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International Journal of Computer Assisted Radiology and Surgery

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01-11-2020 | Computed Tomography | Review Article

Catheter navigation support for liver radioembolization guidance: feasibility of structure-driven intensity-based registration

Authors: Houda Hammami, Florent Lalys, Yan Rolland, Antoine Petit, Pascal Haigron

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 11/2020

Abstract

Purpose

The fusion of pre/intraoperative images may improve catheter manipulation during radioembolization (RE) interventions by adding relevant information. The objective of this work is to propose and evaluate the performance of a RE guidance strategy relying on structure-driven intensity-based registration between preoperative CTA and intraoperative X-ray images.

Methods

The navigation strategy is decomposed into three image fusion steps, supporting the catheter navigation from the femoral artery till reaching the injection site (IS). During the pretreatment assessment intervention, the aorta and the origins of its side branches are projected on the intraoperative 2D fluoroscopy following a 3D/2D bone-based registration process, to assist the celiac trunk access. Subsequently, a similar approach consisting in projecting the hepatic vasculature on intraoperative DSA through 3D/2D vessel-based registration is performed to assist the IS location. Lastly, the selected IS is reproduced during the treatment intervention by employing 2D/2D image-based registration between pretreatment and treatment fluoroscopic images.

Results

The three fusion steps were independently evaluated on subsets of 20, 19 and 5 patient cases, respectively. Best results were obtained with gradient difference as similarity measure and with a delimited preoperative vascular structure for vessel-based registration. The approach resulted in qualitatively appropriate anatomical correspondences when projecting the preoperative structures on intraoperative images. With the best configuration, the registration steps showed accuracy and feasibility in aligning data, with global mean landmarks errors of 1.59 mm, 2.32 mm and 2.17 mm, respectively, a computation time that never exceeded 5 s, 25 s and 11 s, respectively, and a user interaction limited to manual initialization of the 3D/2D registration.

Conclusion

An image fusion-based approach has been specifically proposed for RE procedures guidance. The catheter manipulation strategy based on the fusion of pre- and intraoperative images has the potential to support different steps of the RE clinical workflow and to guide the overall procedure.

World Health Organization. https://www.who.int/news-room/fact-sheets/detail/cancer

Jafargholi Rangraz E, Coudyzer W, Maleux G, Baete K, Deroose CM, Nuyts J (2019) Multi-modal image analysis for semi-automatic segmentation of the total liver and liver arterial perfusion territories for radioembolization. EJNMMI Res 9:19CrossRef

Spahr N, Thoduka S, Abolmaali N, Kikinis R, Schenk A (2019) Multimodal image registration for liver radioembolization planning and patient assessment. Int J Comput Assist Radiol Surg 14(2):215–225CrossRef

Garin E, Rolland Y, Edeline J, Icard N, Lenoir L, Laffont S, Mesbah H, Breton M, Sulpice L, Boudjema K, Rohou T, Raoul JL, Clément B, Boucher E (2015) Personalized dosimetry and intensification concept with 90Y-loaded glass microsphere radioembolization induce prolonged overall survival in hepatocellular carcinoma patients with portal vein thrombosis. J Nucl Med 56(3):339–346CrossRef

Puppala S (2019) Technical update on transcatheter arterial chemoembolization. Hepatoma Res. https://doi.org/10.20517/2394-5079.2019.28CrossRef

Clifford MA, Banovac F, Levy E, Cleary K (2002) Assessment of hepatic motion secondary to respiration for computer assisted interventions. Comput Aided Surg Off J Int Soc Comput Aided Surg 7(5):291–299CrossRef

Venkatraman V, Horn MHV, Weeks S, Bullitt E (2004) Liver motion due to needle pressure, cardiac, and respiratory motion during the TIPS procedure. In: Medical Image Computing and Computer-Assisted Intervention—MICCAI 2004, pp 66–72

Blackall JM, King AP, Penney GP, Adam A, Hawkes DJ (2001) A statistical model of respiratory motion and deformation of the liver. In: Medical Image Computing and Computer-Assisted Intervention—MICCAI 2001. Springer, Berlin, pp 1338–1340

Rohlfing T, Maurer CR, O’Dell WG, Zhong J (2004) Modeling liver motion and deformation during the respiratory cycle using intensity-based nonrigid registration of gated MR images. Med Phys 31(3):427–432CrossRef

10.

Ambrosini P, Ruijters D, Niessen WJ, Moelker A, van Walsum T (2015) Continuous roadmapping in liver TACE procedures using 2D–3D catheter-based registration. Int J Comput Assist Radiol Surg 10(9):1357–1370CrossRef

11.

Ambrosini P, Smal I, Ruijters D, Niessen WJ, Moelker A, Van Walsum T (2017) A hidden Markov model for 3D Catheter Tip Tracking With 2D X-ray catheterization sequence and 3D rotational angiography. IEEE Trans Med Imaging 36(3):757–768CrossRef

12.

