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000180026 041__ $$aEnglish
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000180026 1001_ $$aMittmann, Benjamin J$$b0
000180026 245__ $$aReattachable fiducial skin marker for automatic multimodality registration.
000180026 260__ $$aHeidelberg [u.a.]$$bSpringer$$c2022
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000180026 500__ $$a#LA:E130# / 2022 Nov;17(11):2141-2150
000180026 520__ $$aFusing image information has become increasingly important for optimal diagnosis and treatment of the patient. Despite intensive research towards markerless registration approaches, fiducial marker-based methods remain the default choice for a wide range of applications in clinical practice. However, as especially non-invasive markers cannot be positioned reproducibly in the same pose on the patient, pre-interventional imaging has to be performed immediately before the intervention for fiducial marker-based registrations.We propose a new non-invasive, reattachable fiducial skin marker concept for multi-modal registration approaches including the use of electromagnetic or optical tracking technologies. We furthermore describe a robust, automatic fiducial marker localization algorithm for computed tomography (CT) and magnetic resonance imaging (MRI) images. Localization of the new fiducial marker has been assessed for different marker configurations using both CT and MRI. Furthermore, we applied the marker in an abdominal phantom study. For this, we attached the marker at three poses to the phantom, registered ten segmented targets of the phantom's CT image to live ultrasound images and determined the target registration error (TRE) for each target and each marker pose.Reattachment of the marker was possible with a mean precision of 0.02 mm ± 0.01 mm. Our algorithm successfully localized the marker automatically in all ([Formula: see text]) evaluated CT/MRI images. Depending on the marker pose, the mean ([Formula: see text]) TRE of the abdominal phantom study ranged from 1.51 ± 0.75 mm to 4.65 ± 1.22 mm.The non-invasive, reattachable skin marker concept allows reproducible positioning of the marker and automatic localization in different imaging modalities. The low TREs indicate the potential applicability of the marker concept for clinical interventions, such as the puncture of abdominal lesions, where current image-based registration approaches still lack robustness and existing marker-based methods are often impractical.
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000180026 650_7 $$2Other$$aAutomatic multimodality registration
000180026 650_7 $$2Other$$aFiducial marker assessment
000180026 650_7 $$2Other$$aReattachable fiducial skin marker
000180026 7001_ $$0P:(DE-He78)a83df473f58a6a8ef43263ec9783ecf0$$aSeitel, Alexander$$b1$$udkfz
000180026 7001_ $$0P:(DE-He78)5ce5a852e39ce8846d820376eb30697e$$aEchner, Gernot$$b2$$udkfz
000180026 7001_ $$0P:(DE-HGF)0$$aJohnen, Wiebke$$b3
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000180026 7001_ $$0P:(DE-He78)26a1176cd8450660333a012075050072$$aMaier-Hein, Lena$$b5$$udkfz
000180026 7001_ $$0P:(DE-He78)9cc81ba55b8cab78e1d02f51b4d7e7b6$$aFranz, Alfred$$b6$$eLast author$$udkfz
000180026 773__ $$0PERI:(DE-600)2235881-X$$a10.1007/s11548-022-02639-7$$n11$$p2141-2150$$tInternational journal of computer assisted radiology and surgery$$v17$$x1861-6410$$y2022
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