DBP2:QueensFinal:2010

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Short description of the project

We would like to create an end-to-end application within the NA-MIC Kit to enable an existing transrectal prostate biopsy device to perform multi-parametric MRI guided prostate biopsy in closed-bore high-field MRI magnets.

This page describes the technology roadmap for robotic prostate biopsy in the NA-MIC Kit. The basic components necessary for this application are:

• Tissue segmentation: Should be multi-modality, correcting for intensity inhomogeneity and work for both supine and prone patients, all imaged with an endorectal coil (ERC).
• Registration: co-registration of MRI datasets taken at different times, in different body positions, and under different imaging parameters
• Prostate Measurement: Measure volume of all segmented structures
• Biopsy Device Parameters: Geometry, kinematics, and calibration/registration of the robot system must be available in some form. This capability is not currently part of the NA-MIC kit. The application will be modular, to enable use of different devices.
• Tutorial: Documentation will be written for a tutorial and sample data sets will be provided to perform simulated biopsies.

The primary goal for the roadmap is to develop an interventional module for Slicer3 for MRI-guided prostate biopsies. This module and the accompanying tutorial will serve as a template for interventional applications with Slicer3. The module will provide the necessary functionality for calibrating the robot to the MR scanner, planning biopsies, computing the necessary robot trajectory to perform each biopsy, and verification via post-biopsy images. We will obtain a biopsy plan from multi-parametric endorectal image volumes, executable with an existing prostate biopsy device. The system will be will be implemented under Slicer3 as an interactive application.

