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Treatment Planning and Image Guidance for Radiofrequency Ablation of Large Tumors

This article addresses the two key challenges in computer-assisted percutaneous tumor ablation: planning multiple overlapping ablations for large tumors while avoiding critical structures, and executing the prescribed plan. Toward semiautomatic treatment planning for image-guided surgical interventi...

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Published in:	IEEE journal of biomedical and health informatics 2014-05, Vol.18 (3), p.920-928
Main Authors:	Hongliang Ren, Campos-Nanez, Enrique, Yaniv, Ziv, Banovac, Filip, Abeledo, Hernan, Hata, Nobuhiko, Cleary, Kevin
Format:	Article
Language:	English
Subjects:	Animals Catheter Ablation - methods Computed tomography Humans Image guidance Models, Biological Neoplasms - surgery open source Optimization Phantoms, Imaging Planning Probes radiofrequency ablation (RFA) Surgery Surgery, Computer-Assisted - instrumentation Surgery, Computer-Assisted - methods Swine Tomography, X-Ray Computed Torso - diagnostic imaging Torso - surgery Trajectory treatment planning Tumors
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container_title	IEEE journal of biomedical and health informatics
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creator	Hongliang Ren Campos-Nanez, Enrique Yaniv, Ziv Banovac, Filip Abeledo, Hernan Hata, Nobuhiko Cleary, Kevin
description	This article addresses the two key challenges in computer-assisted percutaneous tumor ablation: planning multiple overlapping ablations for large tumors while avoiding critical structures, and executing the prescribed plan. Toward semiautomatic treatment planning for image-guided surgical interventions, we develop a systematic approach to the needle-based ablation placement task, ranging from preoperative planning algorithms to an intraoperative execution platform. The planning system incorporates clinical constraints on ablations and trajectories using a multiple objective optimization formulation, which consists of optimal path selection and ablation coverage optimization based on integer programming. The system implementation is presented and validated in both phantom and animal studies. The presented system can potentially be further extended for other ablation techniques such as cryotherapy.
doi_str_mv	10.1109/JBHI.2013.2287202
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subjects	Animals Catheter Ablation - methods Computed tomography Humans Image guidance Models, Biological Neoplasms - surgery open source Optimization Phantoms, Imaging Planning Probes radiofrequency ablation (RFA) Surgery Surgery, Computer-Assisted - instrumentation Surgery, Computer-Assisted - methods Swine Tomography, X-Ray Computed Torso - diagnostic imaging Torso - surgery Trajectory treatment planning Tumors
title	Treatment Planning and Image Guidance for Radiofrequency Ablation of Large Tumors
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