Abstract
Purpose
Image-based tracking for motion compensation is an important topic in image-guided interventions, as it enables physicians to operate in a less complex space. In this paper, we propose an automatic motion compensation scheme to boost image guidence power in transcatheter aortic valve implantation (TAVI).
Methods
The proposed tracking algorithm automatically discovers reliable regions that correlate strongly with the target. These discovered regions can assist to estimate target motion under severe occlusion, even if target tracker fails.
Results
We evaluate the proposed method for pigtail tracking during TAVI. We obtain significant improvement (12 %) over the baseline in a clinical dataset. Calcification regions are automatically discovered during tracking, which would aid TAVI processes.
Conclusion
In this work, we open a new paradigm to provide dynamic real-time guidance for TAVI without user interventions, specially in case of severe occlusion where conventional tracking methods are challenged.






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References
Aregger F, Wenaweser P, Hellige GJ, Kadner A, Carrel T, Windecker S, Frey FJ (2009) Risk of acute kidney injury in patients with severe aortic valve stenosis undergoing transcatheter valve replacement. Nephrol Dial Transplant 24:2175–2179
Chapelle O, Schlkopf B, Zien A (2010) Semi-supervised learning. MIT Press, Cambridge
Chen T, Wang Y, Durlak P, Comaniciu D (2012) Real time assistance for stent positioning and assessment by self-initialized tracking. In: Proceedings of the MICCAI, pp 405–413
Dinh TB, Vo N, Medioni G (2011) Context tracker: exploring supporters and distracters in unconstrained environments. In: Proceedings of the CVPR, pp 1177–1184
Elhmidi Y, Bleiziffer S, Deutsch MA, Krane M, Mazzitelli D, Lange R, Piazza N (2014) Acute kidney injury after transcatheter aortic valve implantation: incidence, predictors and impact on mortality. Arch Cardiovasc Dis 107:133–139
Elqursh A, Elgammal A (2013) Online motion segmentation using dynamic label propagation. In: Proceedings of the ICCV
Ernst J, Singh MK, Ramesh V (2012) Discrete texture traces: topological representation of geometric context. In: IEEE conference on computer vision and pattern recognition (CVPR), 2012, pp 422–429. IEEE
Grabner H, Matas J, Gool LV, Cattin P (2010) Tracking the invisible: learning where the object might be. In: Proceedings of the CVPR, pp 1285–1292
Kalal Z, Mikolajczyk K, Matas J (2012) Tracking-learning-detection. In: IEEE transactions on pattern analysis and machine intelligence
Karar M, John M, Holzhey D, Falk V, Mohr FW, Burgert O (2011) Model-updated image-guided minimally invasive off-pump transcatheter aortic valve implantation. Proc MICCAI 6891:275–282
Lin T, Cerviño L, Tang X, Vasconcelos N, Jiang S (2009) Fluoroscopic tumor tracking for image-guided lung cancer radiotherapy. Phys Med Biol 54(4):981
Lucas BD, Kanade T (1981) An iterative image registration technique with an application to stereo vision. IJCAI 81:674–679
Nguyen D, Garreau M, Auffret V, Breton HL, Verhoye J, Haigron P (2013) Intraoperative tracking of aortic valve plane. In: IEEE engineering in medicine and biology society, pp 4378–4381
Shi J, Tomasi C (1994) Good features to track. Proc CVPR 14(1):593–600
Tzoumas S, Wang P, Zheng Y, John M, Comaniciu D (2012) Robust pigtail catheter tip detection in fluoroscopy. In: Proceedings of the SPIE 8316
Wang P, Zheng Y, John M, Comaniciu D (2012) Catheter tracking via online learning for dynamic motion compensation in transcatheter aortic valve implantation. In: Proceedings of the MICCAI
Wijesinghe N, Masson JB, Nietlispach F, Tay E, Gurvitch R, Blumenfeld A, Brada R, Wood DA, Webb JG (2010) A novel real-time image processor to facilitate transcatheter aortic valve implantation. The Paieon’s C-THV system. J Am Coll Cardiol 55(10):A147–E1384
Yang M, Wu Y, Hua G (2008) Context-aware visual tracking. Proc CVPR 31(7):1195–1209
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Author Terrence Chen has received research grants from Siemens medical solutions, Inc.
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Xia, Y., Hussein, S., Singh, V. et al. Context region discovery for automatic motion compensation in fluoroscopy. Int J CARS 11, 977–985 (2016). https://doi.org/10.1007/s11548-016-1362-y
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DOI: https://doi.org/10.1007/s11548-016-1362-y