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In neurosurgery, localization of deep brain structures is a crucial
issue. For instance, a new surgical treatment of Parkinson's disease consisting of deep
brain stimulation has been recently developed.
Up to now, the target has been
localised using ventriculographic landmarks or MR images in
stereotactic conditions.
To determine with high accuracy the target
localisation, the key issue appears to be the construction of a 3D
atlas of the human basal ganglia, designed for further propagation
onto the MR acquisition of a given patient.
Our goal is thus to build such an atlas by fusing histological
data with a 3D MR image of the same subject.
Figure 3:
Supervised segmentation of the histological
sections. Left: contours of the basal ganglia manually segmented
section-by-section. Right: 3D view of the putamen contours
superimposed with the associated histological
section.
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This requires three steps: first an automatic 2D realignment of the
histological sections in order to obtain a three-dimensional block,
then a manual segmentation of the basal ganglia performed by an
anatomist, and finally a 3D registration between the reconstructed and
segmented block and the MR image. The first and last steps are based
on a robust registration algorithm
(see ()), whereas the second step, performed
within the yav++ platform, consists in a manual segmentation of
the histological sections.
segment allowing to perform a
section-by-section segmentation and at the same time control, and
eventually correct for, the 3-dimensional validity of the structures
outlined on the sections (see Figure 3).
A key feature of
yav++ that is used during this slice by slice segmentation is the
seamless synchronisation of a 2D
and a 3D view of both the images and the slice contours. The user
manually traces each contour in the 2D view while checking its
3D consistency in the 3D view (see Figure 3).
Figure 4:
Affine registration of the
histological block with an MR T1 image of the same subject. From
left to right: MR and histological block are superimposed with
increasing opacity factors (left column: MR:1, Histo.: 0; middle:
MR:0.5, Histo.: 0.5; right: MR: 0.2, Histo.: 0.8).
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To visually inspect any 3D image registration results, an image fusing tool
is provided to superimpose 2 registered images with an
increasing opacity factor and various colormaps (see
Figure 4).
Figure 5:
3D visualisation of contours superimposed on
3-planes views of the histological block (left) and the registered
MR volume (left).
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Next: Application III : Follow-up
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Previous: Application I : Deformable
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Jean-Didier Lemarechal
2002-02-14