3D/2D Model-to-Image Registration Applied to TIPS Surgery

  • Julien Jomier
  • Elizabeth Bullitt
  • Mark Van Horn
  • Chetna Pathak
  • Stephen R. Aylward
Part of the Lecture Notes in Computer Science book series (LNCS, volume 4191)


We have developed a novel model-to-image registration technique which aligns a 3-dimensional model of vasculature with two semi-orthogonal fluoroscopic projections. Our vascular registration method is used to intra-operatively initialize the alignment of a catheter and a pre-operative vascular model in the context of image-guided TIPS (Transjugular, Intrahepatic, Portosystemic Shunt formation) surgery. Registration optimization is driven by the intensity information from the projection pairs at sample points along the centerlines of the model. Our algorithm shows speed, accuracy and consistency given clinical data.


Portal Venous System Vascular Model Digitally Subtract Angiogram Registration Apply Centerline Point 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Penney, G.P., Weese, J., et al.: A Comparison of Similarity Measures for Use in 2D-3D Medical Image Registration. IEEE Trans. Med. Imaging 17(4), 586–595 (1998)CrossRefGoogle Scholar
  2. 2.
    McLaughlin, R.A., Hipwell, J.H., et al.: A Comparison of a Similarity-Based and a Feature-Based 2-D-3-D Registration Method for Neurointerventional Use. IEEE Trans. Med. Imaging 12(8), 1058–1066 (2005)CrossRefGoogle Scholar
  3. 3.
    Nicolau, S., Pennec, X., Soler, L., Ayache, N.: An Accuracy Certified Augmented Reality System for Therapy Guidance. In: Pajdla, T., Matas, J(G.) (eds.) ECCV 2004. LNCS, vol. 3023, pp. 79–91. Springer, Heidelberg (2004)CrossRefGoogle Scholar
  4. 4.
    Jolly, B., Van Horn, M., Aylward, S., Bullitt, E.: Needle tracking and detection in the TIPS endovascular procedure. In: Ellis, R.E., Peters, T.M. (eds.) MICCAI 2003. LNCS, vol. 2879, pp. 953–954. Springer, Heidelberg (2003)CrossRefGoogle Scholar
  5. 5.
    Kerrien, E., Berger, M.-O., et al.: Fully automatic 3D/2D subtracted angiography registration. In: Taylor, C., Colchester, A. (eds.) MICCAI 1999. LNCS, vol. 1679, pp. 664–671. Springer, Heidelberg (1999)CrossRefGoogle Scholar
  6. 6.
    Albert, C.S., Chung, Chan, H.-M., et al.: 2D-3D Vascular Registration Between Digital Subtraction Angiographic (DSA) And Magnetic Resonance Angiographic (MRA). In: Images International Symposium on Biomedical Imaging 2004, pp. 708–711 (2004)Google Scholar
  7. 7.
    Aylward, S., Jomier, J., et al.: Registration of Vascular Images. International Journal of Computer Vision, 15 (November 2003)Google Scholar
  8. 8.
    Aylward, S., Bullitt, E.: Initialization, Noise, Singularities, and Scale in Height-Ridge Traversal for Tubular Object Centerline Extraction. IEEE Transactions on Medical Imaging, 61–75 (February 2002)Google Scholar
  9. 9.
    Liu, A., Bullitt, E., Pizer, S.M.: 3D/2D registration using tubular anatomical structures as a basis. In: Wells, W.M., Colchester, A.C.F., Delp, S.L. (eds.) MICCAI 1998. LNCS, vol. 1496, pp. 952–963. Springer, Heidelberg (1998)Google Scholar
  10. 10.
    Rosenthal, M., Weeks, S., et al.: Intraoperative tracking of anatomical structures using fluoroscopy and a vascular balloon catheter. In: Niessen, W.J., Viergever, M.A. (eds.) MICCAI 2001. LNCS, vol. 2208, pp. 1253–1254. Springer, Heidelberg (2001)CrossRefGoogle Scholar
  11. 11.
    Venkatraman, V., Van Horn, M., Weeks, S., Bullitt, E.: Liver Motion Due to Needle Pressure, Cardiac and Respiratory Motion During the TIPS Procedure. In: Barillot, C., Haynor, D.R., Hellier, P. (eds.) MICCAI 2004. LNCS, vol. 3217, pp. 66–72. Springer, Heidelberg (2004)CrossRefGoogle Scholar
  12. 12.
    Styner, M., Gerig, G.: Evaluation of 2D/3D bias correction with 1+1ES optimization, Technical Report, BIWI-TR-179Google Scholar
  13. 13.
    The Insight Toolkit: National Library of Medicine Insight Segmentation and Registration Toolkit, http://www.itk.org

Copyright information

© Springer-Verlag Berlin Heidelberg 2006

Authors and Affiliations

  • Julien Jomier
    • 1
  • Elizabeth Bullitt
    • 2
  • Mark Van Horn
    • 2
  • Chetna Pathak
    • 2
  • Stephen R. Aylward
    • 1
  1. 1.Kitware Inc.Clifton ParkUSA
  2. 2.Computer-Assisted Surgery and Imaging Laboratory, Department of SurgeryThe University of North Carolina at Chapel HillChapel HillUSA

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