3D Reconstruction of Coronary Veins from a Single X-Ray Fluoroscopic Image and Pre-operative MR
- Cite this paper as:
- Panayiotou M. et al. (2017) 3D Reconstruction of Coronary Veins from a Single X-Ray Fluoroscopic Image and Pre-operative MR. In: Mansi T., McLeod K., Pop M., Rhode K., Sermesant M., Young A. (eds) Statistical Atlases and Computational Models of the Heart. Imaging and Modelling Challenges. STACOM 2016. Lecture Notes in Computer Science, vol 10124. Springer, Cham
Cardiac resynchronization therapy (CRT) is an effective treatment for patients with congestive heart failure and ventricular dyssynchrony. Despite the overall efficacy of CRT, approximately 30% of patients receiving CRT do not improve. One of the main technical problems related to the CRT procedure is inadequate visualisation in X-ray fluoroscopy of the venous anatomy in relation to accurate cardiac chamber visualisation. This paper proposes a novel approach for 3D reconstruction of coronary veins from a single contrast enhanced intra-operative fluoroscopy image. For this application, the method uses back-projection geometry and a Euclidean distance/angle-based cost function. The algorithm is validated on a phantom and five patient datasets, comprising six view-angle orientations for the phantom dataset and two view-angle orientations for each of the patient datasets. Median(inter-quartile range) 3D-reconstruction accuracies of 1.41(0.55–3.00) mm and 3.28(2.10–4.89) mm were established for the phantom and patient data, respectively. The technique can facilitate careful advancement of the cannulating guide over a guidewire or a diagnostic catheter positioned in the coronary sinus, and consequently, improve the chances of response to CRT.