Paper
12 April 2005 Ultrasonic diaphragm tracking for cardiac interventional navigation on 3D motion compensated static roadmaps
Holger Timinger, Sascha Kruger, Klaus Dietmayer, Joern Borgert
Author Affiliations +
Abstract
In this paper, a novel approach to cardiac interventional navigation on 3D motion-compensated static roadmaps is presented. Current coronary interventions, e.g. percutaneous transluminal coronary angioplasties, are performed using 2D X-ray fluoroscopy. This comes along with well-known drawbacks like radiation exposure, use of contrast agent, and limited visualization, e.g. overlap and foreshortening, due to projection imaging. In the presented approach, the interventional device, i.e. the catheter, is tracked using an electromagnetic tracking system (MTS). Therefore, the catheters position is mapped into a static 3D image of the volume of interest (VOI) by means of an affine registration. In order to compensate for respiratory motion of the catheter with respect to the static image, a parameterized affine motion model is used which is driven by a respiratory sensor signal. This signal is derived from ultrasonic diaphragm tracking. The motion compensation for the heartbeat is done using ECG-gating. The methods are validated using a heart- and diaphragm-phantom. The mean displacement of the catheter due to the simulated organ motion decreases from approximately 9 mm to 1.3 mm. This result indicates that the proposed method is able to reconstruct the catheter position within the VOI accurately and that it can help to overcome drawbacks of current interventional procedures.
© (2005) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE). Downloading of the abstract is permitted for personal use only.
Holger Timinger, Sascha Kruger, Klaus Dietmayer, and Joern Borgert "Ultrasonic diaphragm tracking for cardiac interventional navigation on 3D motion compensated static roadmaps", Proc. SPIE 5744, Medical Imaging 2005: Visualization, Image-Guided Procedures, and Display, (12 April 2005); https://doi.org/10.1117/12.593603
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KEYWORDS
Sensors

Heart

Ultrasonics

Electrocardiography

Motion models

Motion measurement

Ultrasonography

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