title: A subject-specific technique for respiratory motion correction in image-guided cardiac catheterisation procedures.
abstract: We describe a system for respiratory motion correction of MRI-derived roadmaps for use in X-ray guided cardiac catheterisation procedures. The technique uses a subject-specific affine motion model that is quickly constructed from a short pre-procedure MRI scan. We test a dynamic MRI sequence that acquires a small number of high resolution slices, rather than a single low resolution volume. Additionally, we use prior knowledge of the nature of cardiac respiratory motion by constraining the model to use only the dominant modes of motion. During the procedure the motion of the diaphragm is tracked in X-ray fluoroscopy images, allowing the roadmap to be updated using the motion model. X-ray image acquisition is cardiac gated. Validation is performed on four volunteer datasets and three patient datasets. The accuracy of the model in 3D was within 5mm in 97.6% of volunteer validations. For the patients, 2D accuracy was improved from 5 to 13mm before applying the model to 2-4mm afterwards. For the dynamic MRI sequence comparison, the highest errors were found when using the low resolution volume sequence with an unconstrained model.
authors.affiliation: Interdisciplinary Medical Imaging Group, Division of Imaging Sciences, King's College, St. Thomas' Hospital, London, UK. andrew.king@kcl.ac.uk
authors.forename: A P
authors.initials: AP
authors.lastname: King
authors.forename: R
authors.initials: R
authors.lastname: Boubertakh
authors.forename: K S
authors.initials: KS
authors.lastname: Rhode
authors.forename: Y L
authors.initials: YL
authors.lastname: Ma
authors.forename: P
authors.initials: P
authors.lastname: Chinchapatnam
authors.forename: G
authors.initials: G
authors.lastname: Gao
authors.forename: T
authors.initials: T
authors.lastname: Tangcharoen
authors.forename: M
authors.initials: M
authors.lastname: Ginks
authors.forename: M
authors.initials: M
authors.lastname: Cooklin
authors.forename: J S
authors.initials: JS
authors.lastname: Gill
authors.forename: D J
authors.initials: DJ
authors.lastname: Hawkes
authors.forename: R S
authors.initials: RS
authors.lastname: Razavi
authors.forename: T
authors.initials: T
authors.lastname: Schaeffter
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D003198:Computer Simulation; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D021621:Imaging, Three-Dimensional / Q000379:methods*; D053783:Magnetic Resonance Imaging, Interventional / Q000379:methods*; D008954:Models, Biological; D009068:Movement; D015203:Reproducibility of Results; D015656:Respiratory Mechanics; D055425:Respiratory-Gated Imaging Techniques / Q000379:methods*; D012680:Sensitivity and Specificity; D025321:Surgery, Computer-Assisted / Q000379:methods*