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13 March 2013Monoplane stereoscopic imaging method for inverse geometry x-ray fluoroscopy
Scanning Beam Digital X-ray (SBDX) is a low-dose inverse geometry fluoroscopic system for cardiac interventional
procedures. The system performs x-ray tomosynthesis at multiple planes in each frame period and combines the
tomosynthetic images into a projection-like composite image for fluoroscopic display. We present a novel method of
stereoscopic imaging using SBDX, in which two slightly offset projection-like images are reconstructed from the same
scan data by utilizing raw data from two different detector regions. To confirm the accuracy of the 3D information
contained in the stereoscopic projections, a phantom of known geometry containing high contrast steel spheres was
imaged, and the spheres were localized in 3D using a previously described stereoscopic localization method. After
registering the localized spheres to the phantom geometry, the 3D residual RMS errors were between 0.81 and 1.93 mm,
depending on the stereoscopic geometry. To demonstrate visualization capabilities, a cardiac RF ablation catheter was
imaged with the tip oriented towards the detector. When viewed as a stereoscopic red/cyan anaglyph, the true orientation
(towards vs. away) could be resolved, whereas the device orientation was ambiguous in conventional 2D projection
images. This stereoscopic imaging method could be implemented in real time to provide live 3D visualization and device
guidance for cardiovascular interventions using a single gantry and data acquired through normal, low-dose SBDX
imaging.
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Michael T. Tomkowiak, Michael S. Van Lysel, Michael A. Speidel, "Monoplane stereoscopic imaging method for inverse geometry x-ray fluoroscopy," Proc. SPIE 8669, Medical Imaging 2013: Image Processing, 86692W (13 March 2013); https://doi.org/10.1117/12.2006238