Evaluation of virtual exploratory navigation for the characterization of stenosis in the planning of endovascular interventions

Oscar Acosta; Cecile Moisan; Pascal Haigron; Antoine Lucas

doi:10.1117/12.463601

24 April 2002 Evaluation of virtual exploratory navigation for the characterization of stenosis in the planning of endovascular interventions

Oscar Acosta, Cecile Moisan, Pascal Haigron, Antoine Lucas

Author Affiliations +

Proceedings Volume 4683, Medical Imaging 2002: Physiology and Function from Multidimensional Images; (2002) https://doi.org/10.1117/12.463601
Event: Medical Imaging 2002, 2002, San Diego, California, United States

Abstract

The characterization of the vessel and its lesion is part and parcel of any patient specific planning of endovascular interventions. Thanks to the virtual exploration of a CT volume image acquired under clinical routine conditions we provide the practitioner with the primary elements to plan the intervention. Thus, the curve representing the evolution of the area of the lumen cross-section along the vessel centerline as well as the localization of the stenosis are derived from the virtual exploratory navigation. Due to the lack of reference in medical applications, an animal model of stenosis has been created and used to evaluate our approach. The stenosis characterization through virtual exploratory navigation has been applied to a set of ten sheep iliac arteries and compared with the characterization performed from classical reformatted CT slices and histological cross-sections. The validation of this virtual navigation based analysis is essential to the elaboration of planning systems aimed at the prevention of restenosis phenomena in transluminal angioplasty (accurate localization and covering of the lesion), as well as the treatment of the restenosis phenomena by intravascular brachytherapy (taking the vessel geometry into account).

Citation Download Citation

Oscar Acosta, Cecile Moisan, Pascal Haigron, and Antoine Lucas "Evaluation of virtual exploratory navigation for the characterization of stenosis in the planning of endovascular interventions", Proc. SPIE 4683, Medical Imaging 2002: Physiology and Function from Multidimensional Images, (24 April 2002); https://doi.org/10.1117/12.463601

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