Mobile C-arm cone-beam CT for guidance of spine surgery: Image quality, radiation dose, and integration with interventional guidance

Medical Physics

Volumn 38, Issue 8, 2011, Pages 4563-4574

  Schafer, S ^a   Nithiananthan, S ^a   Mirota, D J ^b   Uneri, A ^b   Stayman, J W ^a   Zbijewski, W ^a   Schmidgunst, C ^c   Kleinszig, G ^c   Khanna, A J ^d   Siewerdsen, J H ^a,b  

^a Johns Hopkins University   (United States)

^b Johns Hopkins University   (United States)

^c SIEMENS AG   (Germany)

^d JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

cone beam CT; flat panel detector; image quality; image guided surgery; minimally invasive; mobile C Arm; spine surgery; vertebroplasty

Indexed keywords

BONE; FLUORESCENT SCREENS; IMAGE QUALITY; IMAGE RESOLUTION; IMAGING SYSTEMS; INTEGRATION; NAVIGATION SYSTEMS; OPERATING ROOMS; PHANTOMS; QUALITY CONTROL; REMOTE CONTROL; ROBOTIC ARMS; TISSUE; TRANSPLANTATION (SURGICAL); VISIBILITY; VISUALIZATION; X RAY TUBES;

CONE-BEAM CT; FLAT PANEL DETECTORS; IMAGE GUIDED SURGERY; MINIMALLY INVASIVE; MOBILE C-ARM; SPINE SURGERY; VERTEBROPLASTY;

COMPUTERIZED TOMOGRAPHY;

EID: 79961068484     PISSN: 00942405     EISSN: None     Source Type: Journal    
DOI: 10.1118/1.3597566     Document Type: Article

References (39)

