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Dynamic Cone Beam Reconstruction Using a Variational Level Set Formulation Andreas Keil 1 , Jakob Vogel 1 , Gnter Lauritsch 2 , Nassir Navab 1 1 Computer Aided Medical Procedures, TU Mnchen, Germany 2 Siemens Healthcare, Forchheim, Germany


  1. Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation Andreas Keil 1 , Jakob Vogel 1 , Günter Lauritsch 2 , Nassir Navab 1 1 Computer Aided Medical Procedures, TU München, Germany 2 Siemens Healthcare, Forchheim, Germany

  2. Outline Motivation and Assumptions Methods Level Sets Shape and Motion Models Data Terms Results and Discussion Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 2

  3. Motivation :: Clinical Bringing together pre ‐ operative 3D imaging (conventional CT, mainly used for rule ‐ out of stenosis) and intra ‐ interventional angiography (simultaneous diagnosis and intervention) by enabling 4D reconstruction from cone ‐ beam projections . Image courtesy of Siemens Healthcare Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 3

  4. Motivation :: Assumptions Assumption 1: Direct tomographic reconstruction not feasible � Perform symbolic reconstruction in a first step (And use recovered motion in subsequent tomographic reconstruction) Assumption 2: Separation of shape reconstruction and motion estimation not feasible (“chicken and egg”) � Simultaneously estimate shape and motion Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 4

  5. Methods :: Sub ‐ Problems in Our Approach Vessel Enhancement in 2D Dynamic Shape Optimization Goal / Models Data Terms Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 5

  6. Methods :: Vessel Enhancement Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 6

  7. Methods :: Level Sets • Level sets re ‐ introduced by Osher and Sethian in 1988 • Implicitly represented contour / shape Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 7

  8. Methods :: Level Sets • Chan and Vese: Active contours without edges. IEEE Trans. Image Process. , 10(2):266 ‐ 277, 2001 • http://math.berkeley.edu/~sethian/ Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 8

  9. Methods :: Shape and Motion Models • Model shape using level set volume • Model motion using B ‐ splines parameters Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 9

  10. Methods :: Dynamic Level Set Dynamic shape = static shape & motion model shape reg. motion reg. Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 10

  11. Methods :: Data Terms Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 11

  12. Methods :: Data Terms Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 12

  13. Methods :: Data Terms Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 13

  14. Methods :: Data Terms Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 14

  15. Methods :: Data Terms (cont’d) (un ‐ )reconstructed voxel contrary pixel indication weighted penalty Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 15

  16. Methods :: Data Terms (cont’d) (un ‐ )reconstructed voxel contrary pixel indication weighted penalty Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 16

  17. Results :: Synthetic Tubular Shapes Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 17

  18. Results :: Synthetic Coronaries Phantom Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 18

  19. Results :: Quantitative Evaluation Positional errors (for rigid motions, gaussian noise of 25%, 3mm voxel spacing): (sub ‐ voxel accuracy!) Shape errors (for deformable motions, gaussian noise of 30%, 3mm voxel spacing): Sensitivity: 74.2% Specificity: 99.6% Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 19

  20. Summary • Contributions: – Dynamic level sets for reconstruction – Data terms for level set reconstruction • Future work: – Phantom / real data – Refined motion models (breathing and non ‐ periodic motions) • Applicability to real cardiac cone ‐ beam CT: – Mainly depending on vessel extraction in 2D – Reduction of dependency on vessel extraction by • combination with tomographic methods • closing loop from reconstruction to segmentation Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 20

  21. Acknowledgements Siemens Healthcare ( � funding) ( � discussions) Moritz Blume (p. 118), Jan Boese, and Martin Brokate Tobias Klug and LRR @ TUM ( � multi ‐ core system) ( � phantom data) Christopher Rohkohl Fully3D Student Grant Dynamic Cone ‐ Beam Reconstruction Using a Variational Level Set Formulation ‐ Andreas Keil 21

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