Optical flow-based vascular respiratory motion compensation

This paper develops a new vascular respiratory motion compensation algorithm, Motion-Related Compensation (MRC), to conduct vascular respiratory motion compensation by extrapolating the correlation between invisible vascular and visible non-vascular. Robot-assisted vascular intervention can significantly reduce the radiation exposure of surgeons. In robot-assisted image-guided intervention, blood vessels are constantly moving/deforming due to respiration, and they are invisible in the X-ray images unless contrast agents are injected. The vascular respiratory motion compensation technique predicts 2D vascular roadmaps in live X-ray images. When blood vessels are visible after contrast agents injection, vascular respiratory motion compensation is conducted based on the sparse Lucas-Kanade feature tracker. An MRC model is trained to learn the correlation between vascular and non-vascular motions. During the intervention, the invisible blood vessels are predicted with visible tissues and the trained MRC model. Moreover, a Gaussian-based outlier filter is adopted for refinement. Experiments on in-vivo data sets show that the proposed method can yield vascular respiratory motion compensation in 0.032 sec, with an average error 1.086 mm. Our real-time and accurate vascular respiratory motion compensation approach contributes to modern vascular intervention and surgical robots.Comment: This manuscript has been accepted by IEEE Robotics and Automation Letter

Dynamic Analysis of X-ray Angiography for Image-Guided Coronary Interventions

Percutaneous coronary intervention (PCI) is a minimally-invasive procedure for treating patients with coronary artery disease. PCI is typically performed with image guidance using X-ray angiograms (XA) in which coronary arter

Specular reflection removal and bloodless vessel segmentation for 3-D heart model reconstruction from single view images

Three Dimensional (3D) human heart model is attracting attention for its role in medical images for education and clinical purposes. Analysing 2D images to obtain meaningful information requires a certain level of expertise. Moreover, it is time consuming and requires special devices to obtain aforementioned images. In contrary, a 3D model conveys much more information. 3D human heart model reconstruction from medical imaging devices requires several input images, while reconstruction from a single view image is challenging due to the colour property of the heart image, light reflections, and its featureless surface. Lights and illumination condition of the operating room cause specular reflections on the wet heart surface that result in noises forming of the reconstruction process. Image-based technique is used for the proposed human heart surface reconstruction. It is important the reflection is eliminated to allow for proper 3D reconstruction and avoid imperfect final output. Specular reflections detection and correction process examine the surface properties. This was implemented as a first step to detect reflections using the standard deviation of RGB colour channel and the maximum value of blue channel to establish colour, devoid of specularities. The result shows the accurate and efficient performance of the specularities removing process with 88.7% similarity with the ground truth. Realistic 3D heart model reconstruction was developed based on extraction of pixel information from digital images to allow novice surgeons to reduce the time for cardiac surgery training and enhancing their perception of the Operating Theatre (OT). Cardiac medical imaging devices such as Magnetic Resonance Imaging (MRI), Computed Tomography (CT) images, or Echocardiography provide cardiac information. However,these images from medical modalities are not adequate, to precisely simulate the real environment and to be used in the training simulator for cardiac surgery. The propose method exploits and develops techniques based on analysing real coloured images taken during cardiac surgery in order to obtain meaningful information of the heart anatomical structures. Another issue is the different human heart surface vessels. The most important vessel region is the bloodless, lack of blood, vessels. Surgeon faces some difficulties in locating the bloodless vessel region during surgery. The thesis suggests a technique of identifying the vessels’ Region of Interest (ROI) to avoid surgical injuries by examining an enhanced input image. The proposed method locates vessels’ ROI by using Decorrelation Stretch technique. This Decorrelation Stretch can clearly enhance the heart’s surface image. Through this enhancement, the surgeon become enables effectively identifying the vessels ROI to perform the surgery from textured and coloured surface images. In addition, after enhancement and segmentation of the vessels ROI, a 3D reconstruction of this ROI takes place and then visualize it over the 3D heart model. Experiments for each phase in the research framework were qualitatively and quantitatively evaluated. Two hundred and thirteen real human heart images are the dataset collected during cardiac surgery using a digital camera. The experimental results of the proposed methods were compared with manual hand-labelling ground truth data. The cost reduction of false positive and false negative of specular detection and correction processes of the proposed method was less than 24% compared to other methods. In addition, the efficient results of Root Mean Square Error (RMSE) to measure the correctness of the z-axis values to reconstruction of the 3D model accurately compared to other method. Finally, the 94.42% accuracy rate of the proposed vessels segmentation method using RGB colour space achieved is comparable to other colour spaces. Experimental results show that there is significant efficiency and robustness compared to existing state of the art methods

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii