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Proceedings Paper

Towards intraoperative monitoring of ablation using tracked 3D ultrasound elastography and internal palpation
Author(s): Pezhman Foroughi; Jessica Burgner; Michael A. Choti; Robert J. Webster III; Gregory D. Hager; Emad M. Boctor
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Paper Abstract

B-mode ultrasound is widely used in liver ablation. However, the necrosis zone is typically not visible under b-mode ultrasound, since ablation does not necessarily change the acoustic properties of the tissue. In contrast, the change in tissue stiffness makes elastography ideal for monitoring ablation. Tissue palpation for elastography is typically applied at the imaging probe, by indenting it slightly into the tissue surface. However, in this paper we propose an alternate approach, where palpation is applied by a surgical instrument located inside the tissue. In our approach, the ablation needle is placed inside a steerable device called an active cannula and inserted into the tissue. A controlled motion is applied to the center of the ablation zone via the active cannula. Since the type and direction of motion is known, displacement can then be computed from two frames with the desired motion. The elastography results show the ablated region around the needle. While internal palpation provides excellent local contrast, freehand palpation from outside of the tissue via the transducer can provide a more global view of the region of the interest. For this purpose, we used a tracked 3D transducer to generate volumetric elastography images covering the ablated region. The tracking information is employed to improve the elastography results by selecting volume pairs suitable for elastography. This is an extension of our 2D frame selection technique which can cope with uncertainties associated with intra-operative elastography. In our experiments with phantom and ex-vivo tissue, we were able to generate high-quality images depicting the boundaries of the hard lesions.

Paper Details

Date Published: 24 February 2012
PDF: 7 pages
Proc. SPIE 8320, Medical Imaging 2012: Ultrasonic Imaging, Tomography, and Therapy, 83200T (24 February 2012); doi: 10.1117/12.913988
Show Author Affiliations
Pezhman Foroughi, The Johns Hopkins Univ. (United States)
Jessica Burgner, Vanderbilt Univ. (United States)
Michael A. Choti, Johns Hopkins Medical Institutions (United States)
Robert J. Webster III, Vanderbilt Univ. (United States)
Gregory D. Hager, The Johns Hopkins Univ. (United States)
Emad M. Boctor, The Johns Hopkins Univ. (United States)
Johns Hopkins Medical Institutions (United States)

Published in SPIE Proceedings Vol. 8320:
Medical Imaging 2012: Ultrasonic Imaging, Tomography, and Therapy
Johan G. Bosch; Marvin M. Doyley, Editor(s)

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