HapticV1, Main, Exploration, bibRecord, 000781

Intervention Planning Using a Laser Navigation System for CT-Guided Interventions: A Phantom and Patient Study

Identifieur interne : 000781 ( Main/Exploration ); précédent : 000780; suivant : 000782

Intervention Planning Using a Laser Navigation System for CT-Guided Interventions: A Phantom and Patient Study

Auteurs : Tatjana Gruber-Rouh [Allemagne] ; Clara Lee [Allemagne] ; Jan Bolck [Allemagne] ; Nagy N. N. Naguib [Allemagne, Égypte] ; Boris Schulz [Allemagne] ; Katrin Eichler [Allemagne] ; Rene Aschenbach [Allemagne] ; Julian L. Wichmann [Allemagne] ; Thomas. J. Vogl [Allemagne] ; Stephan Zangos [Allemagne]

Source :

Korean Journal of Radiology [ 1229-6929 ] ; 2015.

RBID : PMC:4499536

Abstract

Objective

To investigate the accuracy, efficiency and radiation dose of a novel laser navigation system (LNS) compared to those of free-handed punctures on computed tomography (CT).

Materials and Methods

Sixty punctures were performed using a phantom body to compare accuracy, timely effort, and radiation dose of the conventional free-handed procedure to those of the LNS-guided method. An additional 20 LNS-guided interventions were performed on another phantom to confirm accuracy. Ten patients subsequently underwent LNS-guided punctures.

Results

The phantom 1-LNS group showed a target point accuracy of 4.0 ± 2.7 mm (freehand, 6.3 ± 3.6 mm; p = 0.008), entrance point accuracy of 0.8 ± 0.6 mm (freehand, 6.1 ± 4.7 mm), needle angulation accuracy of 1.3 ± 0.9° (freehand, 3.4 ± 3.1°; p < 0.001), intervention time of 7.03 ± 5.18 minutes (freehand, 8.38 ± 4.09 minutes; p = 0.006), and 4.2 ± 3.6 CT images (freehand, 7.9 ± 5.1; p < 0.001). These results show significant improvement in 60 punctures compared to freehand. The phantom 2-LNS group showed a target point accuracy of 3.6 ± 2.5 mm, entrance point accuracy of 1.4 ± 2.0 mm, needle angulation accuracy of 1.0 ± 1.2°, intervention time of 1.44 ± 0.22 minutes, and 3.4 ± 1.7 CT images. The LNS group achieved target point accuracy of 5.0 ± 1.2 mm, entrance point accuracy of 2.0 ± 1.5 mm, needle angulation accuracy of 1.5 ± 0.3°, intervention time of 12.08 ± 3.07 minutes, and used 5.7 ± 1.6 CT-images for the first experience with patients.

Conclusion

Laser navigation system improved accuracy, duration of intervention, and radiation dose of CT-guided interventions.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4499536

DOI: 10.3348/kjr.2015.16.4.729
PubMed: 26175571
PubMed Central: 4499536

Affiliations:

Allemagne, Égypte

Le document en format XML

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<author><name sortKey="Aschenbach, Rene" sort="Aschenbach, Rene" uniqKey="Aschenbach R" first="Rene" last="Aschenbach">Rene Aschenbach</name>
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<author><name sortKey="Wichmann, Julian L" sort="Wichmann, Julian L" uniqKey="Wichmann J" first="Julian L." last="Wichmann">Julian L. Wichmann</name>
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<author><name sortKey="Vogl, Thomas J" sort="Vogl, Thomas J" uniqKey="Vogl T" first="Thomas. J." last="Vogl">Thomas. J. Vogl</name>
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<author><name sortKey="Zangos, Stephan" sort="Zangos, Stephan" uniqKey="Zangos S" first="Stephan" last="Zangos">Stephan Zangos</name>
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<country xml:lang="fr" wicri:curation="lc">Allemagne</country>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>To investigate the accuracy, efficiency and radiation dose of a novel laser navigation system (LNS) compared to those of free-handed punctures on computed tomography (CT).</p>
</sec>
<sec><title>Materials and Methods</title>
<p>Sixty punctures were performed using a phantom body to compare accuracy, timely effort, and radiation dose of the conventional free-handed procedure to those of the LNS-guided method. An additional 20 LNS-guided interventions were performed on another phantom to confirm accuracy. Ten patients subsequently underwent LNS-guided punctures.</p>
</sec>
<sec><title>Results</title>
<p>The phantom 1-LNS group showed a target point accuracy of 4.0 ± 2.7 mm (freehand, 6.3 ± 3.6 mm; <italic>p</italic>
 = 0.008), entrance point accuracy of 0.8 ± 0.6 mm (freehand, 6.1 ± 4.7 mm), needle angulation accuracy of 1.3 ± 0.9° (freehand, 3.4 ± 3.1°; <italic>p</italic>
 < 0.001), intervention time of 7.03 ± 5.18 minutes (freehand, 8.38 ± 4.09 minutes; <italic>p</italic>
 = 0.006), and 4.2 ± 3.6 CT images (freehand, 7.9 ± 5.1; <italic>p</italic>
 < 0.001). These results show significant improvement in 60 punctures compared to freehand. The phantom 2-LNS group showed a target point accuracy of 3.6 ± 2.5 mm, entrance point accuracy of 1.4 ± 2.0 mm, needle angulation accuracy of 1.0 ± 1.2°, intervention time of 1.44 ± 0.22 minutes, and 3.4 ± 1.7 CT images. The LNS group achieved target point accuracy of 5.0 ± 1.2 mm, entrance point accuracy of 2.0 ± 1.5 mm, needle angulation accuracy of 1.5 ± 0.3°, intervention time of 12.08 ± 3.07 minutes, and used 5.7 ± 1.6 CT-images for the first experience with patients.</p>
</sec>
<sec><title>Conclusion</title>
<p>Laser navigation system improved accuracy, duration of intervention, and radiation dose of CT-guided interventions.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Moser, C" uniqKey="Moser C">C Moser</name>
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Intervention Planning Using a Laser Navigation System for CT-Guided Interventions: A Phantom and Patient Study

Intervention Planning Using a Laser Navigation System for CT-Guided Interventions: A Phantom and Patient Study

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