Development of a Unique Phantom to Assess the Geometric Accuracy of Magnetic Resonance Imaging for Stereotactic Localization

Development of a Unique Phantom to Assess the Geometric Accuracy of Magnetic Resonance Imaging... AbstractOBJECTIVE:To test the spatial accuracy of coordinates generated from magnetic resonance imaging (MRI) scans, using the Brown-Roberts-Wells head frame and localizer system (Radionics, Inc., Burlington, MA).METHODS:An anthropomorphic head phantom, consisting of a two-dimensional lattice of acrylic spheres (4-mm diameter) spaced 10 mm apart and embedded in a brain tissue-mimicking gelatin-agar gel, was constructed. The intersphere distances for the target lattice positions in MRI and computed tomographic scan sets were compared. The data sets were fused, and differences in fiducial marker and intraphantom target positions were measured.RESULTS:Intersphere distances were identical for the MRI and computed tomographic scan sets (10 ± 0.1 mm). Differences in fiducial marker positions [maximal lateral difference, 0.97 mm; mean absolute lateral difference, 0.69 ± 0.22 mm; maximal anteroposterior (AP) difference, 1.99 mm; mean absolute AP difference, 1.29 ± 0.67 mm] were correlated with differences in intraphantom target positions (maximal lateral difference, 0.83 mm; mean absolute lateral difference, 0.28 ± 0.24 mm; maximal AP difference, -1.97 mm; mean absolute AP difference, 1.63 ± 25 mm; maximal vertical difference, -0.73 mm; mean absolute vertical difference, 0.34 ± 0.21 mm). This suggested that improper fiducial rod identification and the subsequent transformation to stereotactic coordinate space were the greatest sources of spatial uncertainty.CONCLUSION:With computed tomographic data as the standard, these differences resulted in maximal and minimal composite uncertainties of 2.06 and 1.17 mm, respectively. The measured uncertainties exceed recommended standards for radiosurgery but allow the possible use of MRI-based stereotactic treatment planning for certain intracranial lesions, if the errors are corrected using appropriate software. Clinicians must recognize that error magnitudes vary for different systems, and they should perform systematic, scheduled, institutional error analyses as part of their ongoing quality assurance processes. This phantom provides one tool for measuring suchvariances. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

Development of a Unique Phantom to Assess the Geometric Accuracy of Magnetic Resonance Imaging for Stereotactic Localization

Development of a Unique Phantom to Assess the Geometric Accuracy of Magnetic Resonance Imaging for Stereotactic Localization

E X P E R I M E N T A L S T U D I E S Development of a Unique Phantom to Assess the Geom etric A c c u ra c y of Magnetic Resonance Imaging for Stereotactic Localization Robert C. Orth, M.S., Praveen Sinha, Ph.D., Ernest L. Madsen, Ph.D., Gary Frank, Frank R. Korosec, Ph.D., T. Rockwell Mackie, Ph.D., Minesh P. Mehta, M.D. D epartm e nts o f H u m a n O n c o lo g y (RCO, PS, TRM, MPM), M ed ica l Physics (RCO, ELM, CF, FRK, TRM), and Radiology (FRK), U niversity o f W isconsin, Madison, W isconsin OBJECTIVE: To test the spatial accuracy of coordinates generated from magnetic resonance imaging (M R I) scans, using the Brown-Roberts-Wells head frame and localizer system (Radionics, Inc., Burlington, M A). METHODS: An anthropom orphic head phantom, consisting of a two-dimensional lattice of acrylic spheres (4-mm diameter) spaced 10 mm apart and embedded in a brain tissue-mimicking gelatin-agar gel, was constructed. The intersphere distances for the target lattice positions in M RI and computed tomographic scan sets were compared. The data sets were fused, and differences in fiducial marker and intraphantom target positions were measured. RESULTS: Intersphere distances were identical for the M RI and computed tomographic scan sets (10 ± 0.1 mm). Differences in fiducial marker positions [maximal lateral difference, 0.97 mm; mean absolute lateral difference, 0.69 ± 0.22 mm; maximal anteroposterior (AP) difference, 1.99 mm; mean absolute AP difference, 1.29 ± 0.67 mm] were correlated with differences in intraphantom target positions (maximal lateral difference, 0.83 mm; mean absolute lateral difference, 0.28 ± 0.24 mm; maximal AP difference, -1.97 mm; mean absolute AP difference, 1.63 ± 25 mm; maximal verticald ifference, -0.73 mm; mean absolute vertical difference, 0.34 ± 0.21 mm). This suggested that improper fiducial rod identification and the subsequent transformation to stereotactic coordinate space were the greatest...
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Publisher
Congress of Neurological Surgeons
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199912000-00030
Publisher site
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Abstract

AbstractOBJECTIVE:To test the spatial accuracy of coordinates generated from magnetic resonance imaging (MRI) scans, using the Brown-Roberts-Wells head frame and localizer system (Radionics, Inc., Burlington, MA).METHODS:An anthropomorphic head phantom, consisting of a two-dimensional lattice of acrylic spheres (4-mm diameter) spaced 10 mm apart and embedded in a brain tissue-mimicking gelatin-agar gel, was constructed. The intersphere distances for the target lattice positions in MRI and computed tomographic scan sets were compared. The data sets were fused, and differences in fiducial marker and intraphantom target positions were measured.RESULTS:Intersphere distances were identical for the MRI and computed tomographic scan sets (10 ± 0.1 mm). Differences in fiducial marker positions [maximal lateral difference, 0.97 mm; mean absolute lateral difference, 0.69 ± 0.22 mm; maximal anteroposterior (AP) difference, 1.99 mm; mean absolute AP difference, 1.29 ± 0.67 mm] were correlated with differences in intraphantom target positions (maximal lateral difference, 0.83 mm; mean absolute lateral difference, 0.28 ± 0.24 mm; maximal AP difference, -1.97 mm; mean absolute AP difference, 1.63 ± 25 mm; maximal vertical difference, -0.73 mm; mean absolute vertical difference, 0.34 ± 0.21 mm). This suggested that improper fiducial rod identification and the subsequent transformation to stereotactic coordinate space were the greatest sources of spatial uncertainty.CONCLUSION:With computed tomographic data as the standard, these differences resulted in maximal and minimal composite uncertainties of 2.06 and 1.17 mm, respectively. The measured uncertainties exceed recommended standards for radiosurgery but allow the possible use of MRI-based stereotactic treatment planning for certain intracranial lesions, if the errors are corrected using appropriate software. Clinicians must recognize that error magnitudes vary for different systems, and they should perform systematic, scheduled, institutional error analyses as part of their ongoing quality assurance processes. This phantom provides one tool for measuring suchvariances.

Journal

NeurosurgeryOxford University Press

Published: Dec 1, 1999

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