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Development of remote surgical navigation and biopsy needle guidance system using Open-MRI and high-speed network

Proc. SPIE 5367, 596 (2004); http://dx.doi.org/10.1117/12.534916

Sunday 15 February 2004
San Diego, CA, USA
Medical Imaging 2004: Visualization, Image-Guided Procedures, and Display
Robert L. Galloway, Jr.
  • Abstract
Yasuhiko Okura

Kawasaki College of Allied Health Profession (Japan)

Yasushi Matsumura, Shigeki Kuwata, and Hiroshi Takeda

Osaka Univ. Hospital (Japan)

This study describes a remote surgical guidance and navigation system developed for surgery using "Open-MRI" andhigh-speed network. We connected Osaka University Hospital and Kawasaki Hospital which has deployed Open-MRI with high speed IP over ATM network. The distance between two hospitals is approximately 50 km. Twovideo cameras were installed with an angle of 40 degrees on an open-MRI gantry to obtain intraoperative images.Two pairs of CODEC (AD/DA converter) were equipped on the network to transfer both images and sound in realtime. A pointer system to indicate a region on an image was also developed. MRI images obtained by Open-MRIwere transferred to a 3D workstation in Osaka University Hospital. The system was designed for a senior surgeon inOsaka University to advise regarding accurate needle direction for a remote patient by checking the reconstructed 3Dimages and schemata shown by the navigation software. The schemata were also superimposed on intraoperativeimages from two cameras, and the superimposed images were sent back to Kawasaki Hospital. This system alloweda surgeon in the operation room at Kawasaki Hospital to accurately view navigation schema under supervision by asenior surgeon in a remote university hospital with superimposion of intraoperative images. The pointer systemallowed both doctors to share intraoperative images during a virtual-real surgical operation. A successful biopsycase using this newly developed system illustrates the effectiveness of this system.

© 2007 COPYRIGHT SPIE--The International Society for Optical Engineering. Downloading of the abstract is permitted for personal use only.

Citation
Yasuhiko Okura, Yasushi Matsumura, Shigeki Kuwata and Hiroshi Takeda, "Development of remote surgical navigation and biopsy needle guidance system using Open-MRI and high-speed network", Proc. SPIE 5367, 596 (2004); http://dx.doi.org/10.1117/12.534916

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