TY - JOUR
T1 - Real-Time 3D Instrument Tip Tracking Using 2D X-ray Fluoroscopy with Vessel Deformation Correction under Free Breathing
AU - Yang, Shuo
AU - Xiao, Deqiang
AU - Geng, Haixiao
AU - Ai, Danni
AU - Fan, Jingfan
AU - Fu, Tianyu
AU - Song, Hong
AU - Duan, Feng
AU - Yang, Jian
N1 - Publisher Copyright:
© 2024 IEEE.
PY - 2024
Y1 - 2024
N2 - Objective: Accurate localization of the instrument tip within the hepatic vein is crucial for the success of transjugular intrahepatic portosystemic shunt (TIPS) procedures. Real-time tracking of the instrument tip in X-ray images is greatly influenced by vessel deformation due to patient's pose variation, respiratory motion, and puncture manipulation, frequently resulting in failed punctures. Method: We propose a novel framework called deformable instrument tip tracking (DITT) to obtain the real-time tip positioning within the 3D deformable vasculature. First, we introduce a pose alignment module to improve the rigid matching between the preoperative vessel centerline and the intraoperative instrument centerline, in which the accurate matching of 3D/2D centerline features is implemented with an adaptive point sampling strategy. Second, a respiration compensation module using monoplane X-ray image sequences is constructed and provides the motion prior to predict intraoperative liver movement. Third, a deformation correction module is proposed to rectify the vessel deformation during procedures, in which a manifold regularization and the maximum likelihood-based acceleration are introduced to obtain the accurate and fast deformation learning. Results: Experimental results on simulated and clinical datasets show an average tracking error of 1.59 ± 0.57 mm and 1.67 ± 0.54 mm, respectively. Conclusion: Our framework can track the tip in 3D vessel and dynamically overlap the branch roadmapping onto X-ray images to provide real-time guidance. Significance: Accurate and fast (43 ms per frame) tip tracking with the proposed framework possesses a good potential for improving the outcomes of TIPS treatment and minimizes the usage of contrast agent.
AB - Objective: Accurate localization of the instrument tip within the hepatic vein is crucial for the success of transjugular intrahepatic portosystemic shunt (TIPS) procedures. Real-time tracking of the instrument tip in X-ray images is greatly influenced by vessel deformation due to patient's pose variation, respiratory motion, and puncture manipulation, frequently resulting in failed punctures. Method: We propose a novel framework called deformable instrument tip tracking (DITT) to obtain the real-time tip positioning within the 3D deformable vasculature. First, we introduce a pose alignment module to improve the rigid matching between the preoperative vessel centerline and the intraoperative instrument centerline, in which the accurate matching of 3D/2D centerline features is implemented with an adaptive point sampling strategy. Second, a respiration compensation module using monoplane X-ray image sequences is constructed and provides the motion prior to predict intraoperative liver movement. Third, a deformation correction module is proposed to rectify the vessel deformation during procedures, in which a manifold regularization and the maximum likelihood-based acceleration are introduced to obtain the accurate and fast deformation learning. Results: Experimental results on simulated and clinical datasets show an average tracking error of 1.59 ± 0.57 mm and 1.67 ± 0.54 mm, respectively. Conclusion: Our framework can track the tip in 3D vessel and dynamically overlap the branch roadmapping onto X-ray images to provide real-time guidance. Significance: Accurate and fast (43 ms per frame) tip tracking with the proposed framework possesses a good potential for improving the outcomes of TIPS treatment and minimizes the usage of contrast agent.
KW - adaptive sampling
KW - deformation correction
KW - respiration compensation
KW - tip tracking
KW - X-ray image-guided intervention
UR - http://www.scopus.com/inward/record.url?scp=85210975482&partnerID=8YFLogxK
U2 - 10.1109/TBME.2024.3508840
DO - 10.1109/TBME.2024.3508840
M3 - Article
AN - SCOPUS:85210975482
SN - 0018-9294
JO - IEEE Transactions on Biomedical Engineering
JF - IEEE Transactions on Biomedical Engineering
ER -