Abstract
Radio-frequency catheter ablation (RFCA) has become an accepted treatment option for atrial fibrillation (Afib). RFCA of Afib involves isolation of the pulmonary veins under X-ray guidance. For easier navigation, two-dimensional X-ray imaging may take advantage of overlay images derived from static pre-operative 3-D data set to add anatomical details which, otherwise, would not be visible under X-ray. Unfortunately, respiratory and cardiac motion may impair the utility of static overlay images for catheter navigation. We developed a system for image-based 2-D motion estimation and compensation as a solution to this problem. It is based on 2-D catheter tracking facilitated by model-based registration of an ellipse-shaped model to fluorosocpic images. A mono-plane or a bi-plane X-ray C-arm system can be used. In the first step of the method, a 2-D model of the catheter device is computed. Respiratory and cardiac motion at the site of ablation is then estimated by tracking the catheter device in fluoroscopic images. The cost function of the registration step is based on the average distance of the model to the segmented circumferential mapping catheter using a distance map. In our experiments, the circumferential catheter was successfully tracked in 688 fluoroscopic images with an average 2-D tracking error of 0.59 mm ± 0.25 mm. Our presented method achieves a tracking rate of 10 frames-per-second.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Cappato, R., Calkins, H., Chen, S.A., Davies, W., Iesaka, Y., Kalman, J., Kim, Y.H., Klein, G., Packer, D., Skanes, A.: Worldwide Survey on the Methods, Efficacy, and Safety of Catheter Ablation for Human Atrial Fibrillation. Circulation - Journal of the American Heart Association 111, 1100–1105 (2005)
Wazni, O.M., Marrouche, N.F., Martin, D.O., Verma, A., Bhargava, M., Saliba, W., Bash, D., Schweikert, R., Brachmann, J., Gunther, J., Gutleben, K., Potenza, E.P.D., Fanelli, R., Raviele, A., Themistoclakis, S., Rossillo, A., Bonso, A., Natale, A.: Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of symptomatic atrial fibrillation: a randomized trial. JAMA 293(21), 2634–2640 (2005)
Zagorchev, et al.: Rapid fusion of 2D x-ray fluoroscopy with 3D multislice CT for image-guided electrophysiology procedures. In: Proceedings of SPIE: Medical Imaging 2007, vol. 6509, p. 65092B (2007)
Sra, J., Narayan, G., Krum, D., Malloy, A., Colley, R., Bhatia, A., Dhala, A., Blanck, Z., Nangia, V., Akhtar, M.: Computed Tomography-Fluoroscopy Image Integration-Guided Catheter Ablation of Atrial Fibrillation. Journal of Cardiovascular Electrophysiology 18(4), 409–414 (2007)
Ector, J., Buck, S.D., Huybrechts, W., Nuyens, D., Dymarkowski, S., Bogaert, J., Maes, F., Heidüchel, H.: Biplane three-dimensional augmented fluoroscopy as single navigation tool for ablation of atrial fibrillation: Accuracy and clinical value. Heart Rhythm 5(7), 957–964 (2008)
Knecht, S., Skali, H., O’Neill, M.D., Wright, M., Matsuo, S., Chaudhry, G.M., Haffajee, C.I., Nault, I., Gijsbers, G.H.M., Sacher, F., Laurent, F., Montaudon, M., Corneloup, O., Hocini, M., Haissaguerre, M., Orlov, M.V., Jais, P.: Computed tomography-fluoroscopy overlay evaluation during catheter ablation of left atrial arrhythmia. Europace 10, 931–938 (2008)
Hertrich, P.H.: Practical Radiography - Principles and Applications, 1st edn. Publicis Corporate Publishing (May 2005)
Oppelt, A. (ed.): Imaging Systems for Medical Diagnostics, 2nd edn. Publicis Corporate Publishing (November 2005)
Orlov, M.V., Hoffmeister, P., Chaudhry, G.M., Almasry, I., Gijsbers, G.H.M., Swack, T., Haffajee, C.I.: Three-dimensional rotational angiography of the left atrium and esophagus: a virtual computed tomography scan in the electrophysiology lab? Heart Rhythm 4(1), 37–43 (2007)
Al-Ahmad, A., Wigstrm, L., Sandner-Porkristl, D., Wang, P.J., Zei, P.C., Boese, J., Lauritsch, G., Moore, T., Chan, F., Fahrig, R.: Time-resolved three-dimensional imaging of the left atrium and pulmonary veins in the interventional suite: A comparison between multisweep gated rotational three-dimensional reconstructed fluoroscopy and multislice computed tomography. Heart Rhythm 5(4), 513–519 (2008)
