Brachytherapy Needle Steering Guidance Using Image Overlay

Abstract

This chapter presents a physical simulator for needle steering in brachytherapy. As the user inserts the needle in a phantom tissue, images of the needle and prostate shape reconstructed from 2D transverse ultrasound images are displayed online in a semi-transparent mirror. During insertion, the user sees the images as if they were floating inside the phantom accounting for scale and orientation. The ultrasound images of the needle are combined with a needle-tissue interaction model that predicts the needle deflection further along the insertion process. The necessary manoeuvres that bring the needle towards its intended target location are displayed to the user along with the actual needle location. This platform allows the user to test different manual and robotic-assisted needle steering techniques. Reported experimental results confirm the accuracy of the system in reconstructing and overlaying images onto the phantom.