Abstract

This paper presents a novel 2D/3D non-rigid registration method for lung lesions tracking in image-guided diagnoses and treatments. Preoperative 3D lung CT volumes were obtained at a series of respiratory phases and important anatomical points were extracted. A CT volume was selected as reference volume and others were considered floating volumes. Displacement vectors of anatomical points were calculated using coherent point drift (CPD) and diffeomorphic-demon methods. For each CT volume, 2D digitally reconstructed radiographs (DRR) were generated by ray projection to simulate intraoperative 2D X-ray, and grayscale-based similarity measures of DRR between reference and floating volumes were calculated. A pulmonary respiration model was constructed using cubic polynomial, which represents the non-linear correlation between displacement vectors and similarity measures. During operation, the pulmonary respiration model used X-ray to obtain displacement vectors of important anatomical points; deformation fields were calculated from the displacement vectors through B-spline transformations. Finally, simulated lung CT volumes corresponding to intraoperative X-ray were generated by applying deformation fields to reference volume. The proposed method was compared to a state-of-the-art 2D/3D non-rigid registration method named respiratory-phase matching. Experimental results on two datasets respectively from a lung cancer patient and an ex vivo pig lung, showed mean registration accuracy of the proposed method was 1.57 ± 0.92 mm and 2.65 ± 1.35 mm; an improvement of 23% and 9% over the matching method. Moreover, mean lung structure overlaps were 0.91 and 0.88, comparable to matching method. The proposed method has potential in aiding lung intervention diagnoses and real-time lesion tracking.

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