CoViCAD: Comprehensive Visualization of Coronary Artery Disease
IEEE Transactions on Visualization and Computer Graphics
Automatic whole heart segmentation in static magnetic resonance image volumes
MICCAI'07 Proceedings of the 10th international conference on Medical image computing and computer-assisted intervention
The generation of patient-specific heart models for diagnosis and interventions
STACOM'10/CESC'10 Proceedings of the First international conference on Statistical atlases and computational models of the heart, and international conference on Cardiac electrophysiological simulation challenge
MICCAI'10 Proceedings of the 13th international conference on Medical image computing and computer-assisted intervention: Part I
MICCAI'12 Proceedings of the 15th international conference on Medical Image Computing and Computer-Assisted Intervention - Volume Part I
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It has been demonstrated that 3D anatomical models can be used effectively as roadmaps in image guided interventions. However, besides the anatomical information also the integrated display of functional information is desirable. In particular, a number of procedures such as the treatment of coro nary artery disease by revascularization and myocardial repair by targeted cell delivery require information about myocardial viability. In this paper we show how we can determine myocardial viability and integrate the information into a patient-specific cardiac 3D model. In contrast to other work we associate the viability information directly with the 3D patient anatomy. Thus we ensure that the functional information can be visualized in a way suitable for interventional guidance. Furthermore we propose a workflow that allows the nearly automatic generation of the patient-specific model. Our work is based on a previously published cardiac model that can be automatically adapted to images from different modalities like CT and MR. To enable integration of myocardial viability we first define a new myocardium surface model that encloses the left ventricular cavity in a way that suits robust viability measurements. We modify the model-based segmentation method to allow accurate adaptation of this new model. Second, we extend the model and the segmentation method to incorporate volumetric tissue properties. We validate the accuracy of the segmentation of the left ventricular cavity systematically using clinical data and illustrate the complete method for integrating myocardial viability by an example.