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International Journal of Computer Assisted Radiology and Surgery

Published in:

01-11-2019 | Original Article

Simultaneous reconstruction of multiple stiff wires from a single X-ray projection for endovascular aortic repair

Authors: Katharina Breininger, Moritz Hanika, Mareike Weule, Markus Kowarschik, Marcus Pfister, Andreas Maier

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 11/2019

Abstract

Purpose

Endovascular repair of aortic aneurysms (EVAR) can be supported by fusing pre- and intraoperative data to allow for improved navigation and to reduce the amount of contrast agent needed during the intervention. However, stiff wires and delivery devices can deform the vasculature severely, which reduces the accuracy of the fusion. Knowledge about the 3D position of the inserted instruments can help to transfer these deformations to the preoperative information.

Method

We propose a method to simultaneously reconstruct the stiff wires in both iliac arteries based on only a single monoplane acquisition, thereby avoiding interference with the clinical workflow. In the available X-ray projection, the 2D course of the wire is extracted. Then, a virtual second view of each wire orthogonal to the real projection is estimated using the preoperative vessel anatomy from a computed tomography angiography as prior information. Based on the real and virtual 2D wire courses, the wires can then be reconstructed in 3D using epipolar geometry.

Results

We achieve a mean modified Hausdorff distance of 4.2 mm between the estimated 3D position and the true wire course for the contralateral side and 4.5 mm for the ipsilateral side.

Conclusion

The accuracy and speed of the proposed method allow for use in an intraoperative setting of deformation correction for EVAR.

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Title: Simultaneous reconstruction of multiple stiff wires from a single X-ray projection for endovascular aortic repair
Authors: Katharina Breininger
Moritz Hanika
Mareike Weule
Markus Kowarschik
Marcus Pfister
Andreas Maier
Publication date: 01-11-2019
Publisher: Springer International Publishing
Published in: International Journal of Computer Assisted Radiology and Surgery / Issue 11/2019
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI: https://doi.org/10.1007/s11548-019-02052-7

At a glance: The STEP trials

Springer Medicine

Simultaneous reconstruction of multiple stiff wires from a single X-ray projection for endovascular aortic repair

Abstract

Purpose

Method

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

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