1. R. Fahrig, R. Dixon, T. Payne, R. L. Morin, A. Ganguly, and N. Strobel, Dose and image quality for a cone-beam C-arm CT system., Med. Phys. 33 (12), 4541-4550 (2006). 10.1118/1.2370508 (Pubitemid 44868090)
2. W. Kalender and Y. Kyriakou, Flat-detector computed tomography (FD-CT)., Eur. Radiol. 17, 2767-2779 (2007). 10.1007/s00330-007-0651-9 (Pubitemid 47603972)
3. G. Lauritsch J. Boese, L. Wigstrom, H. Kemeth, and R. Fahrig, Towards cardiac C-arm computed tomography., Trans. Med. Imaging 25 (7), 922-934 (2006). 10.1109/TMI.2006.876166 (Pubitemid 44088376)
4. W. Zbijewski and J. W. Stayman, Volumetric soft tissue brain imaging on xCAT, a mobile flat-panel X-ray CT system., Proc. SPIE Med. Imaging 7258 (2009).
5. J. Zhang, V. Weir, L. Fajardo, J. Lin, H. Hsiung, and E. E. Ritenour, Dosimetric characterization of a cone-beam O-arm imaging system., X-Ray Sci. Technol. 17 (4), 305-317 (2009).
6. J. Zhang, V. Weir, J. Lin, H. Hsiung, and E. R. Ritenour, Image quality of a cone beam O-arm 3D imaging system., Proc. SPIE Med. Imaging 725850-725850-8 (2009).
7. J. H. Siewerdsen, M. J. Daly, G. Bachar, D. J. Moseley, G. Bootsma, K. K. Brock, S. Ansell, G. A. Wilson, S. Chhabra, and D. A. Jaffray, Multimode C-arm fluoroscopy, tomosynthesis, and cone-beam CT for image-guided interventions: from proof of principle to patient protocols., Proc. SPIE 65101A-65101A-11 (2007).
8. J. H. Siewerdsen, M. J. Daly, H. Chan, S. Nithiananthan, N. Hamming, K. K. Brock, and J. C. Irish, High-performance intraoperative cone-beam CT on a mobile C-arm: an integrated system for guidance of head and neck surgery., Proc. SPIE 72610J-72610J-8 (2009).
9. J. H. Siewerdsen, D. J. Moseley, S. Burch, S. K. Bisland, A. Bogaards, B. C. Wilson, and D. A. Jaffray, Volume CT with a flat-panel detector on a mobile, isocentric C-arm: Pre-clinical investigation in guidance of minimally invasive surgery., Med. Phys. 32 (1), 241-254 (2005). 10.1118/1.1836331 (Pubitemid 40165536)
10. J. H. Siewerdsen, Cone-beam CT with a flat-panel detector: From image science to image-guided surgery., Nucl. Instr. and Meth. A, doi: 10.1016/j.nima.2010.11.088, 2010.
11. A. Khoury, J. H. Siewerdsen, C. M. Whyne, M. J. Daly, H. J. Kreder, D. J. Moseley, and D. A. Jaffray, Intraoperative cone-beam CT for image-guided tibial plateau fracture reduction., Comput. Aided Surg. 12 (4), 195-207 (2007). (Pubitemid 47356729)
12. A. Khoury, C. M. Whyne, M. J. Daly, D. J. Moseley, G. Bootsma, T. Skrinskas, J. H. Siewerdsen, and D. A. Jaffray, Intraoperative cone-beam CT for correction of periaxial malrotation of the femoral shaft: A surface-matching approach., Med. Phys 34 (4), 1380-1387 (2007). 10.1118/1.2710330 (Pubitemid 46555768)
13. D. A. Jaffray, J. H. Siewerdsen, G. K. Edmundson, J. W. Wong, and A. A. Martinez, Flat-panel cone-beam CT on a mobile isocentric C-arm for image-guided brachytherapy., Proc. SPIE 4682, 209-217 (2002). 10.1117/12.465561 (Pubitemid 35237115)
14. S. Schafer, A. Uneri, D. Mirota, S. Nithananiathan, J. W. Stayman, W. Zbijewski, G. Kleinszig, C. Schmidgunst, M. Sussman, and J. H. Siewerdsen, C-arm cone-beam CT guidance of video-assisted thoracoscopic surgery (VATS): Image quality, dose, and integration with interventional guidance., Int J CARS 6 (1), S103-S104 (2011).
15. G. Bachar, J. H. Siewerdsen, M. J. Daly, D. A. Jaffray, and J. C. Irish, Image quality and localization accuracy in C-arm tomosynthesis-guided head and neck surgery., Med. Phys. 34 (12), 4664-4677 (2007). 10.1118/1.2799492 (Pubitemid 350197705)
16. G. Bachar, E. Barker, S. Nithiananthan, H. Chan, M. J. Daly, J. C. Irish, and J. H. Siewerdsen, Three-dimensional tomosynthesis and cone-beam computed tomography: An experimental study for fast, low-dose intraoperative imaging technology for guidance of sinus and skull base surgery., Laryngoscope 119 (3), 434-441 (2009). 10.1002/lary.20089
17. E. Barker, K. Trimble, H. Chan, J. Ramsden, S. Nithiananthan, A. James, G. Bachar, M. J. Daly, J. Irish, and J. H. Siewerdsen, Intraoperative use of cone-beam computed tomography in a cadaveric ossified cochlea model., Otolaryngology 140 (5), 697-702 (2009).
18. M. J. Daly, J. H. Siewerdsen, D. J. Moseley, D. A. Jaffray, and J. C. Irish, Intraoperative cone-beam CT for guidance of head and neck surgery: Assessment of dose and image quality using a C-arm prototype., Med. Phys. 33 (10), 3767-3780 (2006). 10.1118/1.2349687 (Pubitemid 44505102)
19. A. von Wrangel, A. Cederblad, and M. Rodriguez -Catarino, Fluoroscopically guided percutaneous vertebroplasty: Assessment of radiation doses and implementation of procedural routines to reduce operator exposure., Acta Radiol. 50 (5), 490-496 (2009). 10.1080/02841850902855391
