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Clinical evaluation of respiratory motion compensation for anatomical roadmap guided cardiac electrophysiology procedures

Rinaldi, C. A.; Ma, Yingliang; King, Andy P.; Gogin, Nicolas; Gijsbers, Geert; Rinaldi, C. C.; Gill, Jaswinder; Razavi, Reza; Rhode, Kawal S.

Authors

C. A. Rinaldi

Andy P. King

Nicolas Gogin

Geert Gijsbers

C. C. Rinaldi

Jaswinder Gill

Reza Razavi

Kawal S. Rhode



Abstract

X-ray fluoroscopically guided cardiac electrophysiological procedures are routinely carried out for diagnosis and treatment of cardiac arrhythmias. X-ray images have poor soft tissue contrast and, for this reason, overlay of static 3-D roadmaps derived from preprocedural volumetric data can be used to add anatomical information. However, the registration between the 3-D roadmap and the 2-D X-ray image can be compromised by patient respiratory motion. Three methods were designed and evaluated to correct for respiratory motion using features in the 2-D X-ray images. The first method is based on tracking either the diaphragm or the heart border using the image intensity in a region of interest. The second method detects the tracheal bifurcation using the generalized Hough transform and a 3-D model derived from 3-D preoperative volumetric data. The third method is based on tracking the coronary sinus (CS) catheter. This method uses blob detection to find all possible catheter electrodes in the X-ray image. A cost function is applied to select one CS catheter from all catheter-like objects. All three methods were applied to X-ray images from 18 patients undergoing radiofrequency ablation for the treatment of atrial fibrillation. The 2-D target registration errors (TRE) at the pulmonary veins were calculated to validate the methods. A TRE of 1.6 mm 0.8 mm was achieved for the diaphragm tracking; 1.7 mm 0.9 mm for heart border tracking, 1.9 mm 1.0 mm for trachea tracking, and 1.8 mm 0.9 mm for CS catheter tracking. We present a comprehensive comparison between the techniques in terms of robustness, as computed by tracking errors, and accuracy, as computed by TRE using two independent approaches. © 2011 IEEE.

Citation

Rinaldi, C. A., Ma, Y., King, A. P., Gogin, N., Gijsbers, G., Rinaldi, C. C., …Rhode, K. S. (2012). Clinical evaluation of respiratory motion compensation for anatomical roadmap guided cardiac electrophysiology procedures. IEEE Transactions on Biomedical Engineering, 59(1), 122-131. https://doi.org/10.1109/TBME.2011.2168393

Journal Article Type Article
Publication Date Jan 1, 2012
Publicly Available Date Mar 29, 2024
Journal IEEE Transactions on Biomedical Engineering
Print ISSN 0018-9294
Electronic ISSN 1558-2531
Publisher Institute of Electrical and Electronics Engineers
Peer Reviewed Peer Reviewed
Volume 59
Issue 1
Pages 122-131
DOI https://doi.org/10.1109/TBME.2011.2168393
Keywords cardiac catheterization, cardiac respiratory motion, catheter detection, image-guided intervention, motion correction
Public URL https://uwe-repository.worktribe.com/output/950942
Publisher URL http://dx.doi.org/10.1109/TBME.2011.2168393
Additional Information Corporate Creators : King's College London, Philips Healthcare, St. Thomas Hospital London