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Proceedings Paper

Straight trajectory planning for keyhole neurosurgery in sheep with automatic brain structures segmentation
Author(s): Alberto Favaro; Akash Lad; Davide Formenti; Davide Danilo Zani; Elena De Momi
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Paper Abstract

In a translational neuroscience/neurosurgery perspective, sheep are considered good candidates to study because of the similarity between their brain and the human one. Automatic planning systems for safe keyhole neurosurgery maximize the probe/catheter distance from vessels and risky structures. This work consists in the development of a trajectories planner for straight catheters placement intended to be used for investigating the drug diffusivity mechanisms in sheep brain. Automatic brain segmentation of gray matter, white matter and cerebrospinal fluid is achieved using an online available sheep atlas. Ventricles, midbrain and cerebellum segmentation have been also carried out. The veterinary surgeon is asked to select a target point within the white matter to be reached by the probe and to define an entry area on the brain cortex. To mitigate the risk of hemorrhage during the insertion process, which can prevent the success of the insertion procedure, the trajectory planner performs a curvature analysis of the brain cortex and wipes out from the poll of possible entry points the sulci, as part of brain cortex where superficial blood vessels are naturally located. A limited set of trajectories is then computed and presented to the surgeon, satisfying an optimality criteria based on a cost function which considers the distance from critical brain areas and the whole trajectory length. The planner proved to be effective in defining rectilinear trajectories accounting for the safety constraints determined by the brain morphology. It also demonstrated a short computational time and good capability in segmenting gyri and sulci surfaces.

Paper Details

Date Published: 3 March 2017
PDF: 8 pages
Proc. SPIE 10135, Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling, 101352E (3 March 2017); doi: 10.1117/12.2254515
Show Author Affiliations
Alberto Favaro, Politecnico di Milano (Italy)
Akash Lad, Politecnico di Milano (Italy)
Davide Formenti, Politecnico di Milano (Italy)
Davide Danilo Zani, Univ. degli Studi di Milano (Italy)
Elena De Momi, Politecnico di Milano (Italy)


Published in SPIE Proceedings Vol. 10135:
Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling
Robert J. Webster; Baowei Fei, Editor(s)

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