Towards intra-operative computerized planning of prostate cryosurgery

Int J Med Robot. 2007 Mar:3:10-9. doi: 10.1002/rcs.124.

Abstract

Background: As part of ongoing efforts to develop computerized planning tools for cryosurgery, the current study provides a comparison between two recently developed methods for planning, known as bubble packing and force-field analogy.

Methods: For the purpose of comparison, four 3D prostate models were reconstructed from ultrasound imaging. The quality of planning for each method was evaluated based on bioheat transfer simulations.

Results: Both methods are shown to be robust planning tools in 3D. Typical results show at least 75% of the target region volume having temperatures below a target temperature isotherm for planning. While the force-field analogy method yields superior planning results, it comes at the expense of an order of magnitude longer run time, with only moderate improvement.

Conclusions: Due to time constraints in a clinical setup, bubble packing alone may be considered adequate for computerized planning. Furthermore, only bubble packing is demonstrated to be adequate for intra-operative planning.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Algorithms*
  • Body Temperature
  • Computer Simulation
  • Cryosurgery / methods*
  • Humans
  • Imaging, Three-Dimensional / methods
  • Male
  • Models, Biological*
  • Preoperative Care / methods*
  • Prostate / physiology*
  • Prostate / surgery*
  • Robotics / methods
  • Surgery, Computer-Assisted / methods*