A subject-specific technique for respiratory motion correction in image-guided cardiac catheterisation procedures

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.

[1]  Max A. Viergever,et al.  Retrospective motion correction in digital subtraction angiography: a review , 1999, IEEE Transactions on Medical Imaging.

[2]  Vivek Muthurangu,et al.  Novel Method of Quantifying Pulmonary Vascular Resistance by Use of Simultaneous Invasive Pressure Monitoring and Phase-Contrast Magnetic Resonance Flow , 2004, Circulation.

[3]  Rafael Beyar,et al.  Prospective motion correction of X-ray images for coronary interventions , 2005, IEEE Transactions on Medical Imaging.

[4]  Kawal S. Rhode,et al.  A system for real-time XMR guided cardiovascular intervention , 2005, IEEE Transactions on Medical Imaging.

[5]  P. Börnert,et al.  Free-breathing cardiac MR imaging: study of implications of respiratory motion--initial results. , 2001, Radiology.

[6]  Guang-Zhong Yang,et al.  Predictive cardiac motion modelling and correction , 2003, CARS.

[7]  Jennifer Keegan,et al.  Coronary artery motion with the respiratory cycle during breath‐holding and free‐breathing: Implications for slice‐followed coronary artery imaging , 2002, Magnetic resonance in medicine.

[8]  P. Börnert,et al.  Prospective correction of affine motion for arbitrary MR sequences on a clinical scanner , 2005, Magnetic resonance in medicine.

[9]  S. Riederer,et al.  Respiratory Motion of the Heart: Kinematics and the Implications for the Spatial Resolution in Coronary Imaging , 1995, Magnetic resonance in medicine.

[10]  Cengizhan Ozturk,et al.  Respiratory motion of the heart from free breathing coronary angiograms , 2004, IEEE Transactions on Medical Imaging.

[11]  Kawal S. Rhode,et al.  Registration and tracking to integrate X-ray and MR images in an XMR Facility , 2003, IEEE Transactions on Medical Imaging.

[12]  YingLiang Ma,et al.  A technique for respiratory motion correction in image guided cardiac catheterisation procedures , 2008, SPIE Medical Imaging.

[13]  C A Rinaldi,et al.  ATRIAL FIBRILLATION CURRENT AND FUTURE TREATMENTS: RADIOFREQUENCY ABLATION AND NOVEL PACING TECHNIQUES , 2002, International journal of clinical practice.

[14]  Colin Studholme,et al.  An overlap invariant entropy measure of 3D medical image alignment , 1999, Pattern Recognit..

[15]  Holger Timinger,et al.  Motion compensation for interventional navigation on 3D static roadmaps based on an affine model and gating. , 2004, Physics in medicine and biology.

[16]  William Schroeder,et al.  The Visualization Toolkit: An Object-Oriented Approach to 3-D Graphics , 1997 .

[17]  Olaf Dössel,et al.  Model evaluation and calibration for prospective respiratory motion correction in coronary MR angiography based on 3-D image registration , 2002, IEEE Transactions on Medical Imaging.

[18]  Ramin Zabih,et al.  Simultaneous multiple volume (SMV) acquisition algorithm for real-time navigator gating. , 2003, Magnetic resonance imaging.

[19]  P. Börnert,et al.  Novel prospective respiratory motion correction approach for free‐breathing coronary MR angiography using a patient‐adapted affine motion model , 2003, Magnetic resonance in medicine.

[20]  David Atkinson,et al.  A study of the motion and deformation of the heart due to respiration , 2002, IEEE Transactions on Medical Imaging.