Optimal polyline tracking for artery motion compensation in coronary angiography

We propose a novel solution to the problem of motion compensation of coronary angiographs. As the heart is beating, it is difficult for the physician to observe closely a particular point (e.g. stenosis) on the artery tree. We propose, to rigidly compensate the sequence so that the area around the point of interest appears stable. This is a difficult problem because the arteries deform in a non-rigid manner and only their 2D X-ray projection is observed. Also, the lack of features around the selected point makes the matching subject to the aperture problem. The algorithm automatically extracts a section of the artery of interest, models it as a polyline, and tracks it. The problem is formulated as an energy minimization problem which is solved using a shortest path in a graph algorithm. The motion compensated sequence can be obtained by translating every pixel so that the point of interest remains stable. We have applied this algorithm to many examples in two sets of angiography data and have obtained excellent results.