Interventional Digital Tomosynthesis from a Standard Fluoroscopy System Using 2D-3D Registration

Research output: Chapter in Book/Report/Conference proceedingConference paperpeer-review

Abstract

Fluoroscopy is the mainstay of interventional radiology. However, the images are 2D and visualisation of vasculature requires nephrotoxic contrast. Cone-beam computed tomography is often available, but involves large radiation dose and interruption to clinical workflow. We propose the use of 2D-3D image registration to allow digital tomosynthesis (DTS) slices to be produced using standard fluoroscopy equipment. Our method automatically produces patient-anatomy-specific slices and removes clutter resulting from bones. Such slices could provide additional intraoperative information, offering improved guidance precision. Image acquisition would fit with interventional clinical workflow and would not require a high x-ray dose. Phantom results showed a 1133% contrast-to-noise improvement compared to standard fluoroscopy. Patient results showed our method enabled visualisation of clinically relevant features: outline of the aorta, the aortic bifurcation and some aortic calcifications.

Original languageEnglish
Title of host publicationMedical Image Computing and Computer-Assisted Intervention – MICCAI 2013
Subtitle of host publication16th International Conference, Nagoya, Japan, September 22-26, 2013, Proceedings, Part III
EditorsKensaku Mori, Ichiro Sakuma, Yoshinobu Sato, Christian Barillot, Nassir Navab
PublisherSpringer Berlin Heidelberg
Pages98-105
Number of pages8
Volume8151
EditionPART 3
ISBN (Electronic)978-3-642-40760-4
ISBN (Print)978-3-642-40759-8
DOIs
Publication statusPublished - 2013
Event16th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2013 - Nagoya, Japan
Duration: 22 Sept 201326 Sept 2013

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
NumberPART 3
Volume8151 LNCS
ISSN (Print)03029743
ISSN (Electronic)16113349

Conference

Conference16th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2013
Country/TerritoryJapan
CityNagoya
Period22/09/201326/09/2013

Keywords

  • 2D-3D image registration
  • endovascular aneurysm repair
  • Interventional digital tomosynthesis

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