Title
Automatic intra-operative generation of geometric left atrium/pulmonary vein models from rotational X-ray angiography.
Abstract
Pre-procedural imaging with cardiac CT or MR has become popular for guiding complex electrophysiology procedures such as those used for atrial fibrillation ablation therapy. Electroanatomical mapping and ablation within the left atrium and pulmonary veins (LAPV) is facilitated using such data, however the pre-procedural anatomy can be quite different from that at the time of intervention. Recently, a method for intra-procedural LAPV imaging has been developed based on contrast-enhanced 3-D rotational X-ray angiography (3-D RA). These intraprocedural data now create a compelling need for rapid and automated extraction of the LAPV geometry for catheter guidance. We present a new approach to automatic intra-procedural generation of LAPV surfaces from 3-D RA volumes. Using model-based segmentation, our technique is robust to imaging noise and artifacts typical of 3-D RA imaging, strongly minimizes the user interaction time required for segmentation, and eliminates inter-subject variability. Our findings in 33 patients indicate that intra-procedural LAPV surface models accurately represent the anatomy at the time of intervention and are comparable to pre-procedural models derived from CTA or MRA.
Year
DOI
Venue
2008
10.1007/978-3-540-85990-1_8
MICCAI (2)
Keywords
Field
DocType
rotational x-ray angiography,intra-procedural lapv imaging,pulmonary vein models,3-d ra volume,lapv surface,3-d ra imaging,automatic intra-operative generation,pre-procedural imaging,contrast-enhanced 3-d rotational x-ray,intra-procedural lapv surface model,imaging noise,lapv geometry,3-d ra,geometric left atrium,procedural modeling
Atrial fibrillation,Computer science,Segmentation,Ablation,Left atrium,Ablation Therapy,Radiology,X-ray Angiography,Angiography,Pulmonary vein
Conference
Volume
Issue
ISSN
11
Pt 2
0302-9743
Citations 
PageRank 
References 
3
0.46
11
Authors
8
Name
Order
Citations
PageRank
Carsten Meyer18312.39
Robert Manzke2487.33
Jochen Peters328425.51
Olivier Ecabert434626.28
Reinhard Kneser5951150.50
Vivek Y Reddy6394.77
Raymond C Chan7527.35
Jürgen Weese877492.69