Automatic Determination of the Needle Tip for Stereo-Tactic Biopsy

Hong Liu, PhD
Smith Chair Professor in Bioengineering
University of Oklahoma
Liu@ou.edu

Ge Wang
Departments of Biomedical Engineering and Radiology
University of Iowa
ge-wang@uiowa.edu


Introduction

Stereo image guidance is an active area of investigation. For instance, digital stereotactic breast biopsy has been developed and successfully used in clinical practice. Similar techniques and applications include stereo angiography, and stereo image guided neurosurgery, etc. Different from the conventional planar radiography which projects a three-dimensional object onto a two-dimension image plane, stereology is the science of determining depth information of an object based on multiple planar (two-dimensional) views. And also different from tomographic technologies, such as CT or MRI, stereo technique provides us with a low dose and high speed method for recovering limited, but clinically necessary, 3D information during image guidance. This feature leads to the development of a real time stereo fluoroscopic image guidance system.


Problem Description

Stereo-tactic breast biopsy requires specially designed equipment to calculate the locations of an abnormality and the needle tip. This is accomplished by using two angled radiographs. Currently, an X-ray stereo-tactic system incorporates CCD-based detectors for gray-scale images of 1024 by 1024 pixels. Although it is adequate for stereo-tactic biopsy of breast masses, it often suffers from the imaging accuracy limitation in the case of micro-calcification biopsy. To improve the imaging accuracy, it is desirable to automatically localize the needle tip with a sub-pixel resolution.


Suggested Methods

In this project, an image processing algorithm will be developed to separate the needle from the background, determine the tip of the needle, and analyze the localization errors. First, the background may be roughly estimated via some low-pass filtering or polynomial fitting. Then, the needle may be detected using the Hough Transform. Finally, the needle tip can be defined as the half maximum point along the midline of the needle. The localization errors can be studied in both numerical simulation and phantom experiments.


Expected Results

An image processing algorithm will be developed for accurate and reliable localization of the biopsy needle tip. The relationships between the localization error and various factors will be established. A user-friendly interface will be developed for use in a research prototype system.


References

  1. Lindfors KK, Rosenquist CJ: Needle core biopsy guided with mammography: a study of cost-effectiveness. Radiology 190:217-222, 1994
  2. Liberman L, Fahs MC, Dershaw DD, et al: Impact of stereotaxic core biopsy on cost of diagnosis. Radiology 195:633-637, 1995

Radiographic Image of Needles