Image Guided Mitral Valve Replacement: Registration of 3D Ultrasound and 2D X-ray Images

• Type of Material: Article
• Authors: James D. Dormer, University of Texas Dallas; MD Fiaz Islam Bhuiyan, University of Texas Dallas; Nahian Rahman, Georgia Institute of Technology; Nancy Deaton, Georgia Institute of Technology; Jun Sheng, University of California Riverside; Muralidhar Padala, Emory University; Jaydev Desai, Emory University; Baowei Fei, Emory University
• Language: English
• Date: 2021-01-01
• Publisher: SPIE
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © (2020) Society of Photo-Optical Instrumentation Engineers (SPIE).
• Final Published Version (URL): http://dx.doi.org/10.1117/12.2549407
• Title of Journal or Parent Work: Medical Imaging 2020: Image-Guided Procedures, Robotic Interventions, and Modeling
• Volume: 11315
• Grant/Funding Information: This research was supported in part by the U.S. National Institutes of Health (NIH) grants (R01CA156775, R01CA204254, R01HL140325, and R21CA231911) and by the Cancer Prevention and Research Institute of Texas (CPRIT) grant RP190588.
• Keywords: Engineering, Biomedical; Technology; Regurgitation; Physical Sciences; Imaging Science & Photographic Technology; Engineering; Optics; Science & Technology
• Research Categories: Health Sciences, Medicine and Surgery; Health Sciences, Radiology; Physics, Optics; Engineering, Biomedical

Abstract

Mitral valve repair or replacement is important in the treatment of mitral regurgitation. For valve replacement, a transcatheter approach had the possibility of decrease the invasiveness of the procedure while retaining the benefit of replacement over repair. However, fluoroscopy images acquired during the procedure provide no anatomical information regarding the placement of the probe tip once the catheter has entered a cardiac chamber. By using 3D ultrasound and registering the 3D ultrasound images to the fluoroscopy images, a physician can gain a greater understanding of the mitral valve region during transcatheter mitral valve replacement surgery. In this work, we present a graphical user interface which allows the registration of two co-planar X-ray images with 3D ultrasound during mitral valve replacement surgery.