将无影磁追踪系统融入透视手术,提升定位精度与安全性。
Towards Seamless Integration of Magnetic Tracking into Fluoroscopy-guided Interventions
- 用透明磁场发生器和铝标记物实现无缝磁追踪集成
- 注册误差约0.7mm,针刺误差2-3mm,支持实时导航
- 适用于需精准导航的介入手术,尤其适合放射科医生
X射线透视的二维投影特性限制了介入手术中的深度感知并导致辐射暴露时间延长。将磁追踪技术整合进此类流程具有前景,但目前仍面临挑战且研究不足。为此,我们采用了一种可透射的磁场发生器(FG)原型,作为实现无缝磁追踪(MT)集成的基础步骤。设计了双层FG安装架,兼容多种C臂X光机,确保安装顺畅与高精度追踪。为克服准确的C臂姿态估计、鲁棒的术中-术前CT配准及三维导航等技术难题,提出使用外部铝质标记物,不干扰常规操作流程。实验表明,铝标记物和C臂对磁追踪精度无临床显著影响。我们的术中-术前配准达到高精度(平均投影距离约0.7 mm)、强鲁棒性(宽捕获范围),并在本地与公开数据集上均表现良好。在模拟靶向实验中,使用增强的2D/3D导航进行实时引导,针插入误差为2-3 mm。结果表明该方法在临床应用中有效可行。据我们所知,这是首个将可透射磁场发生器集成至透视引导手术流程的研究。
原文摘要 · Abstract (English)
The 2D projective nature of X-ray radiography presents significant limitations in fluoroscopy-guided interventions, particularly the loss of depth perception and prolonged radiation exposure. Integrating magnetic trackers into these workflows is promising; however, it remains challenging and under-explored in current research and practice. To address this, we employed a radiolucent magnetic field generator (FG) prototype as a foundational step towards seamless magnetic tracking (MT) integration. A two-layer FG mounting frame was designed for compatibility with various C-arm X-ray systems, ensuring smooth installation and optimal tracking accuracy. To overcome technical challenges, including accurate C-arm pose estimation, robust fluoro-CT registration, and 3D navigation, we proposed the incorporation of external aluminum fiducials without disrupting conventional workflows. Experimental evaluation showed no clinically significant impact of the aluminum fiducials and the C-arm on MT accuracy. Our fluoro-CT registration demonstrated high accuracy (mean projection distance approxiamtely 0.7 mm, robustness (wide capture range), and generalizability across local and public datasets. In a phantom targeting experiment, needle insertion error was between 2 mm and 3 mm, with real-time guidance using enhanced 2D and 3D navigation. Overall, our results demonstrated the efficacy and clinical applicability of the MT-assisted approach. To the best of our knowledge, this is the first study to integrate a radiolucent FG into a fluoroscopy-guided workflow.
Thank you to arXiv for use of its open access interoperability. PaperDance 不是 arXiv 官方产品;中文卡片由大模型生成,请以原文为准。