Development of continuous CT-guided minimally invasive surgery

Raj Shekhar, Omkar Dandekar, Steven Kavic, Ivan George, Reuben Mezrich, Adrian Park

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Minimally invasive laparoscopic surgeries are known to lead to improved outcomes, less scarring, and significantly faster patient recovery as compared with conventional open invasive surgeries. Laparoscopes, used to visualize internal anatomy and guide laparoscopic surgeries, however, remain limited in visualization capability. Not only do they provide a relatively flat representation of the three-dimensional (3D) anatomy, they show only the exposed surfaces. A surgeon is thus unable to see inside a structure, which limits the precision of current-generation minimally invasive surgeries and is often a source of complications. To see inside a structure before dissecting it has been a long-standing need in minimally invasive laparoscopic surgeries, a need that laparoscopy is fundamentally limited in meeting. In this work we propose to use continuous computed tomography (CT) of the surgical field as a supplementary imaging tool to guide laparoscopic surgeries. The recent emergence of 64-slice CT and its continuing evolution make it an ideal candidate for four-dimensional (3D space + time) intraoperative imaging. We also propose a novel, elastic image registration-based technique to keep the net radiation dose within acceptable levels. We have successfully created 3D renderings from multislice CT corresponding to anatomy visible within the field of view of the laparoscope in a swine. These renderings show the underlying vasculature along with their latest intraoperative orientation. With additional developments, our research has the potential to help improve the precision of laparoscopic surgeries further, reduce complications, and expand the scope of minimally invasive surgeries.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2007
Subtitle of host publicationVisualization and Image-Guided Procedures
EditionPART 1
DOIs
StatePublished - Oct 15 2007
Externally publishedYes
EventMedical Imaging 2007: Visualization and Image-Guided Procedures - San Diego, CA, United States
Duration: Feb 18 2007Feb 20 2007

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
NumberPART 1
Volume6509
ISSN (Print)1605-7422

Other

OtherMedical Imaging 2007: Visualization and Image-Guided Procedures
CountryUnited States
CitySan Diego, CA
Period2/18/072/20/07

Keywords

  • 3D visualization
  • Augmented reality
  • Elastic registration
  • Image-guided surgery
  • Laparoscopic surgery

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging

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  • Cite this

    Shekhar, R., Dandekar, O., Kavic, S., George, I., Mezrich, R., & Park, A. (2007). Development of continuous CT-guided minimally invasive surgery. In Medical Imaging 2007: Visualization and Image-Guided Procedures (PART 1 ed.). [65090D] (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 6509, No. PART 1). https://doi.org/10.1117/12.708783