Research project

3-D Catheter localization for Cardiac Ablation Procedures using biplane Fluoroscopy

Atrial fibrillation is one of the most common sustained heart arrhythmia and a leading cause of stroke. The treatment by catheter ablation, a minimally invasive procedure performed using fluoroscopic image guidance, has become the treatment of choice.

Fluoroscopic overlay images rendered from pre-operative volumetric data, e.g. CT, MRI, or C-Arm CT, provide additional guidance for physicians during these catheter ablations.

The aim of this research project is the development of an integrated system for planning, navigation and verification of electrophysiological (EP) investigations and ablation procedures. The Research project includes the following subprojects:

Catheter localization in biplane fluoroscopy images
meaningful visualization for navigation and verification
semi- or fully-automatic 2D/3D registration of 3-D volume

data sets to biplane fluoroscopy images of a patient

automatic methods for motion compensation
integration and appropriate visualization of external

signals, e.g. sensor data acquired at the catheter tip

Project manager:
Dr. Norbert Strobel

Project participants:
Dipl.-Inf. Martin Koch, Dr.-Ing. Matthias Weidler, Dr.-Ing. Alexander Brost, Dr. Norbert Strobel

Keywords:
registration; motion compensation; signal processing; visualization

Duration: 1.7.2010 - 31.12.2013

Sponsored by:
Bundesministerium für Bildung und Forschung

Mitwirkende Institutionen:
Siemens AG, Healthcare Sector
Zentralinstitut für Medizintechnik

Contact:
Koch, Martin
E-Mail: martin.koch@cs.fau.de

Publications

Koch, Martin ; Langenkamp, Arne ; Kiraly, Atilla ; Brost, Alexander ; Strobel, Norbert ; Hornegger, Joachim: Navigation System with Contact Force Assessment to Guide Pulmonary Vein Isolation Procedures. In: SMIT Society (Ed.) : 23rd Conference of the Society for Medical Innovation and Technology (SMIT) (23rd Conference of the Society for Medical Innovation and Technology (SMIT) Tel Aviv, Israel September 13-16, 2011). 2011, pp 1-2.

Bourier, Felix ; Heißenhuber, Frank ; Schneider, Hans-Jürgen ; Ganslmeier, Patrycja ; Fischer, Robert ; Brost, Alexander ; Koch, Martin ; Strobel, Norbert ; Hornegger, Joachim ; Kurzidim, Klaus: 3D-Funktionalität und Navigation durch einen Siemens-Prototypen in der biplanen Fluoroskopie zur Pulmonalvenenisolation. In: Deutsche Gesellschaft für Kardiologie (Ed.) : 77. Jahrestagung (Frühjahrestagung der Deutschen Gesellschaft für Kardiologie Mannheim 27.04. - 30.04.2011). 2011, pp 73.

Brost, Alexander ; Bourier, Felix ; Kleinoeder, Andreas ; Raab, Jens ; Koch, Martin ; Stamminger, Marc ; Hornegger, Joachim ; Strobel, Norbert ; Kurzidim, Klaus: AFiT - Atrial Fibrillation Ablation Planning Tool. In: EUROGRAPHICS - European Association For Computer Graphics (Ed.) : VMV (Proceedings of the Vision, Modeling, and Visualization Workshop 2011, Berlin, Germany, 4-6 October, 2011 Berlin 4-6 October). 2011, pp 223-230.

Brost, Alexander ; Wimmer, Andreas ; Liao, Rui ; Hornegger, Joachim ; Strobel, Norbert: Constrained 2-D/3-D Registration for Motion Compensation in AFib Ablation Procedures. In: Springer (Ed.) : Lecture Notes in Computer Science (Information Processing in Computer-Assisted Interventions Berlin 22.06. - 23.06.2011). Vol. 6689. Berlin / Heidelberg : Springer, 2011, pp 133-144. (Lecture Notes in Computer Science Vol. 6689)

Bourier, Felix ; Brost, Alexander ; Koch, Martin ; Kleinoeder, Andreas ; Kiraly, Atilla ; Hornegger, Joachim ; Strobel, Norbert ; Zorger, Niels ; Schneider, Hans-Juergen ; Kurzidim, Klaus: Guiding transseptal puncture by 3D-overlay of the left atrium and ascending aorta by a new softwareprototype. In: European Society of Cardiology (Ed.) : ESC Congress (ESC Congress 2011 Paris, France 27.08. - 32.08.2011). 2011, pp P3595.

Bourier, Felix ; Schneider, Hans-Jürgen ; Ganslmeier, Patrycja ; Heißenhuber, Frank ; Fischer, Robert ; Brost, Alexander ; Koch, Martin ; Strobel, Norbert ; Hornegger, Joachim ; Kurzidim, Klaus: Unterstuetzung der transseptalen Punktion durch vorherige Überlagerung eines 3D-Volumens von linkem Atrium und Aorta. In: Deutsche Gesellschaft für Kardiologie (Ed.) : 77. Jahrestagung (Frühjahrestagung der Gesellschaft für Kardiologie Mannheim 27.04. - 30.04.2011). 2011, pp 228.

