Template-based registration for image-guided skull base surgery

Objectives To evaluate whether patient-to-image registration with the use of a maxillary template is sufficiently accurate for image guided skull base surgery. Study Design and Setting In an experimental phantom study, pair-point registration of a skull phantom to its CT image data was performed with 243 different configurations of a maxillary template with markers. Then artificial skull mounted target markers were located with an infrared tracking device as used in navigation systems. Results The average target registration error was 1.57 mm in the anterior skull base (95% confidence interval, 1.53 to 1.61 mm), but 3.31 mm in the lateral skull base (95% confidence interval, 3.26 to 3.37 mm). Conclusions Fiducial marker registration based on a maxillary template is sufficiently accurate for image-guided surgery in the anterior skull base, but not for the lateral skull base. Significance Template-based registration is an accurate yet noninvasive registration method for frontal skull base surgery.

[1]  L. Klimek,et al.  Indications for computer-assisted surgery in otorhinolaryngology. , 1998, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[2]  S Hassfeld,et al.  Image-guided removal of foreign bodies. , 2005, The British journal of oral & maxillofacial surgery.

[3]  J. Michael Fitzpatrick,et al.  Bite-Block Relocation Error in Image-Guided Otologic Surgery , 2004, MICCAI.

[4]  Jay B. West,et al.  Fiducial Point Placement and the Accuracy of Point-based, Rigid Body Registration , 2001, Neurosurgery.

[5]  A. Jusczyzck,et al.  Locking acrylic resin dental stent for image-guided surgery. , 2000, The Journal of prosthetic dentistry (Print).

[6]  Georg Eggers,et al.  Accuracy of image-guided implantology. , 2005, Clinical oral implants research.

[7]  R. Metson,et al.  Impact of Image Guidance on Complications During Osteoplastic Frontal Sinus Surgery , 2004, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[8]  William Schroeder,et al.  The Visualization Toolkit: An Object-Oriented Approach to 3-D Graphics , 1997 .

[9]  Rohan J. Shah,et al.  In vitro assessment of image-guided otologic surgery: Submillimeter accuracy within the region of the temporal bone , 2005, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[10]  J Mühling,et al.  Laser Surface Registration for Lateral Skull Base Surgery , 2005, Minimally invasive neurosurgery : MIN.

[11]  A Schramm,et al.  Indications for computer-assisted treatment of cranio-maxillofacial tumors. , 2000, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[12]  M Caversaccio,et al.  Frameless Computer-Aided Surgery System for Revision Endoscopic Sinus Surgery , 2000, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[13]  K Twerdy,et al.  Computer-assisted neurosurgery by using a noninvasive vacuum-affixed dental cast that acts as a reference base: another step toward a unified approach in the treatment of brain tumors. , 2000, Journal of neurosurgery.

[14]  F Vorbeck,et al.  Endoscopic Sinus Surgery Using Intraoperative Computed Tomography Imaging for Updating a Three‐Dimensional Navigation System , 2000, The Laryngoscope.

[15]  J. Mühling,et al.  Intraoperative navigation in oral and maxillofacial surgery. , 1995, International journal of oral and maxillofacial surgery.

[16]  C. Maurer,et al.  The Impact of Fiducial Distribution on Headset-Based Registration in Image-Guided Sinus Surgery , 2003, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[17]  J Schlaier,et al.  Registration accuracy and practicability of laser-directed surface matching. , 2002, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[18]  Judith Kremser,et al.  Comparison of different 3D navigation systems by a clinical “user” , 2001, European Archives of Oto-Rhino-Laryngology.