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Published in: International Journal of Computer Assisted Radiology and Surgery 3/2020

01-03-2020 | Original Article

Touchless scanner control to support MRI-guided interventions

Authors: Benjamin Hatscher, André Mewes, Enrico Pannicke, Urte Kägebein, Frank Wacker, Christian Hansen, Bennet Hensen

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 3/2020

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Abstract

Purpose

MRI-guided interventions allow minimally invasive, radiation-free treatment but rely on real-time image data and free slice positioning. Interventional interaction with the data and the MRI scanner is cumbersome due to the diagnostic focus of current systems, confined space and sterile conditions.

Methods

We present a touchless, hand-gesture-based interaction concept to control functions of the MRI scanner typically used during MRI-guided interventions. The system consists of a hand gesture sensor customised for MRI compatibility and a specialised UI that was developed based on clinical needs. A user study with 10 radiologists was performed to compare the gesture interaction concept and its components to task delegation—the prevalent method in clinical practice.

Results

Both methods performed comparably in terms of task duration and subjective workload. Subjective performance with gesture input was perceived as worse compared to task delegation, but was rated acceptable in terms of usability while task delegation was not.

Conclusion

This work contributes by (1) providing access to relevant functions on an MRI scanner during percutaneous interventions in a (2) suitable way for sterile human–computer interaction. The introduced concept removes indirect interaction with the scanner via an assistant, which leads to comparable subjective workload and task completion times while showing higher perceived usability.
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Literature
2.
go back to reference Bangor A, Kortum P, Miller J (2009) Determining what individual sus scores mean: adding an adjective rating scale. J Usability Stud 4(3):114–123 Bangor A, Kortum P, Miller J (2009) Determining what individual sus scores mean: adding an adjective rating scale. J Usability Stud 4(3):114–123
3.
go back to reference Barkhausen J, Kahn T, Krombach GA, Kuhl CK, Lotz J, Maintz D, Ricke J, Schönberg SO, Vogl TJ, Wacker FK (2017) White paper: interventional MRI: current status and potential for development considering economic perspectives, part 2: liver and other applications in oncology. RoFo: Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin 189(11):1047–1054CrossRef Barkhausen J, Kahn T, Krombach GA, Kuhl CK, Lotz J, Maintz D, Ricke J, Schönberg SO, Vogl TJ, Wacker FK (2017) White paper: interventional MRI: current status and potential for development considering economic perspectives, part 2: liver and other applications in oncology. RoFo: Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin 189(11):1047–1054CrossRef
4.
go back to reference Brooke J (1996) SUS-A quick and dirty usability scale. Usability Eval Ind 189(194):4–7 Brooke J (1996) SUS-A quick and dirty usability scale. Usability Eval Ind 189(194):4–7
5.
go back to reference Christoforou E, Akbudak E, Ozcan A, Karanikolas M, Tsekos NV (2007) Performance of interventions with manipulator-driven real-time mr guidance: implementation and initial in vitro tests. Magn Reson Imaging 25(1):69–77CrossRef Christoforou E, Akbudak E, Ozcan A, Karanikolas M, Tsekos NV (2007) Performance of interventions with manipulator-driven real-time mr guidance: implementation and initial in vitro tests. Magn Reson Imaging 25(1):69–77CrossRef
7.
go back to reference Fischbach F, Bunke J, Thormann M, Gaffke G, Jungnickel K, Smink J, Ricke J (2011) MR-guided freehand biopsy of liver lesions with fast continuous imaging using a 1.0-T open mri scanner: experience in 50 patients. Cardiovasc Interv Radiol 34(1):188–192CrossRef Fischbach F, Bunke J, Thormann M, Gaffke G, Jungnickel K, Smink J, Ricke J (2011) MR-guided freehand biopsy of liver lesions with fast continuous imaging using a 1.0-T open mri scanner: experience in 50 patients. Cardiovasc Interv Radiol 34(1):188–192CrossRef
