Modules:ProstateNav-Documentation-3.6

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Home < Modules:ProstateNav-Documentation-3.6

Return to Slicer 3.6 Documentation

Gallery of New Features

Module Name

ProstateNav

ProstateNav in clinical MRI-guided prostate biopsy.
ProstateNav for MRI-guided transrectal biospy

General Information

Module Type & Category

Type: Interactive
Category: IGT

Authors, Collaborators & Contact

  • Junichi Tokuda, BWH
  • Andras Lasso, Queen's University (New GUI interface)
  • Simon DiMaio, Intuitive Surgical Inc. (System design, Z-frame registration)
  • Gregory Fischer, WPI (System design, Robot Software)
  • David Gobbi (Wizard Interface)
  • Csaba Csoma, JHU (System design, Robot Software)
  • Haiying Liu, BWH (Software packaging)
  • Philip Mewes (Initial version)
  • Gabor Fitchinger, Queen's University
  • Nobuhiko Hata, BWH
  • Clare Tempany, BWH

Module Description

The ProstateNav module is designed to add an integrated user interface (UI) for MRI-guided prostate intervention (e.g. needle biopsy and brachytherapy) to 3D Slicer. Like all of Slicer it is not FDA approved and only intended for research. In version 3.6, the module provides user interfaces for the following devices:

  • MRI-compatible pneumatic needle placement robot for transperineal prostate biopsy and brachytherapy (Johns Hopkins University + Brigham and Women's Hospital + Queen's Univeristy)
  • MRI-compatible transrectal needle biopsy device (Queen's University + Johns Hopkins University)
  • Template-based needle guiding system for MRI-guided prostate biopsy and brachy therapy (Queen's University + Brigham and Women's Hospital)

The module has wizard-style interface, which helps an operator follow the clinical procedure step by step. It supports target planning and management, patient-device registration, and verification. The module can also communicate with some of the devices listed above using OpenIGTLink protocol.

Usage

Tutorials

The ProstateNav switches its user interface based on the device type selected by the user. This section describes step-by-step instruction.

Template-based needle guiding system for MRI-guided prostate biopsy and brachy therapy

Step 1: Create a manager node and select a device type

First, create a manager node by choosing Create New ProstateNavManager from a node selector menu in Active configuration. Then click Create New TransperinealProstateTemplate from Robot node selector.

Slicer3 ProstateNav SelectManager.png
Slicer3 ProstateNav SelectDevice.png


Step 2: Calibration

Press Cliabration button in the workphase tab to open 2/4 Calibration page.

Slicer3 ProstateNav OpenCalibration.png

First, we load a multi-slice Z-frame image to register the device coordinate system to the image coordinate system. Choose "File->Add Volume..." menu to open the file selection dialog box.

Slicer3 ProstateNav LoadZFrameImage.png

To display a model of Z-frame fiducial frame in the 3D viewer, click Show Z-frame check box.

Slicer3 ProstateNav ShowZFrameModel.png

Before run automatic Z-frame registration, scroll the all slices in the multi-slice Z-frame image to identify the range of slices that show clear Z-frame images. If you want to adjust the slice range, input the start and end slice index in the text box.

Slicer3 ProstateNav CheckZFrameSliceRange.png

To start automatic Z-frame registration, press Perform Calibration button. It takes a few seconds or more depending on the environment and number of slices. Once the Z-frame is registered to the image coordinate system, the z-frame model is overlaid to the Z-frame image in the 3D view.

Slicer3 ProstateNav ZFrameRegistration.png


Step 3: Targeting

To start targeting, open Targeting button in Workphase panel or Next button in the Calibration Page.

Slicer3 ProstateNav Targeting.png

By clicking Needle and Template check buttons, models of the needle and the template can be displayed in 3D viewer.

Slicer3 ProstateNav ShowNeedleAndTemplate.png


For the needle placement planning, load a target volume from File->Add Volume... menu.

Slicer3 ProstateNav LoadTargetVolumeMenu.png
Slicer3 ProstateNav LoadTargetVolumeDialog.png

To place a target point, simply click at the point on the axial image. Make sure Add Target by Image Click check box before you click the image.

Slicer3 ProstateNav Planning.png


To choose a template hole for needle insertion, choose a target point from the list and press Move button at the bottom of the module's user interface. The index of the hole shows up on the panel.


Slicer3 ProstateNav TargetSelection.png

Development

Dependencies

OpenIGTLinkIF Module

Known bugs

Follow this link to the Slicer3 bug tracker.


Usability issues

Follow this link to the Slicer3 bug tracker. Please select the usability issue category when browsing or contributing.


Source code & documentation

See ViweCV page for the source code.

Links to documentation generated by doxygen.

More Information

Acknowledgment

This work is supported by 1R01CA111288, 5U41RR019703, 5P01CA067165, 1R01CA124377, 5P41RR013218, 5U54EB005149, 5R01CA109246 from NIH. This study was also in part supported by NSF 9731748, CIMIT, Intelligent Surgical Instruments Project of METI (Japan).

References

  • Fischer GS, Iordachita I, Csoma C, Tokuda J, DiMaio SP, Tempany CM, Hata N and Fichtinger G. MRI-Compatible Pneumatic Robot for Transperineal Prostate Needle Placement. IEEE/ASME Trans Mechatronics 2008; 13(3):295-305 [1]
  • Tokuda J, Fischer GS, Csoma C, DiMaio SP, Gobbi DG, Fichtinger G, Tempany CM, Hata N. Software Strategy for Robotic Transperineal Prostate Therapy in Closed-Bore MRI. In: Proc. 11th International Conference on Medical Image Computing and Computer-Assisted Intervention - MICCAI 2008; 9/6/2008-9/10/2008; New York, NY ;2008. p. 701-709. [2]
  • DiMaio S, Samset E, Fischer G, Iordachita I, Fichtinger G, Jolesz F, Tempany C. Dynamic MRI Scan Plane Control for Passive Tracking of Instruments and Devices. Int Conf Med Image Comput Comput Assist Interv. 2007;10(Pt 2):50-58. [3]