Structure-Enhanced Visualization for Manual Registration in Fluoroscopy

  • Matthias Hoffmann
  • Felix Bourier
  • Norbert Strobel
  • Joachim Hornegger
Conference paper
Part of the Informatik aktuell book series (INFORMAT)

Zusammenfassung

Electrophysiology procedures are in many cases performed under fluoroscopic guidance. As the heart is not visible under fluoroscopy, a preoperatively acquired heart model of the patient may be fused with the live X-ray images to provide the physician with a better orientation. This heart model needs to be registered to the fluoroscopic images. Currently, registration is performed manually, e.g., after contrast injection into the left atrium during atrial fibrillation procedures. We propose a novel visualization of the heart model that shows the same structures as the contrast agent and allows an easy identification of corresponding landmarks and features in both the model and the angiography images.

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References

  1. Calkins H, Brugada J, Packer DL, et al. HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. Europace. 2007;9(6):335.Google Scholar
  2. Fuster V, Rydén LE, Cannom DS, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation. J Am Coll Cardiol. 2006;48(4):854.Google Scholar
  3. Wittkampf FHM, Wever EFD, Derksen R, et al. LocaLisa: new technique for real-time 3-dimensional localization of regular intracardiac electrodes. Circulation. 1999;99(10):1312–7.Google Scholar
  4. Dilling-Boer D, van der Merwe N, Adams J, et al. Ablation of focally induced atrial fibrillation:. J Cardiovasc Electrophysiol. 2004;15(2):200–5.Google Scholar
  5. De Buck S, Maes F, Ector J, et al. An augmented reality system for patient-specific guidance of cardiac catheter ablation procedures. IEEE Trans Med Imaging. 2005;24(11):1512 –24.Google Scholar
  6. Brost A, Bourier F, Kleinoeder A, et al. AFiT: atrial fibrillation ablation planning tool. Proc VMV. 2011; p. 223–30.Google Scholar
  7. Möller T, Haines E, Hoffman N. Real-time rendering. AK Peters Limited; 2008.Google Scholar
  8. Bourier F, Vukajlovic D, Brost A, et al. Pulmonary vein isolation supported by MRI-derived 3D-augmented biplane fluoroscopy: a feasibility study and a quantitative analysis of the accuracy of the technique. J Cardiovasc Electrophysiol. 2007;115:3057–63.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Matthias Hoffmann
    • 1
  • Felix Bourier
    • 2
  • Norbert Strobel
    • 3
  • Joachim Hornegger
    • 1
    • 4
  1. 1.Pattern Recognition LabFriedrich-Alexander-Universität Erlangen-NürnbergErlangenDeutschland
  2. 2.Krankenhaus Barmherzige BrüderRegensburgDeutschland
  3. 3.Healthcare SectorSiemens AGForchheimDeutschland
  4. 4.Erlangen Graduate School in Advanced Optical Technologies (SAOT)ErlangenDeutschland

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