Bargellini I, Turini F, Bozzi E, Lauretti D, Cicorelli A, Lunardi A, Cioni R, Bartolozzi C (2013) Image fusion of preprocedural CTA with real-time fluoroscopy to guide proper hepatic artery catheterization during transarterial chemoembolization of hepatocellular carcinoma: a feasibility study. Cardiovasc Intervent Radiol 36(2):526–530CrossRef

13.

Guevara JG, Peterlik I, Berger M-O, Cotin S (2018) Biomechanics-based graph matching for augmented CT-CBCT. Int J Comput Assist Radiol Surg 13(6):805–813CrossRef

14.

Kaladji A, Lucas A, Kervio G, Haigron P, Cardon A (2010) Sizing for endovascular aneurysm repair: clinical evaluation of a new automated three-dimensional software. Ann Vasc Surg 24(7):912–920CrossRef

15.

Duménil A, Kaladji A, Castro M, Göksu C, Lucas A, Haigron P (2016) A versatile intensity-based 3D/2D rigid registration compatible with mobile C-arm for endovascular treatment of abdominal aortic aneurysm. Int J Comput Assist Radiol Surg 11(9):1713–1729CrossRef

16.

Kim K, Park S, Hong H, Shin YG (2005) Fast 2D–3D registration using GPU-based preprocessing. In: Proceedings of 7th international workshop on enterprise networking and computing in healthcare industry, 2005. HEALTHCOM 2005, pp 139–143

17.

Kubias A, Deinzer F, Feldmann T, Paulus D (2007) Extended global optimization strategy for rigid 2D/3D image registration. In: Computer analysis of images and patterns, Berlin, pp 759–76794

18.

Sailer AM, Wagemans BA, Das M, de Haan MW, Nelemans PJ, Wildberger JE, Schurink GW (2015) Quantification of respiratory movement of the aorta and side branches. J Endovasc Ther Off J Int Soc Endovasc Spec 22(6):905–911

19.

Raheem A, Carrell T, Modarai B, Penney G (2010) Non-rigid 2D–3D image registration for use in endovascular repair of abdominal aortic aneurysms. Presented at the Medical Image Understanding and Analysis, pp 153–157

20.

Penney GP, Weese J, Little JA, Desmedt P, Hill DLG, Hawkes DJ (1998) A comparison of similarity measures for use in 2D–3D medical image registration. In: Wells WM, Colchester A, Delp S (eds) Medical Image Computing and Computer-Assisted Intervention—MICCAI’98. Springer, Berlin, pp 1153–1161

21.

Lalys F, Favre K, Villena A, Durrmann V, Colleaux M, Lucas A, Kaladji A (2018) A hybrid image fusion system for endovascular interventions of peripheral artery disease. Int J Comput Assist Radiol Surg 13(7):997–1007CrossRef

22.

Wehrenberg-Klee E, Gandhi RT, Ganguli S (2019) Patient selection and clinical outcomes of Y90 in hepatocellular carcinoma. Tech Vasc Interv Radiol 22(2):70–73CrossRef

23.

Wondergem M, Smits ML, Elschot M, de Jong HW, Verkooijen HM, van den Bosch MA, Nijsen JF, Lam MG (2013) 99 mTc-macroaggregated albumin poorly predicts the intrahepatic distribution of 90Y resin microspheres in hepatic radioembolization. J Nucl Med. https://doi.org/10.2967/jnumed.112.117614CrossRef

24.

Kafrouni M, Allimant C, Fourcade M, Vauclin S, Guiu B, Mariano-Goulart D, Bouallègue FB (2019) Analysis of differences between 99mTc-MAA SPECT- and 90Y-microsphere PET-based dosimetry for hepatocellular carcinoma selective internal radiation therapy. EJNMMI Res 9(1):62CrossRef

25.

Knesaurek K, Machac J, Muzinic M, DaCosta M, Zhang Z, Heiba S (2010) Quantitative comparison of yttrium-90 (90Y)-microspheres and technetium-99m (99mTc)-macroaggregated albumin SPECT images for planning 90Y therapy of liver cancer. Technol Cancer Res Treat 9(3):253–262CrossRef

26.

Varnavas A, Carrell T, Penney G (2013) Increasing the automation of a 2D-3D registration system. IEEE Trans Med Imaging 32(2):387–399CrossRef

Title: Catheter navigation support for liver radioembolization guidance: feasibility of structure-driven intensity-based registration
Authors: Houda Hammami
Florent Lalys
Yan Rolland
Antoine Petit
Pascal Haigron
Publication date: 01-11-2020
Publisher: Springer International Publishing
Keywords: Computed Tomography
Computed Tomography
Published in: International Journal of Computer Assisted Radiology and Surgery / Issue 11/2020
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI: https://doi.org/10.1007/s11548-020-02250-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Catheter navigation support for liver radioembolization guidance: feasibility of structure-driven intensity-based registration

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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