Position and Orientation Errors in a Neuronavigation Procedure: A Stepwise Protocol Using a Cranial Phantom.

Abstract:

OBJECTIVE:Neuronavigation procedures demand high precision and accuracy. Despite this need, there are still few studies analyzing errors in such procedures. The aim of this study was to use a custom-built cranial phantom to measure target position and orientation errors in different phases of a simulated neuronavigation procedure. METHODS:A cranial phantom with 10 target sites was designed and imaged with computed tomography and magnetic resonance. A segmentation of a cloud of points of the phantom (ground truth) was obtained using an optical tracking system and compared with the images (imaging phase). Targets and trajectories were then planned with neuronavigation software and compared with the ground truth (planning phase). The same plan was used to identify the points in real space after image-to-phantom registration and calculate the final error of the procedure by comparison with the ground truth (registration and execution phase). RESULTS:The mean errors after the imaging phase were 1.11 ± 0.42 mm and 3.23° ± 1.69° for position and orientation, respectively. After planning the mean errors were 1.10 ± 0.39 mm and 5.55° ± 2.91°. The global errors after the registration and mechanical execution were 3.93 ± 1.70 mm and 3.65° ± 1.29°. CONCLUSIONS:After a stepwise analysis, registration and mechanical execution were the main contributors to the global position error.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Batista PD,Machado IP,Roios P,Lavrador J,Cattoni MB,Martins J,Carvalho H

doi

10.1016/j.wneu.2019.02.052

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

e342-e350

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(19)30463-2

journal_volume

126

pub_type

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