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Radiology Research and Practice
Volume 2017, Article ID 3151694, 7 pages
Research Article

Application of Real-Time 3D Navigation System in CT-Guided Percutaneous Interventional Procedures: A Feasibility Study

1Department of Radiology, State University of New York at Stony Brook University Hospital, HSC Level IV, Room 120, Stony Brook, NY 11794, USA
2Department of Radiology, New York University Medical Center, 650 First Avenue, Third Floor, Room 355, New York, NY 10016, USA

Correspondence should be addressed to William Moore; gro.cmuyn@eroom.mailliw

Received 13 June 2017; Revised 28 August 2017; Accepted 17 September 2017; Published 18 October 2017

Academic Editor: Andreas H. Mahnken

Copyright © 2017 Priya Bhattacharji and William Moore. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. To evaluate the accuracy of a quantitative 3D navigation system for CT-guided interventional procedures in a two-part study. Materials and Methods. Twenty-two procedures were performed in abdominal and thoracic phantoms. Accuracies of the 3D anatomy map registration and navigation were evaluated. Time used for the navigated procedures was recorded. In the IRB approved clinical evaluation, 21 patients scheduled for CT-guided thoracic and hepatic biopsy and ablations were recruited. CT-guided procedures were performed without following the 3D navigation display. Accuracy of navigation as well as workflow fitness of the system was evaluated. Results. In phantoms, the average 3D anatomy map registration error was 1.79 mm. The average navigated needle placement accuracy for one-pass and two-pass procedures, respectively, was  mm and  mm in the liver and  mm and  mm in the lung. The average accuracy of the 3D navigation system in human subjects was 4.6 mm ± 3.1 for all procedures. The system fits the existing workflow of CT-guided interventions with minimum impact. Conclusion. A 3D navigation system can be performed along the existing workflow and has the potential to navigate precision needle placement in CT-guided interventional procedures.