Usefulness of 3D slicer for the planning and monitoring of hepatocellular carcinoma treatment using FUS
Journal of Therapeutic Ultrasound volume 3, Article number: O84 (2015)
FUS is a noninvasive treatment method, as complete coagulation necrosis is achieved without the insertion of any instruments. However, FUS monitor has the poor visualization because of the presence of the multi-reflections, rib shadows and the emergence of the hyperecho after the FUS treatment. 3D Slicer imaging is a diagnostic imaging support system that can provide the same cross-sectional MPR images on the same monitor screen using DICOM volume data from MRI which are not influenced by those artifacts. The purpose of this study was to utilize an interventional navigation system designed for FUS assisted by 3D Slicer was proposed, and a phantom study was carried out to assess the proposed system.
The FUS system (Mianyang Haifu Tech) was used under ultrasound guidance. In this system, the open-source navigation software is connected together images using an open network communication protocol, OpenIGTLink. A Polaris Vicra optical tracker (Northern Digital, Ontario, Canada) was used. MRI scans (Signa HDX 3.0T system; GE Healthcare) were performed, and 3D Slicer was customized to combine MR images for the navigation.
Testing was performed using an abdominal phantom (CIRS Model057, Norfolk, VA).
Results and conclusions
3D slicer could make the multiplanar reconstruction images of MRI displayed in the same sections of US. The synchronous movements of the same sections of US and MRI were shown in real time. Performance tests of phantom show that the registration error of the system was 2.2 ± 1.8 mm within the liver (n=12). Conclusion: 3D Slicer imaging is useful for FUS treatment for HCC, compensating for the occasionally poor visualization provided by US monitor.
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Doba, N., Fukuda, H., Numata, K. et al. Usefulness of 3D slicer for the planning and monitoring of hepatocellular carcinoma treatment using FUS. J Ther Ultrasound 3 (Suppl 1), O84 (2015). https://doi.org/10.1186/2050-5736-3-S1-O84