8.
go back to reference Gu C, Wang J, Lien J (2019) Motion sensing using radar: gesture interaction and beyond. IEEE Microw Mag 20(8):44–57CrossRef Gu C, Wang J, Lien J (2019) Motion sensing using radar: gesture interaction and beyond. IEEE Microw Mag 20(8):44–57CrossRef
10.
go back to reference Hart SG (2006) Nasa-task load index (nasa-tlx); 20 years later. In: Proceedings of the human factors and ergonomics society annual meeting, vol 50, pp 904–908CrossRef Hart SG (2006) Nasa-task load index (nasa-tlx); 20 years later. In: Proceedings of the human factors and ergonomics society annual meeting, vol 50, pp 904–908CrossRef
11.
go back to reference Hettig J, Saalfeld P, Luz M, Becker M, Skalej M, Hansen C (2017) Comparison of gesture and conventional interaction techniques for interventional neuroradiology. Int J Comput Assist Radiol Surg 12:1643–1653CrossRef Hettig J, Saalfeld P, Luz M, Becker M, Skalej M, Hansen C (2017) Comparison of gesture and conventional interaction techniques for interventional neuroradiology. Int J Comput Assist Radiol Surg 12:1643–1653CrossRef
12.
go back to reference Jacob MG, Wachs JP (2014) Context-based hand gesture recognition for the operating room. Pattern Recognit Lett 36:196–203CrossRef Jacob MG, Wachs JP (2014) Context-based hand gesture recognition for the operating room. Pattern Recognit Lett 36:196–203CrossRef
13.
go back to reference Kägebein U, Godenschweger F, Armstrong BS, Rose G, Wacker FK, Speck O, Hensen B (2018) Percutaneous MR-guided interventions using an optical moiré phase tracking system: initial results. PLoS ONE 13(10):e0205394CrossRef Kägebein U, Godenschweger F, Armstrong BS, Rose G, Wacker FK, Speck O, Hensen B (2018) Percutaneous MR-guided interventions using an optical moiré phase tracking system: initial results. PLoS ONE 13(10):e0205394CrossRef
14.
go back to reference Kim Y, Toomajian B (2016) Hand gesture recognition using micro-doppler signatures with convolutional neural network. IEEE Access 4:7125–7130CrossRef Kim Y, Toomajian B (2016) Hand gesture recognition using micro-doppler signatures with convolutional neural network. IEEE Access 4:7125–7130CrossRef
16.
go back to reference Mazilu MT, Faranesh AZ, Derbyshire JA, Lederman RJ, Hansen MS (2011) Low-cost MRI compatible interface device for interactive scan plane control. In: Proceedings of the 19th annual meeting of ISMRM, Montreal, Canada, p 3752 Mazilu MT, Faranesh AZ, Derbyshire JA, Lederman RJ, Hansen MS (2011) Low-cost MRI compatible interface device for interactive scan plane control. In: Proceedings of the 19th annual meeting of ISMRM, Montreal, Canada, p 3752
17.
go back to reference Mewes A, Hensen B, Wacker F, Hansen C (2017) Touchless interaction with software in interventional radiology and surgery: a systematic literature review. Int J Comput Assist Radiol Surg 12(2):291–305CrossRef Mewes A, Hensen B, Wacker F, Hansen C (2017) Touchless interaction with software in interventional radiology and surgery: a systematic literature review. Int J Comput Assist Radiol Surg 12(2):291–305CrossRef
18.
go back to reference Mewes A, Saalfeld P, Riabikin O, Skalej M, Hansen C (2016) A gesture-controlled projection display for CT-guided interventions. Int J Comput Assist Radiol Surg 11(1):157–164CrossRef Mewes A, Saalfeld P, Riabikin O, Skalej M, Hansen C (2016) A gesture-controlled projection display for CT-guided interventions. Int J Comput Assist Radiol Surg 11(1):157–164CrossRef
19.
go back to reference Pannicke E, Hatscher B, Hensen B, Mewes A, Hansen C, Wacker F, Vick R (2018) MR compatible and sterile gesture interaction for interventions. In: Proceedings of the 12th interventional MRI symposium Pannicke E, Hatscher B, Hensen B, Mewes A, Hansen C, Wacker F, Vick R (2018) MR compatible and sterile gesture interaction for interventions. In: Proceedings of the 12th interventional MRI symposium
20.
