Towards intra-operative PET for head and neck cancer: Lymph node localization using high-energy probes

Dzhoshkun I. Shakir, Aslı Okur, Alexander Hartl, Philipp Matthies, Sibylle I. Ziegler, Markus Essler, Tobias Lasser, Nassir Navab

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

6 Scopus citations

Abstract

We present a novel approach for intra-operative localization of lymph nodes and metastases in the head and neck region using the radio-tracer [18F]FDG. By combining an optical tracking system with a high-energy gamma probe to detect 511keV annihilation gammas, we enable intra-operative PET to visualize activity distributions. Detection of these gammas is modeled ad-hoc analytically, taking into account several factors affecting the detection process. This allows us to iteratively reconstruct the radio-tracer distribution within a localized volume of interest. As a feasibility study we analyze clinical data of 7 patients with tumors in the head and neck region, and derive a realistic neck phantom configuration with [18F]FDG-filled lesions mimicking tumors and lymph nodes. We demonstrate the capabilities and limitations of our approach using that neck phantom. We also outline possible improvements to make our method clinically viable towards less invasive surgeries.

Original languageEnglish
Title of host publicationMedical Image Computing and Computer-Assisted Intervention, MICCAI2012 - 15th International Conference, Proceedings
EditorsNicholas Ayache, Herve Delingette, Polina Golland, Kensaku Mori
PublisherSpringer Verlag
Pages430-437
Number of pages8
ISBN (Print)9783642334146
DOIs
StatePublished - 2012
Event15th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2012 - Nice, France
Duration: 1 Oct 20125 Oct 2012

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume7510 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

Conference15th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2012
Country/TerritoryFrance
CityNice
Period1/10/125/10/12

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