Abstract

Vascular image registration is an essential approach to combine the advantages of preoperative 3D computed tomography angiography images and intraoperative 2D X-ray/digital subtraction angiography (DSA) images together. Cardiovascular deformation caused by heartbeat and respiration is one of the most vital factors that affect vascular image registration accuracy. Traditional optimized-based registration methods suffer severely from high computational complexity, which hinders the clinical applications of these methods seriously. To overcome these challenges, we developed a novel multi-channel convolutional neural network (MCNN) that combines a CNN with a periodic vascular diameter variation model. Our method is capable of registering simulated DSA images or real DSA images with their corresponding 3D models in a matter of milliseconds. Our presented MCNN model achieves excellent registration results of three different kinds of cardiovascular patients. The mean absolute error of all six transformation parameters of the MCNN model presented in this paper is less than 1 mm or 1°. The improvement to our MCNN model in registration accuracy is larger than 75% over a single-channel CNN model. Our MCNN method performs more effectively and stable than the state-of-the-art intensity-based methods, especially when vascular deformations occur.

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