Prone to Supine CT Colonography Registration Using a Landmark and Intensity Composite Method

Matching corresponding location between prone and supine acquisitions for CT colonography (CTC) is essential to verify the existence of a polyp, which can be a difficult task due to the considerable deformations that will often occur to the colon during repositioning of the patient. This can induce error and increase interpretation time. We propose a novel method to automatically establish correspondence between the two acquisitions. A first step segments a set of haustral folds in each view and determines correspondence via a labelling process using a Markov Random Field (MRF) model. We show how the landmark correspondences can be used to non-rigidly transform a 2D source image derived from a conformal mapping process on the 3D endoluminal surface mesh to achieve full surface correspondence between prone and supine views. This can be used to initialise an intensity-based non-rigid B-spline registration method which further increases the accuracy. We demonstrate a statistically significant improvement over the intensity based non-rigid B-spline registration by using the composite method. © 2012 Springer-Verlag.