivanovic, B. Davies, and M. Lamperth, “A review of magnetic resonance imaging compatible manipulators in surgery,” Proceedings of the Institution of Mechanical Engineers H: Journal of Engineering in Medicine, vol. 220, no. 3, pp. 413–424, 2006.
[3]  W. A. Hall, A. J. Martin, H. Liu, E. S. Nussbaum, R. E. Maxwell, and C. L. Truwit, “Brain biopsy using high-field strength interventional magnetic resonance imaging,” Neurosurgery, vol. 44, no. 4, pp. 807–813, 1999.
[4]  Y. Koseki, T. Washio, K. Chinzei, and H. Iseki, “Endoscope manipulator for trans-nasal neurosurgery, optimized for and compatible to vertical field open MRI,” in Proceedings of the 5th International Conference on Medical Image Computing and Computer-Assisted Intervention (MICCAI '02), pp. 114–121, Tokyo, Japan, 2002.
[5]  J. S. Lewin, “Interventional MR imaging: concepts, systems, and applications in neuroradiology,” American Journal of Neuroradiology, vol. 20, no. 5, pp. 735–748, 1999.
[6]  N. Miyata, E. Kobayashi, D. Kim, et al., “Micro-grasping forceps manipulator for MR-guided neurosurgery,” in Proceedings of the 5th International Conference on Medical Image Computing and Computer-Assisted Intervention (MICCAI '02), pp. 107–113, Tokyo, Japan, 2002.
[7]  A. Rossi, A. Trevisani, and V. Zanotto, “A telerobotic haptic system for minimally invasive stereotactic neurosurgery,” The International Journal of Medical Robotics and Computer Assisted Surgery, vol. 1, no. 2, pp. 64–75, 2005.
[8]  G. R. Sutherland, P. B. McBeth, and D. F. Louw, “NeuroArm: an MR compatible robot for microsurgery,” International Congress Series, vol. 1256, pp. 504–508, 2003.
[9]  C. S. Tseng, “Image-guided robotic navigation system for neurosurgery,” Journal of Robotic Systems, vol. 17, no. 8, pp. 439–447, 2000.
[10]  T. W. Vitaz, S. G. Hushek, C. B. Shields, and T. M. Moriarty, “Interventional MRI-guided frameless stereotaxy in pediatric patients,” Stereotactic and Functional Neurosurgery, vol. 79, no. 3-4, pp. 182–190, 2002.
[11]  R. Bradford, D. G. Thomas, and G. M. Bydder, “MRI-directed stereotactic biopsy of cerebral lesions,” Acta Neurochirurgica Supplementum, vol. 39, pp. 25–27, 1987.
[12]  R. J. Maciunas and R. L. Galloway, “Magnetic resonance and computed tomographic image-directed stereotaxy for animal research,” Stereotactic and Functional Neurosurgery, vol. 53, no. 3, pp. 197–201, 1989.
[13]  A. V. Chen, F. A. Wininger, S. Frey et al., “Description and validation of a magnetic resonance imaging-guided stereotactic brain biopsy device in the dog,” Veterinary Radiology & Ultrasound, vol. 53, no. 2, pp. 150–156, 2012.
[14]  K. Masamune, E. Kobayashi, Y. Masutani et al., “Development of an MRI-compatible needle insertion manipulator for stereotactic neurosurgery,” Journal of Image Guided Surgery, vol. 1, no. 4, pp. 242–248, 1995.
[15]  P. Moissonnier, “Accuracy testing of a new stereotactic CT-guided brain biopsy device in the dog,” Research in Veterinary Science, vol. 68, no. 3, pp. 243–247, 2000.
[16]  P. D. Koblik, R. A. Lecouteur, R. J. Higgins et al., “Modification and application of a Pelorus Mark III stereotactic system for CT-guided brain biopsy in 50 dogs,” Veterinary Radiology & Ultrasound, vol. 40, no. 5, pp. 424–433, 1999.
[17]  A. R. Taylor, N. D. Cohen, S. Fletcher, J. F. Griffin, and J. M. Levine, “Application and machine accuracy of a new frameless computed tomography-guided stereotactic brain biopsy system in dogs,” Veterinary Radiology & Ultrasound, vol. 54, no. 4, pp. 332–342, 2013.
[18]  P. Moissonnier, S. Blot, P. Devauchelle et al., “Stereotactic CT-guided brain biopsy in the dog,” Journal of Small Animal Practice, vol. 43, no. 3, pp. 115–123, 2002.
[19]  GE Medical Systems, “MR Safety and Compatibility: Test Guidelines for Signa SP, Version 1,” http://www.gemedicalsystems.com/rad/mri/pdf/saftey1.pdf.
[20]  F. G. Shellock, “Magnetic resonance safety update 2002: implants and devices,” Journal of Magnetic Resonance Imaging, vol. 16, no. 5, pp. 485–496, 2002.
[21]  R. Gassert, A. Yamamoto, D. Chapuis, L. Dovat, H. Bleuler, and E. Burdet, “Actuation methods for applications in MR environments,” Concepts in Magnetic Resonance B: Magnetic Resonance Engineering, vol. 29, no. 4, pp. 191–209, 2006.
