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Diploma thesis kick-off presentation Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment Claudia Thormann director: Prof. Dr. Navab supervisor: J篓org Traub medical partner: Prof. Kneschaurek (Radiation Therapy Department, Rechtsder Isar) Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment Outline 1. Medical application: prostate cancer treatment 2. Error correction 3. Aim of this diploma thesis 4. Proposed method Step1: Device calibration Step2: Creating the Lookup-table Step3: Onlineerror correction 5. Summary and vision for the future Folie 1von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment 1. Medical application: prostate cancer treatment 00rostate located in front of the rectum, under the bladder, encloses the urethra 00 : male patients and older than 50 years source of the picture: http://en.wikipedia.org/wiki/Prostate cancer Folie 2von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment 1.1 Medicalprocedure of treatment: Status Quo 00ballooncatheter is inserted into the rectum. 00heballoonis inflated to adjust the prostate in its position. 00CT ofthepatient is done. 00heareaof radiation is calculated (software). 00adiation of the calculated area every weekday with X-rays Folie 3von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment 1.2 Limitations of this treatment 00ectumandurethra should not be radiated, but both are close to the prostate. 00he prostate always moves inside the body, even if it is fixed with the balloon. 00edical statusquo: The area of radiation has to be enlarged a little bit to ensure the radiation of the whole cancer. ) A more precise knowledge of the location of the prostate is needed. Folie 4von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment 1.3 Remedy 00racking inside the human body ) electromagnetic tracking system used 00agnetic sensor attached to the balloon catheter ) magnetic sensor visible on the CT 00ptical tracking system used for the computation of the error function Folie 5von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment 2. Error correction1,2 00rror correction needed for the electromagnetic tracking system reason: gantry and metal always present in the radiation room 00ptical tracking system used as ground truth values 00orkbasedonthe master thesis of Suhkbansbir Kaur: -analysisoferror correction methods -the measurement error could be corrected very well -hermethodnot suitable for prostate cancer scenario 1 " A survey of electromagnetic position tracker calibration techniques"by Volodymyr V. Kindratenko 2 " Error Correction for ElectroMagnetic Tracking", Master thesis by Suhkbansbir Kaur, handed in 2006/04/28 Folie 6von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment 3. Aim of this diploma thesis 00mproved error correction (more precise) 00mproved useability (now: time-consuming and inconvenient) 00avigation interface -no complicated 3D-GUI is needed -simple output of " table coordinates" (howthedoctorhas to move the table where the patient is laying) Folie 7von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment 4. Proposed method Method consists of three steps: 1. Device calibration 2. Creating the lookup-table 3. Onlineerror correction Folie 8von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment Step1: Device Calibration3,4 00evice calibration done only once 00orgetting the translations Xand Y 00quation: ART T S3 路X路MBT S1 =ARTT S2 路Y 3 " Tracking Systems in Surgical Navigation"by Wolfgang Birkfellner, Chapter 5 4 " Aligning Optical and Electromagnetic Tracking Systems", Diploma thesis by Sintje G 篓 oritz, handed in 2005/08/15 Folie 9von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment Explanation of the picture 00.R.T. =optical tracking system, Microbird=electromagnetic tracking system (abbreviated " MB") 00ntheleft: magnetic field-generator with rigidly attached optical markers (S3) 00ntheright: " combined target"=magnetic sensor (S1) with rigidly attached optical markers (S2) 00=transformation between the coordinate system of the field-generator and the optical tracking system 00=transformation between the coordinate system of the magnetic sensor and the optical tracking system Folie 10von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment Step 1a: HandEyeCalibrati onto get Y 00ombined target is moved around 00ustbedoneinanon-distorted setting 00easurement data collected at several locations at several timesi, i+1, ... 00easured data used to setup equations and to calculate Y Folie 11von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment Step 1b: Reorganizing the equation to get X ART T S3 路X路MBT S1 =ARTT S2 路Y X= (ARTT S3 ) 隆1 路ARTT S2 路Y路 (MBT S1 ) 隆1 Folie 12von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment What'snew Suhkbansbir'smethod: 00omarkeronthe field-generator 00herefore device calibration was done during online error correction 00andEyeCalibrati on had to be done more than once 00andEyeCalibrati on did work well in non-distorted settings, butHandEyeCalibrati on did not work in distorted settings ) but: The prostate cancer setting is always distorted because of gantry and metal present in the radiation room. Proposed method: 00dditional optical marker attached to the field-generator 00herefore device calibration can be done in the beginning 00evice calibration needs to be done only once Folie 13von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment Step2: Creating the Lookup-table (LUT) 00eedtobedone whenever the setting changes (metal) 00apping function (incorrect values! corrected values) implemented as LUT 00woentriesper line: -measurement data of the electromagnetic tracking system -corresponding transformed measurement data of the optical tracking system 00ptical data needs to be transformed into the magnetic coordinate system: MB T S1 |{z} measurement data =X 隆1 路 (ARTT S3 ) 隆1 ART T S2 路Y | {z } ground truth values Folie 14von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment Step3: Onlineerror correction 00asedonthe entries of the LUT 00ptical tracking system not needed for this step 00lgorithm for theonlineerror correction: -Iftheactual position of the sensor is available in the LUT: ) use the corrected value from the LUT -Iftheactual position is not available in the LUT ) perform interpolation (trilinear/Hardy'sMulti-Quadric) Folie 15von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment 5. Summary and vision for the future 00arryontheworkofSuhkbansbir Kaur 00mprovetheerror correction for magnetic tracking (withthehelpofan optical tracking system used for the ground truth values) 00akethestepsmore useable for the clinicalworkflow 00edical aim: ) enable more precise radiation of the prostate cancer Folie 16von17 Fast and efficient error correction of electromagnetic tracking and its application in prostate cancer treatment Further information For more information about my thesis, please visit http://campar.in.tum.de/Students/DaProstate Folie 17von17

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