Abstract
Minimally invasive cardiac surgery is made possible by image guidance technology. X-ray fluoroscopy provides high contrast images of catheters and devices, whereas 3D ultrasound is better for visualising cardiac anatomy. We present a system in which the two modalities are combined, with a trans-esophageal echo volume registered to and overlaid on an X-ray projection image in real-time. We evaluate the accuracy of the system in terms of both temporal synchronisation errors and overlay registration errors. The temporal synchronisation error was found to be 10% of the typical cardiac cycle length. In 11 clinical data sets, we found an average alignment error of 2.9 mm. We conclude that the accuracy result is very encouraging and sufficient for guiding many types of cardiac interventions. The combined information is clinically useful for placing the echo image in a familiar coordinate system and for more easily identifying catheters in the echo volume.
Chapter PDF
References
Cleary, K., Peters, T.M.: Image-guided interventions: technology review and clinical applications. Annual Review of Biomedical Engineering 12, 119–142 (2010)
Jain, A., Gutierrez, L., Stanton, D.: 3D TEE Registration with X-Ray Fluoroscopy for Interventional Cardiac Applications. In: Ayache, N., Delingette, H., Sermesant, M. (eds.) FIMH 2009. LNCS, vol. 5528, pp. 321–329. Springer, Heidelberg (2009)
Ma, Y., Penney, G.P., Bos, D., Frissen, P., Rinaldi, C.A., Razavi, R., Rhode, K.S.: Hybrid echo and X-ray image guidance for cardiac catheterization procedures by using a robotic arm: a feasibility study. Physics in Medicine and Biology 55(13), N371–N382 (2010)
Gao, G., Penney, G., Ma, Y., Gogin, N., Cathier, P., Arujuna, A., Morton, G., Caulfield, D., Gill, J., Rinaldi, C.A., Hancock, J., Redwood, S., Thomas, M., Razavi, R., Gijsbers, G., Rhode, K.: Registration of 3D trans-esophageal echocardiography to X-ray fluoroscopy using image-based probe tracking. Medical Image Analysis 16(1), 38–49 (2012)
Lang, P., Seslija, P., Habets, D.F., Chu, M.W.A., Holdsworth, D.W., Peters, T.M.: Three-Dimensional Ultrasound Probe Pose Estimation from Single-Perspective X-Rays for Image-Guided Interventions. In: Liao, H., Edwards, P.J., Pan, X., Fan, Y., Yang, G.Z. (eds.) MIAR 2010. LNCS, vol. 6326, pp. 344–352. Springer, Heidelberg (2010)
van de Kraats, E.B., Penney, G.P., Tomazevic, D., van Walsum, T., Niessen, W.J.: Standardized evaluation methodology for 2-D-3-D registration. IEEE Transactions on Medical Imaging 24(9), 1177–1189 (2005)
Linte, C.A., Lang, P., Rettmann, M.E., Cho, D.S., Holmes, D.R., Robb, R.A., Peters, T.M.: Accuracy considerations in image-guided cardiac interventions: experience and lessons learned. International Journal of Computer Assisted Radiology and Surgery 7(1), 13–25 (2012)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Housden, R.J. et al. (2012). Evaluation of a Real-Time Hybrid Three-Dimensional Echo and X-Ray Imaging System for Guidance of Cardiac Catheterisation Procedures. In: Ayache, N., Delingette, H., Golland, P., Mori, K. (eds) Medical Image Computing and Computer-Assisted Intervention – MICCAI 2012. MICCAI 2012. Lecture Notes in Computer Science, vol 7511. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-33418-4_4
Download citation
DOI: https://doi.org/10.1007/978-3-642-33418-4_4
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-33417-7
Online ISBN: 978-3-642-33418-4
eBook Packages: Computer ScienceComputer Science (R0)