AI Article Synopsis

  • The Leksell GammaPlan (LGP) software features advanced DICOM image-processing tools for improved treatment pre-planning using MRI images prior to Gamma Knife procedures.
  • A study evaluated the accuracy of co-registering MRI and CT images in both phantom models and real patient cases, focusing on detecting errors in 3D coordinates across different imaging types.
  • Results showed that co-registration errors were consistently less than 1 mm, indicating the method's high geometrical accuracy and reliability for precise dose planning in clinical settings.

Article Abstract

The latest version of Leksell GammaPlan (LGP) is equipped with Digital Imaging and Communication in Medicine (DICOM) image-processing functions including image co-registration. Diagnostic magnetic resonance imaging (MRI) taken prior to Gamma Knife treatment is available for virtual treatment pre-planning. On the treatment day, actual dose planning is completed on stereotactic MRI or computed tomography (CT) (with a frame) after co-registration with the diagnostic MRI and in association with the virtual dose distributions. This study assesses the accuracy of image co-registration in a phantom study and evaluates its usefulness in clinical cases. Images of three kinds of phantoms and 11 patients are evaluated. In the phantom study, co-registration errors of the 3D coordinates were measured in overall stereotactic space and compared between stereotactic CT and diagnostic CT, stereotactic MRI and diagnostic MRI, stereotactic CT and diagnostic MRI, and stereotactic MRI and diagnostic MRI co-registered with stereotactic CT. In the clinical study, target contours were compared between stereotactic MRI and diagnostic MRI co-registered with stereotactic CT. The mean errors of coordinates between images were < 1 mm in all measurement areas in both the phantom and clinical patient studies. The co-registration function implemented in LGP has sufficient geometrical accuracy to assure appropriate dose planning in clinical use.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4202285PMC
http://dx.doi.org/10.1093/jrr/rru027DOI Listing

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