architecture

用于穿刺介入治疗的移动式图像叠加系统的设计与开发


此前,人们曾提出静态及可调节的图像叠加系统,旨在辅助穿刺介入操作。这类系统要么固定在扫描仪上,要么安装在大型铰接式平衡臂上。然而,这些系统存在某些固有的缺陷,从而限制了其在临床上的推广应用。为了克服这些局限性,我们提出了一种移动式图像叠加系统,旨在实现系统轻量化、小型化以及追踪精度的提升。该系统的设计研究涵盖了最佳工作空间的界定,以及显示设备、反射镜和激光光源的选型。此外,文中还探讨了激光平面的对准、体模设计、图像叠加平面的校准,以及系统精度验证的方法。虚拟图像由平板电脑生成,并通过分束镜投射至患者体表。与既往系统相比,本系统的显示模块重量(1.0 kg)减轻了8.2倍,图像叠加平面的追踪精度(0.21 mm,标准差 STD = 0.05)提升了5倍。图像叠加平面的自动自校准功能仅需两个简单的步骤即可完成,且可在远离患者检查台的位置进行操作。在物理体模与扫描图像体数据配准过程中,其基准点配准误差为1.35 mm(标准差 STD = 0.11)。得益于系统重量的减轻以及光学追踪精度的提升,该系统可由医生手持操作,从而在患者体表上方灵活探索并定位图像体数据中的目标区域,进而辅助实施穿刺介入治疗。


Design and development of a mobile image overlay system for needle interventions


Abstract:

Previously, a static and adjustable image overlay systems were proposed for aiding needle interventions. The system was either fixed to a scanner or mounted over a large articulated counterbalanced arm. Certain drawbacks associated with these systems limited the clinical translation. In order to minimize these limitations, we present the mobile image overlay system with the objective of reduced system weight, smaller dimension, and increased tracking accuracy. The design study includes optimal workspace definition, selection of display device, mirror, and laser source. The laser plane alignment, phantom design, image overlay plane calibration, and system accuracy validation methods are discussed. The virtual image is generated by a tablet device and projected into the patient by using a beamsplitter mirror. The viewbox weight (1.0kg) was reduced by 8.2 times and image overlay plane tracking precision (0.21mm, STD=0.05) was improved by 5 times compared to previous system. The automatic self-calibration of the image overlay plane was achieved in two simple steps and can be done away from patient table. The fiducial registration error of the physical phantom to scanned image volume registration was 1.35mm (STD=0.11). The reduced system weight and increased accuracy of optical tracking should enable the system to be hand held by the physician and explore the image volume over the patient for needle interventions.