go back to reference Riffe MJ, Yutzy SR, Jiang Y, Twieg MD, Blumenthal CJ, Hsu DP, Pan L, Gilson WD, Sunshine JL, Flask CA, Duerk JL, Nakamoto D, Gulani V, Griswold MA (2014) Device localization and dynamic scan plane selection using a wireless magnetic resonance imaging detector array. Magn Reson Med 71(6):2243–2249CrossRef Riffe MJ, Yutzy SR, Jiang Y, Twieg MD, Blumenthal CJ, Hsu DP, Pan L, Gilson WD, Sunshine JL, Flask CA, Duerk JL, Nakamoto D, Gulani V, Griswold MA (2014) Device localization and dynamic scan plane selection using a wireless magnetic resonance imaging detector array. Magn Reson Med 71(6):2243–2249CrossRef
21.
go back to reference Rothgang E, Gilson WD, Wacker F, Hornegger J, Lorenz CH, Weiss CR (2013) Rapid freehand MR-guided percutaneous needle interventions: an image-based approach to improve workflow and feasibility. J Magn Reson Imaging JMRI 37(5):1202–1212CrossRef Rothgang E, Gilson WD, Wacker F, Hornegger J, Lorenz CH, Weiss CR (2013) Rapid freehand MR-guided percutaneous needle interventions: an image-based approach to improve workflow and feasibility. J Magn Reson Imaging JMRI 37(5):1202–1212CrossRef
22.
go back to reference Rothgang E, Gilson WD, Wacker F, Hornegger J, Lorenz CH, Weiss CR (2013) Rapid freehand MR-guided percutaneous needle interventions: an image-based approach to improve workflow and feasibility. J Magn Reson Imaging 37(5):1202–1212CrossRef Rothgang E, Gilson WD, Wacker F, Hornegger J, Lorenz CH, Weiss CR (2013) Rapid freehand MR-guided percutaneous needle interventions: an image-based approach to improve workflow and feasibility. J Magn Reson Imaging 37(5):1202–1212CrossRef
23.
go back to reference Rube MA, Holbrook AB, Cox BF, Buciuc R, Melzer A (2015) Wireless mobile technology to improve workflow and feasibility of MR-guided percutaneous interventions. Int J Comput Assist Radiol Surg 10(5):665–676CrossRef Rube MA, Holbrook AB, Cox BF, Buciuc R, Melzer A (2015) Wireless mobile technology to improve workflow and feasibility of MR-guided percutaneous interventions. Int J Comput Assist Radiol Surg 10(5):665–676CrossRef
24.
go back to reference Rutala WA, White MS, Gergen MF, Weber DJ (2006) Bacterial contamination of keyboards: efficacy and functional impact of disinfectants. Infect Control Hosp Epidemiol 27(04):372–377CrossRef Rutala WA, White MS, Gergen MF, Weber DJ (2006) Bacterial contamination of keyboards: efficacy and functional impact of disinfectants. Infect Control Hosp Epidemiol 27(04):372–377CrossRef
25.
go back to reference Schroeder WJ, Martin K, Lorensen WE (2006) The visualization toolkit, 4. ed edn. Kitware, New York Schroeder WJ, Martin K, Lorensen WE (2006) The visualization toolkit, 4. ed edn. Kitware, New York
27.
go back to reference Weichert F, Bachmann D, Rudak B, Fisseler D (2013) Analysis of the accuracy and robustness of the leap motion controller. Sensors 13(5):6380–6393CrossRef Weichert F, Bachmann D, Rudak B, Fisseler D (2013) Analysis of the accuracy and robustness of the leap motion controller. Sensors 13(5):6380–6393CrossRef
28.
go back to reference Weiss J, Hoffmann R, Rempp H, Ke\(\beta \)ler DE, Pereira PL, Nikolaou K, Clasen S (2018) Feasibility, efficacy, and safety of percutaneous mr-guided ablation of small (\(\pm \) 12 mm) hepatic malignancies. J Magn Reson Imaging 49:374–381 Weiss J, Hoffmann R, Rempp H, Ke\(\beta \)ler DE, Pereira PL, Nikolaou K, Clasen S (2018) Feasibility, efficacy, and safety of percutaneous mr-guided ablation of small (\(\pm \) 12 mm) hepatic malignancies. J Magn Reson Imaging 49:374–381
29.
go back to reference Wipfli R, Dubois-Ferrière V, Budry S, Hoffmeyer P, Lovis C (2016) Gesture-controlled image management for operating room: a randomized crossover study to compare interaction using gestures, mouse, and third person relaying. PLoS ONE 11(4):e0153596CrossRef Wipfli R, Dubois-Ferrière V, Budry S, Hoffmeyer P, Lovis C (2016) Gesture-controlled image management for operating room: a randomized crossover study to compare interaction using gestures, mouse, and third person relaying. PLoS ONE 11(4):e0153596CrossRef
Metadata
Title
Touchless scanner control to support MRI-guided interventions
Authors
Benjamin Hatscher
André Mewes
Enrico Pannicke
Urte Kägebein
Frank Wacker
Christian Hansen
Bennet Hensen
Publication date
01-03-2020
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery / Issue 3/2020
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-019-02058-1

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