Towards Guidance of Electrophysiological Procedures with Real-Time 3D Intracardiac Echocardiography Fusion to C-arm CT

  • Authors:
  • Wolfgang Wein;Estelle Camus;Matthias John;Mamadou Diallo;Christophe Duong;Amin Al-Ahmad;Rebecca Fahrig;Ali Khamene;Chenyang Xu

  • Affiliations:
  • Imaging & Visualization Dept., Siemens Corporate Research, Princeton, USA;Ultrasound Business Unit, Siemens Healthcare, Mountain View, USA;AX Business Unit, Siemens Healthcare, Forchheim, Germany;Imaging & Visualization Dept., Siemens Corporate Research, Princeton, USA;Ultrasound Business Unit, Siemens Healthcare, Mountain View, USA;Department of Radiology, Stanford University, USA;Department of Radiology, Stanford University, USA;Imaging & Visualization Dept., Siemens Corporate Research, Princeton, USA;Imaging & Visualization Dept., Siemens Corporate Research, Princeton, USA

  • Venue:
  • MICCAI '09 Proceedings of the 12th International Conference on Medical Image Computing and Computer-Assisted Intervention: Part I
  • Year:
  • 2009

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Abstract

This paper describes a novel method for improving the navigation and guidance of devices and catheters in electrophysiology and interventional cardiology procedures using volumetric data fusion. The clinical workflow includes the acquisition and reconstruction of CT data from a C-arm X-ray angiographic system and the real-time acquisition of volumetric ultrasound datasets with a new intracardiac real-time 3D ultrasound catheter. Mono- and multi-modal volumetric registration methods, as well as visualization modes, that are suitable for real-time fusion are described, which are the key components of this work. Evaluation on phantom and in-vivo animal data shows that it is feasible to register and track the motion of real-time 3D intracardiac ultrasound in C-arm CT.