Brost, Alexander ; Wimmer, Andreas ; Liao, Rui ; Bourier, Felix ; Koch, Martin ; Strobel, Norbert ; Kurzidim, Klaus ; Hornegger, Joachim: Constrained Registration for Motion Compensation in Atrial Fibrillation Ablation Procedures. In: IEEE Transactions on Medical Imaging 31 (2012), No. 4, pp 870-881
[doi>10.1109/TMI.2011.2181184]

Koch, Martin ; Brost, Alexander ; Kiraly, Atilla ; Strobel, Norbert ; Hornegger, Joachim: Post-Procedural Evaluation of Catheter Contact Force Characteristics. In: Bram van Ginneken; Carol L. Novak (Ed.) : SPIE Medical Imaging 2012: Computer-Aided Diagnosis (SPIE Medical Imaging 2012: Computer-Aided Diagnosis San Diego, CA, USA February 04.-09.). Vol. 8315. 2012, pp 83152J.

Brost, Alexander ; Bourier, Felix ; Wimmer, Andreas ; Koch, Martin ; Kiraly, Atilla ; Liao, Rui ; Kurzidim, Klaus ; Hornegger, Joachim ; Strobel, Norbert: Real-time circumferential mapping catheter tracking for motion compensation in atrial fibrillation ablation procedures. In: David R. Holmes III ; Kenneth H. Wong (Ed.) : Proceedings of SPIE Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling (SPIE Medical Imaging 2012 San Diego, CA, USA February 4--6). Vol. 8316. Bellingham, WA 2012, USA : SPIE Society of Photo-Optical Instrumentation Engineers, 2012, pp 83162V.

Weidler, Matthias ; Brost, Alexander ; Jakob, Carolin ; Bourier, Felix ; Koch, Martin ; Kurzidim, Klaus ; Hornegger, Joachim ; Strobel, Norbert: Semi-Automatic Catheter Reconstruction from Two Views. In: Ayache, Nicholas ; Delingette, Herve ; Golland, Polina ; Mori, Kensaku (Ed.) : MICCAI 2012, Part I (International Conference on Medical Image Computing and Computer Assisted Intervention Nice, France 01.10.2012). Berlin, Heidelberg : Springer, 2012, pp 584-591. (Lecture Notes in Computer Science Vol. 7510)

Kleinoeder, Andreas ; Brost, Alexander ; Bourier, Felix ; Koch, Martin ; Kurzidim, Klaus ; Hornegger, Joachim ; Strobel, Norbert: Cryo-balloon catheter position planning using AFiT. In: David R. Holmes III ; Kenneth H. Wong (Ed.) : Proceedings of SPIE Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling (SPIE Medical Imaging San Diego, CA, USA February 4--9). Vol. 8316. 2012, pp 83162R.

Kurzendorfer, Tanja ; Brost, Alexander ; Bourier, Felix ; Koch, Martin ; Kurzidim, Klaus ; Hornegger, Joachim ; Strobel, Norbert: Cryo-Balloon Catheter Tracking in Atrial Fibrillation Ablation Procedures. In: Tolxdorff, Thomas ; Deserno, Thomas Martin ; Handels, Heinz ; Meinzer, Hans-Peter (Ed.) : Bildverarbeitung für die Medizin 2012 (Bildverarbeitung für die Medizin 2012 Berlin, Germany). Berlin / Heidelberg : Springer, 2012, pp 386-391. (Informatik aktuell) - ISBN 978-3-642-28502-8

Brost, Alexander: Image Processing for Fluoroscopy Guided Atrial Fibrillation Ablation Procedures. Erlangen, Friedrich-Alexander-Universität, Ph.D. thesis, 2012. - 205 pages.

Käppler, Sebastian ; Brost, Alexander ; Koch, Martin ; Wu, Wen ; Bourier, Felix ; Chen, Terrence ; Kurzidim, Klaus ; Hornegger, Joachim ; Strobel, Norbert: Motion Estimation Model for Cardiac and Respiratory Motion Compensation. In: Abolmaesumi, Purang and Joskowicz, Leo and Navab, Nassir and Jannin, Pierre (Ed.) : Lecture Notes in Computer Science (Information Processing in Computer-Assisted Interventions (IPCAI) Pisa, Italy 27.06.2012). Vol. 7330. Berlin Heidelberg : Springer, 2012, pp 94-103.

Bourier, Felix ; Brost, Alexander ; Kleinoeder, Andreas ; Kurzendorfer, Tanja ; Koch, Martin ; Kiraly, Atilla ; Schneider, Hans-Juergen ; Hornegger, Joachim ; Strobel, Norbert ; Kurzidim, Klaus: Navigation for Fluoroscopy-Guided Cryo-Balloon Ablation Procedures of Atrial Fibrillation. In: SPIE Medical Imaging (Org.) : Proceedings of SPIE Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling (SPIE Medical Imaging 2012 San Diego, CA, USA February 4-9). Vol. 8316. 2012, pp 831627.