Abstract

During neurosurgery, an optical probe has been used to guide the micro-electrode, which is punctured into the globus pallidus (GP) to create a lesion that can relieve the cardinal symptoms. Accurate target localization is the key factor to affect the treatment. However, considering the scattering nature of the tissue, the “look ahead distance (LAD)” of optical probe makes the boundary between the different tissues blurred and difficult to be distinguished, which is defined as artifact. Thus, it is highly desirable to reduce the artifact caused by LAD. In this paper, a real-time algorithm based on precise threshold was proposed to eliminate the artifact. The value of the threshold was determined by the maximum error of the measurement system during the calibration procession automatically. Then, the measured data was processed sequentially only based on the threshold and the former data. Moreover, 100[Formula: see text][Formula: see text]m double-fiber probe and two-layer and multi-layer phantom models were utilized to validate the precision of the algorithm. The error of the algorithm is one puncture step, which was proved in the theory and experiment. It was concluded that the present method could reduce the artifact caused by LAD and make the real boundary sharper and less blurred in real-time. It might be potentially used for the neurosurgery navigation.

Highlights

  • Parkinson's disease (PD) is a chronic and progressive disease involving the globus pallidus (GP), which is a gray matter mass surrounded by white matter deep within the brain.[1,2]

  • A probe is inserted into the GP to create a lesion that often relieves the cardinal symptoms of PD.[3,4]

  • The goal of this study is to eliminate the artifact. We explored this artifact caused by \look ahead distance" (LAD), which was introduced and discussed in some literatures.[15,16]

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Summary

Introduction

Parkinson's disease (PD) is a chronic and progressive disease involving the globus pallidus (GP), which is a gray matter mass surrounded by white matter deep within the brain.[1,2] During neurosurgery, a probe is inserted into the GP to create a lesion that often relieves the cardinal symptoms of PD.[3,4] Accurate target localization is the key factor. This is an Open Access article published by World Scientic Publishing Company. Magnetic resonance imaging (MRI) navigation is e®ective, it is costly and very complicated to operate.[5,6,7,8] A safe, accurate and real-time navigation method in neurosurgery is still under exploration

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