Title
A versatile intensity-based 3D/2D rigid registration compatible with mobile C-arm for endovascular treatment of abdominal aortic aneurysm.
Abstract
Augmented reality-assisted surgery requires prior registration between preoperative and intraoperative data. In the context of the endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm, no satisfactory solution exists at present for clinical use, in particular in the case of use with a mobile C-arm. The difficulties stem in particular from the diversity of intraoperative images, table movements and changes of C-arm pose.We propose a fast and versatile 3D/2D registration method compatible with mobile C-arm that can be easily repeated during an EVAR procedure. Applicable to both vascular and bone structures, our approach is based on an optimization by reduced exhaustive search involving a multi-resolution scheme and a decomposition of the transformation to reduce calculation time.Registration was performed between the preoperative CT-scan and fluoroscopic images for a group of 26 patients in order to confront our method in real conditions of use. The evaluation was completed by also performing registration between an intraoperative CBCT volume and fluoroscopic images for a group of 6 patients to compare registration results with reference transformations. The experimental results show that our approach allows obtaining accuracy of the order of 0.5 mm, a computation time of [Formula: see text] and a higher rate of success in comparison with a classical optimization method. When integrated in an augmented reality navigation system, our approach shows that it is compatible with clinical workflow.We presented a versatile 3D/2D rigid registration applicable to all intraoperative scenes and usable to guide an EVAR procedure by augmented reality.
Year
DOI
Venue
2016
10.1007/s11548-016-1416-1
Int. J. Computer Assisted Radiology and Surgery
Keywords
Field
DocType
3D/2D registration,Augmented reality,Computer-assisted surgery,Endovascular aneurysm repair
Computer-assisted surgery,Radiology,Abdominal aortic aneurysm,Surgery,Endovascular aneurysm repair,Medicine
Journal
Volume
Issue
ISSN
11
9
1861-6429
Citations 
PageRank 
References 
1
0.36
14
Authors
6
Name
Order
Citations
PageRank
A Duménil110.36
Adrien Kaladji273.33
Miguel Castro343.22
C Göksu410.36
Antoine Lucas5275.77
Pascal Haigron65713.53