arXiv:2409.13217eess.IV2024-09被引 2

将2D组织切片精准定位到3D CT图像中,提升骨肉瘤术前规划精度。

A solution for co-locating 2D histology images in 3D for histology-to-CT and MR image registration: closing the loop for bone sarcoma treatment planning

  • 通过实验室测量数据初步定位切片,再用骨骼点配准精确对齐。
  • 平均平面偏差0.19毫米,旋转误差最大1.6度,接近同类研究水平。
  • 无需改变现有流程,可推广至多种肉瘤类型,助力精准手术规划。

本工作提出一种概念验证方案,旨在提高术前CT/MR影像中放射特征的表征准确性。方法是将二维数字组织切片三维定位至离体肿瘤组织的CT体积中。首先利用组织解剖过程中的实验室测量值,对单个组织切片在相应肿瘤组织CT中的位置进行初始播种;随后通过组织切片中骨骼与CT图像中骨骼的平面内点配准完成最终对齐。使用六个离体犬类肱骨样本的CT数据和对应测量值验证了切片放置的准确性。数字播种导致的平面偏移为0.19 ± 1.8毫米,用户输入敏感性造成0.08 ± 0.2毫米的平面平移及0至1.6度的旋转偏差。该精度与已有前列腺组织定位研究中报告的0.9–1.3毫米和平面偏差1.1–1.9度相当。尽管本研究仅基于动物股骨肉瘤的CT与组织切片,但该方法可推广至多种肉瘤形态与部位。该方案将高保真组织数据融合至影像中,对现有临床流程影响极小,显著提升组织特征识别准确率,进而增强手术规划精度,改善患者预后,使组织学洞察更早融入诊断-规划-手术-康复闭环。

原文摘要 · Abstract (English)

This work presents a proof-of-concept solution designed to improve the accuracy of radiographic feature characterisation in pre-surgical CT/MR volumes. The solution involves 3D co-location of 2D digital histology slides within ex-vivo, tumour tissue CT volumes. In the initial step, laboratory measurements obtained during histology dissection were used to seed the placement of the individual histology slices in corresponding tumour tissue CT volumes. The process was completed by aligning corresponding bone in histology images to bone in the CT using in-plane point-based registration. Six bisected canine humerus datasets of ex-vivo CT and corresponding measurements were used to validate dissection placements. Digital seeding exhibited a plane misalignment of 0.19 +- 1.8 mm. User input sensitivity caused 0.08 +- 0.2 mm in plane translation and between 0 and 1.6 degrees deviation. These are of similar magnitude to reported misalignment of 0.9-1.3 mm and 1.1-1.9 degrees in related prostate histology co-location [1]. Although this work only reported on animal femur sarcoma CT images and histology slide images, the solution can be generalised to various sarcoma geometries and presentation sites. Furthermore, the solution co-locates high-fidelity data to advance tissue characterisation with minimal disruption to existing clinical workflows. Improved tissue characterisation accuracy, supported by the resolution of histology images, can enhance surgical planning accuracy and patient outcomes by bringing the insights offered by histology closer to the start of the presentation-diagnosis-planning-surgery-recovery loop.

医学影像组织定位三维配准骨肉瘤

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