Abstract
We present a system to assist in the treatment of tachycardia patients by catheter ablation.
In an augmented reality framework we combine a patient specific preoperative MR model, constructed from a set of transverse, coronal and sagittal images, with intra-cardial voltage potential measurements and fluoroscopic imaging to guide the electrophysiologist. The registration of the model and the fluoroscopic images, which is done by a visual matching technique, enables an easy transfer of the measurement to the pre-operative model. By visualizing annotations of different tissue types and of the measurements, extra insight is gathered about the problem, resulting in improved patient care.
Because of its low cost and similar advantages we believe our approach can compete with existing commercial solutions, which rely on dedicated hardware and costly catheters. First clinical evaluation on 31 patients indicate a considerable advantage in the diagnosis and treatment.
Our future work will consist of improving 2D-3D registration and further automating the measurement procedure.
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References
Dipen C. Shah, Pierre Jais, Michel Haissaguerre, Salah Chouairi, Atsusi Takahashi, Meleze Hocini, Stephane Garrigue, and Jacques Clementy. Three-dimensional Mapping of the Common Atrial Flutter Circuit in the Right Atrium. Circulation, 96(11):3904–3912, 1997.
Lior Gepstein, Gal Hayam, and Shlomo A. Ben-Haim. A Novel Method for Nonfluoroscopic Catheter-Based Electroanatomical Mapping of the Heart: In Vitro and In Vivo Accuracy Results. Circulation, 95(6): 1611–1622, 1997.
Charles C. Gornick, Stuart W. Adler, Brian Pederson, John Hauck, Jeffrey Budd, and Jeff Schweitzer. Validation of a New Noncontact Catheter System for Electroanatomic Mapping of Left Ventricular Endocardium. Circulation, 99(6):829–835, 1999.
Richard J. Schilling, Nicholas S. Peters, and D. Wyn Davies. Simultaneous Endocardial Mapping in the Human Left Ventricle Using a Noncontact Catheter Comparison of Contact and Reconstructed Electrograms During Sinus Rhythm. Circulation, 98 (9):887–898, 1998.
Frederik Maes, Andre Collignon, Dirk Vandermeulen, Guy Marchal, and Paul Suetens. Multimodality image registration by maximization of mutual information. IEEE transactions on Medical Imaging, 16 (2): 187–198, 1997.
S. De Buck, J. Van Cleynenbreugel, G. Marchal, and P. Suetens. Evaluation of a visual matching registration technique for intraoperative surgery support. In Seong K. Mun, editor, Medical Imaging, Visualization, Image-guided Procedures, and Display, pages 492–499, Februari 2002.
Graeme P. Penney, Jürgen Weese, John A. Little, Paul Desmedt, Derek L. G. Hill, and David J. Hawkes. A comparison of similarity measures for use in 2D-3D medical image registration. IEEE Transactions on Medical Imaging, 174):586–595, August 1998.
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© 2003 Springer-Verlag Berlin Heidelberg
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De Buck, S. et al. (2003). An Augmented Reality Approach Using Pre-operative Patient Specific Images to Guide Thermo-Ablation Procedures. In: Ayache, N., Delingette, H. (eds) Surgery Simulation and Soft Tissue Modeling. IS4TM 2003. Lecture Notes in Computer Science, vol 2673. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-45015-7_23
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DOI: https://doi.org/10.1007/3-540-45015-7_23
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