[22]  F. G. Shellock, “Metallic surgical instruments for interventional MRI procedures: evaluation of MR safety,” Journal of Magnetic Resonance Imaging, vol. 13, no. 1, pp. 152–157, 2001.
[23]  ASTM, Standard Test Method for Evaluation of MR Image Artifacts from Passive Implants, Designation F2110-01, American Society for Testing and Materials, 2001.
[24]  J. F. Schenck, “The role of magnetic susceptibility in magnetic resonance imaging: MRI magnetic compatibility of the first and second kinds,” Medical Physics, vol. 23, no. 6, pp. 815–850, 1996.
[25]  C. R. Bjarkam, G. Cancian, M. Larsen et al., “A MRI-compatible stereotaxic localizer box enables high-precision stereotaxic procedures in pigs,” Journal of Neuroscience Methods, vol. 139, no. 2, pp. 293–298, 2004.
[26]  R. J. Maciunas, R. L. Galloway Jr., and J. W. Latimer, “The application accuracy of stereotactic frames,” Neurosurgery, vol. 35, no. 4, pp. 682–695, 1994.
[27]  L. Leksell, D. Leksell, and J. Schwebel, “Stereotaxis and nuclear magnetic resonance,” Journal of Neurology, Neurosurgery and Psychiatry, vol. 48, no. 1, pp. 14–18, 1985.
[28]  W. A. Hall, H. Liu, A. J. Martin, and C. L. Truwit, “Comparison of stereotactic brain biopsy to interventional magnetic-resonance-imaging-guided brain biopsy,” Stereotactic and Functional Neurosurgery, vol. 73, no. 1–4, pp. 148–153, 1999.
[29]  D. Y. Wen, W. A. Hall, D. A. Miller, E. L. Seljeskog, and R. E. Maxwell, “Targeted brain biopsy: a comparison of freehand computed tomography-guided and stereotactic techniques,” Neurosurgery, vol. 32, no. 3, pp. 407–413, 1993.
[30]  H. Bjartmarz and S. Rehncrona, “Comparison of accuracy and precision between frame-based and frameless stereotactic navigation for deep brain stimulation electrode implantation,” Stereotactic and Functional Neurosurgery, vol. 85, no. 5, pp. 235–242, 2007.
[31]  C. R. Bjarkam, G. Cancian, A. N. Glud, K. S. Ettrup, R. L. J?rgensen, and J.-C. S?rensen, “MRI-guided stereotaxic targeting in pigs based on a stereotaxic localizer box fitted with an isocentric frame and use of SurgiPlan computer-planning software,” Journal of Neuroscience Methods, vol. 183, no. 2, pp. 119–126, 2009.
[32]  C. R. Bjarkam, “A porcine model of subthalamic high-frequency deep brain stimulation in Parkinson's disease,” Danish Medical Bulletin, vol. 51, no. 3, p. 311, 2004.
[33]  C. R. Bjarkam, R. L. Jorgensen, K. N. Jensen, N. A. Sunde, and J.-C. H. S?rensen, “Deep brain stimulation electrode anchoring using BioGlue, a protective electrode covering, and a titanium microplate,” Journal of Neuroscience Methods, vol. 168, no. 1, pp. 151–155, 2008.
[34]  P. Cumming, E. Danielsen, M. Vafaee et al., “Normalization of markers for dopamine innervation in striatum of MPTP-lesioned miniature pigs with intrastriatal grafts,” Acta Neurologica Scandinavica, vol. 103, no. 5, pp. 309–315, 2001.
[35]  J. Antonsson, O. Eriksson, P. Lundberg, and K. W?rdell, “Optical measurements during experimental stereotactic radiofrequency lesioning,” Stereotactic and Functional Neurosurgery, vol. 84, no. 2-3, pp. 118–124, 2006.
[36]  N. Dorward, T. Paleologos, O. Alberti, and D. Thomas, “The advantages of frameless stereotactic biopsy over frame-based biopsy,” British Journal of Neurosurgery, vol. 16, no. 2, pp. 110–118, 2002.
[37]  S. L. Simon, P. Douglas, G. H. Baltuch, and J. L. Jaggi, “Error analysis of MRI and Leksell stereotactic frame target localization in deep brain stimulation surgery,” Stereotactic and Functional Neurosurgery, vol. 83, no. 1, pp. 1–5, 2005.
[38]  B. K. Horn, “Closed-form solution of absolute orientation using unit quaternions,” Journal of the Optical Society of America A, vol. 4, no. 4, pp. 629–642, 1987.
[39]  H. Xu, A. Lasso, P. Guion, et al., “Accuracy analysis in MRI-guided robotic prostate biopsy,” International Journal of Computer Assisted Radiology and Surgery, vol. 8, no. 6, pp. 937–944, 2013.
[40]  R. C. Susil, K. Camphausen, P. Choyke et al., “System for prostate brachytherapy and biopsy in a standard 1.5?T MRI scanner,” Magnetic Resonance in Medicine, vol. 52, no. 3, pp. 683–687, 2004.

Full-Text

Contact Us

[email protected]

QQ:3279437679

WhatsApp +8615387084133