Image-based deformable motion compensation for interventional cone-beam CT

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Interventional cone-beam CT (CBCT) is used for 3D guidance in interventional radiology (IR) procedures in the abdomen, with extended presence in trans-arterial chemoembolization (TACE) interventions for liver cancer. Image quality in this scenario is challenged by complex motion of soft-tissue abdominal structures, and by long acquisition times. We propose an image-based approach to estimate complex deformable motion through a combination of locally rigid motion trajectories. Methods: Deformable motion is estimated by minimizing a multi-region autofocus cost function. Motion is considered locally rigid for each region of interest (ROI) and the deformable motion field is obtained through spatial spline-based interpolation of the local trajectories. The multi-component cost function includes two regularization terms; one to penalize abrupt temporal transitions, and another to penalize abrupt spatial changes in the trajectory. Performance of deformable motion compensation was assessed in simulation studies with a digital abdomen phantom featuring a motion-induced deformable liver in static surrounding anatomy. Spherical inserts (4 - 12 mm diameter, -100 - 100 HU contrast) were placed in the liver. Image quality was evaluated by structural similarity (SSIM) with the static image as reference. Results: Motion compensated liver images showed better delineation of structure boundaries and recovery of distorted spherical shapes compared to their motion-corrupted counterparts. Consistent increase in SSIM was observed after motion compensation for the range of motion amplitudes studied (4 mm to 10 mm), showing 11% and 26% greater SSIM for 4 mm and 10 mm motion, respectively. Conclusion: The results indicate feasibility of image-based deformable motion compensation in soft-tissue abdominal CBCT imaging.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2019
Subtitle of host publicationPhysics of Medical Imaging
EditorsHilde Bosmans, Guang-Hong Chen, Taly Gilat Schmidt
PublisherSPIE
ISBN (Electronic)9781510625433
DOIs
StatePublished - Jan 1 2019
EventMedical Imaging 2019: Physics of Medical Imaging - San Diego, United States
Duration: Feb 17 2019Feb 20 2019

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume10948
ISSN (Print)1605-7422

Conference

ConferenceMedical Imaging 2019: Physics of Medical Imaging
CountryUnited States
CitySan Diego
Period2/17/192/20/19

Keywords

  • Cone-beam CT
  • Intraoperative imaging
  • Motion compensation
  • Soft-tissue imaging

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Atomic and Molecular Physics, and Optics
  • Biomaterials
  • Radiology Nuclear Medicine and imaging

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