2D to 3D fusion of echocardiography and cardiac CT for TAVR and TAVI image guidance.

This study proposed a registration framework to fuse 2D echocardiography images of the aortic valve with preoperative cardiac CT volume. The registration facilitates the fusion of CT and echocardiography to aid the diagnosis of aortic valve diseases and provide surgical guidance during transcatheter...

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Publicado en:Medical & Biological Engineering & Computing Vol. 55; no. 8; pp. 1317 - 1327
Autores principales: Khalil, Azira, Faisal, Amir, Lai, Khin, Ng, Siew, Liew, Yih, Lai, Khin Wee, Ng, Siew Cheok, Liew, Yih Miin
Formato: research Journal Article
Publicado: Springer Nature Aug2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: 2D to 3D fusion of echocardiography and cardiac CT for TAVR and TAVI image guidance.
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          Khalil, Azira
          Faisal, Amir
          Lai, Khin
          Ng, Siew
          Liew, Yih
          Lai, Khin Wee
          Ng, Siew Cheok
          Liew, Yih Miin
        affil: Department of Biomedical Engineering, Faculty of Engineering , University of Malaya , 50603 Kuala Lumpur Malaysia
      sug:
        subj:
          Diagnostic Imaging Methods
          Echocardiography, Three-Dimensional Methods
          Surgery, Computer-Assisted Methods
          Aortic Valve Surgery
          Subtraction Technique
          Heart Valve Prosthesis Methods
          Reproducibility of Results
          Human
          Aged
          Image Enhancement Methods
          Sensitivity and Specificity
          Aged, 80 and Over
          Male
          Aortic Valve
          Information Science Methods
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Aged: 65+ years
          Aged, 80 & over
          Male
      ab: This study proposed a registration framework to fuse 2D echocardiography images of the aortic valve with preoperative cardiac CT volume. The registration facilitates the fusion of CT and echocardiography to aid the diagnosis of aortic valve diseases and provide surgical guidance during transcatheter aortic valve replacement and implantation. The image registration framework consists of two major steps: temporal synchronization and spatial registration. Temporal synchronization allows time stamping of echocardiography time series data to identify frames that are at similar cardiac phase as the CT volume. Spatial registration is an intensity-based normalized mutual information method applied with pattern search optimization algorithm to produce an interpolated cardiac CT image that matches the echocardiography image. Our proposed registration method has been applied on the short-axis "Mercedes Benz" sign view of the aortic valve and long-axis parasternal view of echocardiography images from ten patients. The accuracy of our fully automated registration method was 0.81 ± 0.08 and 1.30 ± 0.13 mm in terms of Dice coefficient and Hausdorff distance for short-axis aortic valve view registration, whereas for long-axis parasternal view registration it was 0.79 ± 0.02 and 1.19 ± 0.11 mm, respectively. This accuracy is comparable to gold standard manual registration by expert. There was no significant difference in aortic annulus diameter measurement between the automatically and manually registered CT images. Without the use of optical tracking, we have shown the applicability of this technique for effective fusion of echocardiography with preoperative CT volume to potentially facilitate catheter-based surgery.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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