학술논문

Technique for a hybrid system of real-time transrectal ultrasound with preoperative magnetic resonance imaging in the guidance of targeted prostate biopsy.
Document Type
Article
Source
International Journal of Urology. Oct2010, Vol. 17 Issue 10, p890-893. 4p. 3 Color Photographs, 1 Diagram.
Subject
*PROSTATE cancer
*DIAGNOSIS
*MAGNETIC resonance imaging
*BIOPSY
*RECTAL cancer
*ELECTRONIC probes
Language
ISSN
0919-8172
Abstract
Diagnostic magnetic resonance imaging (MRI) for prostate has achieved increasingly higher levels of accuracy. Because real-time MR-guided targeted biopsy is still a complicated and expensive procedure, there is considerable interest in a technique of MR/transrectal ultrasound (TRUS) hybridized image-guided biopsy. However, because the 3-D shapes of the prostate at the time of image-acquisition at preoperative MRI are likely to be different from the intra-operative TRUS images, the precise registration of each 3-D volume data is critical. To reduce the potential errors in registration of TRUS with MRI, we introduce new procedural techniques in a rigid image fusion technique. First, preoperative MR images were obtained with a specifically-made plastic outer-frame, with exactly the same shape as the real TRUS probe, placed in the rectum, in order to simulate the deformation of the prostate caused by the absence or presence of a TRUS probe during the acquisition of MR or TRUS images. Second, instead of using a single plane of longitudinal image, we applied biplane TRUS images to be shown in parallel on a multiplanar display with corresponding reconstructed MRI, in order to register both horizontal and longitudinal images of the prostate simultaneously, thereby achieving improved 3-D anatomical matching. [ABSTRACT FROM AUTHOR]