Automatic Transfer of Preoperative fMRI Markers into Intraoperative MR-Images for Updating Functional Neuronavigation(Special Issue on Machine Vision Applications)

概要

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Functional magnetic resonance imaging(fMRI) allows to display functional activities of certain brain areas. In combination with a three dimensional anatomical dataset, acquired with a standard magnetic resonance(MR) scanner, it can be used to identify eloquent brain areas, resulting in so-called functional neuronavigation, supporting the neurosurgeon while planning and performing the operation. But during the operation brain shift leads to an increasing inaccuracy of the navigation system. Intraoperative MR imaging is used to update the neuronavigation system with a new anatomical dataset. To preserve the advantages of functional neuronavigation, it is necessary to save the functional information. Since fMRI cannot be repeated intraoperatively with the unconscious patient easily we tried to solve this problem by means of image processing and pattern recognition algorithms. In this paper we present an automatic approach for transfering preoperative markers into an intraoperative 3-D dataset. In the first step the brains are segmented in both image sets which are then registered and aligned. Next, corresponding points are determined. These points are then used to determine the position of the markers by estimating the local influence of brain shift.
2001-12-01