In an effort to improve the accuracy of transrectal ultrasound (TRUS)-guided needle biopsies of the prostate, it is
important to understand the non-rigid deformation of the prostate. To understand the deformation of the prostate when
an endorectal coil (ERC) is inserted, we develop an elastic registration framework to register prostate MR images with
and without ERC. Our registration framework uses robust point matching (RPM) to get the correspondence between the
surface landmarks in the source and target volumes followed by elastic body spline (EBS) registration based on the
corresponding landmark pairs. Together with the manual rigid alignment, we compared our registration framework
based on pure surface landmarks to the registration based on both surface and internal landmarks in the center of the
prostate. In addition, we assessed the impact of constraining the warping in the central zone of the prostate using a
Gaussian weighting function. Our results show that elastic surface-driven prostate registration is feasible, and that
internal landmarks further improve the registration in the central zone while they have little impact on the registration in
the peripheral zone of the prostate. Results varied case by case depending on the accuracy of the prostate segmentation
and the amount of warping present in each image pair. The most accurate results were obtained when using a Gaussian
weighting in the central zone to limit the EBS warping driven by surface points. This suggests that a Gaussian constrain
of the warping can effectively compensate for the limitations of the isotropic EBS deformation model, and for erroneous
warping inside the prostate created by inaccurate surface landmarks driving the EBS.
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