Abstract
Purpose: Freehand placement of external ventricular drainage is not sufficiently accurate and precise. In the absence of high quality pre-operative 3D images, we propose the use of an average model for guidance of ventricular catheters. Methods: The model was segmented to extract the ventricles and registered to five normal volunteers using a combination of landmark based and surface based registration. The proposed method was validated by comparing the use of the average model to the use of volunteer-specific images. Results: The position and orientation of the ventricles were compared and the distances between the target points at the left and right foramen of Monroe were computed (Mean±std: 5.65±1.60mm and 6.05±1.34mm for the left and right side respectively). Conclusions: Although an average model for guidance of a surgical procedure has a number of limitations, our initial experiments show that the use of a model might provide sufficient guidance for determination of the angle of insertion. Future work will include further clinical testing and possible refinement of the model.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Toma, A.K., et al.: External Ventricular Drain Insertion Accuracy: Is There a Need for Change in Practice? Neurosurgery 65(6), 1197–1201 (2009)
Huyette, D.R., et al.: Accuracy of the freehand pass technique for ventriculostomy catheter placement: retrospective assessment using computer tomography scans. J. of Neurosurg. 108, 88–91 (2008)
Hayhurst, C., et al.: Application of electromagnetic technology to neuronavigation: a revolution in image-guided neurosurgery. J. of Neurosurg. 111, 1179–1184 (2009)
Hayhurst, C., et al.: Effect of electromagnetic-navigated shunt placement on failure rates: a prospective multicenter study. J. of Neurosurg. (April 2010)
Levitt, M.R., et al.: Image-guided cerebrospinal fluid shunting in children: catheter accuracy and shunt survival. J. of Neurosurg.: Pediatrics 10 (August 2012)
Kestle, J.R.W.: Editorial: Shunt malfunction. J. of Neurosurg. 113 (December 2010)
Fonov, V.S., et al.: Unbiased average age-appropriate atlases for pediatric studies. NeuroImage 54(1) (2011)
Fonov, V.S., et al.: Unbiased nonlinear average age-appropriate brain templates from birth to adulthood. NeuroImage 47(1), S102 (2009)
Reinertsen, I., et al.: A new system for 3D ultrasound-guided placement of cerebral ventricle catheters. IJCARS 7(1) (2012)
Guimond, A., et al.: Average brain models: A Convergence Study. Computer Vision and Image Understanding 77(2), 192–210 (1999)
Bullitt, E., et al.: Vessel tortuosity and brain tumor malignancy: A blinded study. Academic Radiology 12, 1232–1240 (2005)
Grabner, G., Janke, A.L., Budge, M.M., Smith, D., Pruessner, J.C., Collins, D.L.: Symmetric Atlasing and Model Based Segmentation: An Application to the Hippocampus in Older Adults. In: Larsen, R., Nielsen, M., Sporring, J., et al. (eds.) MICCAI 2006. LNCS, vol. 4191, pp. 58–66. Springer, Heidelberg (2006)
Collins, D.L., et al.: Automatic 3D Model-Based Neuroanatomical Segmentation. Human Brain Mapping 3, 190–208 (1995)
Fischl, B., et al.: Whole brain segmentation: automated labeling of neuroanatomical structures in the human brain. Neuron 33, 341–355 (2002)
Fischl, B., et al.: Sequence-independent segmentation of magnetic resonance images. Neuroimage 23(suppl. 1), S69–S84 (2004)
Pieper, S., et al.: The NA-MIC Kit: ITK, VTK, Pipelines, Grids and 3D Slicer as an Open Platform for the Medical Image Computing Community. Proceedings of IEEE From Nano to Macro 2006 1, 698–701 (2006)
Otsu, N.: A threshold selection method from gray-level histograms. IEEE Trans- actions on Systems, Man and Cybernetics 9(1), 62–66 (1979)
Klein, S., et al.: elastix: a toolbox for intensity-based medical image registration. IEEE Trans. Med. Imaging 29, 196–205 (2010)
Ibanez, L., et al.: The ITK Software Guide: The Insight Segmentation and Registration Toolkit, New York (2005)
Besl, P.J., McKay, N.D.: A Method for Registration of 3D Shapes. IEEE Trans. on PAMI 14, 239–256 (1992)
Rousseeuw, P.J., Annick, M.L.L.R.: Robust Regression and Outlier Detection (1987)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Reinertsen, I., Jakola, A., Solheim, O., Lindseth, F., Unsgård, G. (2013). Model-Guided Placement of Cerebral Ventricular Catheters. In: Barratt, D., Cotin, S., Fichtinger, G., Jannin, P., Navab, N. (eds) Information Processing in Computer-Assisted Interventions. IPCAI 2013. Lecture Notes in Computer Science, vol 7915. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38568-1_4
Download citation
DOI: https://doi.org/10.1007/978-3-642-38568-1_4
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-38567-4
Online ISBN: 978-3-642-38568-1
eBook Packages: Computer ScienceComputer Science (R0)