Generation of 4d access corridors from real-time multislice MRI for guiding transapical aortic valvuloplasties

  • Authors:
  • N. V. Navkar;E. Yeniaras;D. J. Shah;N. V. Tsekos;Z. Deng

  • Affiliations:
  • Computer Graphics and Interactive Media Lab and Medical Robotics Lab, Department of Computer Science, University of Houston, Houston, TX;Medical Robotics Lab, Department of Computer Science, University of Houston, Houston, TX;Methodist DeBakey Heart & Vascular Center, Houston, TX;Medical Robotics Lab, Department of Computer Science, University of Houston, Houston, TX;Computer Graphics and Interactive Media Lab, University of Houston, Houston, TX

  • Venue:
  • MICCAI'11 Proceedings of the 14th international conference on Medical image computing and computer-assisted intervention - Volume Part I
  • Year:
  • 2011

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Abstract

Real-time image-guided cardiac procedures (manual or robotassisted) are emerging due to potential improvement in patient management and reduction in the overall cost. These minimally invasive procedures require both real-time visualization and guidance for maneuvering an interventional tool safely inside the dynamic environment of a heart. In this work, we propose an approach to generate dynamic 4D access corridors from the apex to the aortic annulus for performing real-time MRI guided transapical valvuloplasties. Ultrafast MR images (collected every 49.3 ms) are processed on-the-fly using projections to extract a conservative dynamic trace in form of a three-dimensional access corridor. Our experimental results show that the reconstructed corridors can be refreshed with a delay of less than 0.5ms to reflect the changes inside the left ventricle caused by breathing motion and the heartbeat.