Nölker, G., Gutleben, K.J., Marschang, H., Ritscher, G., Asbach, S., Marrouche, N., Brachmann, J., Sinha, A.M.: Three-dimensional left atrial and esophagus reconstruction using cardiac C-arm computed tomography with image integration into fluoroscopic views for ablation of atrial fibrillation: Accuracy of a novel modality in comparison with multislice computed tomography. Heart Rhythm 5(12), 1651–1657 (2008)
Strobel, N., Meissner, O., Boese, J., Brunner, T., Heigl, B., Hoheisel, M., Lauritsch, G., Nagel, M., Pfister, M., Rührnschopf, E.P., Scholz, B., Schreiber, B., Spahn, M., Zellerhoff, M., Klingenbeck-Regn, K.: Imaging with Flat-Detector C-Arm Systems. In: Reiser, M.F., Becker, C.R., Nikolaou, K., Glazer, G. (eds.) Multislice CT (Medical Radiology / Diagnostic Imaging), 3rd edn., pp. 33–51. Springer, Heidelberg (2009)
Pruemmer, et al.: Cardiac C-arm CT: a unified framework for motion estimation and dynamic CT. IEEE Transactions on Medical Imaging 28(11), 1836–1849 (2009)
Lauritsch, et al.: Towards cardiac C-arm computed tomography. IEEE Transactions on Medical Imaging 28(7), 922–934 (2006)
Brost, A., Liao, R., Hornegger, J., Strobel, N.: 3-D Respiratory Motion Compensation during EP Procedures by Image-Based 3-D Lasso Catheter Model Generation and Tracking. In: Yang, G.-Z., Hawkes, D., Rueckert, D., Noble, A., Taylor, C. (eds.) MICCAI 2009. LNCS, vol. 5761, pp. 394–401. Springer, Heidelberg (2009)
Brost, A., Liao, R., Hornegger, J., Strobel, N.: 3D model-based catheter tracking for motion compensation in EP procedures, vol. 7625, 762507. SPIE, San Jose (2010)
Liao, et al.: Location Constraint Based 2D-3D Registration of Fluoroscopic Images of CT Volumes for Image-Guided EP Procedures. In: Proceedings of SPIE: Medical Imaging 2008, vol. 6918, p. 69182T (2008)
Halir, F.: Numerically Stable Direct Least Squares Fitting of Ellipses. In: Proceedings of the 6th Conference in Central Europe on Computer Graphics and Visualization, pp. 253–257 (1998)
Hartley, Z.: Multiple View Geometry in Computer Vision, 2nd edn. Cambridge University Press, Cambridge (2004)
Fitzgibbon, A., Pilu, M., Fisher, R.B.: Direct least square fitting of ellipses. IEEE Transactions on Pattern Analysis And Machine Intelligence 21(5), 476–480 (1999)
Fitzgibbon, A.W., Fisher, R.B.: A Buyer’s Guide to Conic Fitting. In: BMVC 1995: Proceedings of the 6th British Conference on Machine Vision, Surrey, UK, vol. 2, pp. 513–522. BMVA Press (September 1995)
Bronstein, I.N., Semendjajew, K.A., Musiol, G., Mühlig, H.: Taschenbuch der Mathematik, 5th edn. Verlag Harri Deutsch, Thun und Frankfurt am Main (2001)
Poole, D.: Linear Algebra - A Modern Introduction, 1st edn. Brooks Cole (2002)
Zwillinger, D.: CRC Standard Mathematical Tables and Formulae, 31th edn. Chapman & Hall/CRC (2002)
Hearn, D., Baker, M.P.: Computer Graphics with OpenGL. Pearson Prentice Hall, London (2004)
Sato, et al.: 3D Multi-Scale Line Filter for Segmentation and Visualization of Curvilinear Structures in Medical Images. Medical Image Analysis 2(2), 143–168 (1998)
Otsu, N.: A Threshold Selection Method from Gray-Level Histograms. IEEE Transactions on Systems, Man, and Cybernetics 9(1), 62–66 (1979)
Cychosz, J.M.: Efficient Binary Image Thinning using Neighborhood Maps, pp. 465–473 (1994)
Breu, et al.: Linear time Euclidean distance transform algorithms. IEEE Transactions on Pattern Analysis and Machine Intelligence 17, 529–533 (1995)
Ector, et al.: Changes in Left Atrial Anatomy Due to Respiration: Impact on Three-Dimensional Image Integration During Atrial Fibrillation Ablation. Journal of Cardiovascular Electrophysiology 19(7), 828–834 (2008)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Brost, A., Liao, R., Hornegger, J., Strobel, N. (2010). Model-Based Registration for Motion Compensation during EP Ablation Procedures. In: Fischer, B., Dawant, B.M., Lorenz, C. (eds) Biomedical Image Registration. WBIR 2010. Lecture Notes in Computer Science, vol 6204. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-14366-3_21
Download citation
DOI: https://doi.org/10.1007/978-3-642-14366-3_21
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-14365-6
Online ISBN: 978-3-642-14366-3
eBook Packages: Computer ScienceComputer Science (R0)