CT and 3D-ultrasound registration for spatial comparison of post-EVAR abdominal aortic aneurysm measurements: A cross-sectional study
| Autor: | Laurence Rouet, Antoine Collet Billon, Kim K. Bredahl, Cecile Dufour |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_treatment
Coordinate system Health Informatics 030218 nuclear medicine & medical imaging 03 medical and health sciences Imaging Three-Dimensional 0302 clinical medicine Maximum diameter Humans Medicine Radiology Nuclear Medicine and imaging 3D ultrasound Endovascular treatment Ultrasonography Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Stent medicine.disease Computer Graphics and Computer-Aided Design Abdominal aortic aneurysm Cross-Sectional Studies Stents Computer Vision and Pattern Recognition Tomography X-Ray Computed business Nuclear medicine Spatial relationship 030217 neurology & neurosurgery After treatment Aortic Aneurysm Abdominal |
| Zdroj: | Computerized Medical Imaging and Graphics. 73:49-59 |
| ISSN: | 0895-6111 |
| DOI: | 10.1016/j.compmedimag.2019.02.004 |
| Popis: | Objective The aim of the present study is to provide a methodology to register volumes of stented abdominal aortic aneurysm, imaged by 3D-US and CT modalities. After registration, the method enables to compare the spatial location of measurements and AAA size in a common coordinate system. Methods The study is cross-sectional and compares volumes acquired within a few days, in order to eliminate changes due to the evolution of AAA shape after treatment. The key element is to rely on stent alignment to register the CT and 3D-US volumes, providing access to a patient-specific common spatial coordinate system. In parallel, 3D segmentations are performed and used to extract multi-planar reconstructions at the locations of maximum diameter in each modality. The positions of the planes extracted in each modality, and the AAA diameters are finally compared in the common coordinate system. Results Results are validated on a database of 52 patients. After registrations, results show a mean inter-planar distance of 6.4 ± 4.5 mm and a mean inter-planar angle of 10.2°±6.7 between CT and 3D-US multi-planar reconstructions. Bland–Altman comparisons of diameter measurements in the CT, US and non-registered volumes are respectively 5.1 ± 2.8, 3.9 ± 2.8, 4.6 ± 3.0 mm. Conclusion The proposed approach provides both visual and quantitative validations of measurements extracted from multi-modality images of the same pathology, in terms of spatial relationship and diameters. Significance The present work provides additional confidence in the use of 3D-US without CT for the follow-up of patients with abdominal aortic aneurysms after endovascular treatment. |
| Databáze: | OpenAIRE |
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