Constrained Stochastic State Estimation for 3D Shape Reconstruction of Catheters and Guidewires in Fluoroscopic Images

Minimally invasive fluoroscopy-based procedures are the gold standard for diagnosis and treatment of various pathologies of the cardiovascular system. This kind of procedures imply for the clinicians to infer the 3D shape of the device from 2D images, which is known to be an ill-posed problem. In this paper we present a method to reconstruct the 3D shape of the interventional device, with the aim of improving the navigation. The method combines a physics-based simulation with non-linear Bayesian filter. Whereas the physics-based model provides a prediction of the shape of the device navigating within the blood vessels (taking into account non-linear interactions between the catheter and the surrounding anatomy), an Unscented Kalman Filter is used to correct the navigation model using 2D image features as external observations. The proposed framework has been evaluated on both synthetic and real data, under different model parameterization, filter parameters tuning and external observations data-sets. Comparing the reconstructed 3D shape with a known ground truth, for the synthetic data-set, we obtained an average 3D Hausdorff distance of 0.07 ± 0.37 mm; the 3D distance at the tip equal to 0.021 ± 0.009 mm and the 3D mean distance at the distal segment of the catheter equal to 0.02 ± 0.008 mm. For the real data-set, the obtained average 3D Hausdorff Distance was of 0.95 ± 0.35 mm, the average 3D distance at the tip is equal to 0.7 ± 0.45 mm with an average 3D mean distance at the distal segment of 0.7 ± 0.46 mm. These results show the ability of our method to retrieve the 3D shape of the device, under a variety of filter parameterizations and challenging conditions: errors on the friction coefficient, ambiguous views and non-linear complex phenomena such as stick and slip motions

Constrained Stochastic State Estimation of Deformable 1D Objects: Application to Single-view 3D Reconstruction of Catheters with Radio-opaque Markers

International audienceMinimally invasive fluoroscopy-based procedures are the gold standard for diagnosis and treatment of various pathologies of the cardiovascular system. This kind of procedures imply for the clinicians to infer the 3D shape of the device from 2D images, which is known to be an ill-posed 10 problem. In this paper we present a method to reconstruct the 3D shape of the interventional device, with the aim of improving the navigation. The method combines a physics-based simulation with non-linear Bayesian filter. Whereas the physics-based model provides a prediction of the shape of the device navigating within the blood vessels (taking into account non-linear interactions be-15 tween the catheter and the surrounding anatomy), an Unscented Kalman Filter is used to correct the navigation model using 2D image features as external observations. The proposed framework has been evaluated on both synthetic and real data, under different model parameterizations, filter parameters tuning and external observations data-sets. Comparing the reconstructed 3D shape with a known ground truth, for the synthetic data-set, we obtained average values for 3D Hausdorff Distance of $0.81 ± 0.53 mm$, for the 3D mean distance at the segment of $0.37 ± 0.17$ mm and an average 3D tip error of $0.24 ± 0.13 mm$. For the real data-set,we obtained an average 3D Hausdorff distance of $1.74 ± 0.77 mm$, a average 3D mean distance at the distal segment of 0.91 ± 0.14 mm, an average 3D error on the tip of $0.53 ± 0.09 mm$. These results show the ability of our method to retrieve the 3D shape of the device, under a variety of filter parameterizations and challenging conditions: uncertainties on model parameterization, ambiguous views and non-linear complex phenomena such as stick and slip motions

Constrained Stochastic State Estimation of Deformable 1D Objects: Application to Single-view 3D Reconstruction of Catheters with Radio-opaque Markers

International audienceMinimally invasive fluoroscopy-based procedures are the gold standard for diagnosis and treatment of various pathologies of the cardiovascular system. This kind of procedures imply for the clinicians to infer the 3D shape of the device from 2D images, which is known to be an ill-posed 10 problem. In this paper we present a method to reconstruct the 3D shape of the interventional device, with the aim of improving the navigation. The method combines a physics-based simulation with non-linear Bayesian filter. Whereas the physics-based model provides a prediction of the shape of the device navigating within the blood vessels (taking into account non-linear interactions be-15 tween the catheter and the surrounding anatomy), an Unscented Kalman Filter is used to correct the navigation model using 2D image features as external observations. The proposed framework has been evaluated on both synthetic and real data, under different model parameterizations, filter parameters tuning and external observations data-sets. Comparing the reconstructed 3D shape with a known ground truth, for the synthetic data-set, we obtained average values for 3D Hausdorff Distance of $0.81 ± 0.53 mm$, for the 3D mean distance at the segment of $0.37 ± 0.17$ mm and an average 3D tip error of $0.24 ± 0.13 mm$. For the real data-set,we obtained an average 3D Hausdorff distance of $1.74 ± 0.77 mm$, a average 3D mean distance at the distal segment of 0.91 ± 0.14 mm, an average 3D error on the tip of $0.53 ± 0.09 mm$. These results show the ability of our method to retrieve the 3D shape of the device, under a variety of filter parameterizations and challenging conditions: uncertainties on model parameterization, ambiguous views and non-linear complex phenomena such as stick and slip motions

3D Reconstruction of Interventional Material from Very Few X-Ray Projections for Interventional Image Guidance

Today, minimally invasive endovascular interventions are usually guided by 2D fluoroscopy, i.e. a live 2D X-ray image. However, 3D fluoroscopy, i.e. a live 3D image reconstructed from a stream of 2D X-ray images, could improve spatial awareness. 3D fluoroscopy is, however, not used today, since no appropriate 3D reconstruction algorithm is known. Existing algorithms for the real-time reconstruction of interventional material (guidewires, stents, catheters, etc.) are either only capable of reconstructing a single guidewire or catheter, or use too many X-ray images and therefore too much dose per 3D reconstruction. The goal of this thesis was to reconstruct complex arrangements of interventional material from as few X-ray images as possible. To this end, a previously proposed algorithm for the reconstruction of interventional material from four X-ray images was adapted. Five key improvements allowed to reduce the number of X-ray images per 3D reconstruction from four to two: a) use of temporal information in a rotating imaging setup, b) separate reconstruction of different types of interventional material enabled by the computation of semantic interventional material extraction images, c) compensation of stent motion by spatial transformer networks, d) per-projection backprojection and e) binarization of the guidewire extraction images. While previously only single curves could be reconstructed from two newly acquired X-ray images, the proposed pipeline can reconstruct stents and even stent-guidewire combinations. Submillimeter reconstruction accuracy was demonstrated on measured X-ray images of interventional material inside an anthropomorphic phantom with simulated respiratory motion. Measurements of the dose area product rate of the proposed 3D reconstruction pipeline indicate a dose burden roughly similar to that of 2D fluoroscopy