Incorporation of Preprocedural PET into CT-Guided Radiofrequency Ablation of Hepatic Metastases: a Nonrigid Image Registration Validation Study.

This study evaluates the accuracy of augmenting initial intraprocedural computed tomography (CT) during radiofrequency ablation (RFA) of hepatic metastases with preprocedural positron emission tomography (PET) through a hardware-accelerated implementation of an automatic nonrigid PET-CT registration...

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Published in:Journal of Digital Imaging Vol. 23; no. 6; pp. 780 - 793
Main Authors: Lei P, Dandekar O, Widlus D, Shekhar R
Format: equations & formulas pictorial research tables/charts Journal Article
Published: Springer Nature Dec2010
Online Access:View this record in EBSCOhost
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      dt: Dec2010
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      pub: Springer Nature
      place: New York, New York
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        atl: Incorporation of Preprocedural PET into CT-Guided Radiofrequency Ablation of Hepatic Metastases: a Nonrigid Image Registration Validation Study.
      aug:
        au:
          Lei P
          Dandekar O
          Widlus D
          Shekhar R
        affil: Department of Diagnostic Radiology and Nuclear Medicine, School of Medicine, University of Maryland, 22 S. Greene St. Baltimore 21201
      sug:
        subj:
          Catheter Ablation
          Tomography, X-Ray Computed
          Neoplasm Metastasis Therapy
          Liver Neoplasms Therapy
          Liver Radiography
          Radiographic Image Enhancement
          Tomography, Emission-Computed
          Therapy, Computer Assisted Methods
          Radiography, Interventional Methods
          Human
          Algorithms
          Radiographic Image Interpretation, Computer-Assisted
          Retrospective Design
          Interrater Reliability
          P-Value
          Evaluation Research
      ab: This study evaluates the accuracy of augmenting initial intraprocedural computed tomography (CT) during radiofrequency ablation (RFA) of hepatic metastases with preprocedural positron emission tomography (PET) through a hardware-accelerated implementation of an automatic nonrigid PET-CT registration algorithm. The feasibility of augmenting intraprocedural CT with preprocedural PET to improve localization of CT-invisible but PET-positive tumors with images from actual RFA was explored. Preprocedural PET and intraprocedural CT images from 18 cases of hepatic RFA were included. All PET images in the study originated from a hybrid PET/CT scanner, and PET-CT registration was performed in two ways: (1) direct registration of preprocedural PET with intraprocedural CT and (2) indirect registration of preprocedural CT (i.e., the CT of hybrid PET/CT scan) with intraprocedural CT. A hardware-accelerated registration took approximately 2 min. Calculated registration errors were 7.0 and 8.4 mm for the direct and indirect methods, respectively. Overall, the direct registration was found to be statistically not distinct from that performed by a group of clinical experts. The accuracy, execution speed, and compactness of our implementation of nonrigid image registration suggest that existing PET can be overlaid on intraprocedural CT, promising a novel, technically feasible, and clinically viable approach for PET augmentation of CT guidance of RFA.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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