从双视角X光视频重建冠状动脉三维树状结构,提升手术导航精度。
3D Reconstruction of Coronary Vessel Trees from Biplanar X-Ray Images Using a Geometric Approach
- 通过追踪导管等固定物匹配呼吸心跳相位,减少图像误差。
- 利用语义分割区分血管、球囊与导管,准确识别关键解剖点。
- 新几何算法通过表面交线计算三维中心线,精度达0.62mm。
X射线血管造影广泛用于心脏介入治疗中可视化冠状动脉、评估血管完整性、检测狭窄并指导治疗。本文提出一种从双视角X射线视频重建冠状动脉三维树状结构的框架,视频由不同C臂角度拍摄。框架包含图像分割、运动相位匹配和三维重建三部分:采用自动视频分割方法实现语义分割,以支持图像分割与运动相位匹配;运动相位匹配通过追踪导管或电极等固定物体,选取呼吸与心跳周期相近的图像对,降低重建误差;语义分割方法对不同物体类别(血管、球囊、导管)进行标注,实现精准区分。选定合适图像对后,使用启发式方法匹配两视图中的关键解剖点(分支点与端点),随后提出一种新型几何重建算法,通过求解两个三维曲面的交线计算三维血管中心线。相比传统基于对极约束的方法,该方法简化流程并提升整体精度。分割方法在62段X射线血管造影视频上训练验证,测试集分割准确率达0.703。三维重建通过关键解剖点重投影误差评估,平均误差为0.62mm ± 0.38mm。
原文摘要 · Abstract (English)
X-ray angiography is widely used in cardiac interventions to visualize coronary vessels, assess integrity, detect stenoses and guide treatment. We propose a framework for reconstructing 3D vessel trees from biplanar X-ray images which are extracted from two X-ray videos captured at different C-arm angles. The proposed framework consists of three main components: image segmentation, motion phase matching, and 3D reconstruction. An automatic video segmentation method for X-ray angiography to enable semantic segmentation for image segmentation and motion phase matching. The goal of the motion phase matching is to identify a pair of X-ray images that correspond to a similar respiratory and cardiac motion phase to reduce errors in 3D reconstruction. This is achieved by tracking a stationary object such as a catheter or lead within the X-ray video. The semantic segmentation approach assigns different labels to different object classes enabling accurate differentiation between blood vessels, balloons, and catheters. Once a suitable image pair is selected, key anatomical landmarks (vessel branching points and endpoints) are matched between the two views using a heuristic method that minimizes reconstruction errors. This is followed by a novel geometric reconstruction algorithm to generate the 3D vessel tree. The algorithm computes the 3D vessel centrelines by determining the intersection of two 3D surfaces. Compared to traditional methods based on epipolar constraints, the proposed approach simplifies there construction workflow and improves overall accuracy. We trained and validated our segmentation method on 62 X-ray angiography video sequences. On the test set, our method achieved a segmentation accuracy of 0.703. The 3D reconstruction framework was validated by measuring the reconstruction error of key anatomical landmarks, achieving a reprojection errors of 0.62mm +/- 0.38mm.
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