Fusion biopsy reduces false negative rates in prostatic cancer detection compare to systemic biopsy. However, accuracy in biopsy sampling depends upon quality of alignment between pre-operative 3D MR and intra-operative 2D US. During live biopsy, the US-MR alignment may be disturbed due to prostate or patient rigid motion. Further, prostate gland deform due to probe pressure, which add error in biopsy sampling. In this paper, we describe a method for real-time 2D-3D multimodal registration, utilizing deep learning, to correct for rigid and deformable errors. Our method do not require an intermediate 3D US and works in real-time with an average runtime of 112 ms for both rigid and deformable corrections. On 12 patient data, our method reduces mean trans-registration error (TRE) from 8.890±5.106 mm to 2.988±1.513 mm, comparable to other state of the arts in accuracy.
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