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Published in: International Journal of Computer Assisted Radiology and Surgery 3/2017

01-03-2017 | Original Article

IBIS: an OR ready open-source platform for image-guided neurosurgery

Authors: Simon Drouin, Anna Kochanowska, Marta Kersten-Oertel, Ian J. Gerard, Rina Zelmann, Dante De Nigris, Silvain Bériault, Tal Arbel, Denis Sirhan, Abbas F. Sadikot, Jeffery A. Hall, David S. Sinclair, Kevin Petrecca, Rolando F. DelMaestro, D. Louis Collins

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 3/2017

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Abstract

Purpose

Navigation systems commonly used in neurosurgery suffer from two main drawbacks: (1) their accuracy degrades over the course of the operation and (2) they require the surgeon to mentally map images from the monitor to the patient. In this paper, we introduce the Intraoperative Brain Imaging System (IBIS), an open-source image-guided neurosurgery research platform that implements a novel workflow where navigation accuracy is improved using tracked intraoperative ultrasound (iUS) and the visualization of navigation information is facilitated through the use of augmented reality (AR).

Methods

The IBIS platform allows a surgeon to capture tracked iUS images and use them to automatically update preoperative patient models and plans through fast GPU-based reconstruction and registration methods. Navigation, resection and iUS-based brain shift correction can all be performed using an AR view. IBIS has an intuitive graphical user interface for the calibration of a US probe, a surgical pointer as well as video devices used for AR (e.g., a surgical microscope).

Results

The components of IBIS have been validated in the laboratory and evaluated in the operating room. Image-to-patient registration accuracy is on the order of \(3.72\pm 1.27\,\hbox {mm}\) and can be improved with iUS to a median target registration error of 2.54 mm. The accuracy of the US probe calibration is between 0.49 and 0.82 mm. The average reprojection error of the AR system is \(0.37\pm 0.19\,\hbox {mm}\). The system has been used in the operating room for various types of surgery, including brain tumor resection, vascular neurosurgery, spine surgery and DBS electrode implantation.

Conclusions

The IBIS platform is a validated system that allows researchers to quickly bring the results of their work into the operating room for evaluation. It is the first open-source navigation system to provide a complete solution for AR visualization.
Footnotes
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Metadata
Title
IBIS: an OR ready open-source platform for image-guided neurosurgery
Authors
Simon Drouin
Anna Kochanowska
Marta Kersten-Oertel
Ian J. Gerard
Rina Zelmann
Dante De Nigris
Silvain Bériault
Tal Arbel
Denis Sirhan
Abbas F. Sadikot
Jeffery A. Hall
David S. Sinclair
Kevin Petrecca
Rolando F. DelMaestro
D. Louis Collins
Publication date
01-03-2017
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery / Issue 3/2017
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-016-1478-0

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