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• Rost, Jennifer; Harris, Steven S.; Stefansic, James D.; Sillay, Karl; Galloway, Robert L., Jr. 2004-05-01 Point-based registration for image-guided neurosurgery has become the industry standard. While the use of intrinsic points is appealing because of its retrospective nature, affixing extrinsic objects to the head prior to scanning has been demonstrated to provide much more accurate registrations. Points of reference between image space and physical space are called fiducials. The extrinsic objects which generate those points are fiducial markers. The markers can be broken down into two classifications: skin-mounted and bone-implanted. Each has distinct advantages and disadvantages.

Skin-mounted fiducials require simply sticking them on the patient in locations suggested by the manufacturer, however, they can move with tractions placed on the skin, fall off and perhaps the most dangerous problem, they can be replaced by the patient. Bone implanted markers being rigidly affixed to the skull do not present such problems. However, a minor surgical intervention (analogous to dental work) must be performed to implant the markers prior to surgery. Therefore marker type and use has become a decision point for image-guided surgery. We have performed a series of experiments in an attempt to better quantify aspects of the two types of markers so that better informed decisions can be made. We have created a phantom composed of a full-size plastic skull [Wards Scientific Supply] with a 500 ml bag of saline placed in the brain cavity. The skull was then sealed.

A skin mimicking material, DragonSkinTM [SmoothOn Company] was painted onto the surface and allowed to dry. Skin mounted fiducials [Medtronic-SNT] and bone-implanted markers [Z-Kat]were placed on the phantom. In addition, three additional bone-implanted markers were placed (two on the base of the skull and one in the eye socket for use as targets). The markers were imaged in CT and 4 MRI sequences (T1-weighted, T2 weighted, SPGR, and a functional series.) The markers were also located in physical space using an Optotrak • Ishii, Hirotake; Yang, Shoufeng; Yan, Weida; Shimoda, Hiroshi; Izumi, Masanori 2009-01-01 In this study, an automatic registration system was developed that can measure 3 dimensional position and orientation of multi-range fiducials automatically using a camera, laser range finder and motion bases connected to a computer. Result of the experimental evaluation shows that the measurement takes about 50 seconds per marker and RMSE (Root Mean Square Error) of the position and orientation measurement are 3.5 mm and 1.2 degrees respectively.

(author) • Garcia, R.; Oozeer, R.; Le Thanh, H.; Chauvet, B.; Toy, B.J.; Reboul, F. 1997-01-01 To reduce errors in the positioning of patients treated with external conformal radiotherapy for prostate cancer, we evaluated both the use of an immobilization device and new fiducial markers. The immobilization device consisted of an individual mold made of polyurethane foam. Two sets of skin markers located on the anterior tibial surfaces were used to identify the pelvic isocenter. The patient's position was evaluated by orthogonal port film which were then compared with the original simulation film.

Results are presented with respect to orthogonal axes. Comparison with classic procedures without immobilization showed that use of the mold and new fiducial markers led to a decrease in set-up errors which were less than 5 mm. With the use of an immobilization device and optimized techniques for patients' positioning, conformal radiotherapy of prostate cancer is more accurate.

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(authors) • Ishii, Hirotake; Fujino, Hidenori; Yan, Weida; Yang, Shoufeng; Shimoda, Hiroshi; Izumi, Masanori 2009-01-01 A new fiducial marker for augmented reality was designed along with a method that recognizes the markers captured by a camera and calculates the relative position and orientation between the markers and the camera. These markers can be used at both long and short distances without increasing the number of markers pasted in the environment. Results of the experimental evaluation show that the new marker can be used in a larger area than circular markers and more stably than square markers.