Image-guided neurosurgery allows surgeons to navigate and localize lesion through the patient’s cranium with a 3D image guidance. The model of the head is reconstructed using preoperative computed tomography or magnetic resonance images and real and virtual spaces are aligned by means of fiducial markers placed on the patient. In this paper, a new method for the optimal placement of the fiducial markers in order to reduce misalignment is presented. Using routine diagnostic images, a customized 3D model of the patient’s cranium is reconstructed. A genetic algorithm calculates optimal positions of the marker in order to minimize the target registration error. The fiducial set is shown to the surgeons on the 3D model to help him/her in placement of them.

1.
Peters
,
T. M.
, 2006, “
Image-Guidance for Surgical Procedures
,”
Phys. Med. Biol.
0031-9155,
51
, pp.
R505
R540
.
2.
Labadie
,
R. F.
,
Davis
,
B. M.
, and
Fitzpatrick
,
J. M.
, 2005, “
Image-Guided Surgery: What Is the Accuracy?
,”
Curr. Opin. Otolaryngol. Head Neck Surg.
1068-9508,
13
, pp.
27
31
.
3.
Maurer
,
C. R.
,
Fitzpatrick
,
J. M.
,
Wang
,
M. Y.
,
Galloway
,
R. L.
,
Maciunas
,
R. J.
, and
Allen
,
G. S.
, 1997, “
Registration of Head Volume Images Using Implantable Fiducial Markers
,”
IEEE Trans. Med. Imaging
0278-0062,
16
(
4
), pp.
447
462
.
4.
Fitzpatrick
,
J. M.
,
West
,
J. B.
, and
Maurer
,
C. R.
, 1998, “
Predicting Error in Rigid-Body Point-Based Registration
,”
IEEE Trans. Med. Imaging
0278-0062,
17
(
5
), pp.
694
702
.
5.
West
,
J. B.
,
Fitzpatrick
,
J. M.
,
Toms
,
S. A.
,
Maurer
,
C. R.
, and
Maciunas
,
R. J.
, 2001, “
Fiducial Point Placement and the Accuracy of Point-Based, Rigid Body Registration
,”
Neurosurgery
0148-396X,
48
(
4
), pp.
810
817
.
6.
Hamming
,
N. M.
,
Daly
,
M. J.
,
Irish
,
J. C.
, and
Siewerdsen
,
J. H.
, 2008, “
Effect of Fiducial Configuration on Target Registration Error in Intraoperative Cone-Beam CT Guidance of Head and Neck Surgery
,”
Proceedings of the 30th Annual International Conference of the IEE Engineering in Medicine and Biology Society, EMBS'08
,
2008
, pp.
3643
3648
.
7.
Liu
,
H.
,
Yu
,
Y.
,
Schell
,
M. C.
,
O’Dell
,
W. G.
,
Ruo
,
R.
, and
Okunieff
,
P.
, 2003, “
Optimal Marker Placement in Photogrammetry Patient Positioning System
,”
Med. Phys.
0094-2405,
30
(
2
), pp.
103
110
.
8.
Atuegwu
,
N. C.
, and
Galloway
,
R. L.
, 2008, “
Sensitivity Analysis of Fiducial Placement on Transorbital Target Registration Error
,”
Int. J. CARS
,
2
, pp.
397
404
.
9.
Wang
,
M.
, and
Song
,
Z.
, 2009, “
Improving Target Registration Accuracy in Image-Guided Neurosurgery by Optimizing the Distribution of Fiducial Points
,”
International Journal of Medical Robots and Computer Assisted Surgery
,
5
(
1
), pp.
26
31
.
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