A novel finite element model-based navigation system-supported workflow for breast tumor excision.

In the case of female breast cancer, a breast-conserving excision is often desirable. This surgery is based on preoperatively gathered MRI, mammography, and sonography images. These images are recorded in multiple patient positions, e. g., 2D mammography images in standing position with a compressed...

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Publicado en:Medical & Biological Engineering & Computing Vol. 57; no. 7; pp. 1537 - 1553
Autores principales: Esslinger, Dominik, Rapp, Philipp, Knödler, Luzia, Preibsch, Heike, Tarín, Cristina, Sawodny, Oliver, Brucker, Sara Y., Hahn, Markus
Formato: Journal Article
Publicado: Springer Nature Jul2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2019
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      pub: Springer Nature
      place: New York, New York
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        atl: A novel finite element model-based navigation system-supported workflow for breast tumor excision.
      aug:
        au:
          Esslinger, Dominik
          Rapp, Philipp
          Knödler, Luzia
          Preibsch, Heike
          Tarín, Cristina
          Sawodny, Oliver
          Brucker, Sara Y.
          Hahn, Markus
        affil: Institute for System Dynamics, University of Stuttgart, 70550, Stuttgart, Germany
      sug:
        subj:
          Breast Neoplasms
          Mastectomy Methods
          Magnetic Resonance Imaging Methods
          Breast Neoplasms Surgery
          Surgery, Computer-Assisted Methods
          Middle Age
          Reproducibility of Results
          Systems Analysis
          Female
          Finite Element Analysis
          Mastectomy Equipment and Supplies
          Phantoms, Imaging
          Preoperative Care
          Imaging, Three-Dimensional
          Middle Aged: 45-64 years
          Female
      ab: In the case of female breast cancer, a breast-conserving excision is often desirable. This surgery is based on preoperatively gathered MRI, mammography, and sonography images. These images are recorded in multiple patient positions, e. g., 2D mammography images in standing position with a compressed breast and 3D MRI images in prone position. In contrast, the surgery happens in supine or beach chair position. Due to these different perspectives and the flexible, thus challenging, breast tissue, the excision puts high demands on the physician. Therefore, this publication presents a novel eight-step excision support workflow that can be used to include information captured preoperatively through medical imaging based on a finite element (FE) model. In addition, an indoor positioning system is integrated in the workflow in order to track surgical devices and the sonography transducer during surgery. The preoperative part of the navigation system-supported workflow is outlined exemplarily based on first experimental results including 3D scans of a patient in different patient positions and her MRI images. Graphical Abstract Finite Element model based navigation system supported workflow for breast tumor excision is based on eight steps and allows inclusion of information from medical images recorded in multiple patient positions.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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