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Target motion predictions for pre-operative planning during needle-based interventions

机译:针对基于针对针的干预措施进行术前规划的目标运动预测

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During biopsies, breast tissue is subjected to displacement upon needle indentation, puncture, and penetration. Thus, accurate needle placement requires pre-operative predictions of the target motions. In this paper, we used ultrasound elastography measurements to non-invasively predict elastic properties of breast tissue phantoms. These properties were used in finite element (FE) models of indentation of breast soft tissue phantoms. To validate the model predictions of target motion, experimental measurements were carried out. Breast tissue phantoms with cubic and hemispherical geometries were manufactured and included materials with different elastic properties to represent skin, adipose tissue, and lesions. Ultrasound was used to track the displacement of the target (i.e., the simulated lesion) during indentation. The FE model predictions were compared with ultrasound measurements for cases with different boundary conditions and phantom geometry. Maximum errors between measured and predicted target motions were 12% and 3% for the fully supported and partially supported cubic phantoms at 6.0 mm indentation, respectively. Further, FE-based parameter sensitivity analysis indicated that increasing skin elastic modulus and reducing the target depth location increased the target motion. Our results indicate that with a priori knowledge about the geometry, boundary conditions, and linear elastic properties, indentation of breast tissue phantoms can be accurately predicted with FE models. FE models for pre-operative planning in combination with robotic needle insertions, could play a key role in improving lesion targeting for breast biopsies.
机译:在活组织检查期间,对针头压痕,穿刺和穿透的乳房组织进行位移。因此,精确的针放置需要对目标运动的预先操作预测。在本文中,我们使用超声弹性摄影测量来非侵入性地预测乳腺组织幽灵的弹性性质。这些性质用于有限元(Fe)模型的乳房软组织幽灵的压痕。为了验证目标运动的模型预测,进行实验测量。制造具有立方和半球形几何形状的乳房组织幽灵,并包括具有不同弹性性质的材料来代表皮肤,脂肪组织和病变。超声用于追踪压痕期间靶(即模拟病变)的位移。对具有不同边界条件和幻像几何形状的情况进行了FE模型预测与超声测量。测量和预测目标运动之间的最大误差分别为6.0mm压痕的完全支撑和部分支撑的立方体幻影为12%和3%。此外,Fe基参数灵敏度分析表明,增加皮肤弹性模量并减小目标深度位置增加了目标运动。我们的结果表明,通过关于几何形状,边界条件和线性弹性性质的先验知识,可以用FE模型准确地预测乳房组织幽灵的压痕。用于与机器人针插入结合的术前计划的FE模型可以在改善乳房活检的病变方面发挥关键作用。

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