Poster + Paper
1 April 2024 Comparison of model-based iterative vs non-iterative 3D device reconstruction for continuous-sweep limited-angle fluoroscopy
Author Affiliations +
Conference Poster
Abstract
Continuous-sweep limited angle (CLA) fluoroscopy is a recently proposed method for live 3D catheter reconstruction using a single-plane C-arm that continuously rotates back-and-forth within a narrow angle during fluoroscopic image acquisition. This study compares the accuracy and computation time of two real-time 3D catheter reconstruction algorithms. The first approach, iterative model-based device reconstruction (MDR), optimizes the 3D location of 8 control points representing the catheter as a cubic spline. Optimization was performed by minimizing a cost function that describes the data consistency between reconstructed shape and 2D catheter segmentations in the current and previous fluoroscopic images. Alternatively, the second approach is a topology observing reconstruction (TOR) algorithm, which reduces the solution space by performing a graph-based analysis of the 3D vessel tree followed by an analytical minimization of a simplified cost function. Both approaches were evaluated in an experimental study where a microcatheter was navigated through a 3D printed vessel phantom. Accuracy was determined by comparing the reconstructed final catheter pose to a reference 3D cone beam CT scan. The root mean squared distance (RMSD) between reference and CLA reconstruction was considerably smaller for the TOR approach (1.88 ± 0.34mm) than for MDR (6.78 ± 4.4mm). Computation time was also shorter for TOR (0.34ms) compared to MDR (518.6ms) making it suitable for real-time reconstruction with clinically relevant frame rates. The clinical translation of CLA could improve procedure efficiency by providing an intuitive 3D visualization of the device within a vessel. Further work is needed to evaluate the approach in vivo in the presence of respiratory motion.
(2024) Published by SPIE. Downloading of the abstract is permitted for personal use only.
Martin G. Wagner, Ayca Z. Kutlu, Brian Davis, Paul F. Laeseke, Amish N. Raval, and Michael A. Speidel "Comparison of model-based iterative vs non-iterative 3D device reconstruction for continuous-sweep limited-angle fluoroscopy", Proc. SPIE 12925, Medical Imaging 2024: Physics of Medical Imaging, 129253U (1 April 2024); https://doi.org/10.1117/12.3006315
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KEYWORDS
3D modeling

Image segmentation

Instrument modeling

Reconstruction algorithms

3D image reconstruction

3D equipment

Model based design

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