P. Grunert et J. Maurer, TARGET POINT CALCULATION IN THE COMPUTERIZED-TOMOGRAPHY - COMPARISON OF DIFFERENT STEREOTAXIC METHODS, Neurosurgical review, 18(1), 1995, pp. 15-24
The adaptation of computerized tomography for stereotactic operations
requires the transformation of the coordinates of the target point fro
m the CT image space into the stereotactic frame space. Two basic solu
tions for this transformation are realized in the most of the contempo
rary stereotactical systems. The indirect geometric method adjusts the
frame coordinate system mechanically and identifies its origin in the
CT image. There are 6 degrees of freedom: 3 of rotation and 3 of tran
slation which have to be taken into consideration. The second method i
s a based on direct algebraic coordinate transformation and is indepen
dent of the explicite knowledge of the relationship between the image
and the frame space. A localization frame serves to determine a transf
ormation matrix which, applied to any point in the image, transforms t
he coordinates directly into the frame coordinate system. Only the alg
ebraic method is independent of the position of the patient in the gan
try. All other methods require high mechanical precision of the aligna
ment and stability for the CT table.