Johns Hopkins University

Michael Ketcha

Jeffrey H Siewerdsen

Ali Uneri

Jean-Paul Wolinsky

Wathudurage Tharindu deSilva

Sureerat Reaungamornrat

Wathudurage Tharindu De Silva

Matthew W Jacobson

An embodiment in accordance with the present invention provides a method for 3D-2D registration (for example, registration of a 3D CT image to a 2D radiograph) that permits deformable motion between structures defined in the 3D image based on a series of locally rigid transformations. This invention utilizes predefined annotations in 3D images (e.g., the location of anatomical features of interest) to perform multiple locally rigid registrations that yield improved accuracy in aligning structures that have undergone deformation between the acquisition of the 3D and 2D images (e.g., a preoperative CT compared to an intraoperative radiograph). The 3D image is divided into subregions that are masked according to the annotations, and the registration is computed simultaneously for each divided region by incorporating a volumetric masking method within the 3D-2D registration process.

Method for deformable 3D-2D registration using multiple locally rigid registrations

The present invention is directed to an alternative geometric calibration method based on a calibration phantom with multiple line-shaped markers. The markers can in some embodiments take the form of radio-opaque wires. Line fiducials overcome the occlusion hazards of spherical fiducials, because their projections overlap very mildly as long as the wires are mutually non-coplanar in 3D. This makes the phantom amenable to a wider range of orbits and less sensitive to phantom positioning. Equations relating the pose of 3D line-shaped objects to their 2D radiographic projections are then used as the basis for view-by-view geometry estimation. The technique can flexibly accommodate a wide range of different CT scan trajectories, including strongly noncircular trajectories known to provide better image quality than standard circular scans.

Geometric calibration for cone beam CT using line fiducials

An embodiment in accordance with the present invention provides a technique for localizing structures of interest in projection images (e.g., x-ray projection radiographs or fluoroscopy) based on structures defined in a preoperative 3D image (e.g., MR or CT). Applications include, but are not limited to, spinal interventions. The present invention achieves 3D-2D image registration (and particularly allowing use with a preoperative MR image) by segmenting the structures of interest in the preoperative 3D image and generating a simulated projection of the segmented structures to be aligned with the 2D projection image. Other applications include various clinical scenarios involving 3D-2D image registration, such as image-guided cranial neurosurgery, orthopedic surgery, biopsy, and radiation therapy.

MR-levelcheck-2: method for localization of structures in projection images

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Baltimore, MD, United States of America

Michael Ketcha