Papers

• Xu, H., A. Lasso, S. Vikal, P. Guion, A. Krieger, A. Kaushal, L. L. Whitcomb, and G. Fichtinger, "MRI-Guided Robotic Prostate Biopsy: A Clinical Accuracy Validation", Medical Image Computing and Computer-Assisted Intervention (MICCAI 2010), In Press.
• Tadayyon, H., A. Lasso, S. Gill, A. Kaushal, P. Guion, and G. Fichtinger, "Target Motion Compensation in MRI-guided Prostate Biopsy with Static Images", EMBC2010 - 32nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Buenos Aires, Argentina, pp. 5416-5419, 2010.
• Lasso, A., S. Avni, and G. Fichtinger, "Targeting Error Simulator for Image-guided Prostate Needle Placement", EMBC2010 - 32nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Buenos Aires, Argentina, pp. 5424-5427, 2010.
• Xu, H., A. Lasso, S. Vikal, P. Guion, A. Krieger, A. Kaushal, L. Whitcomb, and G. Fichtinger, "MRI-Guided Transrectal Robotic Prostate Biopsy Validation", The American Association of Physicists in Medicine (AAPM) Annual Meeting 2010, July 18-22, vol. 37, 3128 (2010), Philadelphia, Pennsylvania, pp. 3128-3129, 2010.
• Xu, H., A. Lasso, S. Vikal, P. Guion, A. Krieger, A. Kaushal, L. Whitcomb, and G. Fichtinger, "Clinical Accuracy of Robot-Assisted Prostate Biopsy in Closed MRI Scanner", The Hamlyn Symposium on Medical Robotics, The Royal Society, London, UK, 25 May 2010, 2010.
• Xu, H., A. Lasso, S. Vikal, P. Guion, A. Krieger, A. Kaushal, L. L. Whitcomb, and G. Fichtinger, "Accuracy validation for MRI-guided robotic prostate biopsy", Medical Imaging 2010: Visualization, Image-Guided Procedures, and Modeling, San Diego, California, USA, SPIE, pp. 762517 - 762517-8, 2010.
• Tadayyon, H., G. Fichtinger, A. Lasso, S. Vikal, and S. Gill, "MRI-Guided prostate motion tracking by means of multislice-to-volume registration", SPIE Medical Imaging, 02/2010.
• Lasso, A., J. Tokuda, S. Vikal, C. M. Tempany, N. Hata, and G. Fichtinger, A generic computer assisted intervention plug-in module for 3D Slicer with multiple device support. Medical Image Computing and Computer-Assisted Intervention (MICCAI), London, UK, 2009
• Vikal, S., S. Haker, C. Tempany, and G. Fichtinger, Prostate contouring in MRI guided biopsy", SPIE Medical Imaging, vol. 7259, 2009.
• Boisvert, J., D. Gobbi, S. Vikal, R. Rohling, G. Fichtinger, and P. Abolmaesumi An open-source solution for interactive acquisition, processing and transfer of interventional ultrasound images. Workshop on Systems and Architectures for Computer Assisted Interventions, held in conjunction with the 11th International Conference on Medical Image Computing and Computer Assisted Intervention , 2008.
• Fischer G.S., Krieger A., Iordachita I., Csoma C., Whitcomb L., Fichtinger G. MRI Compatibility of Robot Actuation Techniques - A Comparative Study. Int Conf Med Image Comput Comput Assist Interv. 2008;11(Pt 2):509-517.
• Gill S., Abolmaesumi P., Vikal S., Mousavi P., Fichtinger G. Intraoperative Prostate Tracking with Slice-to-Volume Registration in MRI. Proceedings of the 20th International Conference of the Society for Medical Innovation and Technology 2008; 154-158.
• Krieger, A., P. Guion, C. Csoma, I. Iordachita, A. Singh, A. Kaushal, C. Menard, G. Fichtinger, and L. Whitcomb. Design and Preliminary Clinical Studies of an MRI-Guided Transrectal Prostate Intervention System. International Society of Magnetic Resonance in Medicine (ISMRM), 2008.
• Mewes P., Tokuda J., DiMaio S.P., Fischer G., Csoma C., Gobbi D., Tempany C.M., Fichtinger G., Hata N. Integrated System for Robot-Assisted in Prostate Biopsy in Closed MRI Scanner. Proceedings of the IEEE International Conference on Robotics and Automation 2008; 2959-2962.
• Tokuda, J., S. DiMaio, G. Fischer, C. Csoma, D. Gobbi, G. Fichtinger, N. Hata, and C. Tempany, "Real-time MR Imaging Controlled by Transperineal Needle Placement Device for MRI-guided Prostate Biopsy", 16th Scientific Meeting and Exhibition of International Society of Magnetic Resonance in Medicine, 2008.
• Tokuda J., Fischer G.S., Csoma C., DiMaio S.P., Gobbi D.G., Fichtinger G., Tempany C.M., Hata N. Software Strategy for Robotic Transperineal Prostate Therapy in Closed-Bore MRI. Int Conf Med Image Comput Comput Assist Interv. 2008;11(Pt 2):701-709.
• Vikal, S., S. Haker, C. Tempany, and G. Fichtinger, "Prostate contouring in MRI guided biopsy", Workshop on Prostate image analysis and computer-assisted intervention, International Conference on Medical Image Computing and Computer Assisted Intervention , 2008.
• Gao, Y., R. Sandhu, G. Fichtinger, A. Tannenbaum, "A coupled global registration and segmentation framework with application to magnetic resonance prostate imagery", IEEE Trans Med Imaging (accepted, 05/ 27/2010)
• Gao, Y., A. Tannenbaum, "Shape based MRI prostate image segmentation using local information driven directional distance Bayesian method", Medical Imaging 2010: Visualization, Image-Guided Procedures, and Modeling, San Diego, California, USA, SPIE, pp. 762308-1 - 762308-9, 2010.

Software

ProstateNav: MRI-guided prostate biopsy module with multiple device support

• Implements a complete MRI-guided biopsy workflow: calibration, planning, targeting, verification
• Supports multiple devices: trans-rectal robot, trans-perineal template, trans-perineal robot
• Provides 3D visualization of patient images, targets, devices in the control and scanner room
• Latest stable version is available in Slicer 3.6.1 release. Latest development version source code is available in the NA-MIC Sandbox.
• Tutorial: presentation, data set

Listing and short description of the sample data

• Clinical data sets of MRI-guided prostate biopsies
  • 63 anonymized prostate MRI sequences of 5 patients (Pt*), acquired at NIH-NCI, PI-s: Camphausen, Kausal and Pinto.
  • Imaging sessions: (date).Diag = diagnostic; (date).B(id), (date).LR(id), (date).HR(id) = trans-rectal prostate biopsy
  • Image types: Needle Ax = needle insertion confirmation image; SAG 3POINT PLAN = calibration image
• Tutorial data set
  • One clinical data set of robot-assisted trans-rectal prostate biopsy, contains calibration, planning, and verification images