"DEVELOPMENT AND VALIDATION OF A 2-DIMENSIONAL ULTRASOUND NEEDLE GUIDAN" by Nathan Bluvol

Author

Nathan Bluvol

Date of Award

2006

Degree Type

Thesis

Degree Name

Master of Science

Program

Medical Biophysics

Supervisor

Dr. Aaron Fenster

Abstract

Image-guided needle biopsies are currently used to provide a definitive diagnosis of breast cancer; however, difficulties in tumour targeting exist as the ultrasound (US) scan plane and biopsy needle must remain coplanar throughout the procedure to display the actual needle tip position. We developed a system that would increase the speed and accuracy of current breast biopsy procedures using readily available 2-dimensional (2D) US technology. This system is composed of a passive articulated mechanical arm that attaches to a 2D US transducer, which provides visual guidance for the physician performing the procedure in the form of a real-time projected needle pathway overlay on an US image of the breast. Accuracy testing indicated a mean needle trajectory accuracy error of 0.75 ± 0.42mm. Tliis is adequate to sample lesions that are < 2mm in diameter. Core needle biopsy procedure time testing indicated faster biopsy procedure times wlιen using the guidance system versus the free-hand technique (p < 0.001)

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