20. M. Synowitz and J. Kiwit, Surgeon's radiation exposure during percutaneous vertebroplasty., Neurosurg.: Spine 4 (2), 106-109 (2006). 10.3171/spi.2006.4.2.106 (Pubitemid 47333723)
21. E. Vano, L. Gonzalez, J. M. Fernandez, F. Alfonso, and C. Macaya, Occupational radiation doses in interventional cardiology: A 15-year follow-up., Br. J. Radiol. 79 (941), 383-388 (2006). 10.1259/bjr/26829723 (Pubitemid 43676341)
22. Y. Cho, D. J. Moseley, J. H. Siewerdsen, and D. A. Jaffray, Accurate technique for complete geometric calibration of cone-beam computed tomography systems., Med. Phys. 32 (4), 968-983 (2005). 10.1118/1.1869652 (Pubitemid 40586782)
23. P. G. Roos, R. E. Colbeth, I. Mollov, P. Munro, J. Pavkovich, E. J. Seppi, E. G. Shapiro, C. A. Tognina, G. F. Virshup, and J. M. Yu, Multiple-gain-ranging readout method to extend the dynamic range of amorphous silicon flat-panel imagers., Proc. SPIE 5368, 139-149 (2004). 10.1117/12.535471
24. N. Navab, A. Bani -Hashemi, M. Nadar, K. Wiesent, P. Durlak, T. Brunner, K. Barth, and R. Graumann, 3D reconstruction from projection matrices in a C-arm based 3D-angiography system., MICCAI'98, Lecture Notes in Computer Science, Volume 1496/1998, 119-129, 1998. (Pubitemid 128152708)
25. C. Schmidgunst, D. Ritter, and E. Lang, Calibration model of a dual gain flat panel detector for 2D and 3D X-ray imaging., Med. Phys. 34 (9), 3649-3664 (2007). 10.1118/1.2760024 (Pubitemid 47339763)
26. D. Mirota, H. Wang, R. Taylor, M. Ishii, and G. Hager, Toward Video-Based Navigation for Endoscopic Endonasal Skull Base Surgery., MICCAI 2009, Lecture Notes in Computer Science, Volume 5761/2009, 91-99, 2009.
27. S. Nithiananthan, K. K. Brock, M. J. Daly, H. Chan, J. C. Irish, and J. H. Siewerdsen, Demons deformable registration for CBCT-guided procedures in the head and neck: Convergence and accuracy., Med. Phys. 36 (10), 4755-4764 (2009). 10.1118/1.3223631
28. S. Nithiananthan, K. K. Brock, M. J. Daly, H. Chan, J. C. Irish, and J. H. Siewerdsen, Demons deformable registration for cone-beam CT guidance: registration of pre- and intra-operative images., Proc. SPIE 76250L-76250L-7 (2010).
29. A. Uneri, S. Schafer, D. Mirota, S. Nithiananthan, Y. Otake, S. Reaungamornrat, J. Yoo, J. W. Stayman, D. Reh, G. Gallia, A. J. Khanna, G. Hager, R. Taylor, G. Kleinszig, and J. H. Siewerdsen, Architecture of a high-performance surgical guidance system based on C-arm cone-beam CT: Software platform for technical integration and clinical translation., Proc. SPIE 796422-796422-7 (2011).
30. F. M. Khan, The Physics of Radiation Therapy (Williams Wilkins, Baltimore, 1984).
31. J. N. Kroon, 3-Dimensional rotational X-ray imaging, 3D-RX: Image quality and patient dose simulation for optimisation studies., Radiat. Prot. Dosim. 114, 341-349 (2005). 10.1093/rpd/nch576 (Pubitemid 40883707)
32. E. W. Webster, EDE for exposure with protective aprons., Health Phys. 56 (4), 568-569 (1989).
33. Y. Watanabe, Derivation of linear attenuation coefficients from CT numbers for low-energy photons., Phys. Med. Biol. 44 (9), 2201-2211 (1999). 10.1088/0031-9155/44/9/308 (Pubitemid 29424381)
34. P. A. Yushkevich, J. Piven, H. C. Hazlett, R. G. Smith, S. Ho, J. C. Gee, and G. Gerig, User-guided 3D active contour segmentation of anatomical structures: Significantly improved efficiency and reliability., NeuroImage 31 (3), 1116-1128 (2006). 10.1016/j.neuroimage.2006.01.015 (Pubitemid 43851334)
35. D. J. Tward, J. H. Siewerdsen, M. J. Daly, S. Richard, D. J. Moseley, D. A. Jaffray, and N. S. Paul, Soft-tissue detectability in cone-beam CT: Evaluation by 2AFC tests in relation to physical performance metrics., Med. Phys. 34 (11), 4459-4471 (2007). 10.1118/1.2790586 (Pubitemid 350029666)
36. K. Perisinakis, J. Damilakis, N. Theocharopoulos, G. Papadokostakis, A. Hadjipavlou, and N. Gourtsoyiannis, Patient exposure and associated radiation risks from fluoroscopically guided vertebroplasty or kyphoplasty., Radiology 232 (3), 701-707 (2004). 10.1148/radiol.2323031412 (Pubitemid 39100251)
37. T. E. Mroz, T. Yamashita, W. J. Davros, and I. H. Lieberman, Radiation exposure to the surgeon and the patient during kyphoplasty., Spinal Disord. Tech. 21 (2), (2008).
38. J. H. Siewerdsen, D. J. Moseley, B. Bakhtiar, S. Richard, and D. A. Jaffray, The influence of antiscatter grids on soft-tissue detectability in cone-beam computed tomography with flat-panel detectors., Med. Phys. 31 (12), 3506-3520 (2004). 10.1118/1.1819789 (Pubitemid 40065003)
39. J. Bian, J. H. Siewerdsen, X. Han, E. Y. Sidky, J. L. Prince, C. A. Pelizzari, and X. Pan, Evaluation of sparse-view reconstruction from flat-panel-detector cone-beam CT., Phys. Med. Biol. 55, 6575-6599 (2011). 10.1088/0031-9155/55/22/001