Evaluation of the use of multimodality skin markers for the registration of pre-procedure cardiac MR images and intra-procedure x-ray fluoroscopy images for image guided cardiac electrophysiology procedures

Rhode, Kawal, Ma, YingLiang ORCID: https://orcid.org/0000-0001-5770-5843, Chandrasena, Angela, King, Andrew, Gao, Gang, Chinchapatnam, Phani, Sermesant, Maxime, Hawkes, David, Schaeffter, Tobias, Gill, Jaswinder and Razavi, Reza (2008) Evaluation of the use of multimodality skin markers for the registration of pre-procedure cardiac MR images and intra-procedure x-ray fluoroscopy images for image guided cardiac electrophysiology procedures. In: Progress in Biomedical Optics and Imaging - Proceedings of SPIE. UNSPECIFIED. ISBN 16057422

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Abstract

This paper presents the evaluation of the use of multimodality skin markers for the registration of cardiac magnetic resonance (MR) image data to x-ray fluoroscopy data for the guidance of cardiac electrophysiology procedures. The approach was validated using a phantom study and 3 patients undergoing pulmonary vein (PV) isolation for the treatment of paroxysmal atrial fibrillation. In the patient study, skin markers were affixed to the patients' chest and used to register pre-procedure cardiac MR image data to intra-procedure fluoroscopy data. Registration errors were assessed using contrast angiograms of the left atrium that were available in 2 out of 3 cases. A clinical expert generated "gold standard" registrations by adjusting the registration manually. Target registration errors (TREs) were computed using points on the PV ostia. Ablation locations were computed using biplane x-ray imaging. Registration errors were further assessed by computing the distances of the ablation points to the registered left atrial surface for all 3 patients. The TREs were 6.0 & 3.1mm for patients 1 & 2. The mean ablation point errors were 6.2, 3.8, & 3.0mm for patients 1, 2, & 3. These results are encouraging in the context of a 5mm clinical accuracy requirement for this type of procedure. We conclude that multimodality skin markers have the potential to provide anatomical image integration for x-ray guided cardiac electrophysiology procedures, especially if coupled with an accurate respiratory motion compensation strategy.

Item Type: Book Section
Faculty \ School: Faculty of Science > School of Computing Sciences
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Depositing User: LivePure Connector
Date Deposited: 06 Jan 2023 11:32
Last Modified: 06 Jan 2023 11:32
URI: https://ueaeprints.uea.ac.uk/id/eprint/90446
DOI: 10.1117/12.770172

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