Int J Comput Assist Radiol Surg - Feasibility of respiratory motion-compensated stereoscopic X-ray tracking for bronchoscopy.

Tópicos

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Resumo

RPOSE: Precise localization in bronchoscopy is challenging, particularly for peripheral lesions that cannot be reached by conventional bronchoscopes with a large working channel. Existing navigation methods are hampered by respiratory motion, e.g., in the lower lobes. We present an image-guided approach that considers respiratory motion and can localize instruments.METHODS: We developed a rigid chest marker containing steel balls visible in X-ray images and a pattern for passive tracking with an optical camera system. An experimental setup to evaluate stereoscopic localization and to mimic chest motion was established in our interventional suite. The marker motion was recorded, and X-ray images were acquired from different angles using a standard C-arm. All coordinates were expressed with respect to the stationary tracking camera. The feasibility of motion-compensated stereoscopic localization was assessed.RESULTS: The orientation of the C-arm could be established with a mean error of less than 1?. Triangulation based on two different X-ray images from different angles resulted in a mean error of 1.8 (?0.7) mm. A similar result was obtained when the marker was moved between X-ray acquisitions, and the mean error was 1.6 (?1.4) mm. The latencies were approximately 80 and 380 ms for tracking camera and X-ray imaging, respectively. Stereoscopic localization of a moving target was feasible.CONCLUSIONS: The system presents a flexible alternative for precise stereoscopic localization of a bronchoscope or instruments using a standard C-arm. We demonstrated the ability to track multiple moving markers and to compensate for respiratory motion.

Resumo Limpo

rpose precis local bronchoscopi challeng particular peripher lesion reach convent bronchoscop larg work channel exist navig method hamper respiratori motion eg lower lobe present imageguid approach consid respiratori motion can local instrumentsmethod develop rigid chest marker contain steel ball visibl xray imag pattern passiv track optic camera system experiment setup evalu stereoscop local mimic chest motion establish intervent suit marker motion record xray imag acquir differ angl use standard carm coordin express respect stationari track camera feasibl motioncompens stereoscop local assessedresult orient carm establish mean error less triangul base two differ xray imag differ angl result mean error mm similar result obtain marker move xray acquisit mean error mm latenc approxim ms track camera xray imag respect stereoscop local move target feasibleconclus system present flexibl altern precis stereoscop local bronchoscop instrument use standard carm demonstr abil track multipl move marker compens respiratori motion

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